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1.
Appl Opt ; 63(1): 17-29, 2024 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-38175001

RESUMO

A test station setup devised to measure the emission characteristics and beam propagation parameters of a light detection and ranging (LiDAR) system is presented. The main blocks of the station to measure the accessible emission, wavelength peak and FWHM, pulse duration, pulse repetition rate, horizontal and vertical angular resolution, field of view, beam propagation factor M 2, beam waist size, waist location, and divergence are described. The performance of this test station was demonstrated using a commercial spinning LiDAR, a Velodyne VLP-16, which successfully enables these measurements for a laser beam with a wavelength of 913 nm.

2.
Tech Coloproctol ; 27(2): 135-143, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-36063257

RESUMO

BACKGROUND: Complex perianal fistulas are a major challenge for modern surgery since 10-35% of patients have functional problems after treatment. Sphincter-saving techniques have a wide range of efficacy (10-80%). We hypothesised that autologous adipose-derived stromal vascular fraction in combination with platelet rich plasma is a new therapeutic strategy with enhanced cure and function preservation rates. METHODS: Adult patients with complex cryptoglandular perianal fistulas were treated with injection of autologous adipose-derived stromal vascular fraction in combination with platelet rich plasma around and inside the fistulous tract between May 2018 and April 2019 at the General and Emergency Surgery Operative Unit of the University Hospital "P. Giaccone" of Palermo. Fistulas were confirmed by magnetic resonance imaging. Patients completed the Short Form-36 score on quality of life and the Wexner and Vaizey scores on faecal incontinence, and they were functionally studied using a three-dimensional anorectal manometry. The clinical and functional follow-up was performed at 1 year and 2 years after surgery. RESULTS: Nine patients (4 males, 5 females; median age 42 years [19-63 years]) with high trans-sphincteric or horseshoe fistulas were treated. The average number of previous surgeries per patient was 4.8. At 1 year follow-up, 77.7% of patients were cured, while at 2 years there was 1case of relapse. The variation in Short Form-36 score in cured patients was not significant (p = 0.0936). No statistically significant differences were found in continence scores. CONCLUSIONS: The proposed treatment is a treatment option that preserves sphincter integrity and function, potentially avoiding postoperative incontinence and the need of repeated treatments.


Assuntos
Fístula Cutânea , Fístula Retal , Adulto , Masculino , Feminino , Humanos , Qualidade de Vida , Fístula Retal/cirurgia , Injeções , Tecido Adiposo , Resultado do Tratamento , Canal Anal/cirurgia
3.
J Clin Microbiol ; 60(11): e0069722, 2022 Nov 16.
Artigo em Inglês | MEDLINE | ID: mdl-36222547

RESUMO

Pestivirus K, commonly known as atypical porcine pestivirus (APPV), is the most common cause of congenital tremor (CT) in pigs. Currently, there is limited information on the infection dynamics of and immune response against APPV and no robust serologic assay to assess the effectiveness of preventative measures. To that end, known infection status samples were generated using experimental inoculation of cesarean-derived, colostrum-deprived pigs. Pigs (2 per pen) were inoculated with minimum essential medium (n = 6; negative control) or APPV (n = 16). Serum, pen-based oral fluid samples, and nasal swabs were collected through 70 days postinoculation (dpi). The immune response to recombinant APPV Erns, E2, or NS3 antigens was evaluated using both serum and oral fluids via indirect enzyme-linked immunosorbent assays (ELISAs). APPV was detected by real-time reverse transcription-PCR (RT-qPCR) in all oral fluid and serum samples from APPV-inoculated animals by 24 and 35 dpi, respectively. All samples remained genome positive until 70 dpi. Detection of nasal shedding was less consistent, with APPV being detected by RT-qPCR in all inoculated animals at 42, 49, and 56 dpi. Antibodies were first detected in oral fluids at 14 dpi, 10 days before serum detection, and concurrently with the first oral fluids RT-qPCR detection. Across sample types and time points, the Erns ELISA outperformed the other targets. In conclusion, both oral fluid and serum APPV Erns ELISAs can be used to economically evaluate the individual and herd status prior to and following intervention strategies.


Assuntos
Infecções por Pestivirus , Pestivirus , Doenças dos Suínos , Suínos , Animais , Pestivirus/genética , Infecções por Pestivirus/diagnóstico , Infecções por Pestivirus/veterinária , Doenças dos Suínos/diagnóstico , Filogenia , Ensaio de Imunoadsorção Enzimática
4.
J Clin Microbiol ; 58(12)2020 11 18.
Artigo em Inglês | MEDLINE | ID: mdl-32967897

RESUMO

Mycoplasma hyopneumoniae is an economically significant pathogen of swine. M. hyopneumoniae serum antibody detection via commercial enzyme-linked immunosorbent assays (ELISAs) is widely used for routine surveillance in commercial swine production systems. Samples from two studies were used to evaluate assay performance. In study 1, 6 commercial M. hyopneumoniae ELISAs were compared using serum samples from 8-week-old cesarean-derived, colostrum-deprived (CDCD) pigs allocated to the following 5 inoculation groups of 10 pigs each: (i) negative control, (ii) Mycoplasma flocculare (strain 27399), (iii) Mycoplasma hyorhinis (strain 38983), (iv) Mycoplasma hyosynoviae (strain 34428), and (v) M. hyopneumoniae (strain 232). Weekly serum and daily oral fluid samples were collected through 56 days postinoculation (dpi). The true status of pigs was established by PCR testing on oral fluids samples over the course of the observation period. Analysis of ELISA performance at various cutoffs found that the manufacturers' recommended cutoffs were diagnostically specific, i.e., produced no false positives, with the exceptions of 2 ELISAs. An analysis based on overall misclassification error rates found that 4 ELISAs performed similarly, although one assay produced more false positives. In study 2, the 3 best-performing ELISAs from study 1 were compared using serum samples generated under field conditions. Ten 8-week-old pigs were intratracheally inoculated with M. hyopneumoniae Matched serum and tracheal samples (to establish the true pig M. hyopneumoniae status) were collected at 7- to 14-day intervals through 98 dpi. Analyses of sensitivity and specificity showed similar performance among these 3 ELISAs. Overall, this study provides an assessment of the performance of current M. hyopneumoniae ELISAs and an understanding of their use in surveillance.


Assuntos
Mycoplasma hyopneumoniae , Pneumonia Suína Micoplasmática , Doenças dos Suínos , Animais , Anticorpos Antibacterianos , Ensaio de Imunoadsorção Enzimática , Mycoplasma , Pneumonia Suína Micoplasmática/diagnóstico , Suínos
5.
Vet Pathol ; 57(1): 82-89, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31551018

RESUMO

In the past decade, different members of the genus Mamastrovirus have been associated with outbreaks of neurologic disease in humans, cattle, sheep, mink, and, most recently, porcine astrovirus 3 (PoAstV3) in swine. We performed a retrospective analysis of 50 cases of porcine neurologic disease of undetermined cause but with microscopic lesions compatible with a viral encephalomyelitis to better understand the role and pathogenesis of PoAstV3 infection. Nucleic acid was extracted from formalin-fixed paraffin-embedded (FFPE) tissue for reverse transcription quantitative polymerase chain reaction (RT-qPCR) testing for PoAstV3. In addition, 3 cases with confirmed PoAstV3-associated disease were assayed by RT-qPCR to investigate PoAstV3 tissue distribution. PoAstV3 was detected in central nervous system (CNS) tissue via RT-qPCR and in situ hybridization in 13 of 50 (26%) FFPE cases assayed. PoAstV3 was rarely detected in any tissues outside the CNS. Positive cases from the retrospective study included pigs in various production categories beginning in 2010, the earliest year samples were available. Based on these results, PoAstV3 appears to be a recurring putative cause of viral encephalomyelitis in swine that is rarely detected outside of the CNS at the time of clinical neurologic disease, unlike other common viral causes of neurologic disease in swine.


Assuntos
Infecções por Astroviridae/veterinária , Encefalomielite/veterinária , Mamastrovirus/isolamento & purificação , Doenças dos Suínos/virologia , Animais , Infecções por Astroviridae/patologia , Infecções por Astroviridae/virologia , Encefalomielite/patologia , Encefalomielite/virologia , Feminino , Hibridização In Situ/veterinária , Masculino , Mamastrovirus/genética , Reação em Cadeia da Polimerase em Tempo Real/veterinária , Estudos Retrospectivos , Suínos , Doenças dos Suínos/patologia
6.
Appl Opt ; 58(31): 8495-8500, 2019 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-31873334

RESUMO

We describe a highly sensitive optical technique for glucose concentration measurements in liquid samples based on measuring the heights of the primary sidelobes of the normalized intensity profiles of a focused Gaussian beam with high spherical aberration. A singlet lens-shaped container, filled with the sample under test, is used to focus the beam at an observation plane placed close to the focusing region. The normalized intensity profile of the aberrated beam allows for accurate measurement of the sample glucose concentration.

7.
Rev Sci Tech ; 38(3): 851-862, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-32286563

RESUMO

Vespa velutina nigrithorax is an invasive alien organism that has raised concerns in all beekeeping communities of invaded countries including the Republic of Korea, European countries and Japan. Known also as the yellow-legged hornet (or the 'Asian hornet'), it is native to northern India, eastern Nepal, Bhutan and the People's Republic of China. Given its climatic and biological characteristics and the effects of climate change, some coastal areas of North America, Argentina, South Africa, Australia and New Zealand are also susceptible to invasion. Vespa velutina nigrithorax notably affects managed honey-bee colonies by predation on foragers and causing a reduction in the collection of food resources. Being a generalist predator, the yellow-legged hornet also preys on other managed and wild pollinators, and therefore its impacts are not limited to the beekeeping sector but also represent a biodiversity concern. The purpose of this paper is to provide an assessment of V. v. nigrithorax against the four criteria established in Chapter 1.2. of the World Organisation for Animal Health (OIE) Terrestrial Animal Health Code for the inclusion of a disease, infection or infestation in the OIE list. The work was requested by the OIE Scientific Commission for Animal Diseases and presented to this Commission and to the OIE Terrestrial Animal Health Standards Commission in September 2017. Owing to the lack of effective measures to prevent its spread, the fact that its legal situation in some countries is under the mandate of environmental authorities rather than Veterinary Services, and because it is not considered a disease or parasite, V. v. nigrithorax is not currently being proposed for inclusion in the OIE list. At the end of the text, the statements from the two commissions are included and discussed.


Vespa velutina nigrithorax est une espèce allochtone envahissante qui inquiète l'ensemble du secteur apicole dans les pays qu'elle a colonisés, dont la République de Corée, les pays européens et le Japon. Désignée communément sous le nom de frelon asiatique ou de frelon à pattes jaunes, V. v. nigrithorax est originaire du Nord de l'Inde, du Népal oriental, du Bhoutan et de la République populaire de Chine. Certaines zones littorales d'Amérique du Nord, d'Argentine, d'Afrique du Sud, d'Australie et de Nouvelle-Zélande sont également susceptibles d'être colonisées compte tenu de leurs caractéristiques climatiques et biologiques et des effets induits par le changement climatique. Vespa velutina nigrithorax affecte surtout les colonies d'abeilles mellifères en s'attaquant aux butineuses ce qui se traduit par une baisse des ressources alimentaires collectées dans les ruches. Étant un prédateur généraliste, cette espèce de frelon s'attaque également à d'autres pollinisateurs d'élevage ou sauvages de sorte que son impact ne se limite pas au secteur apicole mais représente également une menace pour la biodiversité. Dans cet article, les auteurs évaluent V. v. nigrithorax au regard des quatre critères définis dans le chapitre 1.2. du Code sanitaire pour les animaux terrestres de l'Organisation mondiale de la santé animale (OIE) pour qu'une maladie, une infection ou une infestation soit ajoutée à celles listées par l'OIE. Les résultats de cette étude, réalisée à la demande de la Commission scientifique pour les maladies animales de l'OIE, ont été présentés en septembre 2017 à cette commission ainsi qu'à la Commission des normes sanitaires pour les animaux terrestres de l'OIE. L'inclusion de V. v. nigrithorax dans la liste de l'OIE n'est pas proposée actuellement pour trois raisons : 1) l'absence de méthodes efficaces pour prévenir la propagation de cette espèce ; 2) le fait que sa gestion relève dans certains pays de la compétence des autorités chargées de l'environnement et non des Services vétérinaires ; 3) le fait que le frelon asiatique n'est ni un vecteur de maladie ni un parasite. En conclusion de leur article les auteurs citent et commentent les avis rendus par les deux Commissions spécialisées de l'OIE suite à cette étude.


Vespa velutina nigrithorax es un organismo alóctono (exótico) invasor que ha generado preocupación en todas las comunidades apícolas de los países que ha invadido, entre ellos la República de Corea, diferentes países europeos y Japón. Conocido también cómo avispón asiático, es originario del norte de India, el Nepal oriental, Bután y la República Popular de China. Zonas costeras de Norteamérica, Argentina, Sudáfrica, Australia y Nueva Zelanda también corren peligro de ser invadidas debido a sus condiciones climáticas y biológicas y a los efectos del cambio climático. Vespa velutina nigrithorax afecta significativamente a las colonias de manejo apícola, ya que ataca a las pecoreadoras y reduce la capacidad de recolectar recursos alimenticios de la colmena. Además, como depredador generalista que es, el avispón asiático también ataca a otros polinizadores salvajes o manejados por el hombre, por lo que sus impactos no se limitan al sector apícola sino que suponen también un problema de biodiversidad. El objetivo del presente artículo es evaluar en qué medida V. v. nigrithorax cumple los cuatro criterios establecidos en el capítulo 1.2 del Código Sanitario para los Animales Terrestres de la Organización Mundial de Sanidad Animal (OIE) para incluir una enfermedad, infección o infestación en la lista de la OIE. Este trabajo fue realizado a petición de la Comisión Científica para las Enfermedades de los Animales de la OIE y presentado a esta comisión y a la Comisión de Normas Sanitarias para los Animales Terrestres de la OIE en septiembre de 2017. Puesto que no existen medidas eficaces para contener su diseminación, que en algunos países está legalmente bajo competencia de las autoridades ambientales, y no de los Servicios Veterinarios, y que no está considerada ni una enfermedad ni un parásito, actualmente no se recomienda incluir V. v. nigrithorax en la lista de la OIE. Al final del artículo se incluyen y discuten las declaraciones de ambas comisiones.


Assuntos
Espécies Introduzidas , Vespas/classificação , Animais , Argentina , Austrália , Butão , China , Europa (Continente) , Índia , Japão , Nepal , Nova Zelândia , América do Norte , África do Sul
8.
Appl Opt ; 57(15): 4153-4157, 2018 May 20.
Artigo em Inglês | MEDLINE | ID: mdl-29791389

RESUMO

We demonstrate that an optical probe beam with high spherical aberration used for glucose concentration measurements gives better sensitivity compared to a probe beam free of aberrations, under similar conditions. We place a singlet focusing lens at a large distance from a laser source with a Gaussian intensity profile to obtain a spherically aberrated probe beam with negligible truncation. The aberrated probe beam propagates through a transparent liquid sample. Intensity profiles of the transmitted beam are recorded by means of a homodyne profiler to perform the glucose concentration measurements accurately.


Assuntos
Glucose/análise , Lasers , Dispositivos Ópticos , Modelos Teóricos
9.
J Acoust Soc Am ; 142(2): 680, 2017 08.
Artigo em Inglês | MEDLINE | ID: mdl-28863574

RESUMO

Mechanical devices operating in noisy environments lead to low signal-to-noise ratios creating a challenging signal processing problem to monitor the vibrational signature of the device in real-time. To detect/classify a particular type of device from noisy vibration data, it is necessary to identify signatures that make it unique. Resonant (modal) frequencies emitted offer a signature characterizing its operation. The monitoring of structural modes to determine the condition of a device under investigation is essential, especially if it is a critical entity of an operational system. The development of a model-based scheme capable of the on-line tracking of structural modal frequencies by applying both system identification methods to extract a modal model and state estimation methods to track their evolution is discussed along with the development of an on-line monitor capable of detecting anomalies in real-time. An application of this approach to an unknown structural device is discussed illustrating the approach and evaluating its performance.

10.
Mol Psychiatry ; 20(6): 718-26, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-25980346

RESUMO

Most mental disorders, when examined independently, are associated with an elevated risk for suicide attempt. However, mental disorders often co-occur, and that co-occurrence is well explained by models where specific mental disorders are understood as manifestations of latent dimensions of psychopathology. To date, it remains unclear whether the risk of suicide attempt is due to specific mental disorders, to specific dimensions of psychopathology (that is, internalizing and externalizing dimensions), to a general psychopathology factor or to a combination of these explanations. In a large nationally representative prospective survey, the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), we used structural equation modeling to examine the shared and specific effects of Axis I and Axis II disorders on the occurrence of suicide attempts in the general population and among individuals with a lifetime history of suicidal ideation. Effects of mental disorders on the risk of suicide attempt were exerted almost exclusively through a general psychopathology factor representing the shared effect across all mental disorders. Effects of remitted psychiatric disorders on the risk of suicide attempt were fully mediated by current mental disorders. Similar patterns of associations were found in individuals with suicidal ideation. These results held when using different approaches to modeling psychiatric comorbidity. Our findings underscore the importance of adopting dimensional approaches to comorbidity in the study of suicidal behavior. Because mental disorders increase the risk of suicide attempt through a general psychopathology liability, this dimension should be considered as an important therapeutic target to substantially advance suicide prevention.


Assuntos
Transtornos Mentais/epidemiologia , Transtornos Mentais/psicologia , Ideação Suicida , Tentativa de Suicídio/estatística & dados numéricos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Escalas de Graduação Psiquiátrica , Estudos Retrospectivos , Estados Unidos/epidemiologia , Adulto Jovem
11.
Langmuir ; 32(22): 5663-71, 2016 06 07.
Artigo em Inglês | MEDLINE | ID: mdl-27182766

RESUMO

The influence of zwitterionic self-assembled monolayers on settlement and removal of algae was studied. The monolayers were constructed either from zwitterionic thiols or from solutions of positively and negatively charged thiols. The cationic component was composed of quaternary ammonium terminated thiols and the anionic component contained sulfate or carboxylate termination. During assembly, all surfaces showed a strong tendency for equilibration of the surface charge. Settlement and adhesion assays with zoospores of Ulva linza and the diatom Navicula incerta, and field tests of the initial surface colonization revealed the relevance of charge equilibration for the biological inertness of the prepared surfaces.

12.
Med Intensiva ; 39(3): 172-8, 2015 Apr.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-25555308

RESUMO

The integration of the ventricular function is essential when making decisions over a patient subjected to cardiac electrostimulation in order to understand the structure followed in the new cardiac stimulation and resynchronising therapy guides. To support the importance of ventricular function in cardiac electrostimulation it is important to know: (i)the deleterious effect of stimulation on the right ventricle apex; (ii)the effect over the left ventricular function produced by complete blockage of the left branch, and (iii)left ventricular disfunction as arrythmogenic substrate. When it comes to decide what type of cardiac electrostimualtion to apply we will know: the percentage of ventricular stimulation needed and its ventricular function. A normal ventricular function will enable electrostimulation from the right ventricle apex or alternative site. On the contrary, if this value is lower than 50% the most recommended electrostimulation is cardiac resynchronisation (CRT-P), which will be accompanied by defibrillation (CRT-D) if FEVI is lower than 35%.


Assuntos
Estimulação Cardíaca Artificial/métodos , Cardioversão Elétrica/métodos , Técnicas Eletrofisiológicas Cardíacas/métodos , Ventrículos do Coração/fisiopatologia , Terapia de Ressincronização Cardíaca/métodos , Tomada de Decisão Clínica , Ensaios Clínicos como Assunto , Morte Súbita Cardíaca , Frequência Cardíaca , Humanos , Volume Sistólico , Sístole , Disfunção Ventricular Esquerda/fisiopatologia
13.
J Viral Hepat ; 21(6): e19-28, 2014 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-24674023

RESUMO

The growing number of cases of acute hepatitis C (AHC) infections among human immunodeficiency virus type 1 (HIV-1)-positive men who have sex with men (MSM) in the last 10 years has promoted the search for predictors of AHC clearance as well as for epidemiological networks of viral transmission. We characterized the diversity and catalytic efficiency of HCV NS3/4A protease quasispecies in AHC patients coinfected with HIV-1. Plasma samples obtained at HCV diagnosis from 18 MSM HIV-coinfected patients with AHC were studied. Five HCV monoinfected patient samples with AHC were also investigated. An average of 39 clones from each sample was analysed. The catalytic efficiency of the dominant quasispecies (i.e. the most abundant) from each quasispecies was also assayed for mitochondrial antiviral signalling protein (MAVS) cleavage. Phylogenetic analysis identified two clusters of patients with highly related viruses, suggesting a common source of HCV infection. None of the 18 MSM HIV-coinfected patients spontaneously cleared HCV, although 78% of the treated patients achieved a sustained virological response after early treatment with pegylated interferon (pegIFN) plus ribavirin (RBV). The synonymous-nonsynonymous (ds/dn) mutation ratio, a marker of selective pressure, was higher in AHC compared to 26 HIV-1-infected men with genotype 1a chronic hepatitis C (CHC) (P < 0.0001). NS3/4A proteases from AHC patients also exhibited higher catalytic efficiency compared to CHC patients (P < 0.0001). No differences were found when ds/dn mutation ratios and NS3/4A protease catalytic efficiencies from AHC HIV-coinfected patients were compared with AHC monoinfected patients. The presence of epidemiological networks of HCV transmission was confirmed among HIV-1-positive MSM. In addition, substantial genetic diversity was demonstrated in AHC. NS3/4A protease efficiency cleaving MAVS may be associated with virus transmission and response to pegIFN/RBV treatment.


Assuntos
Proteínas de Transporte/genética , Variação Genética , Infecções por HIV/complicações , Hepacivirus/classificação , Hepacivirus/genética , Hepatite C/virologia , Proteínas não Estruturais Virais/genética , Proteínas de Transporte/metabolismo , Análise por Conglomerados , Genótipo , Infecções por HIV/virologia , HIV-1/isolamento & purificação , Hepacivirus/enzimologia , Hepacivirus/isolamento & purificação , Hepatite C/epidemiologia , Humanos , Peptídeos e Proteínas de Sinalização Intracelular , Masculino , Epidemiologia Molecular , Dados de Sequência Molecular , Filogenia , Proteólise , RNA Viral/genética , Análise de Sequência de DNA , Proteínas não Estruturais Virais/metabolismo
14.
Malays Orthop J ; 18(1): 125-132, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38638658

RESUMO

Introduction: Periprosthetic joint infection (PJI) represents a serious burden in orthopaedic oncology. Through the years, several local expedients have been proposed to minimise the risk of periprosthetic infection. In this study, we report our outcomes using topical vancomycin powder (VP) with the aim to prevent PJIs. Materials and methods: Fifty oncological cases treated with massive bone resection and the implant of a megaprosthesis were included in our study. Among them, 22 [(GGroup A) received one gram of vancomycin powder on the surface of the implant and another gram on the surface of the muscular fascia]. The remaining 28 did not receive such a treatment (Group B). The rest of surgical procedures and the follow-up were the same for the two groups. Patients underwent periodical outpatient visits, radiographs and blood exams' evaluations. Diagnosis of PJIs and adverse reactions to topical vancomycin were recorded. Results: None of the cases treated with topical vancomycin developed infections, whereas 6 of the 28 cases (21.4%) who did not receive the powder suffered from PJIs. These outcomes suggest that cases treated with VP had a significantly lower risk of post-operative PJI (p=0.028). None of our cases developed acute kidney failures or any other complication directly or indirectly attributable to the local administration of VP. Conclusions: The topical use of vancomycin powder on megaprosthetic surfaces and the overlying fascias, alongside with a correct endovenous antibiotic prophylaxis, can represent a promising approach in order to minimise the risk of periprosthetic infections in orthopaedic oncology surgery.

15.
Curr Probl Cardiol ; 49(9): 102691, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-38857665

RESUMO

Hypertrophic cardiomyopathy (HCM) with left ventricular outflow tract obstruction that doesn't improve with pharmacological management often requires septal myectomy. However, there are few centers with experience in the practice of this procedure in our country. We describe the clinical and echocardiographic characteristics and postoperative outcomes of patients with HCM indicated for septal myectomy at a reference center in Colombia. MATERIALS AND METHODS: Retrospective cohort study. Patients undergoing septal myectomy between 2010 and 2023 were included. Data were collected before and two years after surgery. RESULTS: 18 patients were included. The mean age was 50 years. The predominant functional class was NYHA II/III (94 %). Asymmetric septal variant (83.3 %) was the most frequent as well as obstructive phenotype (88.8 %). After myectomy, 70.5 % improved to NYHA I and 62.4 % had no significant gradient (<30 mmHg), and the most of patient improved SAM. One patient died post-procedure, anymore complications were presented. DISCUSSION/CONCLUSIONS: Septal myectomy is a safe procedure, with clinical and echocardiographic improvement, with low complication rates.


Assuntos
Cardiomiopatia Hipertrófica , Ecocardiografia , Septos Cardíacos , Humanos , Cardiomiopatia Hipertrófica/cirurgia , Pessoa de Meia-Idade , Masculino , Feminino , Estudos Retrospectivos , Septos Cardíacos/cirurgia , Septos Cardíacos/diagnóstico por imagem , Resultado do Tratamento , Ecocardiografia/métodos , Adulto , Obstrução do Fluxo Ventricular Externo/cirurgia , Procedimentos Cirúrgicos Cardíacos/métodos , Colômbia/epidemiologia , Idoso , Miotomia/métodos
16.
Emerg Microbes Infect ; 13(1): 2353292, 2024 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-38712345

RESUMO

ABSTRACTRapid evolution of highly pathogenic avian influenza viruses (HPAIVs) is driven by antigenic drift but also by reassortment, which might result in robust replication in and transmission to mammals. Recently, spillover of clade 2.3.4.4b HPAIV to mammals including humans, and their transmission between mammalian species has been reported. This study aimed to evaluate the pathogenicity and transmissibility of a mink-derived clade 2.3.4.4b H5N1 HPAIV isolate from Spain in pigs. Experimental infection caused interstitial pneumonia with necrotizing bronchiolitis with high titers of virus present in the lower respiratory tract and 100% seroconversion. Infected pigs shed limited amount of virus, and importantly, there was no transmission to contact pigs. Notably, critical mammalian-like adaptations such as PB2-E627 K and HA-Q222L emerged at low frequencies in principal-infected pigs. It is concluded that pigs are highly susceptible to infection with the mink-derived clade 2.3.4.4b H5N1 HPAIV and provide a favorable environment for HPAIV to acquire mammalian-like adaptations.


Assuntos
Virus da Influenza A Subtipo H5N1 , Vison , Infecções por Orthomyxoviridae , Doenças dos Suínos , Animais , Vison/virologia , Infecções por Orthomyxoviridae/virologia , Infecções por Orthomyxoviridae/transmissão , Infecções por Orthomyxoviridae/veterinária , Suínos , Virus da Influenza A Subtipo H5N1/patogenicidade , Virus da Influenza A Subtipo H5N1/genética , Virus da Influenza A Subtipo H5N1/fisiologia , Virus da Influenza A Subtipo H5N1/isolamento & purificação , Doenças dos Suínos/virologia , Doenças dos Suínos/transmissão , Espanha , Proteínas Virais/genética , Proteínas Virais/metabolismo , Eliminação de Partículas Virais
17.
Tech Coloproctol ; 17(5): 571-4, 2013 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-23361497

RESUMO

Rectal gastrointestinal stromal tumors (GISTs) are uncommon, and the role of local excision versus a more extensive resection after the advent of effective targeted chemotherapy with imatinib is not known. Our aim is to present two cases of large anorectal GIST treated with local excision through a new anterolateral trans-sphincteric approach followed by adjuvant therapy with imatinib. Two patients (both males, 68 and 63 years old) presented at our institution with anorectal GIST in the period October-November 2010. Their medical records, pathology results, and imaging studies were retrospectively reviewed. Both patients presented with an anterior perianal mass. Imaging studies were characteristic of GIST originating in the lower rectum, circumscribed by a pseudocapsule, and protruding into the ischiorectal fossa. Both patients underwent local excision via an anterolateral trans-sphincteric approach. Both tumors were removed intact, with microscopically negative margins. The maximum tumor diameter was 8 and 9 cm, and the diagnosis of GIST was confirmed by positive CD117 and CD34 staining in both cases. Both tumors had a high (>5/50HPF) mitotic index. The patients had an uneventful postoperative course and were discharged on days 5 and 6. Both patients were started on imatinib 400 mg bid postoperatively. Postoperative magnetic resonance imaging and positron emission tomography computed tomography were carried out at 12 months and did not reveal any signs of recurrence. The patients are currently disease-free at 24 and 23 months of follow-up. In selected cases, complete excision of rectal GIST with negative margins is feasible via a trans-sphincteric approach. With the use of adjuvant therapy, which is currently advocated in all high-risk cases, it is possible that local excision with its reduced morbidity may become a viable alternative, especially in patients who would otherwise require abdominoperineal excision such as the two presented here. Prospective studies with longer follow-up are needed to confirm adequate oncologic results.


Assuntos
Benzamidas/administração & dosagem , Tumores do Estroma Gastrointestinal/diagnóstico , Tumores do Estroma Gastrointestinal/terapia , Piperazinas/administração & dosagem , Pirimidinas/administração & dosagem , Neoplasias Retais/terapia , Idoso , Neoplasias do Ânus/diagnóstico , Neoplasias do Ânus/terapia , Quimioterapia Adjuvante , Colectomia/métodos , Terapia Combinada , Endossonografia/métodos , Seguimentos , Humanos , Mesilato de Imatinib , Imageamento por Ressonância Magnética/métodos , Masculino , Pessoa de Meia-Idade , Invasividade Neoplásica/patologia , Estadiamento de Neoplasias , Tomografia por Emissão de Pósitrons/métodos , Neoplasias Retais/diagnóstico , Medição de Risco , Estudos de Amostragem , Tomografia Computadorizada por Raios X/métodos , Resultado do Tratamento
18.
Sci Total Environ ; 905: 166845, 2023 Dec 20.
Artigo em Inglês | MEDLINE | ID: mdl-37709092

RESUMO

One popular methodology for assessing the environmental impact of livestock sector is Life Cycle Assessment (LCA), that quantifies the environmental impact of a product. Ecological Footprint (EF) performs an environmental sustainability assessment, by comparing the demand for natural capital by an economic activity with the offer of such capital within a certain territory. The aim of the study was the comparison between LCA and EF in assessing the environmental performances of milk production, assuming as case study three cattle farms with increasing levels of production intensity. Different metrics and functional units (FU) (i.e., fat and protein corrected milk, FPCM and hectare) were adopted for LCA analysis, considering some of the major impact categories. For greenhouse gases emissions, the Global Warming Potential (GWP) and the Global Temperature Potential (GTP) were considered. Both metrics were calculated assuming or not the distinction between biogenic and fossil methane. Adopting GWP as a metric, the results per kg of FPCM provided by the LCA highlighted a different trade off compared to the EF method: the farm with the highest productive intensity produced the least impactful milk in terms of GWP but had the most negative Ecological Balance (EB). The same occurred for the other impact categories. When GTP was adopted, or the hectare was considered as FU, the least intensive farm, characterized by greater feed self-sufficiency, became the one that produced the least impactful milk and had the least negative EB. The study highlighted the scientific significance of the integration between the two approaches for creating a comprehensive representation of the effects of human activities on the environment. The LCA method evaluates impacts intensity referred to a specific functional unit and its results are strongly influenced by productive efficiency; the EF method evaluates environmental sustainability of productions in relation to the territory that supports them.


Assuntos
Biodiversidade , Indústria de Laticínios , Humanos , Animais , Bovinos , Indústria de Laticínios/métodos , Temperatura , Leite , Estágios do Ciclo de Vida , Guanosina Trifosfato
19.
Arch Soc Esp Oftalmol (Engl Ed) ; 98(2): 112-115, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36577465

RESUMO

A case of severe restrictive strabismus after a consecutive exotropia surgery is presented. We describe the exitous managment through a technique consist of wrapping with amniotic membrane (AM) the affected muscle where we add a second AM graft in the reconstruction of the ocular Surface.


Assuntos
Exotropia , Estrabismo , Humanos , Âmnio/transplante , Estrabismo/etiologia , Estrabismo/cirurgia , Músculos Oculomotores/cirurgia , Exotropia/etiologia , Exotropia/cirurgia , Procedimentos Cirúrgicos Oftalmológicos/métodos
20.
J Appl Microbiol ; 112(3): 593-604, 2012 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-22212214

RESUMO

AIMS: To investigate with high geographical resolution the small-scale spatial and temporal distribution of the pathogen Vibrio vulnificus throughout the water column in a temperate Texas bay where numerous V. vulnificus infections had been reported by the regional media the previous summer. METHODS AND RESULTS: Surface and bottom water samples were collected from 19 sites between April 2005 and October 2006 from Matagorda Bay, TX. Physicochemical parameters were measured and V. vulnificus were analysed using quantitative polymerase chain reaction (Q-PCR) as a means of overcoming constraints of traditional culturing techniques. V. vulnificus was detected through out the year, although its temporal and spatial distribution was patchy. V. vulnificus abundances at individual sites ranged from <10 to >1·1×10(3)cellsml(-1) . No statistically reliable predictive model related to the physicochemical parameters could be developed for this pathogen. CONCLUSIONS: This study demonstrates that year round detection of V. vulnificus while likely in the viable but nonculturable (VBNC) state during the winter months and emphasizes why physicochemical factors are insufficient metrics for robust regression modelling of this pathogen. SIGNIFICANCE AND IMPACT OF THE STUDY: This study provides an effective new tool, Q-PCR, to study environmental distribution of V. vulnificus and that in the light of the patchy distribution observed, new reliable approaches and a mechanistic understanding of pathogen ecology need to be considered to effectively model the aquatic distribution of V. vulnificus.


Assuntos
Baías/microbiologia , Monitoramento Ambiental/métodos , Reação em Cadeia da Polimerase/métodos , Vibrio vulnificus/isolamento & purificação , Microbiologia da Água , Geografia , Concentração de Íons de Hidrogênio , Modelos Biológicos , Oxigênio/análise , Salinidade , Estações do Ano , Água do Mar/análise , Água do Mar/microbiologia , Temperatura , Texas , Vibrio vulnificus/genética
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