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1.
Appl Opt ; 60(23): 6935-6942, 2021 Aug 10.
Artículo en Inglés | MEDLINE | ID: mdl-34613174

RESUMEN

Hadamard, cosine, and noiselet bases are implemented into a digital holographic microscope based on single-pixel imaging with the capability to retrieve images of complex objects. The object is illuminated with coherent light modulated with different patterns deployed in a digital micromirror device, and the resulting fields are captured by single-pixel detection. For amplitude images, the experimental results of the three bases are evaluated with the peak SNR criteria. It is shown that the cosine basis recovers amplitude distributions with the best quality. Regarding phase images, the recovered ones compare well with those obtained with a CMOS camera.

2.
Schweiz Arch Tierheilkd ; 166(9): 460-464, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-39225507

RESUMEN

INTRODUCTION: The novel Porcine circovirus 3 (PCV-3) has been associated in the past years to different porcine diseases, including reproductive failure. The potential occurrence of PCV-3 in abortions from Swiss pig herds has not been investigated so far. Thus, we conducted a retrospective study on pig aborted cases submitted to our laboratory in the University of Bern during the last 10 years with the main aim of investigating the possible presence of PCV-3 in foetal and/or placental tissue. Twelve out of the 53 studied cases showed mild histopathological changes as previously described in PCV-3 positive cases. However, in none of the cases, PCV-3 genetic material could be detected in the examined formalin-fixed, paraffin-embedded tissues. In only one third of the cases, a cause for the abortion was found, which is similar to other studies. Our survey suggests that PCV-3 was not involved in the porcine abortion cases submitted over the last decade at our institution in Switzerland.


INTRODUCTION: Le nouveau Circovirus porcin 3 (PCV-3) a été associé ces dernières années à différentes maladies porcines, y compris des troubles de la reproduction. La présence potentielle du PCV-3 dans les avortements de porcs en Suisse n'a pas été étudiée jusqu'à présent. Nous avons donc mené une étude rétrospective sur les cas d'avortements de porcs soumis à notre laboratoire de l'Université de Berne au cours des 10 dernières années, dans le but principal d'étudier la présence éventuelle du PCV-3 dans les tissus fœtaux et/ou placentaires. Douze des 53 cas étudiés présentaient des changements histopathologiques légers, tels que décrits précédemment dans les cas positifs au PCV-3. Cependant, dans aucun des cas, le matériel génétique du PCV-3 n'a pu être détecté dans les tissus examinés fixés au formol et inclus en paraffine. Dans un tiers des cas seulement, une cause d'avortement a été trouvée, ce qui est similaire à d'autres études. Notre étude suggère que le PCV-3 n'a pas été impliqué dans les cas d'avortements porcins soumis au cours de la dernière décennie dans notre institution en Suisse.


Asunto(s)
Aborto Veterinario , Infecciones por Circoviridae , Circovirus , Enfermedades de los Porcinos , Animales , Femenino , Embarazo , Aborto Veterinario/virología , Infecciones por Circoviridae/veterinaria , Infecciones por Circoviridae/virología , Circovirus/aislamiento & purificación , Circovirus/genética , Formaldehído , Adhesión en Parafina/veterinaria , Placenta/virología , Placenta/patología , Estudios Retrospectivos , Porcinos , Enfermedades de los Porcinos/virología , Enfermedades de los Porcinos/patología , Suiza/epidemiología
3.
Opt Lett ; 38(10): 1636-8, 2013 May 15.
Artículo en Inglés | MEDLINE | ID: mdl-23938894

RESUMEN

Narrowband filtering based on whispering gallery modes of a slightly tapered cylindrical optical microresonator was used to implement a tunable narrowband erbium-doped fiber laser. The laser can be set to emit a single longitudinal cavity mode (single frequency), although the laser cavity is a few meters long. In the single-frequency regime the laser can emit a maximum power of 0.380 mW with a linewidth <35 kHz and a signal-to-noise ratio exceeding 50 dB. Tunability is achieved by sliding the excitation point along the microcylinder. A tuning range of 1.16 nm is demonstrated.

4.
Rev Esp Quimioter ; 36(2): 194-200, 2023 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-36651283

RESUMEN

The present outbreak of Human Monkeypox (HMPX) that has begun in May 2022 and has spread across all continents in less than two months has qualitative and quantitative characteristics that make it different from the pattern of human disease previously caused by this virus. It has spread with enormous ease, affects almost exclusively adults, behaves as a sexually transmitted disease and focuses on very specific groups and transmission conditions. The high incidence in the city of Madrid in males that have sex with males (MSM) has allowed us to observe and report the experience with the first 30 cases diagnosed in our institution. Patients presented with febrile symptoms, genital and paragenital skin lesions reminiscent of smallpox, but less extensive and severe. The disease may also cause proctitis, pharyngitis and perioral lesions. The PCR test for diagnostic confirmation has been shown to be very sensitive and effective, not only in skin lesions but also in blood and other fluids such as pharyngeal, rectal exudates and blood. A very high proportion of patients with HMPX also have other sexually transmitted diseases that must be actively detected in this context. The spontaneous evolution of our patients has been good and hospitalization has been practically unnecessary. Transmission to non-sexual cohabitants and health personnel has been nonexistent and the lesions have disappeared in less than 30 days without leaving sequelae and no need for specific antiviral treatment.


Asunto(s)
Mpox , Minorías Sexuales y de Género , Adulto , Masculino , Humanos , España , Centros de Atención Terciaria , Homosexualidad Masculina , Brotes de Enfermedades , Demografía
5.
Space Sci Rev ; 217(3): 48, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34776548

RESUMEN

NASA's Mars 2020 (M2020) rover mission includes a suite of sensors to monitor current environmental conditions near the surface of Mars and to constrain bulk aerosol properties from changes in atmospheric radiation at the surface. The Mars Environmental Dynamics Analyzer (MEDA) consists of a set of meteorological sensors including wind sensor, a barometer, a relative humidity sensor, a set of 5 thermocouples to measure atmospheric temperature at ∼1.5 m and ∼0.5 m above the surface, a set of thermopiles to characterize the thermal IR brightness temperatures of the surface and the lower atmosphere. MEDA adds a radiation and dust sensor to monitor the optical atmospheric properties that can be used to infer bulk aerosol physical properties such as particle size distribution, non-sphericity, and concentration. The MEDA package and its scientific purpose are described in this document as well as how it responded to the calibration tests and how it helps prepare for the human exploration of Mars. A comparison is also presented to previous environmental monitoring payloads landed on Mars on the Viking, Pathfinder, Phoenix, MSL, and InSight spacecraft.

6.
Br J Anaesth ; 105(4): 457-65, 2010 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-20639211

RESUMEN

BACKGROUND: Salvage and return of unwashed shed blood (USB) after total knee replacement (TKR) is an established blood-saving technique, but some authors question its efficacy and safety and suggest that the shed blood be washed before returning. We evaluated a colloid-based sedimentation method for improving and standardizing the quality of USB collected after TKR without the need for washing. METHODS: Experiments were performed to find the optimal colloid dose and sedimentation time using diluted donated venous blood. USB samples (n=52) were drawn from the reinfusion bag and mixed with hydroxyethyl starch or gelatine solutions (15-30%, colloid solution volume/total volume × 100). USB red blood cells (RBCs) were allowed to settle by gravity for 30 min, supernatant was evacuated from the syringe, and RBC concentrate was analysed. RBC recovery and other blood cell and chemical removal were calculated according to changes in USB volume and haematocrit. Twenty-five samples from leucodepleted packed RBCs were analysed as a comparator group. RESULTS: Mean haemoglobin (Hb) of USB was 10.9 g dl(-1). After colloid treatment, 90% of RBCs were recovered, and USB Hb was similar to that of leucodepleted packed RBCs (n=25) (18.9 vs 19.6 g dl(-1), respectively; P=NS). In addition, the procedure reduced USB content of leucocytes (60%), platelets (48%), total protein (76%), cytokines (70-77%), and plasma-free haemoglobin (53%), without major differences between colloids. CONCLUSIONS: Sedimentation of USB with colloid solutions provides a low-cost alternative for improving and standardizing the quality of salvaged USB after TKR.


Asunto(s)
Artroplastia de Reemplazo de Rodilla , Transfusión de Sangre Autóloga/métodos , Recolección de Tejidos y Órganos/métodos , Pérdida de Sangre Quirúrgica , Sedimentación Sanguínea , Coloides , Citocinas/sangre , Hemodilución/métodos , Humanos , Procedimientos de Reducción del Leucocitos/métodos , Subgrupos Linfocitarios , Cuidados Posoperatorios/métodos
7.
J Healthc Qual Res ; 35(2): 79-85, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32273107

RESUMEN

INTRODUCTION: Risk management and patient safety are closely related, following this premise some industries have adopted measures to omit number 13. Healthcare is not left behind, in some hospital the day of surgery's or bed numbering avoid number 13. The objective was to assess whether it is necessary to redesign the safety policies implemented in hospitals based on avoiding 13 in the numbering of rooms/beds. METHODS: A retrospective cohort study was conducted. Mortality and the number of adverse events suffered by patients admitted to rooms/beds numbering 13 (bad chance) or 7 (fair chance) over a two-year period to Intensive Care Unit, Medicine, Gastroenterology, Surgery, and Paediatric service were registered and compared. RESULTS: A total of 8553 admissions were included. They had similar length-of-stay and Charlson Index scores (p-value=0.435). Mortality of bed 13 was 268 (6.2%, 95% CI 5.5-6.9) and 282 in bed 7 (6.7%, 95% CI 5.9-7.5) (p-value=0.3). A total of 422 adverse events from 4342 admissions (9.7%, 95% CI 8.9-10.6) occurred in bed 13, while in bed 7 the count of adverse events was 398 in 4211 admissions (9.4%, 95% CI 8.6-10.4) (p-value=0.6). Odds Ratio for mortality was equal to 0.9 (95% CI 0.8-1.1) and suffering adverse events when admitted to bed 13 versus bed 7 was 1.03 (95% CI 0.9-1.2). CONCLUSIONS: Bed 13 is not a risk factor for patient safety. Hospitals should pay attention to causes and interventions to avoid adverse events based on evidence rather than beliefs or myths.


Asunto(s)
Lechos/estadística & datos numéricos , Mortalidad Hospitalaria , Seguridad del Paciente , Supersticiones , Estudios de Cohortes , Humanos , Errores Médicos/estadística & datos numéricos , Estudios Retrospectivos
9.
Sci Total Environ ; 671: 474-487, 2019 Jun 25.
Artículo en Inglés | MEDLINE | ID: mdl-30933802

RESUMEN

Packing of raw materials in work environments is a known source of potential health impacts (respiratory, cardiovascular) due to exposure to airborne particles. This activity was selected to test different exposure and risk assessment tools, aiming to understand the effectiveness of source enclosure as a strategy to mitigate particle release. Worker exposure to particle mass and number concentrations was monitored during packing of 7 ceramic materials in 3 packing lines in different settings, with low (L), medium (M) and high (H) degrees of source enclosure. Results showed that packing lines L and M significantly increased exposure concentrations (119-609 µg m-3 respirable, 1150-4705 µg m-3 inhalable, 24,755-51,645 cm-3 particle number), while non-significant increases were detected in line H. These results evidence the effectiveness of source enclosure as a mitigation strategy, in the case of packing of ceramic materials. Total deposited particle surface area during packing ranged between 5.4 and 11.8 × 105 µm2 min-1, with particles depositing mainly in the alveoli (51-64%) followed by head airways (27-41%) and trachea bronchi (7-10%). The comparison between the results from different risk assessment tools (Stoffenmanager, ART, NanoSafer) and the actual measured exposure concentrations evidenced that all of the tools overestimated exposure concentrations, by factors of 1.5-8. Further research is necessary to bridge the current gap between measured and modelled health risk assessments.


Asunto(s)
Contaminantes Ocupacionales del Aire/análisis , Monitoreo del Ambiente , Exposición por Inhalación/análisis , Exposición Profesional/análisis , Embalaje de Productos , Monitoreo del Ambiente/métodos , Humanos , Modelos Teóricos , Medición de Riesgo , Lugar de Trabajo
10.
Rev Esp Quimioter ; 21(3): 157-65, 2008 Sep.
Artículo en Español | MEDLINE | ID: mdl-18792816

RESUMEN

INTRODUCTION: The increase of resistances to Escherichia coli over recent years has made it necessary to know the patterns of sensitivity in a certain area in order to be able to orient adequate empirical treatment with this knowledge. METHOD: Prospective longitudinal study using E. coli isolations obtained during year 2005 in the University Hospital Virgen de la Victoria was performed. Sensitivity identification and study were made according to standardized laboratory protocols. RESULTS: A total of 2,612 strains of E. coli were isolated from 2,098 patients with an average age of 52 years who had urinary infection as the most frequent sign. E. coli sensitivity was: ampicillin (AMP) (35.4%), ciprofloxacin (QUIN) (67.3 %), trimethoprim-sulfametoxazole (SXT) (63.4 %), phosphomycin (97.2 %) and amoxicillin-clavulanic acid (89%). The percentage of E. coli extended-spectrum beta-lactamase (ESBL) producers was 8.2%. In general, nosocomial isolations were more resistant, this difference being significant for third generation cephalosporins, gentamicin and piperacillin/tazobactam (p < 0.005). Resistance in men was greater than in women and also in adults compared to children, with significant differences to ciprofloxacin and gentamicin (p < 0.005). A total of 27.5% of the strains were multiresistant, the most frequent phenotype being the one to AMP/SXT (11.9%), followed by AMP/QUIN/SXT (10.9%). CONCLUSIONS: Resistances to E. coli are very elevated in out setting, above all, in quinolones, that even appear in children, so that up to half of the multiresistant phenotypes present resistance to this family. Furthermore, during the last year, an increase in the isolations of E. coli ESBL producers has been observed.


Asunto(s)
Infección Hospitalaria/microbiología , Farmacorresistencia Bacteriana , Infecciones por Escherichia coli/microbiología , Escherichia coli/efectos de los fármacos , Escherichia coli/genética , Adolescente , Adulto , Niño , Infecciones Comunitarias Adquiridas/microbiología , Femenino , Humanos , Masculino , Pruebas de Sensibilidad Microbiana , Fenotipo , Estudios Prospectivos , Adulto Joven
11.
J Clin Invest ; 97(9): 2092-100, 1996 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-8621799

RESUMEN

Erythropoietin (rHuEPO) has proven to be effective in the treatment of anemia of chronic renal failure (CRF). Despite improving the quality of life, peak oxygen uptake after rHuEPO therapy is not improved as much as the increase in hemoglobin concentration ([Hb)] would predict. We hypothesized that this discrepancy is due to failure of O2 transport rates to rise in a manner proportional to [Hb]. To test this, eight patients with CRF undergoing regular hemodialysis were studied pre- and post-rHuEPO ([Hb] = 7.5 +/- 1.0 vs. 12.5 +/- 1.0 g x dl-1) using a standard incremental cycle exercise protocol. A group of 12 healthy sedentary subjects of similar age and anthropometric characteristics served as controls. Arterial and femoral venous blood gas data were obtained and coupled with simultaneous measurements of femoral venous blood flow (Qleg) by thermodilution to obtain O2 delivery and oxygen uptake (VO2). Despite a 68% increase in [Hb], peak VO2 increased by only 33%. This could be explained largely by reduced peak leg blood flow, limiting the gain in O2 delivery to 37%. At peak VO2, after rHuEPO, O2 supply limitation of maximal VO2 was found to occur, permitting the calculation of a value for muscle O2 conductance from capillary to mitochondria (DO2). While DO2 was slightly improved after rHuEPO, it was only 67% of that of sedentary control subjects. This kept maximal oxygen extraction at only 70%. Two important conclusions can be reached from this study. First, the increase in [Hb] produced by rHuEPO is accompanied by a significant reduction in peak blood flow to exercising muscle, which limits the gain in oxygen transport. Second, even after restoration of [Hb], O2 conductance from the muscle capillary to the mitochondria remains considerably below normal.


Asunto(s)
Anemia/tratamiento farmacológico , Eritropoyetina/uso terapéutico , Fallo Renal Crónico/fisiopatología , Músculo Esquelético/metabolismo , Oxígeno/metabolismo , Adulto , Anemia/complicaciones , Anemia/metabolismo , Anemia/fisiopatología , Transporte Biológico/efectos de los fármacos , Análisis de los Gases de la Sangre , Ejercicio Físico , Humanos , Fallo Renal Crónico/complicaciones , Fallo Renal Crónico/metabolismo , Masculino , Músculo Esquelético/irrigación sanguínea , Consumo de Oxígeno/efectos de los fármacos
12.
J Clin Invest ; 93(1): 188-94, 1994 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-8282786

RESUMEN

We hypothesized that platelet-activating factor (PAF), a potent inflammatory mediator, could induce gas exchange abnormalities in normal humans. To this end, the effect of aerosolized PAF (2 mg/ml solution; 24 micrograms) on ventilation-perfusion (VA/Q) relationships, hemodynamics, and resistance of the respiratory system was studied in 14 healthy, nonatopic, and nonsmoking individuals (23 +/- 1 [SEM]yr) before and at 2, 4, 6, 8, 15, and 45 min after inhalation, and compared to that of inhaled lyso-PAF in 10 other healthy individuals (24 +/- 2 yr). PAF induced, compared to lyso-PAF, immediate leukopenia (P < 0.001) followed by a rebound leukocytosis (P < 0.002), increased minute ventilation (P < 0.05) and resistance of the respiratory system (P < 0.01), and decreased systemic arterial pressure (P < 0.05). Similarly, compared to lyso-PAF, PaO2 showed a trend to fall (by 12.2 +/- 4.3 mmHg, mean +/- SEM maximum change from baseline), and arterial-alveolar O2 gradient increased (by 16.7 +/- 4.3 mmHg) (P < 0.02) after PAF, because of VA/Q mismatch: the dispersion of pulmonary blood flow and that of ventilation increased by 0.45 +/- 0.1 (P < 0.01) and 0.29 +/- 0.1 (P < 0.04), respectively. We conclude that in normal subjects, inhaled PAF results in considerable immediate VA/Q inequality and gas exchange impairment. These results reinforce the notion that PAF may play a major role as a mediator of inflammation in the human lung.


Asunto(s)
Factor de Activación Plaquetaria/análogos & derivados , Factor de Activación Plaquetaria/farmacología , Relación Ventilacion-Perfusión/efectos de los fármacos , Adolescente , Adulto , Aerosoles , Femenino , Volumen Espiratorio Forzado/efectos de los fármacos , Humanos , Recuento de Leucocitos/efectos de los fármacos , Masculino , Oxígeno/sangre , Presión Parcial , Factor de Activación Plaquetaria/administración & dosificación , Alveolos Pulmonares/efectos de los fármacos , Alveolos Pulmonares/fisiología , Factores de Tiempo , Capacidad Vital/efectos de los fármacos
13.
Zootaxa ; 4061(1): 1-17, 2016 Jan 04.
Artículo en Inglés | MEDLINE | ID: mdl-27395475

RESUMEN

A new species of Bent-toed Gecko, Cyrtodactylus gunungsenyumensis sp. nov. of the sworderi complex, is described from Hutan Lipur Gunung Senyum, Pahang, Peninsular Malaysia and is differentiated from all other species in the sworderi complex by having a unique combination of characters including a maximum SVL of 74.7 mm; low, rounded, weakly keeled, body tubercles; 34-40 paravertebral tubercles; weak ventrolateral body fold lacking tubercles; 38-41 ventral scales; an abrupt transition between the posterior and ventral femoral scales; 20-23 subdigital lamellae on the fourth toe; enlarged femoral scales; no femoral or precloacal pores; no precloacal groove; wide caudal bands; and an evenly banded dorsal pattern. Cyrtodactylus gunungsenyumensis sp. nov. is a scansorial, karst forest-adapted specialist endemic to the karst ecosystem surrounding Gunung Senyum and occurs on the vertical walls of the limestone towers as well as the branches, trunks, and leaves of the vegetation in the associated karst forest. Cyrtodactylus gunungsenyumensis sp. nov. is the seventh species of karst forest-adapted Cyrtodactylus and the sixteenth endemic species of karst ecosystem reptile discovered in Peninsular Malaysia in the last seven years from only 12 different karst forests. This is a clear indication that many species remain to be discovered in the approximately 558 isolated karst ecosystems in Peninsular Malaysia not yet surveyed. These data continue to underscore the importance of karst ecosystems as reservoirs of biodiversity and microendemism and that they constitute an important component of Peninsular Malaysia's natural heritage and should be protected from the quarrying interests of foreign industrial companies.


Asunto(s)
Lagartos/clasificación , Distribución Animal , Estructuras Animales/anatomía & histología , Estructuras Animales/crecimiento & desarrollo , Animales , Tamaño Corporal , Conservación de los Recursos Naturales , Industria de la Construcción , Ecosistema , Especies en Peligro de Extinción , Femenino , Bosques , Lagartos/anatomía & histología , Lagartos/genética , Lagartos/crecimiento & desarrollo , Malasia , Masculino , Tamaño de los Órganos , Filogenia
14.
Neuropharmacology ; 28(4): 407-9, 1989 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-2747852

RESUMEN

The contralateral rotational behaviour produced by apomorphine and caffeine has been studied in 100 rats with unilateral lesion of the nigrostriatal pathway induced with 6-OHDA. Rats with a two-peak rotational pattern induced by apomorphine, showed a greater number of contralateral turns, induced by apomorphine and caffeine, than rats which did not show this rotational pattern. A correlation was observed between the number of rotations induced by apomorphine and those induced by caffeine. A relationship between the two-peak rotational pattern induced by apomorphine and the initial-peak pattern induced by caffeine was also observed.


Asunto(s)
Apomorfina/farmacología , Cafeína/farmacología , Cuerpo Estriado/fisiología , Vías Nerviosas/fisiología , Conducta Estereotipada/efectos de los fármacos , Sustancia Negra/fisiología , Animales , Masculino , Ratas , Ratas Endogámicas
15.
Neuropharmacology ; 27(6): 657-9, 1988 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-3138559

RESUMEN

Apomorphine and amphetamine-induced rotational behaviour in 310 rats with a unilateral 6-OHDA nigrostriatal pathway lesion has been studied. Animals presenting an apomorphine-induced contralateral rotation with a "two-peak" pattern, showed a greater number of contralateral turns induced by apomorphine and fewer ipsilateral turns induced by amphetamine than rats without this pattern. In addition, we have not found any correlation between apomorphine and amphetamine-induced turning behaviour.


Asunto(s)
Anfetamina/farmacología , Apomorfina/farmacología , Encéfalo/fisiología , Actividad Motora/efectos de los fármacos , Conducta Estereotipada/efectos de los fármacos , Animales , Hidroxidopaminas/farmacología , Masculino , Oxidopamina , Ratas , Ratas Endogámicas
16.
Neuroscience ; 120(2): 485-98, 2003.
Artículo en Inglés | MEDLINE | ID: mdl-12890518

RESUMEN

The ventrolateral medulla (VLM) modulates autonomic functions, motor reactions and pain responses. The lateralmost part of the caudal VLM (VLMlat) was recently shown to be the VLM area responsible for pain modulation. In the present study, the brain sources of VLMlat afferent fibers were determined by tract-tracing techniques. Following injection of cholera toxin subunit B into the VLMlat, retrogradely labeled neurons in the forebrain occurred at the somatosensory, insular, motor, limbic and infralimbic cortices, and at the central amygdaloid nucleus. Retrogradely labeled neurons in diencephalic regions were observed in the lateral hypothalamus, posterior hypothalamus and paraventricular nucleus. In the brainstem, retrograde labeling occurred at the periaqueductal gray, red nucleus, parabrachial area, nucleus raphe magnus, nucleus tractus solitarii, lateral reticular nucleus and dorsal and ventral medullary reticular formation. In the cerebellum, retrogradely labeled neurons occurred at the lateral nucleus. Following injections of the anterograde tracer biotinylated dextran amine (BDA) into the lateral hypothalamus or paraventricular nucleus, anterogradely labeled fibers were mainly observed in the VLMlat. Injections of BDA into the periaqueductal gray, red nucleus or lateral nucleus of the cerebellum resulted in anterograde labeling in the VLMlat and lateral reticular nucleus. The present study gives an account of the brain regions putatively involved in triggering the modulatory actions elicited from the VLMlat. These include areas committed to somatosensory processing, autonomic control, somatic and visceral motor activity and affective reactions. The findings suggest that the VLMlat may play a major homeostatic role in the integration of nociception with other brain functions.


Asunto(s)
Biotina/análogos & derivados , Bulbo Raquídeo/anatomía & histología , Vías Nerviosas/anatomía & histología , Neuronas/metabolismo , Adyuvantes Inmunológicos/farmacocinética , Animales , Biotina/farmacocinética , Cerebelo/anatomía & histología , Cerebelo/metabolismo , Toxina del Cólera/farmacocinética , Dextranos/farmacocinética , Diencéfalo/anatomía & histología , Diencéfalo/metabolismo , Colorantes Fluorescentes/farmacocinética , Masculino , Bulbo Raquídeo/metabolismo , Mesencéfalo/anatomía & histología , Mesencéfalo/metabolismo , Vías Nerviosas/metabolismo , Prosencéfalo/anatomía & histología , Prosencéfalo/metabolismo , Ratas , Ratas Wistar
17.
Psychopharmacology (Berl) ; 91(2): 254-6, 1987.
Artículo en Inglés | MEDLINE | ID: mdl-3107042

RESUMEN

Denervation-induced supersensitivity of the striatal dopamine receptors can be quantified by the turning behaviour induced by apomorphine. With this experimental model we found that high-dose L-dopa/carbidopa administration reduced this supersensitivity. This effect was seen on the 1st day and did not alter over 5 or 10 days of treatment, but disappeared when medication was discontinued. The degree of reduction was the same, independent of the dose and period of administration. This effect could provide a useful model for studying the phenomenon of the irreversibility of the supersensitivity of the striatal dopamine receptors.


Asunto(s)
Cuerpo Estriado/metabolismo , Levodopa/farmacología , Receptores Dopaminérgicos/efectos de los fármacos , Animales , Apomorfina/farmacología , Carbidopa/farmacología , Cuerpo Estriado/efectos de los fármacos , Desnervación , Masculino , Ratas , Ratas Endogámicas , Conducta Estereotipada/efectos de los fármacos
18.
Kidney Int Suppl ; 55: S85-7, 1996 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-8743519

RESUMEN

A trial to study the efficacy, safety and tolerability of nitrendipine and enalapril in the treatment of diabetic hypertensive patients with microalbuminuria (MA) was performed to compare the effects of both drugs in the prevention of the renal impairment. Twenty-eight valid patients [13 with nitrendipine (N) and 15 with enalapril (E) with NIDDM, hypertension (diastolic blood pressure between 90 to 114 mm Hg) and MA (urinary albumin between 30 to 300 mg/24 hr) were recruited in a double blind, randomized trial. Following a placebo run-in period of two to four weeks, all eligible patients were randomly allocated to either N or E treatment. Treatment lasted six months, with two different visits at three and six months in which blood pressure (BP), heart rate (HR), renal function and MA were measured. No statistically significant differences on BP and metabolic parameters were found between both treatment groups. The geometric mean of final glomerular filtration rate (GFR) in the N group was 34.5% higher than in the E group, while the reduction on MA was most important in the E group. Eleven patients reported adverse events (AEs) and there were four dropouts, three of them due to AEs. We conclude that both treatments are a good choice for treating diabetic hypertensive patients with early altered renal function, as they reduce BP without altering metabolic parameters, increase GFR and reduce MA with a low frequency of AEs.


Asunto(s)
Inhibidores de la Enzima Convertidora de Angiotensina/uso terapéutico , Bloqueadores de los Canales de Calcio/uso terapéutico , Diabetes Mellitus Tipo 2/complicaciones , Enalapril/uso terapéutico , Hipertensión/tratamiento farmacológico , Nitrendipino/uso terapéutico , Adulto , Anciano , Albuminuria/etiología , Inhibidores de la Enzima Convertidora de Angiotensina/efectos adversos , Glucemia/metabolismo , Presión Sanguínea/efectos de los fármacos , Bloqueadores de los Canales de Calcio/efectos adversos , Nefropatías Diabéticas/prevención & control , Método Doble Ciego , Enalapril/efectos adversos , Femenino , Frecuencia Cardíaca/efectos de los fármacos , Humanos , Hipertensión/etiología , Hipertensión/orina , Pruebas de Función Renal , Masculino , Persona de Mediana Edad , Nitrendipino/efectos adversos
19.
Clin Ther ; 21(11): 1924-36, 1999 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-10890264

RESUMEN

A review of the cost-effectiveness literature indicated that the hydroxymethylglutaryl coenzyme A-reductase inhibitor fluvastatin is more cost-effective for achieving minor-to-moderate reductions in low-density lipoprotein cholesterol (LDL-C) levels than 3 other statins: lovastatin, pravastatin, and simvastatin. The main goal of this study was to verify the applicability of these conclusions to Spanish health care costs and patterns of resource consumption related to the treatment of hypercholesterolemia. A stochastic simulation model was used to predict both the costs and effects of treating high-risk hypercholesterolemic patients with fluvastatin, lovastatin, pravastatin, or simvastatin. Epidemiologic data were used to find a suitable theoretic probability distribution model for baseline LDL-C values in high-risk hypercholesterolemic patients. The model was then used to generate 10,000 random observations of baseline LDL-C values; the corresponding LDL-C values after a 2-year treatment period were predicted as a function of the baseline value and the percentage reduction expected with a particular statin and dose, according to the results obtained in 2 meta-analyses. The probability of treatment discontinuation was also taken into account using estimates obtained in usual practice. The effects of treatment were expressed as the rate of success in achieving the goal level of LDL-C, as defined in the current Spanish recommendations for the treatment of hypercholesterolemia. The average costs of treatment were computed from both the social and public-financing perspectives, including the cost of lipid-lowering drugs, physician visits, laboratory tests, and days off work, as appropriate. The occurrence of nonscheduled visits and workdays lost because of side effects were taken into account to compute indirect costs relevant to the social perspective. The potential costs of treating side effects were ignored. A cost-effectiveness analysis was performed to compare the cost-effectiveness ratios obtained with each of the 4 statins considered in this study. Model-based predictions of the effects, total costs, and cost-effectiveness ratios were made. Cost-effectiveness ratios were interpreted as the cost per patient meeting the goal of therapy, according to current Spanish recommendations. The data showed that fluvastatin had the lowest cost-effectiveness ratios when LDL-C levels required reduction to < or =25% of baseline levels. In this situation, fluvastatin was more cost-effective than lovastatin, pravastatin, or simvastatin from public-financing and social perspectives.


Asunto(s)
Ácidos Grasos Monoinsaturados/economía , Inhibidores de Hidroximetilglutaril-CoA Reductasas/economía , Hipercolesterolemia/economía , Indoles/economía , Lovastatina/economía , Pravastatina/economía , Administración Oral , Algoritmos , LDL-Colesterol/sangre , LDL-Colesterol/efectos de los fármacos , Análisis Costo-Beneficio , Relación Dosis-Respuesta a Droga , Ácidos Grasos Monoinsaturados/uso terapéutico , Femenino , Fluvastatina , Humanos , Inhibidores de Hidroximetilglutaril-CoA Reductasas/uso terapéutico , Hipercolesterolemia/sangre , Hipercolesterolemia/tratamiento farmacológico , Indoles/uso terapéutico , Lovastatina/uso terapéutico , Masculino , Persona de Mediana Edad , Modelos Económicos , Pravastatina/uso terapéutico , Simvastatina/economía , Simvastatina/uso terapéutico , Resultado del Tratamiento
20.
Brain Res ; 506(2): 267-80, 1990 Jan 08.
Artículo en Inglés | MEDLINE | ID: mdl-2302566

RESUMEN

Transganglionic transport of horseradish peroxidase (HRP) was used to investigate contralateral projections of trigeminal mandibular fibers in the guinea pig. After application of HRP to the buccal, lingual, auriculotemporal, mylohyoid, mental and inferior alveolar nerves, crossing fibers and contralateral endings were found in the caudal region of the nucleus of the solitary tract (most of these belonging to the buccal and lingual nerves), the dorsomedial region of the subnucleus caudalis of the trigeminal sensory nuclear complex (TSNC), and the dorsal horns of the first 5 cervical spinal cord segments (C1-C5). The greatest numbers of crossing fibers in the medullary and cervical dorsal horn segments belonged to the mental and mylohyoid nerves, though these nerves did not project contralaterally to C4-C5. Contralateral buccal and lingual endings were scattered sparsely from the subnucleus caudalis to C5, and only very few contralateral auriculotemporal terminals were observed. Though laminae I-V of the dorsomedial region of the medullary and cervical dorsal horns all exhibited contralateral endings of the mental and mylohyoid nerves, most such endings were found in laminae IIi-III, followed by lamina IV, which suggests their involvement in the reception of mechanical stimuli and in the sensory motor reflexes of the orofacial region. The contralateral buccal and lingual terminals were distributed somatotopically in the first 5 cervical cord segments, with the lingual endings rostral to the buccal terminals within each segment. In C4 and C5 lingual endings appeared exclusively in laminae I and IIo, suggesting that like the ipsilateral lingual projections at this level, which also terminate in these laminae, they may be involved in pain and temperature sensation.


Asunto(s)
Vías Aferentes/anatomía & histología , Lateralidad Funcional/fisiología , Mandíbula/inervación , Bulbo Raquídeo/citología , Médula Espinal/citología , Nervio Trigémino/citología , Animales , Femenino , Cobayas , Peroxidasa de Rábano Silvestre , Masculino , Mandíbula/citología
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