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1.
Dev Sci ; 27(4): e13483, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38470174

RESUMEN

Impaired sensorimotor synchronization (SMS) to acoustic rhythm may be a marker of atypical language development. Here, Motion Capture was used to assess gross motor rhythmic movement at six time points between 5- and 11 months of age. Infants were recorded drumming to acoustic stimuli of varying linguistic and temporal complexity: drumbeats, repeated syllables and nursery rhymes. Here we show, for the first time, developmental change in infants' movement timing in response to auditory stimuli over the first year of life. Longitudinal analyses revealed that whilst infants could not yet reliably synchronize their movement to auditory rhythms, infant spontaneous motor tempo became faster with age, and by 11 months, a subset of infants decelerate from their spontaneous motor tempo, which better accords with the incoming tempo. Further, infants became more regular drummers with age, with marked decreases in the variability of spontaneous motor tempo and variability in response to drumbeats. This latter effect was subdued in response to linguistic stimuli. The current work lays the foundation for using individual differences in precursors of SMS in infancy to predict later language outcomes. RESEARCH HIGHLIGHT: We present the first longitudinal investigation of infant rhythmic movement over the first year of life Whilst infants generally move more quickly and with higher regularity over their first year, by 11 months infants begin to counter this pattern when hearing slower infant-directed song Infant movement is more variable to speech than non-speech stimuli In the context of the larger Cambridge UK BabyRhythm Project, we lay the foundation for rhythmic movement in infancy to predict later language outcomes.


Asunto(s)
Estimulación Acústica , Desarrollo del Lenguaje , Habla , Humanos , Lactante , Estudios Longitudinales , Habla/fisiología , Femenino , Masculino , Desarrollo Infantil/fisiología , Movimiento/fisiología , Periodicidad , Percepción Auditiva/fisiología
2.
Dev Sci ; 27(4): e13502, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38482775

RESUMEN

It is known that the rhythms of speech are visible on the face, accurately mirroring changes in the vocal tract. These low-frequency visual temporal movements are tightly correlated with speech output, and both visual speech (e.g., mouth motion) and the acoustic speech amplitude envelope entrain neural oscillations. Low-frequency visual temporal information ('visual prosody') is known from behavioural studies to be perceived by infants, but oscillatory studies are currently lacking. Here we measure cortical tracking of low-frequency visual temporal information by 5- and 8-month-old infants using a rhythmic speech paradigm (repetition of the syllable 'ta' at 2 Hz). Eye-tracking data were collected simultaneously with EEG, enabling computation of cortical tracking and phase angle during visual-only speech presentation. Significantly higher power at the stimulus frequency indicated that cortical tracking occurred across both ages. Further, individual differences in preferred phase to visual speech related to subsequent measures of language acquisition. The difference in phase between visual-only speech and the same speech presented as auditory-visual at 6- and 9-months was also examined. These neural data suggest that individual differences in early language acquisition may be related to the phase of entrainment to visual rhythmic input in infancy. RESEARCH HIGHLIGHTS: Infant preferred phase to visual rhythmic speech predicts language outcomes. Significant cortical tracking of visual speech is present at 5 and 8 months. Phase angle to visual speech at 8 months predicted greater receptive and productive vocabulary at 24 months.


Asunto(s)
Desarrollo del Lenguaje , Percepción del Habla , Habla , Humanos , Lactante , Masculino , Femenino , Percepción del Habla/fisiología , Habla/fisiología , Electroencefalografía , Individualidad , Percepción Visual/fisiología , Tecnología de Seguimiento Ocular , Estimulación Acústica , Estimulación Luminosa
3.
J Biosoc Sci ; 52(2): 300-314, 2020 03.
Artículo en Inglés | MEDLINE | ID: mdl-31391131

RESUMEN

Surname distribution can be a useful tool for studying the genetic structure of a human population. In South America, the Uruguay population has traditionally been considered to be of European ancestry, despite its trihybrid origin, as proved through genetics. The aim of this study was to investigate the structure of the Uruguayan population, resulting from population movements and surname drift in the country. The distribution of the surnames of 2,501,774 people on the electoral register was studied in the nineteen departments of Uruguay. Multivariate approaches were used to estimate isonymic parameters. Isolation by Distance was measured by correlating isonymic and geographic distances. In the study sample, the most frequent surnames were consistently Spanish, reflecting the fact that the first immigration waves occurred before Uruguayan independence. Only a few surnames of Native origin were recorded. The effective surname number (α) for the entire country was 302, and the average for departments was 235.8 ± 19. Inbreeding estimates were lower in the south-west of the country and in the densely populated Montevideo area. Isonymic distances between departments were significantly correlated with linear geographic distance (p < 0.001) indicating continuously increasing surname distances up to 400 km. Surnames form clusters related to geographic regions affected by different historical processes. The isonymic structure of Uruguay shows a radiation towards the east and north, with short-range migration playing a major role, while the contribution of drift, considering the small variance of α, appears to be minor.


Asunto(s)
Emigración e Inmigración , Dinámica Poblacional , Humanos , Genética de Población/métodos , Nombres , Uruguay
4.
Public Health Nutr ; 22(18): 3327-3335, 2019 12.
Artículo en Inglés | MEDLINE | ID: mdl-31640824

RESUMEN

OBJECTIVE: The Composite Index of Anthropometric Failure (CIAF) can only be applied to children under 5 years of age and does not contemplate obesity. The aim of this study was to propose an Extended CIAF (ECIAF) that combines the characterization of malnutrition due to undernutrition and excess weight, and apply it in six Argentine provinces. DESIGN: ECIAF excludes children not in anthropometric failure (group A) and was calculated from a percentage of children included in malnutrition categories B: wasting only; C: wasting and underweight; D: wasting, stunting and underweight; E: stunting and underweight; F: stunting only; Y: underweight only; G: only weight excess; and H: stunting and weight excess. SETTING: Cross-sectional study conducted in Buenos Aires, Catamarca, Chubut, Jujuy, Mendoza and Misiones (Argentina). PARTICIPANTS: 10 879 children of both sexes aged between 3 and 13·99. RESULTS: ECIAF in preschool children (3 to 4·99 years) was 15·1 %. The highest prevalence was registered in Mendoza (16·7 %) and the lowest in Misiones (12·0 %). In school children (5 to 13·99 years) ECIAF was 28·6 %. Mendoza also recorded the highest rate (30·7 %), while Catamarca and Chubut had the lowest values (27·0 %). In the whole sample, about 25 % of the malnutrition was caused by undernutrition and 75 % by excess weight. CONCLUSIONS: The ECIAF summarizes anthropometric failure by both deficiency and excess weight and it highlights that a quarter of the malnutrition in the Argentine population was caused by undernutrition, although there are differences between Provinces (P < 0·05). ECIAF estimates are higher than those of CIAF or under-nutrition.


Asunto(s)
Estado Nutricional/fisiología , Adolescente , Antropometría , Argentina/epidemiología , Niño , Trastornos de la Nutrición del Niño/diagnóstico , Trastornos de la Nutrición del Niño/epidemiología , Preescolar , Estudios Transversales , Femenino , Trastornos del Crecimiento/epidemiología , Humanos , Masculino
5.
Genet Mol Res ; 13(3): 7950-7, 2014 Sep 29.
Artículo en Inglés | MEDLINE | ID: mdl-25299110

RESUMEN

In this study, we examined the distribution of genotype and allele frequencies of the C677T and A1298C polymorphisms in the methylenetetrahydrofolate-reductase gene (MTHFR) in two ethnic groups in the State of Guerrero, Mexico, which were compared with those of the Mestizo population of the region. A comparative study was conducted on 455 women from two ethnic groups and a group of Mestizo women of the State of Guerrero, Mexico: 135 Nahuas, 124 Mixtecas, and 196 Mestizas. Genotyping of both polymorphisms were performed by using polymerase chain reaction-restriction fragment length polymorphism methods. We found that the 677TT genotype was more frequent in Nahua and Mixteca women compared to Mestiza women (P = 0.008), and the most prevalent genotype in both ethnic groups was the 1298AA genotype (P < 0.001). We also compared the 677T allele frequency obtained from the groups studied with the frequencies reported in other ethnic groups of Mexico (Huichol, Tarahumara, and Purepecha). There were significant differences between the three ethnic groups compared to Nahuas (Huicholes, P = 0.004; Tarahumaras, P < 0.001; Purepechas, P = 0.042). Our results indicated significant differences in the frequencies of the C677T and A1298C polymorphisms between the two ethnic groups and the Mestizo population of the State of Guerrero. In addition, we found strong differences with other ethnic groups in Mexico. These results could be useful for future studies investigating diseases related to folate metabolism, and could help the government to design specific nutrition programs for different ethnic groups.


Asunto(s)
Etnicidad/genética , Metilenotetrahidrofolato Reductasa (NADPH2)/genética , Polimorfismo Genético , Femenino , Frecuencia de los Genes , Genotipo , Humanos , México
6.
Am J Phys Anthropol ; 147(3): 380-8, 2012 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-22271503

RESUMEN

In Chile, the Hispanic dual surname system is used. To describe the isonymic structure of this country, the distribution of 16,277,255 surnames of 8,178,209 persons was studied in the 15 regions, the 54 provinces, and the 346 communes of the nation. The number of different surnames found was 72,667. Effective surname number (Fisher's α) for the entire country was 309.0, the average for regions was 240.8 ± 17.6, for provinces 209.2 ± 8.9, and for communes 178.7 ± 4.7. These values display a variation of inbreeding between administrative levels in the Chilean population, which can be attributed to the 'Prefecture effect' of Nei and Imaizumi. Matrices of isonymic distances between units within administrative levels were tested for correlation with geographic distance. The correlations were highest for provinces (r = 0.630 ± 0.019 for Euclidean distance) and lowest for communes (r = 0.366 ± 0.009 for Lasker's). The geographical distribution of the first three-dimensions of the Euclidean distance matrix suggests that population diffusion may have taken place from the north of the country toward the center and south. The prevalence of European plus European-Amerindian (95.4%) over Amerindian ethnicity (4.6%, CIA World Factbook) is compatible with diffusion of Caucasian groups over a low-density area populated by indigenous groups. The significant excess of maternal over paternal indigenous surnames indicates some asymmetric mating between nonAmerindian and Amerindian Chileans. The available studies of Y-markers and mt-markers are in agreement with this asymmetry. In the present work, we investigate the Chilean population with the aim of detecting its structure through the study of isonymy (Crow and Mange,1965) in the three administrative levels of the nation, namely 15 regions, 54 provinces, and 346 communes.


Asunto(s)
Antropología Física , Hispánicos o Latinos/estadística & datos numéricos , Indígenas Sudamericanos/estadística & datos numéricos , Nombres , Población Blanca/estadística & datos numéricos , Chile , Emigración e Inmigración , Femenino , Humanos , Endogamia , Masculino , Análisis de Componente Principal
7.
Genet Mol Res ; 11(3): 2258-67, 2012 Aug 13.
Artículo en Inglés | MEDLINE | ID: mdl-22614460

RESUMEN

Variants in the C-reactive protein (CRP) gene have been found to be associated with various phenotypic traits. We evaluated the effect of four SNPs in the CRP gene on serum levels of protein and body mass index (BMI) in 150 unrelated Mexican subjects from 18 to 25 years old, without hypertension, non-overweight, and without inflammatory diseases, non-smoking and non-consumers of alcohol. Subjects were measured for BMI, waist circumference, blood pressure, and serum glucose and triglycerides. The identification of SNPs was performed by PCR-RFLP. Three of the four SNPs were associated with variation in serum levels of CRP, increased in TT (rs1130864) and GG (rs2794521) genotypes, and decreased in the AA genotype of rs1205. The TT genotype was associated with a significant increase in BMI (ß = 1.1 kg/m², P = 0.04). Two haplotypes were significantly associated with increased serum levels of CRP, but not with BMI. We conclude that variation in the CRP gene affects serum protein levels.


Asunto(s)
Índice de Masa Corporal , Proteína C-Reactiva/genética , Estudios de Asociación Genética , Salud , Polimorfismo de Nucleótido Simple/genética , Adolescente , Adulto , Alelos , Enfermedades Cardiovasculares/sangre , Enfermedades Cardiovasculares/genética , Demografía , Femenino , Frecuencia de los Genes/genética , Predisposición Genética a la Enfermedad , Haplotipos/genética , Humanos , Masculino , México , Factores de Riesgo , Adulto Joven
8.
HIV Clin Trials ; 12(1): 1-8, 2011.
Artículo en Inglés | MEDLINE | ID: mdl-21388936

RESUMEN

PURPOSE: To determine whether immigrant status is associated with late initiation of highly active antiretroviral treatment (HAART) and/or poor response to antiretrovirals. METHODS: GESIDA 5808 is a multicenter, retrospective cohort study (inclusion period January 2005 through December 2006) of treatment-naïve patients initiating HAART that compares HIV-infected patients who are immigrants with Spanish-born patients. A late starter (LS) was defined as any patient starting HAART with a CD4+ lymphocyte count <200 cells/µL and/or diagnosis of an AIDS-defining illness before or at the start of therapy. The primary endpoint was time to treatment failure (TTF), defined as virological failure (VF), death, opportunistic infection, treatment discontinuation/switch (D/S), or missing patient. Secondary endpoints were time to treatment failure as observed data (TTO; censoring missing patients) and time to virological failure (TVF; censoring missing patients and D/S not due to VF). RESULTS: LS accounted for 56% of the patients. Lower educational and socioeconomic level and intravenous drug use (IVDU) were associated with categorization as LS, but immigrant status was not. Cox regression analysis (hazard ratio [HR]; 95% CI) between LS and non-LS patients showed no differences in TTF (0.97; 0.78-1.20) or TTO (1.18; 0.88-1.58), although it did reveal a difference in TVF (1.97; 1.18-3.29). CD4+ lymphocyte recovery was equivalent for both LS and non-LS patients (159 vs 173). CONCLUSIONS: In our cohort, immigrant status was not shown to be related to late initiation of HAART. Although LS patients did not have a longer TTF for any reason, TVF was significantly shorter. Despite universal free access to HAART in Spain, measures to ensure early diagnosis and treatment of HIV infection are necessary.


Asunto(s)
Fármacos Anti-VIH/administración & dosificación , Terapia Antirretroviral Altamente Activa/métodos , Infecciones por VIH/tratamiento farmacológico , Infecciones por VIH/virología , VIH/crecimiento & desarrollo , Adulto , Estudios de Cohortes , Emigrantes e Inmigrantes , Femenino , Infecciones por VIH/inmunología , Humanos , Estimación de Kaplan-Meier , Masculino , Modelos de Riesgos Proporcionales , Estudios Retrospectivos , España , Insuficiencia del Tratamiento , Carga Viral
9.
Homo ; 59(3): 223-34, 2008.
Artículo en Inglés | MEDLINE | ID: mdl-18502419

RESUMEN

Human growth and its resulting patterns display a great inter- and intra-population heterogeneity that reflects the quality of life, health and nutritional condition of populations. The aim of this work was to expand the knowledge about the growth of Jujenean children by statistical procedures that graphically express the relation of anthropometric variables to age and allow their comparison with specific references. Anthropometric data came from 9092 children (0-5 years) from various localities of Jujuy province (northwest Argentina) located at 1200 m above sea level (ma.s.l.). The centiles of weight for age (W/A) and height for age (H/A) were obtained by the LMS method using maximum penalized likelihood. A statistical and graphic comparison was made with the corresponding Centers for Disease Control and Prevention (CDC) and World Health Organization (WHO) centile references. In general, estimated centiles were lower than those in both references. Discrepancies for H/A in comparison with the CDC reference ranged between 1.09+/-0.59% and 1.66+/-0.34%, and for W/A between 1.82+/-1.56% and 3.36+/-1.4%. In comparison with the WHO reference, discrepancies ranged from 1.38+/-0.65% to 1.87+/-0.41% for H/A, and from 1.12+/-1.28% to 2.74+/-1.49% for W/A. Centile discrepancies were attributed to the characteristics of early childhood feeding and the interaction of a set of biological and mesological factors that the Jujenean population is exposed to. Growth and nutritional conditions of this population should be evaluated with the WHO reference, for it reflects the recent growth pattern of biologically and culturally healthy children raised in favourable conditions, a pattern that also reflects that of Jujenean children.


Asunto(s)
Antropometría/métodos , Estatura , Peso Corporal , Desarrollo Infantil , Argentina , Centers for Disease Control and Prevention, U.S. , Preescolar , Femenino , Humanos , Lactante , Recién Nacido , Masculino , Estados Unidos , Organización Mundial de la Salud
10.
Homo ; 69(6): 364-376, 2018 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-30293668

RESUMEN

Asymmetry is omnipresent in the living world and therefore is a measure of developmental noise and instability. The main stressing agent in high-altitude ecosystems is hypobaric hypoxia. The variation in bilateral dermatoglyphic symmetry in populations from the Province of Jujuy in northwest Argentina is analyzed, and these results are compared to those for other populations with different ethnic and environmental backgrounds. Fingerprints were collected from 310 healthy students (140 males and 170 females) aged 18-20 years from three localities in Jujuy Province-Abra Pampa (3484 m above sea level), Humahuaca (2939 m above sea level), and San Salvador de Jujuy (1260 m above sea level). Asymmetry by sex was assessed based on radial and ulnar ridge counts to determine its pattern of variability (directional asymmetry [DA], fluctuating asymmetry [FA] and antisymmetry), and asymmetry and diversity indices were calculated. A bivariate plot and principal component analysis (PCA) were used to compare these indices with those for other populations. Homogeneity was found between populations and sexes when radial and ulnar ridges were counted. FA values did not show significant differences by locality or side (ulnar and radial), but significant differences were found by finger and sex, with males showing significantly greater FA values. The asymmetry and diversity indices clearly group the Andean populations and separate them from populations of different ethnic and geographic origin. Only the diversity index showed significant differences by locality in males, which suggests a substantially different genetic component in Abra Pampa male samples.


Asunto(s)
Dermatoglifia , Dedos/anatomía & histología , Indígenas Sudamericanos/etnología , Indígenas Sudamericanos/estadística & datos numéricos , Adolescente , Adulto , Altitud , Argentina , Femenino , Humanos , Masculino , Análisis de Componente Principal , Adulto Joven
11.
Mutat Res ; 627(2): 171-7, 2007 Mar 05.
Artículo en Inglés | MEDLINE | ID: mdl-17194620

RESUMEN

Interethnic differences in the allele frequencies of CYP2D6, NAT2, GSTM1 and GSTT1 deletions have been documented for Caucasians, Asians, and Africans population. On the other hand, data on Amerindians are scanty and limited to a few populations from southern areas of South America. In this report we analyze the frequencies of 11 allele variants of CYP2D6 and 4 allele variants of NAT2 genes, and the frequency of GSTM1 and GSTT1 homozygous deleted genotypes in a sample of 90 donors representing 8 Native American populations from Argentina and Paraguay, identified as Amerindians on the basis of their geographic location, genealogical data, mitochondrial- and Y-chromosome DNA markers. For CYP2D6, 88.6% of the total allele frequency corresponded to *1, *2, *4 and *10 variants. Average frequencies for NAT2 *4, *5, *6 and *7 alleles were 51.2%, 25%, 6.1%, and 20.1%, respectively. GSTM1 deletion ranged from 20% to 66%, while GSTT1 deletion was present in four populations in less than 50%. We assume that CYP2D6 *2, *4, *10, *14; NAT2 *5, *7 alleles and GSTM1 and GSTT1 *0/*0 genotypes are founder variants brought to America by the first Asian settlers.


Asunto(s)
Arilamina N-Acetiltransferasa/genética , Citocromo P-450 CYP2D6/genética , Frecuencia de los Genes/genética , Glutatión Transferasa/genética , Indígenas Norteamericanos/genética , Alelos , Argentina/etnología , Sistema Enzimático del Citocromo P-450 , Eliminación de Gen , Genotipo , Humanos , Paraguay/etnología , Polimorfismo Genético
12.
Homo ; 68(2): 145-155, 2017 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-28365125

RESUMEN

Subcutaneous fat skinfolds represent a reliable assessment instrument of adiposity status. This study provides current percentile references for four subcutaneous skinfolds (biceps, triceps, subscapular, suprailiac) applicable to children and adolescents in Spain and in Latin American countries where data are scarce. The design consisted of a cross-sectional multicenter study performed with identical methods in 5 countries (Argentina, Cuba, Mexico, Spain and Venezuela). Total sample comprised 9163 children and youths (boys 4615 - girls 4548) aged 6-18 years, healthy and without apparent pathologies. Percentiles 3, 5, 10, 25, 50, 75, 90, 95 and 97 were calculated by the LMS method. Sexual dimorphism was assessed using the t-test and age differences with ANOVA. Normalized growth percentile references were obtained according to sex and age for each skinfold. The mean values of four skinfolds were significantly greater in girls than boys (p<0.001) and, in both sexes, all skinfolds show statistical differences through age (p<0.001) with different magnitudes. Except triceps in girls, peaks between 11 and 12 years of age are more noticeable in boys than in girls. Although the general model of growth is known, the skinfold measurements show variability among populations and differences of magnitude are presented according to the analyzed population. Therefore, these age and sex-specific reference percentile values for biceps, triceps, subscapular and suprailiac skinfolds, derived from a large sample of Spanish and Latin American children and adolescents, are a useful tool for adiposity diagnosis in this population for which no reference values were available.


Asunto(s)
Grosor de los Pliegues Cutáneos , Grasa Subcutánea/crecimiento & desarrollo , Adiposidad , Adolescente , Niño , Estudios Transversales , Femenino , Humanos , América Latina , Masculino , Valores de Referencia , España , Grasa Subcutánea/anatomía & histología
14.
Clin Infect Dis ; 33(12): 2017-22, 2001 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-11698991

RESUMEN

Epididymoorchitis is a focal form of human brucellosis described in 2%-20% of patients with brucellosis. We assessed 59 cases of Brucella epididymoorchitis (BEO) between 1991 and 1999. The median age of patients was 34 years (range, 15-75 years). The onset of symptoms was acute in 46 patients (78%). Scrotal pain and swelling (100% of patients), fever (88%), and sweating (73%) were the most common symptoms. Brucella species was isolated from blood cultures in 41 patients (69%) and from epididymal aspiration in 4 patients. Treatment consisted of a combination of a doxycycline and an aminoglycoside (n=39) or rifampin (n=10); trimethoprim-sulfamethoxazole with rifampin (n=3); or trimethoprim-sulfamethoxazole as monotherapy (n=7). The median duration of therapy was 45 days (range, 21-90 days). The infections of 9 patients (15%) failed to respond to therapy, and 15 patients relapsed (25%). Three patients with necrotizing orchitis whose infections were unresponsive to antibiotics required an orchiectomy. In general, classical brucellosis therapy is adequate for BEO.


Asunto(s)
Antibacterianos/uso terapéutico , Brucella melitensis , Brucelosis/complicaciones , Orquitis/etiología , Adolescente , Adulto , Anciano , Brucelosis/diagnóstico por imagen , Brucelosis/tratamiento farmacológico , Humanos , Masculino , Persona de Mediana Edad , Orquitis/diagnóstico por imagen , Orquitis/tratamiento farmacológico , Orquitis/microbiología , Estudios Retrospectivos , Resultado del Tratamiento , Ultrasonografía
15.
Drugs ; 53(2): 245-56, 1997 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-9028744

RESUMEN

Brucellosis (infection with Brucella spp.) is a common zoonosis in many parts of the world. Human brucellosis is a multisystem disease that may present with a broad spectrum of clinical manifestations. Treatment of brucellosis must effectively control acute illness and prevent complications and relapse. The choice of regimen and duration of antimicrobial therapy should be based on the presence of focal disease and underlying conditions which contraindicate certain specific antibiotics. The regimen of first choice is combination therapy with doxycycline for 45 days and streptomycin for 14 days. Gentamicin or netilmicin for the first 7 days may be substituted for streptomycin. Second-choice regimens consist of combinations of doxycycline and rifampicin (rifampin) for 45 days, or monotherapy with doxycycline for 45 days. Surgery should be considered for patients with endocarditis, cerebral or epidural abscess, spleen abscess or other abscesses which are antibiotic-resistant. Tetracyclines are generally contraindicated for pregnant patients and children < 8 years old. Rifampicin 900 mg once daily for 6 weeks is considered the drug of choice for treating brucellosis in pregnant women. In children < 8 years old the preferred regimen is rifampicin with cotrimoxazole (trimethoprim-sulfamethoxazole) for 45 days. An alternative regimen consists of a combination of rifampicin for 45 days with gentamicin 5 to 6 mg/kg/day for the first 5 days.


Asunto(s)
Brucelosis/diagnóstico , Brucelosis/tratamiento farmacológico , Adulto , Niño , Femenino , Humanos , Embarazo
16.
Leuk Res ; 23(4): 331-40, 1999 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-10229318

RESUMEN

We report results achieved in our institution with an acute lymphoblastic leukaemia risk-oriented treatment trial opened in January 1990 and closed on December 1995. The study was similar to the German ALL-BFM'90, except for using Protocol III for the standard-risk group, 2 g/m2 of methotrexate in Protocol M, and preventive cranial irradiation for the high-risk group only. The high-risk group included mostly patients with prednisone poor initial response and/or adverse cytogenetic features. This analysis included 374 patients, whose mean age was 6 years (range: 1 month-17 years). The overall complete remission rate was 94.4% (353/374) and the 5-year event-free survival (standard error) probability is 64(5)%. The 5-year event-free survival estimates for each risk group were: (1) high-risk group 37(5)%; (2) intermediate-risk group 66(1)%; and (3) standard-risk group 74(4)% (P = 0.0001). There are significantly higher-rates of isolated bone marrow and testicular relapses in the high-risk subset of patients. Our dismal results and the published experience, lead us to conclude that the optimal treatment for these high-risk acute lymphoblastic leukaemia patients is not currently known.


Asunto(s)
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Leucemia-Linfoma Linfoblástico de Células Precursoras/tratamiento farmacológico , Adolescente , Niño , Preescolar , Terapia Combinada , Irradiación Craneana , Esquema de Medicación , Femenino , Humanos , Lactante , Masculino , Leucemia-Linfoma Linfoblástico de Células Precursoras/radioterapia , Factores de Riesgo
17.
Leuk Res ; 22(5): 465-72, 1998 May.
Artículo en Inglés | MEDLINE | ID: mdl-9652734

RESUMEN

Between July 1990 and December 1995, 111 new consecutive pediatric patients with acute myelogenous leukemia (AML) have been treated in our institution. Eleven of them (9.9%) had Down's syndrome (DS), 6 boys and 5 girls. The median age was 22.5 (range 10-40) months. FAB subtypes were the following: M7: 6, M4: 3, and M0: 2. Five of them had previously had myelodysplasia and in 3, all FAB M7, myelofibrosis was detected. This population was treated with two consecutive protocols. Nine patients were included in the AML-HPG-90 protocol and 2 patients in the AML-HPG-95 study, respectively. However, all DS patients in this series received the same treatment. Eight patients achieved complete remission: two patients received two cycles of intensification with high dose (HD) ara-C, and 1 patient, only one cycle; the other 5 were prevented from receiving such therapy because of unacceptable toxicity or death. At 45 months, event-free survival and overall survival estimates were 0.30, S.E. 0.16. Mortality was remarkably high. All deaths (7) were associated with sepsis (5) or pulmonary infection (2). Three deaths occurred before achieving complete remission, 3 patients died during the consolidation phase and 1 died whilst off treatment. No one presented leukemic relapse. We conclude that this AML-BFM treatment strategy is highly toxic to children with DS and AML in our setting. Efforts will be made to improve clinical support and to administer less intensive therapy to this particular pediatric AML subgroup, which, in fact, has a better prognosis than the same non-trisomic population.


Asunto(s)
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Síndrome de Down/complicaciones , Leucemia Mieloide Aguda/complicaciones , Leucemia Mieloide Aguda/diagnóstico , Leucemia Mieloide Aguda/tratamiento farmacológico , Antígenos CD/análisis , Argentina , Células de la Médula Ósea/inmunología , Células de la Médula Ósea/patología , Preescolar , Citarabina/administración & dosificación , Citarabina/toxicidad , Etopósido/administración & dosificación , Etopósido/toxicidad , Femenino , Humanos , Idarrubicina/administración & dosificación , Idarrubicina/toxicidad , Lactante , Cariotipificación , Masculino , Estudios Retrospectivos , Resultado del Tratamiento
18.
Histol Histopathol ; 9(1): 15-22, 1994 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-8003811

RESUMEN

The following hypothesis is proposed: that hypersensitivity pneumonitis (HP), experimentally induced in rats, is the cause of a thickening in the alveolar wall, a decrease in the size of the alveole, hyperplasia in the bronchus-associated lymphoid tissue (BALT) and hypertrophy in the goblet cells. Wistar rats were classified into two different groups, namely, non-treated animals and animals exposed to bovine albumin (BA). A morphometric study was carried out and the following variables were quantified: a) percentage of lymphocytes, neutrophils and alveolar macrophages of the bronchio-alveolar lavage (BAL); b) the interstice of the alveole, the alveolar chord length, the alveolar wall thickness and the number of alveolar macrophages with hemosiderin within its cytoplasm; c) the size of lymphatic area (LA) in BALT, the length of the lymphatic epithelium (LEp) in BALT and the percentage of goblet cells in the bronchial epithelium. The following results were obtained from the animals exposed to BA: 1) a significant increase in both lymphocytes and neutrophils of BAL, and of alveolar macrophages with hemosiderin in its cytoplasm; 2) a significant thickening of the alveolar walls and the BALT elements, which confirms the above mentioned hypothesis; 3) a significant increase in the alveolar chord and a significant decrease in the number of goblet cells of the bronchus, which contradicts the above mentioned hypothesis.(ABSTRACT TRUNCATED AT 250 WORDS)


Asunto(s)
Alveolitis Alérgica Extrínseca/inducido químicamente , Alveolitis Alérgica Extrínseca/patología , Pulmón/patología , Albúmina Sérica Bovina/inmunología , Animales , Bronquios/patología , Líquido del Lavado Bronquioalveolar/citología , Hemosiderina , Alveolos Pulmonares/patología , Ratas , Ratas Wistar
19.
Histol Histopathol ; 8(4): 599-608, 1993 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-8305814

RESUMEN

The following hypothesis is proposed: Experimental lung disease in old rats is different from this disease in adult rats. In order to demonstrate this, we performed a morphometrical evaluation of the pulmonary state of two groups of rats at different ages and to which Goodpasture's syndrome had been induced. 115 Wistar rats were used. They were divided into four different groups as follows: 1) Healthy adult rats which had not been subjected to treatment; 2) diseased adult rats to which antipulmonary serum had been administered; 3) healthy old rats; and 4) diseased old rats. With the help of a computerized system, the length of the alveolar chord, the thickness of the alveolar wall and the surface of the bronchial-associated lymphoid tissue in each group was calculated. We also counted the number of alveolar macrophages (AM) with haemosiderin, the percentage of goblet bronchial cells and that of AM, lymphocytes and polymorphonuclear leukocytes of the broncho-alveolar lavage (BAL). The following results were obtained. When related to the diseased adult rats, the diseased old rats showed an increase in the alveolar chord and a decrease in the thickness of the alveolar wall, as well as in the number of AM with haemosiderin, goblet cells and BAL lymphocytes. These results support the proposed hypotheses, since the diseased adult animals showed signs of alveolar inflammation with interstitial edema, while in the diseased old animals these results are compatible with emphysema.


Asunto(s)
Envejecimiento/fisiología , Enfermedad por Anticuerpos Antimembrana Basal Glomerular/patología , Pulmón/patología , Animales , Líquido del Lavado Bronquioalveolar/citología , Modelos Animales de Enfermedad , Hemosiderina/análisis , Linfocitos/citología , Linfocitos/patología , Macrófagos Alveolares/citología , Macrófagos Alveolares/patología , Masculino , Neutrófilos/citología , Neutrófilos/patología , Alveolos Pulmonares/citología , Alveolos Pulmonares/crecimiento & desarrollo , Alveolos Pulmonares/patología , Ratas , Ratas Wistar
20.
Histol Histopathol ; 8(4): 609-15, 1993 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-8305815

RESUMEN

The following hypothesis is suggested: if a lung disease is induced in an adult rat, then its lung, in the senile age, will be different from what is considered to be a normal senile lung. In order to demonstrate this, the pulmonary state of two groups of old rats, one of which had suffered from Goodpasture's syndrome in the adult age has been assessed morphometrically. Fifty-three Wistar rats were used. They were divided into two groups: 1) healthy old rats; and 2) diseased old rats. Antipulmonary serum was administered to the latter and they were sacrificed a year later. Making use of a computing system, we calculated the following data for each group: the alveolar chord length, the alveolar wall thickness and the surface of the bronchial-associated lymphoid tissue (BALT). The alveolar macrophages (AM) with haemosiderin which were found in the lung tissue were also counted and the percentage of goblet bronchial cells and that of bronchoalveolar lavage (BAL) cells was also assessed. From the results, the following points should be emphasized: in diseased old rats, an increase in the alveolar chord, a decrease in lymphocytes with an increase in the AM of the BAL, and a decrease in goblet cells and AM with haemosiderin occur, all of which are significant when these rats are compared to healthy old rats.(ABSTRACT TRUNCATED AT 250 WORDS)


Asunto(s)
Envejecimiento/fisiología , Enfermedad por Anticuerpos Antimembrana Basal Glomerular/patología , Pulmón/patología , Animales , Bronquios/citología , Bronquios/crecimiento & desarrollo , Bronquios/patología , Líquido del Lavado Bronquioalveolar/citología , Modelos Animales de Enfermedad , Hemosiderina/análisis , Pulmón/citología , Pulmón/crecimiento & desarrollo , Tejido Linfoide/citología , Tejido Linfoide/crecimiento & desarrollo , Tejido Linfoide/patología , Macrófagos Alveolares/citología , Macrófagos Alveolares/patología , Masculino , Alveolos Pulmonares/citología , Alveolos Pulmonares/crecimiento & desarrollo , Alveolos Pulmonares/patología , Ratas , Ratas Wistar
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