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1.
Int J Immunogenet ; 51(2): 93-99, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38374539

RESUMEN

The aim of this study was to devise an algorithm that would predict flow cytometry crossmatch (FCXM) results using single-antigen bead (SAB) mean fluorescent intensity (MFI) levels using samples received through the National External Quality Assurance Scheme (NEQAS) 2B external proficiency testing scheme between 2019 and 2023. A total of 159 serum samples were retrospectively screened using LABScreen Single Antigen Class I and II (SAB), and 40 peripheral blood samples were human leucocyte antigen (HLA) typed with LABType SSO. Donor-specific antibodies were identified for each cell-serum combination tested, and cumulative MFI values were calculated for each test before correlating the screening result with the consensus crossmatch results for this scheme. HLA Class I MFIs were combined to predict the T cell crossmatch. For the B cell crossmatch prediction, two options were considered: (i) HLA Class II MFI values alone and (ii) HLA Class I + Class II MFIs. Receiver operating characteristic analysis was carried out to identify the combined MFI threshold that predicted NEQAS consensus results with the greatest sensitivity and specificity. HLA Class I combined MFI >5000 predicted T cell crossmatch results with 96% sensitivity, 100% specificity, 100% positive predictive value (PPV) and 92% negative predictive value (NPV). For B cell results, HLA Class I + Class II combined MFIs >11,000 gave the best model, showing 97% sensitivity, 82% specificity, 96% PPV and 85% NPV. However, for samples with only HLA Class II sensitization, combined MFIs >13,000 improved the B cell crossmatch predictions: 92% sensitivity, 95% specificity, 96% PPV and 91% NPV. Using this model, combined MFI can be used to predict the immunological risk posed by donor-specific antibodies when it is not possible to carry out an FCXM.


Asunto(s)
Trasplante de Riñón , Humanos , Citometría de Flujo/métodos , Estudios Retrospectivos , Prueba de Histocompatibilidad/métodos , Anticuerpos , Antígenos HLA , Isoanticuerpos , Rechazo de Injerto
2.
An Acad Bras Cienc ; 96(1): e20230010, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38451594

RESUMEN

Growth and carcass traits are essential selection criteria for beef cattle breeding programs. However, it is necessary to combine these measurements with body composition traits to meet the demand of the consumer market. This study aimed to estimate the genetic parameters for visual scores, growth (pre and post-weaning weights), and carcass (rib eye area (REA), back and rump fat thickness) traits in Nellore cattle using Bayesian inference. Data from 12,060 animals belonging to the HoRa Hofig Ramos herd were used. Morphological traits were evaluated by the MERCOS methodology. The heritability estimates obtained ranged from low to high magnitude, from 0.15 to 0.28 for visual scores, 0.13 to 0.44 for growth, and from 0.42 to 0.46 for carcass traits. Genetic correlations between visual scores and growth traits were generally of moderate to high magnitudes, however, visual scores showed low correlations with carcass traits, except between sacral bone and structure and REA. Selection for visual score traits can lead to favorable responses in body weight and vice versa, but the same is not true for carcass traits. Morphological categorical traits can be used as complementary tools that add value to selection.


Asunto(s)
Composición Corporal , Bovinos/genética , Animales , Teorema de Bayes , Peso Corporal/genética , Composición Corporal/genética , Fenotipo
3.
Exp Appl Acarol ; 92(1): 151-159, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-38219227

RESUMEN

This study presents the results of the molecular detection of tick-borne microorganisms in Amblyomma tigrinum Koch collected near the city of Viedma, Río Negro, Argentina. Ticks were collected in their non-parasitic stage, on pet dogs and on Lycalopex gymnocercus (Pampa fox). Also, six tick samples from humans were analyzed. All ticks were morphologically identified to species level and genomic DNA was extracted. The DNA samples were examined by end point PCR assays to amplified DNA of Anaplasma sp., Babesia sp., Ehrlichia sp., Rickettsia sp. and Theileria sp. Although all tested DNA samples from the collected ticks resulted negative to the detection of Piroplasmida and Rickettsia spp., 16 samples (16.5%, including all hosts) were positive in the 16S rDNA gene PCR that detects bacteria from the Anaplasmataceae family. Phylogenetic analysis of seven obtained partial sequences resulted in the identification of three bacteria: two Ehrlichia spp. (related to Ehrlichia sp. strain Iberá and strain Viedma) and Candidatus Anaplasma boleense. The latter finding represents the first detection of this novel Candidatus species in A. tigrinum. Based on the results of this study, it must be assumed that the diversity of bacteria of the Anaplasmataceae family in Argentina is greater than previously thought, and that these bacteria can infect a wide range of domestic and wild animals.


Asunto(s)
Anaplasmataceae , Enfermedades de los Perros , Ixodidae , Rickettsia , Enfermedades por Picaduras de Garrapatas , Garrapatas , Humanos , Animales , Perros , Garrapatas/microbiología , Ixodidae/microbiología , Amblyomma/genética , Argentina , Filogenia , Ehrlichia , Rickettsia/genética , Anaplasma/genética , ADN Bacteriano/análisis , Enfermedades por Picaduras de Garrapatas/veterinaria , Enfermedades de los Perros/parasitología
4.
Allergol Immunopathol (Madr) ; 51(6): 37-44, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37937494

RESUMEN

INTRODUCTION: The frequency of visits to emergency department for asthma is a significant public health problem in pediatrics. This study aimed to identify the characteristics of children who visited the pediatric emergency department for asthma exacerbation and evaluated their therapeutic management prior to admission. METHODS: A prospective study was conducted over a 6-month period in the pediatric emergency departments of five hospitals involving children aged 1-16 years admitted to the department with a clinical diagnosis of asthma exacerbation. RESULTS: In all, 143 patients were enrolled in the study. Asthma episodes were moderate to severe in 69.2% of cases (n = 99). Initial treatment prior to admission to the emergency department was adequate in only 17.5% of cases (n = 25). Hospitalization for more than 24 h occurred in 18.2% (n = 26) patients. In children aged <3 years, viral infection was present in 91.4% cases (n = 64) and exacerbations were more severe in younger patients (P = 0.002) and children belonging to low-income stratum (P = 0.025). Only 17.4% (n = 25) were positive for SARS-CoV-2 (antigen test or polymerase chain reaction test), suggesting that the involvement of traditional respiratory viruses in asthma exacerbation continued even during pandemic. Regarding the pre-hospital care, 70.6% (n = 101) had received prior treatment, but this treatment was inadequate in 53.1% cases (n = 76). CONCLUSION: This study showed that asthmatic children and their families had little knowledge about the disease and that physicians must be sufficiently aware of current recommendations for managing asthmatic children. Admission to the emergency department for asthma could be avoided partially by better diagnosis and therapeutic education.


Asunto(s)
Asma , Niño , Humanos , Estudios Prospectivos , Asma/diagnóstico , Asma/epidemiología , Asma/terapia , Hospitalización , Servicio de Urgencia en Hospital , Hospitales
5.
Molecules ; 28(2)2023 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-36677917

RESUMEN

Galectin-1 has been cited as a mediator involved in preventing early embryonic death in mammals and is implicated in maternal-fetal tolerance. Galectin-1 is also a reasonable tool to improve fertility in assisted reproduction procedures. As recommended in the ICH guidelines (S5-R2 and S6-R1) and based on bioethical concerns, we chose bovine embryos (BE) to assess in vitro embryo development as part of a larger reproductive safety and toxicology study in progress. The design considered in vitro embryo development using rHGAL-1 supplementations (in three different concentrations) of the in vitro embryo culture (IVP) media. Based on procedures for the commercial in vitro production of BE using oocytes aspirated from slaughterhouse ovaries, rHGAL-1 supplementation was performed in two experiments: In Experiment 1 on oocyte maturation, involving IVM medium supplementation, and in Experiment 2 on culture step IVC, involving supplementation with an SOF medium. IVP commercial procedures were used, with three IVP replicates per experiment, and the oocytes we distributed into four groups of treatment (one control group and three different dosages of rHGAL-1 to supplement both IVM and SOF media using 2, 20, and 40 µg·mL-1, respectively. A total of 967 (Experiment 1) and 1213 (Experiment 2) oocytes were aspirated and submitted to the IVP procedure. There was no damage to the in vitro bovine embryo growth when considering cleavage percentage (%CLE), blastocyst development (Bl, Bx, Bh, and B) at Days 7 and 8, or an amount of rHGAL-1 supplementation ≤20 µg·mL-1. The immunohistochemistry assay with D8 embryos cultivated using rHGAL-1 supplementation on the culture medium (SOF medium) demonstrated the presence of exogenous GAL-1 distributed in mass cell and trophoblastic cells, and the profile observed was dependent on exogenous supplementation, which was most evident in hatched embryos. The findings confirmed the use of a reasonable amount of rHGAL-1 for in vitro embryonic development and would make the use of rHGAL-1 in assisted reproduction in humans more reliable and safer. Even though it was not the objective of the study, we verified that supplementation with 2 µg·mL-1 significantly improved some of the evaluated parameters of embryonic development (%BlD7, %BD7, %BlD8, %BhD8, and %BD8).


Asunto(s)
Galectina 1 , Técnicas de Maduración In Vitro de los Oocitos , Animales , Bovinos , Femenino , Humanos , Embarazo , Embrión de Mamíferos , Desarrollo Embrionario , Técnicas de Maduración In Vitro de los Oocitos/métodos , Oocitos
6.
J Proteome Res ; 21(2): 519-534, 2022 02 04.
Artículo en Inglés | MEDLINE | ID: mdl-35043621

RESUMEN

Investigating the metabolic effects of radiation is critical to understand the impact of radiotherapy, space travel, and exposure to environmental radiation. In patients undergoing hemopoietic stem cell transplantation, iron overload is a common risk factor for poor outcomes. However, no studies have interrogated the multiorgan effects of these treatments concurrently. Herein, we use a model that recapitulates transfusional iron overload, a condition often observed in chronically transfused patients. We applied an omics approach to investigate the impact of both the iron load and irradiation on the host metabolome. The results revealed dose-dependent effects of irradiation in the red blood cells, plasma, spleen, and liver energy and redox metabolism. Increases in polyamines and purine salvage metabolites were observed in organs with high oxygen consumption including the heart, kidneys, and brain. Irradiation also impacted the metabolism of the duodenum, colon, and stool, suggesting a potential effect on the microbiome. Iron infusion affected the response to radiation in the organs and blood, especially in erythrocyte polyamines and spleen antioxidant metabolism, and affected glucose, methionine, and glutathione systems and tryptophan metabolism in the liver, stool, and the brain. Together, the results suggest that radiation impacts metabolism on a multiorgan level with a significant interaction of the host iron status.


Asunto(s)
Metaboloma , Poliaminas , Eritrocitos/metabolismo , Humanos , Metaboloma/fisiología , Poliaminas/metabolismo , Purinas , Azufre
7.
Transfusion ; 61(12): 3309-3319, 2021 12.
Artículo en Inglés | MEDLINE | ID: mdl-34633666

RESUMEN

BACKGROUND: Transfusion of red blood cells (RBCs) stored for longer durations induces hemolysis and inflammatory cytokine production in murine and canine models. Despite immune system activation by stored RBCs, human randomized trials suggest that fresher RBC transfusions do not improve clinical outcomes. We hypothesized that underlying recipient hemolysis may affect cytokine responses to older RBC transfusions. STUDY DESIGN AND METHODS: C57BL/6 mouse cohorts were infused with anti-TER119 antibody to induce hemolysis, rabbit anti-platelet antiserum to induce immune thrombocytopenia (ITP), or appropriate control antibodies. Two days later, mice were transfused with fresh or stored RBCs. Furthermore, in a prospective, randomized, blinded trial, 38 client-owned dogs with primary autoimmune hemolytic anemia (AIHA) and two dogs with ITP, requiring RBC transfusion, were enrolled and randomized to receive fresh (≤7 days) or old (≥21 days) stored RBC transfusions. Monocyte chemoattractant protein (MCP)-1 levels were assessed at defined times after transfusion. RESULTS: Prior immune-mediated hemolysis blunted the MCP-1 response to stored RBC transfusion in mice (361 ± 111 pg/ml vs. 6836 ± 1528 pg/ml in mice with immune hemolysis vs. ITP, respectively; mean ± SD; p < .0001). Although hemolysis markers increased after transfusion of older RBCs, the cytokine response was also muted in dogs with AIHA. No differences in morbidity or mortality were evident comparing dogs randomized to fresh or old RBCs. CONCLUSION: These data suggest that underlying hemolysis blunts inflammatory responses to old RBC transfusions. The canine data support randomized trial results suggesting a lack of clinical benefit with fresh RBC transfusions in subjects with underlying, baseline hemolysis.


Asunto(s)
Anemia Hemolítica Autoinmune , Hemólisis , Anemia Hemolítica Autoinmune/metabolismo , Anemia Hemolítica Autoinmune/terapia , Animales , Citocinas , Perros , Transfusión de Eritrocitos/métodos , Eritrocitos/metabolismo , Humanos , Ratones , Ratones Endogámicos C57BL , Estudios Prospectivos , Conejos
8.
Skin Res Technol ; 25(6): 805-809, 2019 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-31115110

RESUMEN

BACKGROUND: Ablative fractional laser surgery is a common technique for treating acne scars. However, an in vivo and noninvasive analysis of the histologic variations between acne skin and the resulting resurfaced skin is needed in order to evaluate the wound healing process of the scars induced by the ablative fractional laser surgery. MATERIALS AND METHODS: Nine patients with acne scars underwent a single treatment with a CO2 ablative fractional laser surgery. Collagen presence on the resurfaced skin was noninvasively assessed by means of Raman spectroscopy and principal component analysis. RESULTS: Principal component analysis shows that all the patients presented a collagen regeneration on the resurfaced skin after the laser treatment. CONCLUSION: Collagen plays a crucial role in the wound healing process. By assessing the collagen presence on the skin, it was possible to quantify the regenerative effects of the ablative fractional laser in a noninvasive way.


Asunto(s)
Acné Vulgar , Cicatriz , Colágeno , Terapia por Láser , Espectrometría Raman/métodos , Acné Vulgar/diagnóstico por imagen , Acné Vulgar/terapia , Adolescente , Dióxido de Carbono/uso terapéutico , Mejilla/diagnóstico por imagen , Niño , Cicatriz/diagnóstico por imagen , Cicatriz/terapia , Colágeno/análisis , Colágeno/química , Femenino , Humanos , Masculino , Regeneración de la Piel con Plasma , Piel/diagnóstico por imagen , Adulto Joven
9.
Biomolecules ; 12(3)2022 03 09.
Artículo en Inglés | MEDLINE | ID: mdl-35327611

RESUMEN

The objective was to evaluate the efficacy of a single dose of exogenous galectin-1 in improving the pregnancy rate in inseminated cows, comparing the pregnancy rate of the two groups (treatment and control Groups) into 107 contemporary groups (YG) established. An ultrasound exam determined the pregnancy rate performed 25 to 35 days after the fixed-time artificial insemination (FTAI) of breeding beef cows (n = 3469). The pregnancy rate of cows that received a single dose of eGAL-1 (200 ± 10 µg), with an intrauterine administration (n = 1901), was compared with the pregnancy rate of cows inseminated using a conventional AI protocol (n = 1568), both comparing into the same YG. YGs were created considering the grouping of cows belonging to the same farm, with the same nutritional score and management, inseminated by the same inseminator and semen batch, and using the same estrus synchronization protocol). The statistical method used calculated the probability of obtaining pregnancy within each group. The administration of a single dose of eGAL-1 can increase the probability of obtaining pregnancy in beef cows by up to 8.68% (p < 0.0001), suggesting that a single dose of eGAL-1 during the FTAI procedure was reasonable in the beef cattle AI routine and can improve the pregnancy rate considerably.


Asunto(s)
Galectina 1 , Progesterona , Animales , Bovinos , Sincronización del Estro/métodos , Femenino , Humanos , Inseminación Artificial/métodos , Inseminación Artificial/veterinaria , Fitomejoramiento , Embarazo , Índice de Embarazo
10.
Animals (Basel) ; 11(5)2021 May 13.
Artículo en Inglés | MEDLINE | ID: mdl-34068162

RESUMEN

The identification of genomic regions associated with reproductive traits as well as their biological processes allows a better understanding of the phenotypic variability of these traits. This information could be applied to animal breeding programs to accelerate genetic gain. The aim of this study was to evaluate the association between single nucleotide polymorphisms (SNP) with a scrotal circumference at 365 days of age (SC365) and at 450 days of age (SC450), gestation length (GL) as a calf trait, age at first calving (AFC), accumulated productivity (ACP), heifer early calving until 30 months (HC30), and stayability (STAY) traits, in order to identify candidate genes and biological pathways associated with reproductive traits in Nelore cattle. The data set consisted of pedigree, phenotypes, and genotypes of Nelore cattle from the "Associação Nacional de Criadores e Pesquisadores" (ANCP). The association analyses were performed using the Weighted Single-Step Genome-Wide Association method; the regions, consisting of 10 consecutive SNP, which explained more than 0.5% of additive genetic variance, were considered as a significant association. A total of 3, 6, 7, 5, 10, 25, and 12 windows were associated with SC355, SC450, GL, AFC, ACP, HC30, and STAY, respectively. The results revealed genes with important functions for reproductive traits, such as fertility and precocity. Some genes were associated with more than one trait, among them CAMK1D, TASP1, ACOXL, RAB11FIP5, and SFXN5. Moreover, the genes were enriched in functional terms, like negative regulation of fat cell differentiation, fatty acid alpha-oxidation, and sphingolipids signaling pathway. The identification of the genes associated with the traits, as well as genes enriched in the terms and pathway mentioned above, should contribute to future biological validation studies and may be used as candidate genes in Nelore breeding programs.

11.
Cir Esp ; 88(6): 398-403, 2010 Dec.
Artículo en Español | MEDLINE | ID: mdl-20971457

RESUMEN

INTRODUCTION: Persistent air leaks (PAL) is the most frequent post-operative complication in Thoracic Surgery, leading to a longer hospital stay and an increase in patient morbidity. We present a prospective study conducted in the Dr. Josep Trueta University Hospital in Gerona, involving a portable chest drainage system (PCDS) connected to a pleural drainage which allowed air leaks to be treated ambulatorily. Our aim is to demonstrate that by using this system hospital stay is reduced without increasing post-operative morbidity, and improves the quality of life of the patient. MATERIAL AND METHODS: The Thoracic Surgery Department of Gerona Hospital collected the data on 33 patients with PAL in the post-surgical period and who were treated ambulatorily with a PCDS. Post-operative complications were recorded, along with the mean days of ambulatory treatment with the PCDS and the hospital days saved. RESULTS: The mean hospital stay of the 33 patients was 7.03 days. The mean number of days that the 33 patients were treated ambulatorily with the PCDS was 9.33 days. It was calculated that there was a saving of 308 hospital days. The ambulatory treatment of PAL did not increase post-operative morbidity. CONCLUSIONS: The clinical results and the management of the PCDS support the treatment of this problem in patients who do not have any other causes to remain in hospital. The study shows a saving in a considerable number of hospital days stay, with no increase in patient morbidity. All the patients preferred this system to hospital admission.


Asunto(s)
Drenaje , Gases , Procedimientos Quirúrgicos Torácicos/efectos adversos , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Atención Ambulatoria , Drenaje/instrumentación , Diseño de Equipo , Femenino , Humanos , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias/terapia , Estudios Prospectivos , Adulto Joven
12.
Environ Sci Pollut Res Int ; 25(20): 19989-20002, 2018 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-29744778

RESUMEN

Enzymatic decolourization of azo-dyes could be a cost-competitive alternative compared to physicochemical or microbiological methods. Stoichiometric and kinetic features of peroxidase-mediated decolourization of azo-dyes by hydrogen peroxide (P) are central for designing purposes. In this work, a modified version of the Dunford mechanism of peroxidases was developed. The proposed model takes into account the inhibition of peroxidases by high concentrations of P, the substrate-dependant catalatic activity of peroxidases (e.g. the decomposition of P to water and oxygen), the generation of oxidation products (OP) and the effect of pH on the decolourization kinetics of the azo-dye Orange II (OII). To obtain the parameters of the proposed model, two series of experiments were performed. In the first set, the effects of initial P concentration (0.01-0.12 mM) and pH (5-10) on the decolourization degree were studied at a constant initial OII concentration (0.045 mM). Obtained results showed that at pH 9-10 and low initial P concentrations, the consumption of P was mainly to oxidize OII. From the proposed model, an expression for the decolourization degree was obtained. In the second set of experiments, the effect of the initial concentrations of OII (0.023-0.090 mM), P (0.02-4.7 mM), HRP (34-136 mg/L) and pH (5-10) on the initial specific decolourization rate (q0) was studied. As a general rule, a noticeable increase in q0 was observed for pHs higher than 7. For a given pH, q0 increased as a function of the initial OII concentration. Besides, there was an inhibitory effect of high P concentrations on q0. To asses the possibility of reusing the enzyme, repeated additions of OII and P were performed. Results showed that the enzyme remained active after six reuse cycles. A satisfactory accordance between the change of the absorbance during these experiments and absorbances calculated using the proposed model was obtained. Considering that this set of data was not used during the fitting procedure of the model, the agreement between predicted and experimental absorbances provides a powerful validation of the model developed in the present work.


Asunto(s)
Compuestos Azo/química , Bencenosulfonatos/química , Colorantes/química , Peroxidasa de Rábano Silvestre/química , Peróxido de Hidrógeno/química , Concentración de Iones de Hidrógeno , Cinética , Oxidación-Reducción
13.
Rev Bras Parasitol Vet ; 25(3): 378-82, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-27580393

RESUMEN

Several tick-borne Rickettsia species are recognized human pathogens in Argentina. Here we evaluated rickettsial infection in ticks collected on passerine birds during 2011-2012 in two eco-regions of Argentina. The ticks were processed by molecular analysis through polymerase chain reaction (PCR) detection and DNA sequencing of fragments of two rickettsial genes, gltA and ompA. A total of 594 tick specimens (532 larvae and 62 nymphs), representing at least 4 species (Amblyomma tigrinum, Ixodes pararicinus, Haemaphysalis juxtakochi, Haemaphysalis leporispalustris), were evaluated. At least one A. tigrinum larva, collected on Coryphospingus cucullatus in Chaco Seco, was infected with Rickettsia parkeri, whereas at least 12 larvae and 1 nymph of I. pararicinus, collected from Troglodytes aedon, Turdus amaurochalinus, Turdus rufiventris, C. cucullatus and Zonotrichia capensis, were infected with an undescribed Rickettsia agent, genetically related to several rickettsial endosymbionts of ticks of the Ixodes ricinus complex. R. parkeri is a recognized human pathogen in several American countries including Argentina, where a recent study incriminated A. tigrinum as the potential vector of R. parkeri to humans. Birds could play an important role in dispersing R. parkeri-infected A. tigrinum ticks. Additionally, we report for the first time a rickettsial agent infecting I. pararicinus ticks.


Asunto(s)
Aves/parasitología , Rickettsia/aislamiento & purificación , Garrapatas/microbiología , Animales , Argentina , Humanos
14.
rev. cuid. (Bucaramanga. 2010) ; 11(1): e798, Ene.-2020.
Artículo en Español | LILACS, BDENF, COLNAL | ID: biblio-1118234

RESUMEN

Introducción: Frente a una moción parlamentaria que pretende modificar el código sanitario para permitir a los enfermeros tener la facultad legal de prescribir fármacos y dispositivos sanitarios surge la inquietud de analizar la representación social que los enfermeros de atención primaria de salud otorgan a la temática. Objetivo: Describir los componentes figurativos (campo de representación), simbólico (información) y afectivo (actitudinal) del cuidar mediante la prescripción enfermera, que tienen los profesionales de enfermería de la red de atención primaria de salud. Materiales y Métodos: Investigación descriptiva con enfoque cualitativo y diseño de teoría fundamentada, realizada en ocho enfermeras de la red de atención primaria de salud a través de entrevista semiestructurada. Resultados: En la representación social de la prescripción enfermera surgen cinco categorías: gestionar el cuidado, beneficios sociales de la prescripción, restricción en la prescripción, formación profesional del enfermero en prescripción y valor atribuido a la prescripción. Discusión: Las enfermeras de atención primaria, entienden el fenómeno de la prescripción como una indicación de enfermería que se encuentra influenciada por factores asociados a la formación farmacológica de pregrado y la experiencia laboral, similar a lo reportado en algunos estudios en Iberoamérica. Conclusiones: Las enfermeras consideran que la prescripción es un elemento positivo para la entrega de cuidados y que contribuye a la resolutividad en la atención de salud, sin embargo, para llevarla a cabo se requiere de una formación adecuada y de un respaldo legal claro.


Introduction: Considering that a parliamentary motion seeks to modify the health code to allow nurses to have the legal power to prescribe drugs and health devices, it is necessary to analyze the social representation that primary healthcare nurses give to prescription. Objective: To describe the figurative (representation field), symbolic (information) and affective (attitudinal) nursing components by means of nurse prescription used by primary health care nursing professionals. Materials and Methods: A descriptive qualitative research with a grounded theory research design was conducted with eight nurses from the primary healthcare network through a semi-structured interview. Results: Five categories were created based on the social representation of nurse prescription: care management, social benefits of prescription, prescription restriction, professional nurse training in prescription, and value attributed to the prescription. Discussion: Primary care nurses perceive the prescription phenomenon as a nursing indication that is influenced by factors associated with undergraduate pharmacology training and work experience, similar to that reported in some studies in Ibero-America. Conclusions: Nurses consider that nurse prescription is a positive element for care delivery, contributing to the resolutive capacity of healthcare. However, adequate training and clear legal support are required to do so.


Introdução: Frente a uma moção parlamentar que objetiva emendar o código sanitário para permitir que os enfermeiros tenham a faculdade legal de prescrever fármacos e dispositivos sanitários surge a inquietude de analisar a opinião dos enfermeiros de atendimento primário em saúde sobre a sua representação social a respeito dessa questão. Objetivo: Descrever os componentes figurativo (campo de representação), simbólico (informação) e afetivo (atitudinal) do cuidar mediante a prescrição de enfermagem que os profissionais da rede de enfermagem detêm na rede de atendimento primário em saúde. Materiais e Métodos: Pesquisa descritiva com abordagem qualitativa e desenho de teoria fundamentada, realizada com oito enfermeiras da rede de atendimento primário em saúde através de uma entrevista semiestruturada. Resultados: Na representação social da prescrição de enfermagem surgem cinco categorias: administrar o cuidado, os benefícios sociais da prescrição, restrições na prescrição, formação profissional em prescrição do enfermeiro e valor atribuído à prescrição. Discussão: As enfermeiras de atendimento primário compreendem o fenómeno da prescrição como uma indicação de enfermagem influencia por fatores associados à formação farmacológica de pré-graduação e a experiência de trabalho, semelhante àquela relatada em vários estudos na Ibero-América. Conclusões: As enfermeiras consideram que a prescrição é um elemento positivo para a entrega de cuidados e que contribui com a resolutividade no atendimento em saúde, no entanto, para cumprir essa tarefa é preciso contar com uma formação adequada e um fundamento legal claro.


Asunto(s)
Humanos , Masculino , Femenino , Prescripciones de Medicamentos , Atención Primaria de Salud , Chile , Enfermeros
15.
Trans R Soc Trop Med Hyg ; 107(5): 332-4, 2013 May.
Artículo en Inglés | MEDLINE | ID: mdl-23474474

RESUMEN

BACKGROUND: St Louis encephalitis virus (SLEV) is a re-emerging human pathogen widely distributed in the American continent. Although it is not fully understood, the SLEV transmission network may involve Culex quinquefasciatus mosquitoes as vectors and Columbidae species as hosts. METHODS: To calculate infection rates, we inoculated Cx. quinquefasciatus mosquitoes from Córdoba, Argentina by feeding them on viremic chicks. RESULTS: We observed differences in infection rate among the viral strains, the highest rate (78/87 mosquitoes, 90.8%) being seen in strain 78V-6507. After re-feeding on susceptible chicks, mosquitoes were able to transmit the virus. CONCLUSION: Our findings suggest that Cx. quinquefasciatus populations are susceptible to and able to transmit different SLEV strains.


Asunto(s)
Culex/virología , Encefalitis de San Luis/transmisión , Encefalitis de San Luis/virología , Insectos Vectores/virología , Animales , Argentina , Pollos/virología , Susceptibilidad a Enfermedades , Virus de la Encefalitis de San Luis/aislamiento & purificación , Encefalitis de San Luis/epidemiología , Enfermedades Endémicas , Humanos , Viremia/transmisión
16.
Rev. bras. parasitol. vet ; 25(3): 378-382, July-Sept. 2016. tab
Artículo en Inglés | LILACS | ID: lil-795076

RESUMEN

Abstract Several tick-borne Rickettsia species are recognized human pathogens in Argentina. Here we evaluated rickettsial infection in ticks collected on passerine birds during 2011-2012 in two eco-regions of Argentina. The ticks were processed by molecular analysis through polymerase chain reaction (PCR) detection and DNA sequencing of fragments of two rickettsial genes, gltA and ompA. A total of 594 tick specimens (532 larvae and 62 nymphs), representing at least 4 species (Amblyomma tigrinum, Ixodes pararicinus, Haemaphysalis juxtakochi, Haemaphysalis leporispalustris), were evaluated. At least one A. tigrinum larva, collected on Coryphospingus cucullatus in Chaco Seco, was infected with Rickettsia parkeri, whereas at least 12 larvae and 1 nymph of I. pararicinus, collected from Troglodytes aedon, Turdus amaurochalinus, Turdus rufiventris, C. cucullatus and Zonotrichia capensis, were infected with an undescribed Rickettsia agent, genetically related to several rickettsial endosymbionts of ticks of the Ixodes ricinus complex. R. parkeri is a recognized human pathogen in several American countries including Argentina, where a recent study incriminated A. tigrinum as the potential vector of R. parkeri to humans. Birds could play an important role in dispersing R. parkeri-infected A. tigrinum ticks. Additionally, we report for the first time a rickettsial agent infecting I. pararicinus ticks.


Resumo Algumas espécies de Rickettsia transmitidas por carrapatos são reconhecidos como patógenos humanos na Argentina. Este presente trabalho avaliou a infecção por Rickettsia em carrapatos coletados em aves passeriformes, durante 2011-2012, em duas ecorregiões da Argentina. Os carrapatos foram processados pela reação em cadeia da polimerase (PCR) e sequenciamento de DNA de dois genes de Rickettsia: gltA e ompA. Ao todo, 594 amostras de carrapatos (532 larvas e 62 ninfas), representando pelo menos 4 espécies (Amblyomma tigrinum, Ixodes pararicinus, Haemaphysalis juxtakochi, Haemaphysalis leporispalustris), foram avaliadas. Pelo menos uma larva de A. tigrinum, coletada de Coryphospingus cucullatus no Chaco Seco, estava infectada com Rickettsia parkeri, enquanto pelo menos 12 larvas e 1 ninfa de I. pararicinus, coletadas de Troglodytes aedon, Turdus amaurochalinus, Turdus rufiventris, C. cucullatus e Zonotrichia capensis estavam infectadas com Rickettsia sp., geneticamente relacionada a vários endossimbiontes riquetsiais de carrapatos do complexo Ixodes ricinus. R. parkeri é reconhecidamente um patógeno humano em alguns países americanos, incluindo a Argentina, onde um estudo recente incriminou A. tigrinum como um provável vetor. Aves poderiam desempenhar um papel importante na dispersão de carrapatos A. tigrinum infectados por R. parkeri. Em adição, relata-se pela primeira vez a infecção por Rickettsia em I. pararicinus.


Asunto(s)
Animales , Rickettsia/aislamiento & purificación , Garrapatas/microbiología , Aves/parasitología , Argentina
17.
Vector Borne Zoonotic Dis ; 10(10): 999-1002, 2010 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-20426683

RESUMEN

Arbovirus vector transmission is interrupted when vector abundance decreases or disappears in temperate regions during the winter season. Although the primary overwintering mechanism for many arboviruses in nature remains unknown, vertical transmission is one potential mechanism. Vertical transmission functions as an overwintering mechanism for St. Louis encephalitis virus (SLEV) in temperate areas of Argentina, where SLEV is endemic. The aim of this project was to detect vertical transmission of SLEV in Culex quinquefasciatus mosquitoes. Under laboratory conditions, SLEV vertical transmission (3.4 minimum infection rates) was detected in larvae (1:256) and adults F1 (1:406). There were no positive larvae for SLEV among over 2011 analyzed individuals collected in nature. This is the first study to confirm experimental vertical transmission of SLEV in Cx. quinquefasciatus populations from Argentina, though additional overwintering mechanisms (e.g., nontraditional vectors such as ticks and nondiapausing female mosquitoes) should be considered.


Asunto(s)
Culex/virología , Virus de la Encefalitis de San Luis/aislamiento & purificación , Encefalitis de San Luis/transmisión , Transmisión Vertical de Enfermedad Infecciosa , Animales , Argentina , Pollos/virología , Virus de la Encefalitis de San Luis/crecimiento & desarrollo , Encefalitis de San Luis/virología , Femenino , Insectos Vectores/virología , Larva/virología , Estaciones del Año , Zoonosis/transmisión , Zoonosis/virología
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