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1.
Molecules ; 26(16)2021 Aug 22.
Artículo en Inglés | MEDLINE | ID: mdl-34443670

RESUMEN

Enterococci and methicillin-resistant S. aureus (MRSA) are among the menacing bacterial pathogens. Novel antibiotics are urgently needed to tackle these antibiotic-resistant bacterial infections. This article reports the design, synthesis, and antimicrobial studies of 30 novel pyrazole derivatives. Most of the synthesized compounds are potent growth inhibitors of planktonic Gram-positive bacteria with minimum inhibitory concertation (MIC) values as low as 0.25 µg/mL. Further studies led to the discovery of several lead compounds, which are bactericidal and potent against MRSA persisters. Compounds 11, 28, and 29 are potent against S. aureus biofilms with minimum biofilm eradication concentration (MBEC) values as low as 1 µg/mL.


Asunto(s)
Bacterias/crecimiento & desarrollo , Farmacorresistencia Bacteriana/efectos de los fármacos , Inhibidores de Crecimiento/síntesis química , Inhibidores de Crecimiento/farmacología , Pirazoles/síntesis química , Pirazoles/farmacología , Bacterias/efectos de los fármacos , Biopelículas/efectos de los fármacos , Muerte Celular/efectos de los fármacos , Enterococcus faecalis/efectos de los fármacos , Enterococcus faecalis/fisiología , Inhibidores de Crecimiento/química , Células HEK293 , Humanos , Staphylococcus aureus Resistente a Meticilina/efectos de los fármacos , Staphylococcus aureus Resistente a Meticilina/fisiología , Pruebas de Sensibilidad Microbiana , Pirazoles/química
2.
Molecules ; 25(12)2020 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-32549248

RESUMEN

In this paper, synthesis and antimicrobial studies of 31 novel coumarin-substituted pyrazole derivatives are reported. Some of these compounds have shown potent activity against methicillin-resistant Staphylococcus aureus (MRSA) with minimum inhibitory concentration (MIC) as low as 3.125 µg/mL. These molecules are equally potent at inhibiting the development of MRSA biofilm and the destruction of preformed biofilm. These results are very significant as MRSA strains have emerged as one of the most menacing pathogens of humans and this bacterium is bypassing HIV in terms of fatality rate.


Asunto(s)
Cumarinas/síntesis química , Staphylococcus aureus/efectos de los fármacos , Antibacterianos/farmacología , Antiinfecciosos , Biopelículas/efectos de los fármacos , Cumarinas/metabolismo , Cumarinas/farmacología , Staphylococcus aureus Resistente a Meticilina/efectos de los fármacos , Pruebas de Sensibilidad Microbiana , Pirazoles/metabolismo , Pirazoles/farmacología , Infecciones Estafilocócicas/microbiología
3.
Molecules ; 24(11)2019 May 29.
Artículo en Inglés | MEDLINE | ID: mdl-31146470

RESUMEN

Microbial resistance to drugs is an unresolved global concern, which is present in every country. Developing new antibiotics is one of the guidelines of the Centers for Disease Control and Preventions (CDC) to combat bacterial resistance to drugs. Based on our lead molecules, we report the synthesis and antimicrobial studies of 27 new pyrazole derivatives. These new coumarin-pyrazole-hydrazone hybrids are readily synthesized from commercially available starting materials and reagents using benign reaction conditions. All the synthesized molecules were tested against 14 Gram-positive and Gram-negative bacterial strains. Several of these molecules have been found to be potent growth inhibitors of several strains of these tested bacteria with minimum inhibitory concentrations as low as 1.56 µg/mL. Furthermore, active molecules are non-toxic in in vitro and in vivo toxicity studies.


Asunto(s)
Acinetobacter baumannii/efectos de los fármacos , Antibacterianos/síntesis química , Antibacterianos/farmacología , Farmacorresistencia Bacteriana/efectos de los fármacos , Hidrazonas/síntesis química , Hidrazonas/farmacología , Staphylococcus aureus/efectos de los fármacos , Acinetobacter baumannii/metabolismo , Animales , Antibacterianos/química , Técnicas de Química Sintética , Humanos , Hidrazonas/química , Ratones , Pruebas de Sensibilidad Microbiana , Estructura Molecular , Staphylococcus aureus/metabolismo
4.
Anal Bioanal Chem ; 410(10): 2637-2646, 2018 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-29460220

RESUMEN

Salmonella is one of major foodborne pathogens and the leading cause of foodborne illness-related hospitalizations and deaths. It is critical to develop a sensitive and rapid detection assay that can identify Salmonella to ensure food safety. In this study, a DNA sensor-based suspension array system of high multiplexing ability was developed to identify eight Salmonella serovars commonly associated with foodborne outbreaks to the serotype level. Each DNA sensor was prepared by activating pre-encoded microspheres with oligonucleotide probes that are targeting virulence genes and serovar-specific regions. The mixture of 12 different types of DNA sensors were loaded into a 96-well microplate and used as a 12-plex DNA sensor array platform. DNA isolated from Salmonella was amplified by multiplex polymerase chain reaction (mPCR), and the presence of Salmonella was determined by reading fluorescent signals from hybridization between probes on DNA sensors and fluorescently labeled target DNA using the Bio-Plex® system. The developed multiplex array was able to detect synthetic DNA at the concentration as low as 100 fM and various Salmonella serovars as low as 100 CFU/mL within 1 h post-PCR. Sensitivity of this assay was further improved to 1 CFU/mL with 6-h enrichment. The array system also correctly and specifically identified serotype of tested Salmonella strains without any cross-reactivity with other common foodborne pathogens. Our results indicate the developed DNA sensor suspension array can be a rapid and reliable high-throughput method for simultaneous detection and molecular identification of common Salmonella serotypes.


Asunto(s)
ADN Bacteriano/genética , Análisis de Secuencia por Matrices de Oligonucleótidos/métodos , Reacción en Cadena de la Polimerasa/métodos , Infecciones por Salmonella/microbiología , Salmonella/genética , Serotipificación/métodos , Citometría de Flujo/métodos , Humanos , Salmonella/clasificación , Salmonella typhi/clasificación , Salmonella typhi/genética , Sensibilidad y Especificidad
5.
Bioorg Med Chem Lett ; 27(3): 387-392, 2017 02 01.
Artículo en Inglés | MEDLINE | ID: mdl-28065568

RESUMEN

Microbial resistance to antibiotics is a global concern. The World Health Organization (WHO) has identified antimicrobial resistance as one the three greatest threats for human beings in the 21st century. Without urgent and coordinated action, the world is moving toward a post-antibiotic era, in which normal infections or minor injuries may become fatal. In an effort to find new agents, we report the synthesis and antimicrobial activities of 40 novel 1,3-diphenyl pyrazole derivatives. These compounds have shown zones of growth inhibition up to 85mm against Acinetobacter baumannii. We tested the active compounds against this Gram-negative bacterium in minimum inhibitory concentration (MIC) tests and found activity with concentration as low as 4µg/mL.


Asunto(s)
Antiinfecciosos/síntesis química , Ácido Benzoico/química , Pirazoles/química , Acinetobacter baumannii/efectos de los fármacos , Acinetobacter baumannii/enzimología , Antiinfecciosos/química , Antiinfecciosos/farmacología , Ácido Benzoico/síntesis química , Ácido Benzoico/farmacología , Sitios de Unión , Dominio Catalítico , Farmacorresistencia Bacteriana Múltiple/efectos de los fármacos , Bacterias Gramnegativas/efectos de los fármacos , Bacterias Grampositivas/efectos de los fármacos , Pruebas de Sensibilidad Microbiana , Simulación del Acoplamiento Molecular , Relación Estructura-Actividad
6.
J Biomed Inform ; 74: 59-70, 2017 10.
Artículo en Inglés | MEDLINE | ID: mdl-28864104

RESUMEN

OBJECTIVE: Patients communicate with healthcare providers via secure messaging in patient portals. As patient portal adoption increases, growing messaging volumes may overwhelm providers. Prior research has demonstrated promise in automating classification of patient portal messages into communication types to support message triage or answering. This paper examines if using semantic features and word context improves portal message classification. MATERIALS AND METHODS: Portal messages were classified into the following categories: informational, medical, social, and logistical. We constructed features from portal messages including bag of words, bag of phrases, graph representations, and word embeddings. We trained one-versus-all random forest and logistic regression classifiers, and convolutional neural network (CNN) with a softmax output. We evaluated each classifier's performance using Area Under the Curve (AUC). RESULTS: Representing the messages using bag of words, the random forest detected informational, medical, social, and logistical communications in patient portal messages with AUCs: 0.803, 0.884, 0.828, and 0.928, respectively. Graph representations of messages outperformed simpler features with AUCs: 0.837, 0.914, 0.846, 0.884 for informational, medical, social, and logistical communication, respectively. Representing words with Word2Vec embeddings, and mapping features using a CNN had the best performance with AUCs: 0.908 for informational, 0.917 for medical, 0.935 for social, and 0.943 for logistical categories. DISCUSSION AND CONCLUSION: Word2Vec and graph representations improved the accuracy of classifying portal messages compared to features that lacked semantic information such as bag of words, and bag of phrases. Furthermore, using Word2Vec along with a CNN model, which provide a higher order representation, improved the classification of portal messages.


Asunto(s)
Redes Neurales de la Computación , Portales del Paciente , Algoritmos , Gráficos por Computador , Humanos
7.
J Chem Ecol ; 40(3): 227-35, 2014 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-24532214

RESUMEN

Pilosebaceous units found in the mammalian integument are composed of a hair follicle, the proximal portion of the hair shaft, a sebaceous gland, and the erector pili muscle. Pilosebaceous units release protective oils, or sebum, by holocrine secretion onto skin and hair through rupturing of sebocytes. Sebum is composed largely of polar and neutral lipids including glycerolipids, free fatty acids, sterols, wax esters, sterol esters, and squalene. In addition to these lipid classes, there is a small proportion of ionic/anionic glycerophospholipids (GPs). Composition of GPs on hair is rarely addressed despite their broad biological activities as signaling molecules and membrane stability. Furthermore, knowledge on GP composition in bats is lacking. Bat GP composition is important to document due to GP roles ranging from decreasing drag during migration to interaction with the integumentary microbiome. In this study, we analyzed GP molecular composition with liquid chromatography electrospray ionization tandem mass spectrometry and compared GP content to previous literature. A total of 152 GPs were detected. Broad GP classes identified include lysophosphatidylcholine, phosphatidylcholine (PC), lysophosphatidylethanolamine, phosphatidylethanolamine, phosphatidylinositol, phosphatidylserine, phosphatidic acid, and phosphatidylglycerol, with PC being the most abundant class. The acyl components were consistent with fatty acid methyl esters and triacylglyceride moieties found in Eastern red bat sebum. Glycerophospholipid proportions of the hair surface were different from a previous study on bat lung surfactants. This study determined the broad class and molecular species of bat sebum GPs that may be used in future ecological studies in vespertilionid bats.


Asunto(s)
Quirópteros/metabolismo , Glicerofosfolípidos/análisis , Espectrometría de Masa por Ionización de Electrospray , Animales , Glicerofosfolípidos/aislamiento & purificación , Cabello/metabolismo , Extracción Líquido-Líquido
8.
Food Microbiol ; 38: 250-62, 2014 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-24290649

RESUMEN

Salmonella is the leading cause of foodborne illnesses in the United States, and one of the main contributors to salmonellosis is the consumption of contaminated poultry and poultry products. Since deleterious effects of Salmonella on public health and the economy continue to occur, there is an ongoing need to develop more advanced detection methods that can identify Salmonella accurately and rapidly in foods before they reach consumers. Rapid detection and identification methods for Salmonella are considered to be an important component of strategies designed to prevent poultry and poultry product-associated illnesses. In the past three decades, there have been increasing efforts towards developing and improving rapid pathogen detection and characterization methodologies for application to poultry and poultry products. In this review, we discuss molecular methods for detection, identification and genetic characterization of Salmonella associated with poultry and poultry products. In addition, the advantages and disadvantages of the established and emerging rapid detection and characterization methods are addressed for Salmonella in poultry and poultry products. The methods with potential application to the industry are highlighted in this review.


Asunto(s)
Contaminación de Alimentos/análisis , Técnicas Genéticas , Inmunoensayo/métodos , Productos Avícolas/microbiología , Intoxicación Alimentaria por Salmonella/prevención & control , Salmonella/aislamiento & purificación , Animales , Técnicas Genéticas/tendencias , Humanos , Inmunoensayo/tendencias , Salmonella/genética , Salmonella/inmunología , Intoxicación Alimentaria por Salmonella/microbiología
9.
Chem Biodivers ; 10(12): 2122-32, 2013 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-24327437

RESUMEN

White-nose syndrome (WNS) is a fungal disease caused by Pseudogymnoascus destructans and is devastating North American bat populations. Sebaceous lipids secreted from host integumentary tissues are implicated in the initial attachment and recognition of host tissues by pathogenic fungi. We are interested in determining if ratios of lipid classes in sebum can be used as biomarkers to diagnose severity of fungal infection in bats. To first establish lipid compositions in bats, we isolated secreted and integral lipid fractions from the hair and wing tissues of three species: big brown bats (Eptesicus fuscus), Eastern red bats (Lasiurus borealis), and evening bats (Nycticeius humeralis). Sterols, FFAs, MAGs, and squalene were derivatized as trimethylsilyl esters, separated by gas chromatography, and identified by mass spectrometry. Ratios of sterol to squalene in different tissues were determined, and cholesterol as a disease biomarker was assessed. Free sterol was the dominant lipid class of bat integument. Squalene/sterol ratio is highest in wing sebum. Secreted wing lipid contained higher proportions of saturated FFAs and MAGs than integral wing or secreted hair lipid. These compounds are targets for investigating responses of P. destructans to specific host lipid compounds and as biomarkers to diagnose WNS.


Asunto(s)
Quirópteros/metabolismo , Ácidos Grasos no Esterificados/análisis , Cromatografía de Gases y Espectrometría de Masas , Monoglicéridos/análisis , Escualeno/análisis , Esteroles/análisis , Animales , Ascomicetos/fisiología , Biomarcadores/análisis , Quirópteros/microbiología , Cabello/química , Cabello/metabolismo , Sebo/química , Sebo/metabolismo , Compuestos de Trimetilsililo/química , Alas de Animales/química , Alas de Animales/metabolismo
10.
J Med Chem ; 66(19): 13622-13645, 2023 Oct 12.
Artículo en Inglés | MEDLINE | ID: mdl-37729113

RESUMEN

A number of novel pyrazole derivatives have been synthesized, and several of these compounds are potent antibacterial agents with minimum inhibitory concentrations as low as 0.5 µg/mL. Human cell lines were tolerant to these lead compounds, and they showed negligible hemolytic effects at high concentrations. These bactericidal compounds are very effective against bacterial growth in both planktonic and biofilm contexts. Various techniques were applied to show the inhibition of biofilm growth and eradication of preformed biofilms by lead compounds. Potent compounds are more effective against persisters than positive controls. In vivo studies revealed that lead compounds are effective in rescuing C. elegans from bacterial infections. Several methods were applied to determine the mode of action including membrane permeability assay and SEM micrograph studies. Furthermore, CRISPRi studies led to the determination of these compounds as fatty acid biosynthesis (FAB) inhibitors.

11.
Antibiotics (Basel) ; 11(7)2022 Jul 13.
Artículo en Inglés | MEDLINE | ID: mdl-35884194

RESUMEN

From a library of compounds, 11 hit antibacterial agents have been identified as potent anti-Gram-positive bacterial agents. These pyrazole derivatives are active against two groups of pathogens, staphylococci and enterococci, with minimum inhibitory concentration (MIC) values as low as 0.78 µg/mL. These potent compounds showed bactericidal action, and some were effective at inhibiting and eradicating Staphylococcus aureus and Enterococcus faecalis biofilms. Real-time biofilm inhibition by the potent compounds was studied, by using Bioscreen C. These lead compounds were also very potent against S. aureus persisters as compared to controls, gentamycin and vancomycin. In multiple passage studies, bacteria developed little resistance to these compounds (no more than 2 × MIC). The plausible mode of action of the lead compounds is the permeabilization of the cell membrane determined by flow cytometry and protein leakage assays. With the detailed antimicrobial studies, both in planktonic and biofilm contexts, some of these potent compounds have the potential for further antimicrobial drug development.

12.
Future Med Chem ; 14(4): 233-244, 2022 02.
Artículo en Inglés | MEDLINE | ID: mdl-34877890

RESUMEN

Background: Methicillin-resistant Staphylococcus aureus, vancomycin-resistant enterococci and Acinetobacter baumannii cause serious antibiotic-resistant infections. Finding new antibiotics to treat these infections is imperative for combating this worldwide menace. Methods & Results: In this study, the authors designed and synthesized potent antimicrobial agents using 4-trifluoromethylphenyl-substituted pyrazole derivatives. In addition to their potency against planktonic bacteria, potent compounds effectively eradicated S. aureus and Enterococcus faecalis biofilms. Human cells tolerated these compounds with good selectivity factors. Furthermore, the authors provide evidence for the mode of action of compounds based on time-kill kinetics, flow cytometry analysis of propidium iodide-treated bacteria and oxygen uptake studies. Conclusion: This study demonstrated 20 novel compounds with potent antibacterial activity that are tolerated by human cell lines.


Asunto(s)
Acinetobacter baumannii/efectos de los fármacos , Antiinfecciosos/farmacología , Enterococcus/efectos de los fármacos , Pirazoles/química , Staphylococcus/efectos de los fármacos , Antiinfecciosos/síntesis química , Antiinfecciosos/química , Biopelículas/efectos de los fármacos , Supervivencia Celular/efectos de los fármacos , Enterococcus/fisiología , Células HEK293 , Humanos , Pruebas de Sensibilidad Microbiana , Pirazoles/síntesis química , Pirazoles/farmacología , Staphylococcus aureus/efectos de los fármacos , Staphylococcus aureus/fisiología , Relación Estructura-Actividad
13.
ChemMedChem ; 16(17): 2628-2637, 2021 09 06.
Artículo en Inglés | MEDLINE | ID: mdl-33955181

RESUMEN

Nootkatone, an approved insecticide, is a well-known natural product from grapefruit. A series of fused-thiazole derivatives of nootkatone have been synthesized, and these new compounds were tested against several strains of bacteria. Some of these compounds are found to be potent antimicrobial agents against Staphylococcus aureus and Enterococcus faecium with minimum inhibitory concentration (MIC) values as low as 1.56 µg/mL. The lead compound is bactericidal and very potent against S. aureus persisters. These compounds are nontoxic to human cancer cell lines at 10 µm concentration.


Asunto(s)
Antibacterianos/farmacología , Enterococcus faecium/efectos de los fármacos , Sesquiterpenos Policíclicos/farmacología , Staphylococcus aureus/efectos de los fármacos , Tiazoles/farmacología , Antibacterianos/síntesis química , Antibacterianos/química , Relación Dosis-Respuesta a Droga , Humanos , Pruebas de Sensibilidad Microbiana , Conformación Molecular , Sesquiterpenos Policíclicos/química , Relación Estructura-Actividad , Tiazoles/química
14.
RSC Med Chem ; 12(10): 1690-1697, 2021 Oct 20.
Artículo en Inglés | MEDLINE | ID: mdl-34778770

RESUMEN

Design and synthesis of N-(trifluoromethyl)phenyl substituted pyrazole derivatives and their potency as antimicrobial agents are described. Several of these novel compounds are effective growth inhibitors of antibiotic-resistant Gram-positive bacteria and prevent the development of biofilms by methicillin-resistant Staphylococcus aureus (MRSA) and Enterococcus faecalis. These compounds eradicated the preformed biofilms effectively and were found to be more effective than the control antibiotic vancomycin. Potent compounds showed low toxicity to cultured human embryonic kidney cells with a selectivity factor of >20. The most promising compound is very potent against meropenem, oxacillin, and vancomycin-resistant clinical isolates of Enterococcus faecium. Investigations into the mode of action by performing macromolecular synthesis inhibition studies showed a broad range of inhibitory effects, suggesting targets that have a global effect on bacterial cell function.

15.
Antibiotics (Basel) ; 9(10)2020 Sep 28.
Artículo en Inglés | MEDLINE | ID: mdl-32998384

RESUMEN

Acinetobacter baumannii has emerged as one of the most lethal drug-resistant bacteria in recent years. We report the synthesis and antimicrobial studies of 25 new pyrazole-derived hydrazones. Some of these molecules are potent and specific inhibitors of A. baumannii strains with a minimum inhibitory concentration (MIC) value as low as 0.78 µg/mL. These compounds are non-toxic to mammalian cell lines in in vitro studies. Furthermore, one of the potent molecules has been studied for possible in vivo toxicity in the mouse model and found to be non-toxic based on the effect on 14 physiological blood markers of organ injury.

16.
J Antibiot (Tokyo) ; 73(12): 818-827, 2020 12.
Artículo en Inglés | MEDLINE | ID: mdl-32601342

RESUMEN

We report the synthesis and antimicrobial studies of a new series of naphthyl-substituted pyrazole-derived hydrazones. Many of these novel compounds are potent growth inhibitors of several strains of drug-resistant bacteria. These potent compounds have inclined growth inhibitory properties for planktonic Staphylococcus aureus and Acinetobacter baumannii, and its drug-resistant variants with minimum inhibitory concentration (MIC) as low as 0.78 and 1.56 µg ml-1, respectively. These compounds also show potent activity against S. aureus and A. baumannii biofilm formation and eradication properties. Time Kill Assay shows that these compounds are bactericidal for S. aureus and bacteriostatic for A. baumannii. The probable mode of action is the disruption of the bacterial cell membrane. Furthermore, potent compounds are nontoxic to human cell lines at several fold higher concentrations than the MICs.


Asunto(s)
Diseño de Fármacos , Hidrazonas/síntesis química , Staphylococcus aureus/efectos de los fármacos , Acinetobacter baumannii/efectos de los fármacos , Biopelículas/efectos de los fármacos , Farmacorresistencia Bacteriana , Hidrazonas/farmacología , Pruebas de Sensibilidad Microbiana , Naftalenos/síntesis química , Naftalenos/farmacología
17.
ACS Omega ; 4(10): 14284-14293, 2019 Sep 03.
Artículo en Inglés | MEDLINE | ID: mdl-31508552

RESUMEN

Microbial resistance to antibiotics is an urgent and worldwide concern. Several pyrazole-derived hydrazones were synthesized by using benign reaction conditions. Several of these molecules are potent growth inhibitors of drug-resistant strains of Staphylococcus aureus and Acinetobacter baumannii with minimum inhibitory concentration values as low as 0.39 µg/mL. Furthermore, these molecules are nontoxic to human cells at high concentrations. Some of these molecules were tested for their ability to disrupt the bacterial membrane by using the SYTO-9/propidium iodide (BacLight) assay.

18.
Eur J Obstet Gynecol Reprod Biol ; 130(2): 262-70, 2007 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-16530916

RESUMEN

AIM: To determine the effect on quality of life and cost effectiveness of specialist nurse early supported discharge for women undergoing major abdominal and/or pelvic surgery for benign gynaecological disease compared with routine care. STUDY DESIGN: Randomised controlled trial comparing specialist nurse supported discharge with routine hospital care in gynaecology. The SF-36, a generic health status questionnaire, was used to measure women's evaluation of their health state before surgery and at 6 weeks after surgery. A further questionnaire scoring patient symptoms, milestones of recovery, information given and satisfaction, was administered prior to discharge from hospital and at 6 weeks thereafter. SETTING: Gynaecology service at the Western Infirmary Glasgow, part of North Glasgow University, NHS Trust. PARTICIPANTS: One hundred and eleven women scheduled for major abdominal or pelvic surgery for benign gynaecological disease. MAIN OUTCOME MEASURES: SF-36 health survey questionnaire baseline scores were reported before surgery and at 6 weeks follow-up. Complications, length of hospital stay, readmission, information on discharge support and satisfaction of women were recorded at discharge from hospital and at 6 weeks follow-up. A cost consequence analysis was conducted based on the perspective of the NHS. RESULTS: The addition of a specialist nurse to routine hospital care in gynaecology significantly reduced the post-operative length of hospital stay p = 0.001, improved information delivery and satisfaction of women. The specialist nurse supported discharge group was associated with significantly lower total costs to the NHS than routine care resulting principally from the difference in the cost of the post-operative length of stay. CONCLUSIONS: Women undergoing major abdominal and pelvic surgery were discharged home earlier with provision of support from a specialist gynaecology nurse. The results of this study suggest that duration of hospital stay can be shortened by the introduction of a specialist nurse without introducing any adverse physical and psychological effects. This process of care is associated with receipt of information on health and lifestyle issues and maintenance of high levels of patient satisfaction and demonstrates the effectiveness of the specialist nurse role in the provision of health information for women. Earlier hospital discharge at 48 h after major abdominal and pelvic surgery is an acceptable, cost effective alternative to current routine practice in the absence of further randomised evidence.


Asunto(s)
Procedimientos Quirúrgicos Ginecológicos/rehabilitación , Enfermeras Clínicas , Alta del Paciente , Adulto , Análisis Costo-Beneficio , Femenino , Procedimientos Quirúrgicos Ginecológicos/economía , Humanos , Tiempo de Internación/economía , Persona de Mediana Edad , Alta del Paciente/economía , Satisfacción del Paciente , Recuperación de la Función , Escocia
19.
Vascul Pharmacol ; 45(4): 209-14, 2006 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-16914387

RESUMEN

Pain and itch sensations are induced by depolarization of C-fibre nerves and possibly other types of fibres. We have evidence from several species, including mice, that skin plasma extravasation induced by the Phoneutria nigriventer spider venom (PNV) is dependent on tachykinin NK(1) receptors. We have now investigated the itching measured as bouts of scratching in response to intradermal (i.d.) PNV in wildtype (NK(1)(+/+)) and NK(1) receptor knockout (NK(1)(-/-)) mice. Mice, either NK(1)(+/+) or NK(1)(-/-), were given a single i.d. injection (0.05 ml) of test agent or vehicle into the shaved dorsal skin, in the intercostal region, in a randomized way. The bouts of scratching were recorded in a blinded manner for 60 min. Oedema formation was concomitantly assessed by the extravascular accumulation of i.v. injected (125)I-albumin. The i.d. injection of either substance P (at a high dose of 100 nmol/site), or PNV (0.3-10 microg/site) induced oedema formation in NK(1)(+/+) but substantially less was observed in NK(1)(-/-) mice, as previously reported. PNV also induced scratching, but significantly less scratching was observed in NK(1)(-/-) compared with NK(1)(+/+) mice. In contrast, SP did not induce significant scratching at amounts up to 100 nmol in NK(1)(+/+) mice. Experiments with an NK(1) receptor antagonist SR140333 (at doses that blocked PNV-induced oedema) revealed that whilst a local co-injection i.d. (1 nmol) in NK(1)(+/+) mice had no effect on PNV (3 microg/site)-induced scratching (18.5+/-3.7 vs. 14.4+/-3.5 bouts, mean+/-S.E.M., n=5-7), systemic treatment with SR140333 (120 nmol/kg, i.v.) significantly inhibited scratching (14+/-3.5 vs. 3.1+/-1.2 bouts, n=4-6; P<0.05). These results indicate that NK(1) receptors are involved in mediating PNV-induced scratching and that the location of the receptors is unlikely to be skin. Thus, a distinct separation between endogenous microvascular and PNV nociceptive NK(1)-dependent effects is suggested.


Asunto(s)
Prurito/patología , Receptores de Neuroquinina-1/fisiología , Piel/patología , Vasculitis Leucocitoclástica Cutánea/patología , Administración Tópica , Animales , Relación Dosis-Respuesta a Droga , Edema/inducido químicamente , Edema/patología , Edema/prevención & control , Femenino , Inyecciones Intradérmicas , Inyecciones Intravenosas , Masculino , Ratones , Ratones Endogámicos C57BL , Ratones Noqueados , Antagonistas del Receptor de Neuroquinina-1 , Piperidinas/administración & dosificación , Piperidinas/farmacología , Prurito/inducido químicamente , Prurito/fisiopatología , Quinuclidinas/administración & dosificación , Quinuclidinas/farmacología , Receptores de Neuroquinina-1/genética , Piel/irrigación sanguínea , Piel/efectos de los fármacos , Venenos de Araña/administración & dosificación , Venenos de Araña/toxicidad , Sustancia P/administración & dosificación , Sustancia P/toxicidad , Vasculitis Leucocitoclástica Cutánea/inducido químicamente , Vasculitis Leucocitoclástica Cutánea/fisiopatología
20.
Appl Biochem Biotechnol ; 135(2): 101-16, 2006 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-17159235

RESUMEN

The statistical design of experiments (DOE) is a collection of predetermined settings of the process variables of interest, which provides an efficient procedure for planning experiments. Experiments on biological processes typically produce long sequences of successive observations on each experimental unit (plant, animal, bioreactor, fermenter, or flask) in response to several treatments (combination of factors). Cell culture and other biotech-related experiments used to be performed by repeated-measures method of experimental design coupled with different levels of several process factors to investigate dynamic biological process. Data collected from this design can be analyzed by several kinds of general linear model (GLM) statistical methods such as multivariate analysis of variance (MANOVA), univariate ANOVA (time split-plot analysis with randomization restriction), and analysis of orthogonal polynomial contrasts of repeated factor (linear coefficient analysis). Last, regression model was introduced to describe responses over time to the different treatments along with model residual analysis. Statistical analysis of biprocess with repeated measurements can help investigate environmental factors and effects affecting physiological and bioprocesses in analyzing and optimizing biotechnology production.


Asunto(s)
Biotecnología/métodos , Análisis de Varianza , Reactores Biológicos , Fermentación , Lípidos/biosíntesis , Modelos Biológicos , Análisis Multivariante , Proyectos de Investigación
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