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1.
Philos Trans A Math Phys Eng Sci ; 380(2215): 20200443, 2022 Jan 24.
Artículo en Inglés | MEDLINE | ID: mdl-34865527

RESUMEN

The effect of the 2018 extreme meteorological conditions in Europe on methane (CH4) emissions is examined using estimates from four atmospheric inversions calculated for the period 2005-2018. For most of Europe, we find no anomaly in 2018 compared to the 2005-2018 mean. However, we find a positive anomaly for the Netherlands in April, which coincided with positive temperature and soil moisture anomalies suggesting an increase in biogenic sources. We also find a negative anomaly for the Netherlands for September-October, which coincided with a negative anomaly in soil moisture, suggesting a decrease in soil sources. In addition, we find a positive anomaly for Serbia in spring, summer and autumn, which coincided with increases in temperature and soil moisture, again suggestive of changes in biogenic sources, and the annual emission for 2018 was 33 ± 38% higher than the 2005-2017 mean. These results indicate that CH4 emissions from areas where the natural source is thought to be relatively small can still vary due to meteorological conditions. At the European scale though, the degree of variability over 2005-2018 was small, and there was negligible impact on the annual CH4 emissions in 2018 despite the extreme meteorological conditions. This article is part of a discussion meeting issue 'Rising methane: is warming feeding warming? (part 2)'.


Asunto(s)
Metano , Europa (Continente) , Metano/análisis , Estaciones del Año
2.
Geochem Trans ; 22(1): 4, 2021 Aug 11.
Artículo en Inglés | MEDLINE | ID: mdl-34379225

RESUMEN

The increasing significance of barium (Ba) in environmental and geologic research in recent years has led to interest in the application of the Ba isotopic composition as a tracer for natural materials with complex matrices. Most Ba isotope measurement techniques require separation of Ba from the rest of sample prior to analysis. This paper presents a method using readily available materials and disposable columns that effectively separates Ba from a range of geologic and hydrologic materials, including carbonate minerals, silicate rocks, barite, river water, and fluids with high total dissolved solids and organic content such as oil and gas brines, rapidly and without need for an additional cleanup column. The technique involves off-the-shelf columns and cation exchange resin and a two-reagent elution that uses 2.5 N HCl followed by addition of 2.0 N HNO3. We present data to show that major matrix elements from almost any natural material are separated from Ba in a single column pass, and that the method also effectively reduces or eliminates isobaric interferences from lanthanum and cerium.

3.
J Fish Dis ; 39(2): 117-28, 2016 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-25630226

RESUMEN

A Jaundice Syndrome occurs sporadically among sea-pen-farmed Chinook Salmon in British Columbia, the westernmost province of Canada. Affected salmon are easily identified by a distinctive yellow discolouration of the abdominal and periorbital regions. Through traditional diagnostics, no bacterial or viral agents were cultured from tissues of jaundiced Chinook Salmon; however, piscine reovirus (PRV) was identified via RT-rPCR in all 10 affected fish sampled. By histopathology, Jaundice Syndrome is an acute to peracute systemic disease, and the time from first clinical signs to death is likely <48 h; renal tubular epithelial cell necrosis is the most consistent lesion. In an infectivity trial, Chinook Salmon, Sockeye Salmon and Atlantic Salmon, intraperitoneally inoculated with a PRV-positive organ homogenate from jaundiced Chinook Salmon, developed no gross or microscopic evidence of jaundice despite persistence of PRV for the 5-month holding period. The results from this study demonstrate that the Jaundice Syndrome was not transmissible by injection of material from infected fish and that PRV was not the sole aetiological factor for the condition. Additionally, these findings showed the Pacific coast strain of PRV, while transmissible, was of low pathogenicity for Atlantic Salmon, Chinook Salmon and Sockeye Salmon.


Asunto(s)
Enfermedades de los Peces/transmisión , Infecciones por Reoviridae/veterinaria , Reoviridae/fisiología , Salmonidae/virología , Enfermedad Aguda , Animales , Colombia Británica , Enfermedades de los Peces/mortalidad , Enfermedades de los Peces/patología , Enfermedades de los Peces/virología , Perfilación de la Expresión Génica , Regulación de la Expresión Génica , Hígado/fisiopatología , Proteínas de Resistencia a Mixovirus/genética , Reoviridae/patogenicidad , Infecciones por Reoviridae/transmisión , Salmonidae/genética , Síndrome
4.
Allergy ; 65(5): 606-15, 2010 May.
Artículo en Inglés | MEDLINE | ID: mdl-19845575

RESUMEN

BACKGROUND: Epidemiological studies of diet and asthma have focused on relations with intakes of individual nutrients and foods and evidence has been conflicting. Few studies have examined associations with dietary patterns. METHODS: We carried out a population-based case-control study of asthma in adults aged between 16 and 50 in South London, UK. Information about usual diet was obtained by food frequency questionnaire and we used principal components analysis to define five dietary patterns in controls. We used logistic and linear regression, controlling for confounders, to relate these patterns to asthma, asthma severity, rhinitis and chronic bronchitis in 599 cases and 854 controls. RESULTS: Overall, there was weak evidence that a 'vegetarian' dietary pattern was positively associated with asthma [adjusted odds ratio comparing top vs bottom quintile of pattern score 1.43 (95% CI: 0.93-2.20), P trend 0.075], and a 'traditional' pattern (meat and vegetables) was negatively associated [OR 0.68 (0.45-1.03), P trend 0.071]. These associations were stronger amongst nonsupplement users (P trend 0.030 and 0.001, respectively), and the association with the 'vegetarian' pattern was stronger amongst whites (P trend 0.008). No associations were observed with asthma severity. A 'prudent' dietary pattern (wholemeal bread, fish and vegetables) was positively associated with chronic bronchitis [OR 2.61 (1.13-6.05), P trend 0.025], especially amongst nonsupplement users (P trend 0.002). CONCLUSIONS: Overall there were no clear relations between dietary patterns and adult asthma; associations in nonsupplement users and whites require confirmation. The finding for chronic bronchitis was unexpected and also requires replication.


Asunto(s)
Asma/epidemiología , Asma/etiología , Dieta/efectos adversos , Adolescente , Adulto , Bronquitis Crónica/epidemiología , Bronquitis Crónica/etiología , Estudios de Casos y Controles , Suplementos Dietéticos/efectos adversos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Análisis de Componente Principal , Encuestas y Cuestionarios , Reino Unido/epidemiología , Adulto Joven
5.
Eur Phys J E Soft Matter ; 33(4): 283-9, 2010 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-21086015

RESUMEN

Thin films of polymer mixtures made by spin-coating can phase separate in two ways: by forming lateral domains, or by separating into distinct layers. The latter situation (self-stratification or vertical phase separation) could be advantageous in a number of practical applications, such as polymer optoelectronics. We demonstrate that, by controlling the evaporation rate during the spin-coating process, we can obtain either self-stratification or lateral phase separation in the same system, and we relate this to a previously hypothesised mechanism for phase separation during spin-coating in thin films, according to which a transient wetting layer breaks up due to a Marangoni-type instability driven by a concentration gradient of solvent within the drying film. Our results show that rapid evaporation leads to a laterally phase-separated structure, while reducing the evaporation rate suppresses the interfacial instability and leads to a self-stratified final film.


Asunto(s)
Materiales Biocompatibles Revestidos/análisis , Polímeros/análisis , Solventes/química , Materiales Biocompatibles Revestidos/química , Electrónica , Transición de Fase , Polímeros/química , Propiedades de Superficie , Termodinámica , Tolueno/química , Presión de Vapor , Volatilización
6.
Philos Trans R Soc Lond B Biol Sci ; 375(1810): 20190512, 2020 10 26.
Artículo en Inglés | MEDLINE | ID: mdl-32892731

RESUMEN

The 2018 drought was one of the worst European droughts of the twenty-first century in terms of its severity, extent and duration. The effects of the drought could be seen in a reduction in harvest yields in parts of Europe, as well as an unprecedented browning of vegetation in summer. Here, we quantify the effect of the drought on net ecosystem exchange (NEE) using five independent regional atmospheric inversion frameworks. Using a network of atmospheric CO2 mole fraction observations, we estimate NEE with at least monthly and 0.5° × 0.5° resolution for 2009-2018. We find that the annual NEE in 2018 was likely more positive (less CO2 uptake) in the temperate region of Europe by 0.09 ± 0.06 Pg C yr-1 (mean ± s.d.) compared to the mean of the last 10 years of -0.08 ± 0.17 Pg C yr-1, making the region close to carbon neutral in 2018. Similarly, we find a positive annual NEE anomaly for the northern region of Europe of 0.02 ± 0.02 Pg C yr-1 compared the 10-year mean of -0.04 ± 0.05 Pg C yr-1. In both regions, this was largely owing to a reduction in the summer CO2 uptake. The positive NEE anomalies coincided spatially and temporally with negative anomalies in soil water. These anomalies were exceptional for the 10-year period of our study. This article is part of the theme issue 'Impacts of the 2018 severe drought and heatwave in Europe: from site to continental scale'.


Asunto(s)
Atmósfera/análisis , Ciclo del Carbono , Carbono/análisis , Sequías , Ecosistema , Europa (Continente)
7.
Cell Transplant ; 28(11): 1404-1419, 2019 11.
Artículo en Inglés | MEDLINE | ID: mdl-31407589

RESUMEN

Various cell-based therapies are in development to address chronic and acute skin wound healing, for example for burns and trauma patients. An off-the-shelf source of allogeneic dermal cells could be beneficial for innovative therapies accelerating the healing in extensive wounds where the availability of a patient's own cells is limited. Human fetal-derived dermal fibroblasts (hFDFs) show high in vitro division rates, exhibit low immunological rejection properties, and present scarless wound healing in the fetus, and previous studies on human fetal tissue-derived cell therapies have shown promising results on tissue repair. However, little is known about cell lineage stability and cell differentiation during the cell expansion process, required for any potential therapeutic use. We describe an isolation method, characterize a population, and investigate its potential for cell banking and thus suitability as a potential product for cell grafting therapies. Our results show hFDFs and a bone marrow-derived mesenchymal stem cell (BM-MSC) line shared identification markers and in vitro multilineage differentiation potential into osteogenic, chondrogenic, and adipogenic lineages. The hFDF population exhibited similar cell characteristics as BM-MSCs while producing lower pro-inflammatory cytokine IL-6 levels and higher levels of the wound healing factor hepatocyte growth factor. We demonstrate in vitro differentiation of hFDFs, which may be a problem in maintaining long-term lineage stability, potentially limiting their use for cell banking and therapy development.


Asunto(s)
Bancos de Muestras Biológicas , Técnicas de Cultivo de Célula/métodos , Feto/citología , Fibroblastos/citología , Células Madre Mesenquimatosas/citología , Piel/citología , Cicatrización de Heridas , Adipogénesis/genética , Linaje de la Célula/genética , Movimiento Celular/genética , Proliferación Celular/genética , Condrogénesis/genética , Citocinas/metabolismo , Feto/metabolismo , Fibroblastos/metabolismo , Fibroblastos/trasplante , Humanos , Células Madre Mesenquimatosas/metabolismo , Osteogénesis/genética , Piel/metabolismo , Trasplantes , Cicatrización de Heridas/efectos de los fármacos , Cicatrización de Heridas/genética , Cicatrización de Heridas/fisiología
8.
Allergy ; 63(4): 425-31, 2008 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-18315730

RESUMEN

BACKGROUND: There are large differences in the prevalence of atopic disease between urban and rural areas of developing countries, without good explanation. Diet has been associated with atopic disease, but studies of specific nutrients are contradictory, cross-sectional studies often being unsupported by trials. We investigated diet as an explanation for the difference in the prevalence of atopy between urban and rural areas in South Africa. METHODS: A cross-sectional analysis of food frequency questionnaires and allergen skin tests from 698 children aged 8-13 years, recruited from 24 schools in Cape Province, South Africa, who were taking part in a case-control study of exercise-induced bronchospasm. Food frequency data were analysed with a principal components analysis (PCA). RESULTS: The first two principal components of diet explained 25% of the variance, and discriminated almost perfectly between urban and rural subjects. The 'urban' component of diet was strongly associated with positive skin tests even after adjusting for urban residence. There were no significant associations between individual foods or nutrients and positive skin tests, allowing for multiple testing. CONCLUSIONS: Diet explains part of the difference in prevalence between urban and rural areas. The ability to demonstrate this using PCA, but not by exhaustive analysis of all foods, reflects the value of reducing the number of dietary dimensions. The number of foods and nutrients which can be assessed, and the possibility of confounding and effect modification, make it difficult to identify the features of diet most directly implicated in disease. This may explain inconsistencies in dietary studies.


Asunto(s)
Dieta , Hipersensibilidad Inmediata/epidemiología , Salud Rural , Salud Urbana , Adolescente , Niño , Femenino , Humanos , Hipersensibilidad Inmediata/etiología , Masculino , Prevalencia , Análisis de Componente Principal , Pruebas Cutáneas , Sudáfrica/epidemiología , Encuestas y Cuestionarios
9.
Aust Vet J ; 95(3): 85-88, 2017 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-28239856

RESUMEN

BACKGROUND: This study was performed to investigate the efficacy of a morantel-abamectin combination for the treatment of macrocyclic lactone (ML)-resistant Parascaris spp. infections in foals. METHODS: Foals on five properties with a Parascaris faecal egg count (FEC) > 50 eggs per gram were used to estimate the FEC reduction (FECR) and efficacy of the anthelmintic combination. RESULTS & CONCLUSION: On all properties, resistance to ivermectin and abamectin was present and the Parascaris FECR in foals administered the morantel-abamectin combination was > 99%, indicating that this combination effectively controlled ML-resistant parasites.


Asunto(s)
Antinematodos/uso terapéutico , Infecciones por Ascaridida/veterinaria , Ascaridoidea/efectos de los fármacos , Enfermedades de los Caballos/tratamiento farmacológico , Ivermectina/análogos & derivados , Morantel/uso terapéutico , Animales , Antinematodos/administración & dosificación , Infecciones por Ascaridida/tratamiento farmacológico , Infecciones por Ascaridida/parasitología , Combinación de Medicamentos , Resistencia a Medicamentos , Enfermedades de los Caballos/parasitología , Caballos/parasitología , Ivermectina/administración & dosificación , Ivermectina/uso terapéutico , Morantel/administración & dosificación , Resultado del Tratamiento
10.
Ir J Med Sci ; 175(4): 79-80, 2006.
Artículo en Inglés | MEDLINE | ID: mdl-17312837

RESUMEN

BACKGROUND: Small bowel volvulus is rare in adults and often has a precipitating factor. METHODS: This report describes a case of small bowel volvulus secondary to a mesenteric lipoma and reviews the literature describing this condition. CONCLUSION: Mesenteric lipoma is a rare precipitating cause of small bowel volvulus in adults. Computed tomography scanning may be useful for diagnosis preoperatively. The treatment of choice is surgery with complete excision of the lipoma.


Asunto(s)
Enfermedades del Íleon/etiología , Vólvulo Intestinal/etiología , Lipoma/complicaciones , Neoplasias Peritoneales/complicaciones , Adulto , Humanos , Enfermedades del Íleon/cirugía , Vólvulo Intestinal/cirugía , Lipoma/cirugía , Masculino , Mesenterio , Neoplasias Peritoneales/cirugía , Tomografía Computarizada por Rayos X
11.
ACS Macro Lett ; 5(4): 430-434, 2016 Apr 19.
Artículo en Inglés | MEDLINE | ID: mdl-35607237

RESUMEN

We study the conformations of polymer chains in polymer-graphene oxide nanocomposites. We show that the chains have a reduced radius of gyration that is consistent with confinement at a solid interface in the melt, as is expected for well-dispersed, high aspect ratio nanoparticles that are much larger than the polymer coil size. We show that confinement of the polymer chains causes a corresponding reduction in interchain entanglements, and we calculate a contribution to the plateau modulus from the distorted polymer network via a simple scaling argument. Our results are a significant step forward in understanding how two-dimensional nanoparticles affect global material properties at low loadings.

12.
Nat Commun ; 7: 10724, 2016 Feb 25.
Artículo en Inglés | MEDLINE | ID: mdl-26911442

RESUMEN

Increasing atmospheric carbon dioxide (CO2) is the principal driver of anthropogenic climate change. Asia is an important region for the global carbon budget, with 4 of the world's 10 largest national emitters of CO2. Using an ensemble of seven atmospheric inverse systems, we estimated land biosphere fluxes (natural, land-use change and fires) based on atmospheric observations of CO2 concentration. The Asian land biosphere was a net sink of -0.46 (-0.70-0.24) PgC per year (median and range) for 1996-2012 and was mostly located in East Asia, while in South and Southeast Asia the land biosphere was close to carbon neutral. In East Asia, the annual CO2 sink increased between 1996-2001 and 2008-2012 by 0.56 (0.30-0.81) PgC, accounting for ∼35% of the increase in the global land biosphere sink. Uncertainty in the fossil fuel emissions contributes significantly (32%) to the uncertainty in land biosphere sink change.

13.
Arch Intern Med ; 146(12): 2341-3, 1986 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-3535720

RESUMEN

To determine the clinical impact of enhanced detection of Staphylococcus aureus by a lysis-centrifugation (LC) blood culture system, consecutive cases of S aureus bacteremia during a seven-month period were reviewed. Of 77 clinically significant cases, the LC system detected 70 cases (91%) while a conventional broth system detected 67 cases (87%). Of 60 cases detected by both systems, the LC system was positive earlier than the broth system by one or more days in 34 cases (57%) and later in none. It also detected more (12 vs four of 13) patients with persistent bacteremia who were receiving antimicrobial treatment. Forty-three patients (56%) did not receive appropriate antimicrobial therapy until cultures were reported positive. Enhanced detection of S aureus bacteremia is a clinically important advantage of the LC blood culture technique.


Asunto(s)
Técnicas Bacteriológicas , Sepsis/microbiología , Staphylococcus aureus/aislamiento & purificación , Centrifugación , Humanos , Estudios Retrospectivos , Sepsis/tratamiento farmacológico , Factores de Tiempo
14.
Chem Commun (Camb) ; 51(23): 4838-41, 2015 Mar 21.
Artículo en Inglés | MEDLINE | ID: mdl-25695462

RESUMEN

Understanding and probing small molecule uptake in cells is challenging, requiring sterically large chemical labels, or radioactive isotopes. Here, the uptake of deuterated sugars by Mycobacterium smegmatis, a non-pathogenic model of Mycobacterium tuberculosis, has been investigated using ion-beam (nuclear reaction) analysis demonstrating a new technique for label-free nutrient acquisition measurement.


Asunto(s)
Metabolismo de los Hidratos de Carbono , Carbohidratos/química , Deuterio/química , Mycobacterium smegmatis/metabolismo , Transporte Biológico/fisiología
15.
Hum Gene Ther ; 7(16): 2003-13, 1996 Oct 20.
Artículo en Inglés | MEDLINE | ID: mdl-8930661

RESUMEN

Recombinant and amplicon vectors derived from herpes simplex virus type 1 (HSV-1) have proven to be an efficient means of gene delivery to cells in culture and in vivo. In this study, a system was developed to make propagation of the amplicon vector and helper virus mutually dependent on each other, in a "piggyback' fashion. This combined system supports maintenance and enrichment of the amplicon vector when propagating stocks, while allowing the helper virus to serve as a recombinant vector in its own right. Amplicons bearing a gene essential for HSV-1 replication, IE3, as well as the Escherichia coli lacZ marker gene, were propagated using a mutant virus (d120) deleted in the same essential gene. Vector stocks could be propagated in Vero cells and other cultured cells not transfected with the IE3 gene with markedly delayed cytopathic effects, as compared to wild-type virus. Relatively high titers of amplicon vectors (6 x 10(7) infectious units/ml) were achieved with this piggyback system in Vero cells, with an apparent ratio of amplicon vector: helper virus of up of 5:1 under some conditions; however, recombinant wild-type virus was also generated. Injection of these stocks into experimental gliomas in rodent brain revealed gene delivery to tumor cells mediated by both amplicon vectors (lacZ) and helper virus (HSV-thymidine kinase), with no apparent neuropathology of normal brain. This basic piggyback vector model is amenable to modifications to promote conditional propagation of vectors in vivo and to allow incorporation of multiple transgene elements into both the amplicon and recombinant helper virus vectors.


Asunto(s)
Técnicas de Transferencia de Gen , Vectores Genéticos , Virus Helper/genética , Herpesvirus Humano 1/genética , Animales , Southern Blotting , Línea Celular , Chlorocebus aethiops , Humanos , Plásmidos , Células Vero
16.
Atherosclerosis ; 86(2-3): 163-71, 1991 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-1872911

RESUMEN

Nine adults took two 7-day diets of standardised energy and total fat content, but with a dietary polyunsaturated/saturated fat ratio of less than 0.3 and greater than 3.0 respectively, while adhering to their daily routine. Blood was drawn on 6 occasions between 09.00 and 22.45 h on the final day of each dietary period for factor VII activity (VIIc), factor VII antigen (VIIag) and lipoprotein lipid concentrations. Diurnal variation was described for each variable in terms of its deviation from the individual's daily mean value at each time point across the day. Plasma triglyceride remained low until after the midday meal, whereafter a marked rise was sustained into the later evening. Plasma VIIc declined until early afternoon, but showed a marked rise in the late afternoon. Plasma VIIag showed no significant diurnal variation. Changes in plasma triglyceride concentration during the day were related positively to changes in VIIc about 160 min later, but not to VIIc at other time points. This effect of postprandial triglyceridaemia on VIIc persisted after allowance for the effect of VIIag on VIIc. Dietary fat composition did not influence VIIc or VIIag. The results suggested an acute but evanescent effect of triglyceride-rich lipoproteins on the reactivity of factor VII, irrespective of their lipid core composition.


Asunto(s)
Grasas de la Dieta/administración & dosificación , Factor VIIa/metabolismo , Triglicéridos/sangre , Antígenos/análisis , Ritmo Circadiano , Factor VII/análisis , Factor VII/inmunología , Femenino , Humanos , Lipoproteínas/sangre , Masculino
17.
Atherosclerosis ; 78(1): 19-24, 1989 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-2757683

RESUMEN

Diet was measured by 5-day weighed inventory to search for an association between fat intake in the general population and factor VII coagulant activity (VIIc), a strong predictor of coronary heart disease. Of 275 men aged 40-59 years registered with a medical practice, 203 (74%) participated and 170 (62%) provided a satisfactory record. After allowance for the increase in fat intake with body size, a statistically significant and positive association was found between dietary fat and VIIc (r = 0.18; P less than 0.05). The correlation coefficient was increased to 0.24 when adjusted for the effect of day-to-day variability in individual fat intake, thereby providing an improved estimate of the true strength of association. The mean difference in VIIc of 12% of standard between men in the highest and lowest quarters of the distribution of fat intake was similar to that reported between men experiencing coronary heart disease and those remaining free. The results support previous experimental fat-feeding studies and suggest that a high fat diet has adverse consequences for blood coagulability and coronary thrombosis.


Asunto(s)
Antígenos/análisis , Enfermedad Coronaria/etiología , Grasas de la Dieta/administración & dosificación , Factor VII/inmunología , Adulto , Consumo de Bebidas Alcohólicas , LDL-Colesterol/sangre , Carbohidratos de la Dieta/administración & dosificación , Grasas de la Dieta/sangre , Grasas de la Dieta/metabolismo , Proteínas en la Dieta/administración & dosificación , Factor VII/análisis , Fibrinógeno/análisis , Humanos , Lípidos/sangre , Masculino , Persona de Mediana Edad , Factores de Riesgo
18.
Am J Med ; 79(2): 259-62, 1985 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-3895911

RESUMEN

Fungal osteomyelitis is rare in patients who are not immunocompromised. This report documents that Aspergillus vertebral osteomyelitis may, however, be associated with infection of an adjacent prosthetic vascular graft in the absence of overt immunosuppression. A 73-year-old man is described with a mycotic pseudoaneurysm of a Dacron aortic bypass graft and contiguous vertebral osteomyelitis due to Aspergillus fumigatus. The patient was successfully treated with resection of the infected graft and administration of amphotericin B in a total dose of 2 g. Infection may have occurred intraoperatively as a result of inoculation with airborne fungal elements.


Asunto(s)
Aneurisma Infectado/complicaciones , Aneurisma de la Aorta/microbiología , Aspergilosis , Osteomielitis/complicaciones , Anciano , Anfotericina B/uso terapéutico , Aneurisma Infectado/etiología , Aneurisma de la Aorta/cirugía , Aspergillus fumigatus/aislamiento & purificación , Puente de Arteria Coronaria , Humanos , Masculino , Osteomielitis/tratamiento farmacológico , Osteomielitis/etiología , Osteomielitis/microbiología , Enfermedades de la Columna Vertebral/microbiología
19.
Mayo Clin Proc ; 62(9): 821-34, 1987 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-3306182

RESUMEN

Cephalosporin and related antibiotics are highly effective bactericidal agents of relatively low toxicity. The spectrum of activity varies with the drug but is usually broad. The first-generation cephalosporins, and especially cefazolin, are most active against sensitive staphylococci and streptococci. Most second-generation (except cefoxitin) and third-generation cephalosporins show substantial activity against Haemophilus influenzae. All cephalosporins (except cefsulodin) are active against Klebsiella, Escherichia coli, and Proteus mirabilis, whereas only the third-generation agents have pronounced activity against the other Enterobacteriaceae. Imipenem (a carbapenem) is active against essentially all pathogenic organisms, but aztreonam (a monobactam) is active against only aerobic gram-negative bacilli. Advantages associated with some of the new cephalosporins are once-daily administration and high cerebrospinal fluid levels. With the development of new cephalosporins, however, new toxicities have become apparent, and superinfections and induction of resistance have become greater problems. The cephalosporins are among the most expensive antibiotics in use today; thus, use of these expensive agents must be justified by lower toxicity, greater efficacy, or both in comparison with drugs of more reasonable cost.


Asunto(s)
Cefalosporinas/uso terapéutico , Monobactamas/uso terapéutico , Tienamicinas/uso terapéutico , Bacterias/efectos de los fármacos , Infecciones Bacterianas/tratamiento farmacológico , Farmacorresistencia Microbiana , Humanos
20.
Mayo Clin Proc ; 52(10): 625-30, 1977 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-909313

RESUMEN

Cephalosporin antibiotics are bactericidal against most gram-positive cocci and many gram-negative bacilli of clinical importance. They are relatively nontoxic but share with penicillins a tendency to elicit hypersensitivity reactions. They are indicated in certain instances for treatment of infections in patients with penicillin allergy and are frequently chosen as one of the agents in an empiric program in life-threatening infections. Cephalosporins should not be used in infections caused by group D enterococcal streptococci, Pseudomonas aeruginosa, or Bacillus fragilis, Newer cephalosporins soon to be available have a somewhat wider gram-negative spectrum; however, as with all members of this family of drugs, in vitro susceptibility must be established.


Asunto(s)
Infecciones Bacterianas/tratamiento farmacológico , Cefalosporinas/uso terapéutico , Lesión Renal Aguda/inducido químicamente , Cefalosporinas/efectos adversos , Cefalosporinas/inmunología , Cefalosporinas/farmacología , Fenómenos Químicos , Química , Hipersensibilidad a las Drogas , Farmacorresistencia Microbiana , Humanos , Riñón/efectos de los fármacos , Flebitis/inducido químicamente
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