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1.
Nanotechnology ; 32(2): 025701, 2021 Jan 08.
Artigo em Inglês | MEDLINE | ID: mdl-32916677

RESUMO

Recently graphene and other 2D materials were suggested as nano additives to enhance the performance of nanolubricants and reducing friction and wear-related failures in moving mechanical parts. Nevertheless, to our knowledge there are no previous studies on electrochemical exfoliated nanomaterials as lubricant additives. In this work, engine oil-based nanolubricants were developed via two-steps method using two different 2D nanomaterials: a carbon-based nano additive, graphene nanoplatelets (GNP) and a sulphide nanomaterial, molybdenum disulfide (MoS2) nanoplatelets (MSNP). The influence of these nano additives on the thermophysical properties of the nanolubricants, such as viscosity index, density and wettability, was investigated. The unique features of the electrochemical exfoliated GNP and MSNP allow the formulation of nanolubricant with unusual thermophysical properties. Both the viscosity and density of the nanolubricants decreased by increasing the nanoplatelets loading. The effect of the nano additives loading and temperature on the tribological properties of nanolubricants was investigated using two different test configurations: reciprocating ball-on-plate and rotational ball-on-three-pins. The tribological specimens were analysed by scanning electron microscopy (SEM) and 3D profiler in order to evaluate the wear. The results showed significant improvement in the antifriction and anti-wear properties, for the 2D-materials-based nanolubricants as compared with the engine oil, using different contact conditions. For the reciprocal friction tests, maximum friction and worn area reductions of 20% and 22% were achieved for the concentrations of 0.10 wt% and 0.20 wt% GNP, respectively. Besides, the best anti-wear performance was found for the nanolubricant containing 0.05 wt% MSNP in rotational configuration test, with reductions of 42% and 60% in the scar width and depth, respectively, with respect to the engine oil.

2.
Molecules ; 25(7)2020 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-32252410

RESUMO

The sluggish photoelectrochemical performance of p-type dye-sensitized solar cells (p-DSSCs) has hindered its commercial use. In this work, we introduce a novel hierarchical nanocomposite of NiO nanoparticles anchored on highly ordered mesoporous carbons CMK-3 (NiO/CMK-3). Using CMK-3 as a backbone effectively prevented the self-aggregation of NiO nanoparticles and subsequently increased the total specific surface area of the composite for more dye adsorption. The interconnected conductive networks of CMK-3 also served as a split-flow high-speed channel, which was beneficial for hole spin-flow to accelerate hole transfer. The hierarchical NiO/CMK-3 photocathode improved the photovoltaic conversion efficiency to 1.48% in a cell with a Cobalt(II)/(III) electrolyte and a PMI-6T-TPA dye.


Assuntos
Carbono/química , Nanocompostos/química , Níquel/química , Corantes/química , Técnicas Eletroquímicas , Nanopartículas Metálicas/química , Processos Fotoquímicos , Energia Solar , Difração de Raios X
3.
Mol Med ; 22: 487-496, 2016 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-27385318

RESUMO

Obesity is strongly associated with metabolic syndrome, a combination of risk factors that predispose to the development of the cardiometabolic diseases: atherosclerotic cardiovascular disease and type 2 diabetes mellitus. Prevention of metabolic syndrome requires novel interventions to address this health challenge. The objective of this study was the identification of candidate molecules for the prevention and treatment of insulin resistance and atherosclerosis, conditions that underlie type 2 diabetes mellitus and cardiovascular disease, respectively. We used an unbiased bioinformatics approach to identify molecules that are upregulated in both conditions by combining murine and human data from a microarray experiment and meta-analyses. We obtained a pool of eight genes that were upregulated in all the databases analysed. This included well known and novel molecules involved in the pathophysiology of type 2 diabetes mellitus and cardiovascular disease. Notably, matrix metalloproteinase 12 (MMP12) was highly ranked in all analyses and was therefore chosen for further investigation. Analyses of visceral and subcutaneous white adipose tissue from obese compared to lean mice and humans convincingly confirmed the up-regulation of MMP12 in obesity at mRNA, protein and activity levels. In conclusion, using this unbiased approach an interesting pool of candidate molecules was identified, all of which have potential as targets in the treatment and prevention of cardiometabolic diseases.

4.
Cardiovasc Diabetol ; 15(1): 120, 2016 08 26.
Artigo em Inglês | MEDLINE | ID: mdl-27561966

RESUMO

BACKGROUND: The metabolic syndrome is becoming increasingly prevalent in the general population that is at simultaneous risk for both type 2 diabetes and cardiovascular disease. The critical pathogenic mechanisms underlying these diseases are obesity-driven insulin resistance and atherosclerosis, respectively. To obtain a better understanding of molecular mechanisms involved in pathogenesis of the metabolic syndrome as a basis for future treatment strategies, studies considering both inherent risks, namely metabolic and cardiovascular, are needed. Hence, the aim of this study was to identify pathways commonly dysregulated in obese adipose tissue and atherosclerotic plaques. METHODS: We carried out a gene set enrichment analysis utilizing data from two microarray experiments with obese white adipose tissue and atherosclerotic aortae as well as respective controls using a combined insulin resistance-atherosclerosis mouse model. RESULTS: We identified 22 dysregulated pathways common to both tissues with p values below 0.05, and selected inflammatory response and oxidative phosphorylation pathways from the Hallmark gene set to conduct a deeper evaluation at the single gene level. This analysis provided evidence of a vast overlap in gene expression alterations in obese adipose tissue and atherosclerosis with Il7r, C3ar1, Tlr1, Rgs1 and Semad4d being the highest ranked genes for the inflammatory response pathway and Maob, Bckdha, Aldh6a1, Echs1 and Cox8a for the oxidative phosphorylation pathway. CONCLUSIONS: In conclusion, this study provides extensive evidence for common pathogenic pathways underlying obesity-driven insulin resistance and atherogenesis which could provide a basis for the development of novel strategies to simultaneously prevent type 2 diabetes and cardiovascular disease in patients with metabolic syndrome.


Assuntos
Tecido Adiposo Branco/metabolismo , Aorta/metabolismo , Doenças da Aorta/genética , Aterosclerose/genética , Redes Reguladoras de Genes , Obesidade/genética , Transdução de Sinais/genética , Tecido Adiposo Branco/fisiopatologia , Adiposidade/genética , Animais , Aorta/patologia , Doenças da Aorta/patologia , Aterosclerose/patologia , Biologia Computacional , Bases de Dados Genéticas , Dieta Hiperlipídica , Modelos Animais de Doenças , Perfilação da Expressão Gênica/métodos , Regulação da Expressão Gênica , Marcadores Genéticos , Predisposição Genética para Doença , Masculino , Camundongos , Obesidade/fisiopatologia , Análise de Sequência com Séries de Oligonucleotídeos , Fenótipo , Placa Aterosclerótica , Fatores de Tempo
5.
Rheumatol Int ; 32(4): 1075-8, 2012 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-21331571

RESUMO

We report a new case of polyostotic fibrous dysplasia (FD). A 26-year-old woman was referred to our department complaining of pain in her left arm. She had suffered for tow fractures in left leg and arm previously. Plain radiographs showed osteolytics lesions at the left humerus and radius. Histological examination of the surgical specimens showed FD. She has beneficed with zoledronic acid perfusion.


Assuntos
Displasia Fibrosa Poliostótica/diagnóstico por imagem , Úmero/diagnóstico por imagem , Rádio (Anatomia)/diagnóstico por imagem , Adulto , Conservadores da Densidade Óssea/uso terapêutico , Difosfonatos/uso terapêutico , Feminino , Displasia Fibrosa Poliostótica/tratamento farmacológico , Displasia Fibrosa Poliostótica/patologia , Humanos , Úmero/patologia , Imidazóis/uso terapêutico , Radiografia , Rádio (Anatomia)/patologia , Ácido Zoledrônico
6.
J Liposome Res ; 21(2): 141-50, 2011 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-20560742

RESUMO

Membrane-modification effects, induced by ultraviolet (UV) irradiation in diacetylenic liposomes, were analyzed upon contact with cells, biological membranes, and proteins. Liposomes formulated with mixtures of unsaturated 1,2-bis(10,12-tricosadiynoyl)-sn-glycero-3-phosphocholine and saturated 1,2-dimyristoyl-sn-glycero-3-phosphocholine, in a 1:1 molar ratio, were compared with those that were UV-irradiated and analyzed in several aspects. Membrane polymerization inherence on size stability was studied as well as its impact on mitochondrial and microsomal membrane peroxidation induction, hemolytic activity, and cell viability. Moreover, in order to gain insight about the possible irradiation effect on interfacial membrane properties, interaction with bovine serum albumin (BSA), lysozyme (Lyso), and apolipoprotein (apoA-I) was studied. Improved size stability was found for polymerized liposomes after a period of 30 days at 4°C. In addition, membrane irradiation had no marked effect on cell viability, hemolysis, or induction of microsomal and mitochondrial membrane peroxidation. Interfacial membrane characteristics were found to be altered after polymerization, since a differential protein binding for polymerized or nonpolymerized membranes was observed for BSA and Lyso, but not for apoA-I. The substantial contribution of this work is the finding that even when maintaining the same lipid composition, changes induced by UV irradiation are sufficient to increase size stability and establish differences in protein binding, in particular, reducing the amount of bound Lyso and BSA, without increasing formulation cytotoxicity. This work aimed at showing that the usage of diacetylenic lipids and UV modification of membrane interfacial properties should be strategies to be taken into consideration when designing new delivery systems.


Assuntos
Bicamadas Lipídicas/química , Bicamadas Lipídicas/farmacologia , Lipossomos/química , Lipossomos/farmacologia , Polimerização/efeitos da radiação , Ligação Proteica/efeitos da radiação , Animais , Apolipoproteína A-I/metabolismo , Bovinos , Linhagem Celular Transformada , Sobrevivência Celular/efeitos dos fármacos , Dimiristoilfosfatidilcolina/química , Di-Inos/química , Eritrócitos/efeitos dos fármacos , Hemólise/efeitos dos fármacos , Bicamadas Lipídicas/metabolismo , Bicamadas Lipídicas/efeitos da radiação , Peroxidação de Lipídeos/efeitos dos fármacos , Lipossomos/metabolismo , Lipossomos/efeitos da radiação , Lipossomos/ultraestrutura , Camundongos , Microscopia Eletrônica de Varredura , Muramidase/metabolismo , Tamanho da Partícula , Fosfatidilcolinas/química , Albumina Sérica/metabolismo , Raios Ultravioleta
7.
Ann Hum Biol ; 38(1): 53-8, 2011 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-20545473

RESUMO

BACKGROUND: The most recent Alu insertions reveal different series of characteristics such as stability that make them particularly suitable genetic markers for human biological studies. AIM: Six human-specific Alu insertion polymorphisms were typed in two Tunisian Berber populations with the aim of analysing the genetic diversity of these two communities and the genetic relationships between this region of North Africa and other populations. SUBJECTS AND METHODS: Forty-seven Berbers from Sejnane and 33 from Takrouna were sampled. Alu insertion polymorphism was analysed using PCR with loci specific primers. RESULTS: A similar level of gene diversity was detected in Sejnane and Takrouna populations. PC results revealed genetic affinities between these two populations and some Eurasian populations (Germany, Genova and Syria). In contrast, there is a differentiation between these two Berber communities and North African and Iberian populations. CONCLUSION: The results of this study confirm the heterogeneity of Berbers in North Africa, which suggests their diverse origins. In the case of Sejnane and Takrouna populations, these results are in line with an ancient Euro Mediterranean background that has already been studied by archaeologists, particularly for the population of Sejnane.


Assuntos
Elementos Alu , Etnicidade/genética , Variação Genética , Marcadores Genéticos , Geografia , Humanos , Mutagênese Insercional , Filogenia , Reação em Cadeia da Polimerase , Polimorfismo Genético , Tunísia
8.
J Mycol Med ; 21(3): 217-20, 2011 Sep.
Artigo em Francês | MEDLINE | ID: mdl-24451567

RESUMO

INTRODUCTION: Mucormycosis is a rare, devastating, fungal infection, which disproportionately affects non-controlled diabetic patients, notably during ketoacidosis. The authors report the case of cervical mucormycoses with a particularly favorable evolution in diabetic woman. REPORT: A 54-year-old woman, type 2 diabetic, had presented a left lateral cervical mass. The diagnosis was confirmed by histological examination. She was treated with Amphotericin B with favorable evolution. CONCLUSION: The mucormycose is a rare infection. The treatment is medical and surgical. The prognosis is severe with an overall mortality rate of 40%.

9.
B-ENT ; 7(3): 189-93, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-22026140

RESUMO

OBJECTIVE: In this retrospective study, we describe our experience in the diagnosis and management of rhinocerebral mucormycosis (RCM), a rapidly lethal fungal infection. METHODOLOGY: Between 1997 and 2007, five patients hospitalized for suspicion of RCM. Computed tomography was performed in all cases, and diagnosis was confirmed after anatomopathological or mycological examination. All patients underwent medical and surgical treatment. Follow-up was clinical and radiological with a mean period of 17 months. RESULTS: All patients were diabetic. Exophthalmia, rhinorrhea, and ophthalmoplegia were the most frequent symptoms observed. One patient had loss of visual acuity and another exhibited peripheral facial palsy. One patient had extensive hemifacial cutaneous necrosis. Nasal endoscopy revealed black necrotic lesions in one case, and another patient had a tumefaction localised in the left middle meatus. Necrotic lesions were most often found in the orbit, the maxillary and the ethmoidal sinuses on computed tomography (four cases for each site). One patient had thrombophlebitis of the cavernous sinus, and another had an intracranial extension. All patients were administered ordinary insulin and intravenous amphotericin B. Surgical debridement of the nasal cavity and the involved sinuses was performed through lateral rhinotomy (four cases) or endoscopy (one case). Unilateral orbital exenteration was associated in two cases. Progression was favourable in four cases; one patient died from sepsis despite aggressive treatment. CONCLUSION: Early diagnosis is crucial for the management of RCM. Treatment of underlying disorders, use of intravenous amphotericin B, and aggressive surgical intervention are key in reducing morbidity and mortality rates.


Assuntos
Encefalopatias/microbiologia , Mucormicose/diagnóstico , Doenças Nasais/microbiologia , Doenças dos Seios Paranasais/microbiologia , Adulto , Idoso , Anfotericina B/uso terapêutico , Antifúngicos/uso terapêutico , Encefalopatias/diagnóstico , Encefalopatias/tratamento farmacológico , Desbridamento , Paralisia Facial/microbiologia , Feminino , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Mucormicose/tratamento farmacológico , Cavidade Nasal/microbiologia , Necrose , Doenças Nasais/diagnóstico , Doenças Nasais/tratamento farmacológico , Doenças dos Seios Paranasais/diagnóstico , Doenças dos Seios Paranasais/tratamento farmacológico , Prognóstico , Estudos Retrospectivos , Tomografia Computadorizada por Raios X , Acuidade Visual , Adulto Jovem
10.
Ann R Coll Surg Engl ; 103(8): e266-e268, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34464569

RESUMO

Haemorrhagic events in patients diagnosed with coronavirus disease 19 (COVID-19) are infrequent but reports have accumulated since the beginning of the pandemic. The pathophysiological mechanisms are unclear, but endothelial damage secondary to systemic vasculitis and the onset of anticoagulation therapy, both associated with severe forms of the infection, have been proposed to play a role in the development of this complication. We present the case of a 66-year-old man who presented to the emergency department with acute abdominal pain, hypotension and decrease of consciousness, a few hours after being discharged after a prolonged hospitalisation of 26 days due to severe SARS-CoV-2 pneumonia. Initial resuscitation was carried out and, when haemodynamic stabilisation was achieved, a computed tomography scan showed contrast extravasation at the topography of the greater omentum. Urgent angiography revealing contrast extravasation originating in a pseudoaneurysm dependent on the right gastroepiploic artery was done, and embolisation with cyanoacrylate was performed at the bleeding point. Owing to persistent haemodynamic instability despite angiographic treatment and aggressive resuscitation, emergency laparotomy was indicated. Partial resection of the greater omentum was carried out and histopathologic examination showed a 5cm×4cm×6cm haematoma, with no signs of abnormalities such as aneurysm or malignancy. No rebleeding occurred. Spontaneous haemorrhage of the greater omentum associated with haemoperitoneum is a serious condition, with reported mortality rates exceeding 30%. This case highlights a very infrequent but potentially life-threatening complication in a patient diagnosed with COVID-19 on anticoagulation therapy.


Assuntos
COVID-19/complicações , Hemoperitônio/etiologia , Hemorragia/virologia , Omento/cirurgia , Doenças Peritoneais/virologia , Idoso , Hemoperitônio/cirurgia , Hemorragia/cirurgia , Humanos , Masculino , Doenças Peritoneais/cirurgia
11.
Haemophilia ; 16(5): 801-4, 2010 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-20491958

RESUMO

SUMMARY: Combined factor V (FV) and factor VIII (FVIII) deficiency (F5F8D) is a rare autosomal recessive disorder caused by mutations in LMAN1 or MCFD2 genes which encode proteins that form a complex involved in the transport of FV and FVIII from the endoplasmic reticulum to Golgi apparatus. We report two novel mutations in MCFD2 gene and one recurrent mutation in LMAN1 gene that caused combined FV and FVIII deficiency in two unrelated Tunisian Muslim families. For the first family two patients were homozygous for a new missense mutation Asp81His in exon 3 of MCFD2 and heterozygous for a second new missense mutation Val100Asp in the same exon. Replacement respectively of the hydrophilic Asp residue with hydrophobic positively charged His and of the hydrophobic neutral Val residue with the Asp residue most likely disrupts the MCFD2-LMAN1 interaction, thus leading to the disease phenotype. For the second family a reported Arg202X mutation in exon 5 in the LMAN1 gene was identified in the homozygous state.


Assuntos
Deficiência do Fator V/genética , Hemofilia A/genética , Lectinas de Ligação a Manose/genética , Proteínas de Membrana/genética , Mutação de Sentido Incorreto , Proteínas de Transporte Vesicular/genética , Análise Mutacional de DNA , Éxons/genética , Família , Feminino , Humanos , Masculino , Análise de Sequência de DNA , Tunísia
12.
J Neuroradiol ; 37(2): 73-82, 2010 May.
Artigo em Francês | MEDLINE | ID: mdl-19748122

RESUMO

Until recent years, brain applications of (31)P magnetic resonance spectroscopy were poor. Arising of clinical high field strength magnets (three Tesla) as well as dedicated brain coils (eg: bird cage), using specific and useful sequences providing appropriate spatial localisation and signal to noise ratio brought highlights on multinuclear spectroscopy. Better understanding of brain metabolism emphasizes the role of phosphoenergetic compounds and its potential issues in tumoral, metabolic and degenerative diseases. In the present paper, we report 1 year of experience and preliminary results for 40 patients as well as review of the literature. By successive in vivo determination and quantitation of numerous metabolites it allows, multinuclear spectroscopy may provide additional information to biomathematical models of brain metabolism.


Assuntos
Encéfalo/metabolismo , Espectroscopia de Ressonância Magnética/métodos , Encefalopatias/metabolismo , Humanos , Espectroscopia de Ressonância Magnética/instrumentação , Isótopos de Fósforo
13.
J Neuroradiol ; 36(3): 121-30, 2009 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-18835644

RESUMO

The masticator space is a deep facial space with a complex anatomical structure. The purpose of the present study was to precisely define the masticator space to eliminate the use of obsolete and confusing terms to describe the area, and to illustrate the common mass syndromes. Primary tumors are uncommon, usually benign and of a vascular or neural origin. Adjacent lesions, mainly pharyngeal with secondary extension into the masticator space, are especially frequent. Metastases are rare, and infectious pathology is often odontogenic. The most frequent lesion of the masticator space is the odontogenic abscess. Multidetector CT and MRI enable precise study of the space, its communications with other deep spaces and the etiology of any mass syndrome. Understanding the anatomy of the masticator space and how it links up with the other deep facial spaces helps the radiologist to recognize the different lesions of this space and to avoid unnecessary surgery, or any other less than optimal management.


Assuntos
Neoplasias de Cabeça e Pescoço/patologia , Região Parotídea/patologia , Humanos , Músculos da Mastigação/patologia , Nasofaringe/patologia , Região Parotídea/irrigação sanguínea , Região Parotídea/inervação
14.
Environ Technol ; 30(1): 75-83, 2009 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-19213469

RESUMO

In wastewater treatment plants a hard scale consisting of struvite crystals can be formed, in pipes and recirculation pumps, during anaerobic digestion of wastewater. This study was conducted to evaluate the effect of airflow rate and substrate nature on nucleation type, induction period and supersaturation coefficient during struvite precipitation. A crystallization reactor similar to that designed for calcium carbonate precipitation was used. The pH of synthetic wastewater solution was increased by air bubbling. Experimental results indicated that the airflow increased heterogeneous precipitation of struvite. The susceptibility to scale formation was more important on polyamide and polyvinyl chloride than on stainless steel. In all cases, X-ray diffraction and infrared spectroscopy showed that the precipitated solid phase was solely struvite. No difference in crystal morphology was observed. However, at similar experimental conditions, the particle size of struvite was higher for stainless-steel material than that for plastic materials.


Assuntos
Compostos de Magnésio/química , Nylons/química , Fosfatos/química , Cloreto de Polivinila/química , Aço Inoxidável/química , Purificação da Água/métodos , Precipitação Química , Cristalização , Concentração de Íons de Hidrogênio , Estruvita
15.
J Radiol ; 90(5 Pt 2): 649-60, 2009 May.
Artigo em Francês | MEDLINE | ID: mdl-19503062

RESUMO

Odontogenic tumors of the maxilla are frequent, mainly represented by cysts of the jaw. However, this group of tumors include a large number of potentially intricate pathologies whose evolution is dominated by frequent recurrences justifying long-term follow-up. When such a lesion is discovered, evaluation of imaging features combined with an extensive knowledge of the different patterns of other lesions (particularly their potentially evolutive patterns related to growth) can often suggest the diagnosis. While definitive diagnosis frequently relies on histology, it is not rare that the patterns are so intricate that final diagnosis is based on a correlation between clinical, imaging and histological findings.


Assuntos
Processamento de Imagem Assistida por Computador , Neoplasias Maxilares/diagnóstico por imagem , Tumores Odontogênicos/diagnóstico por imagem , Radiografia Panorâmica , Tomografia Computadorizada por Raios X , Diagnóstico Diferencial , Humanos , Cistos Maxilomandibulares/diagnóstico por imagem , Doenças Maxilares/diagnóstico por imagem , Osteossarcoma , Sensibilidade e Especificidade
16.
Rev Esp Med Nucl ; 28(6): 291-4, 2009.
Artigo em Espanhol | MEDLINE | ID: mdl-19853325

RESUMO

Percutaneous vertebroplasty is a minimally invasive procedure that has shown excellent results in the treatment of back pain due to acute-subacute vertebral fracture. The bone scintigraphy shows the increase of metabolic exchange in the fracture. The new hybrid SPECT-CT equipment combines bone SPECT images with Computed Tomography (CT), making it possible to obtain more combined, functional and anatomical information. We present 5 selected patients studied by bone SPECT-CT in whom fused images made it possible to obtain a more precise localization of the pain origin, and thus assess other possible causes of the vertebral pain or even reassess the vertebroplasty indication.


Assuntos
Fraturas da Coluna Vertebral/diagnóstico por imagem , Tomografia Computadorizada de Emissão de Fóton Único , Tomografia Computadorizada por Raios X , Vertebroplastia/métodos , Dor nas Costas/etiologia , Parafusos Ósseos , Contraindicações , Fraturas Espontâneas/diagnóstico por imagem , Fraturas Espontâneas/etiologia , Humanos , Vértebras Lombares/diagnóstico por imagem , Vértebras Lombares/lesões , Imageamento por Ressonância Magnética , Procedimentos Cirúrgicos Minimamente Invasivos , Osteoporose/complicações , Valor Preditivo dos Testes , Fraturas da Coluna Vertebral/complicações , Vértebras Torácicas/diagnóstico por imagem , Vértebras Torácicas/lesões
17.
Diagn Interv Imaging ; 99(7-8): 473-481, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29571698

RESUMO

PURPOSE: To identify quantitative perfusion parameters that are best associated with tumor grade and tumor necrosis at magnetic resonance (MR) imaging at 3-Tesla. METHODS: MR perfusion studies of 31 patients with a musculoskeletal sarcoma were retrospectively evaluated by two readers. There were 18 men and 13 women with a mean age of 34.9±24.4 (standard deviation [SD] years) (range: 6-87 years). All patients underwent carcinologic tumor resection less than 3 months after MR imaging. For all patients six perfusion parameters (three semi-quantitative and three permeability parameters) were analyzed. The percentage of tumor necrosis was estimated using MR imaging. Perfusion data were compared between groups of tumors with different grades and necrosis ratios. Interobserver variability was calculated using intraclass correlation coefficient (ICC). RESULTS: Interobserver variability among the perfusion parameters was good to excellent (ICC: 0.72-0.9). The area under the curve and maximum slope values showed a significant association with the degree of tumor necrosis (P=0.02-0.04). When tumors with low necrosis ratios were compared to those with high ratios the former parameter was 80% lower. In the same groups, the imaging necrosis index was 56.9-59.8% higher in patients with grade 2 necrosis (P=0.01). Extracellular space volume (Ve) was 31.4% to 55.8% lower in tumors with high grade while the backflow constant (Kep) was 33.6% to 40.1%% higher in tumors with high grade. CONCLUSION: Semi-quantitative MR perfusion parameters have an excellent reproducibility and are associated with the degree of histologic tumor necrosis in musculoskeletal sarcomas. The utility of permeability parameters for determining tumor grade needs further investigations.


Assuntos
Neoplasias Ósseas/diagnóstico por imagem , Neoplasias Ósseas/patologia , Angiografia por Ressonância Magnética , Neoplasias Musculares/diagnóstico por imagem , Neoplasias Musculares/patologia , Sarcoma/diagnóstico por imagem , Sarcoma/patologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Necrose , Gradação de Tumores , Valor Preditivo dos Testes , Estudos Retrospectivos , Adulto Jovem
18.
Arch Gerontol Geriatr ; 78: 261-268, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30044995

RESUMO

PURPOSE: Although healthy ageing aims for better quality of life, the inability of older adults to adequately care for themselves and their health impair the realization of such objective. Moreover, in a collectivist community like the Philippines, the family, community, and Transcendent are inseparable in promoting quality of life. This study developed and tested a model of quality of life (QoL) among chronically-ill, community-dwelling older adults. MATERIALS AND METHODS: From August to November 2017, a cross-sectional study of 304 chronically-ill, community-dwelling older adults from selected rural communities in the Philippines was conducted. Respondents completed a five-part survey packet composed of the socio-demographic profile, modified Older People's Quality of Life, Spirituality Assessment Scale, Hypertension Self-Care Profile, and Diabetes Self-Management Questionnaire. RESULTS: Socio-demographics, community satisfaction, spirituality, and disease self-management accounted 29.00% of QoL, generating a good model (χ2/df = 1.44, RMSEA = 0.038, and PNFI = 0.64). Spirituality (ß = 0.34, p < 0.01) was the strongest predictor of QoL, while community satisfaction had both direct (ß = 0.26, p < 0.01) and indirect (ß = 0.08, p < 0.01) effects. Disease self-management directly (ß = 0.15, p = 0.016) influenced QoL. In contrast, longer chronicity and larger family size impair QoL. CONCLUSION: Quality of life among chronically-ill, community-dwelling older adults is a multi-faceted health construct influenced by socio-demographics, disease self-management, community satisfaction, and spirituality. The presented model highlights the positive effect of disease self-management, community satisfaction, and spirituality which can be utilized in developing appropriate community-based geriatric strategies, policies, and programs. Further, forming collaborative groups with socially-active community elderly and community-based self-care programs can be ventured to address the needs of older adults.


Assuntos
Doença Crônica/psicologia , Vida Independente , Qualidade de Vida , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Satisfação Pessoal , Espiritualidade
19.
J Clin Invest ; 82(1): 139-44, 1988 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-3267225

RESUMO

We determined the sequence of a mutant CYP21B gene isolated from a patient with the severe, "salt-wasting" form of congenital adrenal hyperplasia due to steroid 21-hydroxylase deficiency. Codon 318 in this gene is changed from CAG, encoding glutamine, to TAG, a nonsense codon. This is predicted to result in a completely nonfunctional enzyme due to premature termination of translation. In addition, when the cloned mutant gene was transfected into mouse Y1 adrenal cells, the resulting mRNA levels were decreased compared with transfected normal CYP21B genes. This mutation was carried by 3 of 20 unrelated patients with 21-hydroxylase deficiency alleles as determined by hybridization with a specific oligonucleotide probe. This mutation is also seen in the normal CYP21A pseudogene, so that its presence in the abnormal CYP21B gene may be the result of a gene conversion event.


Assuntos
Hiperplasia Suprarrenal Congênita/genética , Genes , Mutação , Esteroide 21-Hidroxilase/genética , Esteroide Hidroxilases/genética , Hiperplasia Suprarrenal Congênita/enzimologia , Hiperplasia Suprarrenal Congênita/etiologia , Sequência de Aminoácidos , Sequência de Bases , Códon/genética , Humanos , Dados de Sequência Molecular , Hibridização de Ácido Nucleico , Oligonucleotídeos/genética , Transfecção
20.
Nat Biotechnol ; 14(7): 862-6, 1996 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-9631011

RESUMO

The plant hormone ethylene plays a major role in the ripening of climacteric fruit. We have generated transgenic cantaloupe Charentais melons expressing an antisense ACC oxidase gene; ACC oxidase catalyzes the last step of ethylene biosynthesis. Ethylene production of transgenic fruit was < 1% of control untransformed fruit, and the ripening process was blocked both on and off the vine. The antisense phenotype could be reversed by exogenous ethylene treatment. Analysis of antisense ACC oxidase melons indicated that the ripening process includes ethylene-dependent and ethylene-independent pathways. Because the transgenic line we generated displays extended storage life and improved quality, it has a promising potential for commercial development.


Assuntos
Aminoácido Oxirredutases/genética , Elementos Antissenso (Genética) , Frutas/fisiologia , Southern Blotting , DNA Complementar , Etilenos/biossíntese , Frutas/enzimologia , Frutas/genética , Regulação Enzimológica da Expressão Gênica , Plantas Geneticamente Modificadas , Transformação Genética
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