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1.
Ultrastruct Pathol ; 48(3): 213-220, 2024 May 03.
Artigo em Inglês | MEDLINE | ID: mdl-38348820

RESUMO

Synovial sarcoma (SS) and solitary fibrous tumor (SFT) are entities with considerable morphological and immunohistochemical similarities that sometimes show a non-confirmatory profile (TLE1 negative, CD34 and focal or negative STAT6 and lack of specific fusion IHC markers), in which the utility ultrastructure is unknown. A cross-sectional, retrospective, analytical, nonexperimental study was carried out by the Department of Pathology of the National Cancer Institute of Mexico (INCan) e from January 1, 2009 to December 31, 2018. With 17 SFT cases with diffuse or focal CD34 and STAT6 positivity and 18 cases of SS with positive FISH molecular test t(X:18) breakapart were studied by electron microscopy of fresh glutaraldehyde fixed or paraffin-embedded tissue. The ultrastructural findings with a significant difference present in the SS were tandem tight junctions, desmosomes and abundance of dilated rough endoplasmic reticulum (RER) cisternae (p < 0.001, 0.003, and 0.001, respectively); while in the (SFT) the presence of abundant glycogen, basal lamina, long and slender cytoplasmic processes, pinocytic vesicles, hemidesmosomes, and/or dense plaques, collagen skein, and microvilli-like buds (p = 0.028, 0.005, and <0.001 for the last five). We then infer that the five distinctive markers of the SFT are the collagen skeins intermingled with cellular processes in a shape of "squid can," and the pinocytic vesicles as they were not observed in any case of SS. Conversely, tandem junctions were not found in any SFT case. Although the presence of multivesicular buds in the SFT was not significant, it had not been previously described.


Assuntos
Sarcoma Sinovial , Tumores Fibrosos Solitários , Humanos , Tumores Fibrosos Solitários/patologia , Tumores Fibrosos Solitários/ultraestrutura , Sarcoma Sinovial/ultraestrutura , Sarcoma Sinovial/patologia , Adulto , Masculino , Feminino , Estudos Retrospectivos , Pessoa de Meia-Idade , México , Estudos Transversais , Biomarcadores Tumorais , Idoso , Adulto Jovem , Diagnóstico Diferencial
2.
mSphere ; 8(6): e0051223, 2023 Dec 20.
Artigo em Inglês | MEDLINE | ID: mdl-37971273

RESUMO

IMPORTANCE: Although inflammatory bowel diseases are on the rise, what factors influence IBD risk and severity, and the underlying mechanisms remain to be fully understood. Although host genetics, microbiome, and environmental factors have all been shown to correlate with the development of IBD, cause and effect are difficult to disentangle in this context. For example, AIEC is a known pathobiont found in IBD patients, but it remains unclear if gut inflammation during IBD facilitates colonization with AIEC, or if AIEC colonization makes the host more susceptible to pro-inflammatory stimuli. It is critical to understand the mechanisms that contribute to AIEC infections in a susceptible host in order to develop successful therapeutics. Here, we show that the larval zebrafish model recapitulates key features of AIEC infections in other animal models and can be utilized to address these gaps in knowledge.


Assuntos
Colite , Doença de Crohn , Enterocolite , Infecções por Escherichia coli , Doenças Inflamatórias Intestinais , Humanos , Animais , Peixe-Zebra , Colite/induzido quimicamente , Doença de Crohn/complicações , Escherichia coli/genética , Mucosa Intestinal , Enterocolite/complicações
3.
Neurogastroenterol Motil ; 35(12): e14675, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37743702

RESUMO

BACKGROUND: Zebrafish larvae are translucent, allowing in vivo analysis of gut development and physiology, including gut motility. While recent progress has been made in measuring gut motility in larvae, challenges remain which can influence results, such as how data are interpreted, opportunities for technical user error, and inconsistencies in methods. METHODS: To overcome these challenges, we noninvasively introduced Nile Red fluorescent dye to fill the intraluminal gut space in zebrafish larvae and collected serial confocal microscopic images of gut fluorescence. We automated the detection of fluorescent-contrasted contraction events against the median-subtracted signal and compared it to manually annotated gut contraction events across anatomically defined gut regions. Supervised machine learning (multiple logistic regression) was then used to discriminate between true contraction events and noise. To demonstrate, we analyzed motility in larvae under control and reserpine-treated conditions. We also used automated event detection analysis to compare unfed and fed larvae. KEY RESULTS: Automated analysis retained event features for proximal midgut-originating retrograde and anterograde contractions and anorectal-originating retrograde contractions. While manual annotation showed reserpine disrupted gut motility, machine learning only achieved equivalent contraction discrimination in controls and failed to accurately identify contractions after reserpine due to insufficient intraluminal fluorescence. Automated analysis also showed feeding had no effect on the frequency of anorectal-originating contractions. CONCLUSIONS & INFERENCES: Automated event detection analysis rapidly and accurately annotated contraction events, including the previously neglected phenomenon of anorectal contractions. However, challenges remain to discriminate contraction events based on intraluminal fluorescence under treatment conditions that disrupt functional motility.


Assuntos
Reserpina , Peixe-Zebra , Animais , Peixe-Zebra/fisiologia , Larva/fisiologia , Algoritmos , Aprendizado de Máquina Supervisionado
4.
Andes Pediatr ; 93(3): 392-399, 2022 Jun.
Artigo em Espanhol | MEDLINE | ID: mdl-35857010

RESUMO

INTRODUCTION: Respiratory conditions are the most common reason for admission to the neonatal unit for both term and premature newborns. It is known that nutritional imbalances during pregnancy affect the maturation and functional capacity of organs. OBJECTIVE: to describe the pulmonary histomorpholo- gy of newborn rats due to maternal sugar intake by light microscopy. MATERIAL AND METHOD: Twenty 4-week-old female Wistar rats divided into control and experimental groups with sucrose before and during pregnancy were used. At week 15, the females mated with males overnight. We recorded va lues from the body and lung weight of the newborns. The lungs were stained using Hematoxylin and Eosin, Masson's trichrome, Periodic acid-Schiff, and Verhoeff. RESULTS: Newborns from the experi mental group presented significantly lower body and lung weight (6.980 ± 0.493* g, 0.164 ± 0.022* g; *p < 0,05) compared with controls (7.854 ± 0.497 g, 0.189 ± 0.005 g). The lungs of the experimental group showed structural alterations in the lung parenchyma, as well as changes in glycogen deposits, collagen fibers, and elastin compared with the control group. CONCLUSION: Alterations in newborn lung growth and development are associated with maternal sucrose intake. It is important to re member that interventions on the maternal diet have beneficial effects for both the mother and the newborn.


Assuntos
Pulmão , Sacarose , Animais , Animais Recém-Nascidos , Feminino , Masculino , Gravidez , Ratos , Ratos Wistar , Sacarose/farmacologia , Açúcares/farmacologia
5.
Ir J Med Sci ; 191(5): 2077-2084, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34750734

RESUMO

BACKGROUND: Autonomic dysfunction is commonly observed in patients with long-standing type 2 diabetes. Previous studies have confirmed the value of both subjectively assessed symptoms and objective measurements of autonomic nervous system function in diagnosing cardiovascular autonomic neuropathy. However, the head-up tilt test (HUTT) has been rarely used to investigate cardiovascular autonomic responses in subjects with high risk of newly diagnosed type 2 diabetes (nT2D). OBJECTIVE: To evaluate autonomic cardiovascular responses through passive orthostatic challenge along the diabetes continuum. METHODS: The study population was stratified as normoglycemic (n = 16), prediabetes (n = 20), and nT2D (n = 20). The prevalence of orthostatic intolerance and autonomic cardiovascular responses was evaluated with the Task Force Monitor during a 30-min passive HUTT. Spectral indices of heart rate and blood pressure variability and baroreceptor effectiveness index (BEI) were calculated through the HUTT. BEI was obtained by the sequence method. RESULTS: There were no differences in the prevalence of orthostatic intolerance or in the indices of heart rate and blood pressure variability among the three groups of study. The BEI was attenuated in the nT2D group in supine rest and throughout HUTT compared with normoglycemic and prediabetes groups. The multivariable linear regression analysis showed that BEI was associated with fasting glucose (ß = - 0.52, p < 0.001) and HbA1c (ß = - 0.57, p  < 0.001) independently of cardiovascular risk factors. CONCLUSION: Cardiovascular autonomic neuropathy, expressed as blunted BEI, is the only abnormal autonomic nervous test detected in nT2D, and it was independently associated with fasting glucose and HbA1c values.


Assuntos
Diabetes Mellitus Tipo 2 , Doenças do Sistema Nervoso , Intolerância Ortostática , Estado Pré-Diabético , Sistema Nervoso Autônomo , Pressão Sanguínea/fisiologia , Diabetes Mellitus Tipo 2/complicações , Diabetes Mellitus Tipo 2/diagnóstico , Glucose , Hemoglobinas Glicadas , Frequência Cardíaca/fisiologia , Humanos , Estado Pré-Diabético/diagnóstico
6.
BMC Health Serv Res ; 21(1): 1201, 2021 Nov 05.
Artigo em Inglês | MEDLINE | ID: mdl-34740342

RESUMO

BACKGROUND: To address the maldistribution of healthcare providers and the shortage of physicians in geographically isolated and disadvantaged areas of the Philippines, the Philippine National Rural Physician Deployment Program, or more commonly known as the Doctors to the Barrios (DTTB) program was established in 1993. However, as of 2011, only 18% of the DTTBs chose to stay in their assigned municipalities after their two-year deployment, termed retention. This study aims to identify the individual, local, work, national, and international factors affecting the retention of DTTBs in their assigned communities after their two-year deployment. METHODS: A descriptive, mixed-methods, explanatory design was used. For the quantitative part, the modified and updated Stayers Questionnaire was given to all current DTTBs present in a Continuing Medical Education session in the Development Academy of the Philippines. Descriptive statistics were then presented. For the qualitative part, individual, semi-structured key informant interviews were conducted in-person or via phone with current and alumni DTTBs from 2012 to 2019. Proceedings of the interviews were transcribed, translated, and analyzed thematically. RESULTS: 102 current DTTBs participated in the quantitative part of our study, while 10 current and former DTTBs participated in the interviews. Demographic factors and location, personal beliefs, well-being, friends and family dynamics, and perceptions about work were the individual factors identified to affect retention. Social working conditions, career development, and infrastructure, medical equipment, and supplies were among the work factors identified to affect retention. Geography, living conditions, local social needs, and technology were among the local factors identified to affect retention. Compensation, the recently signed Universal Healthcare Law, and Safety and Security were identified as national factors that could affect retention. International factors did not seem to discourage DTTBs from staying in their communities. CONCLUSIONS: A host of individual, work-related, local, national, and international factors influence the DTTB's decision to be retained in different, complex, interconnected, and dynamic ways. We also identified implementation issues in the DTTB program and suggested interventions to encourage retention.


Assuntos
Médicos , Serviços de Saúde Rural , Educação Médica Continuada , Humanos , Filipinas , População Rural
7.
Front Psychol ; 11: 2103, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33117205

RESUMO

This study examines how advertising material and brands related to organizational communication are perceived by people with Asperger syndrome, a form of autism. The main objective of the study was to understand whether the perception of advertising differs between individuals with AS and a neurotypical population. Neuromarketing techniques were used to examine two key variables, attention and emotion, which were also measured by physiological and biometric variables. The results were compared with those of a control group from a neurotypical population; i.e., participants who had not been diagnosed with any type of developmental disorder. Commercial advertisements were the preferred material used in this research although social-themed advertisements were also included, some produced by commercial companies and others by institutional advertisers (NGOs and foundations). Qualitative techniques were also used to explain the observed phenomena. Data revealed significant differences between the two groups in their perception of advertising and organizational communication with respect to attention and emotion variables.

8.
Proc Natl Acad Sci U S A ; 117(17): 9519-9528, 2020 04 28.
Artigo em Inglês | MEDLINE | ID: mdl-32277032

RESUMO

Enterohemorrhagic Escherichia coli (EHEC) is a foodborne pathogen that colonizes the gastrointestinal tract and has evolved intricate mechanisms to sense and respond to the host environment. Upon the sensation of chemical and physical cues specific to the host's intestinal environment, locus of enterocyte effacement (LEE)-encoded virulence genes are activated and promote intestinal colonization. The LEE transcriptional activator GrlA mediates EHEC's response to mechanical cues characteristic of the intestinal niche, including adhesive force that results from bacterial adherence to epithelial cells and fluid shear that results from intestinal motility and transit. GrlA expression and release from its inhibitor GrlR was not sufficient to induce virulence gene transcription; mechanical stimuli were required for GrlA activation. The exact mechanism of GrlA activation, however, remained unknown. We isolated GrlA mutants that activate LEE transcription, independent of applied mechanical stimuli. In nonstimulated EHEC, wild-type GrlA associates with cardiolipin membrane domains via a patch of basic C-terminal residues, and this membrane sequestration is disrupted in EHEC that expresses constitutively active GrlA mutants. GrlA transitions from an inactive, membrane-associated state and relocalizes to the cytoplasm in response to mechanical stimuli, allowing GrlA to bind and activate the LEE1 promoter. GrlA expression and its relocalization in response to mechanical stimuli are required for optimal virulence regulation and colonization of the host intestinal tract during infection. These data suggest a posttranslational regulatory mechanism of the mechanosensor GrlA, whereby virulence gene expression can be rapidly fine-tuned in response to the highly dynamic spatiotemporal mechanical profile of the gastrointestinal tract.


Assuntos
Escherichia coli O157/metabolismo , Proteínas de Escherichia coli/metabolismo , Regulação Bacteriana da Expressão Gênica/fisiologia , Transativadores/metabolismo , Animais , Proteínas de Escherichia coli/genética , Larva/microbiologia , Mecanotransdução Celular , Mutação Puntual , Regiões Promotoras Genéticas , Proteínas Repressoras/metabolismo , Transativadores/genética , Transcrição Gênica , Virulência , Peixe-Zebra
9.
Cell Microbiol ; 22(3): e13152, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-31872937

RESUMO

The zebrafish (Danio rerio) has become a widely used vertebrate model for bacterial, fungal, viral, and protozoan infections. Due to its genetic tractability, large clutch sizes, ease of manipulation, and optical transparency during early life stages, it is a particularly useful model to address questions about the cellular microbiology of host-microbe interactions. Although its use as a model for systemic infections, as well as infections localised to the hindbrain and swimbladder having been thoroughly reviewed, studies focusing on host-microbe interactions in the zebrafish gastrointestinal tract have been neglected. Here, we summarise recent findings regarding the developmental and immune biology of the gastrointestinal tract, drawing parallels to mammalian systems. We discuss the use of adult and larval zebrafish as models for gastrointestinal infections, and more generally, for studies of host-microbe interactions in the gut.


Assuntos
Trato Gastrointestinal/imunologia , Trato Gastrointestinal/microbiologia , Trato Gastrointestinal/parasitologia , Peixe-Zebra , Animais , Infecções Bacterianas , Modelos Animais de Doenças , Microbioma Gastrointestinal , Interações entre Hospedeiro e Microrganismos , Doenças Inflamatórias Intestinais , Larva , Interações Microbianas , Infecções por Protozoários
10.
PeerJ ; 7: e6601, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30886780

RESUMO

BACKGROUND: Geographic variation in body size and condition can reveal differential local adaptation to resource availability or climatic factors. Body size and condition are related to fitness in garter snakes (Thamnophis), thus good body condition may increase survival, fecundity in females, and mating success in males. Phylogenetically related species in sympatry are predicted to exhibit similar body condition when they experience similar environmental conditions. We focused on interspecific and geographical variation in body size and condition in three sympatric Mexican garter snakes from the highlands of Central Mexico. METHODS: We assessed SVL, mass, and body condition (obtained from Major axis linear regression of ln-transformed body mass on ln-transformed SVL) in adults and juveniles of both sexes of Thamnophis eques, T. melanogaster, and T. scalaris sampled at different locations and ranges from 3-11 years over a 20-year period. RESULTS: We provide a heterogeneous pattern of sexual and ontogenic reproductive status variations of body size and condition among local populations. Each garter snake species shows locations with good and poor body condition; juvenile snakes show similar body condition between populations, adults show varying body condition between populations, and adults also show sex differences in body condition. We discuss variations in body condition as possibly related to the snakes' life cycle differences.

11.
Proc Natl Acad Sci U S A ; 116(11): 4828-4833, 2019 03 12.
Artigo em Inglês | MEDLINE | ID: mdl-30804197

RESUMO

Iron oxyhydroxide minerals, known to be chemically reactive and significant for elemental cycling, are thought to have been abundant in early-Earth seawater, sediments, and hydrothermal systems. In the anoxic Fe2+-rich early oceans, these minerals would have been only partially oxidized and thus redox-active, perhaps able to promote prebiotic chemical reactions. We show that pyruvate, a simple organic molecule that can form in hydrothermal systems, can undergo reductive amination in the presence of mixed-valence iron oxyhydroxides to form the amino acid alanine, as well as the reduced product lactate. Furthermore, geochemical gradients of pH, redox, and temperature in iron oxyhydroxide systems affect product selectivity. The maximum yield of alanine was observed when the iron oxyhydroxide mineral contained 1:1 Fe(II):Fe(III), under alkaline conditions, and at moderately warm temperatures. These represent conditions that may be found, for example, in iron-containing sediments near an alkaline hydrothermal vent system. The partially oxidized state of the precipitate was significant in promoting amino acid formation: Purely ferrous hydroxides did not drive reductive amination but instead promoted pyruvate reduction to lactate, and ferric hydroxides did not result in any reaction. Prebiotic chemistry driven by redox-active iron hydroxide minerals on the early Earth would therefore be strongly affected by geochemical gradients of Eh, pH, and temperature, and liquid-phase products would be able to diffuse to other conditions within the sediment column to participate in further reactions.

12.
J Vis Exp ; (143)2019 01 07.
Artigo em Inglês | MEDLINE | ID: mdl-30663701

RESUMO

Due to their transparency, genetic tractability, and ease of maintenance, zebrafish (Danio rerio) have become a widely-used vertebrate model for infectious diseases. Larval zebrafish naturally prey on the unicellular protozoan Paramecium caudatum. This protocol describes the use of P. caudatum as a vehicle for food-borne infection in larval zebrafish. P. caudatum internalize a wide range of bacteria and bacterial cells remain viable for several hours. Zebrafish then prey on P. caudatum, the bacterial load is released in the foregut upon digestion of the paramecium vehicle, and the bacteria colonize the intestinal tract. The protocol includes a detailed description of paramecia maintenance, loading with bacteria, determination of bacterial degradation and dose, as well as infection of zebrafish by feeding with paramecia. The advantage of using this method of food-borne infection is that it closely mimics the mode of infection observed in human disease, leads to more robust colonization compared to immersion protocols, and allows the study of a wide range of pathogens. Food-borne infection in the zebrafish model can be used to investigate bacterial gene expression within the host, host-pathogen interactions, and hallmarks of pathogenicity including bacterial burden, localization, dissemination and morbidity.


Assuntos
Doenças Transmitidas por Alimentos/parasitologia , Paramecium caudatum/fisiologia , Peixe-Zebra/parasitologia , Animais , Bactérias/metabolismo , Interações Hospedeiro-Patógeno , Larva/parasitologia , Paramecium caudatum/microbiologia , Comportamento Predatório , Peixe-Zebra/microbiologia
13.
Proc Natl Acad Sci U S A ; 115(24): E5477-E5486, 2018 06 12.
Artigo em Inglês | MEDLINE | ID: mdl-29844180

RESUMO

Covalently cross-linked pilus polymers displayed on the cell surface of Gram-positive bacteria are assembled by class C sortase enzymes. These pilus-specific transpeptidases located on the bacterial membrane catalyze a two-step protein ligation reaction, first cleaving the LPXTG motif of one pilin protomer to form an acyl-enzyme intermediate and then joining the terminal Thr to the nucleophilic Lys residue residing within the pilin motif of another pilin protomer. To date, the determinants of class C enzymes that uniquely enable them to construct pili remain unknown. Here, informed by high-resolution crystal structures of corynebacterial pilus-specific sortase (SrtA) and utilizing a structural variant of the enzyme (SrtA2M), whose catalytic pocket has been unmasked by activating mutations, we successfully reconstituted in vitro polymerization of the cognate major pilin (SpaA). Mass spectrometry, electron microscopy, and biochemical experiments authenticated that SrtA2M synthesizes pilus fibers with correct Lys-Thr isopeptide bonds linking individual pilins via a thioacyl intermediate. Structural modeling of the SpaA-SrtA-SpaA polymerization intermediate depicts SrtA2M sandwiched between the N- and C-terminal domains of SpaA harboring the reactive pilin and LPXTG motifs, respectively. Remarkably, the model uncovered a conserved TP(Y/L)XIN(S/T)H signature sequence following the catalytic Cys, in which the alanine substitutions abrogated cross-linking activity but not cleavage of LPXTG. These insights and our evidence that SrtA2M can terminate pilus polymerization by joining the terminal pilin SpaB to SpaA and catalyze ligation of isolated SpaA domains in vitro provide a facile and versatile platform for protein engineering and bio-conjugation that has major implications for biotechnology.


Assuntos
Aminoaciltransferases/metabolismo , Proteínas de Bactérias/metabolismo , Corynebacterium/metabolismo , Cisteína Endopeptidases/metabolismo , Proteínas de Fímbrias/metabolismo , Fímbrias Bacterianas/metabolismo , Catálise , Parede Celular/metabolismo , Cristalografia por Raios X/métodos , Peptidil Transferases/metabolismo , Polimerização
14.
Coluna/Columna ; 16(2): 93-96, Apr.-June 2017. tab, graf
Artigo em Inglês | LILACS | ID: biblio-890887

RESUMO

ABSTRACT Objective: To identify the incidence and type of postoperative hospital complications in patients with cervical spondylotic myelopathy (CSM) treated by anterior approach, and to describe comorbidities present in patients who had complications. Methods: Retrospective, observational, descriptive cohort study of secondary sources (medical records), over a period of 3 years. We included 180 cases treated by anterior approach, excluding revision surgeries. Results: There was an incidence of complications of 11.11% (20 cases), with no statistically significant difference between sexes. The main complication was pneumonia (50%), associated to prolonged intubation (40%), followed by neurological impairment (20%). In the hospital outcome he was found most often to another hospital discharge (65%, 13 cases). The main comorbidity was systemic arterial hypertension (31.58%, p = 0.46), followed by smoking (26.32%, p 0.10). Conclusions: The highest hospital incidence of postoperative complications was found in patients with CSM treated by anterior approach in relation to that reported in the literature. There was a high incidence of airway complications not correlated with soft tissue edema or hematoma in more than half of the cases. The incidence of airway complications shows an area of opportunity to improve extubation protocols and management of the airways in post-surgical special care unit. Level of Evidence III. SIRELCIS Registry: R-2014-3401-5. Study conducted without commercial support.


RESUMO Objetivo: Identificar a incidência e o tipo de complicações pós-operatórias hospitalares em pacientes com mielopatia espondilótica cervical (MEC) tratados por acesso anterior e descrever as comorbidades presentes em pacientes que tiveram complicações. Métodos: Estudo de coorte, retrospectivo, observacional, e descritivo de fontes secundárias (prontuários médicos), em um período de três anos. Foram incluídos 180 casos tratados por acesso anterior, excluindo cirurgias de revisão. Resultados: Verificou-se incidência de complicações de 11,11% (20 casos), sem diferença estatisticamente significativa entre sexos. A principal complicação foi pneumonia (50%), associada à intubação prolongada (40%), seguida de comprometimento neurológico (20%). No momento da alta, ele foi encontrado na maioria das vezes para outra alta hospitalar (65% dos casos). A principal comorbidade presente foi hipertensão arterial sistêmica (31,58%, p = 0,46), seguida por tabagismo (26,32%, p 0,10). Conclusões: A maior incidência hospitalar de complicações pós-operatórias foi encontrada em pacientes com MEC tratados por acesso anterior com relação ao relatado na literatura. Constatou-se alta incidência de complicações nas vias aéreas não correlacionadas a edema de tecidos moles ou hematoma em mais da metade dos casos. A incidência de complicações nas vias respiratórias mostra uma área de oportunidade para melhorar os protocolos de extubação e manejo das vias aéreas na unidade de cuidados especiais pós-cirúrgicos. Nível de evidência III. Registro SIRELCIS: R-2014-3401-5. Estudo realizado sem apoio comercial.


RESUMEN Objetivo: Identificar la incidencia y el tipo de complicaciones posquirúrgicas intrahospitalarias en pacientes con mielopatía espondilótica cervical (MEC) tratados por vía anterior y describir las comorbilidades presentes en los pacientes que desarrollaron complicaciones. Métodos: Estudio de cohorte retrospectivo, observacional, descriptivo de fuentes secundarias (expediente clínico), en un período de 3 años. Se incluyeron 180 casos de MEC tratados por vía anterior, excluyendo cirugías de revisión. Resultados: Se encontró una incidencia de complicaciones del 11,11% (20 casos), sin diferencia estadísticamente significativa entre sexos. La principal complicación fue neumonía (50%), asociada en 40% a intubación prolongada, seguida por deterioro neurológico (20%). En el desenlace hospitalario se encontró con mayor frecuencia el egreso a otro hospital (65% de los casos complicados). La principal comorbilidad presente fue la hipertensión arterial sistémica (31,58%, p = 0,46), seguida por tabaquismo (26,32%, p 0,10). Conclusiones: Se encontró mayor incidencia de complicaciones posquirúrgicas intrahospitalarias en pacientes con MEC tratados por vía anterior, en relación con lo reportado en la literatura. Se encontró incidencia elevada de complicaciones de vías aéreas, sin relación con edema de partes blandas o hematoma en más de la mitad de los casos. La incidencia de complicaciones de vías respiratorias muestra un área de oportunidad para la mejora de los protocolos de extubación y manejo de vías respiratorias en la unidad de cuidados especiales posquirúrgicos. Nivel de evidencia III. Registro SIRELCIS: R-2014-3401-5. Estudio realizado sin apoyo comercial.


Assuntos
Humanos , Complicações Pós-Operatórias , Doenças da Medula Espinal , Coluna Vertebral/cirurgia , Procedimentos Cirúrgicos Operatórios/efeitos adversos
15.
Proc Math Phys Eng Sci ; 472(2195): 20160466, 2016 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-27956875

RESUMO

Rio Tinto in southern Spain has become of increasing astrobiological significance, in particular for its similarity to environments on early Mars. We present evidence of tubular structures from sampled terraces in the stream bed at the source of the river, as well as ancient, now dry, terraces. This is the first reported finding of tubular structures in this particular environment. We propose that some of these structures could be formed through self-assembly via an abiotic mechanism involving templated precipitation around a fluid jet, a similar mechanism to that commonly found in so-called chemical gardens. Laboratory experiments simulating the formation of self-assembling iron oxyhydroxide tubes via chemical garden/chemobrionic processes form similar structures. Fluid-mechanical scaling analysis demonstrates that the proposed mechanism is plausible. Although the formation of tube structures is not itself a biosignature, the iron mineral oxidation gradients across the tube walls in laboratory and field examples may yield information about energy gradients and potentially habitable environments.

16.
Int J Legal Med ; 130(6): 1505-1507, 2016 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-27470318

RESUMO

Genetic data from 17 autosomal short tandem repeat (STR) loci found in the Powerplex® ESX 17 System (Promega, Madison, WI, USA) was evaluated in 162 unrelated Mexican Mestizo individuals from Mexico City. Allele frequencies and forensic parameters were estimated for the 17 STRs. All loci analyzed were in Hardy-Weinberg equilibrium in the studied population and showed not any signs of linkage between loci. The combined power of discrimination and the power of exclusion for the 16 aSTRs studied were 1-2.56409·10-19 and 99.999938 %, respectively. Genetic distances reveal a close relationship within different populations of Mexican Mestizos. The obtained data might be useful for population genetics research and for individual identification and paternity testing in forensic science.


Assuntos
Etnicidade/genética , Variação Genética , Genética Populacional , Repetições de Microssatélites , Impressões Digitais de DNA , Frequência do Gene , Humanos , México , Reação em Cadeia da Polimerase
17.
Estud. interdiscip. envelhec ; 19(1): 27-45, abr. 2014.
Artigo em Espanhol | LILACS | ID: lil-731598

RESUMO

En el presente articulo se pretende establecer algunos referentes conceptuales que provean una mejor comprension de los cambios que conciernen a los roles de las personas de la tercera edad, a partir de su experiencia directa o indirecta en el fenomeno de la migracion. Se toma como contexto geografico el estado de Guanajuato en Mexico, situando algunos datos socio-demograficos del mismo. Especificamente se abordara el caso de una mujer que vive en la localidad de El Espejo, del municipio de Silao. Los datos presentados, si bien tienen diferentes bases empiricas, se han de considerar una primera etapa de la investigacion, en tanto no se cuenta en este momento en Mexico con un instrumento fiable de base empirica que nos permita estructurar un panorama mas claro sobre las tendencias que atraviesan a los procesos familiares, migratorios y de envejecimiento.


This article seeks to establish some conceptual referents that might provide a better comprehension of the changes concerning the roles of the elderly people, heading from their direct or indirect experience in the phenomenon of migration. The state of Guanajuato in Mexico is taken as geographical context, placing some sociodemographic data of it. Specifically it will address the case of a woman who lives in El Espejo, municipality of Silao. By presenting some different empirical bases, the data presented must be considered preliminary, as there isn’t, currently, a reliable instrument of empirical basis in Mexico that allows us to structure a clearer picture of the trends that go through the processes of family, migration and aging.


Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Envelhecimento/psicologia , Características da Família , Desempenho de Papéis , México
19.
J Med Food ; 14(7-8): 828-33, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21548799

RESUMO

The aim of the present study was to compare the effect of Lactobacillus casei and a commercial mixed combination of fruit juice that included Garcinia mangostana fruit extract on body weight gain from 7 to 90 days of age, on the antibody response 23 days after vaccination against Newcastle disease virus (NDV), and on the mortality in fighting roosters. Fifty-four 7-day-old birds were randomly distributed into three groups (treated with L. casei, G. mangostana, and saline solution [LC, GM, and SS groups, respectively]) of 18 animals each; all birds were orally treated daily. At 60 and 90 days, the LC group showed the highest body weight gain compared with the other two groups (P<.01). The mean levels of antibody to NDV were significantly higher in the GM group compared with the LC and SS groups (P<.05). Throughout the study the percentages of mortality were 5.55%, 0%, and 22.22% for the LC, GM, and SS groups, respectively. The results indicate that L. casei and the commercial mangosteen dietary supplement intake, compared with the control group, induce beneficial effects in fighting roosters--L. casei on weight gain and the commercial mixed combination of fruit juice with G. mangostana fruit extract on humoral immune response--and both showed none or very low mortality.


Assuntos
Suplementos Nutricionais/análise , Garcinia mangostana/química , Lacticaseibacillus casei/fisiologia , Doença de Newcastle/tratamento farmacológico , Extratos Vegetais/administração & dosagem , Doenças das Aves Domésticas/tratamento farmacológico , Probióticos/administração & dosagem , Aumento de Peso/efeitos dos fármacos , Animais , Formação de Anticorpos/efeitos dos fármacos , Bebidas/análise , Galinhas , Masculino , Doença de Newcastle/imunologia , Doença de Newcastle/fisiopatologia , Doença de Newcastle/virologia , Vírus da Doença de Newcastle/imunologia , Doenças das Aves Domésticas/imunologia , Doenças das Aves Domésticas/fisiopatologia , Doenças das Aves Domésticas/virologia , Vacinas Virais/administração & dosagem , Vacinas Virais/imunologia
20.
CIUDAD DE MEXICO; s.n; s.n; 20090209. 1-62 p. PDF Tab. (001-00961-F1-2009).
Tese em Espanhol | LILACS, BDENF - Enfermagem | ID: biblio-980257

RESUMO

Introducción: El bajo peso al nacer es un problema de salud pública mundial y su estudio es fundamental en tanto que la vida depende dela ganancia de peso y es aquí el cuidado de enfermería es por demás relevante. Objetivo General: Analizar la evidencia clínica sobre la posición prona como estrategia de cuidado para favorecer la ganancia ponderal en el RNBP y elaborar un protocolo de investigación de enfermería. Antecedentes: Las evidencias revelan que la posición prona en el RNBP se ha asociado con mejoría en la oxigenación, disminución del gasto de energía, actividad motora, llanto, estrés así como estabilidad en las funciones fisiológicas, sin embargo existen variables asociadas a la posición que influyen en la sobrevida del recién nacido al conservar y ganar peso. Metodología: Se realizó un análisis del estado del arte sobre la posición prona y supina en RNBP en el período de 1985 al 2008 en bases de datos CINALH, Cochrane, Medlline, Artemisa. Se elaboró un código de búsqueda que consistió en preterm, premataure, low birthweight neonates, prone, supine, position, weigth growth/gain, preterm/infant new born, premature infant/neonate, prone/supine position, prone/supine placement y sus sinónimos en español. Conclusiones: La posición prona en contraste con otras posiciones es benéfica ya que tiene implicaciones en las funciones fisiológicas, principalmente en la oxigenación evitando fatiga y consumo de gasto calórico que repercuten en la ganancia de peso. Sin embargo como cuidado de enfermería es por demás trascendental, en tanto que su aplicación de manera documentada, permite primero disminuir riesgos que pueden incidir en la vida y ganancia de peso, segundo para la institución reducir estancia hospitalaria y consecuentemente costo, tercero como indicador de calidad del cuidado. Sin lugar a dudas el diseño de un protocolo de intervención de enfermería en el cuidado básico de la posición tiene vital importancia.


Introduction: Low birth weight is a global public health problem and its study is fundamental in that life depends on weight gain and nursing care is important here. General Objective: To analyze the clinical evidence on the prone position as a care strategy to favor weight gain in the RNBP and to elaborate a nursing research protocol. Background: The evidence reveals that the prone position in the RNBP has been associated with improvement in oxygenation, decreased energy expenditure, motor activity, crying, stress as well as stability in physiological functions, however there are variables associated with the position that They influence the survival of the newborn by conserving and gaining weight. Methodology: An analysis of the state of the art on the prone and supine position in RNBP was carried out in the period from 1985 to 2008 in databases CINALH, Cochrane, Medlline, Artemisa. A search code was elaborated that consisted of preterm, premataure, low birthweight neonates, prone, supine, position, weigth growth / gain, preterm / infant newborn, premature infant / neonate, prone / supine position, prone / supine placement and their synonyms in Spanish. Conclusions: The prone position in contrast to other positions is beneficial since it has implications in physiological functions, mainly in oxygenation avoiding fatigue and consumption of caloric expenditure that have an impact on weight gain. However, as nursing care is very important, while its application in a documented manner, first allows to reduce risks that may affect life and weight gain, second for the institution to reduce hospital stay and consequently cost, third as an indicator of quality of care Undoubtedly, the design of a nursing intervention protocol in the basic care of the position is of vital importance.


Introdução: O baixo peso ao nascer é um problema global de saúde pública e seu estudo é fundamental, pois a vida depende do ganho de peso e o cuidado de enfermagem é importante aqui. Objetivo Geral: Analisar a evidência clínica na posição prona como uma estratégia de atenção para promover ganho de peso em BPN e desenvolver um protocolo de pesquisa de enfermagem. Antecedentes: A evidência mostra que a posição prona no BPN tem sido associada com melhora da oxigenação, redução do gasto energético, atividade motora, choro, estresse e estabilidade nas funções fisiológicas, mas há variáveis ​​associadas com a posição Eles influenciam a sobrevivência do recém-nascido, conservando e ganhando peso. Metodologia: uma análise do estado da arte da posição prona e supina no BPN no período de 1985 a 2008 foi realizada em base CINALH, Cochrane, Medlline, os dados Artemis. uma pesquisa de código consistia em prematuros, premataure, neonatos baixo peso ao nascer, de bruços, supina, posição, weigth crescimento / ganho, prematuro / bebes recém-nascido, prematuro infantil / neonatal, posição prona / supina foi desenvolvido, propenso / colocação em decúbito dorsal e sinônimos em espanhol. Conclusões: posição de pronação, em contraste com outras posições é benéfico porque tem implicações para as funções fisiológicas, particularmente em evitar a fadiga e o consumo de oxigenação do consumo de calorias afectar o ganho de peso. No entanto, como os cuidados de enfermagem é outro transcendental, enquanto que a sua aplicação documentado forma, pode primeiro reduzir os riscos que podem afetar o ganho de vida e de peso, segundo a instituição para reduzir tempo de internação e, consequentemente, o custo, o terceiro como um indicador de qualidade de atendimento Sem dúvida, o desenho de um protocolo de intervenção de enfermagem no cuidado básico da posição é de vital importância.


Assuntos
Recém-Nascido , Decúbito Ventral
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