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1.
Surg Endosc ; 36(2): 1675-1682, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-34499220

RESUMO

BACKGROUND: Minimally invasive Ivor Lewis esophagectomy (MIILE) provides better outcomes than open techniques, particularly in terms of post-operative recovery and pulmonary complications. However, in addition to requiring advanced technical skills, thoracoscopic access makes it hard to perform esophagogastric anastomosis safely, and the reported rates of anastomotic leak vary from 5 to 16%. Several minimally invasive esophago-gastric anastomotic techniques have been described, but to date strong evidence to support one technique over the others is still lacking. We herein report the technical details and preliminary results of a new robot-assisted hand-sewn esophago-gastric anastomosis technique. METHODS: From January 2018 to December 2020, 12 cases of laparoscopic/thoracoscopic Ivor Lewis esophagectomy with robot-assisted hand-sewn esophago-gastric anastomosis were performed. The gastric conduit was prepared and tailored taking care of vascularization with a complete resection of the gastric fundus. The anastomosis consisted of a robot-assisted, hand-sewn four layers of absorbable monofilament running barbed suture (V-lock). The posterior outer layer incorporated the gastric and esophageal staple lines. RESULTS: The post-operative course was uneventful in nine cases. Two patients developed chyloperitoneum, one patient a Sars-Cov-2 infection, and one patient a late anastomotic stricture. In all cases, there were no anastomotic leaks or delayed gastric conduit emptying. The median post-operative stay was 13 days (min 7, max 37 days); the longest in-hospital stay was recorded in patients who developed chyloperitoneum. CONCLUSION: Despite the small series, we believe that our technique looks to be promising, safe, and reproducible. Some key points may be useful to guarantee a low complications rate after MIILE, particularly regarding anastomotic leaks and delayed emptying: the resection of the gastric fundus, the use of robot assistance, the incorporation of the staple lines in the posterior aspect of the anastomosis, and the use of barbed suture. Further cases are needed to validate the preliminary, but very encouraging, results.


Assuntos
COVID-19 , Neoplasias Esofágicas , Robótica , Anastomose Cirúrgica , Fístula Anastomótica/etiologia , Neoplasias Esofágicas/cirurgia , Esofagectomia , Humanos , Estudos Retrospectivos , SARS-CoV-2
2.
Sci Adv ; 5(9): eaax3793, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31799401

RESUMO

The precise measurement of the spectrum of protons, the most abundant component of the cosmic radiation, is necessary to understand the source and acceleration of cosmic rays in the Milky Way. This work reports the measurement of the cosmic ray proton fluxes with kinetic energies from 40 GeV to 100 TeV, with 2 1/2 years of data recorded by the DArk Matter Particle Explorer (DAMPE). This is the first time that an experiment directly measures the cosmic ray protons up to ~100 TeV with high statistics. The measured spectrum confirms the spectral hardening at ~300 GeV found by previous experiments and reveals a softening at ~13.6 TeV, with the spectral index changing from ~2.60 to ~2.85. Our result suggests the existence of a new spectral feature of cosmic rays at energies lower than the so-called knee and sheds new light on the origin of Galactic cosmic rays.

4.
Animal ; 11(8): 1270-1278, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28031067

RESUMO

The faba bean (Vicia faba L.) is a potential source of proteins for poultry, mainly for laying hens whose protein requirements are lower than those of other birds such as growing broilers and turkeys. However, this feedstuff contains anti-nutritional factors, that is, vicine (V) and convicine (C) that are already known to reduce laying hen performance. The aim of the experiment reported here was to evaluate the effects of a wide range of dietary V and C concentrations in laying hens. Two trials were performed with laying hens fed diets including 20% or 25% of faba bean genotypes highly contrasting in V+C content. In Trial 1, faba beans from two tannin-containing cultivars, but with high or low V+C content were dehulled in order to eliminate the tannin effect. In addition to the contrasting levels of V+C in the two cultivars, two intermediate levels of V+C were obtained by mixing the two cultivars (70/30 and 30/70). In Trial 2, two isogenic zero-tannin faba bean genotypes with high or low V+C content were used. In both trials, a classical corn-soybean diet was also offered to control hens. Each experimental diet was given to 48 laying hens for 140 (Trial 1) or 89 (Trial 2) days. Laying performance and egg quality were measured. The redox sensitivity of red blood cells (RBCs) was assessed by measuring hemolysis and reduced glutathione (GSH) concentration in these cells. Egg weight was significantly reduced by the diets containing the highest concentrations of V+C (P<0.0001) in Trial 1 and slightly reduced (P<0.10) in Trial 2, but only weak linear relationships between egg weight and dietary V+C concentration were established. No negative effect of V+C level was observed for egg quality parameters. In contrast, certain parameters (i.e. Haugh units, yolk color) were improved by feeding low V+C diets (P<0.05). Hemolysis of RBCs was higher in hens fed high V+C diets. A decrease in GSH concentration in RBCs of hens fed the highest levels of V+C was observed. Faba bean genotypes with low concentrations of V+C can therefore be used in laying hen diets up to 25% without any detrimental effects on performance levels or egg characteristics, without any risk of hemolysis of RBCs.


Assuntos
Ração Animal , Galinhas/fisiologia , Glucosídeos/farmacologia , Pirimidinonas/farmacologia , Uridina/análogos & derivados , Vicia faba/química , Animais , Dieta/veterinária , Eritrócitos/efeitos dos fármacos , Feminino , Genótipo , Glucosídeos/análise , Ovulação/efeitos dos fármacos , Óvulo/efeitos dos fármacos , Pirimidinonas/análise , Glycine max , Taninos/análise , Uridina/análise , Uridina/farmacologia , Vicia faba/genética
6.
Rev. colomb. cardiol ; 22(5): 207-217, set.-oct. 2015. ilus, tab
Artigo em Espanhol | LILACS, COLNAL | ID: lil-765563

RESUMO

Antecedentes; Aunque las unidades de dolor torácico (UDT) permiten la estratificación y atención apropiada de los pacientes con dolor de pecho, en Colombia el desarrollo e implementación sistemática y estandarizada de este proceso de atención es escaso. Objetivo: Evaluar el impacto clínico y la seguridad del proceso de atención de una UDT en pacientes con probabilidad baja e intermedia de síndrome coronario agudo en Medellín, Colombia. Métodos: Estudio descriptivo que incluyó 277 pacientes, que fueron ingresados en una UDT de quienes se obtuvo información demográfica, clínica y de la gestión del proceso de atención. En el seguimiento a 30 días se evaluó la sobrevida y eventos compatibles con la enfermedad coronaria. Resultados De toda la muestra, el 13,0% de los pacientes fue remitido a un tercer nivel de atención y solo el 2,5% tuvieron un diagnóstico final confirmado de síndrome coronario agudo. La mediana del tiempo entre la recepción en urgencias y la toma del electrocardiograma fue 10,0 minutos, en el servicio de urgencias se calculó el puntaje TIMI y se hizo la estratificación del riesgo en el 85,5 y 73,9%, respectivamente. La comparación entre la fase de implementación y consolidación mostró una mejoría en los indicadores (p < 0,05). Durante el seguimiento a 30 días no se observaron muertes ni eventos coronarios. Conclusión: La UDT basada en la evaluación clínica, la aplicación de la escala TIMI y la interpretación del electrocardiograma, constituyen una forma eficaz de estratificación de los pacientes con probabilidad baja o intermedia de síndrome coronario agudo, su implementación es segura y el riesgo de complicaciones es muy bajo.


Background: Chest pain units (CPU) are an accepted method to assess patients admitted to an emergency department with chest pain with a potential ischemic origin. Yet in Colombia, the customary admission to a CPU in a standardized fashion is scarce and, to our knowledge, the outcome of implementing recognized protocols for chest pain has not been evaluated. Objective: To assess the clinical impact and security of CPU, in patients with, low and intermediate probability of acute coronary syndrome, in Medellín, Colombia. Methods: A descriptive study comprising 277 subjects who were consecutively admitted to the CPU. Variables included demographics, and performance measures to assess the process of care (timely action and process completion). A 30 days follow-up included survival and new admissions compatible with coronary syndromes. Results: From the whole sample, 13.0% of patients were referred for hospitalization. However, only 2.5% had a final diagnosis of an acute coronary syndrome. Median time between reception and an electrocardiogram acquisition was 10 minutes TIMI score and acute coronary syndrome probability were reported in 85.5 and 73.9% of subjects respectively. Comparison between early implementation and consolidation phases showed a sensible improvement of performance measure indicators (p < 0.05). In addition, 30-day follow-up showed neither fatalities nor new coronary events. Conclusion: Chest pain observation unit based on clinical assessment of thoracic pain, TIMI risk score and ST segment changes interpretation in the ECG is a safe and efficacious way to stratify low and intermediate chest pain leading to a safe patient discharge with very low risk of cardiovascular complications.


Assuntos
Dor no Peito , Fatores de Risco , Atenção à Saúde , Eletrocardiografia , Síndrome Coronariana Aguda
7.
Glia ; 63(8): 1429-51, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-26010717

RESUMO

In the central nervous system, NG2-glia represent a neural cell population that is distinct from neurons, astrocytes, and oligodendrocytes. While in the past the main role ascribed to these cells was that of progenitors for oligodendrocytes, in the last years it has become more obvious that they have further functions in the brain. Here, we will discuss some of the most current and highly debated issues regarding NG2-glia: Do these cells represent a heterogeneous population? Can they give rise to different progenies, and does this change under pathological conditions? How do they respond to injury or pathology? What is the role of neurotransmitter signaling between neurons and NG2-glia? We will first give an overview on the developmental origin of NG2-glia, and then discuss whether their distinct properties in different brain regions are the result of environmental influences, or due to intrinsic differences. We will then review and discuss their in vitro differentiation potential and in vivo lineage under physiological and pathological conditions, together with their electrophysiological properties in distinct brain regions and at different developmental stages. Finally, we will focus on their potential to be used as therapeutic targets in demyelinating and neurodegenerative diseases. Therefore, this review article will highlight the importance of NG2-glia not only in the healthy, but also in the diseased brain.


Assuntos
Sistema Nervoso Central/fisiologia , Neuroglia/fisiologia , Animais , Sistema Nervoso Central/crescimento & desenvolvimento , Sistema Nervoso Central/lesões , Sistema Nervoso Central/fisiopatologia , Humanos
8.
Glia ; 61(10): 1659-72, 2013 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-23918253

RESUMO

We have previously demonstrated that Sox17 expression is prominent at developmental stages corresponding to oligodendrocyte progenitor cell (OPC) cycle exit and onset of differentiation, and that Sox17 promotes initiation of OPC differentiation. In this study, we examined Sox17 expression and regulation under pathological conditions, particularly in two animal models of demyelination/remyelination and in post-mortem multiple sclerosis (MS) brain lesions. We found that the number of Sox17 expressing cells was significantly increased in lysolecithin (LPC)-induced lesions of the mouse spinal cord between 7 and 30 days post-injection, as compared with controls. Sox17 immunoreactivity was predominantly detected in Olig2(+) and CC1(+) oligodendrocytes and rarely in NG2(+) OPCs. The highest density of Sox17(+) oligodendrocytes was observed at 2 weeks after LPC injection, coinciding with OPC differentiation. Consistent with these findings, in cuprizone-treated mice, Sox17 expression was highest in newly generated and in maturing CC1(+) oligodendrocytes, but low in NG2(+) OPCs during the demyelination and remyelination phases. In MS tissue, Sox17 was primarily detected in actively demyelinating lesions and periplaque white matter. Sox17 immunoreactivity was co-localized with NOGO-A+ post-mitotic oligodendrocytes both in active MS lesions and periplaque white matter. Taken together, our data: (i) demonstrate that Sox17 expression is highest in newly generated oligodendrocytes under pathological conditions and could be used as a marker of oligodendrocyte regeneration, and (ii) are suggestive of Sox17 playing a critical role in oligodendrocyte differentiation and lesion repair.


Assuntos
Encéfalo/patologia , Doenças Desmielinizantes/patologia , Esclerose Múltipla/patologia , Oligodendroglia/metabolismo , Fatores de Transcrição SOXF/metabolismo , Idoso , Animais , Antígenos/metabolismo , Proteínas Relacionadas à Autofagia , Fatores de Transcrição Hélice-Alça-Hélice Básicos/metabolismo , Bromodesoxiuridina/metabolismo , Cuprizona/toxicidade , Doenças Desmielinizantes/induzido quimicamente , Modelos Animais de Doenças , Feminino , Humanos , Peptídeos e Proteínas de Sinalização Intracelular/metabolismo , Antígenos Comuns de Leucócito/metabolismo , Lipopolissacarídeos/toxicidade , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Pessoa de Meia-Idade , Inibidores da Monoaminoxidase/toxicidade , Proteína Básica da Mielina/metabolismo , Proteínas do Tecido Nervoso/metabolismo , Fator de Transcrição 2 de Oligodendrócitos , Proteoglicanas/metabolismo , Fatores de Tempo , Regulação para Cima/efeitos dos fármacos
9.
Food Chem ; 141(3): 3028-33, 2013 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-23871055

RESUMO

In this study, non-targeted (1)H NMR fingerprinting was used in combination with multivariate statistical techniques for the classification of Italian sweet cherries based on their different geographical origins (Emilia Romagna and Puglia). As classification techniques, Soft Independent Modelling of Class Analogy (SIMCA), Partial Least Squares Discriminant Analysis (PLS-DA), and Linear Discriminant Analysis (LDA) were carried out and the results were compared. For LDA, before performing a refined selection of the number/combination of variables, two different strategies for a preliminary reduction of the variable number were tested. The best average recognition and CV prediction abilities (both 100.0%) were obtained for all the LDA models, although PLS-DA also showed remarkable performances (94.6%). All the statistical models were validated by observing the prediction abilities with respect to an external set of cherry samples. The best result (94.9%) was obtained with LDA by performing a best subset selection procedure on a set of 30 principal components previously selected by a stepwise decorrelation. The metabolites that mostly contributed to the classification performances of such LDA model, were found to be malate, glucose, fructose, glutamine and succinate.


Assuntos
Espectroscopia de Ressonância Magnética/métodos , Prunus/química , Análise Discriminante , Geografia , Itália , Análise Multivariada , Prunus/classificação
10.
Ultrasound Obstet Gynecol ; 42(6): 669-78, 2013 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-23801593

RESUMO

OBJECTIVE: To assess prospectively the use of four-dimensional (4D) spatiotemporal image correlation (STIC) in the evaluation of the fetal heart at 11-14 weeks' gestation. METHODS: The study involved offline analysis of 4D-STIC volumes of the fetal heart acquired at 11-14 weeks' gestation in a population at high risk for congenital heart disease (CHD). Regression analysis was used to investigate the effect of gestational age, maternal body mass index, quality of the 4D-STIC volume, use of a transvaginal vs transabdominal probe and use of color Doppler ultrasonography on the ability to visualize separately different heart structures. The accuracy in diagnosing CHD based on early fetal echocardiography (EFE) using 4D-STIC vs conventional two-dimensional (2D) ultrasound was also evaluated. RESULTS: One hundred and thirty-nine fetuses with a total of 243 STIC volumes were included in this study. Regression analysis showed that the ability to visualize different heart structures was correlated with the quality of the acquired 4D-STIC volumes. Independently, the use of a transvaginal approach improved visualization of the four-chamber view, and the use of Doppler improved visualization of the outflow tracts, aortic arch and interventricular septum. Follow-up was available in 121 of the 139 fetuses, of which 27 had a confirmed CHD. A diagnosis based on EFE using 4D-STIC was possible in 130 (93.5%) of the 139 fetuses. Accuracy in diagnosing CHD using 4D-STIC was 88.7%, and the results of 45% of the cases were fully concordant with those of 2D ultrasound or the final follow-up diagnosis. EFE using 2D ultrasound was possible in all fetuses, and accuracy in diagnosing CHD was 94.2%. Five of the seven false-positive or false-negative cases were minor CHD. CONCLUSIONS: In fetuses at 11-14 weeks' gestation, the heart can be evaluated offline using 4D-STIC in a large number of cases, and this evaluation is more successful the higher the quality of the acquired volume. 2D ultrasound remains superior to 4D-STIC at 11-14 weeks, unless volumes of good to high quality can be obtained.


Assuntos
Ecocardiografia Quadridimensional/métodos , Coração Fetal/diagnóstico por imagem , Idade Gestacional , Cardiopatias Congênitas/diagnóstico por imagem , Adolescente , Adulto , Índice de Massa Corporal , Volume Cardíaco , Estudos de Coortes , Ecocardiografia/métodos , Ecocardiografia Doppler em Cores/métodos , Feminino , Coração Fetal/anormalidades , Humanos , Modelos Logísticos , Pessoa de Meia-Idade , Análise Multivariada , Gravidez , Primeiro Trimestre da Gravidez , Estudos Prospectivos , Sensibilidade e Especificidade , Ultrassonografia Pré-Natal/métodos , Adulto Jovem
11.
Eur J Neurol ; 20(5): 740-7, 2013 May.
Artigo em Inglês | MEDLINE | ID: mdl-23121321

RESUMO

Ataxia telangiectasia (A-T) is a rare autosomal recessive disorder characterized by progressive neurological dysfunction. To date, only supportive care aimed to halt the progressive neurodegeneration is available for the treatment. Recently, an improvement of neurological signs during short-term treatment with betamethasone has been reported. To date, the molecular and biochemical mechanisms by which the steroid produces such effects have not yet been elucidated. Therefore, a review of the literature was carried out to define the potential molecular and functional targets of the steroid effects in A-T. Glucocorticoids (GCs) are capable of diffusing into the CNS by crossing the blood-brain barrier (BBB) where they exert effects on the suppression of inflammation or as antioxidant. GCs have been shown to protect post-mitotic neurons from apoptosis. Eventually, GCs may also modulate synaptic plasticity. A better understanding of the mechanisms of action of GCs in the brain is needed, because in A-T during the initial phase of cell loss the neurological impairment may be rescued by interfering in the biochemical pathways. This would open a new window of intervention in this so far incurable disease.


Assuntos
Ataxia Telangiectasia/tratamento farmacológico , Ataxia Telangiectasia/fisiopatologia , Betametasona/uso terapêutico , Proteínas de Ciclo Celular/fisiologia , Proteínas de Ligação a DNA/fisiologia , Glucocorticoides/uso terapêutico , Degeneração Neural/tratamento farmacológico , Plasticidade Neuronal/efeitos dos fármacos , Proteínas Serina-Treonina Quinases/fisiologia , Proteínas Supressoras de Tumor/fisiologia , Ataxia Telangiectasia/genética , Proteínas Mutadas de Ataxia Telangiectasia , Betametasona/farmacologia , Proteínas de Ciclo Celular/genética , Proteínas de Ligação a DNA/genética , Glucocorticoides/fisiologia , Humanos , Modelos Genéticos , Estresse Oxidativo/fisiologia , Proteínas Serina-Treonina Quinases/genética , Proteínas Supressoras de Tumor/genética
12.
J Neurol ; 260(4): 1081-6, 2013 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-23212755

RESUMO

Factors modifying the clinical penetrance of DYT1 dystonia are incompletely defined. Particularly, the contribution of extragenetic factors has been subject to only limited investigation and remains largely unexplored. A possible effect of childhood infections has been proposed, and the effect of other factors, such as perinatal adversity and trauma, has not been systematically investigated. We performed an exploratory analysis of the exposure to perinatal adversity, childhood infections, general anaesthesia and trauma comparing 39 manifesting carriers of the ∆GAG mutation, 23 non-manifesting carriers and 48 non-carriers from a multi-centre European series of 28 families with DYT1 dystonia, by means of a self-completed questionnaire and clinical interview. Detailed information on perinatal adversities (pre-term birth, complications at natural delivery, urgent caesarean section), previous childhood infections, and prior general anaesthesia or physical trauma was recorded. A positive association between a history of complications of vaginal delivery and manifestation of dystonia was detected, which was not confounded by age, gender, or education level (odds ratio 8.47, 95 % confidence interval 1.45-49.4, p = 0.02). We could not observe any significant association between presence of dystonia and the other investigated variables. Comparing non-manifesting carriers to non-carriers, the presence of the ∆GAG mutation per se was not associated with any of the environmental exposures explored. Perinatal adversities might modulate the clinical penetrance of DYT1 dystonia; their interaction with known genetic factors modifying penetrance of this condition should be investigated in new, larger collaborative studies.


Assuntos
Distonia/etiologia , Chaperonas Moleculares/genética , Mutação/genética , Penetrância , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Análise de Variância , Estudos de Casos e Controles , Estudos Transversais , Distonia/epidemiologia , Distonia/genética , Exposição Ambiental/estatística & dados numéricos , Europa (Continente)/epidemiologia , Feminino , Humanos , Infecções/complicações , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Adulto Jovem
13.
Eur J Clin Nutr ; 66(8): 957-63, 2012 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22669330

RESUMO

BACKGROUND/OBJECTIVES: Cross-sectionally, educational attainment is strongly associated with the prevalence of obesity, but this association is less clear for weight change during adult life. The objective of this study is to examine the association between educational attainment and weight change during adult life in the European Prospective Investigation into Cancer and Nutrition (EPIC). SUBJECTS/METHODS: EPIC is a cohort study with 361,467 participants and up to 10 years of follow-up. Educational attainment was categorized according to the highest obtained school level (primary school or less, vocational secondary training, other secondary education and university). Multivariate mixed-effects linear regression models were used to study education in relation to weight at age 20 years (self-reported), to annual change in weight between age 20 years and measured weight at recruitment, and to annual change in weight during follow-up time. RESULTS: Higher educational attainment was associated with on average a lower body mass index (BMI) at age 20 years and a lower increase in weight up to recruitment (highest vs lowest educational attainment in men: -60 g per year (95% confidence interval (CI) -80; -40), women -110 g per year (95% CI -130; -80)). Although during follow-up after recruitment an increase in body weight was observed in all educational levels, gain was lowest in men and women with a university degree (high vs low education -120 g per year (95% CI -150; -90) and -70 g per year (95% CI -90; -60), respectively). CONCLUSIONS: Existing differences in BMI between higher and lower educated individuals at early adulthood became more pronounced during lifetime, which possibly impacts on obesity-related chronic disease risk in persons with lower educational attainment.


Assuntos
Peso Corporal , Escolaridade , Obesidade/epidemiologia , Adulto , Índice de Massa Corporal , Doença Crônica , Estudos de Coortes , Estudos Transversais , Ingestão de Energia , Europa (Continente)/epidemiologia , Feminino , Seguimentos , Humanos , Estilo de Vida , Modelos Lineares , Masculino , Pessoa de Meia-Idade , Estado Nutricional , Prevalência , Fatores de Risco , Inquéritos e Questionários
14.
Ultrasound Obstet Gynecol ; 39(6): 679-84, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22407734

RESUMO

OBJECTIVE: To determine the feasibility of postmortem computed tomographic (pm-CT) angiography for fetal heart evaluation. METHODS: Following termination of pregnancy (TOP) or intrauterine fetal death (IUFD) beyond 18 weeks' gestation, 33 fetuses were examined by pm-CT; in eight contrast medium was injected through the umbilical cord and in 25 contrast medium was injected directly into the heart. Logistic regression analysis was used to investigate the effect on the ability to visualize cardiac structures on pm-CT angiography of gestational age at TOP or delivery following IUFD, the time delay between fetal death and examination, the technique used for contrast-medium injection, the presence of cardiac abnormalities and whether or not there was IUFD. The diagnostic accuracy of pm-CT angiography for the evaluation of fetal cardiac structures was also evaluated. RESULTS: Cardiac anatomy including heart situs, the four-chamber view and great vessels could be visualized on pm-CT angiography in 29 out of 33 fetuses (87.9%). Logistic regression analysis showed that the ability to visualize cardiac structures on pm-CT angiography was positively correlated only with contrast medium injected directly into the heart. Twenty-five out of the 33 fetuses underwent conventional autopsy. There were five cases with suspected major cardiac abnormality at prenatal ultrasound and one with a minor cardiac abnormality. In one of these cases, severe leakage into the pleural cavity did not allow for visualization of any heart structure on pm-CT angiography and in another invasive autopsy was declined. In two of the remaining four cases, the findings on pm-CT angiography and invasive autopsy were in agreement, while in two a ventricular septal defect was found on invasive autopsy but not on pm-CT. None of the 27 cases with normal hearts was falsely classified as abnormal using pm-CT angiography. CONCLUSION: Pm-CT angiography by direct injection into the heart seems to be a feasible method for its evaluation. The extent to which such a technique could be used for the evaluation of congenital heart disease as an alternative to classical postmortem autopsy remains to be determined.


Assuntos
Autopsia/métodos , Angiografia Coronária , Morte Fetal/patologia , Coração Fetal/anormalidades , Coração Fetal/diagnóstico por imagem , Cardiopatias Congênitas/patologia , Tomografia Computadorizada por Raios X , Aborto Induzido , Meios de Contraste/administração & dosagem , Angiografia Coronária/métodos , Estudos de Viabilidade , Feminino , Morte Fetal/diagnóstico por imagem , Idade Gestacional , Cardiopatias Congênitas/diagnóstico por imagem , Cardiopatias Congênitas/embriologia , Humanos , Gravidez
15.
Rev. salud pública (Córdoba) ; 16(2): 36-45, 2012.
Artigo em Espanhol | LILACS | ID: lil-671200

RESUMO

Objetivo: Determinar la prevalencia de trastornos mentalesy del comportamiento como causadehospitalización en lapoblación adolescente de 10 a 19 años en Argentina en elperíodo 2005 -2006.Metodología: estudio observacional, analítico ytransversal, se utilizaron las Bases de Datos delosInformesEstadísticos de Egresos Hospitalarios (IEH) de la DireccióndeEstadística e Información de Salud del Ministerio deSalud de la Nación, años 2005-2006. Los datos fueronanalizados según sexo, edad y causa de egreso hospitalario. Elprocesamiento estadístico de los datos consistió en test dechi–cuadrado, Mantel Haenzel o test de Fisher,p<0,05.Resultados: el 2% de los egresos hospitalarios fueron porTrastornos Mentales y del Comportamiento (TMyC).LosTMyC de mayor frecuencia para el grupo de 10-14 años fueron:trastornos neuróticos (29,89%), consumo de sustancias(23,49%) (p<0,001) y trastornos del comportamiento deinicio en la infancia (15,40%) y para el grupo de 15-19años fueron: consumo de sustancias (30,94%) (p<0,001),alcohol la más frecuente, trastornos neuróticos (21,04%) yesquizofrenia (17,34%) (p<0,001). La distribución por sexosy edad mostró al consumo de sustancias (p< 0,0001) comolapatología más frecuente en varones y trastornos neuróticos(p< 0,0001) en mujeres de ambos grupos de edad.


Objective: To determine the prevalence of behavioral and mental disorders as the causeof hospitalization in adolescent population from age 10 to 19 in Argentina in the period2005-2006.Method: Observational, analytical and transversal study. The databases of StatisticalRecords of Hospital Discharge from the Department of Health Statistics and Information ofthe National Ministry of Health, years 2005-2006, were used. Data were analyzed accordingto sex, age and cause of hospital discharge. The statistical processing of data was done withthe chi-squared test, Mantel Haenzel or Fisher’s test,p<0.05.Results: 2% of hospital discharges were for Behavioral and Mental Disorders. The mostfrequent of these disorders for the age group 10-14 were: neurotic disorders (29.89%),substance consumption (23.49%) (p<0.001), and behavioral diseases starting in childhood(15.40%). For the age group 15-19 the most frequent were: substance consumption(30.94%) (p<0,001) -alcohol the most frequent-, neurotic disorders (21.04%) andschizophrenia (17.34%) (p<0.001). Distribution according to sex and age showed drugconsumption (p< 0.0001) as the most frequent pathology among boys and neuroticdisorders (p< 0.0001) among girls of both age groups.


Assuntos
Humanos , Masculino , Adolescente , Feminino , Hospitalização , Saúde Mental/estatística & dados numéricos , Saúde do Adolescente , Transtornos Relacionados ao Uso de Substâncias
16.
Allergy ; 66(11): 1434-41, 2011 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-21726235

RESUMO

BACKGROUND: Case-control studies suggest that patients with allergic diseases have a lower risk of developing glioma but not meningioma or schwannoma. However, those data can be differentially biased. Prospective studies with objective measurements of immunologic biomarkers, like immunoglobulin E (IgE), in blood obtained before cancer diagnosis could help to clarify whether an aetiological association exists. METHODS: The present case-control study nested within the European Prospective Investigation into Cancer and Nutrition (EPIC) measured specific serum IgE as a biomarker for the most common inhalant allergens in 275 glioma, 175 meningioma and 49 schwannoma cases and 963 matched controls using the ImmunoCAP specific IgE test. Subjects with an IgE level ≥0.35 kUA/l (kilo antibody units per litre) were classified as sensitized by allergens. Odds ratios (OR) and 95% confidence intervals (CI) were estimated by adjusted conditional logistic regression models for each tumour subtype. The effect of dose-response relationship was assessed in five increasing IgE level categories to estimate P-values for trend. RESULTS: The risk of glioma was inversely related to allergic sensitization (OR = 0.73; 95% CI 0.51-1.06), especially pronounced in women (OR = 0.53; 95% CI 0.30-0.95). In dose-response analyses, for high-grade glioma, the lowest OR was observed in sera with the highest IgE levels (P for trend = 0.04). No association was seen for meningioma and schwannoma. CONCLUSION: The results, based on serum samples prospectively collected in a cohort study, provide some support for the hypothesis that individuals with allergic sensitization are at reduced risk of glioma and confirm results from previous case-control studies.


Assuntos
Neoplasias Encefálicas/epidemiologia , Neoplasias Encefálicas/imunologia , Glioma/epidemiologia , Glioma/imunologia , Hipersensibilidade Imediata/epidemiologia , Imunoglobulina E/sangue , Adulto , Idoso , Alérgenos/imunologia , Neoplasias Encefálicas/diagnóstico , Estudos de Casos e Controles , Europa (Continente)/epidemiologia , Feminino , Glioma/diagnóstico , Humanos , Hipersensibilidade Imediata/diagnóstico , Hipersensibilidade Imediata/imunologia , Masculino , Meningioma/diagnóstico , Meningioma/epidemiologia , Meningioma/imunologia , Pessoa de Meia-Idade , Neurilemoma/diagnóstico , Neurilemoma/epidemiologia , Neurilemoma/imunologia , Estudos Prospectivos , Fatores de Risco
17.
Clin Ter ; 162(3): e67-72, 2011.
Artigo em Italiano | MEDLINE | ID: mdl-21717036

RESUMO

AIMS: To evaluate (i) the incidence of psychiatric disorders and (ii) the frequency of Mood Disorders diagnoses in a sample of 115 university students afferent to Sportello Counseling-Accoglienza Studenti "Fatti vivo!" of "Sapienza" University of Rome, between November 2008 and December 2010; to point out correlations with socio-demographic variables. MATERIALS AND METHODS: The prevalence of Mood Disorders was evaluated with the Structured Clinical Interview for DSM IV Axis I Disorders Clinical Version (SCID-I cv), drawn up by the counselor at first meeting. Each student completed a data collection from which investigates socio-demographic characteristics. A descriptive analysis was conducted and the associations between variables and Axis I diagnoses were investigated. RESULTS: The overall mean age is 24.7 years. A DSM IV-TR Axis I Disorder was diagnosed in 26.9%, of which 45.2% is constituted by Mood Disorders (mean age of 25.7 years). Male students, the highest family members' mean age and the lowest regular studies (64% pursue a course of regular studies) seem to be characteristics of the subgroup of students with Mood Disorders diagnoses compared to the subgroups with other Axis I Disorders diagnoses. Moreover, the same subgroup most frequently recognizes as pathological its condition (78.6%) compared to the subgroup with other Axis I Disorders diagnoses (53.3%). Those differences, however, aren't statistically significant. CONCLUSIONS: The discovered percentage of Axis I diagnoses in general and Mood Disorders in particular could be considered representative of perceived unease degree in a population of university students. At the same time, the difficulty in identifying the early signs of uneasiness and in recognizing as pathological own condition interferes with and delays the awareness of the need of a psychological/psychiatric support and the expression of the help-seek.


Assuntos
Transtornos do Humor/epidemiologia , Adulto , Feminino , Humanos , Incidência , Masculino , Transtornos do Humor/diagnóstico , Prevalência , Estudantes , Universidades , Adulto Jovem
18.
Anat Histol Embryol ; 39(6): 546-54, 2010 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-20887390

RESUMO

The immunohistochemical (IHC) localization of oestrogen receptor alpha (ERα) was studied in the developing left ovary of 14.5-day-old chick embryos. The study was focused in particular on distinguishing in cortex and medulla the different cell categories that proved positive to the reaction, in order to gain further understanding of gonadal cell interactions during ovarian development. Immunostained cells were observed in both the cortex and medulla, but the reactivity for ERα was discontinuous, probably due to variable cell requirements. In the cortex, positivity was observed in cells of the ovarian surface epithelium, in germ cells and in prefollicular cells. In the medulla, positivity was found in the following cell categories: interstitial cells, poorly differentiated somatic cord cells, including those delimiting lacunae, germ cells and their accompanying cells of epithelial origin. Furthermore, the IHC results showed that the intracellular localization of the antigen was cytoplasmic, nuclear, or both. The significance of ERα presence and intracellular localization was discussed in relation and as supplementary to previous research by various Authors. In particular, as regards the unusual cytoplasmic immunoreactivity, a gradual shift of ERα localization from cytoplasmic to nuclear during the embryonic period is suggested.


Assuntos
Embrião de Galinha/química , Receptor alfa de Estrogênio/análise , Ovário/química , Ovário/embriologia , Animais , Anticorpos Monoclonais , Embrião de Galinha/embriologia , Células Epiteliais/química , Células Epiteliais/citologia , Células Epiteliais/ultraestrutura , Feminino , Células Germinativas/química , Células Germinativas/citologia , Células Germinativas/ultraestrutura , Imuno-Histoquímica , Microscopia Eletrônica , Ovário/citologia , Ovário/ultraestrutura , Células Tecais/citologia , Células Tecais/ultraestrutura
19.
J Fish Biol ; 76(7): 1696-713, 2010 May.
Artigo em Inglês | MEDLINE | ID: mdl-20557625

RESUMO

The distributional patterns of the seven species of Rhizoprionodon were analysed using the panbiogeographical method of track analysis. The individual tracks of Rhizoprionodon suggest that the genus is mainly an Indian-Atlantic Ocean group. Five generalized tracks were found: (1) Caribbean, defined by R. porosus and R. terraenovae; (2) eastern coast of South America, defined by R. porosus and R. lalandei; (3) Indian Ocean, defined by R. acutus and R. oligolinx; (4) north-western Australia, defined by R. acutus, R. oligolinx and R. taylori; (5) north-north-eastern Australia, defined by R. acutus and R. taylori. Only R. longurio was not included in any generalized track, and its distribution is restricted to the eastern Pacific Ocean. Two biogeographical nodes were found at the intersection of the generalized tracks 1 and 2 (Caribbean Sea) and generalized tracks 4 and 5 (north Australia). The generalized tracks overlap with those found in several unrelated marine taxa. Overall, the generalized tracks are associated with warm currents. The biogeographical nodes found (Caribbean and Australian) are coincident with the global distribution of mangroves.


Assuntos
Tubarões/classificação , Grupos de População Animal , Animais , Geografia , Oceanos e Mares
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