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1.
J Bioenerg Biomembr ; 56(2): 101-115, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38231368

RESUMO

During their long evolutionary history, jellyfish have faced changes in multiple environmental factors, to which they may selectively fix adaptations, allowing some species to survive and inhabit diverse environments. Previous findings have confirmed the jellyfish's ability to synthesize large ATP amounts, mainly produced by mitochondria, in response to environmental challenges. This study characterized the respiratory chain from the mitochondria of the jellyfish Stomolophus sp2 (previously misidentified as Stomolophus meleagris). The in-gel activity from isolated jellyfish mitochondria confirmed that the mitochondrial respiratory chain contains the four canonical complexes I to IV and F0F1-ATP synthase. Specific additional activity bands, immunodetection, and mass spectrometry identification confirmed the occurrence of four alternative enzymes integrated into a branched mitochondrial respiratory chain of Stomolophus sp2: an alternative oxidase and three dehydrogenases (two NADH type II enzymes and a mitochondrial glycerol-3-phosphate dehydrogenase). The analysis of each transcript sequence, their phylogenetic relationships, and each protein's predicted models confirmed the mitochondrial alternative enzymes' identity and specific characteristics. Although no statistical differences were found among the mean values of transcript abundance of each enzyme in the transcriptomes of jellyfish exposed to three different temperatures, it was confirmed that each gene was expressed at all tested conditions. These first-time reported enzymes in cnidarians suggest the adaptative ability of jellyfish's mitochondria to display rapid metabolic responses, as previously described, to maintain energetic homeostasis and face temperature variations due to climate change.


Assuntos
Membranas Mitocondriais , Cifozoários , Animais , Transporte de Elétrons , Filogenia , Membranas Mitocondriais/metabolismo , Cifozoários/química , Cifozoários/metabolismo , Mitocôndrias/metabolismo , Complexo IV da Cadeia de Transporte de Elétrons
3.
Morphologie ; 106(352): 37-42, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33744125

RESUMO

An important accessory anatomical variation, exclusively human, and related to the muscular ventres of the flexor pollicis longus and flexor digitorum profundus is frequently denominated Gantzer. These variations have close relations with the anterior interosseous nerve (AIN), which provides, for many authors, by direct compression, one of the rare neuropathic syndromes. In this work, thirty-four forearms were dissected from the collections of the Medical School of the Federal University of Minas Gerais and the Department of Basic Sciences of the Federal University of Juiz de Fora, with a prevalence of 50% of the 34 forearms studied for the Gantzer muscle. The muscle relationship was mainly with the flexor pollicis longus muscle and only one occurrence related to the flexor digitorum profundus muscle, described as a rare occurrence of unilateral double formation of Gantzer muscle. Bilaterality was observed in 88.23% of the findings and the dominant innervation for this muscle variation occurred in 82.35% by the anterior interosseous nerve (AIN). The type morphological in all forms found was the fusiform, with 10.5cm of total length and an average of 0.3cm in diameter and all related, as origin, in the medial aspect of the coronoid process of the ulna, next to the origin of the flexor digitorum superficialis muscle. Our work largely reflected the findings of most publications and, considering the controversy of the occurrence of a compressive neuropathy, the data were not sufficient, from a strictly anatomical point of view, to confirm or refute the hypothesis.


Assuntos
Antebraço , Músculo Esquelético , Variação Anatômica , Cadáver , Mãos , Humanos
4.
AJNR Am J Neuroradiol ; 43(1): 125-131, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-34764083

RESUMO

BACKGROUND AND PURPOSE: Gamma-aminobutyric acid and glutamate system disruptions may underlie neonatal brain injury. However, in vivo investigations are challenged by the need for special 1H-MR spectroscopy sequences for the reliable measurement of the neurotransmitters in this population. We used J-edited 1H-MR spectroscopy (Mescher-Garwood point-resolved spectroscopy) to quantify regional in vivo gamma-aminobutyric acid and glutamate concentrations during the early postnatal period in healthy neonates. MATERIALS AND METHODS: We prospectively enrolled healthy neonates and acquired Mescher-Garwood point-resolved spectroscopy spectra on a 3T MR imaging scanner from voxels located in the cerebellum, the right basal ganglia, and the right frontal lobe. CSF-corrected metabolite concentrations were compared for regional variations and cross-sectional temporal trends with advancing age. RESULTS: Fifty-eight neonates with acceptable spectra acquired at postmenstrual age of 39.1 (SD, 1.3) weeks were included for analysis. Gamma-aminobutyric acid (+ macromolecule) (2.56 [SD, 0.1]) i.u., glutamate (3.80 [SD, 0.2]), Cho, and mIns concentrations were highest in the cerebellum, whereas NAA (6.72 [SD, 0.2]), NAA/Cho, Cr/Cho, and Glx/Cho were highest in the basal ganglia. Frontal gamma-aminobutyric acid (1.63 [SD, 0.1]), Glx (4.33 [SD, 0.3]), Cr (3.64 [SD, 0.2]), and Cho concentrations were the lowest among the ROIs. Glx, NAA, and Cr demonstrated a significant adjusted increase with postmenstrual age (ß = 0.2-0.35), whereas gamma-aminobutyric acid and Cho did not. CONCLUSIONS: We report normative regional variations and temporal trends of in vivo gamma-aminobutyric acid and glutamate concentrations reflecting the functional and maturational status of 3 distinct brain regions of the neonate. These measures will serve as important normative values to allow early detection of subtle neurometabolic alterations in high-risk neonates.


Assuntos
Ácido Glutâmico , Ácido gama-Aminobutírico , Ácido Aspártico/metabolismo , Encéfalo/diagnóstico por imagem , Encéfalo/metabolismo , Estudos Transversais , Ácido Glutâmico/metabolismo , Humanos , Lactente , Recém-Nascido , Espectroscopia de Ressonância Magnética/métodos , Ácido gama-Aminobutírico/metabolismo
6.
J Endocrinol ; 244(2): 415-429, 2020 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-32395971

RESUMO

Among all the hormone-secreting pituitary tumours, prolactinomas are the most frequently found in the clinic. Since dopamine is the primary inhibitor of lactotroph function, dopamine agonists represent the first-line therapy. However, a subset of patients exhibits resistance to these drugs, and therefore, alternative treatments are desired. As activins inhibit prolactin gene expression through the inhibition of Pit-1 involving the p38MAPK pathway, in the present work, we studied the local activin system as an alternative inhibitory system for lactotroph hyperplasia treatment. We used two different mouse models of prolactinoma: transgenic mice with overexpression of the human chorionic gonadotropin ß-subunit (hCGß) and mice lacking dopamine receptor type 2. In both models, females, but not males, develop lactotroph hyperplasia from the fourth month of life. We found reduced expression of pituitary activin subunits and activin receptors in hyperplastic pituitaries from both models compared with wild-type counterparts. Consequently, hyperplastic pituitaries presented a reduced activin-inhibitory action on prolactin secretion. Additionally, while female wild-type lactotrophs presented high levels of phospho-p38MAPK, it was lost in prolactinomas, concomitant with decreased activin expression, increased Pit-1 expression and tumour development. In contrast, male pituitaries express higher mRNA levels of activin subunits ßA and ßB, which would suggest a stronger activin inhibitory function on lactotrophs, protecting this sex from tumour development, despite genotype. The present results highlight the importance of the activin inhibitory action on lactotroph function and place the local activin system as a new target for the treatment of dopamine agonist-resistant prolactinomas.


Assuntos
Ativinas/metabolismo , Lactotrofos/metabolismo , Neoplasias Hipofisárias/genética , Prolactinoma/genética , Animais , Agonistas de Dopamina/farmacologia , Resistencia a Medicamentos Antineoplásicos/genética , Feminino , Genótipo , Sistema de Sinalização das MAP Quinases/genética , Masculino , Camundongos , Camundongos Transgênicos , Hipófise/metabolismo , Neoplasias Hipofisárias/complicações , Neoplasias Hipofisárias/tratamento farmacológico , Prolactinoma/complicações , Prolactinoma/tratamento farmacológico , RNA Mensageiro/metabolismo , Fatores Sexuais , Fator de Transcrição Pit-1/metabolismo
8.
Rev Gastroenterol Mex (Engl Ed) ; 84(3): 310-316, 2019.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-30243530

RESUMO

INTRODUCTION AND AIM: Gastic cancer is the most frequent neoplasia of the digestive tract worldwide. Incidence rates vary according to the region or country analyzed. Variation in the different regions of Mexico is attributed to very specific dietary, environmental, and genetic patterns. The aim of the present work was to carry out an epidemiologic analysis of the cases of gastric cancer treated at the Hospital Regional de Alta Especialidad 'Ciudad Salud', located in Chiapas, Mexico. MATERIAL AND METHODS: A descriptive, ambispective, longitudinal study was conducted. Cases of gastric cancer were searched for in the database from the oncology service of our hospital, that were treated within the time frame of 2007 to 2014. The data obtained were analyzed using the SPSS v. 20 statistics program. RESULTS: A total of 100 cases of gastric cancer were detected, 84 of which were included in the study. Forty-one of the cases were men, 43 were women, and their mean age was 57.3 years. Incidence was 2.14 for every 100 oncology patients released from the hospital. Of the study patients, 35.71% stated they had been alcoholics, 22.61% were smokers, and 90.16% were diagnosed with adenocarcinoma. At the end of follow-up, 18 of the study patients had died. CONCLUSION: The results of the present epidemiologic analysis showed that the consumption of alcohol and tobacco played an important role in the development of gastric cancer in the patients studied, as well as having a family history of any type of cancer. Because gastric cancer is usually diagnosed in advanced stages, it would be reasonable to formulate a strategy for the prevention, early detection, and control of the disease in the State of Chiapas, Mexico.


Assuntos
Neoplasias Gástricas/epidemiologia , Atenção Terciária à Saúde/estatística & dados numéricos , Adenocarcinoma/epidemiologia , Adenocarcinoma/mortalidade , Adulto , Idoso , Idoso de 80 Anos ou mais , Alcoolismo/complicações , Alcoolismo/epidemiologia , Bases de Dados Factuais , Dieta , Feminino , Seguimentos , Humanos , Incidência , Estudos Longitudinais , Masculino , México/epidemiologia , Pessoa de Meia-Idade , Estudos Retrospectivos , Fatores de Risco , Fumar/efeitos adversos , Fumar/epidemiologia , Fatores Socioeconômicos , Neoplasias Gástricas/mortalidade
9.
Int J Surg Case Rep ; 41: 255-258, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-29112915

RESUMO

INTRODUCTION: The spontaneous perforation of the biliary tract (SPBT) is an extremely rare cause of peritonitis, which was first described by Freeland in 1982, to date only around 70 cases have been reported. Here we present a case of spontaneous perforation of the biliary tract, in a patient with choledocholithiasis, which was treated with ultrasound-guided drainage and ERCP. CASE REPORT: A 51-year-old male was admitted to the emergency room for 15-day evolution jaundice, localized pain in the right flank and hypochondrium of 3days. He had a history of cholecystectomy 15 years ago and 4 episodes of cholangitis, the last one in 2015. A magnetic resonance imaging (MRI) was performed, that showed evidence of choledocholithiasis, in addition to a possible biliary leakage. The patient was treated with ultrasound-guided drainage and ERCP successfully. DISCUSSION: Spontaneous perforation of the biliary tract is a disease entity in which wall of the extrahepatic or intrahepatic duct is perforated without any traumatic or iatrogenic injury. The clinical presentation varies from nonspecific abdominal pain to biliary peritonitis, in most of the cases forming bilomas. Universal management involves decompression of the biliary tree and repair of the leak site. CONCLUSION: The spontaneous perforation of the biliary tract is a disease that represents a diagnostic challenge. The treatment in the patients with SPBT is not well established and has to be individualized for each case, depending on the history of the patient, the site of perforation, the time of evolution, the suspicion of infection, and the patient status.

10.
Cell Immunol ; 320: 46-55, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-28950987

RESUMO

BACKGROUND: The expression of CD73 in tumor cells plays a significant role in the production of adenosine (Ado) that suppresses antitumor effector cells. METHODS: In this study we analyzed the capability of HPV-positive (HPV+) cervical cancer (CeCa) cell lines CaSki, SiHa, HeLa, and RoVa; and HPV-negative (HPV-) cell lines C33A and ViBo to produce Ado and inhibit effector functions of CD8+ T cells. RESULTS: HPV+ CeCa cells expressed significantly higher levels of CD73 in the membrane (p<0.01) than HPV- CeCa cells and this expression was associated with the production of larger amounts of Ado (>400µM) compared to HPV-CeCa cells (<200µM) in the presence of AMP, as well asa stronger inhibition of (>50%) proliferation, activation, and cytotoxic activity of CD8+ T cells via interaction with A2A adenosine receptor. We also provide evidence that silenced E6/E7 expression in CeCa cells, strongly reduced its CD73 expression level and its capability to generate Ado. CONCLUSION: This results suggest that HPV infection, which is associated with more than 99% of CeCa cases, may present an increased constitutive expression of CD73 in cervical neoplasia to contribute to the suppression of the immune response mediated by the production of large amounts of Ado.


Assuntos
5'-Nucleotidase/metabolismo , Adenosina/metabolismo , Papillomaviridae/imunologia , Infecções por Papillomavirus/imunologia , Receptor A2A de Adenosina/metabolismo , Linfócitos T Citotóxicos/imunologia , Neoplasias do Colo do Útero/metabolismo , Monofosfato de Adenosina/metabolismo , Linhagem Celular Tumoral , Citotoxicidade Imunológica , Proteínas de Ligação a DNA/genética , Feminino , Proteínas Ligadas por GPI/metabolismo , Humanos , Terapia de Imunossupressão , Proteínas Oncogênicas Virais/genética , Proteínas E7 de Papillomavirus/genética , RNA Interferente Pequeno/genética , Proteínas Repressoras/genética , Evasão Tumoral , Neoplasias do Colo do Útero/imunologia
11.
Int J Surg Case Rep ; 36: 46-49, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28531869

RESUMO

INTRODUCTION: Acute appendicitis is the most common indication for an emergency abdominal surgery in the world, with a lifetime incidence of around 10%. Actinomycetes are the etiology of appendicitis in only 0.02%-0.06%, having as the final pathology report a chronic inflammatory response; less than 10% of the cases are diagnosed before surgery. Here, we present the case of a subacute appendicitis secondary to actinomycosis. CASE REPORT: A 39-year-old male presented with a twelve-day evolution of intermittent abdominal pain in the right lower quadrant, treated at the beginning with ciprofloxacin and urinary analgesic. The day of the admission he referred intense abdominal pain with nausea. An open appendectomy was preformed, finding a tumor-like edematous appendix with a diameter of approximately 2.5cm. DISCUSSION: Actinomyces are part of the typical flora of the oral cavity, gastrointestinal tract and vagina. The predominant form of human disease is A. Israelii, it requires an injury to the normal mucosa to penetrate and cause disease. Abdominal actinomycosis involves the appendix and caecum in 66% of the presentations, of these, perforated appendicitis is the stimulus in 75% of the cases. A combination of antibiotic therapy and operative treatment resolves actinomycosis in 90% of cases. CONCLUSION: Abdominal actinomycosis is an uncommon disease been the common presentation a perforated appendicitis, here we present a less common presentation of it with a non-perforated appendix.

12.
Rev Gastroenterol Mex ; 82(3): 248-254, 2017.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-28433486

RESUMO

INTRODUCTION: Gallstone ileus represents 4% of the causes of bowel obstruction in the general population, but increases to 25% in patients above the age of 65 years. Gallstone ileus does not present with unique symptoms, making diagnosis difficult. Its management is surgical, but there is no consensus as to which of the different surgical techniques is the procedure of choice. At present, there is no recent review of this pathology. AIM: To conduct an up-to-date review of this disease. MATERIALS AND METHODS: Articles published within the time frame of 2000 to 2014 were found utilizing the PUBMED, EMBASE, and Cochrane Library search engines with the terms "gallstone ileus" plus "review" and the following filters: "review", "full text", and "humans". RESULTS: The results of this review showed that gallstone ileus etiology was due to intestinal obstruction from a gallstone that migrated into the intestinal lumen through a bilioenteric fistula. The presence of 2 of the 3 Rigler's triad signs was considered diagnostic. Abdominal tomography was the imaging study of choice for gallstone ileus diagnosis and the surgical procedures for management were enterolithotomy, one-stage surgery, and two-stage surgery. Enterolithotomy had lower morbidity and mortality than the other 2 procedures. CONCLUSIONS: The aim of gallstone ileus treatment is to release the obstruction, which is done through enterolithotomy. It is the recommended technique for gallstone ileus management because of its lower morbidity and mortality, compared with the other techniques.


Assuntos
Cálculos Biliares/complicações , Íleus/etiologia , Procedimentos Cirúrgicos do Sistema Digestório/métodos , Cálculos Biliares/diagnóstico , Cálculos Biliares/fisiopatologia , Cálculos Biliares/cirurgia , Humanos , Íleus/diagnóstico , Íleus/fisiopatologia , Íleus/cirurgia , Resultado do Tratamento
13.
Dalton Trans ; 46(12): 3934-3942, 2017 Mar 21.
Artigo em Inglês | MEDLINE | ID: mdl-28265637

RESUMO

We report a substantial enhancement of the oxide-ion conductivity in Sr11Mo4O23 achieved by Nb doping the Mo sites. This series responds to the formula: Sr11Mo4-xNbxO23-δ (with x = 0.0, 0.5 and 1.0). The original structure can be related to the conventional double perovskite; however, it presents a broken corner sharing connectivity of the octahedral framework, hence leading to a complex and highly defective network. The samples were prepared via citrate precursor method, followed by thermal treatments at 1300 °C for 12 hours in air. The crystal structures were refined from X-ray and neutron powder diffraction (NPD) data. A phase transition from tetragonal to cubic symmetry is identified in a temperature-dependent NPD study, driven by an oxygen delocalization effect. The ionic conductivity measured by impedance spectroscopy is enhanced upon Nb-doping; the x = 1 doped phase exhibits a threefold increase compared to the pristine Sr11Mo4O23 oxide, with conductivity values of 7.6 × 10-3 and 2.7 × 10-2 S·cm-1 at 650 and 800 °C, which are even greater than for YSZ in the 650-800 °C temperature range, and close to those reported for other state-of-the art solid-oxide electrolytes.

14.
Ann Med Surg (Lond) ; 7: 104-6, 2016 May.
Artigo em Inglês | MEDLINE | ID: mdl-27144007

RESUMO

INTRODUCTION: Lumbar hernia account for less than 2% of al abdominal hernias, been the Grynfelt-Lesshaft's hernia (GLH) more frequent than the others. With approximately 300 cases published in the literature, the general surgeon may have the chance of treat it ones in their professional life. CASE REPORT: A 42-years old male with human immunodeficiency virus and Diabetes Mellitus presented to the outpatient clinic with a GLH. Preoperative classified as a type "A" lumbar hernia an open approach was scheduled. We performed a Sandwich technique with a sublay and onlay ULTRAPRO(®) mesh fixed with PDS(®) II suture without complications and discharged the patient 24-h after. After six months, the patient denied any complication. DISCUSSION: Primary (spontaneous) lumbar hernias represent 50-60% of all GLH. The preoperative classification of a lumbar hernia is mandatory to propose the best surgical approach. According to the classification of Moreno-Egea A et al., the best technique for our patient was an open approach. The Sandwich technique has demonstrated good outcomes in the management of the GLH. CONCLUSION: The surgical approach should be according to the classification proposed and to the experience of the surgeon. The Sandwich technique has good outcomes.

15.
Colorectal Dis ; 18(3): O111-8, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-26934854

RESUMO

AIM: Our aim was to validate a novel use of C-reactive protein (CRP) measurement to identify postoperative infectious complications in patients undergoing colorectal surgery, and to compare the predictive value in this setting against white blood cell (WBC) count and neutrophil-to-lymphocyte ratio (NLR). METHOD: This was a retrospective study of CRP, NLR and WBC measurements in patients undergoing colorectal surgery. CRP, NLR and WBC were recorded on the second postoperative day and on the day of infectious complication (patients who developed infectious complications) or within 3 days prior to discharge (subjects with no complications). The test for detecting infectious complications consisted of comparing the value of the inflammatory marker on the day on which a complication was suspected against the value recorded on the second postoperative day. The test was considered positive if a given value was higher than the registered peak at postoperative day 2. Factors influencing the postoperative peak CRP were also studied. RESULTS: A total of 254 patients were retrospectively studied. Patients whose CRP value was higher than on the second postoperative day had a diagnostic accuracy for infectious complications of up to 94.4% and sensitivity, specificity, positive predictive value and negative predictive value of up to 97.4%, 93.4%, 85.7% and 99.1%, respectively. Poorer results were observed when WBC count and NLR were used rather than CRP measurement. Multiple linear regression analysis showed that surgical procedure and approach, as well as additional resections, were independent factors for 48 h peak CRP. CONCLUSION: C-reactive protein is a better parameter than WBC count and NLR for detecting infectious complications. Our proposed methodology presents good diagnostic accuracy and performance and could potentially be used for any surgical procedure.


Assuntos
Proteína C-Reativa/análise , Procedimentos Cirúrgicos do Sistema Digestório/efeitos adversos , Infecções/diagnóstico , Complicações Pós-Operatórias/diagnóstico , Idoso , Biomarcadores/sangue , Feminino , Humanos , Infecções/sangue , Contagem de Leucócitos , Masculino , Pessoa de Meia-Idade , Neutrófilos , Complicações Pós-Operatórias/sangue , Complicações Pós-Operatórias/etiologia , Período Pós-Operatório , Valor Preditivo dos Testes , Estudos Retrospectivos , Sensibilidade e Especificidade
16.
Allergol Immunopathol (Madr) ; 44(2): 160-6, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26316420

RESUMO

BACKGROUND: Pollens represent a rich source of proteins that are also potential elicitors of IgE-mediated pollen allergy. Sensitisation to panallergens could play an important role in diagnosis and specific immunotherapy, because these molecules are present in different plant pollens and plant foods and have marked structural similarity in different species. Profilins are one of the most common panallergens to be studied because they are responsible for a large number of sensitisations and are clearly related to cross-reactivity and co-sensitisation. This study aimed to isolate and characterise a new allergen of Amaranthus palmeri pollen and to determine its allergenicity. METHODS: A. palmeri pollen profilin was purified using poly-l-proline-Sepharose affinity chromatography followed by anion exchanger chromatography. Identification of purified protein was carried out by mass spectrometry. Specific IgE was estimated in sera of patients with positive skin prick test to A. palmeri pollen extract, by enzyme-linked immunosorbent assay (ELISA). PRINCIPAL FINDINGS: Purified protein appeared as a single band at 14 kDa in SDS-PAGE gel. Mass spectrometric analysis of the gel band identified two highly conserved peptides corresponding to allergenic profilins from pollen of other plants. Sera from about 60% of allergic patients have IgE that recognises the purified A. palmeri protein. CONCLUSION: A 14 kDa protein of A. palmeri pollen was purified and identified as allergenic profilin, which was recognised by sera from pollen allergic patients.


Assuntos
Alérgenos/imunologia , Amaranthus/imunologia , Antígenos de Plantas/imunologia , Pólen/imunologia , Profilinas/imunologia , Rinite Alérgica Sazonal/imunologia , Alérgenos/isolamento & purificação , Antígenos de Plantas/isolamento & purificação , Cromatografia de Afinidade , Reações Cruzadas , Ensaio de Imunoadsorção Enzimática , Humanos , Imunoglobulina E/sangue , Espectrometria de Massas , Profilinas/isolamento & purificação
17.
Acta Ortop Mex ; 29(4): 232-6, 2015.
Artigo em Espanhol | MEDLINE | ID: mdl-27187002

RESUMO

BACKGROUND: Osteoarthritis of the knee is a common disease and angular deformities are usually associated to this degenerative affection. Secondary causes of angular deformities are well known in the scientific literature, but there are not many articles about the relationship between angular deformities and primary osteoarthritis. OBJECTIVE: To deepen in the relationship between angular deformities and primary osteoarthritis of the knee. METHOD: We conducted a literature review of a total of 300 articles in PubMed, Medline and Hinari locator information by EndNote, 52 of them were used and selected quotes to do the review, 47 of them in the last five years, including five books. DEVELOPMENT: A revision of important biochemical and biomechanics aspects were made in regards to the relationship between angular deformities and primary osteoarthritis of the knee. Causes of deformities according to the sagittal, coronal and rotational axis were taken into account. Factors related to deformities could be osseous or soft tissues of the knee joint. CONCLUSIONS: Deformities of the knee in patients suffering from primary osteoarthritis are common and there are osseous and soft tissues causes to justified the presence of these deformities.


ANTECEDENTES: La gonartrosis es una entidad muy frecuente en la actualidad, las deformidades angulares son un hallazgo usual en pacientes con esta entidad y aunque está bien justificada su presencia como causa secundaria, no existen muchos reportes sobre la relación entre deformidad angular y gonartrosis primaria. OBJETIVO: Profundizar en la relación existente entre gonartrosis primaria y deformidad angular de la articulación de la rodilla. MÉTODO: Se realizó una revisión bibliográfica de un total de 300 artículos publicados en PubMed, Hinari y Medline mediante el localizador de información EndNote, de ellos se utilizaron 52 citas seleccionadas para realizar la revisión, 47 de ellas de los últimos cinco años, donde se incluyeron cinco libros. DESARROLLO: Se realizó una revisión de los aspectos bioquímicos y biomecánicos más importantes relacionados con las deformidades angulares. Con respecto a la asociación entre deformidad angular y gonartrosis primaria, se plasmaron los elementos relacionados con cada tipo de deformidad tanto en el eje axial, coronal como rotacional. Los factores relacionados con la deformidad pueden ser de tipo óseo y de partes blandas, en especial del aparato capsuloligamentoso de la articulación. CONCLUSIONES: Las deformidades angulares en pacientes con gonartrosis primaria son frecuentes y en su presencia influyen factores relacionados con la arquitectura ósea y de partes blandas.

18.
Arch. alerg. inmunol. clin ; 45(1): 7-11, 2014. tab
Artigo em Espanhol | LILACS, BINACIS | ID: biblio-916559

RESUMO

Durante los últimos años ha habido un aumento en la incidencia de un tipo particular de anafilaxia que solo se manifiesta al realizar algún tipo de actividad física y que se conoce como anafilaxia inducida por el ejercicio. Fue descripta por primera vez en 1979 y definida como una forma de alergia física inducida por el ejercicio, sola o asociada a otros factores precipitantes, caracterizada por una reacción severa, de inicio brusco y rápido. Existe además un subgrupo de pacientes que sólo presentan síntomas si el ejercicio se lleva a cabo dentro de unas pocas horas de ingerir alimentos. Este trastorno se denomina anafilaxia inducida por ejercicio e ingestión de alimentos. La etiopatogenia de la anafilaxia inducida por ejercicio no está del todo aclarada, pero se han postulado distintas teorías que explicarían la liberación final de mediadores vasoactivos. Las manifestaciones clínicas no difieren significativamente de otras anafilaxias y puede ir desde compromiso cutáneo hasta compromiso de vía aérea, shock anafiláctico y eventualmente la muerte del paciente. El diagnóstico de esta enfermedad se basa principalmente en una anamnesis detallada en búsqueda de todos los posibles agentes predisponentes, pruebas de sensibilización inmediata y pruebas de provocación de ejercicio, alimentos o fármacos, si corresponden. La base del tratamiento es evitar los factores desencadenantes, junto con el manejo agudo de la anafilaxia. (AU)


During the last years, there has been an increased incidence of a particular type of anaphylaxis that only manifests with some kind of physical activity and is known as exercise-induced anaphylaxis. Described for the first time in 1979 and defined as a form of physical allergy induced by exercise, alone or associated with other triggers, characterized by a severe reaction which appears very suddenly. There is also a subset of patients that only presents symptoms if the exercise is carried out within a few hours of eating. This condition is called exercise-induced anaphylaxis and food intake. The pathogenesis of the exercise-induced anaphylaxis is not fully clear, but several theories have been postulated to explain the final release of vasoactive mediators. Clinical manifestations do not differ significantly from other anaphylaxis and can range from cutaneous to airway involvement, anaphylactic shock an even death of the patient. The diagnosis of this disease is mainly based in a detailed history in search of all possible predisposing agents, immediate sensitization testing, and challenge tests of exercise, food or drugs if applicable. The mainstay of treatment is to avoid the triggers, along with the acute management of anaphylaxis.(AU)


Assuntos
Humanos , Masculino , Feminino , Exercício Físico , Anafilaxia , Basófilos , Alérgenos , Hipersensibilidade Alimentar , Mastócitos
19.
Nutr Hosp ; 27(4): 1156-9, 2012.
Artigo em Espanhol | MEDLINE | ID: mdl-23165556

RESUMO

Many studies have analyzed the possible association between the development of obesity and hormone levels, as well as their relation with the early development of breast cancer. As part of this study, we performed a retrospective collection of data from the clinical histories of 524 women in Granada (Spain), who had been diagnosed with breast cancer. The objectives were to verify an association between the nutritional state of the women and their age at breast cancer diagnosis as well as a possible relation between their nutritional state and seric levels of estrogens. The results obtained in this study show that obesity and the levels of certain hormones, such as estrogens, are closely associated with the early development of breast cancer.


Assuntos
Neoplasias da Mama/sangue , Estrogênios/sangue , Obesidade/sangue , Adulto , Neoplasias da Mama/genética , Feminino , Humanos , Menarca , Pessoa de Meia-Idade , Estado Nutricional , Pós-Menopausa , Gravidez , Estudos Retrospectivos , Espanha
20.
Nutr Hosp ; 27(4): 1166-9, 2012.
Artigo em Espanhol | MEDLINE | ID: mdl-23165558

RESUMO

Spain has become the country in the European Union with the fourth highest number of overweight and obese children. This condition directly affects physical health as well as mental health. The objective of this research study was to evaluate motivational aspects in one group of obese or overweight adolescents and another group of normal-weight adolescents. For this purpose a descriptive observational study was carried out in an educational institution in Guadix (Granada). The universe was composed of 200 children of ages 10 to 14. A sample of 24 children was selected by means of proportional random sampling with an error of 0.19, and was divided into the following groups (i) 12 normal-weight children; (ii) 12 obese children. Motivation was measured by means of the School Motivation Analysis Test (SMAT), a multidimensional measuring instrument based on Cattell's dynamic model of motivation and emotions. Our study evaluated five motivational parameters: TAO (total autism-optimism), TGI (total general information), TIN (total integration), TPI (total personal interest), and TCO (total conflict). Our results showed that for each of the SMAT variables, the overweight and obese children obtained an average value of 4.5 in contrast to the normal-weight children, who obtained an average value of 5.9. This indicates that overweight and obese children have low motivational states and a higher level of frustration. They also tend to distort reality by alleging the existence of obstacles that prevent them from achieving their goals.


Assuntos
Motivação/fisiologia , Obesidade/psicologia , Sobrepeso/psicologia , Adolescente , Índice de Massa Corporal , Criança , Emoções/fisiologia , Feminino , Frustração , Humanos , Masculino , Testes Neuropsicológicos , Obesidade/epidemiologia , Sobrepeso/epidemiologia , Prognóstico , Espanha/epidemiologia
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