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1.
Int J Cosmet Sci ; 42(2): 217-219, 2020 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-31955438

RESUMEN

Niacinamide has been suggested to impact hair biology via stimulation of VEGF synthesis. Testing in an in vitro VEGF synthesis assay, it was found that niacinamide cannot stimulate VEGF synthesis across a broad dose-response range.


Asunto(s)
Cabello/efectos de los fármacos , Niacinamida/administración & dosificación , Administración Tópica , Relación Dosis-Respuesta a Droga , Cabello/crecimiento & desarrollo , Humanos , Niacinamida/farmacología , Factor A de Crecimiento Endotelial Vascular/biosíntesis
2.
Br J Dermatol ; 178(6): 1341-1352, 2018 06.
Artículo en Inglés | MEDLINE | ID: mdl-29181849

RESUMEN

BACKGROUND: Transition of hair shaft keratinocytes from actively respiring, nucleated cells to structural cells devoid of nucleus and cytoplasm is key to hair production. This form of cell 'death', or cornification, requires cellular organelle removal to allow the cytoplasm to become packed with keratin filament bundles that further require cross-linking to create a strong hair fibre. Although these processes are well described in epidermal keratinocytes, there is a lack of understanding of such mechanisms, specifically in the hair follicle. OBJECTIVES: To gain insights into cornification mechanisms within the hair follicle and thus improve our understanding of normal hair physiology. METHODS: Scalp biopsies and hair-pluck samples were obtained from healthy human donors and analysed microscopically after immunohistochemical staining. RESULTS: A focal point of respiratory activity was evident in keratogenous zone cells within the hair shaft, which also exhibited nuclear damage. Nuclear degradation occurred via both caspase-dependent and caspase-independent pathways. Conversely, mitophagy was driven by Bnip3L and restricted to the boundary of the keratogenous zone at Adamson's Fringe. CONCLUSIONS: We propose a model of stepwise living-dead transition within the first 1 mm of hair formation, whereby fully functional, nucleated cells first consolidate required functions by degrading nuclear DNA, yet continue to respire and provide the source of reactive oxygen species required for keratin cross-linking. Finally, as the cells become packed with keratin bundles, Bnip3L expression triggers mitophagy to rid the cells of the last remaining 'living' characteristic, thus completing the march from 'living' to 'dead' within the hair follicle.


Asunto(s)
Cabello/crecimiento & desarrollo , Queratinocitos/citología , Orgánulos/ultraestructura , Adolescente , Adulto , Anciano , Apoptosis/fisiología , Autofagia/fisiología , Muerte Celular/fisiología , Diferenciación Celular , Núcleo Celular/ultraestructura , Reactivos de Enlaces Cruzados/metabolismo , Femenino , Cabello/citología , Cabello/ultraestructura , Folículo Piloso/citología , Folículo Piloso/crecimiento & desarrollo , Folículo Piloso/ultraestructura , Voluntarios Sanos , Humanos , Queratinocitos/ultraestructura , Queratinas/metabolismo , Microscopía Confocal , Microscopía Electrónica de Transmisión , Persona de Mediana Edad , Mitocondrias/ultraestructura , Oxidación-Reducción , Estrés Oxidativo/fisiología , Cuero Cabelludo/citología , Cuero Cabelludo/crecimiento & desarrollo , Cuero Cabelludo/ultraestructura , Adulto Joven
3.
Int J Cosmet Sci ; 37(5): 532-41, 2015 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-25923177

RESUMEN

OBJECTIVE: Damage to hair from UV exposure has been well reported in the literature and is known to be a highly complex process involving initiation via absorption of UV light followed by formation and propagation of reactive oxygen species (ROS). The objective of this work was to understand these mechanisms, explain the role of copper in accelerating the formation of ROS and identify strategies to reduce the hair damage caused by these reactive species. METHODS: The location of copper in hair was measured by Transmission electron microscopy-(TEM) X-ray energy dispersive spectroscopy (XEDS) and levels measured by ICP-OES. Protein changes were measured as total protein loss via the Lowry assay, and MALDI ToF was used to identify the biomarker protein fragments. TBARS assay was used to measure lipid peroxide formation. Sensory methods and dry combing friction were used to measure hair damage due to copper and UV exposure and to demonstrate the efficacy of N,N' ethylenediamine disuccinic acid (EDDS) and histidine chelants to reduce this damage. RESULTS: In this work, a biomarker protein fragment formed during UV exposure is identified using mass spectrometry. This fragment originates from the calcium-binding protein S100A3. Also shown is the accelerated formation of this peptide fragment in hair containing low levels of copper absorbed from hair during washing with tap water containing copper ions. Transmission electron microscopy (TEM) X-ray energy dispersive spectroscopy (XEDS) studies indicate copper is located in the sulphur-poor endo-cuticle region, a region where the S100A3 protein is concentrated. A mechanism for formation of this peptide fragment is proposed in addition to the possible role of lipids in UV oxidation. A shampoo and conditioner containing chelants (EDDS in shampoo and histidine in conditioner) is shown to reduce copper uptake from tap water and reduce protein loss and formation of S100A3 protein fragment. In addition, the long-term consequences of UV oxidation and additional damage induced by copper are illustrated in a four-month wear study where hair was treated with a consumer relevant protocol of hair colouring treatments, UV exposure and regular shampoo and conditioning. CONCLUSIONS: The role of copper in accelerating UV damage to hair has been demonstrated as well as the ability of chelants such as EDDS and histidine in shampoo and conditioner products to reduce this damage.


Asunto(s)
Cobre/metabolismo , Cabello/efectos de la radiación , Rayos Ultravioleta , Secuencia de Aminoácidos , Cabello/metabolismo , Humanos , Microscopía Electrónica de Transmisión de Rastreo , Datos de Secuencia Molecular , Proteínas/química , Espectrometría de Masas en Tándem
4.
Int J Cosmet Sci ; 37 Suppl 2: 16-24, 2015 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-26574301

RESUMEN

Hair health is an important attribute to women globally--specifically attributes such as shine, healthy tips, frizz-free and strength. However, many women will claim to have at least moderate hair damage caused by habits and practices such as washing, combing and brushing, use of heated implements and regular use of chemical treatments. The objective of this work was to investigate two mechanisms of damage--hair colouring and UV exposure--where oxidative processes are involved. The role of copper in these oxidative processes was then investigated: its presence in hair and its consequent impact on hair damage via free radical formation. Finally, the role of chelants N,N'-ethylene diamine disuccinic acid (EDDS) and histidine in preventing free radical formation was investigated and shown to improve hair health.


Asunto(s)
Cabello/metabolismo , Estrés Oxidativo , Femenino , Cabello/efectos de los fármacos , Cabello/efectos de la radiación , Tinturas para el Cabello , Humanos , Rayos Ultravioleta
5.
Int J Cosmet Sci ; 36(1): 32-8, 2014 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-23962007

RESUMEN

OBJECTIVE: The objective of this work was to identify whether low levels of redox metals such as copper will accelerate damage to hair on exposure to UV irradiation and whether this damage can be prevented. METHODS: The methods used were proteomics to measure the protein damage via protein loss after different periods of exposure and mass spectroscopy methods to identify specific marker peptides that are specifically created by this type of damage. RESULTS: In this work, we have developed new insights into the mechanism of UV damage using these proteomic methods. A marker fragment in the hair protein loss extract was identified (m/z = 1279) that is unique to UV exposure and increases with time of UV exposure. We have also identified for the first time in hair the role of exogenous copper in increasing UV damage both in terms of total protein degradation and also increased formation of the marker fragment and proposed a mechanism of action. It has been demonstrated that shampoo treatment containing a chelant such as N,N'-ethylenediamine disuccinic acid (EDDS) reduced copper accumulation in hair. CONCLUSION: This work provides evidence for the role of copper in UV-induced damage to hair and strategies to reduce copper levels in hair using a chelant such as EDDS.


Asunto(s)
Cobre/fisiología , Cabello/efectos de la radiación , Rayos Ultravioleta , Humanos , Proteínas/efectos de la radiación , Proteómica , Espectrometría de Masa por Láser de Matriz Asistida de Ionización Desorción
6.
Sci Data ; 11(1): 167, 2024 Feb 03.
Artículo en Inglés | MEDLINE | ID: mdl-38310137

RESUMEN

Tides in the Arctic Ocean affect ocean circulation and mixing, and sea ice dynamics and thermodynamics. However, there is a limited network of available in situ tidal coefficient data for understanding tidal variability in the Arctic Ocean; e.g., the global TICON-3 database contains only 111 sites above 60°N and 21 above 70°N. At the same time, the presence of sea ice and latitude limits of satellite altimetry complicate altimetry-based retrievals of Arctic tidal coefficients. This leads to a reliance on ocean tide models whose accuracy depend on having sufficient in situ data for validation and assimilation. Here, we present a comprehensive new dataset of tidal constituents in the Arctic region, combining analyses of in situ measurements from tide gauges, ocean bottom pressure sensors and GNSS interferometric reflectometry. The new dataset contains 914 measurement sites above 60°N and 399 above 70°N, with each site being quality-assessed and expert guidance provided to help maximise the usage of the dataset. We also compare the dataset to recent tide models.

7.
Int J Cosmet Sci ; 35(1): 41-9, 2013 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-22950483

RESUMEN

The catalytic formation of hydroxyl radicals in oxidative hair colourant systems in the presence of added copper ions was measured and quantified using a colorimetric probe N,N'-(5-nitro-1,3-phenylene)bisglutaramide. Also monitored in the same experiments was the decomposition of hydrogen peroxide. The first set of experiments was performed using aqueous model solutions containing the key oxidant actives in a hair colourant, ammonium hydroxide and hydrogen peroxide at pH 10, with added copper and calcium ions. The second set of experiments was performed in the presence of hair containing different levels of copper in conditions very close to those found during hair colouring. Both sets of experiments demonstrate the ability of copper ions to trigger the formation of hydroxyl radicals and catalyse the decomposition of hydrogen peroxide. The ability of chelants ethylenediamine tetraacetic acid (EDTA) and N,N'-ethylenediamine disuccinic acid (EDDS) to moderate the flux of hydroxyl radicals formed in solution systems was demonstrated in the presence of copper ions alone. However, only EDDS was successful in the presence of both calcium and copper ions. This was confirmed in the hair experiments where again only EDDS was successful at preventing hydroxyl radical formation where hair is added as the source of copper and calcium ions. These results are explained using metal speciation modelling and demonstrate the importance of the chelant to be able to specifically bind and prevent the one-electron redox chemistry of copper in the presence of high levels of calcium ions as found in hair. The formation of hydroxyl radicals during the colouring process was shown to lead to hair structure damage as measured by protein loss. EDDS was demonstrated to significantly reduce cuticle damage by suppressing the formation of the hydroxyl radicals in systems with realistic concentrations of calcium and copper.


Asunto(s)
Quelantes/farmacología , Cobre/farmacología , Tinturas para el Cabello , Oxidación-Reducción , Colorimetría
8.
Br J Dermatol ; 166 Suppl 2: 27-32, 2012 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-22670616

RESUMEN

BACKGROUND: Monilethrix is a congenital hair shaft disorder with associated fragility. Many of the changes seen in monilethrix hair on light microscopy and scanning electron microscopy are also seen in hair weathering and cosmetic damage to hair. OBJECTIVES: We used monilethrix as a model to investigate the relationship between hair protein structure and hair strength and resistance to cosmetic insult. METHODS: We applied proteomic techniques to identify novel peptide damage markers for chemical oxidative damage to hair. RESULTS: The findings suggest that specific sites in the protein structure of hair are targeted during oxidative damage from bleaching, a unique insight into how chemical damage compromises the structural integrity of the hair shaft at the molecular level. CONCLUSIONS: Applying proteomics to the study of congenital and acquired hair shaft disorders can deliver new insights into hair damage and novel strategies to strengthen hair.


Asunto(s)
Preparaciones para el Cabello/efectos adversos , Cabello/crecimiento & desarrollo , Moniletrix/genética , Proteómica/métodos , Electroforesis en Gel Bidimensional , Cabello/anomalías , Cabello/fisiopatología , Humanos , Queratinas/metabolismo , Espectrometría de Masas , Moniletrix/fisiopatología , Estrés Oxidativo/fisiología , Proteínas/metabolismo , Resistencia a la Tracción
9.
Br J Dermatol ; 165 Suppl 3: 24-30, 2011 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-22171682

RESUMEN

BACKGROUND: Many of today's treatments associated with 'thinning hair', such as female pattern hair loss and telogen effluvium, are focused on two of the key aspects of the condition. Over-the-counter or prescription medications are often focused on improving scalp hair density while high-quality cosmetic products work to prevent further hair damage and minimize mid-fibre breakage. Fibre diameter is another key contributor to thinning hair, but it is less often the focus of medical or cosmetic treatments. OBJECTIVES: To examine the ability of a novel leave-on technology combination [caffeine, niacinamide, panthenol, dimethicone and an acrylate polymer (CNPDA)] to affect the diameter and behaviour of individual terminal scalp hair fibres as a new approach to counteract decreasing fibre diameters. METHODS: Testing methodology included fibre diameter measures via laser scan micrometer, assessment of fibre mechanical and behavioural properties via tensile break stress and torsion pendulum testing, and mechanistic studies including cryoscanning electron microscopy and autoradiographic analysis. RESULTS: CNPDA significantly increased the diameter of individual, existing terminal scalp hair fibres by 2-5 µm, which yields an increase in the cross-sectional area of approximately 10%. Beyond the diameter increase, the CNPDA-thickened fibres demonstrated the altered mechanical properties characteristic of thicker fibres: increased suppleness/pliability (decreased shear modulus) and better ability to withstand force without breaking (increased break stress). CONCLUSIONS: Although cosmetic treatments will not reverse the condition, this new approach may help to mitigate the effects of thinning hair.


Asunto(s)
Alopecia/tratamiento farmacológico , Preparaciones para el Cabello/administración & dosificación , Dermatosis del Cuero Cabelludo/tratamiento farmacológico , Acrilatos/administración & dosificación , Alopecia/patología , Alopecia/fisiopatología , Autorradiografía , Cafeína/administración & dosificación , Estudios de Casos y Controles , Dimetilpolisiloxanos/administración & dosificación , Combinación de Medicamentos , Femenino , Cabello/patología , Cabello/fisiología , Humanos , Microscopía Electrónica de Rastreo , Niacinamida/administración & dosificación , Ácido Pantoténico/administración & dosificación , Ácido Pantoténico/análogos & derivados , Dermatosis del Cuero Cabelludo/patología , Dermatosis del Cuero Cabelludo/fisiopatología , Resistencia a la Tracción/fisiología
10.
Cancer Res ; 59(7): 1485-91, 1999 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-10197618

RESUMEN

The consistent presence of EBV genomes in certain tumor types (in particular, AIDS-related central nervous system lymphomas and nasopharyngeal carcinomas) may allow novel, EBV-based targeting strategies. Tumors contain the latent (transforming) form of EBV infection. However, expression of either of the EBV immediate-early proteins, BZLF1 and BRLF1, is sufficient to induce lytic EBV infection, resulting in death of the host cell. We have constructed replication-deficient adenovirus vectors expressing the BZLF1 or BRLF1 immediate-early genes and examined their utility for killing latently infected lymphoma cells in vitro and in vivo. We show that both the BZLF1 and BRLF1 vectors efficiently induce lytic EBV infection in Jijoye cells (an EBV-positive Burkitt lymphoma cell line). Furthermore, lytic EBV infection converts the antiviral drug, ganciclovir (GCV), into a toxic (phosphorylated) form, which inhibits cellular as well as viral DNA polymerase. When Jijoye cells are infected with the BZLF1 or BRLF1 adenovirus vectors in the presence of GCV, viral reactivation is induced, but virus replication is inhibited (thus preventing the release of infectious EBV particles); yet cells are still efficiently killed. Finally, we demonstrate that the BZLF1 and BRLF1 adenovirus vectors induce lytic EBV infection when they are directly inoculated into Jijoye cell tumors grown in severe combined immunodeficiency mice. These results suggest that induction of lytic EBV infection in tumors, in combination with GCV, may be an effective strategy for treating EBV-associated malignancies.


Asunto(s)
Adenoviridae/genética , Linfoma de Burkitt/virología , Proteínas de Unión al ADN/genética , Herpesvirus Humano 4/genética , Proteínas Inmediatas-Precoces/genética , Transactivadores/genética , Factores de Transcripción/genética , Proteínas Virales , Animales , Ganciclovir/metabolismo , Ganciclovir/farmacología , Vectores Genéticos , Humanos , Ratones , Ratones SCID , Fosforilación , Células Tumorales Cultivadas , Latencia del Virus , Replicación Viral/efectos de los fármacos
11.
Hypertension ; 24(6): 706-13, 1994 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-7995627

RESUMEN

The goal of this study was to determine the role of tyrosine phosphorylation in transducing deformation-stimulated vascular smooth muscle growth. Rat aorta-derived vascular smooth muscle cells were cultured on flexible silicone elastomer membranes and subjected to cyclic deformation (15 cycles per minute, deformed 2 seconds, relaxed 2 seconds). Deformation significantly increased proto-oncogene expression, [3H]thymidine incorporation, [3H]leucine incorporation, and cell number. Time course studies showed an 8-hour lag between initiation of cell deformation and onset of [3H]thymidine incorporation, with peak levels achieved after 18 to 24 hours. Western analysis of protein blots from deformed cells (10 minutes) demonstrated increased levels of phosphotyrosine-containing proteins having molecular weights of 110 to 130 and 70 to 80 kD. Deformation-stimulated tyrosine phosphorylation was prevented by the tyrosine kinase inhibitor Herbimycin A. Tyrosine kinase inhibition also prevented deformation-stimulated vascular smooth muscle cell growth as measured by [3H]thymidine incorporation. Cyclic deformation stimulates vascular smooth muscle proliferation through activation of tyrosine kinases. Inhibition of tyrosine phosphorylation is an effective means of preventing deformation-induced vascular smooth muscle growth in vitro.


Asunto(s)
Músculo Liso Vascular/citología , Proteínas Tirosina Quinasas/antagonistas & inhibidores , Animales , Diferenciación Celular , División Celular , ADN/biosíntesis , Expresión Génica , Masculino , Músculo Liso Vascular/fisiología , Estimulación Física , Biosíntesis de Proteínas , Proto-Oncogenes , Ratas , Ratas Sprague-Dawley , Transducción de Señal
12.
Antiviral Res ; 30(2-3): 133-45, 1996 May.
Artículo en Inglés | MEDLINE | ID: mdl-8783805

RESUMEN

DNA polymerase activity was assayed in hepatitis B virus (HBV) and core particles isolated from chronic producer lines. The particle-associated DNA polymerase activity, which was found to be limited to incorporation of only a few nucleotides, was inhibited by the 5'-triphosphates of nucleoside analogs. The 1-beta-L (1S,4R) and 1-beta-D (1R,4S) enantiomers of antiviral nucleoside analogs were compared for the ability to inhibit incorporation of natural nucleoside triphosphates into the viral DNA. Previously, both enantiomers of several analogs were found to be substrates for human immunodeficiency virus type 1 reverse transcriptase (HIV RT); the 1-beta-D enantiomers of some pairs were preferred as substrates. In contrast, the 1-beta-L enantiomers of all pairs tested were the more potent inhibitors of labeled substrate incorporation into hepatitis B virus DNA; the concentration required to inhibit the incorporation of the natural substrate by 50% was 6-fold to several hundred-fold lower than the concentration of the 1-beta-D enantiomer required for the same inhibitory effect. This preference for the 1-beta-L enantiomers was observed for both RNA-directed synthesis in core particles and DNA-directed synthesis in viral particles. The observed antiviral effect of the nucleoside analogs in cell culture seemed to be limited chiefly by their phosphorylation in cells.


Asunto(s)
Virus de la Hepatitis B/enzimología , Inhibidores de la Síntesis del Ácido Nucleico , Nucleótidos/farmacología , ADN Viral , ADN Polimerasa Dirigida por ADN/metabolismo , Nucleótidos de Desoxicitosina/metabolismo , Nucleótidos de Desoxiguanina/metabolismo , Emtricitabina/análogos & derivados , Virus de la Hepatitis B/genética , Humanos , Marcaje Isotópico , Moldes Genéticos , Nucleótidos de Timina/metabolismo , Zalcitabina/análogos & derivados , Zalcitabina/metabolismo
13.
Med Phys ; 23(4): 523-5, 1996 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-9157265

RESUMEN

Recently, the mechanical failure of one of the upper collimator mechanical trimmers on a cobalt-60 unit resulted in large beam asymmetries and unacceptable flatness characteristics. This malfunction was not detected using currently accepted schedules for quality assurance tests. The incident suggests that the frequency of routine beam profile constancy checks should be increased to weekly for cobalt-60 units.


Asunto(s)
Radioisótopos de Cobalto/uso terapéutico , Teleterapia por Radioisótopo/instrumentación , Teleterapia por Radioisótopo/normas , Fenómenos Biofísicos , Biofisica , Falla de Equipo , Humanos , Garantía de la Calidad de Atención de Salud , Radiometría
14.
Med Phys ; 23(11): 1903-8, 1996 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-8947905

RESUMEN

An empirical method for verifying the total treatment time for either a one- or a two-catheter high-dose-rate procedure has been developed. The method can be performed quickly and allows for easy verification of the accuracy of the treatment time arrived at by a computerized planning system. The method is designed to confirm the treatment time to within 10%.


Asunto(s)
Braquiterapia/métodos , Neoplasias de los Bronquios/radioterapia , Planificación de la Radioterapia Asistida por Computador/métodos , Humanos , Dosificación Radioterapéutica , Factores de Tiempo
15.
Med Phys ; 23(4): 521-2, 1996 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-9157264

RESUMEN

The effects of the mechanical loss of a stainless steel primary scattering foil on a 12-MeV electron beam from a dedicated intraoperative electron accelerator are discussed. Routine quality assurance tests, including dose output constancy, energy constancy, and beam uniformity (flatness and symmetry), were used to determine the nature of the malfunction when it occurred. It is concluded that these quality assurance checks, if done with the frequencies recommended by the AAPM Task Group 40 Report [Med. Phys. 21, 581-619 (1994)] and repeated at the time of occurrence, are sufficient to detect loss of an electron scattering foil.


Asunto(s)
Aceleradores de Partículas/instrumentación , Aceleradores de Partículas/normas , Fenómenos Biofísicos , Biofisica , Electrones/uso terapéutico , Falla de Equipo , Humanos , Garantía de la Calidad de Atención de Salud , Radiometría , Dispersión de Radiación , Acero Inoxidable
16.
J Pharm Sci ; 73(7): 949-53, 1984 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-6470959

RESUMEN

Gastrointestinal absorption of the strongly acidic drug proxicromil has been studied with respect to its physical organic chemistry. The lipophilicity of the drug above pH 6 in octanol-buffer partition experiments is dependent on ion pair formation. Similar trends were demonstrated for the in vitro partition of the compound into GI tissue. The absorption of the compound from the perfused GI tract of rats in vivo was not consistent with classical un-ionized drug absorption theories and indicated the operation of other processes, especially ion pair formation, as major mechanisms of proxicromil absorption.


Asunto(s)
Cromonas/metabolismo , Absorción Intestinal , Animales , Fenómenos Químicos , Química Física , Concentración de Iones de Hidrógeno , Intercambio Iónico , Cinética , Ratas , Ratas Endogámicas , Solubilidad
17.
Arch Otolaryngol Head Neck Surg ; 118(1): 89-93, 1992 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-1728284

RESUMEN

Necrotizing invasive pseudomonal infection of the external auditory canal (malignant external otitis) is an uncommon but important disorder in the elderly. The high morbidity, and even mortality, of this disorder has been reduced by the early and intensive use of combination antipseudomonal antibiotics. However, in severely immunocompromised patients or in infection involving the base of the skull, multiple cranial nerves, or the meninges, conventional therapy has been prolonged, intensive, and relatively ineffective. We treated 16 patients with malignant external otitis with adjuvant hyperbaric oxygen therapy. In six patients, infection was in advanced stages, infections were recurrences after previous treatment, and repeated treatment with antipseudomonal antibiotics had failed. All 16 cases responded promptly when a 30-day course of hyperbaric oxygen was added to the antibiotic regimen, and all patients remained free of infection or neurologic deficit during 1 to 4 years of follow-up. No complications of this treatment modality were noted. Hyperbaric oxygen therapy reverses tissue hypoxia, which enhances phagocytic killing of aerobic microorganisms, and stimulates neomicroangiogenesis. In addition, hyperbaric oxygen augments the action of aminoglycoside antibiotics. Adjuvant hyperbaric oxygen therapy should be considered in advanced or recurrent cases of malignant external otitis.


Asunto(s)
Oxigenoterapia Hiperbárica , Otitis Externa/terapia , Infecciones por Pseudomonas/terapia , Anciano , Anciano de 80 o más Años , Antibacterianos/uso terapéutico , Terapia Combinada , Femenino , Humanos , Masculino , Persona de Mediana Edad , Otitis Externa/diagnóstico por imagen , Otitis Externa/tratamiento farmacológico , Infecciones por Pseudomonas/diagnóstico por imagen , Infecciones por Pseudomonas/tratamiento farmacológico , Cintigrafía
18.
Am J Ment Retard ; 100(2): 146-59, 1995 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-8527111

RESUMEN

Event-related brain potentials (ERPs) were recorded from 6-month-old infants with and without Down syndrome presented with a visual recognition memory task. The ERP morphology was the same for both groups. The chronometry of information processing by infants with Down syndrome was similar to or faster than that of the infants without Down syndrome, depending on ERP component. The amplitude differences between groups may implicate frontal attentional processes in Down syndrome as opposed to more posterior processes. Infants with Down syndrome had an amplitude decrement in Nc over the central but not frontal cortex. The infants with Down syndrome also had similar visual fixation. Infants may have more subtle differences than those found in older individuals with Down syndrome.


Asunto(s)
Nivel de Alerta/fisiología , Atención/fisiología , Síndrome de Down/fisiopatología , Electroencefalografía , Potenciales Evocados Visuales/fisiología , Reconocimiento Visual de Modelos/fisiología , Corteza Cerebral/fisiopatología , Síndrome de Down/diagnóstico , Femenino , Habituación Psicofisiológica/fisiología , Humanos , Lactante , Masculino , Recuerdo Mental/fisiología , Valores de Referencia
19.
Artículo en Inglés | MEDLINE | ID: mdl-10772705

RESUMEN

A series of 2'-deoxy analogues of the antiviral agent 5,6-dichloro-2-isopropylamino-1-(beta-L-ribofuranosyl)-1H-benzimidazole (1263W94) were synthesized and evaluated for activity against human cytomegalovirus (HCMV) and for cytotoxicity. The 2-substituents in the benzimidazole moiety correspond to those that were used in the 1263W94 series. In general, as was found in the 1263W94 series, cyclic and branched alkylamino groups were needed for potent activity against HCMV. Three analogues 3a, 3b and 3d were as potent as 1263W94. Further evaluation of two analogues, 3a and 3b, suggested that these 2'-deoxy analogues may act via a novel mechanism of action similar to that of 1263W94. These 2'-deoxy analogues generally lacked cytotoxicity in vitro. Pharmacokinetic parameters in mice and protein binding properties of 3a were quite similar to 1263W94. However, the oral bioavailability of 3a was only half of that observed for 1263W94.


Asunto(s)
Antivirales/síntesis química , Bencimidazoles/síntesis química , Citomegalovirus/efectos de los fármacos , Ribonucleósidos/síntesis química , Animales , Antivirales/química , Antivirales/farmacocinética , Antivirales/farmacología , Bencimidazoles/química , Bencimidazoles/farmacocinética , Bencimidazoles/farmacología , Disponibilidad Biológica , Células Cultivadas , Humanos , Espectroscopía de Resonancia Magnética , Masculino , Ratones , Ratones Endogámicos , Ribonucleósidos/química , Ribonucleósidos/farmacocinética , Ribonucleósidos/farmacología
20.
Mil Med ; 160(3): 143-6, 1995 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-7783938

RESUMEN

Diabetic patients may experience fluctuations in whole blood glucose (WBG) levels while receiving hyperbaric oxygen therapy (HBO) resulting in seizure-like activity. Therefore, hyperbaric medical attendants must accurately monitor the WBG levels of these patients during HBO. In addressing this concern, this study evaluated the accuracy and reliability of commercially available glucometers (Glucometer M+, Companion 2, HemoCue, One Touch II, and ExacTech Pen) in the hyperbaric environment. WBG samples were prepared, ranging from 25 to 250 mg/dl, for testing glucometers at ground level and at 2.36 atmospheres absolute (ATA). It was noted that at 2.36 ATA, glucose values increased using the Glucometer M+, but decreased with the Companion 2 and HemoCue. The One Touch II values decreased in the hyperglycemic ranges (> 150 mg/dl), whereas the ExacTech Pen monitor readings increased in the hypoglycemic ranges (< 100 mg/dl). The accuracy of WBG monitors is significantly affected by changes in atmospheric pressure.


Asunto(s)
Glucemia/análisis , Oxigenoterapia Hiperbárica , Monitoreo Fisiológico/normas , Presión Atmosférica , Automonitorización de la Glucosa Sanguínea/instrumentación , Automonitorización de la Glucosa Sanguínea/normas , Humanos , Monitoreo Fisiológico/instrumentación , Reproducibilidad de los Resultados
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