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1.
J Biol Chem ; 295(1): 146-157, 2020 01 03.
Artículo en Inglés | MEDLINE | ID: mdl-31757807

RESUMEN

Cohesin is a chromatin-bound complex that mediates sister chromatid cohesion and facilitates long-range interactions through DNA looping. How the transcription and replication machineries deal with the presence of cohesin on chromatin remains unclear. The dynamic association of cohesin with chromatin depends on WAPL cohesin release factor (WAPL) and on PDS5 cohesin-associated factor (PDS5), which exists in two versions in vertebrate cells, PDS5A and PDS5B. Using genetic deletion in mouse embryo fibroblasts and a combination of CRISPR-mediated gene editing and RNAi-mediated gene silencing in human cells, here we analyzed the consequences of PDS5 depletion for DNA replication. We found that either PDS5A or PDS5B is sufficient for proper cohesin dynamics and that their simultaneous removal increases cohesin's residence time on chromatin and slows down DNA replication. A similar phenotype was observed in WAPL-depleted cells. Cohesin down-regulation restored normal replication fork rates in PDS5-deficient cells, suggesting that chromatin-bound cohesin hinders the advance of the replisome. We further show that PDS5 proteins are required to recruit WRN helicase-interacting protein 1 (WRNIP1), RAD51 recombinase (RAD51), and BRCA2 DNA repair associated (BRCA2) to stalled forks and that in their absence, nascent DNA strands at unprotected forks are degraded by MRE11 homolog double-strand break repair nuclease (MRE11). These findings indicate that PDS5 proteins participate in replication fork protection and also provide insights into how cohesin and its regulators contribute to the response to replication stress, a common feature of cancer cells.


Asunto(s)
Proteínas de Ciclo Celular/metabolismo , Proteínas Cromosómicas no Histona/metabolismo , Replicación del ADN , Proteínas de Unión al ADN/metabolismo , Proteínas Nucleares/metabolismo , Factores de Transcripción/metabolismo , ATPasas Asociadas con Actividades Celulares Diversas/metabolismo , Animales , Proteína BRCA2/metabolismo , Células Cultivadas , Cromatina/metabolismo , Proteínas de Unión al ADN/genética , Células HeLa , Humanos , Proteína Homóloga de MRE11/metabolismo , Ratones , Proteínas Nucleares/genética , Recombinasa Rad51/metabolismo , Factores de Transcripción/genética , Cohesinas
2.
Reprod Sci ; 31(1): 66-80, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-37515717

RESUMEN

Preimplantation genetic testing for aneuploidy (PGT-A) has evolved over recent years, including improvements in embryo culture, biopsy, transfer, and genetic testing. The application of new comprehensive chromosome screening analysis has improved the accuracy in determining the chromosomal status of the analyzed sample, but it has brought new challenges such as the management of partial aneuploidies and mosaicisms. For the past two decades, PGT-A has been involved in a controversy regarding its efficiency in improving IVF outcomes, despite its widespread worldwide implementation. Understanding the impact of embryo aneuploidy in IVF (in vitro fertilization) should theoretically allow improving reproductive outcomes. This review of the literature aims to describe the impact of aneuploidy in human reproduction and how PGT-A was introduced to overcome this obstacle in IVF (in vitro fertilization). The article will try to analyze and summarize the evolution of the PGT-A in the recent years, and its current applications and limitations, as well as the controversy it generates. Conflicting published data could indicate the lacking value of a single biopsied sample to determine embryo chromosomal status and/or the lack of standardized methods for embryo culture and management and genetic analysis among other factors. It has to be considered that PGT-A may not be a universal test to improve the reproductive potential in IVF patients, rather each clinic should evaluate the efficacy of PGT-A in their IVF program based on their population, skills, and limitations.


Asunto(s)
Diagnóstico Preimplantación , Embarazo , Femenino , Humanos , Diagnóstico Preimplantación/métodos , Pruebas Genéticas/métodos , Fertilización In Vitro/métodos , Aneuploidia , Mosaicismo , Blastocisto/patología
3.
Integr Environ Assess Manag ; 19(4): 1023-1030, 2023 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-36468349

RESUMEN

Carbon dioxide emissions linked to the transport sector are particularly relevant to islands. The Canary Islands have high level of tourism, with tourists who generally travel in rented vehicles on arrival in the archipelago. In addition, mobility of the local population in the islands is also always growing. Thus, transport is one of the sectors that emits the greatest amount of greenhouse gases. In this sense, the net carbon balance becomes a pioneering study in the framework of management of high-capacity road transport routes and will help plan new strategies, which pursue the neutrality and climate resilience of the road network. It will therefore be possible to design different future scenarios, according to traffic intensities detected, to mitigate their local effects by increasing green areas, which will contribute to greater absorption. This study calculated the carbon footprint linked to vehicles on the three high-capacity roads on the island of Tenerife, as well as the carbon footprint of the public lighting attached to these roads. The absorption of carbon by vegetation planted by the Road Service and the soil located on the margins of the road have also been calculated to explore the possibility of modifying the vegetation, using other types of local shrubs and trees that have a higher absorption factor. The results demonstrate that conifers have the highest absorption factor, the Canary Island pine being the best option in this case. However, it is not always possible to place trees on the roadside, and it is necessary to resort to smaller species. This study concludes that better mobility planning, an increase in electric vehicles, improved energy production from renewable sources, and the promotion and enhancement of absorption capacity of carbon sinks are key in the face of climate change. Integr Environ Assess Manag 2023;19:1023-1030. © 2022 The Authors. Integrated Environmental Assessment and Management published by Wiley Periodicals LLC on behalf of Society of Environmental Toxicology & Chemistry (SETAC).


Asunto(s)
Gases de Efecto Invernadero , España , Gases de Efecto Invernadero/análisis , Secuestro de Carbono , Suelo , Dióxido de Carbono/análisis
4.
J Forensic Leg Med ; 90: 102376, 2022 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-35675736

RESUMEN

This study advances on overcoming a bias limiting the forensic cases studies of drug-facilitated sexual assaults: a narrow study focus, restricted to assaults affecting young women in leisure contexts related to nightlife, party culture, and dating. A new working framework is applied to analyse data from cases received in the National Institute of Toxicology and Forensic Sciences (Madrid, Spain) over the six years between 2012 and 2017. The work throws light on non-previously described contexts, experiences, and profiles of victims, including domestic cohabitation, labour, education, healthcare, women trafficking, and the daily life of people with intellectual disabilities.


Asunto(s)
Víctimas de Crimen , Delitos Sexuales , Trastornos Relacionados con Sustancias , Víctimas de Crimen/estadística & datos numéricos , Femenino , Medicina Legal , Humanos , Delitos Sexuales/estadística & datos numéricos , España/epidemiología , Trastornos Relacionados con Sustancias/epidemiología , Adulto Joven
5.
J Org Chem ; 76(8): 2494-501, 2011 Apr 15.
Artículo en Inglés | MEDLINE | ID: mdl-21391699

RESUMEN

As a result of a combined theoretical and experimental study, we describe a two-step protocol for the preparation of an optically pure, multifunctional, cyclopentanic core shared by a number of natural products. This process is based on a hitherto unreported Ti(III)-mediated diastereoselective cyclization in which the hydroxy-directed template effect played by the Ti(III) species was found to be crucial for the stereoselective outcome of the reaction. The viability of this concept was confirmed with the first protecting-group free synthesis of three enantiopure chokols, namely, chokols K, E, and B.

6.
Brain Sci ; 11(2)2021 Feb 10.
Artículo en Inglés | MEDLINE | ID: mdl-33578677

RESUMEN

Cognitive dysfunction affects the performance of Activities of Daily Living (ADL) and the quality of life of people with these deficits and their caregivers. To the knowledge of the authors, to date, there are few studies that focus on knowing the relationship between personal autonomy and deductive reasoning and/or categorization skills, which are necessary for the performance of the ADL. The aim of this study was to explore the relationships between ADL and categorization skills in older people. The study included 51 participants: 31 patients with cognitive impairment and 20 without cognitive impairment. Two tests were administered to assess cognitive functions: (1) the Montreal Cognitive Assessment (MoCA); and (2) the digital version of Riska Object Classification test (ROC-d). In addition, the Routine Tasks Inventory-2 (RTI-2) was applied to determine the level of independence in activities of daily living. People with cognitive impairment performed poorly in categorization tasks with unstructured information (p = 0.006). Also, the results found a high correlation between cognitive functioning and the performance of ADLs (Physical ADL: r = 0.798; p < 0.001; Instrumental ADL: r = 0.740; p < 0.001), a moderate correlation between Physical ADLs and categorization skills (unstructured ROC-d: r = 0.547; p < 0.001; structured ROC-d: r = 0.586; p < 0.001) and Instrumental ADLs and categorization skills in older people (unstructured ROC-d: r = 0.510; p < 0.001; structured ROC-d: r = 0.463; p < 0.001). The ROC-d allows the assessment of categorization skills to be quick and easy, facilitating the assessment process by OT, as well as the accuracy of the data obtained.

7.
Childs Nerv Syst ; 26(11): 1599-603, 2010 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-20464401

RESUMEN

BACKGROUND: Tumours of the posterior fossa associated with neurofibromatosis type 1 (NF1) are very infrequent. Series studying this association are seldom reported. PERSONAL EXPERIENCE: In a series of 600 NF1 patients studied during 39 years (1965-2004) only five (0.83%) had posterior fossa tumours. They were studied clinically, radiologically by computerized tomography (CT) or magnetic resonance (MR) and histologically. Four of them had astrocytomas but only in one case was the tumour primarily cerebellar while the tumour was primarily of the brain stem with invasion of the adjacent regions of one or both cerebellar hemispheres in three patients. The fifth tumour was a medulloblastoma that had a survival of 3 years following treatment. The patient with primary cerebellar astrocytoma is apparently cured 7 years after the removal of the tumour. The patients with the brain stem tumours extending to the cerebellum, showed a chronic slowly progressive cerebellar disease, but remain alive at age of more than 20 years (one was lost to follow-up). DISCUSSION AND CONCLUSION: The aim of this study was to present five children (one male and four females) less than 16 years of age when they were initially seen in our service, who had NF1 associates with posterior fossa tumours. This location is very uncommon in patients with NF1, in contrast with those located in other regions, such as pathway optic tumours and brain stem tumours. Most of these tumours are histologically benign (low grade astrocytomas). Only one patient in this series had a medulloblastoma, an exceptionally rare tumour seldom reported in patients with NF1.


Asunto(s)
Fosa Craneal Posterior , Neurofibromatosis 1/cirugía , Neoplasias de la Base del Cráneo/cirugía , Adolescente , Adulto , Astrocitoma/diagnóstico , Astrocitoma/mortalidad , Astrocitoma/patología , Astrocitoma/cirugía , Neoplasias del Tronco Encefálico/diagnóstico , Neoplasias del Tronco Encefálico/mortalidad , Neoplasias del Tronco Encefálico/patología , Neoplasias del Tronco Encefálico/cirugía , Neoplasias Cerebelosas/diagnóstico , Neoplasias Cerebelosas/mortalidad , Neoplasias Cerebelosas/patología , Neoplasias Cerebelosas/cirugía , Niño , Preescolar , Fosa Craneal Posterior/patología , Femenino , Estudios de Seguimiento , Humanos , Lactante , Imagen por Resonancia Magnética , Espectroscopía de Resonancia Magnética , Masculino , Meduloblastoma/diagnóstico , Meduloblastoma/mortalidad , Meduloblastoma/patología , Meduloblastoma/cirugía , Neurofibromatosis 1/diagnóstico , Neurofibromatosis 1/mortalidad , Neurofibromatosis 1/patología , Estudios Retrospectivos , Neoplasias de la Base del Cráneo/diagnóstico , Neoplasias de la Base del Cráneo/mortalidad , Neoplasias de la Base del Cráneo/patología , Tasa de Supervivencia , Tomografía Computarizada por Rayos X , Adulto Joven
8.
Paediatr Anaesth ; 20(12): 1078-83, 2010 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-21199116

RESUMEN

OBJECTIVES: To investigate the effect of altitude on perioperative opioid requirements in otherwise healthy children. AIM: To investigate whether children living and having surgery at high altitude received different doses of fentanyl than those living and having surgery at sea level. BACKGROUND: Recent studies in animals (Anesthesiology, 105, 2006 and 715) and children with obstructive sleep apnea (Anesthesiology, 105, 2006 and 665; Anesthesiology 100, 2004 and 806) suggest that analgesic effects of exogenous opioids are enhanced by hypoxia. However, the effects of hypoxia on perioperative narcotic requirements in otherwise healthy children have not been previously reported. METHODS/MATERIALS: We reviewed retrospectively the opioid requirements of pediatric patients who underwent cleft lip or palate surgery during Smile Network International mission trips to Cusco and Lima, Peru between 2007 and 2009. Patients who had surgery at high altitude were compared to those who had surgery at sea level. All patients received a standardized anesthetic with intravenous fentanyl as the only perioperative opioid. RESULTS: Hundred and two patients had surgery at 3399 m above sea level (masl) (Cusco) and 169 patients had surgery at 150 masl (Lima). Patients at high altitude had significantly lower baseline oxygen saturations (92 ± 4% vs 98 ± 3%; P < 0.001) and received 40% less opioid (1.2 ± 0.8 vs 2.0 ± 1.4 µg·kg(-1) per h; P < 0.001) compared to patients at sea level. CONCLUSIONS: Opioid administration was reduced in otherwise healthy children with altitude-induced chronic hypoxia when compared to non-hypoxic children undergoing similar operations under similar anesthetic regimens. Whether this difference is due to altitude or altitude-induced hypoxia, requires further study.


Asunto(s)
Altitud , Analgésicos Opioides/administración & dosificación , Fentanilo/administración & dosificación , Hipoxia , Anomalías de la Boca/cirugía , Atención Perioperativa/métodos , Preescolar , Labio Leporino/cirugía , Fisura del Paladar/cirugía , Humanos , Perú , Estudios Retrospectivos
9.
Methods Inf Med ; 59(S 02): e79-e89, 2020 12.
Artículo en Inglés | MEDLINE | ID: mdl-32894880

RESUMEN

BACKGROUND: This article describes the development and evaluation of a distributed user interface (DUI) application to assess visuomotor organization ability. This application enables therapists to evaluate the acquired brain injury (ABI) on patients, and patients, to perform the assessment on a touch screen while therapists can observe the assessment process in real time on a separated monitor without interfering patients during the process as in traditional methodologies employing physical elements. OBJECTIVES: The main goal of this research is the evaluation of the quality in use of DUIs in the Pegboard Construction assessment with patients with ABI from the therapist perspective in the area of occupational therapy. METHODS: To evaluate our system, we have performed a usability evaluation following the ISO/IEC 25010 and ISO/IEC 25062 standards to evaluate software usability and quality and it was conducted in collaboration with therapists and psychologists that have previously worked with people with ABI in diagnostic and assessment tasks. RESULTS: We show the results of the evaluation collected in a table that shows the completeness rate for each user for both, assisted (i.e., the percentage of tasks where participants performed with test director assistance) and unassisted tasks (i.e., the percentage of tasks where participants completed tasks autonomously), the total time participants required to complete proposed tasks, the number of mistakes participants performed during the session, and the number of assists they required to finish proposed tasks. In addition, we also evaluated the user satisfaction regarding our application using the system usability scale. CONCLUSION: The use of information technologies in this field enables therapists to perform these evaluations in a simpler, efficient, and automated way. This proposal enables patients to perform the assessment as it is performed traditionally using paper providing them with a touch screen in which they can easily insert a set of pins into the holes. The usability evaluation of the proposal meets the appropriate design standards for applications of this type, and this is demonstrated by the high degree of satisfaction of the participants.


Asunto(s)
Desempeño Psicomotor , Programas Informáticos , Interfaz Usuario-Computador , Humanos
10.
Phys Med Biol ; 65(1): 015016, 2020 01 13.
Artículo en Inglés | MEDLINE | ID: mdl-31746787

RESUMEN

Intra-lot, inter-scan and other variabilities in radiochromic film dosimetry may have a severe impact on absolute dosimetry with this dosimeter. In the literature, several dosimetry protocols may be found characterized by different calibration functions and different film response variables. Also, the re-calibration methods found in the literature correct and minimize the impact of the variabilities in the absolute dose estimates. In this work, several recalibration methods and dosimetry protocols are evaluated. In order to find optimal configurations, their accuracy is compared, and the accuracy level that can be reached in each case is discussed. The efficient protocol and the parameter escalation are used to recalibrate EBT3 films from two different film batches. The mean absolute deviations between known doses and estimated doses for eight dose levels are obtained and compared with the self calibration of each reading, named intrinsic film calibration. Eight film sheets from two different lots and two digitizers are used. The parameter escalation method with a four-level recalibration using net optical density (NOD) and a power law as dosimetry protocol obtains the highest accuracy. Regarding the number of control strips, increasing the number from two to three makes the parameter escalation protocol to come close to intrinsic film calibration in all cases, but has a less important effect on the efficient protocol. Regardless the choice of the sensitometric variables, using the appropriate recalibration method results in accuracy levels typical of self calibration of the film. In addition, the parameter escalation method provides better results than the efficient protocol with three calibration strips.


Asunto(s)
Algoritmos , Dosimetría por Película/normas , Aceleradores de Partículas/instrumentación , Fantasmas de Imagen , Calibración , Dosimetría por Película/métodos , Humanos , Dosis de Radiación , Reproducibilidad de los Resultados
11.
Med Phys ; 47(10): 4949-4955, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-32750161

RESUMEN

PURPOSE: A new phantom, designed and manufactured for modulation transfer function (MTF) calculations is presented in this work. The phantom has a star-bar pattern and is manufactured in stainless steel. Modulation transfer function determinations are carried out with the new phantom and with an edge phantom to compare their performance and to compare them with previous theoretical predictions. METHODS: The phantoms are imaged in an x-ray imaging system using different beam qualities and different entrance air KERMA. Methods, previously developed for synthetic images and simulations, are adapted to real measurements, solving practical implementation issues. RESULTS: In the case of the star-bar, in order to obtain optimal MTF determinations it is necessary to accurately determine the center of the pattern. Also, to avoid underestimates in MTF calculations, the length in pixels of each of the scanning circumferences must be an integer multiple of the number of cycles in the pattern. Both methods, star-bar and edge, give similar mean values of the MTF in all cases analyzed. Also, the dependence with frequency of the experimental MTF standard deviation (SD) agrees with the theoretical expressions presented in previous works. In this regard, the precision is better for the star-bar method than for the edge and differences in precision between both methods are higher for the lowest beam quality. CONCLUSIONS: The star-bar phantom can be used for MTF determinations with the advantage of having an improved precision. However, precision is reduced when the radiation quality increases. This fact suggests that, for the highest beam qualities, materials with an attenuation coefficient greater than that of steel should be used to manufacture the phantom.


Asunto(s)
Rayos X , Fantasmas de Imagen
13.
Rev. chil. cardiol ; 43(1)abr. 2024.
Artículo en Español | LILACS-Express | LILACS | ID: biblio-1559638

RESUMEN

Introducción: La insuficiencia cardíaca (IC) tiene alta morbilidad y mortalidad. Su diagnóstico temprano en atención primaria de salud (APS) es un reto dada la baja especificidad de sus criterios clínicos y las limitaciones en acceso a técnicas diagnósticas. Objetivo: Analizar la prevalencia de IC, subtipos y pronóstico de pacientes con disnea y/o edema de extremidades inferiores que consultan en APS. Metodología: Se trata de un estudio prospectivo de 340 pacientes en APS, sin diagnóstico previo de IC. Se realizó una evaluación clínica, electrocardiograma, NT-proBNP "point-of-care", ecocardiografía con interpretación telemática por cardiólogos. Utilizando los algoritmos HFA-PEFF y H2FPEF se clasificaron los pacientes como :1) IC con fracción de eyección (FE) reducida (ICFER); 2) IC con FE preservada (ICFEP) y 3) pacientes sin diagnóstico de IC. Se efectuó un análisis de sobrevida de los diferentes grupos. Resultados: La prevalencia de ICFER fue 8%, ICFEP por HFA-PEFF 42% y por H2FPEF 8%. Los algoritmos sugieren efectuar un estudio complementario en el 47% con HFA-PEFF y 76% con H2FPEF (p<0.05). La sobrevida global a 36 meses fue 90±2% y cardiovascular 95±1%. Usando HFA-PEFF, los pacientes con IC tuvieron menor sobrevida que aquellos sin IC (HR 2.3, IC95% 1.14.9; p=0.029). No hubo diferencias de mortalidad con H2FPEF. Conclusiones: En pacientes de APS que consultan por disnea y/o edema de extremidades inferiores sometidos a evaluación con NT-proBNP y ecocardiografía, se observó una prevalencia de IC de hasta 50%, 8% de ICFER y 42% de ICFEP. La caracterización de IC utilizando HFA-PEFF está asociada al pronóstico vital.


Background: Heart failure (HF) is a condition associated with high morbidity and mortality. Its early diagnosis in primary health care (PHC) represents a substantial challenge, considering its non-specific clinical manifestations and the limitations on timely access to diagnostic techniques. Objective: To evaluate the prevalence of HF, characterize subtypes and determine the prognosis of patients consulting in PHC for dyspnea Edema of the lower extremities. Methods: Prospective study in 340 patients who consulted in PHC, without previous diagnosis of HF. Clinical evaluation, electrocardiogram, NT-proBNP point-ofcare and echocardiography with telematic interpretation by cardiologists were performed. Using the HFA-PEFF and H2FPEF algorithms patients were classified as: 1) HF with reduced ejection fraction (HFREF); 2) HF with preserved ejection fraction (HFPEF) and 3) No HF. Actuarial survival analyses were performed. Results: We observed a prevalence of HFREF of 8%, high probability of HFPEF by HFA-PEFF in 42% and by H2FPEF in 8%. Intermediate probability of HFPEF, requiring complementary study, was observed in 47% of patients with HFA-PEFF and 76% of patients with H2FPEF (p<0.05). Overall survival at 36 months was 90±2% and cardiovascular survival at 36 months was 95±1%. Using HFA-PEFF, patients with HF presented lower overall survival compared to patients with no HF (HR 2.3, 95%CI 1.1-4.9; p=0.029). We did not observe mortality differences with H2FPEF. Conclusions: In patients consulting for dyspnea and/or lower extremity edema at PHC and undergoing evaluation with NT-proBNP and echocardiography, we observed a HF prevalence of 50%. HF classification through HFA-PEFF was associated with lower survival rates.

14.
Am J Med Genet A ; 146A(19): 2557-65, 2008 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-18792985

RESUMEN

We report on a newborn infant with characteristics of Laurin-Sandrow syndrome (LSS). She had hypertelorism, flat nose with grooved collumella, "V" shaped mouth with thin lips, 7 well-recognized and fused digits and 1 additional postaxial bilateral appendix on each hand. The right and left feet had 12 and 11 toes, respectively, the 4 external ones were recognizable, and the rest were fused in a uniform mass but with independent nails. There was also a 2.3 cm-long digitiform appendix in the internal part of both feet. Radiographs showed seven metacarpals and seven metatarsals with similar morphology; both hands lacking thumbs. The four lateral-most toes had regular shaped phalanges and the rest were irregular. The left digitiform appendix had three bones and the right only two. Tibiae were shorter than fibulae. Central Nervous System examination showed an abnormally shaped olivary nucleus, cerebellar cortical heterotopias, gray matter ectopias in both spinal cord and hemispheric white matter, marked ventricular dilatation, and moderate diffuse white matter gliosis. Karyotype was 46XX. A complete necropsy study is presented and all reported cases are reviewed focusing on their phenotypic differences and their nosologic classification. We propose the entity LSS only in cases with symmetric tetrameric polysyndactyly, especially cup-shaped hands and mirror feet, in association with nasal anomalies.


Asunto(s)
Anomalías Múltiples/patología , Deformidades Congénitas del Pie/patología , Deformidades Congénitas de la Mano/patología , Nariz/anomalías , Polidactilia/patología , Sindactilia/patología , Encéfalo/anomalías , Encéfalo/patología , Ectromelia/diagnóstico por imagen , Ectromelia/patología , Resultado Fatal , Femenino , Deformidades Congénitas del Pie/diagnóstico por imagen , Humanos , Hipertelorismo/patología , Lactante , Recién Nacido , Radiografía , Sindactilia/diagnóstico por imagen , Síndrome , Pulgar/anomalías , Dedos del Pie/anomalías
15.
Arch Bronconeumol ; 44(7): 386-92, 2008 Jul.
Artículo en Español | MEDLINE | ID: mdl-18727892

RESUMEN

The halo sign is a circular area of ground-glass attenuation that is seen around pulmonary nodules at computed tomography (CT). Although the sign is most often an indication of pulmonary hemorrhage, it may also accompany other lesions associated with different disease processes. Examples are hemorrhagic nodules of infectious origin (mucormycosis, candidiasis, tuberculosis, viral pneumonia, and invasive aspergillosis--the last being the most common cause of the CT halo sign); hemorrhagic nodules of noninfectious origin (Wegener granulomatosis, Kaposi sarcoma, and hemorrhagic metastases); tumor cell infiltration (bronchioloalveolar carcinoma, lymphoma, and metastasis with intra-alveolar tumor growth); and nonhemorrhagic lesions (sarcoidosis and organizing pneumonia). Diagnosis must therefore be based on careful consideration of all the CT chest findings within the context of the patient's clinical state. The aim of this review was to describe and illustrate different disease processes that appear as a halo sign on CT scans, to analyze the value of this diagnostic tool, and to assess its correlation with pathology findings.


Asunto(s)
Enfermedades Pulmonares/diagnóstico por imagen , Neoplasias Pulmonares/diagnóstico por imagen , Tomografía Computarizada por Rayos X , Diagnóstico Diferencial , Humanos , Enfermedades Pulmonares/microbiología
16.
Curr Opin Cell Biol ; 52: 51-57, 2018 06.
Artículo en Inglés | MEDLINE | ID: mdl-29433064

RESUMEN

Replicated chromatids are held together from the time they emerge from the replication fork until their separation in anaphase. This process, known as cohesion, promotes faithful DNA repair by homologous recombination in interphase and ensures accurate chromosome segregation in mitosis. Identification of cohesin thirty years ago solved a long-standing question about the nature of the linkage keeping together the sister chromatids. Cohesin is an evolutionarily conserved complex composed of a heterodimer of the Structural Maintenance of Chromosomes (SMC) family of ATPases, Smc1 and Smc3, the kleisin subunit Rad21 and a Huntingtin/EF3/PP2A/Tor1 (HEAT) repeat domain-containing subunit named SA/STAG. In addition to mediating cohesion, cohesin plays a major role in genome organization. Cohesin functions rely on the ability of the complex to entrap DNA topologically and in a dynamic manner. Establishment of cohesion during S phase requires coordination with the DNA replication machinery and restricts the dynamic behaviour of at least a fraction of cohesin. Dissolution of cohesion in subsequent mitosis is regulated by multiple mechanisms that ensure that daughter cells receive the correct number of intact chromosomes. We here review recent progress on our understanding of how these processes are regulated in somatic vertebrate cells.


Asunto(s)
Proteínas de Ciclo Celular/metabolismo , Ciclo Celular/genética , Cromátides/metabolismo , Proteínas Cromosómicas no Histona/metabolismo , Humanos , Cohesinas
17.
Artículo en Inglés, Español | MEDLINE | ID: mdl-28601216

RESUMEN

INTRODUCTION: Acute respiratory infections of viral cause are very frequent entities. The difficulty in evaluating the detection of a virus in these entities could be solved by determining the viral load. METHODS: A prospective study on the mean Ct value (cycle threshold value) detected against RSV-A, RSV-B and influenza A (H1N1)pdm09, A (H3N2) and B viruses in patients of different origin and age was performed. Detection was performed using a commercial molecular amplification (RT-PCR) technique. RESULTS: Different mean Ct values were detected for each virus. In RSV infections, no differences were observed between those caused by RSV-A or RSV-B in children. Depending on the patient's age, the only statistical significance was observed in those included in the 0-4 month groups for RSV-A and this group and the 5-12 months group for RSV-B (higher values). A lower viral load was detected in adult patients than in paediatric patients. In influenza infections, no statistical significance was observed in the mean values detected in patients from the Red Centinela («sentinel network¼, a Spanish network of doctors aimed at research and surveillance of diseases), those diagnosed in the adult emergency room or in hospital admissions. In the adult patients admitted to the ICU, only a slightly lower mean value was observed in those infected with influenza A (H1N1)pdm09, but without statistical significance. There were no patients admitted to the ICU with influenza B infection. CONCLUSION: The detection of viral load could be a good tool for the evaluation, monitoring and prognosis of acute viral respiratory infections. With the exception of those caused by RSV, no significant differences were observed in influenza infections except in younger paediatric patients.


Asunto(s)
Gripe Humana/virología , ARN Viral/análisis , Reacción en Cadena en Tiempo Real de la Polimerasa/métodos , Infecciones por Virus Sincitial Respiratorio/virología , Carga Viral , Viremia/virología , Enfermedad Aguda , Adolescente , Adulto , Líquidos Corporales/virología , Niño , Preescolar , Coinfección , Humanos , Lactante , Recién Nacido , Subtipo H1N1 del Virus de la Influenza A/genética , Subtipo H3N2 del Virus de la Influenza A/genética , Virus de la Influenza B , Gripe Humana/metabolismo , Estudios Prospectivos , Infecciones por Virus Sincitial Respiratorio/metabolismo , Carga Viral/métodos
18.
Acta Trop ; 185: 261-266, 2018 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-29883574

RESUMEN

One hundred and twenty-two lesions caused by Leishmania braziliensis in 92 patients were treated using weekly intralesional (IL) infiltrations of a generic pentavalent antimonial compound, combined with local anesthetics. The topical therapy produced satisfactory healing in all the included patients, bearing from single-small ulcers to multiple or big lesions, after receiving an average 6 ±â€¯3 IL infiltrations (90 mgSb5+each). The rapid effect of this compound was demonstrated by the observed decrease of the Leishmania-amastigote population following microscopical grading in complicated ulcers after receiving two infiltrations. Neither discomfort nor side effects after infiltrations were recorded from the treated patients at any time. In addition, no signs of cutaneous relapse or mucosal lesion were detected during follow up after a decade clinical healing in 22% of the treated patients. Investment to produce the generic antimonial-IL treatment resulted significantly lower than the standard antimonial systemic therapy, and its cost/risk is discussed. The minimal dose of Sb5+ causing non-side effects or patient discomfort, the low production cost and the here demonstrated successful results, lead us to propose this generic antimonial compound as an alternative therapy for leishmanial-control in areas where American cutaneous leishmaniasis is endemic.


Asunto(s)
Anestésicos Locales/administración & dosificación , Antiprotozoarios/administración & dosificación , Leishmaniasis Cutánea/tratamiento farmacológico , Lidocaína/administración & dosificación , Meglumina/administración & dosificación , Compuestos Organometálicos/administración & dosificación , Adolescente , Adulto , Niño , Combinación de Medicamentos , Femenino , Estudios de Seguimiento , Humanos , Masculino , Antimoniato de Meglumina , Persona de Mediana Edad , Adulto Joven
19.
Lipids ; 53(4): 429-436, 2018 04.
Artículo en Inglés | MEDLINE | ID: mdl-29655176

RESUMEN

Growth hormone (GH) release is a process that is well regulated by several factors, including GH secretagogues. GH can mediate the regulation of the fatty acid level and composition. The aim of this study was to determine the effect of a synthetic GH secretagogue peptide (A233) on the growth and fatty acid composition in tilapia (Oreochromis niloticus). To address this objective, we administrated a diet supplemented with A233 to juvenile tilapia for 60 days. The group fed with a diet supplemented with 600 µg of A233 per kg of feed increased in weight (4.81 ± 0.09 g) and specific growth rate (2.49 ± 0.03%/day) compared to the control diet group (3.63 ± 0.08 g, 2.07 ± 0.04%/day; respectively) (p < 0.001). In the muscle, the total lipids for the control diet group were higher than that in the group fed with 600 µg of A233 per kg feed; however, no differences were detected in the liver. In both tissues, the patterns of fatty acid composition and content were generally similar, with some exceptions. Tilapia fed with 600 µg of A233 per kg of feed showed, in liver and muscle, a significantly higher composition and content of n-3 polyunsaturated fatty acids (such as 20:5n-3, 22:5n-3, 22:6n-3) and n-3/n-6 PUFA than animals fed with the control diet. To our knowledge, this is the first report on the the effects of natural or synthetic GH secretagogues (GHS) on fatty acid composition, implying an increase in the nutritional quality of the tilapia.


Asunto(s)
Cíclidos/crecimiento & desarrollo , Cíclidos/metabolismo , Ácidos Grasos Omega-3/metabolismo , Hígado/efectos de los fármacos , Músculos/efectos de los fármacos , Hormonas Peptídicas/farmacología , Secretagogos/farmacología , Animales , Suplementos Dietéticos , Relación Dosis-Respuesta a Droga , Hígado/metabolismo , Músculos/metabolismo , Hormonas Peptídicas/administración & dosificación , Hormonas Peptídicas/química , Secretagogos/administración & dosificación , Secretagogos/química
20.
Phys Med ; 47: 23-33, 2018 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-29609815

RESUMEN

PURPOSE: To provide a multi-stage model to calculate uncertainty in radiochromic film dosimetry with Monte-Carlo techniques. This new approach is applied to single-channel and multichannel algorithms. MATERIAL AND METHODS: Two lots of Gafchromic EBT3 are exposed in two different Varian linacs. They are read with an EPSON V800 flatbed scanner. The Monte-Carlo techniques in uncertainty analysis provide a numerical representation of the probability density functions of the output magnitudes. From this numerical representation, traditional parameters of uncertainty analysis as the standard deviations and bias are calculated. Moreover, these numerical representations are used to investigate the shape of the probability density functions of the output magnitudes. Also, another calibration film is read in four EPSON scanners (two V800 and two 10000XL) and the uncertainty analysis is carried out with the four images. RESULTS: The dose estimates of single-channel and multichannel algorithms show a Gaussian behavior and low bias. The multichannel algorithms lead to less uncertainty in the final dose estimates when the EPSON V800 is employed as reading device. In the case of the EPSON 10000XL, the single-channel algorithms provide less uncertainty in the dose estimates for doses higher than four Gy. CONCLUSION: A multi-stage model has been presented. With the aid of this model and the use of the Monte-Carlo techniques, the uncertainty of dose estimates for single-channel and multichannel algorithms are estimated. The application of the model together with Monte-Carlo techniques leads to a complete characterization of the uncertainties in radiochromic film dosimetry.


Asunto(s)
Algoritmos , Dosimetría por Película/métodos , Método de Montecarlo , Dosis de Radiación , Incertidumbre , Calibración , Dosimetría por Película/instrumentación
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