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1.
Cereb Cortex ; 31(10): 4576-4594, 2021 08 26.
Artigo em Inglês | MEDLINE | ID: mdl-33959751

RESUMO

Brain markers of oxidative damage increase with advancing age. In response, brain antioxidant levels may also increase with age, although this has not been well investigated. Here, we used edited magnetic resonance spectroscopy to quantify endogenous levels of glutathione (GSH, one of the most abundant brain antioxidants) in 37 young [mean: 21.8 (2.5) years; 19 female] and 23 older adults [mean: 72.8 (8.9) years; 19 female]. Accounting for age-related atrophy, we identified higher frontal and sensorimotor GSH levels for the older compared with the younger adults. For the older adults only, higher sensorimotor (but not frontal) GSH was correlated with poorer balance and gait. This suggests a regionally specific relationship between higher brain oxidative stress levels and motor performance declines with age. We suggest these findings reflect an upregulation of GSH in response to increasing brain oxidative stress with normal aging. Together, these results provide insight into age differences in brain antioxidant levels and implications for motor function.


Assuntos
Envelhecimento/metabolismo , Química Encefálica/fisiologia , Encéfalo/crescimento & desenvolvimento , Glutationa/metabolismo , Idoso , Idoso de 80 Anos ou mais , Antioxidantes/metabolismo , Feminino , Lobo Frontal/metabolismo , Marcha , Humanos , Imageamento por Ressonância Magnética , Espectroscopia de Ressonância Magnética , Masculino , Estresse Oxidativo , Equilíbrio Postural/fisiologia , Desempenho Psicomotor/fisiologia , Córtex Sensório-Motor/metabolismo , Adulto Jovem
2.
Environ Sci Policy ; 127: 98-110, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34720746

RESUMO

The COVID-19 global pandemic has had severe, unpredictable and synchronous impacts on all levels of perishable food supply chains (PFSC), across multiple sectors and spatial scales. Aquaculture plays a vital and rapidly expanding role in food security, in some cases overtaking wild caught fisheries in the production of high-quality animal protein in this PFSC. We performed a rapid global assessment to evaluate the effects of the COVID-19 pandemic and related emerging control measures on the aquaculture supply chain. Socio-economic effects of the pandemic were analysed by surveying the perceptions of stakeholders, who were asked to describe potential supply-side disruption, vulnerabilities and resilience patterns along the production pipeline with four main supply chain components: a) hatchery, b) production/processing, c) distribution/logistics and d) market. We also assessed different farming strategies, comparing land- vs. sea-based systems; extensive vs. intensive methods; and with and without integrated multi-trophic aquaculture, IMTA. In addition to evaluating levels and sources of economic distress, interviewees were asked to identify mitigation solutions adopted at local / internal (i.e., farm-site) scales, and to express their preference on national / external scale mitigation measures among a set of a priori options. Survey responses identified the potential causes of disruption, ripple effects, sources of food insecurity, and socio-economic conflicts. They also pointed to various levels of mitigation strategies. The collated evidence represents a first baseline useful to address future disaster-driven responses, to reinforce the resilience of the sector and to facilitate the design reconstruction plans and mitigation measures, such as financial aid strategies.

3.
Mol Ecol ; 21(1): 130-44, 2012 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-21981354

RESUMO

Among shallow water sea urchin genera, Arbacia is the only genus that contains species found in both high and low latitudes. In order to determine the geographical origin of the genus and its history of speciation events, we constructed phylogenies based on cytochrome oxidase I and sperm bindin from all its species. Both the mitochondrial and the nuclear gene genealogies show that Arbacia originated in the temperate zone of the Southern Hemisphere and gave rise to three species in the eastern Pacific, which were then isolated from the Atlantic by the Isthmus of Panama. The mid-Atlantic barrier separated two additional species. The bindin data suggest that selection against hybridization is not important in the evolution of this molecule in this genus. Metz et al. in a previous publication found no evidence of selection on bindin of Arbacia and suggested that this might be due to allopatry between species, which obviated the need for species recognition. This suggestion formed the basis of the conclusion, widely spread in the literature, that the source of selection on sea urchin bindin (where it does occur) was reinforcement. However, the range of Arbacia spatuligera overlaps with that of two other species of Arbacia, and our data show that it is hybridizing with one of them. We found that even in the species that overlap geographically, there are no deviations from selective neutrality in the evolution of bindin.


Assuntos
Arbacia/classificação , Arbacia/genética , Evolução Molecular , Filogeografia , Animais , Primers do DNA , DNA Mitocondrial/genética , Complexo IV da Cadeia de Transporte de Elétrons/genética , Hibridização Genética , Dados de Sequência Molecular , Panamá , Filogenia , Análise de Sequência de DNA , Especificidade da Espécie
4.
J Fish Biol ; 80(6): 2159-75, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-22551175

RESUMO

The study of mass and standard length (L(S) ) relationships showed that farmed individuals had higher values than wild fishes for both gilthead sea bream Sparus aurata and European sea bass Dicentrarchus labrax. Such differences were more pronounced in larger individuals than smaller ones and were more noticeable in S. aurata than in D. labrax. Additionally, differences in external characteristics of scales were detected between origins. A high proportion of farmed S. aurata had a regenerated nucleus (98%) and scale malformations (73%), and there were no annual rings in the farmed D. labrax (100%). Variation in otolith morphology was examined through shape descriptors such as area, perimeter, circularity, roundness, mass, height and length relationship and elliptic Fourier descriptors (EFDs). Important differences were found within geographical origins according to each shape descriptor separately, but no clear patterns distinguished wild and farmed fish. Discriminant analysis with either all shape descriptors together or EFDs was able to classify with high accuracy both S. aurata (89·5-95·7%) and D. labrax (93·2-95·2%) according to their origin. Hence, this study suggests the use of scale characteristics as the easiest and quickest way to distinguish farmed or escaped fishes, and secondly, the usefulness of EFDs or shape descriptors to improve such separation.


Assuntos
Animais Selvagens/anatomia & histologia , Bass/anatomia & histologia , Membrana dos Otólitos/anatomia & histologia , Dourada/anatomia & histologia , Animais , Análise Discriminante , Pesqueiros , Pele/anatomia & histologia , Especificidade da Espécie
5.
Ecol Appl ; 20(3): 830-9, 2010 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-20437967

RESUMO

Marine reserves are assumed to protect a wide range of species from deleterious effects stemming from exploitation. However, some species, due to their ecological characteristics, may not respond positively to protection. Very little is known about the effects of life history and ecological traits (e.g., mobility, growth, and habitat) on responses of fish species to marine reserves. Using 40 data sets from 12 European marine reserves, we show that there is significant variation in the response of different species of fish to protection and that this heterogeneity can be explained, in part, by differences in their traits. Densities of targeted size-classes of commercial species were greater in protected than unprotected areas. This effect of protection increased as the maximum body size of the targeted species increased, and it was greater for species that were not obligate schoolers. However, contrary to previous theoretical findings, even mobile species with wide home ranges benefited from protection: the effect of protection was at least as strong for mobile species as it was for sedentary ones. Noncommercial bycatch and unexploited species rarely responded to protection, and when they did (in the case of unexploited bentho-pelagic species), they exhibited the opposite response: their densities were lower inside reserves. The use of marine reserves for marine conservation and fisheries management implies that they should ensure protection for a wide range of species with different life-history and ecological traits. Our results suggest this is not the case, and instead that effects vary with economic value, body size, habitat, depth range, and schooling behavior.


Assuntos
Comportamento Animal , Conservação dos Recursos Naturais , Peixes , Animais , Tamanho Corporal , Ecossistema , Europa (Continente) , Pesqueiros , Modelos Biológicos , Densidade Demográfica , Territorialidade
6.
Mar Environ Res ; 156: 104902, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32056797

RESUMO

Wild fish belonging to four species belonging to different trophic groups were captured at three distances from fish farm facilities: long distance (>5 Km), medium distance (1.5 Km) and close to sea-cages. Flesh, brain, liver and gonads were sampled for fatty acid analysis. Fish aggregated near sea-cages showed accumulation of fatty acids of vegetable origin in the studied tissues, due to surplus feed consumption or via predation of fish that consumed the feed. Gonads accumulated vegetable fatty acids in different manner in the different species, and the species least and most influenced by fish-feeds were selected for gonad histological examination. Results showed an acceleration of the final stages of the oocyte development in fish aggregated near fish farms compared to fish captured at long distance. Differences in oocyte development were more acute in the species which incorporated higher quantities of vegetable fatty acids.


Assuntos
Aquicultura , Ácidos Graxos/análise , Pesqueiros , Peixes , Gônadas/química , Ração Animal , Animais , Animais Selvagens
7.
Mar Pollut Bull ; 139: 299-310, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30686431

RESUMO

The present study describes the novel use of fatty acids (FAs) and element profiles of Octopus vulgaris inhabiting three coastal areas in the W-Mediterranean Sea. These populations are exposed to different anthropogenic activities, and were compared at different geographical scales. The FA composition in the mantle of O. vulgaris exhibited significant differences in 22:6 n-3 (DHA) and 22:5 n-3 (EPA) among the sampled populations. The essential microelements Fe, Cu, Zn and Ni, and the non-essential microelements As, Sr, Al and Cd were the main contributors of variability among sampled octopus populations, with some notable differences among tissues. The variations in the FAs and elemental composition in octopus tissues were detected with other populations throughout the species distribution range, which might reflect differences in natural habitats and foraging strategies. Therefore, these may be considered biomarkers as a proxy to distinguish the origin of octopus specimens at different scales.


Assuntos
Biomarcadores/análise , Ácidos Graxos/análise , Metais/análise , Micronutrientes/análise , Octopodiformes/química , Animais , Mar Mediterrâneo , Metais/farmacocinética , Micronutrientes/farmacocinética , Octopodiformes/metabolismo , Alimentos Marinhos/análise , Distribuição Tecidual , Poluentes Químicos da Água/análise , Poluentes Químicos da Água/farmacocinética
8.
Mar Environ Res ; 65(5): 416-26, 2008 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-18342365

RESUMO

The effects of the invasive species Caulerpa racemosa var. cylindracea (hereafter C. racemosa) on amphipod assemblages associated with shallow-water rocky habitats were studied. Two habitats located along the SE Iberian Peninsula were compared; invaded and non-invaded. The results showed that growth of C. racemosa affects habitat structure, influencing the species composition and biomass of macroalgae, and detritus accumulation. In turn, such changes in habitat features affected the associated amphipod assemblages with different ecological requirements. However, the species richness of amphipods was relatively high in both habitats, while the species composition of amphipods changed completely. For example, some species such as Ampithoe ramondi and Hyale schmidti did not colonize invaded habitats, while others such as Apocorophium acutum were favoured by the spread of C. racemosa. Habitat invasion by C. racemosa can have an important influence on biotic assemblages, modifying both habitat structure and the associated fauna, with unknown effects on the overall ecosystem.


Assuntos
Anfípodes/fisiologia , Caulerpa/fisiologia , Ecossistema , Análise de Variância , Animais , Biodiversidade , Biomassa , Mar Mediterrâneo
9.
Neurocirugia (Astur) ; 19(4): 350-5, 2008 Aug.
Artigo em Espanhol | MEDLINE | ID: mdl-18726046

RESUMO

Forestier's disease or diffuse idiophatic skeletal hyperostosis is a systemic reumathological abnormality of unknown etiology. It produces calcificationossification of the anterior longitudinal ligament. The low dorsal region is the most affected in the raquis. These patients are tipically asymptomatic or with few symptoms (minimal joint pain, spinal pain, stiffness). Dysphagia is the most common symptom when the disease affects the cervical spine; less frequent is dyspnea, both secondary to extrinsic compression of the esophagus and trachea. Neurological complaints are quite rare. In the 1970s Resnick described specific radiological criteria for the diagnosis of Forestier's disease that are still used today. It affects men more frequently than women (2:1); the peak occurrence is in patients in their 60s. We present two cases diagnosed by severe difficulty with deglution, a 84 years-old woman and a 54 years-old man; we operated on them for surgical decompression of the esophagus with resection of osteophytes C3-C4 and C5-C6 respectively through a conventional anterolateral neck approach. Relief of difficulty in swallowing was immediately ensued.


Assuntos
Calcinose , Vértebras Cervicais/patologia , Transtornos de Deglutição/etiologia , Hiperostose Esquelética Difusa Idiopática/complicações , Ligamentos Articulares/patologia , Idoso de 80 Anos ou mais , Transtornos de Deglutição/diagnóstico por imagem , Transtornos de Deglutição/cirurgia , Feminino , Humanos , Hiperostose Esquelética Difusa Idiopática/diagnóstico por imagem , Hiperostose Esquelética Difusa Idiopática/cirurgia , Masculino , Pessoa de Meia-Idade , Radiografia
10.
Neurocirugia (Astur) ; 18(2): 128-33, 2007 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-17497059

RESUMO

We present another case of delayed intracerebral hemorrhage after a ventriculoperitoneal (VP) shunting procedure. In this case, a right occipital intraparenchymal hematoma and associated intraventricular hemorrhage occurred six days after the operation for hydrocephalus secondary to subarachnoid hemorrhage in a 64 year old woman. It is a rare complication of VP shunting, with few cases reported previously in the literature. The presumed mechanism is the erosion of a cerebral blood vessel secondary to a close contact with the ventricular catheter; bleeding disorder, vascular malformation, head trauma or brain tumor were excluded in this patient.


Assuntos
Hemorragia Cerebral/etiologia , Derivação Ventriculoperitoneal/efeitos adversos , Hemorragia Cerebral/diagnóstico , Hemorragia Cerebral/patologia , Evolução Fatal , Feminino , Humanos , Pessoa de Meia-Idade , Literatura de Revisão como Assunto , Tomografia Computadorizada por Raios X
11.
Mar Environ Res ; 130: 166-173, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28760622

RESUMO

Particulate wastes derived from cage fish farming are a trophic resource used by wild fish. This study assesses waste consumption by wild fish and the impact on the final balance of wastes. Consumption was determined according to the difference between the particulate matter exiting the cages and that reaching 5 m away at three different depths, in the presence and absence of wild fish. Wild fish around the experimental cages were counted during feeding and non-feeding periods. A weighted abundance of 1057 fish 1000 m-3 consumed 17.75% of the particulate wastes exiting the cages, on average. Consumption was higher below the cages, where waste outflow was greater. However, waste removal by wild fish was noteworthy along the shallow and deep sides of the cages. Wild fish diminished the net particulate wastes by about 14%, transforming them into more easily dispersible and less harmful wastes. This study demonstrates the mitigating potential of wild fish in reducing environmental impact.


Assuntos
Aquicultura , Peixes , Resíduos Sólidos , Animais , Meio Ambiente , Tamanho da Partícula
12.
Mar Pollut Bull ; 119(1): 23-30, 2017 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-28325608

RESUMO

Particulate wastes drive benthic organic enrichment from cage fish farming. Differentiation between faeces and uneaten feed estimates at cage level are of great value to both economize the feeding process and reduce waste. This study estimates the particulate waste outflowing cages at different depths and orientations, and the wasted feed component by combining in situ measurements and modelling. Particulate matter flux (PMF) was greater vertically through the cage bottoms (60.89%), but lateral outflow was also substantial (39.11%). PMF occurs all around the cages, and the influence of the mainstream current was low. Wasted feed was greatly variable, reaching high values (about 50% of supplied feed. The self-application of feed wastage monitoring and estimates by fish farmers is recommended to improve sustainability.


Assuntos
Aquicultura , Eliminação de Resíduos , Animais , Peixes , Tamanho da Partícula
13.
Mar Pollut Bull ; 91(1): 45-53, 2015 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-25577476

RESUMO

Currently, the lipid content of fish feeds includes high amounts of terrestrial vegetable oils, rich in n-6 fatty acids and poor in n-3 fatty acids. Sinking organic matter in the shape of fragmented pellets and fish faeces could be ingested by the surrounding fauna attracted to the submerged structures of aquaculture facilities or living in natural benthic habitats. Fatty acids contained in feed pellets were used as trophic markers to shed light on the assimilation and incorporation of aquaculture wastes by the invertebrate fauna associated to sea-cages. Eighteen macroinvertebrate species, and zooplankton, seaweeds and sediments were collected from two fish farms, one of which (control) had not been used as such for two years. This study demonstrates that macroinvertebrate fauna present in fouling can take up sinking organic matter from farms. Further research should be directed at assessing the potential implications of aquaculture production for the surrounding ecosystem.


Assuntos
Ração Animal/análise , Aquicultura/métodos , Cadeia Alimentar , Invertebrados/metabolismo , Resíduos/análise , Análise de Variância , Animais , Cromatografia Gasosa , Ecossistema , Ácidos Graxos/análise , Ácidos Graxos/farmacocinética , Fezes/química , Peixes/crescimento & desenvolvimento , Sedimentos Geológicos/química , Mar Mediterrâneo , Espanha , Zooplâncton/metabolismo
14.
Mar Environ Res ; 103: 27-35, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25460059

RESUMO

"Taxocene surrogation" and "taxonomic sufficiency" concepts were applied to the monitoring of soft bottoms macrobenthic assemblages influenced by fish farming following two approaches. Polychaete assemblage evaluation through multivariate analysis and the benthic index BOPA were compared. Six fish farms along the Spanish Mediterranean coast were monitored. Polychaete assemblage provided a suitable picture of the impact gradient, being correlated with total free sulphides. BOPA did not support the impact gradient described by the polychaete assemblage, providing erroneous categorizations. The inclusion of several polychaete families, which were locally identified as indicative of affection to recalculate BOPA, resulted in an improved diagnosis and correlation with the impact gradient. Nevertheless, frequent misclassifications occurred. These results suggest that the structure of polychaete families, sulphides and granulometry conform an appropriate strategy for fish farming monitoring. Biotic indices need to be specifically designed for concrete activities, and regionally validated, because of the environmental plasticity of benthic invertebrates.


Assuntos
Aquicultura , Biodiversidade , Monitoramento Ambiental/métodos , Poliquetos/fisiologia , Sulfetos/análise , Anfípodes/fisiologia , Animais , Organismos Aquáticos/fisiologia , Bass/fisiologia , Sedimentos Geológicos/análise , Mar Mediterrâneo , Análise Multivariada , Dourada/fisiologia , Espanha
15.
Rev Neurol ; 26(154): 1008-10, 1998 Jun.
Artigo em Espanhol | MEDLINE | ID: mdl-9658481

RESUMO

INTRODUCTION: Spinal lesions in the acquired immunodeficiency syndrome (AIDS) occur in 22% of all neurological complications, although their occurrence as the first sign of the disease is very uncommon. First place amongst the myelopathies described as associated with HIV is taken by vacuolar myelopathy, followed by the myelites. CLINICAL CASE: We studied a 65 year old homosexual man who had previously been free of symptoms and signs of HIV infection. He was seen for progressive paraparesia which had begun some days previously, followed by altered sense of position and of vibration. Complementary tests showed that the patient was a carrier of HIV antibodies in high titre (P-24) with a high viral load of 907 x 1,000 copies RNA/ml. Testing with evoked potentials showed changes compatible with involvement of the sensory pathways of the spinal cord. After treatment with dexamethasone there was obvious improvement with partial recovery of his symptoms. CONCLUSIONS: The neurological condition described was compatible with vacuolar type myelopathy due to HIV, appearing in the initial stages of the illness and coinciding with a marked increase in the viraemia. Although necropsy is necessary for confirmation of the diagnosis, more and more evidence is being found on which to base clinical suspicion. We discuss various hypotheses regarding possible pathogenic mechanisms arising in these circumstances.


Assuntos
Síndrome da Imunodeficiência Adquirida/diagnóstico , Infecções por HIV/complicações , Mielite/etiologia , Idoso , Contagem de Linfócito CD4 , Infecções por HIV/patologia , Humanos , Masculino , Mielite/patologia , Paresia/etiologia , Paresia/patologia , Reflexo Anormal , Vacúolos/ultraestrutura
16.
Neurocirugia (Astur) ; 12(4): 331-7, 2001 Aug.
Artigo em Espanhol | MEDLINE | ID: mdl-11706678

RESUMO

We describe a 53 year old man with a two months history of frontal headache and right visual loss, with complete right blindness at the moment of diagnosis. Neither nasal obstruction nor endocrine symptoms were found. Computerized Tomography showed a neoplasm involving both paranasal sinuses and sellar region, with bilateral orbital extension. The patient underwent a bifrontal craniotomy with apparent complete excision. Histopathologic examination proved smooth muscle cells sarcoma (leiomyosarcoma). Clinical evolution was unfavorable, with rapid local recurrence. The patient died of cerebellar metastasis 4 months after the initial diagnosis and treatment. Leiomyosarcoma of the sinonasal tract is an unusual tumor, and we have found only 63 cases previously reported. The most frequent clinical presentation is nasal obstruction. Surgery is the treatment of choice, as far as radiotherapy or chemotherapy do not appear to slow disease progression. No relationship has been found between the aggressiveness of leiomyosarcoma of the sinonasal tract and morphologic parameters; instead, prognosis is dependent on the distribution of disease at clinical onset. Leiomyosarcoma of the sinonasal tract may be regarded as a locally aggressive neoplasm with only limited metastatic potential.


Assuntos
Neoplasias Encefálicas/diagnóstico , Leiomiossarcoma/diagnóstico , Neoplasias dos Seios Paranasais/diagnóstico , Neoplasias Encefálicas/cirurgia , Humanos , Leiomiossarcoma/cirurgia , Masculino , Pessoa de Meia-Idade , Invasividade Neoplásica , Neoplasias dos Seios Paranasais/cirurgia
17.
Mar Environ Res ; 101: 22-28, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25164018

RESUMO

Nocturnal pelagic swimming is common in the daily activity of peracarids in marine ecosystems. Fish farming facilities in coastal areas constitute an optimal artificial habitat for invertebrates such as amphipods, which can reach high abundance and biomass in fouling communities. Additionally, fish farms may modify the local oceanographic conditions and the distribution of pelagic communities. The aim of this study was to determine if nocturnal abundance and species composition of planktonic amphipod assemblages are affected by fish farm structures, using light traps as collecting method. A total of 809 amphipods belonging to 21 species were captured in farm areas, compared to 42 individuals and 11 species captured in control areas. The most important species contributing to the dissimilarity between farms and controls were the pelagic hyperiid Lestrigonus schizogeneios, the fouling inhabitants Ericthonius punctatus, Jassa marmorata, Stenothoe sp. and Caprella equilibra, and the soft-bottom gammarids Periculodes aequimanus and Urothoe pulchella. The great concentrations of planktonic amphipods at fish farm facilities is a result of the input of individuals from fouling communities attached to aquaculture facilities, along with the potential retention there of hyperiids normally present in the water column and migrant amphipods from soft sediments. Therefore, in addition to the effects of aquaculture on benthic communities, the presence of fish farms induces major changes in planktonic assemblages of invertebrates such as amphipods.


Assuntos
Anfípodes/fisiologia , Aquicultura , Animais , Biodiversidade , Ritmo Circadiano , Ecossistema , Densidade Demográfica , Dinâmica Populacional , Zooplâncton/fisiologia
18.
Neurologia ; 17(4): 219-22, 2002 Apr.
Artigo em Espanhol | MEDLINE | ID: mdl-11940411

RESUMO

INTRODUCTION: Throughout the world, is fully accepted that a person is dead when brain death exists. In most situations, neurological criteria permit the diagnosis of brain death, but in some instances, as when high-dose barbiturate therapy has been used, confirmatory testing are required by law. CLINICAL CASE: We report the case of a 17 year-old women who suffered high-dose barbiturate therapy due to post traumatic intracranial hypertension. During the period of the barbiturate infusion and until six days after the suppression of this therapy, neurological exploration and EEG findings seem to confirm brain death, while transcranial Doppler (TCD) study remained normal. CONCLUSIONS: TCD is a fast, simple and accurate confirmatory testing in the determination of brain death and its findings are not affected by high-dose barbiturate therapy. We think that TCD must be present in all hospitals where mechanical ventilation and support of patients are carried out.


Assuntos
Morte Encefálica/diagnóstico por imagem , Hipnóticos e Sedativos/efeitos adversos , Ultrassonografia Doppler Transcraniana , Adolescente , Morte Encefálica/diagnóstico , Traumatismos Craniocerebrais/complicações , Eletroencefalografia , Feminino , Humanos , Hipertensão Intracraniana/tratamento farmacológico , Hipertensão Intracraniana/etiologia , Espanha , Obtenção de Tecidos e Órgãos/normas
19.
Endoscopy ; 29(9): 834-9, 1997 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-9476766

RESUMO

BACKGROUND AND STUDY AIMS: We studied the clinical features and therapeutic outcome in patients with a diagnosis of Dieulafoy lesion. PATIENTS AND METHODS: Twenty-six patients who had upper gastrointestinal bleeding from Dieulafoy lesions received endoscopic therapy. The clinical and endoscopic features, and the outcome of therapy, were analysed retrospectively. RESULTS: Hemostasis was attempted by hemoclipping in 18 patients, heater probe in six patients and ethanol injection in two patients. The initial therapy was successful in 22 (84.6%) cases. Hemostasis was achieved with additional endoscopic therapy in three cases (11,5%). Surgical treatment was needed only in one case, owing to uncontrolled bleeding. One patient died during the hospital stay from a cause unrelated to the Dieulafoy lesion. There were no side effects related to endoscopic therapy. None of these patients presented with rebleeding from Dieulafoy lesions over a mean long-term follow-up of 36 months. CONCLUSIONS: Bleeding from Dieulafoy lesions can be managed successfully by endoscopic methods, and these should be regarded as the first choice in their management. We emphasize the role of hemoclipping, a mechanical method, for the endoscopic treatment of these lesions.


Assuntos
Malformações Arteriovenosas/terapia , Hemorragia Gastrointestinal/terapia , Hemostase Endoscópica/métodos , Estômago/irrigação sanguínea , Malformações Arteriovenosas/complicações , Eletrocoagulação , Etanol/uso terapêutico , Feminino , Hemorragia Gastrointestinal/etiologia , Técnicas Hemostáticas , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos
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