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1.
Environ Sci Technol ; 47(3): 1297-305, 2013 Feb 05.
Artículo en Inglés | MEDLINE | ID: mdl-23316938

RESUMEN

An extensive set of volatile organic compounds (VOCs) was measured at the Boulder Atmospheric Observatory (BAO) in winter 2011 in order to investigate the composition and influence of VOC emissions from oil and natural gas (O&NG) operations in northeastern Colorado. BAO is 30 km north of Denver and is in the southwestern section of Wattenberg Field, one of Colorado's most productive O&NG fields. We compare VOC concentrations at BAO to those of other U.S. cities and summertime measurements at two additional sites in northeastern Colorado, as well as the composition of raw natural gas from Wattenberg Field. These comparisons show that (i) the VOC source signature associated with O&NG operations can be clearly differentiated from urban sources dominated by vehicular exhaust, and (ii) VOCs emitted from O&NG operations are evident at all three measurement sites in northeastern Colorado. At BAO, the reactivity of VOCs with the hydroxyl radical (OH) was dominated by C(2)-C(6) alkanes due to their remarkably large abundances (e.g., mean propane = 27.2 ppbv). Through statistical regression analysis, we estimate that on average 55 ± 18% of the VOC-OH reactivity was attributable to emissions from O&NG operations indicating that these emissions are a significant source of ozone precursors.


Asunto(s)
Monitoreo del Ambiente , Gas Natural/análisis , Aceites/química , Compuestos Orgánicos Volátiles/análisis , Atmósfera/química , Ciudades , Colorado , Radical Hidroxilo/química , Análisis Multivariante , Pentanos/análisis , Propano/análisis , Factores de Tiempo
2.
Euro Surveill ; 16(47): 20021, 2011 Nov 24.
Artículo en Inglés | MEDLINE | ID: mdl-22152707

RESUMEN

Two fatal cases of Streptococcus pyogenes emm st22.6 bacteraemia occurred in a care home in England during April and June 2010, initiating a cluster investigation. The first case had left the home 13 days before the second case took up residence. We sought further cases and carriers. We swabbed throat and chronic skin lesions from residents and staff and examined these specimens for the presence of S. pyogenes. 61 specimens were taken from 18 of 19 residents and 39 of 39 staff. All results from swabbing were culture negative. We observed infection control practices and the environment at the care home for deficiencies. Issues were identified relating to the correct use of personal protective equipment, hand hygiene, clinical waste and laundry. Infection control practices were improved and training given. Infection control practices and the environment at a care home should be examined as part of the investigation of a S. pyogenes cluster. Screening for carriage of S. pyogenes should be done before antibiotic chemoprophylaxis is issued to care home residents and staff.


Asunto(s)
Control de Enfermedades Transmisibles/métodos , Brotes de Enfermedades/prevención & control , Agencias de Atención a Domicilio , Infecciones Estreptocócicas/prevención & control , Streptococcus pyogenes/patogenicidad , Manejo de la Enfermedad , Inglaterra/epidemiología , Resultado Fatal , Humanos , Sepsis/microbiología , Infecciones Estreptocócicas/epidemiología , Infecciones Estreptocócicas/microbiología , Infecciones Estreptocócicas/transmisión , Streptococcus pyogenes/aislamiento & purificación
3.
Science ; 208(4446): 856-61, 1980 May 23.
Artículo en Inglés | MEDLINE | ID: mdl-17772809

RESUMEN

The novel intemal structures of metallic glasses lead to exceptional strength, corrosion resistance, and ease of magnetization. Combined with low manufacturing costs, these properties make glassy ribbons attractive for many applications. These materials also have scientific fascination because their compositions, structures, and properties have unexpected features.

4.
Science ; 261(5127): 1436-9, 1993 Sep 10.
Artículo en Inglés | MEDLINE | ID: mdl-17745356

RESUMEN

Compared with pure metals and ionic salts, covalent solids such as silicon are hard and brittle because dislocations do not move in them except at high temperatures. A satisfactory explanation for this behavior has been lacking in spite of its great importance for the mechanics of materials and structures. It is shown here that the critical atomic process leading to the observed brittleness is analogous to a chemical substitution reaction. Analysis of this analogy with the aid of a correlation diagram yields the observed high resistive stress and high activation energy. When a kink on a dislocation line moves, it breaks the atomic bonding symmetry, a forbidden process.

5.
Science ; 178(4063): 873-4, 1972 Nov 24.
Artículo en Inglés | MEDLINE | ID: mdl-5085986

RESUMEN

The Hbb(d) allele at the hemoglobin beta chain locus of Mus musculus is composed of two linked genes, coding for structurally different beta chains, betadmin and betadmaj. Mus caroli has only one beta chain, which combines structural features of both betadmin and betadmaj and thus may be a Lepore type of beta chain. Sequence data suggest that selection may have been important in the evolution of the mouse beta chains.


Asunto(s)
Código Genético , Hemoglobinas/análisis , Alelos , Secuencia de Aminoácidos , Animales , Evolución Biológica , Genes , Ligamiento Genético , Genotipo , Hemoglobinas/biosíntesis , Ratones , Polimorfismo Genético
6.
Science ; 160(3830): 885-6, 1968 May 24.
Artículo en Inglés | MEDLINE | ID: mdl-5647833

RESUMEN

Two strains of mice, DBA and C3H, have a fetal globin polypeptide chain which differs in electrophoretic mobility from the corresponding fetal chain of the C57B1 strain. Mice of the DBA and C3H strains also differ from those of the C57B1 in adult hemoglobin type. Results of backcrossing the (DBA x C57B1) hybrid to the C57B1 suggest that the fetal chain locus and the adult beta-chain locus are closely linked.


Asunto(s)
Hemoglobina Fetal , Hemoglobinas Anormales , Péptidos , Alelos , Animales , Electroforesis de las Proteínas Sanguíneas , Fenómenos Químicos , Química , Embrión de Mamíferos , Hemoglobina Fetal/análisis , Hemoglobinas Anormales/análisis , Hibridación Genética , Ratones , Biología Molecular , Péptidos/análisis , Recombinación Genética
7.
Drug Alcohol Depend ; 182: 93-97, 2018 01 01.
Artículo en Inglés | MEDLINE | ID: mdl-29175464

RESUMEN

INTRODUCTION: Attention deficit hyperactivity disorder (ADHD) symptoms, even those below diagnostic threshold, enhance the likelihood of nicotine dependence, suggesting a neurobiological link between disorders. Of particular interest is the salience network (SN), which mediates attention to salient internal/external stimuli to guide behavior and is anchored by the dorsal anterior cingulate cortex (dACC) and bilateral anterior insula (AI). Disrupted interactions between the SN and the default mode (DMN) and central executive networks (CEN) have been noted in both ADHD and nicotine dependence. Further, enhanced intra-SN coupling between the dACC-AI influences aspects of nicotine dependence such as reactivity to smoking cues. METHODS: To identify links between SN functional connectivity and ADHD symptoms in nicotine dependence, we compared 21 nicotine dependent individuals with 17 non-smokers on ADHD symptoms as measured by the ADHD self-report scale (ASRS) and resting state intra and inter-SN functional connectivity. RESULTS: Relative to healthy controls, nicotine dependent individuals had significantly higher ASRS scores and greater dACC-AI coupling. No group differences were noted on inter-SN network coupling. A significant association was found between ASRS and dACC-AI coupling both in the entire cohort and specifically when evaluating nicotine dependent individuals alone. CONCLUSIONS: The greater ASRS scores in nicotine dependent individuals is in line with existent literature and the stronger dACC-AI coupling in smokers further supports the role of this network in nicotine dependence. The significant association between dACC-AI coupling and ASRS suggests that intra-SN coupling strength may impact neurocognitive functioning associated with both ADHD symptoms and nicotine dependence.


Asunto(s)
Trastorno por Déficit de Atención con Hiperactividad/metabolismo , Encéfalo/metabolismo , Fumar Cigarrillos/metabolismo , Imagen por Resonancia Magnética/métodos , Red Nerviosa/metabolismo , Tabaquismo/metabolismo , Adulto , Trastorno por Déficit de Atención con Hiperactividad/diagnóstico por imagen , Trastorno por Déficit de Atención con Hiperactividad/epidemiología , Encéfalo/diagnóstico por imagen , Mapeo Encefálico/métodos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Red Nerviosa/diagnóstico por imagen , Autoinforme , Tabaquismo/diagnóstico por imagen , Tabaquismo/epidemiología , Tabaquismo/fisiopatología , Adulto Joven
8.
Drug Alcohol Depend ; 179: 8-12, 2017 10 01.
Artículo en Inglés | MEDLINE | ID: mdl-28735078

RESUMEN

INTRODUCTION: The ability to direct smoking cessation treatment based on neuroscientific findings holds incredible promise. However, there is a strong need for consistency across studies to confirm neurobiological targets. While our prior work implicated enhanced insula reactivity to smoking cues in tobacco smoking relapse vulnerability, this finding has not been confirmed. METHOD: Using functional magnetic resonance imaging (fMRI), we evaluated the pre-cessation brain reactivity to smoking vs. neutral cues in nicotine dependent smokers who were and were not able to maintain subsequent abstinence. RESULTS: Of the 23 (7 women) individuals assessed, 13 relapsed and there were no demographic differences between those who did and did not relapse. However, smokers who relapsed showed enhanced reactivity to smoking cues in the right insula and dorsal striatum, showing significant overlap between our current and prior work despite methodological differences, including the fact that our previous work only included women. CONCLUSION: The current work supports our prior results and builds on the concept that the insula and dorsal striatum work in concert to maintain nicotine dependence. Specifically, dorsal striatal-mediated habitual responding may be triggered both by the external drug-associated cues, and the insula-mediated internal states that provide additional context motivating drug use. This replicated finding also mirrors preclinical work that finds the same individualized distinction, as only some rodents attribute incentive salience to drug cues and are more likely to reinstate drug seeking after extinction. To effectively treat addiction, these individual characteristics and their underlying neurobiological foundations must be considered.


Asunto(s)
Encéfalo/fisiopatología , Corteza Cerebral/fisiopatología , Señales (Psicología) , Tabaquismo/fisiopatología , Conducta Adictiva , Condicionamiento Psicológico , Femenino , Humanos , Imagen por Resonancia Magnética , Motivación , Neuroimagen , Recurrencia , Fumar Tabaco
9.
Aliment Pharmacol Ther ; 23(7): 1007-16, 2006 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-16573803

RESUMEN

BACKGROUND: The pathogenesis of inflammatory bowel disease-associated osteopenia may be related to pathological rates of bone turnover; however, the literature shows mixed results. AIM: To compare bone biomarkers in inflammatory bowel disease patients (Crohn's disease: n = 68, and ulcerative colitis: n = 32, separately) with age- and sex-matched healthy controls. SUBJECTS: Patients and controls were recruited from Cork University Hospital and Cork City area, respectively. RESULTS: Relative to that in their respective controls, Crohn's disease (n = 47) and ulcerative colitis (n = 26) patients (i.e. excluding supplement users) had significantly (P < 0.05-0.001) higher serum undercarboxylated osteocalcin (by 27% and 63%, respectively) and bone-specific alkaline phosphatase (by 15% and 21%, respectively) and urinary Type I collagen cross-linked N-telopeptides concentrations (by 87% and 112%, respectively). Relative to that in their respective controls, Crohn's disease and ulcerative colitis patients had significantly (P < 0.01) lower serum total osteocalcin (by 20% and 42%, respectively) and 25-hydroxyvitamin D (by 37% and 42%, respectively), while serum parathyroid hormone levels were similar. In the combined patient group (n = 100), undercarboxylated osteocalcin was positively associated with bone markers. CONCLUSIONS: Both Crohn's disease and ulcerative colitis patients have altered bone turnover relative to that in healthy controls.


Asunto(s)
Biomarcadores/análisis , Enfermedades Óseas Metabólicas/metabolismo , Enfermedades Inflamatorias del Intestino/metabolismo , Adulto , Fosfatasa Alcalina/sangre , Biomarcadores/sangre , Biomarcadores/orina , Densidad Ósea , Enfermedades Óseas Metabólicas/sangre , Enfermedades Óseas Metabólicas/orina , Resorción Ósea/sangre , Resorción Ósea/etiología , Resorción Ósea/orina , Colitis Ulcerosa/sangre , Colitis Ulcerosa/complicaciones , Colitis Ulcerosa/orina , Colágeno Tipo I/orina , Enfermedad de Crohn/sangre , Enfermedad de Crohn/complicaciones , Enfermedad de Crohn/orina , Femenino , Humanos , Enfermedades Inflamatorias del Intestino/sangre , Enfermedades Inflamatorias del Intestino/orina , Masculino , Osteocalcina/sangre , Osteogénesis/fisiología , Hormona Paratiroidea/sangre , Péptidos/orina , Vitamina D/análogos & derivados , Vitamina D/sangre
10.
Eur J Clin Nutr ; 60(7): 889-96, 2006 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-16493452

RESUMEN

OBJECTIVE: To investigate determinants (pathophysiologic and physiologic, behavioural and lifestyle) of vitamin D status in Irish Crohn's disease (CD) patients. DESIGN: A cross-sectional observational study. SETTING: Cork City, Ireland (52 degrees N). SUBJECTS: Crohn's Disease patients (n=58; mean age 38.1 years) were recruited from Cork University Hospital. RESULTS: Fifty and nineteen percent of Irish CD patients were vitamin D deficient (defined by serum 25 hydroxyvitamin (OH) D levels <50 nmol/l) during winter and summer, respectively. Multiple regression analysis showed that summer-time serum 25 (OH) D levels were positively associated with use of vitamin D supplements (P=0.033) and negatively associated with smoking (P=0.006) and being male (P=0.063). During winter-time, use of vitamin D supplements (P=0.041) and sun habits (P=0.066) were positively associated, whereas small intestinal involvement (P=0.005) and body mass index (BMI) (P=0.083) were negatively associated with serum 25 (OH) D levels. There was no significant association between other non-pathophysiologic (age, dietary calcium or vitamin D) or pathophysiologic factors (steroid use, resection), and serum 25 (OH) D levels, at either season. Approximately 41 and 60% of the total variation in summer- and winter-time serum 25 (OH) D, respectively, was explained by this model. CONCLUSION: A high proportion of Irish CD patents had some level of vitamin D deficiency (<50 nmol/l) during late-wintertime. Use of regular low-dose supplemental vitamin D, particularly by patients with small intestinal involvement, cessation of smoking and adequate, but responsible, exposure to summer sunlight as well as maintaining BMI in the normal range could help maintain adequate vitamin D levels during wintertime.


Asunto(s)
Enfermedad de Crohn/sangre , Fumar/efectos adversos , Deficiencia de Vitamina D/epidemiología , Vitamina D/análogos & derivados , Vitamina D/administración & dosificación , Adulto , Enfermedad de Crohn/complicaciones , Estudios Transversales , Suplementos Dietéticos , Femenino , Humanos , Irlanda/epidemiología , Masculino , Necesidades Nutricionales , Estado Nutricional , Estaciones del Año , Factores Sexuales , Luz Solar , Vitamina D/sangre , Vitamina D/metabolismo , Deficiencia de Vitamina D/sangre
11.
Atmos Chem Phys ; 16(4): 2597-2610, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-29619046

RESUMEN

The chemical link between isoprene and formaldehyde (HCHO) is a strong, non-linear function of NOx (= NO + NO2). This relationship is a linchpin for top-down isoprene emission inventory verification from orbital HCHO column observations. It is also a benchmark for overall photochemical mechanism performance with regard to VOC oxidation. Using a comprehensive suite of airborne in situ observations over the Southeast U.S., we quantify HCHO production across the urban-rural spectrum. Analysis of isoprene and its major first-generation oxidation products allows us to define both a "prompt" yield of HCHO (molecules of HCHO produced per molecule of freshly-emitted isoprene) and the background HCHO mixing ratio (from oxidation of longer-lived hydrocarbons). Over the range of observed NOx values (roughly 0.1 - 2 ppbv), the prompt yield increases by a factor of 3 (from 0.3 to 0.9 ppbv ppbv-1), while background HCHO increases by a factor of 2 (from 1.6 to 3.3 ppbv). We apply the same method to evaluate the performance of both a global chemical transport model (AM3) and a measurement-constrained 0-D steady state box model. Both models reproduce the NOx dependence of the prompt HCHO yield, illustrating that models with updated isoprene oxidation mechanisms can adequately capture the link between HCHO and recent isoprene emissions. On the other hand, both models under-estimate background HCHO mixing ratios, suggesting missing HCHO precursors, inadequate representation of later-generation isoprene degradation and/or under-estimated hydroxyl radical concentrations. Detailed process rates from the box model simulation demonstrate a 3-fold increase in HCHO production across the range of observed NOx values, driven by a 100% increase in OH and a 40% increase in branching of organic peroxy radical reactions to produce HCHO.

12.
Atmos Meas Tech ; 9(7): 3063-3093, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-29619117

RESUMEN

Natural emissions of ozone-and-aerosol-precursor gases such as isoprene and monoterpenes are high in the southeast of the US. In addition, anthropogenic emissions are significant in the Southeast US and summertime photochemistry is rapid. The NOAA-led SENEX (Southeast Nexus) aircraft campaign was one of the major components of the Southeast Atmosphere Study (SAS) and was focused on studying the interactions between biogenic and anthropogenic emissions to form secondary pollutants. During SENEX, the NOAA WP-3D aircraft conducted 20 research flights between 27 May and 10 July 2013 based out of Smyrna, TN. Here we describe the experimental approach, the science goals and early results of the NOAA SENEX campaign. The aircraft, its capabilities and standard measurements are described. The instrument payload is summarized including detection limits, accuracy, precision and time resolutions for all gas-and-aerosol phase instruments. The inter-comparisons of compounds measured with multiple instruments on the NOAA WP-3D are presented and were all within the stated uncertainties, except two of the three NO2 measurements. The SENEX flights included day- and nighttime flights in the Southeast as well as flights over areas with intense shale gas extraction (Marcellus, Fayetteville and Haynesville shale). We present one example flight on 16 June 2013, which was a daytime flight over the Atlanta region, where several crosswind transects of plumes from the city and nearby point sources, such as power plants, paper mills and landfills, were flown. The area around Atlanta has large biogenic isoprene emissions, which provided an excellent case for studying the interactions between biogenic and anthropogenic emissions. In this example flight, chemistry in and outside the Atlanta plumes was observed for several hours after emission. The analysis of this flight showcases the strategies implemented to answer some of the main SENEX science questions.

13.
Sci Rep ; 5: 12064, 2015 Jul 13.
Artículo en Inglés | MEDLINE | ID: mdl-26165168

RESUMEN

Despite the known biochemical production of a range of aromatic compounds by plants and the presence of benzenoids in floral scents, the emissions of only a few benzenoid compounds have been reported from the biosphere to the atmosphere. Here, using evidence from measurements at aircraft, ecosystem, tree, branch and leaf scales, with complementary isotopic labeling experiments, we show that vegetation (leaves, flowers, and phytoplankton) emits a wide variety of benzenoid compounds to the atmosphere at substantial rates. Controlled environment experiments show that plants are able to alter their metabolism to produce and release many benzenoids under stress conditions. The functions of these compounds remain unclear but may be related to chemical communication and protection against stress. We estimate the total global secondary organic aerosol potential from biogenic benzenoids to be similar to that from anthropogenic benzenoids (~10 Tg y(-1)), pointing to the importance of these natural emissions in atmospheric physics and chemistry.


Asunto(s)
Atmósfera/análisis , Benceno/química , Combustibles Fósiles/análisis , Árboles/metabolismo , Compuestos Orgánicos Volátiles/química , Clima , Ecosistema , Estrés Fisiológico/fisiología
14.
Am J Clin Nutr ; 34(11): 2508-16, 1981 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-7304488

RESUMEN

One-hundred eighty-five Bangladeshi children age 1 1/2 to 8 yr with no Ascaris lumbricoides infection or with light, moderate, or heavy infection were randomly assigned to treatment of placebo groups, with treatment given in a double-blind fashion. The groups were comparable for nutritional and socioeconomic parameters. Treatment consisted of a single dose of piperazine citrate administered twice within a 2-wk period. The cure rates for the low, moderate, and heavy A. lumbricoides infected subgroups were 53, 31, and 36%, respectively. With more severe infections, worm eradication was more difficult and the rate of reinfection after treatment was more rapid. The rate of reinfection was significantly different for the low A. lumbricoides infected treatment and placebo subgroups for 5 months after treatment, for the moderate treatment and placebo subgroups for 3 months after treatment, and for the heavy A. lumbricoides infected treatment and placebo subgroups there was a difference, although not significant, for 1 month after treatment. Anthropometric measurements were obtained for a period of 11 months. Analysis of covariance revealed no significant difference for change of weight, change of height, weight-for age, weight-for-height, height-for-age, triceps skinfold, midarm circumference, and the abdominal girth to chest circumference ratio between the treatment and placebo groups after drug administration. The results of this study do not support single dose worm therapy as a means to enhance growth.


Asunto(s)
Ascariasis/tratamiento farmacológico , Crecimiento/efectos de los fármacos , Piperazinas/uso terapéutico , Antihelmínticos/uso terapéutico , Estatura , Peso Corporal , Niño , Preescolar , Humanos , Lactante , Recuento de Huevos de Parásitos , Piperazinas/administración & dosificación
15.
Am J Clin Nutr ; 36(2): 284-9, 1982 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-6808821

RESUMEN

Oral pharyngeal isolation of Gram-negative bacteria was compared in four groups of Bengali children; acutely ill, severely malnourished outpatients swabbed on hospital admission; ill but less severely malnourished outpatients from the same area as the malnourished children; orphans also less severely malnourished but not acutely ill; and well controls drawn from a priviledged socioeconomic group. The expected weight for height percentage (National Center Health Statistics/Center for Disease Control median) of the four groups was respectively 67, 91, 97, and 97%. Isolation of Gram-negative bacteria from 74 of 87 (85%) severely malnourished children was significantly greater (p less than 0.01) compared to 43 of 113 (38%) outpatients, to 20 of 93 (22%) orphans, and to five of 51 (10%) controls. A total of 71 malnourished children under 5 yr of age (90%) had higher rates of Gram-negative throat colonization than did 16 older children (63%) (p less than 0.01). Thus there was an increased rate of Gram-negative colonization in severely malnourished children especially among the younger age group. In the subset of ill children, Gram-negative pharyngeal colonization was significantly associated inversely with nutritional indices and age. The high rate of such carriage may be partly responsible for the increased susceptibility of Gram-negative infection demonstrated in these children.


Asunto(s)
Bacterias Aerobias Gramnegativas/análisis , Bacterias Anaerobias Gramnegativas/análisis , Orofaringe/microbiología , Desnutrición Proteico-Calórica/microbiología , Estatura , Peso Corporal , Niño , Preescolar , Susceptibilidad a Enfermedades , Femenino , Hematócrito , Humanos , Lactante , Masculino
16.
Cancer Epidemiol Biomarkers Prev ; 5(11): 937-40, 1996 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-8922305

RESUMEN

Fecal diacylglycerol (DAG) concentrations have been suggested as biomarkers for colonic neoplasia because of their potential to be absorbed in the colon and to stimulate epithelial cell proliferation. The interrelationships among nutrient intake, fecal and mucosal DAG, and colonic proliferative markers have not previously been studied. We designed a pilot study to evaluate the feasibility of evaluating these interrelationships in 12 volunteers who had a history of colonic adenomatous polyposis. Total mucosal DAG concentrations were not related to fecal DAG concentrations, but mucosal DAG correlated inversely with the whole crypt labeling index. Dietary intake did not alter fecal DAG concentrations. However, the percentage of calories from dietary fat correlated positively with the whole crypt labeling index. Fiber and calcium intake showed a positive correlation with the labeling index in the upper 40% of the crypt. The present pilot study failed to demonstrate a correlation between dietary components and fecal and total mucosal DAG. Additional studies relating fecal DAG with mucosal proliferation will require the evaluation of DAG concentrations in subcellular compartments of mucosal cells and/or measurement of fecal DAG fatty acid composition.


Asunto(s)
Diglicéridos/análisis , Heces/química , Mucosa Intestinal/química , Mucosa Intestinal/citología , Poliposis Adenomatosa del Colon/epidemiología , Poliposis Adenomatosa del Colon/metabolismo , Poliposis Adenomatosa del Colon/patología , Anciano , División Celular , Dieta , Estudios de Factibilidad , Heces/citología , Humanos , Persona de Mediana Edad , Proyectos Piloto , Recto/química , Recto/citología , Factores de Riesgo
17.
Neurology ; 43(12): 2696-7, 1993 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-8255480

RESUMEN

Generic substitution is practiced widely in both hospital and community settings. There have been several reports of reduced serum concentrations and seizure exacerbation following generic substitution of Tegretol. We describe the first 2 cases of carbamazepine toxicity resulting from the substitution of Tegretol with Epitol. Two 6-year-old children experienced increases in the maximum serum carbamazepine concentration, one of 22% and one of 41%. Both became asymptomatic when their serum concentrations were lowered and had no residual effects.


Asunto(s)
Carbamazepina/efectos adversos , Medicamentos Genéricos/efectos adversos , Carbamazepina/sangre , Carbamazepina/uso terapéutico , Niño , Humanos , Masculino , Concentración Osmolar , Convulsiones/sangre , Convulsiones/tratamiento farmacológico
18.
Neurology ; 38(3): 467-71, 1988 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-3126410

RESUMEN

Six neonates with prolonged, intractable seizures were treated with valproic acid (VPA). Each patient had received maximum doses of phenobarbital (greater than 40 micrograms/ml), and five patients received at least two additional anticonvulsants, without success. Seizure activity was controlled in five of six (83%) cases. In four cases, all other anticonvulsants could be withdrawn, and seizures were controlled on VPA monotherapy. VPA was discontinued in three patients because of VPA-induced hyperammonemia. VPA pharmacokinetic measurements were as follows: for total VPA, volume of distribution (V) = 0.40 l/kg (range, 0.36 to 0.47 l/kg), serum clearance (Cl) = 14.4 ml/h/kg (5.5 to 18.2 ml/h/kg), half-life (T1/2) = 26.4 hours (8.6 to 48.5); for unbound VPA, V = 2.02 l/kg (1.14 to 2.44 l/kg), Cl = 108.9 ml/h/kg (42.0 to 252.0 ml/h/kg). T1/2 = 17.6 hours (6.7 to 34.2). VPA free fraction ranged from 11.3 to 31.6% (mean, 19.2%).


Asunto(s)
Convulsiones/tratamiento farmacológico , Ácido Valproico/uso terapéutico , Absorción , Amoníaco/sangre , Humanos , Recién Nacido , Concentración Osmolar , Convulsiones/sangre , Convulsiones/metabolismo , Ácido Valproico/efectos adversos , Ácido Valproico/sangre , Ácido Valproico/farmacocinética
19.
Neurology ; 44(7): 1341-3, 1994 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-8035945

RESUMEN

We assessed the value of therapeutic reevaluation and additional pharmacotherapy in medically intractable children referred for epilepsy surgery. In 21 children with antiepileptic drug treatment omissions, correcting the omission was ineffective in 19 (90%). Two children (10%), both of whom had structural lesions, achieved significant seizure control with high-dose carbamazepine monotherapy. Therapeutic reevaluation is indicated in all medically intractable children prior to epilepsy surgery.


Asunto(s)
Epilepsia/tratamiento farmacológico , Epilepsia/cirugía , Adolescente , Anticonvulsivantes/sangre , Anticonvulsivantes/uso terapéutico , Niño , Preescolar , Resistencia a Medicamentos , Epilepsia/sangre , Femenino , Humanos , Lactante , Masculino , Concentración Osmolar , Estudios Retrospectivos
20.
Neurology ; 53(8): 1724-31, 1999 Nov 10.
Artículo en Inglés | MEDLINE | ID: mdl-10563619

RESUMEN

OBJECTIVE: To compare the safety and efficacy of add-on lamotrigine and placebo in the treatment of children and adolescents with partial seizures. BACKGROUND: Add-on and monotherapy lamotrigine is safe and effective in adults with partial seizures, and reports of preliminary uncontrolled trials suggest similar benefits in children. METHODS: We studied 201 children with diagnoses of partial seizures of any subtype currently receiving stable conventional regimens of antiepileptic therapy at 40 study sites in the United States and France. After a baseline observation period (to confirm that more than four seizures occurred in each of two consecutive 4-week periods), patients were randomized to add-on lamotrigine or placebo therapy. A 6-week dose-escalation period was followed by a 12-week maintenance period. RESULTS: Compared with placebo, lamotrigine significantly reduced the frequency of all partial seizures and the frequency of secondarily generalized partial seizures in these treatment-resistant patients. The most commonly reported adverse events in the lamotrigine-treated patients were vomiting, somnolence, and infection; the frequency of these and other adverse events was similar to that in the placebo-treated group, with the exception of ataxia, dizziness, tremor, and nausea, which were more frequent in the lamotrigine-treated group. The frequency of withdrawals for adverse events was similar between groups. Two patients were hospitalized for skin rash, which resolved after discontinuation of lamotrigine therapy. CONCLUSIONS: Lamotrigine was effective for the adjunctive treatment of partial seizures in children and demonstrated an acceptable safety profile.


Asunto(s)
Anticonvulsivantes/administración & dosificación , Epilepsias Parciales/tratamiento farmacológico , Triazinas/administración & dosificación , Adolescente , Anticonvulsivantes/efectos adversos , Anticonvulsivantes/uso terapéutico , Niño , Preescolar , Relación Dosis-Respuesta a Droga , Método Doble Ciego , Humanos , Infecciones/inducido químicamente , Lamotrigina , Placebos , Fases del Sueño , Triazinas/efectos adversos , Triazinas/uso terapéutico , Vómitos/inducido químicamente
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