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2.
Int J Gynecol Cancer ; 2024 Aug 24.
Artigo em Inglês | MEDLINE | ID: mdl-39181697

RESUMO

In March 2024, 12 European Network of Young Gynae Oncologists-International Journal of Gynaecological Cancer (ENYGO-IJGC) Editorial Fellows conducted 10 interviews with senior opinion leaders on original and controversial topics in the field of gynecologic oncology presented during the 25th European Society of Gynaecological Oncology (ESGO) Congress in Barcelona, Spain. This article provides a summary and overview of the content of these discussions summarizing key points presented at the meeting. These selected interviews were chosen by consensus by the ENYGO-IJGC Editorial Fellows based on novelty and relevance to the field of gynecologic oncology.

3.
AIDS ; 38(10): 1513-1522, 2024 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-38819839

RESUMO

OBJECTIVE: Metabolic dysfunction associated fatty liver disease (MAFLD) is over-represented in people with HIV (PWH). Maraviroc (MVC) and/or metformin (MET) may reduce MAFLD by influencing inflammatory pathways and fatty acid metabolism. DESIGN: Open-label, 48-week randomized trial with a 2 x 2 factorial design. SETTING: Multicenter HIV clinics. PARTICIPANTS: Nondiabetic, virologically suppressed PLWH, aged at least 35 years, with confirmed/suspected MAFLD (≥1 biochemical/anthropometric/radiological/histological features). INTERVENTION: Adjunctive MVC; MET; MVC+MET vs. antiretroviral therapy (ART) alone. PRIMARY OUTCOME: Change in liver fat fraction (LFF) between baseline and week-48 using magnetic resonance proton density fat fraction (MR PDFF). RESULTS: Six sites enrolled 90 participants (93% male; 81% white; median age 52 [interquartile range, IQR 47-57] years) between March 19, 2018, and November 11, 2019. Seventy percent had imaging/biopsy and at least one 1 MAFLD criteria. The analysis included 82/90 with week-0 and week-48 scans. Median baseline MR PDFF was 8.9 (4.6-17.1); 40, 38, 8, and 14% had grade zero, one, two, and three steatosis, respectively. Mean LFF increased slightly between baseline and follow-up scans: 2.22% MVC, 1.26% MET, 0.81% MVC+MET, and 1.39% ART alone. Prolonged intervention exposure (delayed week-48 scans) exhibited greater increases in MR PDFF (estimated difference 4.23% [95% confidence interval, 95% CI 2.97-5.48], P  < 0.001). There were no differences in predicted change for any intervention compared to ART alone: MVC (-0.42% [95% CI -1.53 to 0.68, P  = 0.45]), MET (-0.62 [-1.81 to 0.56, P  = 0.30]), and MVC+MET (-1.04 [-2.74 to 0.65, P  = 0.23]). Steatosis grade remained unchanged in 55% and increased in 24%. CONCLUSION: Baseline levels of liver fat were lower than predicted. Contrary to our hypothesis, neither MVC, MET, or the combination significantly reduced liver fat as measured by MRPDFF compared to ART alone.


Assuntos
Infecções por HIV , Maraviroc , Metformina , Humanos , Maraviroc/uso terapêutico , Masculino , Infecções por HIV/tratamento farmacológico , Infecções por HIV/complicações , Metformina/uso terapêutico , Feminino , Pessoa de Meia-Idade , Adulto , Resultado do Tratamento , Hipoglicemiantes/uso terapêutico , Fígado Gorduroso/tratamento farmacológico
5.
Oncol Lett ; 27(2): 44, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38106524

RESUMO

Despite the fact that obesity is the main risk factor for endometrial cancer, there is limited evidence regarding the effects of body weight change on overweight and obese women treated for early-stage endometrial can its impact on cancer outcomes. A retrospective cohort study was performed including all overweight and obese patients with early-stage type-I endometrial cancer that were treated at the Insular University Hospital of Las Palmas (Las Palmas de Gran Canaria, Spain) between January 2007 and December 2019. Body weight change at 12 months of treatment was evaluated, as well as its impact on cancer outcomes. Weight loss ≥5% was independently evaluated regarding its impact on survival. A total of 526 women were studied, of which 152 (28.90%) were overweight (BMI ≥25 and <30) and 374 (71.10%) were obese (BMI ≥30). The median follow-up was 76.17 months, during which time 77 (14.64%) women died. In the survivor group, body weight at initial diagnosis was 86.4±17.9 kg compared with 84.6±16.4 kg 1 year after treatment, which corresponded to a significant mean weight loss of 1.47 kg (P<0.001). However, in the group of non-survivors, body weight at initial diagnosis was 84.7±15.7 kg compared with 84.7±14.6 kg 1 year after treatment, which demonstrated a non-significant mean weight loss of 0.63 kg (P=0.180). When comparing between the patients who maintained or gained ≥5% weight and those who lost ≥5% weight, there were no significant differences taking into account the whole cohort and follow-up time; however, when adjusting for the period between 32 and 98 months, survival was significantly higher in those patients that lost ≥5% of their initial body weight (P=0.025; log-rank test). Based on the final univariate and cer and multivariate analyses, body weight change at 12 months was not indicated to be a factor significantly affecting overall survival; adjusted hazard ratio was 1.01 (95% CI 0.97-1.05, P=0.723). In conclusion, even if greater weight loss is observed in patients with endometrial cancer that survive the disease, no significant impact on survival outcomes is observed based on multivariate analysis.

6.
Dement. neuropsychol ; 18: e20230051, 2024. tab, graf
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1534308

RESUMO

ABSTRACT. Frailty is defined as a recognizable state of increased vulnerability resulting from age-associated decline of function in various physiological systems, such that the ability to deal with acute or everyday stressors is compromised. Objective: The aim of the study was to characterize the sample of older adults with cognitive impairment, according to the frailty status indirectly assessed by family members, other clinical and sociodemographic variables; and to assess the overlap of clinical conditions evaluated in this sample with cognitive impairment. Methods: Data were extracted from the follow-up database of the Frailty in Brazilian Older Adults (FIBRA) study (2016-2017). The sample consisted of 130 elderly people with cognitive impairment assessed by the Mini Mental State Examination (MMSE). The scores for the Clinical Dementia Scale (CDR), Cornell Scale for Depression in Dementia and Functional Activities Questionnaire were described. Frailty was indirectly measured through questions answered by family members about the five criteria that compose the frailty phenotype. Results: The sample consisted mostly of older women (n=91) with a mean age of 82.4 (SD=5.3) years, mean schooling of 3.3 years (SD=3.07), widowed (47.7%) and who lived with children and/or grandchildren (68%). More than half had multimorbidity (74.90%), 39.5% had depression symptoms suggestive of major depression, 57% had impaired functionality, 49.3% were frail, 37.6% pre-frail, and 13.10% robust. Conclusion: Among older adults with cognitive impairment, frailty and functional limitations are common.


RESUMO. A fragilidade é definida como um estado reconhecível de vulnerabilidade aumentada resultante do declínio da função associado à idade em vários sistemas fisiológicos, de modo que a capacidade de lidar com estressores agudos ou cotidianos fica comprometida. Objetivo: Caracterizar uma amostra de pessoas idosas com comprometimento cognitivo, segundo o estado de fragilidade, avaliado de forma indireta por familiares, assim como outras variáveis clínicas e sociodemográficas; e avaliar a sobreposição das condições clínicas avaliadas nesta amostra com o comprometimento cognitivo. Métodos: Os dados foram extraídos do banco de dados de acompanhamento do estudo Fragilidade em Idosos Brasileiros (FIBRA - 2016-2017). A amostra foi composta por 130 idosos com comprometimento cognitivo avaliado pelo Mini-Exame do Estado Mental (MEEM). Foram descritos os escores da Escala Clínica de Demência (CDR), da Escala Cornell de Depressão em Demência e do Questionário de Atividades Funcionais. A fragilidade foi mensurada indiretamente por meio de questões respondidas junto aos familiares sobre os cinco critérios que compõem o fenótipo de fragilidade. Resultados: A amostra foi composta em sua maioria por mulheres idosas (n=91) com idade média de 82,4 (DP=5,3) anos, escolaridade média de 3,3 anos (DP=3,07), viúvas (47,7%) e que viviam com filhos e/ou netos (68%). Mais da metade apresentava multimorbidade (74,90%), 39,5% apresentavam sintomas depressivos sugestivos de depressão maior, 57% tinham funcionalidade prejudicada, 49,3% eram frágeis, 37,6% pré-frágeis e 13,10% robustos. Conclusão: Entre idosos com alterações cognitivas, é comum a co-ocorrência de fragilidade e de limitações funcionais.

7.
Int J Gynecol Cancer ; 2023 Sep 05.
Artigo em Inglês | MEDLINE | ID: mdl-37669829

RESUMO

OBJECTIVE: Cytoreductive surgery in conjunction with hyperthermic intraperitoneal chemotherapy (HIPEC) is being explored in the upfront, interval, and recurrent setting in patients with ovarian cancer. The objective of this systematic review was to assess the rate of complications associated with HIPEC in epithelial ovarian cancer surgery over two time periods. METHODS: This study was registered in PROSPERO (CRD42022328928). A systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. Ovid/Medline, Ovid/Embase, Web of Science, Scopus, and Cochrane Central Register of Controlled Trials were searched from January 2004 to April 2022. We included studies reporting on patients with advanced primary or recurrent epithelial ovarian cancer who underwent cytoreductive surgery and HIPEC. We evaluated two different time periods: 2004-2013 and 2014-2022. A random-effects meta-analysis was used to produce an overall summary. Subgroup analyses were planned according to recruited period for each specific complication type. Heterogeneity was assessed using the I2 statistic. RESULTS: A total of 4928 patients were included from 69 studies for this systematic review; 19 published from 2004-2013, and 50 published from 2014-2022. No significant differences were found between the two time periods in terms of blood transfusions (33% vs 51%; p=0.46; I2=95%) overall gastrointestinal complications (15% vs 21%; p=0.36; I2=98%), infectious diseases (16% vs 13%; p=0.62; I2=93%), overall respiratory complications (12% vs 12%; p=0.88; I2=91%), overall urinary complications (6% vs 12%; p=0.06; I2=94%), or thromboembolic events (5% vs 3%; p=0.25; I2=63%). Also, no differences were found in intensive care unit (ICU) admissions (89% vs 28%; p=0.06; I2=99%), reoperations (8% vs 7%; p=0.50; I2=37%), or deaths (3% vs 3%; p=0.77; I2=57%). CONCLUSIONS: Our review showed that overall complications have not changed over time for patients undergoing HIPEC in the setting of primary or recurrent ovarian cancer. There was no decrease in the rates of ICU admissions, reoperations, or deaths.

8.
J Gynecol Oncol ; 33(2): e21, 2022 03.
Artigo em Inglês | MEDLINE | ID: mdl-35245000

RESUMO

OBJECTIVE: To assess the benefit of protective ostomies on anastomotic leak rate, urgent re-operations, and mortality due to anastomotic leak complications in ovarian cancer surgery. METHODS: A systematic literature search was performed in MEDLINE, Web of Science, ClinicalTrials.gov, and the Cochrane Central Register of Controlled Trials for all studies on anastomotic leak and ostomy formation related to ovarian cancer surgery. Non-controlled studies, case series, abstracts, case reports, study protocols, and letters to the editor were excluded. Meta-analysis was performed on the primary endpoint of anastomotic leak rate. Subgroup analysis was carried out based on type of bowel resection and bevacizumab use. Secondary endpoints were urgent re-operations and mortality associated with anastomotic leak, length of hospital stay, postoperative complications, 30-day readmission rate, adjuvant chemotherapy, survival, and reversal surgery in ostomy and non-ostomy patients. RESULTS: A total of 17 studies (2,719 patients) were included: 16 retrospective cohort studies, and 1 case-control study. Meta-analysis of 17 studies did not show a decrease in anastomotic leak rate in ostomy patients (odds ratio [OR]=1.01; 95% confidence interval [CI]=0.60-1.70; p=0.980). Meta-analysis of ten studies (1,452 women) did not find a decrease in urgent re-operations in the ostomy group (OR=0.72; 95% CI=0.35-1.46; p=0.360). Other outcomes were not considered for meta-analysis due to the lack of data in included studies. CONCLUSION: Protective ostomies did not decrease anastomotic leak rates, and urgent re-operations in ovarian cancer surgery. This evidence supports the use of ostomies in very select cases.


Assuntos
Estomia , Neoplasias Ovarianas , Fístula Anastomótica/etiologia , Fístula Anastomótica/prevenção & controle , Estudos de Casos e Controles , Feminino , Humanos , Masculino , Estomia/efeitos adversos , Neoplasias Ovarianas/complicações , Neoplasias Ovarianas/cirurgia , Estudos Retrospectivos
10.
Dement. neuropsychol ; 14(2): 103-109, Apr.-June 2020. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1133627

RESUMO

Abstract. Several approaches to the rehabilitation of agrammatism use implicit and explicit learning methods. Objective: To verify the effect of adapted Mapping Therapy and ORLA methods (explicit versus implicit learning) on the oral and written production in spontaneous language among agrammatic patients with Broca's aphasia. Methods: Six individuals were submitted to Mapping Therapy and ORLA (Oral Reading for Language in Aphasia) treatments. Samples of oral and written production from a picture description task were compared pre and post-treatment. Results: In Mapping Therapy, the patients presented better performance after the training for the variables related to written production: number of words, nouns, verbs, closed-class words, and number of complete sentences. Regarding oral output, the patients had similar performance before and after the therapeutic process. In ORLA, the patients presented a significant difference before and after the therapeutic process in the variables related to oral production, increasing the number of words, number of verbs, and speech rate. There was no difference in pre and post-treatment performance in written production. Conclusion: Both implicit and explicit learning can be used in the treatment of agrammatism. Mapping Therapy was more effective for the treatment of agrammatism in written production, while ORLA was more effective for the agrammatism in oral production.


Resumo. Várias abordagens terapêuticas para a reabilitação do agramatismo utilizam métodos implícitos e explícitos de aprendizado. Objetivo: Verificar o efeito dos métodos adaptados Mapping Therapy e ORLA (aprendizagem explícita versus implícita) na produção oral e escrita de discurso em pacientes agramáticos com afasia de Broca. Métodos: Seis indivíduos foram submetidos aos tratamentos Mapping Therapy e ORLA. Amostras das produções oral e escrita na tarefa de descrição da prancha foram comparadas antes e após o tratamento. Resultados: No método Mapping Therapy, os pacientes apresentaram melhor desempenho após o tratamento nas seguintes variáveis ​​relacionadas à produção escrita: número de palavras, substantivos, verbos, palavras de classe fechada e número de frases completas. Em relação à emissão oral, os pacientes mantiveram desempenho semelhante pré e pós processo terapêutico. No método ORLA, os pacientes apresentaram diferença significativa antes e após o processo terapêutico nas variáveis ​​relacionadas à produção oral, com aumento no número de palavras, número de verbos e velocidade de fala. Não houve diferença no desempenho pré e pós tratamento na produção escrita. Conclusão: Tanto a aprendizagem implícita como a explícita têm o potencial de serem usadas no tratamento do agramatismo. A Mapping Therapy foi mais eficaz no tratamento do agramatismo na produção escrita, enquanto o ORLA foi mais eficaz para o agramatismo na produção oral.


Assuntos
Humanos , Afasia , Afasia de Broca , Reabilitação , Aprendizagem
11.
Rev. bras. med. trab ; 17(3): 346-354, set.2019.
Artigo em Português | LILACS-Express | LILACS | ID: biblio-1104218

RESUMO

Introdução: Os profissionais da saúde dispõem-se a zelar pela saúde dos seus pacientes, entretanto a escassez de preocupação com sua vida, além da forma organizacional do trabalho e as difíceis relações interpessoais, os torna susceptíveis ao adoecimento físico e/ou mental. Objetivos: Descrever o perfil do servidor público estadual das áreas da saúde com afastamento do trabalho por depressão em Sergipe, bem como avaliar o índice de reincidência e as características do afastamento. Métodos: Estudo descritivo, de corte transversal, com coleta dos dados secundários do arquivo eletrônico da Secretaria de Estado do Planejamento, Orçamento e Gestão (Seplag) dos anos 2009 a 2017. Resultados: No período entre 2009 e 2017, afastaram-se 63 profissionais da saúde, com o total de 290 atendimentos. O perfil do profissional absenteísta correspondeu ao sexo feminino (90,5%), casado (54,0%) e com mestrado (33,3%). A categoria que mais se afastou foi o técnico de enfermagem (34,9%). A Classificação Internacional de Doenças mais prevalente do total de atendimentos foi F32 (episódios depressivos), em 26,5% dos casos. Entre os que apresentaram recidivas, a média foi de 3,6. Conclusão: Os resultados mostraram que a depressão em profissionais da saúde tem alta prevalência, com uma realidade preocupante e que necessita de intervenções.


Background: Health care workers are available to provide care to patients, but lack of concern with their lives, work organization and difficult interpersonal relationships make them susceptible to physical or mental diseases. Objective: To establish the profile of health care workers in the public sector in Sergipe, Brazil, granted sick leave due to depression, frequency of relapse and characteristics of absenteeism. Methods: Cross-sectional and descriptive study in which we analyzed secondary data for the period from 2009 2017 available in the State Secretariat of Planning, Budget and Management electronic records. Results: Sixty-three workers required sick leave, representing a total of 290 medical legal examinations. Workers who required sick leave were mostly female (90.5%), married (54.0%), had a master's degree (33.3%) and were nursing technicians (34.9%). The most frequent diagnosis as per the International Classification of Diseases (ICD-10) was single major depressive disorder (F32), 26.5%. The average number of recurrent spells was 3.6 per worker. Conclusion: The prevalence of depression among the analyzed health care workers was high and thus represents a cause of concern requiring intervention.

12.
Mycologia ; 110(5): 985-995, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30303458

RESUMO

Gyroporus (Gyroporaceae, Boletales) is a highly diverse genus of poroid ectomycorrhizal mushrooms with a nearly worldwide distribution. Previous attempts to unravel the diversity within this genus proved difficult due to the presence of semicryptic species and ambiguous results from analysis of ribosomal RNA markers. In this study, we employ a combined morphotaxonomic and phylogenetic approach to delimit species and elucidate geographic and evolutionary patterns in Gyroporus. For phylogenetic analyses, the protein-coding genes atp6 (mitochondrial adenosine triphosphate [ATP] synthase subunit 6) and rpb2 (nuclear second largest subunit of RNA polymerase II) were selected based on their utility in studies of Boletales. We infer several distinct clades, most notably one corresponding to G. castaneus as a speciose Northern Hemisphere group, another unifying G. cyanescens and like entities, and a third group unifying G. longicystidiatus and a New World sister species. Also notable is the recovery of a sister relationship between the cyanescens and longicystidiatus clades. We formally describe five new species of Gyroporus, outline a number of provisional species, and briefly discuss distributional patterns. This study provides an important scaffold for future work on this well-known but poorly understood genus of fungi.


Assuntos
Basidiomycota/classificação , Basidiomycota/genética , Carpóforos/crescimento & desenvolvimento , Variação Genética , Filogeografia , Basidiomycota/crescimento & desenvolvimento , ATPases Mitocondriais Próton-Translocadoras/genética , Subunidades Proteicas/genética , RNA Polimerase II/genética , Análise de Sequência de DNA
13.
Ginecol. obstet. Méx ; 86(6): 401-405, feb. 2018. graf
Artigo em Espanhol | LILACS | ID: biblio-984450

RESUMO

Resumen ANTECEDENTES La displasia mesenquimatosa de la placenta es una enfermedad rara que en la ecografía se observa con vesículas en forma de racimo de uvas. Puede provocar complicaciones en el embarazo, como: restricción del crecimiento intrauterino, muerte intrauterina y parto pretérmino. CASO CLÍNICO Paciente de 31 años con displasia mesenquimatosa placentaria diagnosticada en la ecografía del primer trimestre de embarazo. Se apreció una zona con formaciones econegativas de 14 x 20 mm, con escasa captación del doppler color y que terminó de confirmarse en el segundo trimestre, con una biopsia corial. El embarazo trascurrió con normalidad hasta la semana 33, que fue cuando se detectó la restricción del crecimiento intrauterino. Debido a la alta incidencia de complicaciones obstétricas derivadas de éste se decidió la inducción del parto en la semana 37 de la gestación. CONCLUSIONES El diagnóstico de displasia mesenquimatosa placentaria requiere seguimiento estrecho del embarazo e inducir su finalización entre las semanas 37-38 para aminorar las complicaciones perinatales.


Abstract BACKGROUND Placental mesenchymal dysplasia is a rare disease of the placenta which presents with vesicles in the form of a cluster of grapes on ultrasound. It can cause pregnancy complications such as: intrauterine growth restriction, intrauterine death, and preterm birth CLINICAL CASE A 31-year-old patient with placental mesenchymal dysplacia diagnosed on the ultrasound of the first trimester of pregnancy, in which an area with 14 x 20 mm econegative formations was observed with little uptake of the color Doppler and which was confirmed in the second trimester by corial biopsy of that area. The pregnancy was normal until week 33, after which an intrauterine growth restriction was detected. Due to the high incidence of obstetric complications of this entity, an induction of labor was decided at week 37 of gestation. CONCLUSIONS Whenever this type of pathology is diagnosed, it is recommended a close follow-up of pregnancy and an induction of labor around 37-38 weeks of gestation, due to the perinatal complications presents.

14.
Fungal Biol ; 121(9): 798-824, 2017 09.
Artigo em Inglês | MEDLINE | ID: mdl-28800851

RESUMO

Polyporales is strongly supported as a clade of Agaricomycetes, but the lack of a consensus higher-level classification within the group is a barrier to further taxonomic revision. We amplified nrLSU, nrITS, and rpb1 genes across the Polyporales, with a special focus on the latter. We combined the new sequences with molecular data generated during the PolyPEET project and performed Maximum Likelihood and Bayesian phylogenetic analyses. Analyses of our final 3-gene dataset (292 Polyporales taxa) provide a phylogenetic overview of the order that we translate here into a formal family-level classification. Eighteen clades are assigned a family name, including three families described as new (Cerrenaceae fam. nov., Gelatoporiaceae fam. nov., Panaceae fam. nov.) and fifteen others (Dacryobolaceae, Fomitopsidaceae, Grifolaceae, Hyphodermataceae, Incrustoporiaceae, Irpicaceae, Ischnodermataceae, Laetiporaceae, Meripilaceae, Meruliaceae, Phanerochaetaceae, Podoscyphaceae, Polyporaceae, Sparassidaceae, Steccherinaceae). Three clades are given informal names (/hypochnicium,/climacocystis and/fibroporia + amyloporia). Four taxa (Candelabrochete africana, Mycoleptodonoides vassiljevae, Auriporia aurea, and Tyromyces merulinus) cannot be assigned to a family within the Polyporales. The classification proposed here provides a framework for further taxonomic revision and will facilitate communication among applied and basic scientists. A survey of morphological, anatomical, physiological, and genetic traits confirms the plasticity of characters previously emphasized in taxonomy of Polyporales.


Assuntos
Proteínas Fúngicas/genética , Genoma Fúngico , Filogenia , Polyporales/classificação , Teorema de Bayes , DNA Fúngico/química , DNA Fúngico/isolamento & purificação , Proteínas Fúngicas/química , Genoma Fúngico/genética , Funções Verossimilhança , Reação em Cadeia da Polimerase , Polyporales/enzimologia , Polyporales/genética , RNA Polimerase II/genética , Alinhamento de Sequência
15.
Rev. chil. obstet. ginecol ; 81(5): 388-392, 2016. ilus
Artigo em Espanhol | LILACS | ID: biblio-830148

RESUMO

Antecedentes: La tuberculosis genital y la endometritis tuberculosa es una forma de tuberculosis que continúa siendo frecuente en los países en desarrollo y habitualmente es secundaria a un foco primario pulmonar. Puede cursar de forma asintomática, o bien, producir síntomas como infertilidad primaria o secundaria, alteraciones menstruales o dolor pélvico crónico, entre otros. Caso clínico: Se presenta el caso de una paciente de 47 años en estudio por ginecología y urología por dolor pélvico crónico y sintomatología urinaria inespecífica de aproximadamente 6 meses de evolución. La ecografía transvaginal muestra contenido intracavitario escaso sugerente de piometra e imágenes trabeculares compatibles con sinequias uterinas. Mediante aspirado endometrial se extrae pus y muestra endometrial que se remite para estudio anatomopatológico. Tras el informe anatomopatológico que diagnostica inflamación crónica granulomatosa necrotizante, se solicita estudio por PCR y cultivo para micobacteriumm tuberculosis, siendo ambos positivos para el microorganismo. De este modo, se diagnosticó como endometritis tuberculosa sin existir afectación de otros órganos tras el estudio completo. Se realizó tratamiento con etambutol hidrocloruro, isoniacida, pirazinamida y rifampicina durante 2 meses y pirazinamida e isonicida durante 7 meses adicionales. Al final del tratamiento, la paciente mostraba clara mejoría de los síntomas y a la ecografía desaparición de la colección intracavitaria uterina.


Background: Genital tuberculosis and endometritis tuberculosa is a form of tuberculosis which remains prevalent in developing countries and is usually secondary to a pulmonary primary focus. It may be asymptomatic, or may produce symptoms such as primary or secondary infertility, menstrual disorders or chronic pelvic pain, among others. Clinical case: We present the case of a patient of 47-year who was studied by ginecology and urology for chronic pelvic pain and unspecific urinary symptoms since about 6 months. In transvaginal ultrasound pyometra and trabecular images compatible with uterine synechiae were observed. Endometrial samples were obtaining and sent for histopathologic examination which was informed of chronic necrotizing granulomatous inflammation. We asked for PCR and culture for tuberculosis micobacteriumm, both being positive for the microorganism. Thus, she was diagnosed of endometritis tuberculosa without involvement of other organs after complete study. She performed a treatment with ethambutol hydrochloride, isoniazid, rifampicin and pyrazinamide for 2 months and pyrazinamide and isoniazid for 7 months. At the end of treatment, the patient showed clear improvement of symptoms and disappearance of uterine intracavitary collection in the ultrasonographic study.


Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Endometrite/diagnóstico , Endometrite/tratamento farmacológico , Tuberculose dos Genitais Femininos/diagnóstico , Tuberculose dos Genitais Femininos/tratamento farmacológico , Etambutol/uso terapêutico , Isoniazida/uso terapêutico , Rifampina/uso terapêutico
16.
Mycologia ; 105(6): 1391-411, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23935025

RESUMO

Phylogenetic relationships among members of the antrodia clade were investigated with molecular data from two nuclear ribosomal DNA regions, LSU and ITS. A total of 123 species representing 26 genera producing a brown rot were included in the present study. Three DNA datasets (combined LSU-ITS dataset, LSU dataset, ITS dataset) comprising sequences of 449 isolates were evaluated with three different phylogenetic analyses (maximum likelihood, maximum parsimony, Bayesian inference). We present a phylogenetic overview of the five main groups recovered: the fibroporia, laetiporus, postia, laricifomes and core antrodia groups. Not all of the main groups received strong support in the analyses, requiring further research. We were able to identify a number of well supported clades within the main groups.


Assuntos
DNA Espaçador Ribossômico/genética , Filogenia , Polyporales/classificação , DNA Fúngico/genética , Dados de Sequência Molecular , Polyporales/genética
17.
Rev. cient. (Maracaibo) ; 20(5): 467-472, oct. 2010. ilus, graf
Artigo em Espanhol | LILACS | ID: lil-631098

RESUMO

Para obtener los parámetros reproductivos de la iguana verde (Iguana iguana) criada en condiciones de cautiverio, se utilizaron 71 hembras (669,1 g) y 17 machos ( 652,2 g), con edad de 1,5 a 7,5 años, las cuales se alojaron en jaulas de 5 x 6 m, donde se observó y registró la actividad reproductiva durante tres años, considerando como variable independiente la edad de los reproductores. Se utilizó estadística descriptiva. El peso de las hembras fue diferente (P<0,01) de acuerdo con la edad. La proporción hembras machos fue mayor (P<0,01) en las hembras de mayor edad. El periodo de celo, gravidez y mortalidad de las hembras fueron similares (P>0,05) a cualquier edad. El peso de nidada, número total de huevos, peso y ancho de huevo fueron diferentes (P<0,01), mientras que la longitud de los huevos fue similar (P>0,05) en todas las posturas estudiadas. El éxito de eclosión de los huevos y porcentaje de supervivencia fueron semejantes (P>0,05); no obstante, la masa relativa de nidada fue diferente (P<0,05). Se concluye que en las hembras de la Iguana iguana mantenidas en cautiverio, es posible escoger como posibles reproductores, a aquellas que presentan un rango de 4,5 a 7,5 años de edad, ya que presentan los mejores parámetros reproductivos.


The objective of this study was to obtain the reproductive parameters of the green iguana (Iguana iguana) in captivity. Seventy one females (669.1 g) and 17 males (652.2 g) were used. The ages of the iguanas were from 1.5 to 7.5 years old which were kept captivity in a 5 x 6 m cages, where the reproductive activities were observed and recorded over three years. Age was considered as an independent variable within the reproductive parameters. Descriptive statistic was determined. The weight of the females was different (P<0.01) according to age. The proportion of female:male intromission was greater (P<0.01) in older females. The periods of estrus, pregnancy and mortality of the females were similar (P>0.05) at all ages. The clutch weight, number of eggs, weight and width of eggs were different (P<0.01) for each female, whereas the length of eggs was similar (P>0.05) in all ovipositions. The successful hatching of the eggs and the enlivening the hatchlings were similar (P>0.05) for each female; however, the relative mass of each clutch was different (P<0.05). It was concluded that in female Iguana iguana raised in captivity, it is possible to select as potential reproductive individuals to those who have a range of 4.5 to 7.5 years of age, since they have the best reproductive parameters.

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