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1.
Fam Process ; 57(3): 629-648, 2018 09.
Artículo en Inglés | MEDLINE | ID: mdl-29603202

RESUMEN

Many couples tend to report steadily decreasing relationship quality following the birth of a child. However, little is known about the postpartum period for Latino couples, a rapidly growing ethnic group who are notably underserved by mental and physical health caregivers in the United States. Thus, this study investigated whether a brief couples' intervention focused on helping couples support each other while increasing healthy behaviors might improve dyadic functioning postpartum. This study presents secondary analyses of data regarding couple functioning from a larger randomized controlled trial with 348 Latino couples to promote smoking cessation. Portions of the intervention taught the couple communication and problem-solving skills to increase healthy behavior. Couples participated in four face-to-face assessments across 1 year starting at the end of the first trimester. Latent growth curve analyses revealed that the treatment group reported an increase in relationship satisfaction and constructive communication after the intervention, which diminished by 1-year follow-up, returning couples to their baseline levels of satisfaction. Results suggest that incorporating a brief couple intervention as part of a larger health intervention for Latinos may prevent postpartum decreases in relationship satisfaction.


Asunto(s)
Terapia de Parejas/métodos , Hispánicos o Latinos/psicología , Periodo Posparto , Mujeres Embarazadas/psicología , Parejas Sexuales/psicología , Esposos/psicología , Adulto , Comunicación , Composición Familiar/etnología , Femenino , Conductas Relacionadas con la Salud/etnología , Humanos , Relaciones Interpersonales , Estudios Longitudinales , Masculino , Satisfacción Personal , Periodo Posparto/etnología , Periodo Posparto/psicología , Embarazo , Mujeres Embarazadas/etnología , Esposos/etnología , Resultado del Tratamiento , Estados Unidos
2.
Rev Esp Cardiol (Engl Ed) ; 76(3): 183-196, 2023 Mar.
Artículo en Inglés, Español | MEDLINE | ID: mdl-36539182

RESUMEN

Magnetic resonance has become a first-line imaging modality in various clinical scenarios. The number of patients with different cardiovascular devices, including cardiac implantable electronic devices, has increased exponentially. Although there have been reports of risks associated with exposure to magnetic resonance in these patients, the clinical evidence now supports the safety of performing these studies under specific conditions and following recommendations to minimize possible risks. This document was written by the Working Group on Cardiac Magnetic Resonance Imaging and Cardiac Computed Tomography of the Spanish Society of Cardiology (SEC-GT CRMTC), the Heart Rhythm Association of the Spanish Society of Cardiology (SEC-Heart Rhythm Association), the Spanish Society of Medical Radiology (SERAM), and the Spanish Society of Cardiothoracic Imaging (SEICAT). The document reviews the clinical evidence available in this field and establishes a series of recommendations so that patients with cardiovascular devices can safely access this diagnostic tool.


Asunto(s)
Cardiología , Desfibriladores Implantables , Cardiopatías , Humanos , Consenso , Imagen por Resonancia Magnética , Espectroscopía de Resonancia Magnética
3.
Int J Cardiovasc Imaging ; 38(1): 195-209, 2022 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-34331614

RESUMEN

To assess the feasibility and incidence of immediate complications of stress cardiovascular magnetic resonance (CMR) with regadenoson in comparison with adenosine in a large referral population. This is a large, multicenter, prospective registry of vasodilator stress-CMR in a referral population. We recorded the clinical and demographic data, quality of test, CMR findings, hemodynamic data, and complications. Between January 2016 and July 2019, 2908 patients underwent stress-CMR, 2253 with regadenoson and 655 with adenosine. 25.1% of patients had previously known coronary artery disease (CAD). In 305 patients regadenoson was used due to presence of chronic obstructive pulmonary disease (COPD) or asthma, while in 1948 subjects regadenoson was used as first-line vasodilator. Quality was optimal in 90.0%, suboptimal in 9.5%, and poor in 0.5%. Images were diagnostic in 98.9%. After stress with regadenoson, aminophylline 200 mg was administered intravenously in all patients. No patient died or had severe immediate complications with regadenoson as opposed to 2 severe bronchospasm with adenosine (p = 0.05). 11 patients (0.5%) had non-severe complications with regadenoson and five patients (0.8%) with adenosine (p = n.s.). Only two patients (0.088%) had non-severe bronchospasm after regadenoson administration. All complications were solved in the CMR unit, with no need for further specific care. Factors significantly associated with presence of complications were history of COPD or asthma and detection of inducible ischaemia. Patients had significantly more minor symptoms when adenosine was used (66.0% vs. 18.4%, p < 0.0001). Stress-CMR with regadenoson is feasible, providing diagnostic information in a referral population. Regadenoson had an excellent safety profile and better tolerability than adenosine, with no serious immediate complications and low incidence of non-severe complications. Only inducible ischaemia and previous history of COPD or asthma were associated with complications after regadenoson-CMR. The incidence of minor symptoms was low.


Asunto(s)
Adenosina , Imagen de Perfusión Miocárdica , Adenosina/efectos adversos , Humanos , Espectroscopía de Resonancia Magnética , Valor Predictivo de las Pruebas , Purinas , Pirazoles , Sistema de Registros , Vasodilatadores/efectos adversos
4.
Bioresour Technol ; 335: 125256, 2021 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-33991882

RESUMEN

Photobioreactors for wastewater treatment coupled with nutrient recovery from the biomass is a promising biorefinery platform but requires working with microalgae-bacteria consortia. This work compares the effect that hydrolysis time and different enzymes have on the solubilization and recovery of components from microalgae-bacteria grown in piggery wastewater and microalgae grown in synthetic media by enzymatic hydrolysis. Higher carbohydrate solubilizations were obtained from microalgae-bacteria than from pure microalgae (38.5% vs. 27% Celluclast, 5 h), as expected from the SEM images. Proteases solubilized xylose remarkably well, but xylose recovery was negligible in all experiments. Alcalase hydrolysis (5 h) provided the highest peptide recovery from both biomasses (≈34%), but the peptide sizes were lower than 10 kDa. Low peptide recoveries (<20%) but larger peptide sizes (up to 135 kDa) were obtained with Protamex. Pure microalgae resulted in remarkably higher losses, but similar amino acid profiles and peptide sizes were obtained from both biomasses.


Asunto(s)
Microalgas , Bacterias , Biomasa , Hidrólisis , Fotobiorreactores , Aguas Residuales
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