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1.
Nature ; 533(7601): 68-72, 2016 May 05.
Artículo en Inglés | MEDLINE | ID: mdl-27096369

RESUMEN

Gauss's law dictates that the net electric field inside a conductor in electrostatic equilibrium is zero by effective charge screening; free carriers within a metal eliminate internal dipoles that may arise owing to asymmetric charge distributions. Quantum physics supports this view, demonstrating that delocalized electrons make a static macroscopic polarization, an ill-defined quantity in metals--it is exceedingly unusual to find a polar metal that exhibits long-range ordered dipoles owing to cooperative atomic displacements aligned from dipolar interactions as in insulating phases. Here we describe the quantum mechanical design and experimental realization of room-temperature polar metals in thin-film ANiO3 perovskite nickelates using a strategy based on atomic-scale control of inversion-preserving (centric) displacements. We predict with ab initio calculations that cooperative polar A cation displacements are geometrically stabilized with a non-equilibrium amplitude and tilt pattern of the corner-connected NiO6 octahedral--the structural signatures of perovskites--owing to geometric constraints imposed by the underlying substrate. Heteroepitaxial thin-films grown on LaAlO3 (111) substrates fulfil the design principles. We achieve both a conducting polar monoclinic oxide that is inaccessible in compositionally identical films grown on (001) substrates, and observe a hidden, previously unreported, non-equilibrium structure in thin-film geometries. We expect that the geometric stabilization approach will provide novel avenues for realizing new multifunctional materials with unusual coexisting properties.

2.
Nat Mater ; 18(4): 377-383, 2019 04.
Artículo en Inglés | MEDLINE | ID: mdl-30886403

RESUMEN

Stimulation with ultrafast light pulses can realize and manipulate states of matter with emergent structural, electronic and magnetic phenomena. However, these non-equilibrium phases are often transient and the challenge is to stabilize them as persistent states. Here, we show that atomic-scale PbTiO3/SrTiO3 superlattices, counterpoising strain and polarization states in alternate layers, are converted by sub-picosecond optical pulses to a supercrystal phase. This phase persists indefinitely under ambient conditions, has not been created via equilibrium routes, and can be erased by heating. X-ray scattering and microscopy show this unusual phase consists of a coherent three-dimensional structure with polar, strain and charge-ordering periodicities of up to 30 nm. By adjusting only dielectric properties, the phase-field model describes this emergent phase as a photo-induced charge-stabilized supercrystal formed from a two-phase equilibrium state. Our results demonstrate opportunities for light-activated pathways to thermally inaccessible and emergent metastable states.

3.
Opt Express ; 20(4): 4168-75, 2012 Feb 13.
Artículo en Inglés | MEDLINE | ID: mdl-22418174

RESUMEN

The proof-of-concept of an infrared imaging tip by an array of infrared waveguides tapered as small as 2 µm is demonstrated. The fabrication is based on a high-pressure chemical fluid deposition technique to deposit precisely defined periodic arrays of Ge and Si waveguides within a microstructured optical fiber template made of silica to demonstrate the proposed concept at wavelengths of 10.64 µm and 1.55 µm, respectively. The essential features of the imaging system such as isolation between adjacent pixels, magnification, optical throughput, and image transfer characteristics are investigated. Near-field scanning at 3.39 µm wavelength using a single tapered Ge core is also demonstrated.

4.
Phys Rev Lett ; 109(24): 247606, 2012 Dec 14.
Artículo en Inglés | MEDLINE | ID: mdl-23368382

RESUMEN

A new orthorhombic phase of the multiferroic BiFeO3 has been created via strain engineering by growing it on a NdScO(3)(110)(o) substrate. The tensile-strained orthorhombic BiFeO3 phase is ferroelectric and antiferromagnetic at room temperature. A combination of nonlinear optical second harmonic generation and piezoresponse force microscopy revealed that the ferroelectric polarization in the orthorhombic phase is along the in-plane {110}(pc) directions. In addition, the corresponding rotation of the antiferromagnetic axis in this new phase was observed using x-ray linear dichroism.

5.
Sci Rep ; 11(1): 180, 2021 01 08.
Artículo en Inglés | MEDLINE | ID: mdl-33420179

RESUMEN

Nearly a fourth of all enzymatic activities is attributable to oxidoreductases, and the redox reactions supported by this vast catalytic repertoire sustain cellular metabolism. In many biological processes, reduction depends on hydride transfer from either reduced nicotinamide adenine dinucleotide (NADH) or its phosphorylated derivative (NADPH). Despite longstanding efforts to regenerate NADPH by various methods and harness it to support chemoenzymatic synthesis strategies, the lack of product purity has been a major deterrent. Here, we demonstrate that a nanostructured heterolayer Ni-Cu2O-Cu cathode formed by a photoelectrochemical process has unexpected efficiency in direct electrochemical regeneration of NADPH from NADP+. Remarkably, two-thirds of NADP+ was converted to NADPH with no measurable production of the inactive (NADP)2 dimer and at the lowest reported overpotential [- 0.75 V versus Ag/AgCl (3 M NaCl) reference]. Sputtering of nickel on the copper-oxide electrode nucleated an unexpected surface morphology that was critical for high product selectivity. Our results should motivate design of integrated electrolyzer platforms that deploy this heterogeneous catalyst for direct electrochemical regeneration of NADH/NADPH, which is central to design of next-generation biofuel fermentation strategies, biological solar converters, energy-storage devices, and artificial photosynthesis.

6.
Nat Commun ; 12(1): 6784, 2021 Nov 22.
Artículo en Inglés | MEDLINE | ID: mdl-34811372

RESUMEN

The control of the in-plane domain evolution in ferroelectric thin films is not only critical to understanding ferroelectric phenomena but also to enabling functional device fabrication. However, in-plane polarized ferroelectric thin films typically exhibit complicated multi-domain states, not desirable for optoelectronic device performance. Here we report a strategy combining interfacial symmetry engineering and anisotropic strain to design single-domain, in-plane polarized ferroelectric BaTiO3 thin films. Theoretical calculations predict the key role of the BaTiO3/PrScO3 [Formula: see text] substrate interfacial environment, where anisotropic strain, monoclinic distortions, and interfacial electrostatic potential stabilize a single-variant spontaneous polarization. A combination of scanning transmission electron microscopy, piezoresponse force microscopy, ferroelectric hysteresis loop measurements, and second harmonic generation measurements directly reveals the stabilization of the in-plane quasi-single-domain polarization state. This work offers design principles for engineering in-plane domains of ferroelectric oxide thin films, which is a prerequisite for high performance optoelectronic devices.

7.
Nat Commun ; 12(1): 4062, 2021 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-34210963

RESUMEN

Spin-valley locking in monolayer transition metal dichalcogenides has attracted enormous interest, since it offers potential for valleytronic and optoelectronic applications. Such an exotic electronic state has sparsely been seen in bulk materials. Here, we report spin-valley locking in a Dirac semimetal BaMnSb2. This is revealed by comprehensive studies using first principles calculations, tight-binding and effective model analyses, angle-resolved photoemission spectroscopy measurements. Moreover, this material also exhibits a stacked quantum Hall effect (QHE). The spin-valley degeneracy extracted from the QHE is close to 2. This result, together with the Landau level spin splitting, further confirms the spin-valley locking picture. In the extreme quantum limit, we also observed a plateau in the z-axis resistance, suggestive of a two-dimensional chiral surface state present in the quantum Hall state. These findings establish BaMnSb2 as a rare platform for exploring coupled spin and valley physics in bulk single crystals and accessing 3D interacting topological states.

8.
Phys Rev Lett ; 104(19): 197601, 2010 May 14.
Artículo en Inglés | MEDLINE | ID: mdl-20866998

RESUMEN

Biaxial strain is known to induce ferroelectricity in thin films of nominally nonferroelectric materials such as SrTiO3. By a direct comparison of the strained and strain-free SrTiO3 films using dielectric, ferroelectric, Raman, nonlinear optical and nanoscale piezoelectric property measurements, we conclude that all SrTiO3 films and bulk crystals are relaxor ferroelectrics, and the role of strain is to stabilize longer-range correlation of preexisting nanopolar regions, likely originating from minute amounts of unintentional Sr deficiency in nominally stoichiometric samples. These findings highlight the sensitive role of stoichiometry when exploring strain and epitaxy-induced electronic phenomena in oxide films, heterostructures, and interfaces.

9.
Biochem Mol Biol Educ ; 36(5): 323-4, 2008 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-21591214

RESUMEN

The conversion of phosphoenolpyruvate (PEP) in glycolysis is coupled with the formation of ATP. This note discusses the origin of the energy required for ATP formation as arising from redistribution of energy in PEP when compared with its precursor, 2-phosphoglycerate.

10.
Indian J Anaesth ; 62(8): 616-620, 2018 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-30166657

RESUMEN

BACKGROUND AND AIMS: Arteriovenous (AV) fistula surgery is commonly performed for AV access for hemodialysis. However the ideal anaesthetic technique of choice remains debated. We aimed to assess operative conditions, vascular patency, and complication rate following AV fistula surgery with isolated brachial plexus block among end-stage renal disease (ESRD) patients. METHODS: This prospective, observational study included 214 patients undergoing AV fistula surgery under isolated supraclavicular brachial plexus block between January and December 2017. The diameters of the vessels both before and after the block, and the patency of the AV fistula in the immediate postoperative period and after 3 months were assessed using ultrasound Doppler. The change in the vessel diameter both before and after block was compared using independent sample t-test. RESULTS: The mean brachial artery diameter increased by 0.09 mm (P = 0.002), and cephalic vein diameter at elbow, radial artery, and cephalic vein at wrist diameters increased by 0.5 mm (P < 0.001), 0.08 mm (P = 0.031), and 0.48 mm (P < 0.001), respectively. Overall, 93.45% had immediate patency, 85.51% had primary, and 47.19% had functional patency at 3 months. In the brachiocephalic group, 96.24% had immediate patency, 87.21% had primary, and 27.06% had functional patency at 3 months. Among the radiocephalic group, 91.35% had immediate patency, 82.71% had primary patency, and 71.60% had functional patency at 3 months. CONCLUSION: Ultrasound-guided isolated brachial plexus block results in good vasodilation and achieves good immediate and long-term patency in AV fistula surgery.

11.
J Mol Biol ; 267(4): 765-9, 1997 Apr 11.
Artículo en Inglés | MEDLINE | ID: mdl-9135109

RESUMEN

Escherichia coli ribonuclease P (RNase P), a ribonucleoprotein complex which primarily functions in tRNA biosynthesis, is composed of a catalytic RNA subunit, M1 RNA, and a protein cofactor, C5 protein. The fluorescence emission spectrum of the single tryptophan residue-containing C5 protein exhibits maxima at 318 nm and 332 nm. Based on a comparison of the emission spectra of wild-type C5 protein and some of its mutant derivatives, we have determined that the 318 nm maximum could be the result of a complex formed in the excited state as a result of hydrophobic interactions between Trp109, Phe18 and Phe73. The analogous tryptophan fluorescence emission spectra of wild-type C5 protein and the barstar mutant W38F/W44F, taken together with the detailed structural information available for barstar, provide a possible explanation for the unusual emission spectrum of C5 protein.


Asunto(s)
Proteínas Bacterianas/química , Endorribonucleasas/química , Proteínas de Escherichia coli , Escherichia coli/enzimología , ARN Catalítico/química , Triptófano/química , Endorribonucleasas/antagonistas & inhibidores , Inhibidores Enzimáticos/química , Modelos Moleculares , Mutación , Desnaturalización Proteica , ARN Catalítico/antagonistas & inhibidores , Ribonucleasa P , Espectrometría de Fluorescencia , Urea
12.
J Mol Biol ; 267(4): 818-29, 1997 Apr 11.
Artículo en Inglés | MEDLINE | ID: mdl-9135114

RESUMEN

The processing of precursor tRNAs and some other small cellular RNAs by M1 RNA, the catalytic subunit of Escherichia coli ribonuclease P, is accelerated by C5 protein (the protein cofactor) both in vitro and in vivo. In an effort to understand the mechanism by which the protein cofactor promotes and stabilizes certain conformations of M1 RNA that are most efficient for RNase P catalysis, we have used site-directed mutagenesis to generate mutant derivatives of C5 protein and assessed their ability to promote RNase P catalysis in vivo and in vitro. Our results indicate that certain conserved hydrophobic and basic residues in C5 protein are important for its function and that single amino acid residue changes in C5 protein can alter the substrate specificity of the RNase P holoenzyme.


Asunto(s)
Proteínas Bacterianas/genética , Secuencia Conservada/fisiología , Endorribonucleasas/metabolismo , Proteínas de Escherichia coli , Escherichia coli/enzimología , ARN Catalítico/metabolismo , Secuencia de Aminoácidos , Proteínas Bacterianas/química , Secuencia de Bases , Coenzimas/metabolismo , Endorribonucleasas/química , Prueba de Complementación Genética , Datos de Secuencia Molecular , Mutagénesis Sitio-Dirigida , Conformación de Ácido Nucleico , Estructura Secundaria de Proteína , Precursores del ARN/química , Precursores del ARN/metabolismo , ARN Bacteriano/química , ARN Bacteriano/metabolismo , ARN Catalítico/química , ARN de Transferencia de Tirosina/química , ARN de Transferencia de Tirosina/metabolismo , Ribonucleasa P , Alineación de Secuencia , Especificidad por Sustrato
13.
J Mol Biol ; 296(1): 19-31, 2000 Feb 11.
Artículo en Inglés | MEDLINE | ID: mdl-10656815

RESUMEN

The protein subunit of Escherichia coli ribonuclease P (which has a cysteine residue at position 113) and its single cysteine-substituted mutant derivatives (S16C/C113S, K54C/C113S and K66C/C113S) have been modified using a sulfhydryl-specific iron complex of EDTA-2- aminoethyl 2-pyridyl disulfide (EPD-Fe). This reaction converts C5 protein, or its single cysteine-substituted mutant derivatives, into chemical nucleases which are capable of cleaving the cognate RNA ligand, M1 RNA, the catalytic RNA subunit of E. coli RNase P, in the presence of ascorbate and hydrogen peroxide. Cleavages in M1 RNA are expected to occur at positions proximal to the site of contact between the modified residue (in C5 protein) and the ribose units in M1 RNA. When EPD-Fe was used to modify residue Cys16 in C5 protein, hydroxyl radical-mediated cleavages occurred predominantly in the P3 helix of M1 RNA present in the reconstituted holoenzyme. C5 Cys54-EDTA-Fe produced cleavages on the 5' strand of the P4 pseudoknot of M1 RNA, while the cleavages promoted by C5 Cys66-EDTA-Fe were in the loop connecting helices P18 and P2 (J18/2) and the loop (J2/4) preceding the 3' strand of the P4 pseudoknot. However, hydroxyl radical-mediated cleavages in M1 RNA were not evident with Cys113-EDTA-Fe, perhaps indicative of Cys113 being distal from the RNA-protein interface in the RNase P holoenzyme. Our directed hydroxyl radical-mediated footprinting experiments indicate that conserved residues in the RNA and protein subunit of the RNase-P holoenzyme are adjacent to each other and provide structural information essential for understanding the assembly of RNase P.


Asunto(s)
Disulfuros/metabolismo , Ácido Edético/análogos & derivados , Endorribonucleasas/genética , Endorribonucleasas/metabolismo , Proteínas de Escherichia coli , Escherichia coli/enzimología , ARN Bacteriano/metabolismo , ARN Catalítico/genética , ARN Catalítico/metabolismo , Secuencia de Aminoácidos , Proteínas Bacterianas/química , Proteínas Bacterianas/genética , Proteínas Bacterianas/metabolismo , Secuencia de Bases , Sitios de Unión , Dominio Catalítico/genética , Dicroismo Circular , Cisteína/química , Cisteína/genética , Cisteína/metabolismo , Disulfuros/química , Ácido Edético/metabolismo , Endorribonucleasas/química , Escherichia coli/genética , Holoenzimas/química , Holoenzimas/genética , Holoenzimas/metabolismo , Radical Hidroxilo/metabolismo , Ligandos , Espectrometría de Masas , Modelos Moleculares , Datos de Secuencia Molecular , Mutagénesis Sitio-Dirigida/genética , Mutación/genética , Conformación de Ácido Nucleico , ARN Bacteriano/química , ARN Bacteriano/genética , ARN Catalítico/química , Proteínas de Unión al ARN/química , Proteínas de Unión al ARN/genética , Proteínas de Unión al ARN/metabolismo , Ribonucleasa P , Alineación de Secuencia
14.
J Med Chem ; 48(19): 6004-11, 2005 Sep 22.
Artículo en Inglés | MEDLINE | ID: mdl-16162003

RESUMEN

Screening of the Merck compound collection identified 6 as an unusually simple, low molecular weight hit with moderate affinity for GABAA receptors. The structural novelty of 6, compared to our advanced series of GABAA alpha5 inverse agonists, made it an attractive molecule for further exploration. This paper will describe the evolution of 6 into a new series of ligands with nanomolar affinity and functional selectivity for GABAA alpha5 receptor subtypes.


Asunto(s)
Piridazinas/síntesis química , Receptores de GABA-A/efectos de los fármacos , Animales , Línea Celular , Humanos , Técnicas In Vitro , Ligandos , Masculino , Ratones , Microsomas Hepáticos/efectos de los fármacos , Microsomas Hepáticos/metabolismo , Técnicas de Placa-Clamp , Subunidades de Proteína/fisiología , Piridazinas/farmacocinética , Piridazinas/farmacología , Ensayo de Unión Radioligante , Ratas , Ratas Sprague-Dawley , Receptores de GABA-A/fisiología , Proteínas Recombinantes/metabolismo , Relación Estructura-Actividad
15.
J Neuropathol Exp Neurol ; 50(2): 108-17, 1991 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-1672707

RESUMEN

Systemic findings such as hepatosplenomegaly and typical Gaucher storage cells in a bone marrow aspirate led to the clinical diagnosis of Gaucher's disease in the seven-year old patient described in this report. On the basis of the lack of neurologic involvement the child was classified as having the Type 1, nonneurologic form of Gaucher's disease. After splenectomy glucocerebrosidase was extracted from her spleen for biochemical analysis. As expected, a marked deficiency of glucocerebrosidase activity was evident in the splenic extract, however her enzyme displayed anomalous behavior compared to other identical splenic preparations from documented Type 1 Gaucher's disease patients in that it failed to reconstitute with the acidic lipid phosphatidylserine. Using the polymerase chain reaction (PCR)-based color complementation assay and restriction endonuclease analysis, we compared the mutation genotype of this child with that of five other classical Type 1 patients. This analysis revealed that our patient alone was homoallelic for a T----C transition at position 1448 in the glucocerebrosidase cDNA that results in a 444Leu----Pro substitution in the glucocerebrosidase protein. The latter mutation genotype is normally associated with the neurologic phenotype, namely, the Types 2 and 3 forms of the disease. The relevance of the nature of polarity in clinical and biochemical analyses is discussed with regard to the phenotypic classification and the future clinical course of disease in the child.


Asunto(s)
Enfermedad de Gaucher/genética , Niño , ADN/genética , Femenino , Enfermedad de Gaucher/diagnóstico , Glucosilceramidasa/genética , Humanos , Mutación , Fosfatidilserinas/farmacología , Reacción en Cadena de la Polimerasa , Polimorfismo de Longitud del Fragmento de Restricción , Bazo/enzimología , Ácido Taurodesoxicólico/farmacología , beta-Glucosidasa/metabolismo
16.
Biochem Pharmacol ; 68(5): 819-31, 2004 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-15294445

RESUMEN

Neurosteroids have been shown to mediate some of their physiological effects via a modulatory site on type A inhibitory gamma-aminobutyric acid (GABAA) receptors. In particular, recent evidence has implicated selective potentiation of the delta subunit of GABAA receptors as an important mediator of in vitro and in vivo neurosteroid activity. However, this has been demonstrated for only a very small number of steroids, so both the generality of this finding, and the structural features of steroids which mediate functional delta-selectivity, are unclear. We have used a potentiometric assay based on fluorescence resonance energy transfer to measure GABA-activated responses in L(tk-) cells stably transfected with human GABAA receptor alpha4beta3delta and alpha4beta3gamma2 receptor subtypes. A set of 28 steroids were evaluated on these subtypes to characterise their functional potency and efficacy in modulating GABA responses. For most compounds there was a clear separation of their efficacy profiles between the receptor subtypes, with a substantially larger maximal response at the alpha4beta3delta receptor. 5beta-Pregnan-3beta-ol-20-one, 5beta-pregnane-3alpha,20beta-diol and 5beta-pregnane-3alpha,17alpha-diol-11,20-dione showed particularly high efficacy for alpha4beta3delta. No compounds were identified that simply inhibited responses at delta-containing receptors. However, 5beta-pregnane-3alpha,17alpha,20beta-triol, prednisolone 21-acetate, 4-pregnene-17alpha,20alpha-diol-3-one-20-acetate, 4-pregnen-20alpha-ol-3-one, and 5beta-pregnane-3alpha,17alpha,21-triol-20-one inhibited, though did not abolish, GABA responses at the alpha4beta3gamma2 subtype, while evoking modest-amplitude potentiation of alpha4beta3delta responses. Molecular modelling on this compound series using principal components analysis indicates that several structural features of steroids underlie their relative functional selectivity for potentiation of delta-containing GABAA receptors.


Asunto(s)
Subunidades de Proteína/metabolismo , Receptores de GABA-A/metabolismo , Esteroides/farmacología , Animales , Células Cultivadas , Humanos , Cinética , Ratones , Conformación Molecular , Subunidades de Proteína/efectos de los fármacos , Receptores de GABA-A/efectos de los fármacos , Esteroides/química , Relación Estructura-Actividad , Transfección
17.
Clin Chim Acta ; 184(3): 235-42, 1989 Oct 16.
Artículo en Inglés | MEDLINE | ID: mdl-2515009

RESUMEN

Three fluorometric beta-glucosidase assays were compared for their ability to identify Gaucher's disease heterozygotes, using leukocytes as the source of enzyme: the pH 5.5-taurocholate assay of Peters et al.; the conduritol B epoxide dependent variation of that assay; and the newly developed method described herein. While the first two procedures utilize the standard substrate 4-methylumbelliferyl-beta-D-glucopyranoside to estimate beta-glucosidase activity, the new assay uses 4-heptylumbelliferyl-beta-D-glucoside as (C7UGlc) substrate. Use of this substrate enhances the specificity of the method for lysosomal glucocerebrosidase, thereby minimizing the contribution of the nonspecific cytosolic beta-glucosidase to estimates of substrate hydrolysis. Using Student's t test for the three assays examined, the C7UGlc assay procedure was determined to have the lowest p value (p less than 0.001) and highest t value (t = 4.95) for the discrimination between the mean glucocerebrosidase value of control and obligate Gaucher heterozygote samples. The high reliability and simplicity of the C7UGlc assay lends adequate reason to favor this assay for regular clinical diagnosis of Gaucher heterozygotes.


Asunto(s)
Enfermedad de Gaucher/genética , Tamización de Portadores Genéticos/métodos , Umbeliferonas , Encéfalo/enzimología , Glucosilceramidasa/metabolismo , Humanos , Concentración de Iones de Hidrógeno , Hidrólisis , Técnicas para Inmunoenzimas , Inositol/análogos & derivados , Leucocitos/enzimología , Hígado/enzimología , Placenta/enzimología , Ácido Taurocólico , beta-Glucosidasa/sangre
18.
Sci Prog ; 84(Pt 1): 45-67, 2001.
Artículo en Inglés | MEDLINE | ID: mdl-11382137

RESUMEN

Electron paramagnetic resonance (EPR) spectroscopy is now part of the armory available to probe the structural aspects of proteins, nucleic acids and protein-nucleic acid complexes. Since the mobility of a spin label covalently attached to a macromolecule is influenced by its microenvironment, analysis of the EPR spectra of site-specifically incorporated spin labels (probes) provides a powerful tool for investigating structure-function correlates in biological macromolecules. This technique has become readily amenable to address various problems in biology in large measure due to the advent of techniques like site-directed mutagenesis, which enables site-specific substitution of cysteine residues in proteins, and the commercial availability of thiol-specific spin-labeling reagents (Figure 1). In addition to the underlying principle and the experimental strategy, several recent applications are discussed in this review.


Asunto(s)
Estructura Cuaternaria de Proteína , Animales , Espectroscopía de Resonancia por Spin del Electrón , Humanos , Mutagénesis Sitio-Dirigida , Marcadores de Spin
19.
J Natl Med Assoc ; 89(7): 461-3, 1997 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-9220695

RESUMEN

Schistosomiasis, although unusual in North America, is a common disease worldwide. Symptoms vary depending on the species involved. Immigrants from endemic regions are the commonly affected patients found in North America. In most cases, schistosomiasis does not present with right lower quadrant pain. Even in endemic regions, this form of presentation is uncommon. In the United States, most cases of right lower quadrant pain often will be treated as appendicitis. Questions remain unanswered as to whether the schistosomes cause appendicitis or are found incidentally in these cases. Stool and urine specimens may be helpful in making a diagnosis. Most cases require operative intervention to rule out appendicitis and to obtain tissue for histopathologic diagnosis. Praziquantel is effective in eradicating infestations.


Asunto(s)
Apendicitis/diagnóstico , Apéndice/parasitología , Esquistosomiasis mansoni/diagnóstico , Dolor Abdominal/diagnóstico , Enfermedades del Ciego/tratamiento farmacológico , Enfermedades del Ciego/parasitología , Diagnóstico Diferencial , Emigración e Inmigración , Humanos , Enfermedades del Íleon/tratamiento farmacológico , Enfermedades del Íleon/parasitología , Masculino , Persona de Mediana Edad , Praziquantel/uso terapéutico , Esquistosomiasis mansoni/tratamiento farmacológico , Esquistosomicidas/uso terapéutico , Yemen/etnología
20.
Cancer Radiother ; 16(4): 292-4, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-22721756

RESUMEN

Phimosis of the foreskin after radiotherapy for rectal carcinoma is extremely rare and has previously been described only once (2006) in the English-language literature. Combination chemo/radiotherapy is currently the treatment of choice and widely used in the management of various pelvic malignancies. In this report, we describe a rare complication on male genitalia following the radiotherapy for lower rectal cancers. Few days following the completion of radiotherapy, patient developed phimosis of the foreskin, which was successfully treated medically without the need for circumcision. Radiotherapy can bring a great risk of injury to anorectum and its adjacent structures. Risk of phimosis should be considered under the current radiation guidelines and we support the concept of using penile shielding for all radiotherapy procedures in colorectal carcinoma patients.


Asunto(s)
Fimosis/etiología , Traumatismos por Radiación/etiología , Neoplasias del Recto/radioterapia , Prepucio , Humanos , Masculino , Persona de Mediana Edad
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