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1.
Opt Express ; 30(26): 46560-46563, 2022 Dec 19.
Artigo em Inglês | MEDLINE | ID: mdl-36558607

RESUMO

Approximately 8% of Caucasian males and 0.5% of females have congenital red-green color vision deficiencies (CVD), and a number of eye diseases are accompanied by acquired CVD. This feature issue includes ten contributions regarding existing and proposed algorithms and devices intended to help CVD subjects compensate for their color deficiencies. It also addresses limitations in the effectiveness of CVD aids for subjects with different types and degrees of color vision deficiency.


Assuntos
Doenças Cardiovasculares , Defeitos da Visão Cromática , Visão de Cores , Masculino , Feminino , Humanos , Defeitos da Visão Cromática/diagnóstico , Defeitos da Visão Cromática/terapia , Percepção de Cores , Testes de Percepção de Cores , Algoritmos , Cor
2.
Opt Express ; 30(19): 34665-34683, 2022 Sep 12.
Artigo em Inglês | MEDLINE | ID: mdl-36242474

RESUMO

Color vision deficiency (CVD) has gained in relevance in the last decade, with a surge of proposals for aid systems that aim to improve the color discrimination capabilities of CVD subjects. This paper focuses on the proposal of a new metric called CVD-MET, that can evaluate the efficiency and naturalness of these systems through a set of images using a simulation of the subject's vision. In the simulation, the effect of chromatic adaptation is introduced via CIECAM02, which is relevant for the evaluation of passive aids (color filters). To demonstrate the potential of the CVD-MET, an evaluation of a representative set of passive and active aids is carried out both with conventional image quality metrics and with CVD-MET. The results suggest that the active aids (recoloration algorithms) are in general more efficient and produce more natural images, although the changes that are introduced do not shift the CVD's perception of the scene towards the normal observer's perception.


Assuntos
Doenças Cardiovasculares , Defeitos da Visão Cromática , Visão de Cores , Algoritmos , Cor , Percepção de Cores , Defeitos da Visão Cromática/diagnóstico , Simulação por Computador , Humanos , Visão Ocular
3.
Opt Express ; 26(22): 28693-28703, 2018 Oct 29.
Artigo em Inglês | MEDLINE | ID: mdl-30470042

RESUMO

The commercialization of EnChroma glasses has generated great expectations for people to be able to see new colors or even correct color vision deficiency (CVD). We evaluate the effectiveness of these glasses using two complementary strategies for the first time. The first consists of using the three classical types of tests - recognition, arrangement and discrimination - with and without glasses, with a high number of individuals. In the second, we use the spectral transmittance of the glasses to simulate the appearance of stimuli in a set of scenes for normal observers and observers with CVD. The results show that the glasses introduce a variation of the perceived color, but neither improve results in the diagnosis tests nor allow the observers with CVD to have a more normal color vision.


Assuntos
Defeitos da Visão Cromática/terapia , Visão de Cores/fisiologia , Óculos , Células Fotorreceptoras Retinianas Cones/fisiologia , Adolescente , Adulto , Percepção de Cores/fisiologia , Defeitos da Visão Cromática/fisiopatologia , Sensibilidades de Contraste , Desenho de Equipamento , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
4.
Plant Cell Environ ; 36(4): 869-78, 2013 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-23057760

RESUMO

An electrochemical approach to directly measure the dynamic process of H2 O2 release from cultures of Arabidopsis thaliana cells is reported. This approach is based on H2 O2 oxidation on a Pt electrode in conjunction with continuous measurement of sample pH. For [H2 O2 ] <1 mm, calibration plots were linear and the amperometric response of the electrode was maximum at pH 6. At higher concentrations ([H2 O2 ] >1 mm), the amperometric response can be described by Michaelian-type kinetics and a mathematical expression relating current intensity and pH was obtained to quantitatively determine H2 O2 concentration. At pH 5.5, the detection limit of the sensor was 3.1 µm (S/N = 3), with a response sensitivity of 0.16 Am(-1 ) cm(-2) and reproducibility was within 6.1% in the range 1-5 × 10(-3 ) m (n = 5). Cell suspensions under normal physiological conditions had a pH between 5.5-5.7 and H2 O2 concentrations in the range 7.0-20.5 µm (n = 5). The addition of exogenous H2 O2 , as well as other potential stress stimuli, was made to the cells and the change in H2 O2 concentration was monitored. This real-time quantitative H2 O2 analysis is a potential marker for the evaluation of oxidative stress in plant cell cultures.


Assuntos
Arabidopsis/metabolismo , Técnicas Eletroquímicas/instrumentação , Peróxido de Hidrogênio/análise , Estresse Oxidativo , Arabidopsis/fisiologia , Biomarcadores/metabolismo , Calibragem , Catalase , Técnicas de Cultura de Células , Técnicas Eletroquímicas/métodos , Eletrodos , Fertilizantes , Peróxido de Hidrogênio/metabolismo , Peróxido de Hidrogênio/farmacologia , Concentração de Íons de Hidrogênio , Inseticidas , Metais , Oxirredução , Platina , Reprodutibilidade dos Testes , Sais , Sensibilidade e Especificidade , Fatores de Tempo
5.
Food Res Int ; 160: 111694, 2022 10.
Artigo em Inglês | MEDLINE | ID: mdl-36076450

RESUMO

Grape aromatic characteristics are very important for producing quality wines. There have been very few studies on concentrations of volatile compounds in grape berries from vines with cover crops. For this reason, the aim of this work was to evaluate the influence of "Zulla" cover crop on the volatile profiles of organically grown Syrah variety grapes. For this purpose, volatile profiles of grapes obtained from vines with three different amounts of cover crop (one line, two lines, and four lines) and without cover crop, over three harvests (2019, 2020, and 2021) were determined. Moreover, a comparative study of conventional and organic crops, both submitted to soil tillage, was performed. The grape samples came from a warm climate zone. Must volatile compounds were determined by sequential sorptive extraction with Twisters by immersion (SBSE) and headspace (HSSE), followed by GC-MS analysis. A total of 160 compounds were determined and most of them were influenced by the presence of cover crop. However, the results showed an important influence of the harvest year over agronomic practices. Therefore, organic cultivation using Zulla cover crop seems to be a suitable tool for the implementation of friendly ecosystem management in a warm climate Syrah vineyard.


Assuntos
Vitis , Vinho , Ecossistema , Fazendas , Frutas , Vinho/análise
6.
Food Chem ; 374: 131742, 2022 Apr 16.
Artigo em Inglês | MEDLINE | ID: mdl-34891088

RESUMO

Yeasts can synthetise bioactive compounds such as Melatonin (MEL), Serotonin (SER) and Hydroxytyrosol (HT). Deciphering the mechanisms involved in their formation can lead to exploit this fact to increase the bioactive potential of fermented beverages. Quantitative analysis using labelled compounds, 15-N2 l-tryptophan and 13-C tyrosine, allowed tracking the formation of the above-mentioned bioactive compounds during the alcoholic fermentation of synthetic must by two different Saccharomyces cerevisiae strains. Labelled and unlabelled MEL, SER and HT were undoubtedly identified and quantified by High Resolution Mass Spectrometry (HRMS). Our results prove that there are at least two pathways involved in MEL biosynthesis by yeast. One starts with tryptophan as precursor being known for the vertebrates' pathway. Additionally, MEL is produced from SER which in turn is consistent with the plants' biosynthesis pathway. Concerning HT, it can be formed both from labelled tyrosine and from intermediates of the Erlich pathway.


Assuntos
Melatonina , Saccharomyces cerevisiae , Fermentação , Bebidas Fermentadas , Álcool Feniletílico/análogos & derivados , Serotonina
7.
Biomacromolecules ; 12(4): 1332-8, 2011 Apr 11.
Artigo em Inglês | MEDLINE | ID: mdl-21341687

RESUMO

We report the fluorescence decrease of the water-soluble π-π-conjugated polymer poly(2-methoxy-5-propyloxy sulfonate phenylene vinylene, MPS-PPV) by the catalytic activity of horseradish peroxidase in the presence of H(2)O(2). MPS-PPV acts as a donor substrate in the catalytic cycle of horseradish peroxidase where the electron-deficient enzymatic intermediates compounds I and II can subtract electrons from the polymer leading to its fluorescence decrease. The addition of phenolic drug acetaminophen to the former solution favors the decrease of the polymer fluorescence, which indicates the peroxidase-catalyzed co-oxidation of MPS-PPV and acetaminophen. The encapsulation of horseradish peroxidase within polyacrylamide microgels allows the isolation of intermediates compound I and compound II from the polymer, leading to a fluorescence decrease that is only due to the product of biocatalytic acetaminophen oxidation. This system could be used to develop a new device for phenolic compounds detection.


Assuntos
Peroxidase do Rábano Silvestre/metabolismo , Polímeros/metabolismo , Espectrometria de Fluorescência/métodos , Acetaminofen/metabolismo , Biocatálise , Espectrofotometria Ultravioleta
9.
Rev Neurol ; 73(6): 219-222, 2021 Sep 01.
Artigo em Espanhol | MEDLINE | ID: mdl-34515335

RESUMO

INTRODUCTION: Mild encephalitis/encephalopathy with a reversible isolated splenial corpus callosum lesion (MERS) is a clinical-radiological syndrome characterized by a lesion in the center of the splenium identified by magnetic resonance imaging (MRI), the imaging test of choice. CASE REPORT: A 31-year-old man is admitted with fever, intense hemicranial headache, disorientation, dysarthria and paresthesia in the lips and both upper extremities is presented; and that he is admitted for a suspected diagnosis of viral encephalitis. The cerebrospinal fluid analysis shows an elevation of proteins and the electroencephalogram shows generalized slowing, predominantly on the left. MRI shows a well-defined ovoid lesion, isolated in the splenium of the corpus callosum, homogeneous and hyperintense on T2 and FLAIR, with restriction to fluid diffusion and without uptake after gadolinium administration. The patient received empirical treatment with acyclovir and corticosteroids, with good subsequent evolution and disappearance of the lesion described in the control MRI at 3 weeks. CONCLUSION: MERS is a benign, infrequent entity of unknown pathogenesis, which must be differentiated from other pathologies that present with lesions of the corpus callosum, but with an unfavorable prognosis.


TITLE: Encefalitis/encefalopatía leve con lesión reversible del esplenio del cuerpo calloso (MERS).Introducción. La encefalitis/encefalopatía leve con lesión reversible aislada del esplenio del cuerpo calloso (MERS) es un síndrome clinicorradiológico caracterizado por una lesión en el centro del esplenio identificada por resonancia magnética, prueba de imagen de elección. Caso clínico. Se presenta el caso de un varón de 31 años con cuadro de fiebre, cefalea intensa hemicraneal, desorientación, disartria y parestesias en los labios y en ambas extremidades superiores, y que ingresa por sospecha diagnóstica de encefalitis vírica. El análisis del líquido cefalorraquídeo muestra una elevación de proteínas y el electroencefalograma manifiesta una lentificación generalizada de predominio izquierdo. La resonancia magnética evidencia una lesión ovoidea, bien delimitada, aislada en el esplenio del cuerpo calloso, homogénea e hiperintensa en T2 y FLAIR, con restricción a la difusión hídrica y sin captación tras la administración de gadolinio. El paciente recibe tratamiento de forma empírica con aciclovir y corticoesteroides, con buena evolución posterior y desaparición de la lesión descrita en la resonancia magnética de control a las tres semanas. Conclusión. La MERS es una entidad benigna, infrecuente y de patogenia desconocida, que debe diferenciarse de otras patologías que cursan con lesiones del cuerpo calloso en las que el pronóstico es desfavorable.


Assuntos
Encefalopatias/diagnóstico por imagem , Corpo Caloso , Encefalite/diagnóstico por imagem , Imageamento por Ressonância Magnética , Adulto , Humanos , Masculino , Índice de Gravidade de Doença , Síndrome
10.
Food Res Int ; 128: 108771, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31955742

RESUMO

Sherry white wine called Fino is produced by dynamic biological ageing under the action of flor yeasts using traditional practices aimed at ensuring uniform quality and characteristics over time. These kinds of yeasts provide typical sensory properties to Fino wines. Although there are studies of the volatile composition of these wines submitted to biological ageing in wood barrels, there is a lack of knowledge on the particular volatile profile produced by different flor yeast strains from Sherry zone wineries. For this reason, the aim of this study was to analyse the volatile profiles produced by 15 pure culture flor velum yeasts, with the goal of observing their suitability for obtaining high quality Fino sherry wines. Volatile composition was determined by dual sequential stir bar sorptive extraction, followed by GC-MS analysis. All yeast strains studied produced the increase of most acetals, highlighting acetaldehyde diethylacetal which was the compound that most increased. Among terpenes, nerolidol and farnesol underwent remarkable increases. However, results showed that in a month of biological ageing, significant differences were observed among the volatile metabolites produced by flor yeast strains studied. Only some of them stood out for their high production of volatile compounds characteristic of Sherry Fino wines, which are good candidates for producing starter cultures.


Assuntos
Qualidade dos Alimentos , Armazenamento de Alimentos/métodos , Odorantes/análise , Vinho/análise , Fermento Seco/metabolismo , Cromatografia Gasosa-Espectrometria de Massas , Tempo
11.
Pathol Biol (Paris) ; 57(6): 496-9, 2009 Sep.
Artigo em Francês | MEDLINE | ID: mdl-19269114

RESUMO

We have detected 410 microcytosis among biological tests of military people. These microcytosis are principally coumpounded by haemoglobin's abnormalities (minor thalassemia, sickle cell diseases, E haemoglobin cases and cases of C haemoglobin) and cases of iron deficiency, usually among women.


Assuntos
Hemoglobinas Anormais/metabolismo , Militares/estatística & dados numéricos , Anemia Falciforme/epidemiologia , Feminino , França/epidemiologia , Doença da Hemoglobina C/epidemiologia , Hemoglobinopatias/epidemiologia , Humanos , Masculino , Caracteres Sexuais , Talassemia/epidemiologia
12.
Ann Biol Clin (Paris) ; 67(2): 227-32, 2009.
Artigo em Francês | MEDLINE | ID: mdl-19297297

RESUMO

The authors report an suicide attempt by a 43 years old woman treated by Previscan, Effexor, Rivotril, and Stilnox for phlebitis anteriority and anxious-depressive disorders. On arrival to the emergency unit, the medical status and the patient history required a cardiovascular reanimation and gastric washing. The haemostasis analysis demonstrates an anticoagulant overdose and the prescription of vitamine K1 and PPSB was necessary. Later, the multidrug poisoning was demonstrated thanks to blood, urinary and gastric fluid high performance liquid chromatography toxicological analyses. This case report points out that biological and toxicological analyses are complementary. The first ones are useful to determine the emergency symptomatic cares, and to check the drugs' efficiency. The second ones, although longer, are necessary to identify with certainty incriminated drugs.


Assuntos
Antipsicóticos/uso terapêutico , Flebite/tratamento farmacológico , Tentativa de Suicídio/prevenção & controle , Ansiolíticos/uso terapêutico , Anticoagulantes , Antidepressivos/uso terapêutico , Clonazepam/uso terapêutico , Cicloexanóis/uso terapêutico , Eletrocardiografia , Feminino , Humanos , Hipnóticos e Sedativos/uso terapêutico , Pessoa de Meia-Idade , Fenindiona/análogos & derivados , Fenindiona/uso terapêutico , Piridinas/uso terapêutico , Cloridrato de Venlafaxina , Zolpidem
13.
Ann Biol Clin (Paris) ; 67(3): 349-52, 2009.
Artigo em Francês | MEDLINE | ID: mdl-19411239

RESUMO

We describe the case of a Sickle Cell Trait associated with alpha and beta(o) thalassemia at an young man without clinical abnormality. Capillary electrophoresis showed S haemoglobin at 67%, F haemoglobin at 29%, A2 haemoglobin at 4% and an absence of A haemoglobin. Accurate diagnosis was found by techniques of molecular biology.


Assuntos
Traço Falciforme/sangue , Talassemia alfa/complicações , Talassemia beta/complicações , Hemoglobina A/deficiência , Hemoglobina A2/análise , Hemoglobina Falciforme/análise , Humanos , Masculino , Traço Falciforme/diagnóstico , Adulto Jovem , Talassemia alfa/sangue , Talassemia beta/sangue
14.
Ann Biol Clin (Paris) ; 67(5): 573-6, 2009.
Artigo em Francês | MEDLINE | ID: mdl-19789131

RESUMO

We evaluated two automated methods for measuring blood levels of lactates with Integra 800 (Roche Diagnostics) and ABL 725 (Radiometer). Our evaluation had shown a within run imprecision of 1% (Intégra 800) and 2% (ABL 725) and a between-assay imprecision of 2% (Intégra 800) and 5% (ABL 725). The two methodologies appeared very well associated. The selective electrode remains expensive but it is very interesting because it saves a blood sample.


Assuntos
Análise Química do Sangue/instrumentação , Ácido Láctico/sangue , Humanos
15.
3 Biotech ; 9(11): 382, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31656720

RESUMO

This paper has studied the success of implantation for 16 commercial active dry yeasts (ADYs) during industrial fermentation (30) and the impact of these yeasts during spontaneous fermentations (19) in 10 wineries from the Denomination of Origin "Vinos de Madrid" over two consecutive years. Yeasts strains were identified by molecular techniques, pulsed field electrophoresis and microsatellite analysis. According to these techniques, all the ADYs were different with the exceptions of two strains, L2056 and Rh, which showed the same karyotype and loci size. The results showed that inoculating fermentations with ADYs did not ensure their dominance throughout the fermentation; the implantation level of ADYs was above 80% in only 9 of the 30 commercial fermentations studied; while in 16 fermentations, the dominance of the inoculated ADYs was below 50%. The type of vinification with the best implantation results overall were those associated with red wine fermentations. ADYs affected spontaneous fermentations, although their impact was observed to decrease in the second year of the study. Therefore, specific adaptation studies are necessary before using commercial yeasts during the fermentation process. At the same time, a study was carried out on the frequency of commercial strains in IMIDRA's yeast collection, made up of strains isolated from spontaneous fermentations of the different areas and cellars since the beginning of the Denomination of Origin "Vinos de Madrid" in 1990. Six different ADYs were found with a frequency of less than 5%.

16.
Food Chem ; 297: 124924, 2019 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-31253284

RESUMO

Yeast nitrogen metabolism produces metabolites, whose origin in wines has scarcely been studied, with an important biological and organoleptic role. The present work focuses on comparing three intracellular extraction methods in order to elucidate efficiency of extraction while measuring the effect of temperature upon the integrity of the compounds related to the metabolism of tryptophan and tyrosine by yeast. Two UHPLC/HRMS methods to measure 16 metabolites were developed and validated. The validation provided optimum values of LOD (7.4·10-6 to 0.1 µg L-1), of LOQ (2·10-5 to 0.02 µg L-1) of precision (11-0.5% RSD) and repeatability (12-0.5% RSD). The removal of interfering molecules enabled matrix effects to be kept at low levels. The results pointed out that the low-temperature methods were more effective, providing better precision for 16 metabolites. The high-temperature extraction method may yield false enhanced compounds concentrations since they originate in cell wall macromolecules degradation.


Assuntos
Fracionamento Químico/métodos , Saccharomyces cerevisiae/metabolismo , Triptofano/análise , Tirosina/análise , Cromatografia Líquida de Alta Pressão , Temperatura Baixa , Congelamento , Glicerol/química , Espectrometria de Massas , Nitrogênio/metabolismo , Triptofano/metabolismo , Tirosina/metabolismo , Vinho/análise
17.
Prog Neuropsychopharmacol Biol Psychiatry ; 84(Pt A): 102-114, 2018 06 08.
Artigo em Inglês | MEDLINE | ID: mdl-29407532

RESUMO

Drug withdrawal-associated aversive memories trigger relapse to drug-seeking behavior. Corticotrophin-releasing factor (CRF) is an important mediator of the reinforcing properties of drugs of abuse. However, the involvement of CRF1 receptor (CRF1R) in aversive memory induced by opiate withdrawal has yet to be elucidated. We used the conditioned-place aversion (CPA) paradigm to evaluate the role of CRF1R on opiate withdrawal memory acquisition, along with plasticity-related processes that occur after CPA within the basolateral amygdala (BLA) and dentate gyrus (DG). Male mice were rendered dependent on morphine and injected acutely with naloxone before paired to confinement in a naloxone-associated compartment. The CPA scores as well as the number of TH-positive neurons (in the NTS-A2 noradrenergic cell group), and the expression of the transcription factors Arc and pCREB (in the BLA and DG) were measured with and without CRF1R blockade. Mice subjected to conditioned naloxone-induced morphine withdrawal robustly expressed CPA. Pre-treatment with the selective CRF1R antagonist CP-154,526 before naloxone conditioning session impaired morphine withdrawal-induced aversive memory acquisition. CP-154,526 also antagonized the enhanced number of TH-positive neurons in the NTS-A2 that was seen after CPA. Increased Arc expression and Arc-pCREB co-localization were seen in the BLA after CPA, which was not modified by CP-154,526. In the DG, CPA was accompanied by a decrease of Arc expression and no changes in Arc-pCREB co-localization, whereas pre-treatment with CP-154,526 induced an increase in both parameters. These results indicate that CRF-CRF1R pathway could be a critical factor governing opiate withdrawal memory storage and retrieval and might suggest a role for TH-NA pathway in the effects of withdrawal on memory. Our results might indicate that the blockade of CRF1R could represent a promising pharmacological treatment strategy approach for the attenuation of the relapse to drug-seeking/taking behavior triggered by opiate withdrawal-associated aversive memories.


Assuntos
Aprendizagem da Esquiva/efeitos dos fármacos , Complexo Nuclear Basolateral da Amígdala/efeitos dos fármacos , Condicionamento Psicológico/efeitos dos fármacos , Giro Denteado/metabolismo , Dependência de Morfina/metabolismo , Receptores de Hormônio Liberador da Corticotropina/metabolismo , Animais , Aprendizagem da Esquiva/fisiologia , Complexo Nuclear Basolateral da Amígdala/metabolismo , Condicionamento Psicológico/fisiologia , Hormônio Liberador da Corticotropina/metabolismo , Masculino , Memória/efeitos dos fármacos , Memória/fisiologia , Camundongos , Naloxona/farmacologia , Antagonistas de Entorpecentes/farmacologia , Neurônios/efeitos dos fármacos , Neurônios/metabolismo , Distribuição Aleatória , Comportamento Espacial/efeitos dos fármacos , Comportamento Espacial/fisiologia
18.
Phys Rev E Stat Nonlin Soft Matter Phys ; 75(6 Pt 1): 061103, 2007 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-17677216

RESUMO

The damage spreading (DS) method provided a useful tool to obtain analytical results of the thermodynamics and stability of the two-dimensional (2D) Ising model--amongst many others--but it suffered both from ambiguities in its results and from large computational costs. In this paper we propose an alternative method, the so-called self-overlap method, based on the study of correlation functions measured at subsequent time steps as the system evolves towards its equilibrium. Applying Markovian and mean-field approximations to a 2D Ising system we obtain both analytical and numerical results on the thermodynamics that agree with the expected behavior. We also provide some analytical results on the stability of the system. Since only a single replica of the system needs to be studied, this method would seem to be free from the ambiguities that afflicted the DS method. It also seems to be numerically more efficient and analytically simpler.

19.
Food Chem ; 217: 431-437, 2017 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-27664655

RESUMO

Melatonin is a neurohormone involved in the regulation of circadian rhythms in humans. Evidence has recently been found of its occurrence in wines and its role in the winemaking process. The yeast Saccharomyces cerevisiae is consequently thought to be important in Melatonin synthesis, but limited data and reference texts are available on this synthetic pathway. This paper aims to elucidate whether the synthetic pathway of Melatonin in Saccharomyces and non-Saccharomyces strains involves these intermediates. To this end, seven commercial strains comprising Saccharomyces cerevisiae (Red Fruit, ES488, Lalvin QA23, Uvaferm BC, and Lalvin ICV GRE) and non-Saccharomyces (Torulaspora delbrueckii and Metschnikowia pulcherrima) were monitored, under controlled fermentation conditions, in synthetic must, for seven days. Samples were analysed using a UHPLC-HRMS system (Qexactive). Five out of the seven strains formed Melatonin during the fermentation process: three S. cerevisiae strains and the two non-Saccharomyces. Additionally, other compounds derived from l-tryptophan occurred during fermentation.


Assuntos
Fermentação/fisiologia , Melatonina/metabolismo , Saccharomyces cerevisiae/metabolismo , Triptofano/metabolismo , Vinho , Aromatizantes/isolamento & purificação , Aromatizantes/metabolismo , Melatonina/isolamento & purificação , Saccharomyces/metabolismo , Triptofano/isolamento & purificação , Vinho/análise
20.
Rev Clin Esp (Barc) ; 217(2): 63-70, 2017 Mar.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-27914667

RESUMO

OBJECTIVES: High-sensitivity troponin is a biomarker of myocardial damage and is associated with a greater risk of mortality and disease progression in patients with acute heart failure (AHF). However, its relationship with the risk of future readmissions is less known. The aim of this study was to assess the association between ultrasensitive troponin T (TnT-us) values in patients with AHF and the risk of recurrent readmissions in the follow-up. METHODS: We prospectively included a cohort of 621 consecutive patients with AHF, excluding those patients with acute coronary syndrome. We measured the TnT-us levels obtained during the first medical contact in the emergency department. The risk of cumulative readmissions was assessed using negative binomial regression. RESULTS: The mean age of the participants was 73.6±10.8 years, 54.6% were men, and 52% had a left ventricular systolic function ≥50%. The median TnT-us level was 35.5pg/ml (interquartile range [IQR], 22-67). After a median follow-up of 1.2 years (IQR, 0.4-2.4), a total of 153 deaths (24.6%) were recorded, as well as 689 readmissions for all causes in 303 patients (48.8%) and 286 readmissions for HF in 163 patients (26.3%). In the multivariate analysis, the high TnT-us values were associated with an increased risk of readmission, both for all causes and for HF (incidence rate ratio [IRR], 1.16; 95% confidence interval, 1.02-1.36; p=.029 and IRR, 1.23; 95% confidence interval, 1.04-1.46; p=.018, respectively). CONCLUSIONS: For patients with AHF, the increase in TnT-us levels was independently associated with a risk of recurrent readmissions during the follow-up.

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