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1.
J Dairy Sci ; 107(7): 4394-4408, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38278300

RESUMEN

Our objectives were to determine the effects of reducing dietary CP concentration on nutrient digestibility, rumen function, N balance, and serum AA concentration for dairy cows in late lactation. At the initiation of the experimental period, we stratified Holstein cows (n = 128; mean ± SD 224 ± 54 DIM) by parity and days pregnant (86 ± 25 d) and assigned them to 1 of 16 pens. For 3 wk, all cows received a covariate diet containing 16.9% CP (DM basis). For the subsequent 12 wk, we assigned pens to 1 of 4 treatments containing 16.2%, 14.4%, 13.4%, or 11.9% CP (DM basis) in a randomized complete block design. Diets were fed as a TMR once daily. To reduce dietary CP, we replaced soybean meal with soybean hulls in the concentrate mix (DM basis). Diet evaluations suggested that several EAA, especially His, limited productivity as dietary CP declined. Digestibility of DM and CP decreased linearly with dietary CP reduction. Digestibility of NDF and potentially digestible NDF tended to respond in a quadratic pattern with the greatest digestibility at intermediate treatments. The reduction in dietary CP did not affect ruminal pH, but ruminal ammonia-N and branched-chain VFA concentrations declined linearly. The concentration of milk urea-N and plasma urea-N, secretion of milk N, and excretions of fecal N, urinary N, urinary urea-N, and unaccounted N decreased linearly with the reduction in dietary CP concentration. Urinary N expressed as a percentage of N intake was unaffected by dietary CP. Serum concentrations of total essential AA and NEAA were unaffected by dietary CP concentration. However, the ratio of essential to NEAA decreased with decreasing dietary CP. Serum 3-methylhistidine concentration increased linearly with decreasing dietary CP concentration, indicating greater skeletal muscle breakdown. Although our trial confirmed that reducing dietary CP decreased absolute excretion of urinary N, diet evaluations suggested that milk protein production decreased as certain essential AA became increasingly limited. Thus, reduced-CP diets have the potential to lessen reactive-N outputs of late-lactation cows, but more research is needed to design diets that minimize deleterious effects on productivity.


Asunto(s)
Alimentación Animal , Dieta , Proteínas en la Dieta , Digestión , Lactancia , Nitrógeno , Animales , Bovinos/metabolismo , Femenino , Nitrógeno/metabolismo , Nitrógeno/orina , Dieta/veterinaria , Proteínas en la Dieta/metabolismo , Rumen/metabolismo , Leche/metabolismo , Leche/química
2.
J Chem Phys ; 158(17)2023 May 07.
Artículo en Inglés | MEDLINE | ID: mdl-37139999

RESUMEN

The non-exponential character of the structural relaxation is considered one of the hallmarks of the glassy dynamics, and in this context, the relatively narrow shape observed by dielectric techniques for polar glass formers has attracted the attention of the community for long time. This work addresses the phenomenology and role of specific non-covalent interactions in the structural relaxation of glass-forming liquids by the study of polar tributyl phosphate. We show that dipole interactions can couple to shear stress and modify the flow behavior, preventing the occurrence of the simple liquid behavior. We discuss our findings in the general framework of glassy dynamics and the role of intermolecular interactions.

3.
J Dairy Sci ; 102(2): 1601-1607, 2019 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-30471912

RESUMEN

Our objectives were to assess the relationships between milk urea N (MUN), serum urea N (SUN), urine N (UN), and urinary urea N (UUN) in late-lactation cows fed N-limiting diets and compare these relationships with those previously established. Data were from a pen-based study in which 128 Holstein cows had been assigned to 1 of 16 pens in a randomized complete block design to assess the effects of diets containing 16.2, 14.4, 13.1, and 11.8% crude protein (CP, dry matter basis) during a 12-wk period. At least half of the cows in each pen were randomly selected to collect pen-level samples of serum and urine in wk 3, 7, and 11, when wk in lactation averaged 35, 39, and 43, respectively. A mixed model was developed to study the relationship of MUN with SUN, UN, and UUN. Week of lactation did not affect the relation between MUN and SUN across dietary treatments. However, we found a week × MUN interaction, suggesting that between wk 35 and 43 of lactation, UN excretion decreased from 89 to 73 g/d (-17 g/d) when MUN was 6.0 mg/dL (11.8% dietary CP) but increased from 142 to 149 g/d (+7 g/d) when MUN was 13.3 mg/dL (16.2% dietary CP). These effects were essentially due to changes in UUN excretion, which declined from 54 to 37 g/d (-17 g/d) and increased from 112 to 117 g/d (+5 g/d) when MUN was 6.0 and 13.3 mg/dL, respectively. When MUN was 11.2 mg/dL (15% dietary CP), UN and UUN excretions remained constant over time. Based on root mean squared prediction error and the concordance correlation coefficient, these data did not conform to most previously published prediction equations because of both mean and slope biases. The discrepancy could have resulted from difference in study design (cow vs. pen as experimental unit), dietary treatments (energy vs. N-limiting diets), frequency of measurement and duration of adaptation period (single measurement after 1 to 3 wk of adaptation vs. repeated measurements over a 12-wk period), method for determining urine volume (total collection vs. spot sampling), and the assay used to measure MUN. However, our data captured changes in kidney physiology that warrant further studies of long-term renal adaptation to N-limiting diets.


Asunto(s)
Bovinos/metabolismo , Dieta/veterinaria , Leche/química , Nitrógeno/metabolismo , Animales , Nitrógeno de la Urea Sanguínea , Bovinos/orina , Femenino , Lactancia , Nitrógeno/orina , Urea/análisis , Urea/orina
4.
J Dairy Sci ; 102(9): 8546-8558, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31301834

RESUMEN

In the semi-arid highlands of central Mexico, triticale (× Triticosecale L.) is emerging as an alternative, less water-demanding forage crop than alfalfa for dairy cattle. Studies reported here were aimed at evaluating triticale hay (TH) relative to alfalfa hay (AH) for lactating cow performance, apparent digestibility, N partition, and ruminal degradation kinetics of dry matter (DM), crude protein (CP), and neutral detergent fiber (NDF). Study 1 was conducted on a privately owned farm. Four barns were used to conduct 4 replicated 3 × 3 Latin squares (1 barn = 1 square), where each barn included 3 pens (experimental units) receiving 1 of 3 dietary treatments. Each pen had 62 Holstein dairy cows. All diets included a forage-to-concentrate ratio of 42:58 (DM basis), which is typical for intensive dairy farms of the region. Dietary treatments were formulated to replace AH with TH on a CP basis, and included (DM basis) 15.1% AH and 0% TH, 9.0% AH and 7.4% TH, and 0% AH and 16.4% TH. Diets were iso-energetic (1.64 Mcal of net energy for lactation/kg of DM) and iso-nitrogenous (17.9% CP). Pen-level DM intake and milk production were from all cows in the pen, but pen-level milk composition, apparent digestibility, and N partitioning were from 8 cows (observational units) randomly selected in each pen. Orthogonal contrasts were used to determine linear and quadratic effects of increasing TH from 0 to 7.4, and 16.4% of dietary DM. Although DM intake was not affected, there was a tendency for CP intake to decline linearly and for NDF intake to increased linearly as TH replaced AH in the diet. Milk production declined linearly by 0.077 kg/d for each additional percentage unit of TH in the diet, which amounted to a 3.5% decline when TH replaced AH entirely. However, no effect was observed on energy-corrected milk production because of a compensatory linear effect of increasing milk fat concentration with the incorporation of TH in the diet. Total-tract NDF digestibility tended to increase linearly by 18.5%, but no differences were detected for urinary urea-N excretion and for N utilization estimated as milk N/(fecal N + urinary N + milk N). Study 2 was an in situ trial conducted to determine the degradation kinetics of AH and TH used in study 1. In spite of differences in degradation kinetics parameters for DM, CP, and NDF, only NDF effective ruminal degradation tended to be greater for TH than AH. Replacing AH with TH at the level typically found in intensive dairy farms of the semi-arid regions of Mexico had minimal effects on milk production and N utilization.


Asunto(s)
Bovinos/fisiología , Lactancia/fisiología , Medicago sativa , Nitrógeno/metabolismo , Triticale , Alimentación Animal , Animales , Clima , Industria Lechera/métodos , Dieta/veterinaria , Fibras de la Dieta/administración & dosificación , Digestión , Femenino , Medicago sativa/metabolismo , México , Leche/química , Zea mays/metabolismo
5.
Am J Transplant ; 18(1): 197-206, 2018 01.
Artículo en Inglés | MEDLINE | ID: mdl-28649744

RESUMEN

Mannose-binding lectin (MBL) is synthesized by the liver and binds to microbes. MBL2 gene polymorphisms produce intermediate/low/null or normal MBL serum levels (MBL-deficient or MBL-sufficient phenotypes, respectively). We aimed to evaluate the incidence and severity of infection, rejection, and survival within 1 year after liver transplantation (LT) according to donor and recipient MBL2 gene polymorphisms. A repeated-event analysis for infection episodes (negative binomial regression, Andersen-Gill model) was performed in 240 LTs. Four hundred twenty-eight infectious episodes (310 bacterial, 15 fungal, 65 cytomegalovirus [CMV]-related, and 38 viral non-CMV-related episodes) and 48 rejection episodes were recorded. The main bacterial infections were urinary (n = 82, 26%) and pneumonia (n = 69, 22%). LT recipients of MBL-deficient livers had a higher risk of bacterial infection (incidence rate ratio [IRR] 1.48 [95% confidence interval 1.04-2.09], p = 0.028), pneumonia (IRR 2.4 [95% confidence interval 1.33-4.33], p = 0.013), and septic shock (IRR 5.62 [95% confidence interval 1.92-16.4], p = 0.002) compared with recipients of MBL-deficient livers. The 1-year bacterial infection-related mortality was higher in recipients of MBL-deficient versus MBL-sufficient livers (65.8% vs. 56.1%, respectively; p = 0.0097). The incidence of rejection, viral, or fungal infection was similar in both groups. Recipient MBL2 genotype did not significantly increase the risk of bacterial infection. LT recipients of MBL-deficient livers have a higher risk of bacterial infection, pneumonia, septic shock, and 1-year bacterial infection-related mortality after LT.


Asunto(s)
Infecciones Bacterianas/mortalidad , Rechazo de Injerto/mortalidad , Trasplante de Hígado/mortalidad , Lectina de Unión a Manosa/genética , Polimorfismo Genético , Complicaciones Posoperatorias , Donantes de Tejidos , Adulto , Anciano , Infecciones Bacterianas/etiología , Infecciones Bacterianas/patología , Femenino , Estudios de Seguimiento , Predisposición Genética a la Enfermedad , Genotipo , Rechazo de Injerto/etiología , Rechazo de Injerto/patología , Supervivencia de Injerto , Humanos , Trasplante de Hígado/efectos adversos , Masculino , Lectina de Unión a Manosa/deficiencia , Persona de Mediana Edad , Pronóstico , Estudios Prospectivos , Factores de Riesgo , Tasa de Supervivencia
6.
Phys Chem Chem Phys ; 20(44): 27758-27765, 2018 Nov 14.
Artículo en Inglés | MEDLINE | ID: mdl-30209466

RESUMEN

The impact of supramolecular aggregate formation on the shear viscosity response of hydrogen bonded liquids was investigated. In particular, we study the shear mechanical response of several monoalcohols showing exponential and non-exponential shape dielectric Debye-like relaxation. In addition to the structural relaxation, distinctive of the glass transition, and the terminal crossover to pure viscous flow, characteristic of simple liquid flow, systematic analysis of complex viscosity curves evidences the presence of an additional intermediate process between those two. While the recovery of pure viscous flow would reflect the complete relaxation of the hydrogen bonded aggregates the intermediate process correlates with the rotational dynamics of hydroxyl groups, potentially caused by the breaking of individual hydrogen bonds.

7.
J Chem Phys ; 146(11): 114502, 2017 Mar 21.
Artículo en Inglés | MEDLINE | ID: mdl-28330358

RESUMEN

We have investigated the Debye-like relaxation in a series of monoalcohols (MAs) by broadband dielectric spectroscopy and thermally stimulated depolarization current techniques in order to get further insight on the time dispersion of this intriguing relaxation. Results indicate that the Debye-like relaxation of MAs is not always of exponential type and conforms well to a dispersion of Cole-Davidson type. Apart from the already reported non-exponentiality of the Debye-like relaxation in 2-hexyl-1-decanol and 2-butyl-1-octanol, a detailed analysis of the dielectric permittivity of 5-methyl-3-heptanol shows that this MA also presents some extent of dispersion on its Debye-like relaxation which strongly depends on the temperature. Results suggest that the non-exponential character of the Debye-like relaxation might be a general characteristic in the case of not so intense Debye-like relaxations relative to the α relaxation. Finally, we briefly discuss on the T-dependence and possible origin for the observed dispersion.

8.
J Dairy Sci ; 100(7): 5434-5448, 2017 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-28501404

RESUMEN

The objectives of this study were to measure performance responses and to evaluate indictors of N utilization in late-lactation cows fed diets with incremental reductions in crude protein (CP) concentration. Holstein cows (n = 128; 224 ± 54 d in milk) were stratified by parity and days pregnant (86 ± 25 d) and randomly assigned to 1 of 16 pens in a randomized complete block design. For 3 wk, all cows received a covariate diet containing 16.9% CP [dry matter (DM) basis]. For the subsequent 12 wk, pens were randomly assigned to 1 of 4 treatments that contained 16.2, 14.4, 13.1, or 11.8% CP (DM basis). Diets were offered once daily and contained 32.5% corn silage, 32.5% alfalfa silage, 13.5% high-moisture corn, and 21.5% concentrate mix. A reduction in dietary CP was achieved by replacing soybean meal with soy hulls in the concentrate mix (DM basis). Dry matter intake, milk urea N (MUN; mg/dL), and the yield of milk urea N (g/d) decreased linearly with dietary CP. Compared with a 16.2% CP diet, a 14.4% CP diet did not alter milk yield throughout the study, but the 13.1 and 11.8% CP diets reduced milk yield after 4 and 1 wk, respectively. Furthermore, milk protein percentage was reduced for all dietary CP less than 16.2%, but this negative effect was temporary and disappeared after 7 wk for the 14.4% CP diet. In contrast, MUN adjusted to a new steady state within 1 wk for all dietary treatments. Modeling quadratic responses with a plateau led to predictions of no reduction in fat- and protein-corrected milk (32.6 kg/d) and yields of fat (1.31 kg/d), lactose (1.49 kg/d), and true protein (1.12 kg/d) until dietary CP decreased below 15.5, 15.3, 15.9, and 16.2%, respectively. In this study, MUN and the yield of MUN were highly correlated with N intake, milk protein yield, and fat- and protein-corrected milk. Surprisingly, N use efficiency (milk protein N/intake N) was not correlated with any variables related to N utilization and reached an apparent upper limit of approximately 30%. Although this observation may be associated with feeding diets deficient in metabolizable protein, late-lactation cows in this study adjusted to low dietary CP concentration better than anticipated as milk production was 2.6, 3.6, 6.4, and 8.0 kg/d higher than National Research Council (2001)-predicted metabolizable protein-allowable milk for dietary CP of 16.2, 14.4, 13.1, and 11.8%, respectively.


Asunto(s)
Dieta/veterinaria , Proteínas en la Dieta/farmacología , Lactancia , Nitrógeno/metabolismo , Ensilaje , Fenómenos Fisiológicos Nutricionales de los Animales , Animales , Bovinos , Proteínas en la Dieta/administración & dosificación , Femenino , Leche/química , Paridad , Embarazo , Distribución Aleatoria , Rumen , Zea mays
9.
Osteoporos Int ; 27(8): 2631-4, 2016 08.
Artículo en Inglés | MEDLINE | ID: mdl-27010647

RESUMEN

Non-uremic calciphylaxis is a severe rare disorder characterized by ischemic necrosis. Recently, three cases of cutaneous calciphylaxis have been described in the context of teriparatide treatment. We present a 51-year-old woman with alcoholic cirrhosis who developed multiorganic calciphylaxis shortly after starting teriparatide treatment associated with calcium and 25-hydroxyvitamin D supplements for severe osteoporosis. After lengthy care of the infectious complications and treatment with bisphosphonates and sodium thiosulfate progressive improvement was observed over a 3-year period. The time between the initiation of teriparatide and the development of calciphylaxis suggests that this agent may have been the triggering factor of this process. Nevertheless, other non-negligible risk factors for calciphylaxis such as alcoholic liver disease, obesity, and vitamin D treatment must also be considered in this patient. Considering the severity of this extremely rare clinical condition, better knowledge of the risk factors related to calciphylaxis development is mandatory.


Asunto(s)
Calcifilaxia/inducido químicamente , Calcio/administración & dosificación , Teriparatido/efectos adversos , Vitamina D/análogos & derivados , Femenino , Humanos , Persona de Mediana Edad , Teriparatido/administración & dosificación , Vitamina D/administración & dosificación
10.
Phys Rev Lett ; 117(18): 185501, 2016 Oct 28.
Artículo en Inglés | MEDLINE | ID: mdl-27834987

RESUMEN

The analysis of neutron scattering results on H dynamics (H_{2}O) and the dynamic structure factor (D_{2}O) around the intermolecular peak and at intermediate length scales in terms of the susceptibilities reveals three processes (diffusive, local relaxational and vibrational) at frequencies below 3 THz, to which the contributions commonly invoked in dielectric studies can be directly mapped. We achieve a unified description of the results from both techniques, clarifying the nature of the molecular motions involved in the dielectric spectra and their impact on the structural relaxation.

11.
J Chem Phys ; 144(15): 154903, 2016 Apr 21.
Artículo en Inglés | MEDLINE | ID: mdl-27389236

RESUMEN

We have combined X-ray diffraction, neutron diffraction with polarization analysis, small angle neutron scattering,differential scanning calorimetry, and broad band dielectric spectroscopy to investigate the structure and dynamics of binary mixtures of poly(2-(dimethylamino)ethyl methacrylate) with either water or tetrahydrofuran (THF) at different concentrations. Aqueous mixtures are characterized by a highly heterogeneous structure where water clusters coexist with an underlying nano-segregation of main chains and side groups of the polymeric matrix. THF molecules are homogeneously distributed among the polymeric nano-domains for concentrations of one THF molecule/monomer or lower. A more heterogeneous situation is found for higher THF amounts, but without evidences for solvent clusters. In THF-mixtures, we observe a remarkable reduction of the glass-transition temperature which is enhanced with increasing amount of solvent but seems to reach saturation at high THF concentrations. Adding THF markedly reduces the activation energy of the polymer ß-relaxation. The presence of THF molecules seemingly hinders a slow component of this process which is active in the dry state. The aqueous mixtures present a strikingly broad glass-transition feature, revealing a highly heterogeneous behavior in agreement with the structural study. Regarding the solvent dynamics, deep in the glassy state all data can be described by an Arrhenius temperature dependence with a rather similar activation energy. However, the values of the characteristic times are about three orders of magnitude smaller for THF than for water. Water dynamics display a crossover toward increasingly higher apparent activation energies in the region of the onset of the glass transition, supporting its interpretation as a consequence of the freezing of the structuralrelaxation of the surrounding matrix. The absence of such a crossover (at least in the wide dynamic window here accessed) in THF is attributed to the lack of cooperativity effects in the relaxation of these molecules within the polymeric matrix.

12.
Soft Matter ; 11(28): 5614-8, 2015 Jul 28.
Artículo en Inglés | MEDLINE | ID: mdl-26091238

RESUMEN

We show that the universal behavior of the Rouse-mode relaxation in polymer systems - which has been recently reported from experimental data [S. Arrese-Igor, et al., Phys. Rev. Lett., 2014, 113, 078302] - can be quantitatively explained in the framework of a theoretical approach based on: (i) a generalized Langevin equation formalism and (ii) a memory function which takes into account the coupling between intra-chain dynamics and collective dynamics. This approach opens the way for generalizing the magnitudes probing chain dynamics in polymer systems.

13.
J Chem Phys ; 142(21): 214504, 2015 Jun 07.
Artículo en Inglés | MEDLINE | ID: mdl-26049505

RESUMEN

We explore new routes for characterizing the Debye-like and α relaxation in 2-ethyl-1-hexanol (2E1H) monoalcohol by using low frequency dielectric techniques including thermally stimulated depolarization current (TSDC) techniques and isothermal depolarization current methods. In this way, we have improved the resolution of the overlapped processes making it possible the analysis of the data in terms of a mode composition as expected for a chain-like response. Furthermore the explored ultralow frequencies enabled to study dynamics at relatively low temperatures close to the glass transition (Tg). Results show, on the one hand, that Debye-like and α relaxation timescales dramatically approach to each other upon decreasing temperature to Tg. On the other hand, the analysis of partial polarization TSDC data confirms the single exponential character of the Debye-like relaxation in 2E1H and rules out the presence of Rouse type modes in the scenario of a chain-like response. Finally, on crossing the glass transition, the Debye-like relaxation shows non-equilibrium effects which are further emphasized by aging treatment and would presumably emerge as a result of the arrest of the structural relaxation below Tg.


Asunto(s)
Vidrio/química , Hexanoles/química , Temperatura , Electrones
14.
J Chem Phys ; 143(9): 094505, 2015 Sep 07.
Artículo en Inglés | MEDLINE | ID: mdl-26342375

RESUMEN

We have investigated a mixture of poly(2-(dimethylamino)ethyl methacrylate) (PDMAEMA) and tetrahydrofuran (THF) (70 wt. % PDMAEMA/30 wt. % THF) by combining dielectric spectroscopy and quasielastic neutron scattering (QENS) on a labelled sample, focusing on the dynamics of the THF molecules. Two independent processes have been identified. The "fast" one has been qualified as due to an internal motion of the THF ring leading to hydrogen displacements of about 3 Å with rather broadly distributed activation energies. The "slow" process is characterized by an Arrhenius-like temperature dependence of the characteristic time which persists over more than 9 orders of magnitude in time. The QENS results evidence the confined nature of this process, determining a size of about 8 Å for the volume within which THF hydrogens' motions are restricted. In a complementary way, we have also investigated the structural features of the sample. This study suggests that THF molecules are well dispersed among side-groups nano-domains in the polymer matrix, ruling out a significant presence of clusters of solvent. Such a good dispersion, together with a rich mobility of the local environment, would prevent cooperativity effects to develop for the structural relaxation of solvent molecules, frustrating thereby the emergence of Vogel-Fulcher-like behavior, at least in the whole temperature interval investigated.

15.
Phys Rev Lett ; 113(7): 078302, 2014 Aug 15.
Artículo en Inglés | MEDLINE | ID: mdl-25170735

RESUMEN

The slowest (p=1) mode relaxation of several polyisoprenes has been experimentally isolated by thermally stimulated depolarization current techniques. Close to the glass transition the p=1 mode deviates from the exponential behavior assumed by Rouse and tube-reptation theories. This effect is found to be a consequence of the closeness of τ_{p=1} and α-relaxation time scales. The scenario resembles that of broadened fast component dynamics in polymer blends with high dynamic asymmetry and suggests a possible general interpretation in terms of the effect of local density fluctuations (α relaxation) on chain dynamics.

16.
Soft Matter ; 10(27): 4813-21, 2014 Jul 21.
Artículo en Inglés | MEDLINE | ID: mdl-24841693

RESUMEN

Efficient folding of single polymer chains is a topic of great interest due, mainly, to the challenging possibility of mimicking and controlling the structure and functionality of natural biomacromolecules (e.g., enzymes, drug delivery vehicles, and catalysts) by means of artificial single chain nano-objects. By performing extensive molecular dynamics simulations we investigate the formation of soft nanoparticles by irreversible intramolecular cross-linking of polymer precursors of different lengths. In order to optimize the folding process and to obtain more compact structures we vary the number of chemical species among the linker groups (orthogonal chemistry) which selectively form the bonds. The use of orthogonal chemistry protocols, by increasing the number of different chemical species of the linkers, leads to nanoparticles that are systematically smaller and more spherical than their homofunctional counterparts. We characterize the conformational properties of the resulting nanoparticles. These are intrinsically polydisperse in size, with a significant fraction of sparse topologies. We discuss the relevance of our results for synthesis protocols in real systems.

17.
Transpl Infect Dis ; 16(6): 951-7, 2014 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-25318640

RESUMEN

BACKGROUND: Invasive aspergillosis (IA) has been considered an infrequent complication after renal transplantation. We aimed to evaluate the differences in clinical and epidemiologic characteristics of IA between renal and other types of transplantation. METHODS: We reviewed all cases of solid organ transplant (SOT) recipients from Hospital Clinic at Barcelona, who had proven and probable IA, according to the EORTC/MSG criteria, between June 2003 and December 2010. RESULTS: A total of 1762 transplants were performed. From this cohort, 27 cases of IA were diagnosed (1.5%): in 56% (15/27) liver, 33% (9/27) kidney, and 11% (3/27) combined transplant. The median onset time from renal and non-renal transplants to IA was 217 and 10 days, respectively (P < 0.001). There were 6 cases (22%) of late IA (>6 months), all in kidney recipients (P < 0.001). Renal transplant patients with IA more frequently had chronic lung disease (44% vs. 6%) and chronic heart failure (33% vs. 6%); they also had none of the classical risk factors for IA defined for liver transplantation (0% vs. 33%, P = 0.001), and therefore they did not receive antifungal prophylaxis (0% vs. 72%, P = 0.001). In 14/24 patients, serum galactomannan antigen was positive, and this related to higher mortality. CONCLUSIONS: While classical risk factors described for IA in liver recipients are still valid, IA appears later in renal patients and is commonly associated with co-morbid conditions.


Asunto(s)
Aspergilosis/diagnóstico , Trasplante de Riñón/efectos adversos , Aspergilosis/patología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Factores de Riesgo , Resultado del Tratamiento
18.
Neurologia (Engl Ed) ; 39(3): 226-234, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-37442428

RESUMEN

INTRODUCTION: Cerebral venous thrombosis (CVT) is an uncommon cause of stroke that mainly affects young adults. Early, accurate diagnosis can reduce the rate and severity of complications. OBJECTIVE: The aim of this study was to analyse the clinical characteristics, management, and treatment of CVT in different centres in Spain. METHODS: We conducted a multicentre, retrospective, descriptive study of patients hospitalised due to CVT between 2008 and 2017 at 10 Spanish centres. RESULTS: We included 256 patients, with a mean age (SD) of 49.8 (18.7) years; 51% of patients were women. The most frequent symptoms were headache (73%), focal deficits (50%), epileptic seizures (33%), and encephalopathy (21%). The most frequent localisations were the superior sagittal sinus (12.5%), the transverse sinus (10.9%), and 2 or more sinuses or veins (66.4%). Thrombophilia was the most frequent known aetiology (24%), and was most commonly associated with the prothrombin G20210A mutation (19%). Forty-six percent of patients were treated with antithrombotics for 3 to 6 months, 21% for one year, and 22.6% required indefinite anticoagulation. Endovascular therapy was performed in 5% of cases, and 33% required neurosurgery. Regarding outcomes, 75% of patients were independent at 3 months (modified Rankin Scale [mRS] score ≤ 2), with papilloedema (P =  .03), focal deficits (P = .001), and encephalopathy (P < .001) showing a statistically significant association with poor prognosis (mRS > 3). The in-hospital mortality rate was 4.3%, with a 3-month mortality rate of 6.3%. CONCLUSION: The diverse risk factors and variable presentation of CVT represent a challenge in the diagnosis and treatment of this condition. To improve prognosis and reduce mortality, it is essential to establish management protocols for this entity.


Asunto(s)
Trombosis Intracraneal , Accidente Cerebrovascular , Trombosis de la Vena , Adulto Joven , Humanos , Femenino , Persona de Mediana Edad , Masculino , Estudios Retrospectivos , España , Trombosis de la Vena/terapia , Trombosis de la Vena/tratamiento farmacológico , Trombosis Intracraneal/terapia , Trombosis Intracraneal/tratamiento farmacológico
19.
Phys Rev Lett ; 110(10): 108303, 2013 Mar 08.
Artículo en Inglés | MEDLINE | ID: mdl-23521308

RESUMEN

We present neutron spin echo experiments that address the much debated topic of dynamic phenomena in polymer melts that are induced by interacting with a confining surface. We find an anchored surface layer that internally is highly mobile and not glassy as heavily promoted in the literature. The polymer dynamics in confinement is, rather, determined by two phases, one fully equal to the bulk polymer and another that is partly anchored at the surface. By strong topological interaction, this phase confines further chains with no direct contact to the surface. These form the often invoked interphase, where the full chain relaxation is impeded through the interaction with the anchored chains.


Asunto(s)
Nanotecnología/métodos , Polímeros/química , Óxido de Aluminio/química , Dimetilpolisiloxanos/química , Neutrones , Dispersión del Ángulo Pequeño , Propiedades de Superficie
20.
J Chem Phys ; 138(19): 197101, 2013 May 21.
Artículo en Inglés | MEDLINE | ID: mdl-23697444

RESUMEN

In a recent paper by Ngai and Capaccioli ["Unified explanation of the anomalous dynamic properties of highly asymmetric polymer blends," J. Chem. Phys. 138, 054903 (2013)] the authors claimed that the so-called coupling model (CM) provides a unified explanation of all dynamical anomalies that have been reported for dynamically asymmetric blends over last ten years. Approximately half of the paper is devoted to chain-dynamic properties involving un-entangled polymers. According to the authors, the application of the CM to these results is based on the existence of a crossover at a time t(c) ≈ 1-2 ns of the magnitudes describing chain-dynamics. Ngai and Capaccioli claimed that the existence of such a crossover is supported by the neutron scattering and MD-simulation results, corresponding to the blend poly(methyl methacrylate)/poly(ethylene oxide), by Niedzwiedz et al. [Phys. Rev. Lett. 98, 168301 (2007)] and Brodeck et al. [Macromolecules 43, 3036 (2010)], respectively. Being one of the authors of these two papers, I will demonstrate here that there is no evidence supporting such a crossover in the data reported in these papers.

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