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1.
Exp Eye Res ; 202: 108358, 2021 01.
Artículo en Inglés | MEDLINE | ID: mdl-33207223

RESUMEN

To restore corneal transparency and vision loss after an injury on the ocular surface, the use of human stem cells from different origins has been recently proposed. Mesenchymal stem cells (MSCs) seem to be an appropriate adult source of autologous stem cells due to their accessibility, high proliferation rate, and multipotent capacity. In this work, we developed a simple culture system to prepare a graft based on a fibrin membrane seeded with human MSCs. A commercial kit, PRGF Endoret®, was used to prepare both, the growth factors used as culture media supplement and the fibrin membrane grafts. Adipose-derived MSCs (Ad-MSCs) were expanded, characterised by flow cytometry and their multilineage differentiation potential confirmed by inducing adipogenesis, osteogenesis and chondrogenesis. Ad-MSCs seeded on the fibrin membranes were grafted onto athymic mice showing good biocompatibility with no adverse reactions observed during the follow up period. These findings support the assumption that a system in which all the biological components (cells, grow factors and carrier) are autologous, could potentially be used for future ex vivo expansion of Ad-MSCs to treat ocular conditions such as an inflammatory milieu, traumatic scars and loss of the regenerative capacity of the corneal epithelium that compromise the quality of vision.


Asunto(s)
Tejido Adiposo/citología , Oftalmopatías/terapia , Trasplante de Células Madre Mesenquimatosas/métodos , Células Madre Mesenquimatosas/citología , Adipogénesis , Adolescente , Adulto , Anciano , Diferenciación Celular , Proliferación Celular , Células Cultivadas , Femenino , Humanos , Masculino , Células Madre Mesenquimatosas/metabolismo , Persona de Mediana Edad , Adulto Joven
2.
Dis Aquat Organ ; 139: 139-152, 2020 May 14.
Artículo en Inglés | MEDLINE | ID: mdl-32406869

RESUMEN

A histological survey of the commercially edible mussels Mytilus platensis and M. chilensis from wild and cultivated populations along the coast of Patagonia, Argentina (42°00' to 54°47'S), was carried out to determine their health status. Diagnostic results included 3 types of inflammatory responses (infiltrative, nodular, and encapsulation), disseminated neoplasia disease, 2 abnormal reproductive conditions (gonadal atresia and intersex), prokaryotic inclusions, protozoans, and metazoans. Pathogen prevalence and infection intensity among mussels of different sampling sites and between those of wild and cultivated populations were compared. Inflammatory responses were recorded in all mussels from all sites, while disseminated neoplasia only occurred in the most southern cultivated M. chilensis. Intracellular prokaryotic inclusions were broadly distributed in the mussels from both northern and southern Patagonian coasts. Ciliates showed the highest prevalence among wild mussels from the colder waters of Bahía Brown. Turbellaria were recorded at higher prevalence in cultured mussels (41.7%), and trematode metacercariae occurred exclusively in intertidal wild mussels. None of the parasites found appears to be a problem to the fishery or farming, although disseminated neoplasia should be monitored. In addition, we found that mytilid species coexisting with M. platensis (Aulacomya atra and Perumytilus purpuratus) at one location shared the same pathological conditions and parasites, which differed from those of M. platensis at a distant locality. These results suggest that pathological conditions and parasites were influenced more by ecological habitat factors than by the species of mussels present, based on similar parasite assemblages found among closely related mytilid hosts in the same geographical area.


Asunto(s)
Mytilus edulis , Animales , Argentina , Océano Atlántico , Mytilus edulis/parasitología
3.
Neurologia ; 35(9): 639-645, 2020.
Artículo en Español | MEDLINE | ID: mdl-38620303

RESUMEN

Introduction: The elderly population is the group most threatened by COVID-19, with the highest mortality rates. This study aims to analyse the case fatality of COVID-19 in a cohort of patients with degenerative dementia. Methods: We conducted a descriptive case-control study of a sample of patients diagnosed with primary neurodegenerative dementia. Results: Twenty-four of the 88 patients with COVID-19 included in the study died: 10/23 (43.4%) patients diagnosed with dementia and 14/65 (21.5%) controls; this difference was statistically significant. Discussion: Our results suggest that case fatality of COVID-19 is significantly higher among patients with primary degenerative dementia than in other patients with similar mean ages and comorbidities.

4.
Appl Environ Microbiol ; 84(11)2018 06 01.
Artículo en Inglés | MEDLINE | ID: mdl-29625974

RESUMEN

The Cuatro Ciénegas Basin (CCB) is located in the Chihuahuan desert in the Mexican state of Coahuila; it has been characterized as a site with high biological diversity despite its extreme oligotrophic conditions. It has the greatest number of endemic species in North America, containing abundant living microbialites (including stromatolites and microbial mats) and diverse microbial communities. With the hypothesis that this high biodiversity and the geographic structure should be reflected in the virome, the viral communities in 11 different locations of three drainage systems, Churince, La Becerra, and Pozas Rojas, and in the intestinal contents of 3 different fish species, were analyzed for both eukaryotic and prokaryotic RNA and DNA viruses using next-generation sequencing methods. Double-stranded DNA (dsDNA) virus families were the most abundant (72.5% of reads), followed by single-stranded DNA (ssDNA) viruses (2.9%) and ssRNA and dsRNA virus families (0.5%). Thirteen families had dsDNA genomes, five had ssDNA, three had dsRNA, and 16 had ssRNA. A highly diverse viral community was found, with an ample range of hosts and a strong geographical structure, with very even distributions and signals of endemicity in the phylogenetic trees from several different virus families. The majority of viruses found were bacteriophages but eukaryotic viruses were also frequent, and the large diversity of viruses related to algae were a surprise, since algae are not evident in the previously analyzed aquatic systems of this ecosystem. Animal viruses were also frequently found, showing the large diversity of aquatic animals in this oasis, where plants, protozoa, and archaea are rare.IMPORTANCE In this study, we tested whether the high biodiversity and geographic structure of CCB is reflected in its virome. CCB is an extraordinarily biodiverse oasis in the Chihuahuan desert, where a previous virome study suggested that viruses had followed the marine ancestry of the marine bacteria and, as a result of their long isolation, became endemic to the site. In this study, which includes a larger sequencing coverage and water samples from other sites within the valley, we confirmed the high virus biodiversity and uniqueness as well as the strong biogeographical diversification of the CCB. In addition, we also analyzed fish intestinal contents, finding that each fish species eats different prey and, as a result, presents different viral compositions even if they coexist in the same pond. These facts highlight the high and novel virus diversity of CCB and its "lost world" status.


Asunto(s)
Bacteriófagos/clasificación , Biodiversidad , Virus ADN/clasificación , Peces/virología , Microbiota , Virus ARN/clasificación , Animales , Bacteriófagos/aislamiento & purificación , Virus ADN/aislamiento & purificación , ADN Bacteriano/genética , Variación Genética , Geografía , Intestinos/virología , México , Filogenia , Virus ARN/aislamiento & purificación , ARN Ribosómico 16S/genética , Microbiología del Agua
5.
J Invertebr Pathol ; 159: 49-60, 2018 11.
Artículo en Inglés | MEDLINE | ID: mdl-30367870

RESUMEN

Gregarines are a common group of parasites that infect the intestines of marine invertebrates, and particularly polychaetes. Here, we describe for the first time four gregarine species that inhabit the intestines of three spionid species: Dipolydora cf. flava, Spio quadrisetosa and Boccardia proboscidea from the Patagonian coast, Argentina, using light and scanning electron microscopy and molecular phylogenetic analyses of small subunit (SSU) rDNA sequences. Even though the spionid species thrive in the same environments, our results showed a high host specificity of the gregarine species. Selenidium cf. axiferens and Polyrhabdina aff. polydorae were both identified from the intestine of D. cf. flava. The new species, Polyrhabdina madrynense sp. n. and Selenidium patagonica sp. n., were described from the intestines of S. quadrisetosa and the invasive species B. proboscidea, respectively. All specimens of D. cf. flava and S. quadrisetosa were infected by gregarines (P = 100%), recording the highest mean intensity values of infection (MI = 80; 60 respectively), in contrast to B. proboscidea (P = 60%; MI = 38). We associated this finding with the recent invasion of this host. It is expected that in the future, an increase of its population density might favour a rising intensity of this gregarine infection.


Asunto(s)
Apicomplexa/genética , Interacciones Huésped-Parásitos/fisiología , Poliquetos/parasitología , Animales , Apicomplexa/clasificación , Océano Atlántico , ADN Protozoario/genética , Filogenia , Prevalencia
6.
Org Biomol Chem ; 15(21): 4490-4505, 2017 May 31.
Artículo en Inglés | MEDLINE | ID: mdl-28375421

RESUMEN

One of the most powerful strategies for the preparation of nanotubes is based on the stacking of flat-shaped cyclic peptide components. This strategy allows precise control of the nanotube internal diameter, the external properties and, more recently, the structural characterisitics of the internal cavity. The recent advances in these technologies and the applications of the resulting materials are described.

7.
Inflammopharmacology ; 25(2): 265-269, 2017 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-28265836

RESUMEN

Emerging evidence proposes a link between immune changes and pain, which is consistent with the inflammation theory and the increased incidence of neurodegenerative diseases. Flavonoids have long been used because of their anti-inflammatory potential activity and they are considered a promising alternative to alleviate neuropathic pain. The aim of this study was to investigate the antihyperalgesic effect of hesperidin and the presence of pro-inflammatory cytokines evaluated at peripheral and central levels in the chronic constriction injury as model of neuropathic pain in rats. Mechanical and thermal hyperalgesia were assessed in the aesthesiometer and plantar tests, respectively, as related to the presence of cytokines concentrations (TNF-α, IL-1ß and IL-6) in sciatic nerve and segments of the spinal cord after 15 days chronic constriction injury model in rats receiving vehicle or hesperidin. Antihyperalgesic response of hesperidin (100 mg/kg) was associated to the presence of cytokines mainly at several sections of the spinal cord suggesting not only peripheral but also its involvement in central sensitization in the experimental neuropathic pain.


Asunto(s)
Analgésicos/uso terapéutico , Citocinas/metabolismo , Hesperidina/uso terapéutico , Hiperalgesia/metabolismo , Mediadores de Inflamación/metabolismo , Neuralgia/metabolismo , Animales , Antiinflamatorios/uso terapéutico , Modelos Animales de Enfermedad , Hiperalgesia/tratamiento farmacológico , Masculino , Neuralgia/tratamiento farmacológico , Ratas , Médula Espinal/metabolismo , Resultado del Tratamiento
8.
J Invertebr Pathol ; 140: 42-45, 2016 10.
Artículo en Inglés | MEDLINE | ID: mdl-27592537

RESUMEN

Aulacomya atra populations of the San Jose gulf, Northern Patagonia, Southwestern Atlantic Ocean, are infested by two polydorin species, Polydora rickettsi and Dipolydora cf. giardi. The infestation by these boring polychaetes causes the formation of pearls which is evidenced by the presence of capsules containing polydorin tissue debris and the elemental composition of organic material inside the pearls. Moreover, a positive relationship between the abundance of perforations of polydorin polychaetes and abundance of pearls was found by applying generalized lineal model analysis. These results constitute the first evidence of pearls formation due to infestation by polychaete.


Asunto(s)
Mytilidae , Poliquetos , Animales
9.
Toxicol In Vitro ; 98: 105816, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38604524

RESUMEN

Skin corrosion testing is integral to evaluating the potential harm posed by chemicals, impacting regulatory decisions on safety, transportation, and labeling. Traditional animal testing methods are giving way to in vitro alternatives, such as reconstructed human epidermis (RhE) models, aligning with evolving ethical standards. This study evaluates the QileX-RhE test system's performance for chemical subcategorization within the OECD TG 431 framework. Results demonstrate its ability to differentiate subcategories, accurately predicting 83% of UN GHS Category 1A and 73% of UN GHS Category 1B/1C chemicals with 100% sensitivity in corrosive prediction. Additionally, this study provides a comprehensive assessment of the test method's performance by employing nuanced parameters such as positive predictive value (PPV), negative predictive value (NPV), post-test odds and likelihood rations, offering valuable insights into the applicability and effectiveness of the QileX-RhE test method.


Asunto(s)
Alternativas a las Pruebas en Animales , Organización para la Cooperación y el Desarrollo Económico , Humanos , Pruebas de Irritación de la Piel/métodos , Cáusticos/toxicidad , Epidermis/efectos de los fármacos
10.
Sci Rep ; 13(1): 19492, 2023 11 09.
Artículo en Inglés | MEDLINE | ID: mdl-37945668

RESUMEN

Endothelial dysfunction is a leading cause of corneal blindness in developed countries and the only available treatment is the endothelial transplantation. However, the limited availability of suitable donors remains a significant challenge, driving the exploration of alternative regenerative therapies. Advanced Therapy Medicinal Products show promise but must adhere to strict regulations that prohibit the use of animal-derived substances. This study investigates a novel culture methodology using Plasma Rich in Growth Factors (PRGF) as the only source of growth factors for primary cultures of human corneal endothelial cells (CECs). CECs were obtained from discarded corneas or endothelial rings and cultured in two different media: one supplemented with xenogeneic factors and other xenogeneic-free, using PRGF. Comprehensive characterization through immunofluorescence, morphological analyses, trans-endothelial electrical resistance measurements, RNA-seq, and qPCR was conducted on the two groups. Results demonstrate that CECs cultured in the xenogeneic-free medium exhibit comparable gene expression, morphology, and functionality to those cultured in the xenogeneic medium. Notably, PRGF-expanded CECs share 46.9% of the gene expression profile with native endothelium and express all studied endothelial markers. In conclusion, PRGF provides an effective source of xenogeneic-free growth factors for the culture of CECs from discarded corneal tissue. Further studies will be necessary to demonstrate the applicability of these cultures to cell therapies that make clinical translation possible.


Asunto(s)
Células Endoteliales , Endotelio Corneal , Animales , Humanos , Células Endoteliales/metabolismo , Córnea/metabolismo , Tratamiento Basado en Trasplante de Células y Tejidos , Células Cultivadas
11.
J Healthc Qual Res ; 37(4): 239-246, 2022.
Artículo en Español | MEDLINE | ID: mdl-35039248

RESUMEN

INTRODUCTION: The adverse events (AE) in hospitalized patients occur with increasing frequency due to the increase in complexity of medical care, which implies a greater risk of committing a human error inherent to the care, constituting a serious threat to the safety of the patient. MATERIAL AND METHODS: Cross-sectional study, including patients older than 16years, with hospital stay longer than 24h and discharge from the general surgery service, patients treated in emergency observation units or other hospital services were not considered. AE were identified, classified by cause according to the essential actions for patient safety (EAPS), and compliance with the EAPS was verified. RESULTS: 352 clinical records were reviewed, 61 (17%) were positive on screening. Of the positives, 66% resulted in AE (47 cases). The prevalence of AE was 13%. The AE were: 40% related to procedures; 39% with infections; 17% with medication; 4% with patient identification. The EAPS with the best rating was EAPS5 and the lowest rating was EAPS4. The night shifts with the greatest opportunity area, only with 40% and 44% correct procedures. CONCLUSIONS: The study shows that the two methodologies used, one to identify AE and the other to establish its causes and classification according to the EAPS, demonstrated usefulness and synergy for patient safety, when detecting AE, as well as determining their causes and evaluate compliance with the EAPS.


Asunto(s)
Alta del Paciente , Seguridad del Paciente , Estudios Transversales , Humanos , Tiempo de Internación
12.
Neurologia (Engl Ed) ; 2022 Sep 22.
Artículo en Inglés | MEDLINE | ID: mdl-36155099

RESUMEN

OBJECTIVE: To determine the frequency of good functional outcomes in patients with NORSE and FIRES treated with immunotherapy. METHODS: We performed a systematic search of the MedLine and EMBASE databases to gather studies including at least 5 patients with NORSE or FIRES and at least one patient treated with immunotherapy, and reporting functional outcomes. Good functional outcome was defined as a modified Rankin Scale (mRS) score ≤ 2 (or an equivalent measure) at the last available follow-up assessment. Only patients with known functional outcomes were included in the analysis. RESULTS: We analyzed 16 studies including a total of 161 patients with NORSE. Six studies were carried out only with FIRES patients (n = 64). Of the 161 patients with NORSE, 141 (87.5%) received immunotherapy. Outcome data were available for 135, 56 of whom (41.4%) achieved good functional outcomes. Twenty-four of the 58 patients with FIRES treated with immunotherapy and for whom outcome data were available achieved good functional outcomes (41.3%). Mortality rates in patients with NORSE and FIRES treated with immunotherapy were 20/121 (16.5%) and 6/58 (10.3%), respectively. By type of immunotherapy, good functional outcomes were achieved in 36/89 patients receiving glucocorticoids (40.4%), 27/71 patients receiving IV immunoglobulins (38%), 11/37 patients treated with plasma exchange (29.7%), 5/17 patients receiving rituximab (29.4%), and 2/13 patients receiving cyclophosphamide (15.3%). CONCLUSION: Despite the lack of randomised clinical trials, immunotherapy is frequently prescribed to patients with NORSE and FIRES. However, rates of functional dependence and mortality remain high in these patients. Second-line therapies achieved lower rates of good outcomes, probably because they were administered to patients with more severe, refractory disease.

13.
J Neonatal Perinatal Med ; 13(3): 367-372, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31929124

RESUMEN

BACKGROUND: Preterm infants are fed by orogastric / nasogastric tube until they reach maturation and coordination of sucking, swallowing and respiration at approximately 32-34 weeks of corrected age. While being on non-invasive ventilation (NIV), they frequently present abdominal distension. Currently at our institution two techniques are used for the management of abdominal distension in preterm infants fed by bolus via orogastric tube: cenit and 2 x 1.The aim of this study was to compare the proportion of preterm infants presenting NIV-associated abdominal distension with each of these techniques. STUDY DESIGN: We conducted a randomized clinical trial including infants of <  36.6 weeks of gestation and <  1500 g of birth weight who were admitted to our NICU during the period of April 1, 2016 to April 1, 2018 and received NIV. The presence of abdominal distension >  2 cm was the primary outcome. Secondary outcomes were presence of reflux, regurgitation, oxygen saturation during feeding and days to reach full feedings. Feeding tube drainage, stool characteristics and the use of prokinetics were confounding variables. RESULTS: A total of 97 patients were included. Forty-six in the cenit group and 51 in the 2 x 1 group. There was no difference in the proportion of infants with abdominal distension >  2 cm between groups. Oxygen saturation during feeding at volume of 150 ml/kg/day was higher in the cenit group with statistical significance. CONCLUSION: The use of cenit or 2 x 1 technique in preterm infants with NIV did not improve abdominal distension or other indicators of feeding tolerance.


Asunto(s)
Nutrición Enteral , Motilidad Gastrointestinal , Enfermedades del Recién Nacido , Recien Nacido Prematuro/crecimiento & desarrollo , Enfermedades Intestinales , Ventilación no Invasiva , Desarrollo Infantil/fisiología , Drenaje/métodos , Nutrición Enteral/instrumentación , Nutrición Enteral/métodos , Femenino , Fármacos Gastrointestinales/uso terapéutico , Humanos , Recién Nacido , Enfermedades del Recién Nacido/fisiopatología , Enfermedades del Recién Nacido/prevención & control , Recien Nacido Prematuro/fisiología , Enfermedades Intestinales/fisiopatología , Enfermedades Intestinales/prevención & control , Intubación Gastrointestinal/efectos adversos , Intubación Gastrointestinal/métodos , Masculino , Ventilación no Invasiva/efectos adversos , Ventilación no Invasiva/métodos , Resultado del Tratamiento , Aumento de Peso
14.
Neurologia (Engl Ed) ; 35(9): 639-645, 2020.
Artículo en Inglés, Español | MEDLINE | ID: mdl-32893069

RESUMEN

INTRODUCTION: The elderly population is the group most threatened by COVID-19, with the highest mortality rates. This study aims to analyse the case fatality of COVID-19 in a cohort of patients with degenerative dementia. METHODS: We conducted a descriptive case-control study of a sample of patients diagnosed with primary neurodegenerative dementia. RESULTS: Twenty-four of the 88 patients with COVID-19 included in the study died: 10/23 (43.4%) patients diagnosed with dementia and 14/65 (21.5%) controls; this difference was statistically significant. DISCUSSION: Our results suggest that case fatality of COVID-19 is significantly higher among patients with primary degenerative dementia than in other patients with similar mean ages and comorbidities.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/mortalidad , Demencia/epidemiología , Enfermedades Neurodegenerativas/epidemiología , Pandemias , Neumonía Viral/mortalidad , Anciano , Anciano de 80 o más Años , Enfermedad de Alzheimer/epidemiología , COVID-19 , Enfermedades Cardiovasculares/epidemiología , Estudios de Casos y Controles , Comorbilidad , Diabetes Mellitus/epidemiología , Femenino , Humanos , Enfermedades Renales/epidemiología , Enfermedades Pulmonares/epidemiología , Masculino , Prevalencia , Factores de Riesgo , SARS-CoV-2 , Fumar/epidemiología , España/epidemiología
15.
Epidemiol Psychiatr Sci ; 28(2): 240-250, 2019 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-29540248

RESUMEN

AIMS: While there are effective treatments for psychiatric disorders, many individuals with such disorders do not receive treatment and those that do often take years to get into treatment. Information regarding treatment contact failure and delay in Argentina is needed to guide public health policy and planning. Therefore, this study aimed to provide data on prompt treatment contact, lifetime treatment contact, median duration of treatment delays and socio-demographic predictors of treatment contact after the first onset of a mental disorder. METHODS: The Argentinean Study of Mental Health Epidemiology (EAESM) is a multistage probability sample representative of adults (aged 18+) living in large urban areas of Argentina. A total of 2116 participants were evaluated with the World Mental Health Composite International Diagnostic Interview to assess psychiatric diagnosis, treatment contact and delay. RESULTS: Projections of cases that will make treatment contact by 50 years taken from a survival curve suggest that the majority of individuals with a mood (100%) or anxiety disorder (72.5%) in Argentina whose disorder persist for a sufficient period of time eventually make treatment contact while fewer with a substance disorder do so (41.6%). Timely treatment in the year of onset is rare (2.6% for a substance disorder, 14.6% for an anxiety disorder and 31.3% of those with a mood disorder) with mean delays between 8 years for mood disorders and 21 years for anxiety disorders. Younger cohorts are more likely to make treatment contact than older cohorts, whereas those with earlier ages of disorder onset are least likely to make treatment contact. Those with anxiety disorders and major depressive disorder are more likely to make treatment contact when they have comorbid disorders, whereas those with substance use disorders are less likely. CONCLUSIONS: Argentina needs to implement strategies to get individuals with substance use disorders into treatment, and to reduce treatment delays for all, but particularly to target early detection and treatment among children and adolescents.


Asunto(s)
Trastornos de Ansiedad/diagnóstico , Diagnóstico Tardío , Trastorno Depresivo Mayor/diagnóstico , Trastornos Mentales/diagnóstico , Servicios de Salud Mental/estadística & datos numéricos , Trastornos del Humor/diagnóstico , Aceptación de la Atención de Salud/estadística & datos numéricos , Trastornos Relacionados con Sustancias/diagnóstico , Tiempo de Tratamiento , Adolescente , Adulto , Factores de Edad , Edad de Inicio , Trastornos de Ansiedad/epidemiología , Trastornos de Ansiedad/terapia , Argentina/epidemiología , Trastorno Depresivo Mayor/epidemiología , Trastorno Depresivo Mayor/terapia , Investigación sobre Servicios de Salud , Humanos , Trastornos Mentales/epidemiología , Trastornos Mentales/terapia , Trastornos del Humor/epidemiología , Trastornos del Humor/terapia , Vigilancia de la Población , Trastornos Relacionados con Sustancias/epidemiología , Trastornos Relacionados con Sustancias/terapia , Encuestas y Cuestionarios
16.
Rev Esp Quimioter ; 32(3): 238-245, 2019 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-30968675

RESUMEN

OBJECTIVE: To assess the impact of the first months of application of a Code Sepsis in a high complexity hospital, analyzing patient´s epidemiological and clinical characteristics and prognostic factors. METHODS: A long-term observational study was carried out throughout a consecutive period of seven months (February 2015 - September 2015). The relationship with mortality of risk factors, and analytic values was analyzed using uni- and multivariate analyses. RESULTS: A total of 237 patients were included. The in-hospital mortality was 24% at 30 days and 27% at 60 days. The mortality of patients admitted to Critical Care Units was 30%. Significant differences were found between the patients who died and those who survived in mean levels of creatinine (2.30 vs 1.46 mg/dL, p <0.05), lactic acid (6.10 vs 2.62 mmol/L, p <0.05) and procalcitonin (23.27 vs 12.73 mg/dL, p<0.05). A statistically significant linear trend was found between SOFA scale rating and mortality (p<0.05). In the multivariate analysis additional independent risk factors associated with death were identified: age > 65 years (OR 5.33, p <0.05), lactic acid > 3 mmol/L (OR 5,85, p <0,05), creatinine > 1,2 mgr /dL (OR 4,54, p <0,05) and shock (OR 6,57, P <0,05). CONCLUSIONS: The epidemiological, clinical and mortality characteristics of the patients in our series are similar to the best published in the literature. The study has identified several markers that could be useful at a local level to estimate risk of death in septic patients. Studies like this one are necessary to make improvements in the Code Sepsis programs.


Asunto(s)
Protocolos Clínicos , Sepsis/terapia , APACHE , Adulto , Factores de Edad , Anciano , Anciano de 80 o más Años , Biomarcadores , Creatinina/sangre , Femenino , Mortalidad Hospitalaria/tendencias , Hospitales Universitarios , Humanos , Ácido Láctico/sangre , Masculino , Persona de Mediana Edad , Polipéptido alfa Relacionado con Calcitonina/sangre , Pronóstico , Factores de Riesgo , Sepsis/mortalidad , Resultado del Tratamiento
17.
Anat Histol Embryol ; 47(2): 133-139, 2018 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-29205895

RESUMEN

This research is a study about the arterial vascularization of pelvic cavity and pelvic limb in pampas deer. For this study, 25 dead animals were used. The vascularization of the organs was investigated using a latex injection technique. Two animals were injected in the common carotid artery with contrast to cardiac angiography, and then, radiographs were taken. The aorta showed the two external iliac arteries, and after a short course, the aorta ended in two internal iliac arteries. The median sacral artery was originated from the dorsal surface cranially to the emergence of the internal iliac arteries. The last one gave off parietal (iliolumbar, cranial and caudal gluteal arteries) and visceral (umbilical and internal pudendal arteries) branches. The external iliac artery gave as first branch the deep circumflex iliac artery which was divided into a cranial and a caudal branch. After a short distance from the external iliac artery, the femoral and deep femoral arteries were originated. The deep femoral artery gave origin to the pudendoepigastric trunk and to the medial femoral circumflex artery. Based on the arterial distribution of the pelvic cavity and pelvic limb in the pampas deer, it is concluded that the internal iliac artery has a pattern of intermediate development. In reference to the distribution of the external iliac artery and its branches, the pattern of development is the cranial tibial type.


Asunto(s)
Angiografía Coronaria/veterinaria , Ciervos/anatomía & histología , Pelvis/irrigación sanguínea , Animales , Aorta Abdominal/anatomía & histología , Femenino , Arteria Femoral/anatomía & histología , Arteria Ilíaca/anatomía & histología , Masculino
18.
Anat Histol Embryol ; 47(2): 110-118, 2018 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-29205465

RESUMEN

The available information about anatomical characteristics of the cardiovascular system of the alpaca (Vicugna pacos, Linnaeus 1758) is scarce. The general objective of this work was to describe its heart anatomy. We dissected six adult animals and five neonates. The heart of the alpaca was located in the middle mediastinum, with a craniocaudal extension from the third to the sixth rib. No ligament that connected the fibrous pericardium to the sternum or to the diaphragm was detected. In the right atrium, there was a developed crista terminalis and small pectinate muscles. In the right ventricle, the septomarginal trabecula was very large. From the proximities of the interventricular septum arose small septomarginal trabeculae that ended in carnous trabeculae of the septal wall. The left atrium included little developed pectinate muscles. On the left ventricle, both papillary muscles were bilobed. Two left septomarginal trabeculas were detected in this ventricle. The left subclavian artery was originated from the aortic arch separately from the brachiocephalic trunk, and bicarotid trunk was present. The other branches of the subclavian artery were similar to the domestic ruminants. The arterial supply of the heart was of the right type. In conclusion, the heart anatomy of alpaca and the irrigation of thoracic cavity were more similar to those of old world camels and different from domestic ruminants.


Asunto(s)
Camélidos del Nuevo Mundo/anatomía & histología , Disección/veterinaria , Atrios Cardíacos/anatomía & histología , Ventrículos Cardíacos/anatomía & histología , Cavidad Torácica/irrigación sanguínea , Animales , Aorta Torácica/anatomía & histología , Femenino , Masculino , Miocardio , Músculos Papilares/anatomía & histología , Arteria Subclavia/anatomía & histología
19.
J Clin Invest ; 102(11): 1961-8, 1998 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-9835621

RESUMEN

We have used a human leukemia cell line that, after homologous recombination knockout of the gp91-phox subunit of the phagocyte respiratory-burst oxidase cytochrome b-558, mimics chronic granulomatous disease (X-CGD) to study the role of oxygen radicals in apoptosis. Camptothecin (CPT), a topoisomerase I inhibitor, induced significantly more apoptosis in PLB-985 cells than in X-CGD cells. Sensitivity to CPT was enhanced after neutrophilic differentiation, but was lost after monocytic differentiation. No difference between the two cell lines was observed after treatment with other apoptosis inducers, including etoposide, ultraviolet radiation, ionizing radiation, hydrogen peroxide, or 7-hydroxystaurosporine. After granulocytic differentiation of both cell lines, CPT still induced apoptosis, suggesting independence from replication in fully differentiated and growth-arrested cells. Pyrrolidine dithiocarbamate (an antioxidant inhibitor of NF-kappaB) and catalase partially inhibited CPT-induced DNA fragmentation in granulocytic-differentiated PLB-985 cells, but had no effect in X-CGD cells. Flow cytometry analysis revealed that reactive oxygen intermediates were generated in CPT-treated PLB-985 cells. These data indicate that oxygen radicals generated by NADPH oxidase may contribute directly or indirectly to CPT-induced apoptosis in human leukemia and in neutrophilic-differentiated cells.


Asunto(s)
Antineoplásicos Fitogénicos/farmacología , Apoptosis/fisiología , Camptotecina/farmacología , Leucemia/patología , Glicoproteínas de Membrana/fisiología , NADPH Oxidasas/metabolismo , Proteínas de Neoplasias/metabolismo , Especies Reactivas de Oxígeno , Alcaloides/farmacología , Antioxidantes/farmacología , Apoptosis/efectos de los fármacos , Apoptosis/efectos de la radiación , Catalasa/farmacología , Diferenciación Celular , Línea Celular , Fragmentación del ADN/efectos de los fármacos , Inhibidores Enzimáticos/farmacología , Etopósido/farmacología , Citometría de Flujo , Enfermedad Granulomatosa Crónica/patología , Humanos , Peróxido de Hidrógeno/farmacología , Leucemia/enzimología , Leucemia/metabolismo , Monocitos/patología , NADPH Oxidasa 2 , FN-kappa B/antagonistas & inhibidores , Neutrófilos/patología , Pirrolidinas/farmacología , Estaurosporina/análogos & derivados , Tiocarbamatos/farmacología , Inhibidores de Topoisomerasa I , Células Tumorales Cultivadas , Rayos Ultravioleta
20.
Physiol Res ; 56(1): 79-88, 2007.
Artículo en Inglés | MEDLINE | ID: mdl-17381245

RESUMEN

The laboratory rat, a non-photoperiodic rodent, exhibits seasonal fluctuations of melatonin. Melatonin has been found to be readily transferred from the maternal to the fetal circulation. No data exist on the possible influence of maternal pineal gland upon seasonal variations of the offspring. The aim of the present study was to asses the influence of the maternal melatonin rhythm on the offspring postnatal development of the reproductive hormones LH, FSH and prolactin. Male offspring from control, pinealectomized (PIN-X) and PIN-X + melatonin (PIN-X+MEL) mother Wistar rats were studied at 21, 31, and 60 days of age. Seasonal age-dependent variations were found for all hormones studied in control offspring but PIN-X offspring showed a tendency to have reduced duration or altered seasonal variations. Maternal melatonin treatment to PIN-X mothers partially restored the effect of pinealectomy. The chronological study of LH, FSH, and prolactin in PIN-X offspring also showed an altered pattern as compared to control-offspring. Melatonin treatment to the mothers partially restored the developmental pattern of reproductive hormones. Results of this study indicate that maternal pineal gland of the laboratory rat is involved in the seasonal postnatal development variations of reproductive hormones of the offspring.


Asunto(s)
Gonadotropinas/sangre , Melatonina/fisiología , Glándula Pineal/metabolismo , Prolactina/sangre , Animales , Femenino , Hormona Folículo Estimulante/sangre , Hormona Luteinizante/sangre , Melatonina/farmacología , Glándula Pineal/fisiología , Radioinmunoensayo , Ratas , Ratas Wistar , Estaciones del Año
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