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1.
Climacteric ; 19(4): 387-92, 2016 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-27327136

RESUMEN

OBJECTIVE: To evaluate whether menopausal status and symptoms among female gynecologists would influence their clinical behavior related to menopausal hormone therapy (MHT). METHODS: Female gynecologists of 11 Latin American countries were requested to fill out the Menopause Rating Scale and a questionnaire containing personal information and that related to MHT use. RESULTS: A total of 818 gynecologists accepted to participate (86.4%). Overall, the mean age was 45.0 ± 10.7 years, 32.2% were postmenopausal, and 17.6% worked in an academic position; 81.8% reported that they would use MHT if they have symptoms, regardless of menopausal status. Academic gynecologists favor personal MHT use at a higher rate (p = 0.04) and have a higher MHT prescription rate as compared to non-academic ones (p = 0.0001). The same trend was observed among post- as compared to premenopausal ones (p = 0.01) and among those who had hysterectomy alone as compared to those experiencing natural menopause (p = 0.002). The presence of menopausal symptoms did not influence their MHT prescription. Current use of MHT and alternative therapy was higher among post- than premenopausal gynecologists (both, p = 0.0001) and among those who had undergone hysterectomy than those experiencing natural menopause. A 38.5% perceived breast cancer as the main risk related to MHT, and a high proportion prescribed non-hormonal drugs (86.4%) or alternative therapies (84.5%). CONCLUSION: Most female gynecologists in this survey would use MHT if menopausal symptoms were present. Postmenopausal physicians use MHT and prescribe it to their symptomatic patients at a higher rate than premenopausal physicians.


Asunto(s)
Terapia de Reemplazo de Estrógeno/psicología , Ginecología , Menopausia/psicología , Médicos Mujeres/psicología , Pautas de la Práctica en Medicina/estadística & datos numéricos , Adulto , Femenino , Humanos , América Latina , Persona de Mediana Edad , Premenopausia/psicología , Encuestas y Cuestionarios
2.
Food Chem ; 199: 479-84, 2016 May 15.
Artículo en Inglés | MEDLINE | ID: mdl-26775998

RESUMEN

The volatile profiles of six plum cultivars ('Laetitia', 'Primetime', 'Sapphire', 'Showtime', 'Songold' and 'Souvenir') produced under two management systems (conventional and organic) and harvested in two consecutive years were obtained by HS-SPME-GC-MS. Twenty-five metabolites were determined, five of which (pentanal, (E)-2-heptenal, 1-octanol, eucalyptol and 2-pentylfuran) are reported for the first time in Prunus salicina Lindl. Hexanal stood out as a major volatile compound affected by the management system. In addition, partial least square discriminant analysis (PLS-DA) achieved an effective classification of genotypes based on their volatile profiles. A high classification accuracy model was obtained with a sensitivity of 97.9% and a specificity of 99.6%. Furthermore, the application of a dual criterion, based on a method of variable selection, VIP (variable importance in projection) and the results of a univariate analysis (ANOVA), allowed the identification of potential volatile markers in 'Primetime', 'Showtime' and 'Souvenir' genotypes (cultivars not characterised to date).


Asunto(s)
Frutas/química , Frutas/clasificación , Cromatografía de Gases y Espectrometría de Masas/métodos , Prunus domestica/química , Prunus domestica/clasificación , Análisis Discriminante , Compuestos Orgánicos Volátiles
3.
Clin Transl Oncol ; 18(7): 666-71, 2016 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-26497352

RESUMEN

PURPOSE: Preoperative chemoradiotherapy and local excision via transanal endoscopic surgery (TEM) in T2-3s,N0,M0 rectal cancer achieve promising results in selected patients. We describe our long-term follow-up experience with this combination, and evaluate complete clinical and pathological responses, local recurrence and overall survival. METHODS: The prospective observational follow-up study carried out since 2007. Out of 476 consecutive patients treated with TEM, we selected those with adenocarcinoma of low or moderate grade of differentiation, clinical stages T2-superficial T3,N0,M0, who refused radical surgery. Preoperative chemoradiotherapy comprised 5-fluorouracil or capecitabine combined with radiotherapy at a dose of 50.4 Gy. TEM was performed after 8 weeks. Complications were recorded and long-term follow-up was conducted. RESULTS: Fifteen patients undergoing preoperative chemoradiotherapy and TEM (median age 76 years, 95 % CI 70.3-80.4, and median follow-up 38 months, 95 % CI 20-44) were studied. No local recurrence was observed, and only one patient (6.7 %) presented systemic relapse. The overall survival was 76 %. Complete clinical response was achieved in seven patients (46.7 %) and complete pathological response in four (26.7 %). With regard to toxicity associated with neoadjuvant treatment, four patients (26.7 %) developed grade 3 adverse effects; no grade 4 or 5 adverse effects were observed. There was no postoperative mortality. CONCLUSIONS: The results of our study, with a response rate of 26.7 % and without local relapse, support the treatment of T2-3s,N0,M0 of rectal cancer with preoperative chemoradiotherapy and local excision (TEM).


Asunto(s)
Adenocarcinoma/terapia , Quimioradioterapia Adyuvante/métodos , Quimioradioterapia , Terapia Neoadyuvante/métodos , Neoplasias del Recto/terapia , Cirugía Endoscópica Transanal/métodos , Adenocarcinoma/mortalidad , Anciano , Anciano de 80 o más Años , Antineoplásicos/administración & dosificación , Capecitabina/administración & dosificación , Femenino , Fluorouracilo/administración & dosificación , Estudios de Seguimiento , Humanos , Estimación de Kaplan-Meier , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Neoplasias del Recto/mortalidad , Resultado del Tratamiento
4.
Acta méd. peru ; 30(4): 114-119, oct.-dic. 2013. ilus, graf, mapas, tab
Artículo en Español | LILACS, LIPECS | ID: lil-702437

RESUMEN

Objetivo: Determinar las posibles interacciones farmacológicas de las hojas de Maytenus macrocarpa, con fármacos estimulantes e inhibitorios de la motilidad intestinal. Métodos: Se utilizaron 110 ratones albinos machos, con pesos medios de 25 g, se empleó el método de Arbos y col, se administró carbón activado al 5


vía oral, dosis de 0.1ml/10g, como marcador intestinal. Los grupos experimentales fueron: control (agua destilada 0,3ml), hojas de chuchuhuasi 1 (500mg/kg), hojas de chuchuhuasi 2 (3000mg/kg), atropina (1,5mg/kg), loperamida (5mg/kg), neostigmina (0,4mg/kg), metoclopramida (10mg/kg), hojas de chuchuhuasi 1 con metoclopramida, hojas de chuchuhuasi 1 con loperamida, hojas de chuchuhuasi 2 con metoclopramida y hojas de chuchuhuasi 2 con loperamida. Para la validación estadística se usó la prueba de Wilconxon, ANOVA y Tukey. Resultados: El porcentaje de recorrido intestinal de carbón activado fue de 27,04, 34,15, 31,66, 25,57, 15,89, 43,30, 33,99, 32,40, 27,90, 49,34 y 25,36 respectivamente, el test de ANOVA de dos colas revelo una p=0,0007. El test de Tukey indico p<0.05 versus el control para neostigmina, loperamida y la interacción chuchuhuasi 3000 mg/kg con metoclopramida, en este último, el test de Wilconxon presento un valor p<0,05. Conclusiones: Se observó interacciones farmacológicas de antagonismo sobre la motilidad intestinal, entre chuchuhuasi y Loperamida y sinergismo entre chuchuhuasi y metoclopramida.


Objectives: To determine the possible pharmacological interactions from the leaves of Maytenus macrocarpa with inhibitory and stimulating bowel motility drugs. Methods: We used 110 male albino mice with average weight of 25g, Arbos and others method was applied. Activated charcoal was administered at 5


at dose of 0.1ml/10g, as an intestinal marker. The experimental groups included 0.1 ml/10 g of distilled water, leave extract of M. macrocarpa 1 (500mg/kg), leave extract of M. macrocarpa 2 (3000 mg/kg), 1,5mg/kg of atropine, 5mg/kg of loperamide, 0.4mg/kg of neostigmine, 10mg/kg of metoclopramide, leave extract of M. macrocarpa 1 with metoclopramide, leave extract of M. macrocarpa 1 with loperamide, leave extract of M. macrocarpa 2 with metoclopramide and leave extract of M. macrocarpa 2 with loperamide. The statistical validation was based on Wilconxon, ANOVA and Tukey test. Results: The intestinal charcoal run percentage was 27.04, 34.15, 31.66, 25.57, 15.89, 43.30, 33.99, 32.40, 27.9, 49.34 and 25.36 respectively. The ANOVA test result in p= 0.0007. The Tukey test indicated p <0.05 versus the control group for neostigmine, loperamide, and the interaction between leave extract of M. macrocarpa 2 with metoclopramide, for the last the Wilcoxon test result in p <0.05. Conclusions: It was observed antagonism drug interactions on gastrointestinal motility between leaves extract of M. macrocarpa with loperamide and synergism interactions with metoclopramide.


Asunto(s)
Humanos , Interacciones Farmacológicas , Loperamida , Maytenus , Metoclopramida , Motilidad Gastrointestinal , Plantas Medicinales , Antagonismo de Drogas , Sinergismo Farmacológico
5.
Nutr. hosp ; 27(5): 1527-1535, sept.-oct. 2012. tab
Artículo en Español | IBECS | ID: ibc-110183

RESUMEN

Introducción: La cirugía bariátrica permite una reducción significativa de peso y mejoría de comorbilidades asociadas a la obesidad a largo plazo, pero también puede afectar negativamente el estado nutricional de algunos micronutrientes. Objetivos: Evaluar cambios en ingesta e indicadores del estado nutricional de zinc, hierro y cobre en mujeres sometidas a bypass gástrico en Y de Roux (BPG) o gastrectomía tubular (GT), hasta el segundo año postoperatorio. Métodos: Se estudió prospectivamente 45 mujeres sometidas a BPG o GT (edad promedio 35,2 ± 8,4 años, IMC promedio 39,8 ± 4,0 kg/m2), cada 6 meses se realizaron determinaciones de ingesta e indicadores del estado nutricional de zinc, hierro y cobre, y en forma anual se evaluó la composición corporal. El aporte de minerales a través de los suplementos representaba dos veces la ingesta recomendada para una mujer sana en las pacientes sometidas a GT y tres veces para BPG. Resultados: 20 mujeres se sometieron a GT y 25 a BPG. En ambos grupos se produjo una reducción significativa de peso y del porcentaje de masa grasa, que se mantuvo hasta el segundo año postoperatorio. Las mujeres sometidas a BPG presentaron un mayor compromiso del estado nutricional de zinc, hierro y cobre, que las pacientes sometidas a GT. Conclusiones: El bypass gástrico en Y de Roux produce un compromiso mayor del estado nutricional de zinc, hierro y cobre que la gastrectomía tubular. Se debería evaluar si la administración fraccionada de la suplementación mejoraría la absorción de estos nutrientes (AU)


Introduction: Bariatric surgery allows a significant reduction in weight and improvement of comorbidities associated with obesity in the long term, but it can also adversely affect the nutritional status of some micronutrients. Objectives: To evaluate changes in intake and parameters of nutritional status of zinc, iron and copper in patients undergoing Roux-en-Y gastric bypass (GBP) or sleeve gastrectomy (SG), until the second postoperative year. Methods: We prospectively studied 45 women undergoing GBP or SG (mean age 35.2 ± 8.4 years, mean BMI 39.8 ± 4.0 kg/m2), every 6 months We measured intake and status indications nutritional zinc, iron and copper, and annually evaluated body composition. The contribution of minerals through supplements represented twice the recommended intake for a healthy woman in patients undergoing GT and three times for GBP. Results: 20 women underwent GBP and 25 SG. In both groups there was a significant reduction in weight and body fat percentage, which was maintained until the second postoperative year. Women who have had a greater commitment GBP nutritional status of zinc, iron and copper, that patients undergoing SG. Conclusions: Gastric bypass Roux-Y produces a greater commitment of nutritional status of zinc, iron and copper sleeve gastrectomy. It should evaluate whether administration of supplementation fractional improve the absorption of these nutrients (AU)


Asunto(s)
Humanos , Femenino , Cirugía Bariátrica/rehabilitación , Minerales en la Dieta/análisis , Estado Nutricional , Zinc/análisis , Hierro de la Dieta/análisis , Cobre/análisis , Derivación Gástrica/rehabilitación , Gastrectomía/rehabilitación , Fenómenos Fisiológicos Nutricionales del Lactante
6.
Pharmazie ; 67(6): 513-7, 2012 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-22822539

RESUMEN

Pregelatinized starch is widely used as a pharmaceutical aid, especially as a filler-binder. It is known that the tableting performance of excipients could be affected by their source. The aim of this study was to evaluate the powder and tableting properties of pregelatinized starches obtained from yucca, corn and rice and compare those properties with those of Starch 1500. This material had the lowest particle size, and porosity and largest density and best flow. However, yucca starch and corn starch showed an irregular granule morphology, better compactibility and compressibility than Starch 1500. Their onset of plastic deformation and their strain rate sensitivity was comparable to that of Starch 1500. These two materials showed compact disintegration slower that Starch 1500. Conversely, rice starch showed a high elasticity, and friability, low compactibility, which are undesirable for direct compression. This study demonstrated the potential use of pregelatinized starches, especially those obtained from yucca and corn as direct compression filler-binders.


Asunto(s)
Polvos , Almidón/química , Algoritmos , Química Farmacéutica , Composición de Medicamentos , Excipientes , Gelatina , Oryza/química , Tamaño de la Partícula , Espectroscopía Infrarroja por Transformada de Fourier , Resistencia a la Tracción , Yucca/química , Zea mays/química
7.
Nutr Hosp ; 27(5): 1527-35, 2012.
Artículo en Español | MEDLINE | ID: mdl-23478701

RESUMEN

INTRODUCTION: Bariatric surgery allows a significant reduction in weight and improvement of comorbidities associated with obesity in the long term, but it can also adversely affect the nutritional status of some micronutrients. OBJECTIVES: To evaluate changes in intake and parameters of nutritional status of zinc, iron and copper in patients undergoing Roux-en-Y gastric bypass (GBP) or sleeve gastrectomy (SG), until the second postoperative year. METHODS: We prospectively studied 45 women undergoing GBP or SG (mean age 35.2 ± 8.4 years, mean BMI 39.8 ± 4.0 kg/m²), every 6 months We measured intake and status indications nutritional zinc, iron and copper, and annually evaluated body composition. The contribution of minerals through supplements represented twice the recommended intake for a healthy woman in patients undergoing GT and three times for GBP. RESULTS: 20 women underwent GBP and 25 SG. In both groups there was a significant reduction in weight and body fat percentage, which was maintained until the second postoperative year. Women who have had a greater commitment GBP nutritional status of zinc, iron and copper, that patients undergoing SG. CONCLUSIONS: Gastric bypass Roux-Y produces a greater commitment of nutritional status of zinc, iron and copper sleeve gastrectomy. It should evaluate whether administration of supplementation fractional improve the absorption of these nutrients.


Asunto(s)
Cirugía Bariátrica , Cobre/sangre , Hierro/sangre , Estado Nutricional , Obesidad/sangre , Obesidad/cirugía , Zinc/sangre , Adulto , Anastomosis en-Y de Roux , Antropometría , Índice de Masa Corporal , Dieta , Suplementos Dietéticos , Femenino , Estudios de Seguimiento , Humanos , Estudios Prospectivos , Resultado del Tratamiento
8.
J Mol Microbiol Biotechnol ; 20(2): 63-9, 2011 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-21389734

RESUMEN

The ccpA gene was inactivated in the polyhydroxybutyrate (PHB)-producing strain Bacillus sp. MA3.3 in order to reduce glucose catabolite repression over pentoses and develop improved bacterial strains for the production of PHB from lignocellulosic hydrolysates. Mutant Bacillus sp. MSL7 ΔCcpA are unable to grow on glucose and ammonia as sole carbon and nitrogen sources, respectively. Supplementation of glutamate as the nitrogen source or the substitution of the carbon source by xylose allowed the mutant to partially recover its growth performance. RT-PCR showed that CcpA stimulates the expression of the operon (gltAB),responsible for ammonia assimilation via glutamate in Bacillus sp. MA3.3. Moreover, it was demonstrated that the supplementation of xylose or glutamate was capable of stimulating gltAB operon expression independently of CcpA. In PHB production experiments in mineral media, it has been observed that the glucose catabolite repression over the pentoses was partially released in MSL7. Although the carbohydrate consumption is faster in the ccpA mutant, the biomass and PHB biosynthesis are lower, even with supplementation of glutamate. This is attributed to an increase of acetyl-CoA flux towards the tricarboxylic acid cycle observed in the mutant.


Asunto(s)
Bacillus/metabolismo , Proteínas Bacterianas/metabolismo , Hidroxibutiratos/metabolismo , Poliésteres/metabolismo , Amoníaco/metabolismo , Bacillus/genética , Bacillus/crecimiento & desarrollo , Bacillus/aislamiento & purificación , Proteínas Bacterianas/genética , Perfilación de la Expresión Génica , Técnicas de Inactivación de Genes , Glucosa/metabolismo , Ácido Glutámico/metabolismo , Xilosa/metabolismo
9.
Exp Parasitol ; 127(1): 80-3, 2011 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-20603119

RESUMEN

The influence of low-frequency electromagnetic (LF-EM) waves on microorganisms has been a subject of experimental investigations for more than two decades and the results are promising. In parallel, an interesting procedure known as biophysical-information-therapy or bioresonance therapy (BRT) which in principle is based on LF-EM stimulation, has emerged. BRT was discovered in the late 1980's but it is still poorly studied. This paper demonstrates that by transferring metronidazole information to water samples by an electronic amplifier (BRT device), the growth of axenically cultured trophozoites of Entamoeba histolytica and Trichomonasvaginalis is significantly inhibited, compared with those cultures treated with non and sham electro-transferred water samples. A positive control of metronidazole, a well-known cytotoxic drug against parasites, was used as a reference.


Asunto(s)
Antiprotozoarios/farmacología , Entamoeba histolytica/crecimiento & desarrollo , Metronidazol/farmacología , Fármacos Sensibilizantes a Radiaciones/farmacología , Trichomonas vaginalis/crecimiento & desarrollo , Agua/química , Bioensayo , Entamoeba histolytica/efectos de los fármacos , Entamoeba histolytica/efectos de la radiación , Radiación , Trichomonas vaginalis/efectos de los fármacos , Trichomonas vaginalis/efectos de la radiación , Agua/farmacología
10.
Nutr Hosp ; 26(4): 856-62, 2011.
Artículo en Español | MEDLINE | ID: mdl-22470035

RESUMEN

INTRODUCTION: Bariatric surgery leads to a significant body weigh reduction although it is associated to a higher risk of presenting some nutritional deficiencies. A common complication, little studied and mainly related to zinc deficiency is alopecia. OBJECTIVES: To compare the nutritional status of zinc, iron, copper, selenium and protein-visceral in women with different degrees of hair loss at 6 months after gastric bypass or tubular gastrectomy. METHODS: The patients were categorized into two groups according to the degree of hair loss: group 1 or mild loss (n = 42) and group 2 or severe hair loss (n = 45). Zinc, iron, copper, and selenium, as well as the indicators of the nutritional status of zinc, iron, copper, and proteinvisceral were assessed before and after 6 months of the surgery. RESULTS: In both groups there was a significant body weight reduction at 6 months post-surgery (-38.9% ± 16.4%). Patients in group 1 presented a significantly higher intake of zinc (20.6 ± 8.1 vs. 17.1 ± 7.7 mg/d) and iron (39.7 ± 35.9 vs. 23.8 ± 21.3 mg/d.), and lower compromise in the nutritional status of zinc and iron than group 2. However, patients in group 2 had lower compromise in the nutritional status of copper. There were no differences regarding the plasma concentrations of albumin. CONCLUSIONS: The patients having lower hair loss at six months after surgery had higher zinc and iron intake and lower compromise of the nutritional status of both minerals.


Asunto(s)
Alopecia/etiología , Cirugía Bariátrica/efectos adversos , Obesidad Mórbida/cirugía , Obesidad/cirugía , Adolescente , Adulto , Antropometría , Suplementos Dietéticos , Femenino , Humanos , Hierro de la Dieta , Persona de Mediana Edad , Minerales , Estado Nutricional , Obesidad/complicaciones , Obesidad Mórbida/complicaciones , Cooperación del Paciente , Proteínas/metabolismo , Pérdida de Peso , Adulto Joven , Zinc
11.
Eur J Neurol ; 15(12): 1273-8, 2008 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-19049543

RESUMEN

Hundreds of publications dealing with the prevalence of multiple sclerosis (MS) throughout the world exist, but little data have been published from South America. Epidemiological studies of MS vary according to environmental, racial and genetic factors; a better understanding of MS in South America would help us to elucidate the disease pattern in this population. The aim of this study is to review the evidence relevant to MS epidemiology in South America. We performed a systematic review of articles of MS epidemiology in South America, with special emphasis on those providing information on the incidence and prevalence of MS (population-based studies). Six papers provided information on MS epidemiology. One paper used the capture-recapture methodology, while the remainder employed traditional methods to collect the data. Population-based studies showed an MS prevalence rate ranging from 1.48 to 17 per 100 000 inhabitants. Available data suggest that the prevalence of MS is lower in South America than in developed countries. The reason for this observation is unknown. Some investigators suggest that certain environmental factors like sun exposure and vitamin D supplementation or the called 'hygiene hypothesis' may protect this population. Future studies will contribute to elucidate the etiology of that difference.


Asunto(s)
Esclerosis Múltiple/epidemiología , Países en Desarrollo/estadística & datos numéricos , Ambiente , Estudios Epidemiológicos , Humanos , Incidencia , Fototerapia , Prevalencia , América del Sur/epidemiología , Vitamina D/uso terapéutico
12.
Nutr Hosp ; 23(5): 458-68, 2008.
Artículo en Español | MEDLINE | ID: mdl-19160896

RESUMEN

INTRODUCTION: Cancer and its oncological treatment cause symptoms which increase the patients risk to suffer from malnutrition. This affects the patients health status negatively by increasing the number of complications, reducing the tolerance to the oncology treatment and a decrease of the patients quality of life. Motivated by this, a group of health professionals from several spanish regions met with the backing of the Sociedad Española de Nutrición Básica y Aplicada (SENBA) to address strategies to improve the quality of nutritional intervention in cancer patients. METHODS: This multidisciplinary group developed a protocol describing nutritional assessment and intervention in form of algorithms based on literature and personal experience. The patients are classified in a three step process: 1. type of their oncology treatment (curative or palliative); 2. nutritional risk of the antineoplastic therapy (low, medium or high risk) and 3. depending on the Subjective Global Assessment patient-generated (SGA-pg). The patients are classified as: A. patients with adequate nutritional state, B. patients with malnutrition or risk of malnutrition and C. patients suffering from severe malnutrition. During one year, the protocol has been used for 226 randomly chosen female and male patients older than 18 years. They were treated by the Medical and Radiotherapy Oncology outpatient clinic. RESULTS: More than a half of the patients were suffering from malnutrition (64%) increasing up to 81% for patients undergoing palliative treatment. Most of them were treated curatively (83%) and received oncology treatment with moderate or high nutritional risk (69%). 68% of patients were affected by some feeding difficulty. The mean percentage of weight loss has been 6.64% +/- 0.87 (min 0%, max 33%). Albumin values of 32% of the patients were between 3 and 3.5 g/dl and negatively correlated with feeding difficulties (p = 0.001). The body mass index (BMI) has not found to be a significant parameter for detecting malnutrition (only in 10% of the patients, the value was below 19.9 kg/m2). But a significant linear tendency when compared to feeding problems could be shown, such that in patients with less feeding problems a higher BMI has been found (p = 0.001). More than a half of the patients required nutritional counselling to control symptoms which made food intake difficult. One third of the patients needed oral nutritional supplementation. Following the nutritional intervention the weight of about 60% of the patients could be maintained and of one sixth it could be increased. CONCLUSION: The application of this protocol is useful, easy and could help detecting malnutrition in oncology patients. It provides the possibility to select those patients who can benefit from a specific nutritional intervention. If possible, the application of the protocol should be started immediatly after cancer is diagnosed. Nutritional support proves efficient for most of the patients.


Asunto(s)
Desnutrición/diagnóstico , Desnutrición/terapia , Neoplasias/complicaciones , Evaluación Nutricional , Terapia Nutricional , Estado Nutricional , Adulto , Anciano , Anciano de 80 o más Años , Algoritmos , Índice de Masa Corporal , Protocolos Clínicos , Humanos , Masculino , Desnutrición/etiología , Persona de Mediana Edad , Neoplasias/psicología , Cuidados Paliativos , Selección de Paciente , Calidad de Vida , Factores de Riesgo , España
13.
Arch Soc Esp Oftalmol ; 82(5): 279-84, 2007 May.
Artículo en Español | MEDLINE | ID: mdl-17516264

RESUMEN

OBJECTIVE: To identify problems in the urgent management of retinal detachments (RD) in hospitals of the Spanish National Health System (NHS). METHODS: A questionnaire was submitted confidentially to the heads of Ophthalmic Departments of 217 hospitals of the NHS to obtain information on the management of urgent RD during the last year. Data was stored in a Microsoft Access database and statistically analyzed by Excel and Statgraphics. Qualitative variables were analyzed by Chi-Square and Fisher exact tests and quantitative variables by the Kruskall-Wallis test. RESULTS: A global response rate of 54.8% was achieved with higher participation of the Teaching Hospitals (TH). District Hospital and non-Teaching Hospital responses were similar and grouped as non-TH. Eighteen percent of centers, mostly non-TH, had no ophthalmologist on duty. Thirty-six percent had a vitreoretinal specialist on call. Eighty percent of centres admitted to have problems handling urgent RD during weekends. Twenty-four had no ophthalmic surgical theatre available. Fifty percent referred to have problems having an anaesthesiologist available and only 22% had ophthalmic trained personnel (nurses) available. Sixty-four percent of centres performed pars plana vitrectomy (PPV) and 77% of those were able to perform an urgent PPV. Ninety percent admitted that a patient with a macula-threatening RD occurring at the beginning of the week-end would not be treated until at least 24 hours had elapsed, although 84% considered this to be inadequate. CONCLUSION: Despite the methodological problems and bias of this questionnaire, we did identify several important problems in the management of urgent RD by NHS hospitals. The data obtained provides useful information to enable the quality of the NHS care of RD to be improved, particularly that available at the week-end.


Asunto(s)
Atención Posterior/estadística & datos numéricos , Desprendimiento de Retina/cirugía , Atención Posterior/organización & administración , Anestesiología , Urgencias Médicas , Encuestas de Atención de la Salud/estadística & datos numéricos , Hospitales de Enseñanza/organización & administración , Hospitales de Enseñanza/estadística & datos numéricos , Humanos , Programas Nacionales de Salud/organización & administración , Programas Nacionales de Salud/estadística & datos numéricos , Personal de Enfermería en Hospital/provisión & distribución , Quirófanos/provisión & distribución , Oftalmología , España , Recursos Humanos
14.
Col. med. estado Táchira ; 15(1): 55-57, ene.-mar. 2006.
Artículo en Español | LILACS | ID: lil-531251

RESUMEN

El fósforo blanco es un tóxico muy potente empleado en la elaboración de fuegos artificiales, su ingestión accidental o intencional causa un cuadro de intoxicación aguda que evoluciona en cuatro fases clínicas con una alta letalidad. El manejo mediante lavado gástrico con permanganato de potasio o peroxido de hidrogeno, la administración de N-acetyl cisteína y las medidas de soporte, constituyen las bases del tratamiento cuyo éxito depende del inicio precoz. Se presenta el caso de un lactante mayor de 12 meses con ingestión de “raspa-raspa”, en quien el manejo precoz, ante el riesgo de intoxicación por fósforo blanco, dio como resultado una evolución favorable del paciente.


Asunto(s)
Humanos , Masculino , Lactante , Fosfatidiletanolaminas/envenenamiento , Fosfatidiletanolaminas/toxicidad , Fósforo/efectos adversos , Fósforo/envenenamiento , Lavado Gástrico/métodos , Intoxicación/etiología , Frecuencia Cardíaca/fisiología , Pediatría , Permanganato de Potasio/envenenamiento
15.
Bioresour Technol ; 89(3): 267-74, 2003 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-12798117

RESUMEN

Biological treatments were applied to fresh coffee pulp (CoP) to improve its nutritive value for monogastric animals by reducing its content of cellulose and antinutritional factors (ANFs) such as total phenols, tannins and caffeine. Treatments were: (1) ensiling with 0, 50 and 100 gkg(-1) molasses for 2 and 3 months, (2) aerobic decomposition for 0, 7, 14, 21, 28, 35 and 42 days, (3) aerobic bacterial inoculation (Bacillus sp.) for 0, 7, 14, 21 and 28 days. Ensiled CoP (E-CoP) showed higher fat and ash contents than oven-dried-CoP (OD-CoP; P<0.05). Similarly, true protein values tended to increase. The cellulose and total phenols levels of E-CoP were lower than OD-CoP (P<0.05). The E-CoP tannins levels tended to be lower than OD-CoP whereas caffeine levels remained unaffected. Improvement in the nutritional quality of E-CoP was associated with higher fat and protein contents and reduction of cellulose, total phenols and tannins. The aerobic decomposition treatment improved the nutritional quality of CoP by increasing true protein and fat contents. In addition, total phenols, tannins, caffeine and cellulose contents were reduced by an increase in treatment time (P<0.05). Bacterial treatment increased the protein content of CoP after 21 days (from 137 to 392 gkg(-1)) and decreased it after 28 days. Cellulose, total phenols, tannins and caffeine contents reduced with an increase in time of bacterial degradation. Bacterial treatment improved the CoP quality by increasing protein content and reducing cellulose and ANFs, especially after 21 days of treatment. Both the aerobic decomposition (after 21-28 days) and the aerobic bacterial degradation of CoP (after 21 days) appeared more suitable to improve the nutritional quality of CoP than the ensiling.


Asunto(s)
Alimentación Animal , Café/química , Ensilaje , Aerobiosis , Bacillus/metabolismo , Biodegradación Ambiental , Fermentación
16.
Adv Space Res ; 27(2): 225-30, 2001.
Artículo en Inglés | MEDLINE | ID: mdl-11605636

RESUMEN

Amino acid condensation catalyzed by inorganic oxides is a widely recognized way for prebiotic peptide formation. Silica and alumina are widely distributed in the Earth-like planets' crust as minerals of different complexity, and thus are attractive model catalysts for the studies of abiotic peptide synthesis. Experiments performed in other laboratories have shown that this process can be efficient at > 80 degrees C, which is not easy to find on the planetary surface in combination with sufficient concentrations of amino acids and necessary catalysts. In the present work we tested catalytic activity of three forms of alumina (which proved to be an efficient catalyst for this process) in the intermolecular condensation of L-alanine. We expanded the temperature interval down to 55 degrees C and used the simplest permanent heating procedure, without employing fluctuating drying/wetting conditions. The most important finding is that even under the lowest temperature considered (i.e. 55 degrees C), short peptide formation can be detected already after 10-30 days of heating. This fact implies that the abiotic peptide formation might occur in a wide variety of planetary environments, without need for high temperatures, given the presence of amino acid building blocks and alumina-containing minerals.


Asunto(s)
Alanina/química , Óxido de Aluminio/química , Evolución Química , Péptidos/síntesis química , Catálisis , Dimerización , Calor , Concentración de Iones de Hidrógeno , Temperatura
18.
Planta Med ; 66(8): 765-7, 2000 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-11199140

RESUMEN

Bioassay directed fractionation of the (1:1) chloroform-methanol extract of Gentiana spathacea H.B.K (Gentianaceae) led to the isolation of gentiopicroside (gentiopricrin) (1), the major spasmolytic component of the plant. Gentiopicroside inhibited, in a concentration-dependent manner, the spontaneous contractions of isolated guinea pig ileum. Contractions induced by histamine, acetylcholine, BaCl2 and KCl on the ileum were also significantly blocked by this monoterpene glucoside, which suggests that this compound might be interfering with calcium influx into the smooth muscle cells.


Asunto(s)
Glucósidos/farmacología , Iridoides , Magnoliopsida/química , Músculo Liso/efectos de los fármacos , Piranos/farmacología , Animales , Glucósidos/química , Glucósidos/aislamiento & purificación , Cobayas , Íleon/efectos de los fármacos , Íleon/fisiología , Glucósidos Iridoides , Relajación Muscular/efectos de los fármacos , Músculo Liso/fisiología , Piranos/química , Piranos/aislamiento & purificación
19.
Phytomedicine ; 6(5): 367-71, 1999 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-11962546

RESUMEN

The present study was performed to investigate the effect of chloroform-methanol (1:1) extracts derived from Baccharis heterophylla H. B. K (Asteraceae), Desmodium grahami Gray (Leguminosae), Dyssodia pinnata var. pinnata Rob. (Asteraceae), Gentiana spathacea H. B. K. (Gentianaceae), Loeselia mexicana Brand. (Polemoniaceae), Selaginella pallescens Spring. (Selaginellaceae) and Zornia diphylla Pers. (Fabaceae) on the spontaneous contractions of isolated rat ileum. The concentration-response curves and IC50 values were obtained and the respective relaxant potencies were compared with that of the CHCl3-MeOH (1:1) extract of Datura lanosa. The data showed that all the extracts produce a concentration-dependent inhibition of spontaneous ileum contractions. In addition, the antimicrobial activity of the extracts against pathogenic enterobacteria was tested. The pharmacological actions shown by the extracts of the selected species tend to support ethnomedical use of the plants for the treatment of gastrointestinal disorders.


Asunto(s)
Enfermedades Gastrointestinales/tratamiento farmacológico , Medicina Tradicional , Parasimpatolíticos/uso terapéutico , Fitoterapia , Extractos Vegetales/uso terapéutico , Plantas Medicinales , Animales , Relación Dosis-Respuesta a Droga , Etnobotánica , Enfermedades Gastrointestinales/fisiopatología , Íleon/efectos de los fármacos , Íleon/fisiopatología , Indígenas Norteamericanos , Magnoliopsida/química , Masculino , México/etnología , Relajación Muscular/efectos de los fármacos , Músculo Liso/efectos de los fármacos , Músculo Liso/fisiopatología , Parasimpatolíticos/farmacología , Extractos Vegetales/farmacología , Ratas , Ratas Sprague-Dawley
20.
Acta Gastroenterol Latinoam ; 28(1): 37-9, 1998.
Artículo en Español | MEDLINE | ID: mdl-9607073

RESUMEN

Trichobezoars are rare medical entities that must be considered in the differential diagnosis of patients with abdominal mass. We describe a case of an unsuspected intestinal trichobezoar in a nine years old girl. The patient presented an acute lower abdominal pain. We found an echogenic abdominal mass in the pelvic sonography. A double contrast barium enema was scheduled and a rapid relief of symptoms during the preparation of it was accomplished with the expulsion of a mass of hair.


Asunto(s)
Bezoares/diagnóstico por imagen , Intestinos , Niño , Femenino , Humanos , Ultrasonografía
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