Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 54
Filtrar
Mais filtros

Medicinas Complementares
Base de dados
Tipo de documento
Intervalo de ano de publicação
1.
Appl Microbiol Biotechnol ; 108(1): 301, 2024 Apr 19.
Artigo em Inglês | MEDLINE | ID: mdl-38639797

RESUMO

Water bodies are increasingly contaminated with a diversity of organic micropollutants (OMPs). This impacts the quality of ecosystems due to their recalcitrant nature. In this study, we assessed the removal of OMPs by spent mushroom substrate (SMS) of the white button mushroom (Agaricus bisporus) and by its aqueous tea extract. Removal of acesulfame K, antipyrine, bentazon, caffeine, carbamazepine, chloridazon, clofibric acid, and N, N-diethyl-meta-toluamide (DEET) by SMS and its tea was between 10 and 90% and 0-26%, respectively, in a 7-day period. Sorption to SMS particles was between 0 and 29%, which can thus not explain the removal difference between SMS and its tea, the latter lacking these particles. Carbamazepine was removed most efficiently by both SMS and its tea. Removal of OMPs (except caffeine) by SMS tea was not affected by heat treatment. By contrast, heat-treatment of SMS reduced OMP removal to < 10% except for carbamazepine with a removal of 90%. These results indicate that OMP removal by SMS and its tea is mediated by both enzymatic and non-enzymatic activities. The presence of copper, manganese, and iron (0.03, 0.88, and 0.33 µg L-1, respectively) as well as H2O2 (1.5 µM) in SMS tea indicated that the Fenton reaction represents (part of) the non-enzymatic activity. Indeed, the in vitro reconstituted Fenton reaction removed OMPs > 50% better than the teas. From these data it is concluded that spent mushroom substrate of the white button mushroom, which is widely available as a waste-stream, can be used to purify water from OMPs.


Assuntos
Agaricus , Ecossistema , Cafeína , Peróxido de Hidrogênio , Água , Chá , Carbamazepina
2.
Poult Sci ; 100(6): 101138, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-33975047

RESUMO

Oral administration of fluorescein isothiocyanate dextran (FITC-d) has been used as an indicator for intestinal permeability in poultry research for several years. Under healthy conditions, tight junctions in the intestinal wall will not allow the 4-6kDa FITC-d to enter the bloodstream. Detection of FITC-d in serum (1-hour post-oral administration of FITC-d) has proven to be a reliable indicator of leaky gut syndrome (increased intestinal inflammation and disruption of tight junctions). Administration of supplementary phytobiotics in feed, particularly products with high beta-carotene levels or other pigments, has resulted in strong serum background fluorescence, which can render this assay unreliable. To account for this increase in background autofluorescence, the FITC-d assay procedure has been modified to accommodate these particular serum samples by including pre-administration serum collection from each treatment group to remove background fluorescence. The modified FITC-d procedure detailed will allow for analysis of intestinal permeability in pigmented serum.


Assuntos
Galinhas , Aves Domésticas , Animais , Dextranos , Dieta/veterinária , Fluoresceína-5-Isotiocianato/análogos & derivados , Mucosa Intestinal , Permeabilidade
3.
Artigo em Inglês | MEDLINE | ID: mdl-33923256

RESUMO

Most amyotrophic lateral sclerosis (ALS) cases are considered sporadic, without a known genetic basis, and lifestyle factors are suspected to play an etiologic role. We previously observed increased risk of ALS associated with high nail mercury levels as an exposure biomarker and thus hypothesized that mercury exposure via fish consumption patterns increases ALS risk. Lifestyle surveys were obtained from ALS patients (n = 165) and n = 330 age- and sex-matched controls without ALS enrolled in New Hampshire, Vermont, or Ohio, USA. We estimated their annual intake of mercury and omega-3 polyunsaturated fatty acid (PUFA) via self-reported seafood consumption habits, including species and frequency. In our multivariable model, family income showed a significant positive association with ALS risk (p = 0.0003, adjusted for age, sex, family history, education, and race). Neither the estimated annual mercury nor omega-3 PUFA intakes via seafood were associated with ALS risk. ALS incidence is associated with socioeconomic status; however, consistent with a prior international study, this relationship is not linked to mercury intake estimated via fish or seafood consumption patterns.


Assuntos
Esclerose Lateral Amiotrófica , Ácidos Graxos Ômega-3 , Mercúrio , Esclerose Lateral Amiotrófica/induzido quimicamente , Esclerose Lateral Amiotrófica/epidemiologia , Animais , Peixes , Humanos , New Hampshire , Ohio , Alimentos Marinhos/análise , Estados Unidos/epidemiologia
4.
PLoS One ; 15(6): e0233483, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32492031

RESUMO

The newly discovered plattenkalk (platy limestone) locality of Wattendorf, southern Germany, has yielded a diverse fauna and flora dated to the base of the late Kimmeridgian, Late Jurassic. We here describe three fossil turtle specimens that were recovered during systematic excavations of a distinct, 15 cm thick package of plattenkalks by the Naturkunde-Museum Bamberg. The first specimen is a large shell of Achelonia formosa, a taxon that is based on material from the late Kimmeridgian of Cerin, France. The new specimen suggests synonymy with Enaliochelys chelonia from the late Kimmeridgian of the United Kingdom. The second is a near-complete skeleton of the enigmatic Tropidemys seebachi, which was previously known only from the late Kimmeridgian of Hannover, northern Germany. The third specimen is a partial skeleton of Eurysternum wagleri, which had previously been known only from the early Tithonian of the Solnhofen region, southern Germany. In addition to new anatomical insights, the new material provides further evidence for spatial links during the late Kimmeridgian between northern and southern Germany, France, and the United Kingdom and temporal link from the late Kimmeridgian to the early Tithonian. The prevalence of partial, though articulated specimens is suggestive of predation by an unknown large marine reptile.


Assuntos
Fósseis , Tartarugas , Animais , Fósseis/anatomia & histologia , Fósseis/história , Fenômenos Geológicos , Alemanha , História Antiga , Paleontologia , Filogeografia , Especificidade da Espécie , Tartarugas/anatomia & histologia , Tartarugas/classificação
6.
Med Mal Infect ; 49(1): 63-68, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30385068

RESUMO

OBJECTIVES: Urinary tract infections (UTIs) have rarely been studied in the Amazon region. We aimed to describe the epidemiology of bacteria causing UTIs in French Guiana. PATIENTS AND METHODS: We performed a monocenter retrospective study of adults consulting at the emergency department of Cayenne Hospital in 2014 with a diagnosis of UTI. The bacterial species and resistance profile were described. RESULTS: Two-hundred-and-eighty-nine patients presenting with UTI were included: 82 (28.4%) presented with cystitis, 166 (57.4%) with pyelonephritis, and 41 (14.2%) with male UTI. E. coli was predominant (74.1%), and had decreased susceptibility to ampicillin, amoxicillin-clavulanic acid, fluoroquinolones, co-trimoxazole, and furans compared with data from metropolitan France. Extended-spectrum beta-lactamases (ESBL) was isolated in 3.1% of E. coli and 31.6% of K. pneumoniae. CONCLUSIONS: Antibiotic susceptibility in UTI is lower than reported in metropolitan France without evidence for an excessive consumption of antibiotics.


Assuntos
Antibacterianos/uso terapêutico , Infecções Comunitárias Adquiridas , Farmacorresistência Bacteriana Múltipla , Infecções por Enterobacteriaceae , Enterobacteriaceae , Infecções Urinárias , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Infecções Comunitárias Adquiridas/tratamento farmacológico , Infecções Comunitárias Adquiridas/epidemiologia , Infecções Comunitárias Adquiridas/microbiologia , Enterobacteriaceae/classificação , Enterobacteriaceae/efeitos dos fármacos , Infecções por Enterobacteriaceae/tratamento farmacológico , Infecções por Enterobacteriaceae/epidemiologia , Infecções por Enterobacteriaceae/microbiologia , Feminino , Guiana Francesa/epidemiologia , Humanos , Masculino , Testes de Sensibilidade Microbiana , Pessoa de Meia-Idade , Estudos Retrospectivos , Infecções Urinárias/tratamento farmacológico , Infecções Urinárias/epidemiologia , Infecções Urinárias/microbiologia , Adulto Jovem
7.
Front Physiol ; 8: 919, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-29230177

RESUMO

Heat stress (HS) has been reported to alter fat deposition in broilers, however the underlying molecular mechanisms are not well-defined. The objectives of the current study were, therefore: (1) to determine the effects of acute (2 h) and chronic (3 weeks) HS on the expression of key molecular signatures involved in hepatic lipogenic and lipolytic programs, and (2) to assess if diet supplementation with dried Noni medicinal plant (0.2% of the diet) modulates these effects. Broilers (480 males, 1 d) were randomly assigned to 12 environmental chambers, subjected to two environmental conditions (heat stress, HS, 35°C vs. thermoneutral condition, TN, 24°C) and fed two diets (control vs. Noni) in a 2 × 2 factorial design. Feed intake and body weights were recorded, and blood and liver samples were collected at 2 h and 3 weeks post-heat exposure. HS depressed feed intake, reduced body weight, and up regulated the hepatic expression of heat shock protein HSP60, HSP70, HSP90 as well as key lipogenic proteins (fatty acid synthase, FASN; acetyl co-A carboxylase alpha, ACCα and ATP citrate lyase, ACLY). HS down regulated the hepatic expression of lipoprotein lipase (LPL) and hepatic triacylglycerol lipase (LIPC), but up-regulated ATGL. Although it did not affect growth performance, Noni supplementation regulated the hepatic expression of lipogenic proteins in a time- and gene-specific manner. Prior to HS, Noni increased ACLY and FASN in the acute and chronic experimental conditions, respectively. During acute HS, Noni increased ACCα, but reduced FASN and ACLY expression. Under chronic HS, Noni up regulated ACCα and FASN but it down regulated ACLY. In vitro studies, using chicken hepatocyte cell lines, showed that HS down-regulated the expression of ACCα, FASN, and ACLY. Treatment with quercetin, one bioactive ingredient in Noni, up-regulated the expression of ACCα, FASN, and ACLY under TN conditions, but it appeared to down-regulate ACCα and increase ACLY levels under HS exposure. In conclusion, our findings indicate that HS induces hepatic lipogenesis in chickens and this effect is probably mediated via HSPs. The modulation of hepatic HSP expression suggest also that Noni might be involved in modulating the stress response in chicken liver.

8.
Front Genet ; 8: 192, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-29259622

RESUMO

Heat stress (HS) adversely affects growth performance and inflicts heavy economic losses to the poultry industry. There is, therefore, a critical need to identify new alternative strategies to alleviate the negative effects induced by HS. The tropic medicinal plant, Morinda citrifolia (Noni), is being used in livestock nutrition, however the literature is limited and conflicting for its impact on growth performance. The present study aimed to determine the effect of Noni on feeding and drinking behavior as well as on the hypothalamic expression of stress- and metabolic-related genes in broiler chickens exposed to acute HS. A total of 480 1 day-old male broiler chicks were randomly assigned to 12 controlled environmental chambers. Birds were subjected to two environmental conditions (TN, 25°C vs. HS, 35°C for 2 h) and fed two diets (control vs. 0.2% Noni) in a 2 × 2 factorial design. Feed intake and core body temperature (BT) were recorded during HS period. Blood was collected and hypothalamic tissues were harvested for target gene and protein analyses. Acute HS-broilers exhibited higher BT (~1°C), spent less time eating with a significant decrease in feed intake, and spent more time drinking along with higher drinking frequency compared to those maintained under TN conditions. Although Noni supplementation did not improve feed intake, it significantly delayed (~30 min) and reduced the BT-induced by HS. At molecular levels and under HS conditions, Noni supplementation down regulated the hypothalamic expression of HSP90 and its related transcription factors HSF1, 2, and 4, increased orexin mRNA levels, and decreased the phosphorylation levels of AMPKα1/2Thr172 and mTORSer2481. Together, these data indicated that Noni supplementation might modulate HS response in broilers through central orexin-AMPK-mTOR pathways.

9.
Z Orthop Unfall ; 155(1): 35-44, 2017 Feb.
Artigo em Alemão | MEDLINE | ID: mdl-28081583

RESUMO

Background Treatment of musculoskeletal infections principally consists of radical surgical debridement and systemic administration of antibiotics. Additional local antibiotic therapy is not yet generally established, and lacks evidence-based proof of efficacy. Nonetheless, there are a variety of practical approaches, as most specialised departments are unwilling to forego this option. The established polymethylmetacrylate (PMMA) carrier system has a number of practical disadvantages. This has led to the increased use of absorbable carrier systems, and those based on calcium sulphate have given particularly encouraging results. In this article, we present our experience with this procedure in the treatment of osteomyelitis. There is currently no standard procedure or algorithm for the use of local antibiotic carriers in the treatment of recurrent osteomyelitis. Material and Methods Between February 2014 and May 2015, a total of 93 patients were treated with an absorbable carrier of topical antibiotics based on calcium sulphate. These patients had suffered from a recurrence of osteomyelitis that had been unsuccessfully treated by the primary implantation of a PMMA chain and systemic antibiotics. The treatment algorithm consisted of radical debridement, followed by implantation of a commercial PMMA chain. If no remission of the infection was observed, the chains were surgically removed and replaced with an absorbable carrier system and antibiotics chosen in accordance with the resistogram. Pursuant to the classification of Cierny and Mader, 10 patients were classified as type I, 5 as type II, 55 as type III and 23 as type IV. The mean follow-up period was 11 months. Two carrier systems, Osteoset® and Herafill®, were purchased from Wright Medical Technology Inc., Arlington, TN, USA and Heraeus Medical GmbH, Wehrheim, Germany, respectively. These were used as supplied for tobramycin and gentamycin. In the case of Osteoset, it was also possible to add an additional arbitrary, water-soluble antibiotic. Systemic administration of antibiotics was carried out in parallel in accordance with the resistogram. Results The most common clinical entities were femoral (36 %) and tibial (29 %) osteitis. Vancomycin (38 %) and tobramycin (38 %) were the most frequently used topical antibiotics, followed by gentamycin (17 %), ceftriaxone (4 %), fosfomycin (2 %) and colistin (1 %). Systemic administration of antibiotics was carried out in parallel, in accordance with the resistogram. In 85 % of all patients, remission was achieved. Infections with methicillin-resistant Staphylococcus aureus (MRSA; 62 %) and Pseudomonas aeruginosa (43 %) showed significantly poorer remission rates. The bacterial spectrum was primarily composed of Staphylococcus aureus (28 %), Staphylococcus epidermidis (22 %), Pseudomonas aeruginosa (7 %) and Enterococcus faecalis (5 %), as well as Escherichia coli and Klebsiella oxytoca (4 %). Conclusion Topical adjuvant antibiotic therapy based on an absorbable carrier system offers an expedient extension of the treatment of osteomyelitis. The remission rate of 85 % for recurrent infections encouraged the use of a therapeutic alternative for many patients. We developed an algorithm for the treatment of osteomyelitis, which includes the application of local antibiotics with different compositions and absorbable carriers. We present early results of successful treatment of patients with recurrent osteomyelitis, after futile topical therapy with non-absorbable antibiotic chains.


Assuntos
Antibacterianos/administração & dosagem , Infecções Bacterianas/diagnóstico , Infecções Bacterianas/tratamento farmacológico , Osteomielite/diagnóstico , Osteomielite/tratamento farmacológico , Implantes Absorvíveis , Administração Tópica , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Quimioterapia Adjuvante , Criança , Implantes de Medicamento , Humanos , Pessoa de Meia-Idade , Projetos Piloto , Recidiva , Resultado do Tratamento , Adulto Jovem
10.
BMC Infect Dis ; 16: 57, 2016 Feb 03.
Artigo em Inglês | MEDLINE | ID: mdl-26842961

RESUMO

BACKGROUND: Schistosomes and soil-transmitted helminths (STH) (hookworm, Trichuris trichiura and Ascaris lumbricoides) are widely distributed in developing countries where they infect over 230 million and 1.5 billion people, respectively. The parasites are frequently co-endemic and many individuals are co-infected with two or more of the species, but information on how the parasites interact in co-infected individuals is scarce. The present study assessed Schistosoma haematobium and STH infection and morbidity patterns among school children in a hyper-endemic focus in the Tana River delta of coastal Kenya. METHODS: Two hundred and sixty-two children aged 5-12 years from two primary schools were enrolled in the study. For each child, urine was examined for S. haematobium eggs and haematuria, stool was examined for STH eggs, peripheral blood was examined for eosinophilia and haemoglobin level, the urinary tract was ultrasound-examined for S. haematobium-related pathology, and the height and weight was measured and used to calculate the body mass index (BMI). RESULTS: Prevalences of S. haematobium, hookworm, T. trichiura and A. lumbricoides infection were 94, 81, 88 and 46 %, respectively. There was no significant association between S. haematobium and STH infection but intensity of hookworm infection significantly increased with that of T. trichiura. Lower BMI scores were associated with high intensity of S. haematobium (difference =-0.48, p > 0.05) and A. lumbricoides (difference =-0.67, p < 0.05). Haematuria (both macro and micro) was common and associated with S. haematobium infection, while anaemia was associated with high intensity of S. haematobium (OR = 2.08, p < 0.05) and high hookworm infections OR = 4.75; p < 0.001). The majority of children had eosinophilia, which was significantly associated with high intensity of hookworm infection (OR = 5.34, p < 0.05). Overall 38 % of the children had ultrasound-detectable urinary tract morbidity, which was associated with high intensity of S. haematobium infection (OR = 3.13, p < 0.05). CONCLUSION: Prevalences of S. haematobium and STH infections among the primary school children were high and the parasites were responsible for significant morbidity. A clear synergistic interaction was observed between hookworm and T. trichiura infections. Increased coverage in administration of praziquantel and albendazole in the area is recommended to control morbidity due to these infections.


Assuntos
Anti-Helmínticos/uso terapêutico , Helmintíase/epidemiologia , Schistosoma haematobium/isolamento & purificação , Esquistossomose Urinária/epidemiologia , Albendazol/uso terapêutico , Ancylostomatoidea/isolamento & purificação , Anemia , Animais , Ascaris lumbricoides/isolamento & purificação , Criança , Pré-Escolar , Coinfecção , Fezes/parasitologia , Feminino , Helmintíase/tratamento farmacológico , Humanos , Quênia/epidemiologia , Masculino , Praziquantel/uso terapêutico , Prevalência , Esquistossomose Urinária/tratamento farmacológico , Instituições Acadêmicas , Solo/parasitologia , Trichuris/isolamento & purificação
11.
PLoS One ; 10(7): e0133370, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26192963

RESUMO

One of the main challenges in toxicology today is to develop therapeutic alternatives for the treatment of snake venom injuries that are not efficiently neutralized by conventional serum therapy. Venom phospholipases A2 (PLA2s) and PLA2-like proteins play a fundamental role in skeletal muscle necrosis, which can result in permanent sequelae and disability. This leads to economic and social problems, especially in developing countries. In this work, we performed structural and functional studies with Piratoxin-I, a Lys49-PLA2 from Bothropspirajai venom, complexed with two compounds present in several plants used in folk medicine against snakebites. These ligands partially neutralized the myotoxic activity of PrTX-I towards binding on the two independent sites of interaction between Lys49-PLA2 and muscle membrane. Our results corroborate the previously proposed mechanism of action of PLA2s-like and provide insights for the design of structure-based inhibitors that could prevent the permanent injuries caused by these proteins in snakebite victims.


Assuntos
Antídotos/farmacologia , Ácidos Aristolóquicos/farmacologia , Bothrops/metabolismo , Ácidos Cafeicos/farmacologia , Venenos de Crotalídeos/antagonistas & inibidores , Fosfolipases A2 do Grupo II/antagonistas & inibidores , Proteínas de Répteis/antagonistas & inibidores , Animais , Antídotos/química , Ácidos Aristolóquicos/química , Ácidos Cafeicos/química , Venenos de Crotalídeos/química , Venenos de Crotalídeos/metabolismo , Cristalografia por Raios X , Descoberta de Drogas , Fosfolipases A2 do Grupo II/química , Fosfolipases A2 do Grupo II/metabolismo , Camundongos , Modelos Moleculares , Músculos/efeitos dos fármacos , Músculos/patologia , Músculos/fisiopatologia , Conformação Proteica , Proteínas de Répteis/química , Proteínas de Répteis/metabolismo
12.
Vet Res ; 45: 129, 2014 Dec 17.
Artigo em Inglês | MEDLINE | ID: mdl-25516422

RESUMO

Bovine Neonatal Pancytopenia (BNP), a bleeding syndrome of neonatal calves, is caused by alloantibodies absorbed from the colostrum of particular cows. A commercial BVD vaccine is the likely source of alloantigens eliciting BNP associated alloantibodies. We hypothesized that the rare occurrence of BNP in calves born to vaccinated dams could be associated with genetic differences within dams and calves. We found that the development of BNP within calves was a heritable trait for dams, not for calves and had a high heritability of 19%. To elucidate which genes play a role in the development of BNP we sequenced candidate genes and characterized BNP alloantibodies. Alloantigens present in the vaccine have to be presented to the dam's immune system via MHC class II, however sequencing of DRB3 showed no differences in MHC class II haplotype between BNP and non-BNP dams. MHC class I, a highly polymorphic alloantigen, is an important target of BNP alloantibodies. Using a novel sequence based MHC class I typing method, we found no association of BNP with MHC class I haplotype distribution in dams or calves. Alloantibodies were detected in both vaccinated BNP and non-BNP dams and we found no differences in alloantibody characteristics between these groups, but alloantibody levels were significantly higher in BNP dams. We concluded that the development of BNP in calves is a heritable trait of the dam rather than the calf and genetic differences between BNP and non-BNP dams are likely due to genes controlling the quantitative alloantibody response following vaccination.


Assuntos
Doenças dos Bovinos/genética , Colostro/imunologia , Isoanticorpos/imunologia , Complexo Principal de Histocompatibilidade , Pancitopenia/veterinária , Animais , Animais Recém-Nascidos , Bovinos , Doenças dos Bovinos/imunologia , Feminino , Haplótipos , Isoanticorpos/sangue , Pancitopenia/genética , Pancitopenia/imunologia , Reação em Cadeia da Polimerase/veterinária , Vacinação/veterinária
13.
Gene Ther ; 21(4): 387-92, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24572791

RESUMO

In this study, we tested the feasibility of non-invasively measuring phosphoarginine (PArg) after gene delivery of arginine kinase (AK) using an adeno-associated virus (AAV) to murine hindlimbs. This was achieved by evaluating the time course, regional distribution and metabolic flux of PArg using (31)phosphorus magnetic resonance spectroscopy ((31)P-MRS). AK gene was injected into the gastrocnemius of the left hindlimb of C57Bl10 mice (age 5 weeks, male) using self-complementary AAV, type 2/8 with desmin promoter. Non-localized (31)P-MRS data were acquired over 9 months after injection using 11.1-T and 17.6-T Bruker Avance spectrometers. In addition, (31)P two-dimensional chemical shift imaging and saturation transfer experiments were performed to examine the spatial distribution and metabolic flux of PArg, respectively. PArg was evident in each injected mouse hindlimb after gene delivery, increased until 28 weeks, and remained elevated for at least 9 months (P<0.05). Furthermore, PArg was primarily localized to the injected posterior hindimb region and the metabolite was in exchange with ATP. Overall, the results show the viability of AAV gene transfer of AK gene to skeletal muscle, and provide support of PArg as a reporter that can be used to non-invasively monitor the transduction of genes for therapeutic interventions.


Assuntos
Arginina Quinase/genética , Arginina/análogos & derivados , Dependovirus/genética , Animais , Arginina/genética , Arginina/metabolismo , Arginina Quinase/uso terapêutico , Terapia Genética , Vetores Genéticos , Membro Posterior/metabolismo , Camundongos , Músculo Esquelético/metabolismo , Compostos Organofosforados/metabolismo , Regiões Promotoras Genéticas , Transdução Genética
14.
Nefrologia ; 33(5): 657-66, 2013.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-24089157

RESUMO

BACKGROUND: There are few data in Argentina on the prevalence and management of bone and mineral metabolism (BMM) in patients with chronic kidney disease (CKD). OBJECTIVES AND METHODS: A survey was carried out in dialysis units in 2010 to measure the prevalence of and types of treatments for BMM disorders in Argentina. The data obtained was then compared to the published results from other large population studies. We recorded characteristics of dialysis centres and participating patients, the frequency of measurements and individual results for BMM biochemical markers, as well as the type of management used to control hyperphosphataemia and secondary hyperparathyroidism. RESULTS: 1210 patients from 25 dialysis centres in Argentina participated in the study (representing 4.7% of the country's prevalent dialysis population in 2010). The mean patient age was 55.3±17.6 years, 60.8% were male, 3.3% were on peritoneal dialysis and 29.1% suffered diabetes. In all centres, phosphataemia and calcaemia were measured on a monthly basis, 60% of centres measured intact parathyroid hormone (iPTH) every 6 months, 36% every 3 to 4 months, and 4% annually. As recommended by K/DOQI, 51.6% of patients had adequate levels of calcium (8.4-9.5 mg/dl), 51.6% had adequate phosphorus (3.5-5.5 mg/dl) and 21.1% displayed acceptable iPTH levels (150-300 pg/ml). 24% had iPTH <150 pg/ml and 54.5% >300 pg/ml. iPTH ≥600 pg/ml was present in 28.3%, and 13.3% had values ≥1000 pg/ml. These figures differed from those published by the DOPPS II study, in which 51.1% of patients had iPTH <150 pg/ml, and only 26.7% had iPTH ≥300 pg/ml. Calcium-based phosphate binders were used in 83.6% of the patients, 5.6% used sevelamer and 4.0% used aluminium-containing compounds. To achieve control of hyperparathyroidism, oral or intravenous calcitriol was predominantly used (50.5%) with a small percentage of patients receiving paricalcitol or doxercalciferol. CONCLUSIONS: The present study shows a high prevalence of secondary hyperparathyroidism, which differs from that published by other large population studies. There was a high proportion of patients with BMM markers outside the ranges suggested by K/DOQI. Mainly phosphate binders based on calcium and calcitriol continue to be used for the management of hyperphosphatemia and hyperparathyroidism respectively.


Assuntos
Hiperparatireoidismo Secundário/epidemiologia , Nefropatias/epidemiologia , Diálise Renal , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Argentina/epidemiologia , Biomarcadores , Osso e Ossos/metabolismo , Calcitriol/uso terapêutico , Cálcio/sangue , Criança , Pré-Escolar , Doença Crônica , Nefropatias Diabéticas/epidemiologia , Nefropatias Diabéticas/terapia , Feminino , Humanos , Hiperparatireoidismo Secundário/sangue , Hiperparatireoidismo Secundário/tratamento farmacológico , Hiperparatireoidismo Secundário/etiologia , Nefropatias/complicações , Nefropatias/terapia , Masculino , Pessoa de Meia-Idade , Hormônio Paratireóideo/sangue , Diálise Peritoneal , Fósforo/sangue , Prevalência , Adulto Jovem
15.
IEEE Trans Neural Syst Rehabil Eng ; 21(3): 383-90, 2013 May.
Artigo em Inglês | MEDLINE | ID: mdl-22692938

RESUMO

Epilepsy affects approximately 1% of the world population. Antiepileptic drugs are ineffective in approximately 30% of patients and have side effects. We have been developing a noninvasive transcranial focal electrical stimulation with our novel tripolar concentric ring electrodes as an alternative/complementary therapy for seizure control. In this study we demonstrate the effect of focal stimulation on behavioral seizure activity induced by two successive pentylenetetrazole administrations in rats. Seizure onset latency, time of the first behavioral change, duration of seizure, and maximal seizure severity score were studied and compared for focal stimulation treated (n = 9) and control groups (n = 10). First, we demonstrate that no significant difference was found in behavioral activity for focal stimulation treated and control groups after the first pentylenetetrazole administration. Next, comparing first and second pentylenetetrazole administrations, we demonstrate there was a significant change in behavioral activity (time of the first behavioral change) in both groups that was not related to focal stimulation. Finally, we demonstrate focal stimulation provoking a significant change in seizure onset latency, duration of seizure, and maximal seizure severity score. We believe that these results, combined with our previous reports, suggest that transcranial focal stimulation may have an anticonvulsant effect.


Assuntos
Eletrodos , Convulsões/prevenção & controle , Convulsões/fisiopatologia , Estimulação Magnética Transcraniana/instrumentação , Estimulação Magnética Transcraniana/métodos , Animais , Relação Dose-Resposta a Droga , Desenho de Equipamento , Análise de Falha de Equipamento , Masculino , Pentilenotetrazol/administração & dosagem , Ratos , Ratos Sprague-Dawley , Convulsões/induzido quimicamente , Resultado do Tratamento
17.
IEEE Trans Neural Syst Rehabil Eng ; 20(4): 422-31, 2012 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-22772373

RESUMO

Epilepsy affects approximately 1% of the world population. Antiepileptic drugs are ineffective in approximately 30% of patients and have side effects. We are developing a noninvasive, or minimally invasive, transcranial focal electrical stimulation system through our novel tripolar concentric ring electrodes to control seizures. In this study, we demonstrate feasibility of an automatic seizure control system in rats with pentylenetetrazole-induced seizures through single and multiple stimulations. These stimulations are automatically triggered by a real-time electrographic seizure activity detector based on a disjunctive combination of detections from a cumulative sum algorithm and a generalized likelihood ratio test. An average seizure onset detection accuracy of 76.14% was obtained for the test set (n = 13). Detection of electrographic seizure activity was accomplished in advance of the early behavioral seizure activity in 76.92% of the cases. Automatically triggered stimulation significantly (p = 0.001) reduced the electrographic seizure activity power in the once stimulated group compared to controls in 70% of the cases. To the best of our knowledge this is the first closed-loop automatic seizure control system based on noninvasive electrical brain stimulation using tripolar concentric ring electrode electrographic seizure activity as feedback.


Assuntos
Eletrodos Implantados , Eletroencefalografia/instrumentação , Convulsões/diagnóstico , Convulsões/prevenção & controle , Terapia Assistida por Computador/métodos , Estimulação Magnética Transcraniana/instrumentação , Animais , Biorretroalimentação Psicológica , Diagnóstico por Computador/instrumentação , Diagnóstico por Computador/métodos , Desenho de Equipamento , Análise de Falha de Equipamento , Estudos de Viabilidade , Ratos , Ratos Sprague-Dawley , Convulsões/fisiopatologia , Terapia Assistida por Computador/instrumentação , Estimulação Magnética Transcraniana/métodos , Resultado do Tratamento
18.
Dermatol Surg ; 38(1): 91-6, 2012 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-22093158

RESUMO

BACKGROUND: Infiltration anesthesia of the skin is an analgesic procedure often practiced before minor surgical interventions or punctures. The addition of hyaluronidase is a possible option to improve the effectiveness of the local anesthetic with respect to expansion of effect. OBJECTIVE: To validate the safety of intracutaneous application of hyaluronidase as a lidocaine adjuvant. MATERIALS AND METHODS: The influence of adjuvant hyaluronidase on wound healing was investigated using the suction blister method in a prospective, single-center, placebo-controlled, double-blind, intraindividual comparison study with 20 participants. The target parameters were defined as the time of normalization of transepidermal water loss, hemovascular perfusion, and complete macroscopic epithelization of the wound. RESULTS: No evidence was found that adjuvant application of hyaluronidase retards wound healing. CONCLUSION: The addition of hyaluronidase to lidocaine in intracutaneous infiltration analgesia does not lead to retardation of wound healing, and no additional relevant risks were observed.


Assuntos
Adjuvantes Farmacêuticos/administração & dosagem , Anestésicos Locais/administração & dosagem , Hialuronoglucosaminidase/administração & dosagem , Lidocaína/administração & dosagem , Cicatrização/efeitos dos fármacos , Adulto , Anestesia Local/métodos , Método Duplo-Cego , Feminino , Humanos , Injeções Intradérmicas , Masculino , Estudos Prospectivos , Pele/efeitos dos fármacos , Pele/fisiopatologia , Adulto Jovem
19.
Biomed Tech (Berl) ; 56(5): 277-82, 2011 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-21867451

RESUMO

Recent clinical studies indicate that stimulation of the retina with tiny amounts of current can have a therapeutic effect on retinal diseases such as retinitis pigmentosa. We have therefore developed a preventive treatment system which stimulates the eye with a thread electrode; among other objectives, the aim is that even blind patients can administer the therapy themselves under physician's supervision.


Assuntos
Terapia por Estimulação Elétrica/instrumentação , Terapia por Estimulação Elétrica/métodos , Eletrodos Implantados , Degeneração Retiniana/terapia , Terapia Assistida por Computador/instrumentação , Terapia Assistida por Computador/métodos , Interface Usuário-Computador , Desenho de Equipamento , Análise de Falha de Equipamento , Humanos , Resultado do Tratamento
20.
J Morphol ; 272(11): 1314-24, 2011 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-21688297

RESUMO

Each of the interior mandibular surfaces of Australian sawfly larvae in the subfamily Perginae is equipped with a soft, brush-like scopa mandibularis. These insects are associated with oil-rich Myrtaceae, including Eucalyptus, and the scopa is involved in separating leaf oils from nutritive plant matter. The oil is stored internally in a diverticulum and is emitted during defense reactions. However, this is known only from mature larvae and the mandibular structure has been investigated and partially illustrated in only one genus of pergines, Pergagrapta. Here, we provide a full description, extend this to a second genus, Perga, and include first instar larvae of Perga and Pseudoperga genera to confirm the presence of the scopa and diverticula through the entire larval life, and thus infer their developmental trajectory. Superficial descriptions of mandibular projections in some Nearctic species in the family Argidae, which is phylogenetically sister to the Pergidae, have been published. Modifications of the inner mandibular surface of representatives of the argid genera Sericoceros, Sphacophilus, and Zynzus are therefore fully illustrated and compared with those of the Pergidae, so this phylogenetic relationship can be assessed.


Assuntos
Eucalyptus , Himenópteros , Larva/anatomia & histologia , Mandíbula/anatomia & histologia , Óleos de Plantas , Adaptação Biológica , Animais , Austrália , Evolução Biológica , Folhas de Planta
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA