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1.
Artículo en Inglés | MEDLINE | ID: mdl-22376138

RESUMEN

Mycotoxins such as the aflatoxins and deoxynivalenol (DON) are frequent contaminants of food. Aflatoxin B1 (AFB1) and DON affect the immune system and restrict growth; additionally AFB1 is carcinogenic. To date there are limited descriptive biomarker data concerning maternal exposures during pregnancy, and none on co-exposures to these mycotoxins. This survey was a cross-sectional assessment providing descriptive data on the concentrations of serum aflatoxin-albumin (AF-alb), urinary aflatoxin M1 (AFM1), and urinary DON for 98 pregnant women from Egypt, in relation to diet and socioeconomic status, during the third trimester. AF-alb was detected in 34 of 98 (35%) samples, geometric mean (GM) of positives = 4.9 pg AF-lys mg(-1) albumin (95% confidence interval (CI) = 4.1-5.8 pg mg(-1)), and AFM1 in 44 of 93 (48%) samples, GM of positives = 19.7 pg mg(-1) creatinine (95%CI = 14.8-26.3 pg mg(-1)). AF-alb and AFM1 levels were positively correlated (R = 0.276, p = 0.007). DON was detected in 63 of 93 (68%), GM of positives = 2.8 ng mg(-1) (95%CI = 2.1-3.6 ng mg(-1)). Aflatoxin and DON biomarkers were observed in 41% of the subjects concurrently. The frequency and level of these biomarkers in Egyptian women were modest compared with known high-risk countries. However, this study represents the first biomarker survey to report on the occurrence of DON biomarkers in an African population, in addition to the co-occurrence of these two potent mycotoxins. This combined exposure may be of particular concern during pregnancy given the potential of toxin transfer to the foetus.


Asunto(s)
Aflatoxina B1/orina , Exposición a Riesgos Ambientales , Exposición Materna , Tricotecenos/orina , Adolescente , Adulto , Biomarcadores/orina , Estudios Transversales , Egipto , Femenino , Contaminación de Alimentos , Humanos , Embarazo , Adulto Joven
2.
Phys Rev Lett ; 98(2): 026601, 2007 Jan 12.
Artículo en Inglés | MEDLINE | ID: mdl-17358627

RESUMEN

Investigating the scaling behavior of annealed Ga1-xMnxAs anomalous Hall coefficients, we note a universal crossover regime where the scaling behavior changes from quadratic to linear. Furthermore, measured anomalous Hall conductivities in the quadratic regime when properly scaled by carrier concentration remain constant, spanning nearly a decade in conductivity as well as over 100 K in T_[C] and comparing favorably to theoretically predicated values for the intrinsic origins of the anomalous Hall effect. Both qualitative and quantitative agreements strongly point to the validity of new equations of motion including the Berry phase contributions as well as the tunability of the anomalous Hall effect.

3.
Vet Pathol ; 42(5): 596-607, 2005 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-16145206

RESUMEN

To develop a molecular-based assay so that the diagnosis of feline B-cell neoplasia can be facilitated, we have characterized 24 feline immunoglobulin heavy chain variable region (IGH V) complementary DNA (cDNA) transcripts. Structural homology with rearranged human IGH V genes was found, and the sequence information was used to design a feline-specific polymerase chain reaction (PCR)-based assay to amplify the complementarity determining region 3 as a marker for B-cell clonality. Conserved primers derived from the second and third framework regions of V gene segments were used in conjunction with 2 sequence-specific primers and 1 degenerate primer derived from the J gene segments. Each PCR reaction was run in duplicate, and both native and denatured PCR products were evaluated using polyacrylamide gel electrophoresis. Formalin-fixed, paraffin-embedded (FFPE) tissue sections from cats with confirmed B-cell neoplasia (diffuse large B-cell lymphoma, plasmacytoma, and myeloma) were examined, and 15/22 (68.2%) cats produced results indicative of the presence of a monoclonal population of B cells. The evaluation of denatured PCR products (heteroduplex analysis) facilitated a more accurate interpretation in 3/15 (20%) cats. Pseudoclonality was a major reason for the failure to detect monoclonality. Poor DNA quality is a significant concern and was responsible for the removal of 2 cats from the study. Using this assay, FFPE normal feline lymphoid tissues and unfixed peripheral blood mononuclear cells were determined to be composed of polyclonal populations of B cells. This assay represents a useful adjunctive diagnostic tool for the diagnosis and investigation of feline B-cell lymphoproliferative disorders.


Asunto(s)
Enfermedades de los Gatos/diagnóstico , Enfermedades de los Gatos/genética , Cadenas Pesadas de Inmunoglobulina/genética , Región Variable de Inmunoglobulina/genética , Linfoma de Células B/diagnóstico , Linfoma de Células B/veterinaria , Secuencia de Aminoácidos , Animales , Enfermedades de los Gatos/inmunología , Gatos , Femenino , Cadenas Pesadas de Inmunoglobulina/química , Región Variable de Inmunoglobulina/química , Linfoma de Células B/genética , Linfoma de Células B/inmunología , Masculino , Plasmacitoma/diagnóstico , Plasmacitoma/genética , Plasmacitoma/inmunología , Plasmacitoma/veterinaria , Homología de Secuencia de Aminoácido
4.
Science ; 306(5702): 1771-3, 2004 Dec 03.
Artículo en Inglés | MEDLINE | ID: mdl-15576618

RESUMEN

Reversible structural changes of a nanostructure were measured nondestructively with subpicometer spatial and subpicosecond temporal resolution via x-ray diffraction (XRD). The spatially periodic femtosecond excitation of a gallium arsenide/aluminum gallium arsenide superlattice results in coherent lattice motions with a 3.5-picosecond period, which was directly monitored by femtosecond x-ray pulses at a 1-kilohertz repetition rate. Small changes (DeltaR/R = 0.01) of weak Bragg reflexes (R = 0.005) were detected. The phase and amplitude of the oscillatory XRD signal around a new equilibrium demonstrate that displacive excitation of the zone-folded acoustic phonons is the dominant mechanism for strong excitation.

5.
Phys Rev Lett ; 89(23): 237403, 2002 Dec 02.
Artículo en Inglés | MEDLINE | ID: mdl-12485041

RESUMEN

By two-color pulse shaping, we simultaneously create virtual and real amplitudes for excitons in GaAs quantum wells, and monitor population and amplitude by pump-probe and four-wave mixing spectroscopies. Excited-state probability amplitude can be induced by the off-resonant, virtual excitations as well as by the resonant, real excitations. Population modulation in time-domain results from the interference between the virtual and real amplitudes, and the modulation depth reveals the relative contributions of these two amplitudes. The fact that virtual and real amplitudes have a phase difference of 90 degrees is demonstrated directly in time-domain.

6.
Biosens Bioelectron ; 16(9-12): 745-55, 2001 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-11679252

RESUMEN

We developed a system for amperometric detection of Escherichia coli (E. coli) based on the integration of microelectromechanical systems (MEMS), self-assembled monolayers (SAMS), DNA hybridization, and enzyme amplification. Using MEMS technology, a detector array was fabricated which has multiple electrodes deposited on a Si wafer and was fully reusable. Using SAMs, a monolayer of the protein streptavidin was immobilized on the working electrode (Au) surface to capture rRNA from E. coli. Three different approaches can be used to immobilize streptavidin onto Au, direct adsorption of the protein on bare Au, binding the protein to a biotinylated thiol SAM on Au, and binding the protein to a biotinylated disulfide monolayer on Au. The biotinylated thiol approach yielded the best results. High specificity for E. coli was achieved using ssDNA-rRNA hybridization and high sensitivity was achieved using enzymatic amplification with peroxidase as the enzyme. The analysis protocol can be conducted with solution volumes on the order of a few microliters and completed in 40 min. The detection system was capable of detecting 1000 E. coli cells without polymerase chain reaction with high specificity for E. coli vs. the bacteria Bordetella bronchiseptica.


Asunto(s)
Técnicas Biosensibles/instrumentación , Escherichia coli/aislamiento & purificación , Bordetella/genética , Bordetella/aislamiento & purificación , Escherichia coli/genética , Mecánica , Hibridación de Ácido Nucleico , ARN Bacteriano/genética , ARN Bacteriano/aislamiento & purificación , Estreptavidina
7.
Vet Immunol Immunopathol ; 75(1-2): 27-42, 2000 Jun 30.
Artículo en Inglés | MEDLINE | ID: mdl-10889297

RESUMEN

Characterization of the feline intestinal mucosal associated lymphoid tissue (MALT) will facilitate investigation of intestinal disease in the cat and promote the cat as an animal model for a range of human diseases which involve the intestinal lymphoid tissue. This includes inflammatory bowel disease, viral and non-viral associated intestinal lymphomas and immunodeficiency associated syndromes. Morphologic and phenotypic characterization of the normal small intestinal diffuse MALT in 22 SPF cats was performed using flow cytometry and cytology on isolated intestinal leukocytes from the intra-epithelial and lamina proprial compartments, as well as immunohistology on tissues from the feline duodenum, jejunum and ileum. The intra-epithelial compartment (IEC) was dominated by lymphocytes (>85%) which frequently contained intracytoplasmic granules. The most striking findings in the IEC were the elevated percentages of CD8 alpha+ lymphocytes (40%), presumed to express CD8 alpha alpha chains, and CD4-/CD8- (double negative) lymphocytes (44%), and the consistent presence of a minor subpopulation of CD3+/CD11d+ IELs (6%). Small percentages of CD4+ lymphocytes (10%) were observed such that the IEL CD4:CD8 ratio (0.25) was low. The LPC also contained a majority of T cells and few plasma cells. However, this compartment had reduced percentages of CD8 alpha+ lymphocytes (28%) and increased percentages of CD4+ lymphocytes (27%) relative to the IEC. However, the LPL CD4:CD8 ratio (1.0) remained low compared with the ratio in peripheral blood. In feline MALT, MHC class II expression was lower than in other peripheral lymphoid compartments. The results of this study provide important reference values for future investigations involving feline intestinal lymphocytes and demonstrates that the leukocyte distribution and phenotypic characteristics of the feline diffuse MALT appear largely similar to the murine, rat and human counterparts.


Asunto(s)
Gatos/inmunología , Intestino Delgado/inmunología , Tejido Linfoide/inmunología , Animales , Linfocitos T CD8-positivos/inmunología , Gatos/anatomía & histología , Separación Celular/veterinaria , Perros , Citometría de Flujo/veterinaria , Antígenos de Histocompatibilidad Clase II/biosíntesis , Humanos , Intestino Delgado/citología , Recuento de Leucocitos/veterinaria , Tejido Linfoide/citología , Ratones , Fenotipo , Ratas , Receptores de Antígenos de Linfocitos B/biosíntesis , Receptores de Antígenos de Linfocitos T/biosíntesis
8.
AIDS Res Hum Retroviruses ; 15(15): 1377-88, 1999 Oct 10.
Artículo en Inglés | MEDLINE | ID: mdl-10515153

RESUMEN

Thymus involvement and the development of thymic lesions in HIV-1 infection is hypothesized to suppress thymus function and limit T cell maturation and replenishment of the peripheral lymphoid pool. Therapeutic modulation to protect or enhance thymus function may therefore ameliorate peripheral lymphocytopenia and retard disease progression. Thymotrophic agents, such as insulin-like growth factor type I (IGF-I), may therefore represent adjunctive but important methods of treatment to protect or promote thymus function. The assessment of rhIGF-I in lentiviral infection and its impact on the thymus was performed using the feline immunodeficiency virus (FIV) model. Regeneration of the thymus in juvenile cats and amelioration of the thymic lesion after FIV infection was assessed by multiple measurements including thymic weight, stereologic analysis of the thymus cortex and medulla, histologic and immunohistologic analysis, quantitation of thymocyte and peripheral lymphocyte subsets, and quantitative competitive RT-PCR. Evidence of thymic cortical regeneration was observed in FIV-inoculated cats after 12 and 20 weeks of rhIGF-I treatment. Inflammation in the thymus was reduced during this period of treatment in this group of rhIGF-I/FIV-inoculated cats as evidenced by the reduced numbers of B cells detected. Viral replication rates in peripheral lymph nodes were not altered by rhIGF-I treatment and were decreased by 1 log in the thymus after 20 weeks of treatment. Peripheral blood CD4+ T cell counts also increased after 14 weeks of treatment. This suggests that rhIGF-I treatment can enhance thymus function and replenishment of the peripheral T cell pool.


Asunto(s)
Síndrome de Inmunodeficiencia Adquirida del Felino/tratamiento farmacológico , Síndrome de Inmunodeficiencia Adquirida del Felino/inmunología , Virus de la Inmunodeficiencia Felina , Factor I del Crecimiento Similar a la Insulina/uso terapéutico , Regeneración/efectos de los fármacos , Timo/fisiología , Animales , Gatos , Modelos Animales de Enfermedad , Síndrome de Inmunodeficiencia Adquirida del Felino/patología , Citometría de Flujo , Humanos , ARN Viral/análisis , Proteínas Recombinantes/uso terapéutico , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Timo/inmunología , Timo/patología , Replicación Viral
9.
J Virol ; 71(11): 8632-41, 1997 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-9343221

RESUMEN

The feline thymus is a target organ and site of viral replication during the acute stage of feline immunodeficiency virus (FIV) infection. This was demonstrated by histologic, immunohistologic, flow cytometric, and virologic tests. Thymic lesions developed after 28 days postinoculation (p.i.) and included thymitis, premature cortical involution, and medullary B-cell hyperplasia with germinal center formation and epithelial distortion. Alterations in thymocyte subsets also developed. Fewer CD4+ CD8- cells were detected at 28 days p.i., while an increase in CD4- CD8+ cells resulted in an inversion of the thymic CD4/CD8 ratio of single-positive cells, similar to events in peripheral blood. Provirus was present in all thymocyte subpopulations including cortical CD1(hi), CD1(lo), and B cells. The CD1(hi) thymocyte proviral burden increased markedly after 56 days p.i., coincident with the presence of infiltrating inflammatory cells. Increased levels of provirus in the CD1(lo) thymocyte subpopulation were detected prior to 56 days p.i. This was likely due to inclusion of infected infiltrating inflammatory cells which could not be differentiated from mature, medullary thymocytes. Proviral levels in B cells also increased from 70 days p.i. Morphologic alterations, productive viral infection, and altered thymocyte subpopulations suggest that thymic function is compromised, thus contributing to the inability of FIV-infected cats to replenish the peripheral T-cell pool.


Asunto(s)
Enfermedades de los Gatos/virología , Virus de la Inmunodeficiencia Felina/patogenicidad , Infecciones por Lentivirus/patología , Timo/patología , Enfermedad Aguda , Animales , Antígenos CD/análisis , Gatos , ADN Viral/análisis , Inmunofenotipificación , Infecciones por Lentivirus/virología , Subgrupos Linfocitarios/inmunología , Provirus , Timo/inmunología , Timo/virología , Factores de Tiempo , Replicación Viral
10.
Vet Immunol Immunopathol ; 58(1): 1-16, 1997 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-9343335

RESUMEN

To carry out the characterization of feline Langerhans cells (LC), first described in 1994, we used a panel of monoclonal antibodies (MAb) known to react with human, canine and feline leukocyte membrane antigens (Ag). The immunolabeling was performed, at light microscope level, on frozen sections of feline skin and labial mucosa using an avidin-biotin-peroxidase technique, and at electron microscope level on epidermal cell suspensions using an immunogold technique. Out of the 52 MAb tested, six labeled basal or suprabasal DC cells in the frozen sections, either in epidermis or lip epithelium: MHM23 (anti-human CD18), CVS20 and vpg3 (respectively anti-canine and feline-major histocompatibility complex class II molecules), vpg5 (anti-feline leukocytes), vpg39 (anti-feline CD4) and Fel5F4 (anti-feline CD1a). These six MAb were used on suspensions, and labeled cells which showed no desmosomes or melanosomes, but contained 'zipper-like' structures similar to Birbeck granules (BG) in their cytoplasm, revealing they were LC. Consequently, feline LC are CD18-positive (CD18+), major histocompatibility complex class II-positive (Class II+), CD1a-positive (CD1a+), vpg5-positive (vg5+) and CD4-positive (CD4+). This immunophenotypic and ultrastructural characterization demonstrates that feline LC share many characteristics with their human counterparts, a fact that will allow us to study the role of feline LC in certain feline diseases such as Feline Immunodeficiency Virus (FIV) infection, since it has been shown that human LC cells are HIV-permissive, and to establish an animal model for human AIDS.


Asunto(s)
Gatos/anatomía & histología , Gatos/inmunología , Células de Langerhans/inmunología , Células de Langerhans/ultraestructura , Animales , Anticuerpos Monoclonales , Antígenos CD1/metabolismo , Antígenos CD18/metabolismo , Antígenos CD4/metabolismo , Separación Celular , Gránulos Citoplasmáticos/ultraestructura , Perros , Células Epidérmicas , Epidermis/inmunología , Secciones por Congelación , Antígenos de Histocompatibilidad Clase II/metabolismo , Humanos , Labio/citología , Labio/inmunología , Microscopía Inmunoelectrónica , Fenotipo
11.
Br J Dermatol ; 136(6): 961-5, 1997 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-9217837

RESUMEN

The densities of feline epidermal dendritic cells expressing CD18, MHC class II and CD1a antigens were determined for four anatomical locations in 19 cats of European breed in blind conditions. The densities (+/- SD) of CD1a+ Langerhans cells in the skin of the abdominal wall (269 +/- 68 cells/mm2), the back (363 +/- 19), the internal side of the ear (572 +/- 30) and the external side of the ear (502 +/- 32) were significantly different, with young and old animals displaying less stained cells than adults. No significant differences in the mean densities were found with regard to sex, colour or antibody used.


Asunto(s)
Envejecimiento/inmunología , Gatos/inmunología , Células Epidérmicas , Antígenos de Histocompatibilidad Clase I/análisis , Células de Langerhans/citología , Células de Langerhans/inmunología , Abdomen , Animales , Dorso , Recuento de Células , Oído Externo , Femenino , Inmunohistoquímica , Masculino
12.
Tissue Antigens ; 49(3 Pt 1): 244-51, 1997 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-9098931

RESUMEN

The characteristics of a feline homologue of CD1, defined by a murine monoclonal antibody, Fe1.5F4 (IgG1), are described. This antibody precipitated a 49 kDa protein from biotinylated feline thymocyte extract in conjunction with a 14 kDa protein, consistent with beta 2 microglobulin subunit. The tissue distribution of this antigen was restricted to cortical thymocytes and antigen presenting cells of the thymic medulla, epidermis (Langerhans cells), dermis and occasional dendritic cells in the mantle and periarteriolar lymphoid areas of the spleen. Although flow cytometry demonstrated a continuous distribution of antigen expression on thymocytes, antigen density was found to decrease with age, consistent with physiological thymic involution. Thymocytes with high density expression of this antigen were predominantly restricted to cells with dual expression of CD4 and CD8 as defined by feline specific murine monoclonal antibodies Fe1.7B12 (IgG1) and Fe1.10E9 (IgG1) respectively. The tissue distribution of this CD1 homologue indicates that it is a member of the classic thymic CD1 family. This feline homologue of CD1 was distinct from CD1c by virtue of its lack of expression in peripheral blood and splenic mantle zone B cells. An unequivocal distinction could not be made between CD1a and CD1b based on tissue distribution due to species variation in expression of these CD1 molecules. Although the biochemical characteristics of this feline CD1 homologue more closely match with CD1a. The pattern of tissue expression and biochemical characteristics of the feline CD1 antigen appear largely similar to those described for human and other species.


Asunto(s)
Anticuerpos Monoclonales/inmunología , Antígenos CD1/inmunología , Animales , Gatos , Diferenciación Celular , Ratones , Ratones Endogámicos BALB C , Pruebas de Precipitina , Linfocitos T/citología , Distribución Tisular
13.
Biochemistry ; 35(34): 11085-91, 1996 Aug 27.
Artículo en Inglés | MEDLINE | ID: mdl-8780511

RESUMEN

Monoamine oxidase (MAO) plays an essential role in the regulation of various neurotransmitter and xenobiotic amines. Inhibitors of MAO have been employed in the treatment of depression and as adjuncts in Parkinson's disease therapy. X-Band and Q-band electron paramagnetic resonance (EPR) and electron nuclear double resonance (ENDOR) spectroscopic techniques are employed to characterize a signal assigned as a stable red anionic semiquinone radical in the resting state of MAO B. It is shown that the radical signal is not affected during substrate (either benzylamine or phenylethylamine) turnover, by anaerobic incubation with substrate, or by covalent modification of the active site flavin cofactor in the catalytically active dimer. Upon denaturation, however, the semiquinone absorbances and EPR signals are lost. Photoreduction of the native enzyme in the presence of ethylenediaminetetraacetate generates an EPR signal that is not the same as that obtained in the resting state and shows different proton ENDOR signals. These results suggest that the two flavin prosthetic groups that exist in catalytically active monoamine oxidase B are physically distinct.


Asunto(s)
Flavina-Adenina Dinucleótido/análogos & derivados , Hígado/enzimología , Monoaminooxidasa/química , Animales , Benzoquinonas/química , Benzoquinonas/metabolismo , Bovinos , Óxidos N-Cíclicos , Espectroscopía de Resonancia por Spin del Electrón , Flavina-Adenina Dinucleótido/química , Flavinas/análisis , Modelos Químicos , Estructura Molecular , Monoaminooxidasa/metabolismo , Fotoquímica , Marcadores de Spin
14.
Biochem Biophys Res Commun ; 202(3): 1574-8, 1994 Aug 15.
Artículo en Inglés | MEDLINE | ID: mdl-8060341

RESUMEN

Catalytically active monoamine oxidase (MAO) is believed to exist as a dimer with each subunit containing a covalently attached flavin cofactor. Fluorescence spectroscopy performed on the resting state enzyme resulted in two separate fluorescence emissions at 480 nm and 530 nm with excitation maxima at lambda ex = 412 nm and lambda ex = 450 nm, respectively. Inactivation of MAO with pargyline resulted in concomitant loss of the absorbance at 450 nm without change in the 412 nm absorption; there also was a decrease in the emission intensity at 530 nm, while the emission at 480 nm remained unchanged. The 480 nm emission decreased and the 530 nm emission intensity increased, when the enzyme was heat denatured in the presence of NaDodSO4. From these results, it is clear that there are two different chromophores present in the resting state enzyme; the 530 nm chromophore is consistent with an oxidized flavin, while the 480 nm chromophore could be a flavin semiquinone.


Asunto(s)
Flavina-Adenina Dinucleótido/análogos & derivados , Flavinas/química , Monoaminooxidasa/química , Animales , Bovinos , Flavina-Adenina Dinucleótido/química , Hígado/enzimología , Inhibidores de la Monoaminooxidasa/farmacología , Oxidación-Reducción , Espectrometría de Fluorescencia
15.
J Vet Diagn Invest ; 5(3): 403-8, 1993 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-8373855

RESUMEN

A healthy dog developed signs of lethargy and vomiting after ingesting water from a tide pool containing blue-green algae. Fulminant hepatic failure occurred, and the dog was euthanized 52 hours later. At necropsy, the liver was large, friable, and discolored a dark red. Histopathology showed hepatocyte dissociation, degeneration, and necrosis. The alga was identified as Microcystis aeruginosa, a known hepatotoxin. The intraperitoneal administration of lyophilized cell material from the bloom caused hepatic necrosis in mice.


Asunto(s)
Toxinas Bacterianas/envenenamiento , Enfermedades de los Perros/etiología , Encefalopatía Hepática/veterinaria , Toxinas Marinas/envenenamiento , Microcystis , Animales , Enfermedades de los Perros/sangre , Enfermedades de los Perros/patología , Perros , Femenino , Encefalopatía Hepática/etiología , Encefalopatía Hepática/patología , Enfermedades Renales/etiología , Enfermedades Renales/veterinaria , Ratones , Péptidos Cíclicos/envenenamiento
16.
Can J Anaesth ; 38(5): 613-5, 1991 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-1934214

RESUMEN

A patient with marked thrombocytosis and leukocytosis associated with myelofibrosis was found to have spurious hyperkalaemia caused by in vitro cell lysis. Initial failure to recognize the cause of the hyperkalaemia led to an inappropriate and potentially harmful intervention in an effort to optimize the patient's preoperative status.


Asunto(s)
Hiperpotasemia/etiología , Leucocitosis/complicaciones , Trombocitosis/complicaciones , Anciano , Diagnóstico Diferencial , Femenino , Humanos
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