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1.
Public Health ; 222: 60-65, 2023 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-37517162

RESUMEN

OBJECTIVES: Physical punishment of children remains quite common and yet has only negative effects on children's health, making it an important public health problem. This study was designed to assess positive attitudes about and perceived normative support for the use of physical punishment with children, as well as attitudes regarding prohibition of physical punishment in homes and schools. STUDY DESIGN: This was a cross-sectional national survey of a diverse sample of US adults (N = 3049). METHODS: This survey, conducted in Fall 2020, assessed attitudes and perceived norms regarding physical punishment use using continuous measures as well as support and perceived support for policies prohibiting physical punishment in homes and schools in the United States. RESULTS: Respondents who had positive attitudes toward physical punishment (39%) and who perceived normative support for physical punishment (41%) were not in the majority. While 65% agreed that there should be a federal ban on physical punishment in public schools, only 18% perceived that most US adults would support such a ban. Persons who were older (aged ≥55 years), men, living in the southern United States, or who themselves were hit more frequently as children were significantly less likely than their counterparts to support a federal ban in schools. CONCLUSIONS: Based on a national sample, there is strong support for a federal ban on physical punishment in US schools; yet this normative belief is unrecognized. Social norms campaigns should capitalize on this pluralistic ignorance to increase mobilization toward policy reform and reduction of harm to children through bans of physical punishment in public schools.


Asunto(s)
Actitud , Castigo , Niño , Masculino , Adulto , Humanos , Estados Unidos , Estudios Transversales , Instituciones Académicas , Encuestas y Cuestionarios
2.
Health Educ Res ; 31(4): 563-75, 2016 08.
Artículo en Inglés | MEDLINE | ID: mdl-27312115

RESUMEN

This study employs a novel strategy for identifying points of resistance to education efforts aimed at reducing rates of child physical abuse and use of corporal punishment (CP). We analyzed online comments (n = 581) generated in response to media coverage of a study linking CP with increased child aggression. Most comments (71%) reflected approval of hitting children for disciplinary purposes. Reasons for this approval were rooted in beliefs linking the use of CP with positive or neutral outcomes such as: 'I was spanked and I am okay', spanking improves child behavior, spanking is more effective than other forms of discipline and spanking is not abuse. However, also linked with approval were more macro-ideological beliefs about society such as: today's generation is worse off than previous ones, outside interference with parenting is wrong, one cause leads to an outcome, justifications for hitting children rooted in religious doctrine, bad parents cannot control their children and children have too much power. Our results suggest a need to better translate and disseminate empirical findings regarding the negative effects of CP to the public in a way that is highly sensitive to parents' needs to feel in control and effective when parenting.


Asunto(s)
Cultura , Responsabilidad Parental/psicología , Castigo/psicología , Niño , Maltrato a los Niños/prevención & control , Maltrato a los Niños/psicología , Conducta Infantil/psicología , Crianza del Niño/psicología , Humanos , Relaciones Padres-Hijo
3.
Behav Res Ther ; 176: 104522, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38547724

RESUMEN

Individuals experiencing suicidal thoughts and behaviors (STBs) show less specificity and positivity during episodic future thinking (EFT). Here, we present findings from two studies aiming to (1) further our understanding of how STBs may relate to neural responsivity during EFT and (2) examine the feasibility of modulating EFT-related activation using real-time fMRI neurofeedback (rtfMRI-nf). Study 1 involved 30 individuals with major depressive disorder (MDD; half with STBs) who performed an EFT task during fMRI, for which they imagined personally-relevant future positive, negative, or neutral events. Positive EFT elicited greater ventromedial prefrontal cortex (vmPFC) activation compared to negative EFT. Importantly, the MDD + STB group exhibited reduced vmPFC activation across all EFT conditions compared to MDD-STB; although EFT fluency and subjective experience remained consistent across groups. Study 2 included rtfMRI-nf focused on vmPFC modulation during positive EFT for six participants with MDD + STBs. Results support the feasibility and acceptability of the rtfMRI-nf protocol and quantitative and qualitative observations are provided to help inform future, larger studies aiming to examine similar neurofeedback protocols. Results implicate vmPFC blunting as a promising treatment target for MDD + STBs and suggest rtfMRI-nf as one potential technique to explore for enhancing vmPFC engagement.


Asunto(s)
Trastorno Depresivo Mayor , Neurorretroalimentación , Humanos , Neurorretroalimentación/métodos , Ideación Suicida , Trastorno Depresivo Mayor/terapia , Corteza Prefrontal , Imagen por Resonancia Magnética
4.
Int J Numer Method Biomed Eng ; 39(9): e3746, 2023 09.
Artículo en Inglés | MEDLINE | ID: mdl-37459894

RESUMEN

Coronary computed tomography angiography (CCTA) does not allow the quantification of reduced blood flow due to coronary artery disease (CAD). In response, numerical methods based on the CCTA image have been developed to compute coronary blood flow and assess the impact of disease. However to compute blood flow in the coronary arteries, numerical methods require specification of boundary conditions that are difficult to estimate accurately in a patient-specific manner. We describe herein a new noninvasive flow estimation method, called Advection Diffusion Flow Estimation (ADFE), to compute coronary artery flow from CCTA to use as boundary conditions for numerical models of coronary blood flow. ADFE uses image contrast variation along the tree-like structure to estimate flow in each vessel. For validating this method we used patient specific software phantoms on which the transport of contrast was simulated. This controlled validation setting enables a direct comparison between estimated flow and actual flow and a detailed investigation of factors affecting accuracy. A total of 10 CCTA image data sets were processed to extract all necessary information for simulating contrast transport. A spectral element method solver was used for computing the ground truth simulations with high accuracy. On this data set, the ADFE method showed a high correlation coefficient of 0.998 between estimated flow and the ground truth flow together with an average relative error of only 1 % . Comparing the ADFE method with the best method currently available (TAFE) for image-based blood flow estimation, which showed a correlation coefficient of 0.752 and average error of 20 % , it can be concluded that the ADFE method has the potential to significantly improve the quantification of coronary artery blood flow derived from contrast gradients in CCTA images.


Asunto(s)
Enfermedad de la Arteria Coronaria , Estenosis Coronaria , Humanos , Angiografía Coronaria/métodos , Enfermedad de la Arteria Coronaria/diagnóstico por imagen , Angiografía por Tomografía Computarizada , Tomografía Computarizada por Rayos X , Vasos Coronarios/diagnóstico por imagen
5.
J Biomech Eng ; 133(11): 111006, 2011 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-22168738

RESUMEN

While many congenital heart defects can be treated without significant long term sequelae, some achieve successful palliation as their definitive endpoints. The single-ventricle defect is one such defect and leaves the child with only one operational ventricle, requiring the systemic and the pulmonary circulations to be placed in series through several operations performed during early childhood. Numerical simulations may be used to investigate these hemodynamic conditions and their relation to post-operative sequelae; however, they rely heavily on boundary condition prescription. In this study, we investigate the impact of hemodynamic input data uncertainties on simulation results. Imaged-based patient-specific models of the multi-branched pulmonary arteries and superior vena cava were built for five cavopulmonary connection (i.e. Glenn) patients. Magnetic resonance imaging and catheterization data were acquired for each patient prior to their Fontan surgery. Inflow and outflow boundary conditions were constructed to match available clinical data and resulted in the development of a framework to incorporate these types of clinical data into patient-specific simulations. Three-dimensional computational fluid dynamics simulations were run and hemodynamic indicators were computed. Power loss was low (and efficiency very high) and a linear correlation was found between power loss and cardiac index among the five patients. Other indicators such as low wall shear stress were considered to better characterize these patients. Flow was complex and oscillatory near the anastomosis, and laminar in the smaller branches. While common trends were seen among patients, results showed differences among patients, especially in the 3D maps, strengthening the importance of patient-specific simulations. A sensitivity analysis was performed to investigate the impact of input data (clinical and modeling) to construct boundary conditions on several indicators. Overall, the sensitivity of the output indicators to the input data was small but non-negligible. The sensitivity of commonly used hemodynamic indicators to compare patients is discussed in this context. Power efficiency was much more sensitive to pressure variation than power loss. To increase the precision of such indicators, mean flow split between right and left lungs needs to be measured with more accuracy with higher priority than refining the model of how the flow is distributed on average among the smaller branches. Although ± 10% flow split imprecision seemed reasonable in terms of patient comparison, this study suggests that the common practice of imposing a right pulmonary artery/left pulmonary artery flow split of 55%/45% when performing patient specific simulations should be avoided. This study constitutes a first step towards understanding the hemodynamic differences between pre- and post Fontan surgery, predicting these differences, and evaluating surgical outcomes based on preoperative data.


Asunto(s)
Procedimiento de Fontan/estadística & datos numéricos , Cardiopatías Congénitas/fisiopatología , Cardiopatías Congénitas/cirugía , Fenómenos Biomecánicos , Preescolar , Simulación por Computador , Cardiopatías Congénitas/patología , Hemodinámica , Humanos , Imagenología Tridimensional , Modelos Anatómicos , Modelos Cardiovasculares , Arteria Pulmonar/patología , Arteria Pulmonar/fisiopatología , Arteria Pulmonar/cirugía , Vena Cava Superior/patología , Vena Cava Superior/fisiopatología , Vena Cava Superior/cirugía
6.
Annu Rev Biomed Eng ; 11: 109-34, 2009.
Artículo en Inglés | MEDLINE | ID: mdl-19400706

RESUMEN

Advances in numerical methods and three-dimensional imaging techniques have enabled the quantification of cardiovascular mechanics in subject-specific anatomic and physiologic models. Patient-specific models are being used to guide cell culture and animal experiments and test hypotheses related to the role of biomechanical factors in vascular diseases. Furthermore, biomechanical models based on noninvasive medical imaging could provide invaluable data on the in vivo service environment where cardiovascular devices are employed and on the effect of the devices on physiologic function. Finally, patient-specific modeling has enabled an entirely new application of cardiovascular mechanics, namely predicting outcomes of alternate therapeutic interventions for individual patients. We review methods to create anatomic and physiologic models, obtain properties, assign boundary conditions, and solve the equations governing blood flow and vessel wall dynamics. Applications of patient-specific models of cardiovascular mechanics are presented, followed by a discussion of the challenges and opportunities that lie ahead.


Asunto(s)
Fenómenos Biomecánicos , Sistema Cardiovascular , Algoritmos , Animales , Velocidad del Flujo Sanguíneo , Simulación por Computador , Hemodinámica/fisiología , Humanos , Imagenología Tridimensional/métodos , Angiografía por Resonancia Magnética/métodos , Modelos Biológicos , Modelos Teóricos , Tomografía Computarizada por Rayos X/métodos
7.
Comput Methods Appl Mech Eng ; 198(45-46): 3514-3523, 2009 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-20161129

RESUMEN

The vasculature consists of a complex network of vessels ranging from large arteries to arterioles, capillaries, venules, and veins. This network is vital for the supply of oxygen and nutrients to tissues and the removal of carbon dioxide and waste products from tissues. Because of its primary role as a pressure-driven chemomechanical transport system, it should not be surprising that mechanics plays a vital role in the development and maintenance of the normal vasculature as well as in the progression and treatment of vascular disease. This review highlights some past successes of vascular biomechanics, but emphasizes the need for research that synthesizes complementary advances in molecular biology, biomechanics, medical imaging, computational methods, and computing power for purposes of increasing our understanding of vascular physiology and pathophysiology as well as improving the design of medical devices and clinical interventions, including surgical procedures. That is, computational mechanics has great promise to contribute to the continued improvement of vascular health.

8.
J Nutr Health Aging ; 23(4): 338-347, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-30932132

RESUMEN

OBJECTIVE: To investigate protein intakes across demographic characteristics in relation to dietary patterns and functional outcomes in older adults. DESIGN: Observational and cross-sectional study. SETTING: Non-institutionalized participants from the 2005-2014 National Health and Nutrition Examination Survey. PARTICIPANTS: Data from 11,680 adults were categorized into 51-60 years (n= 4,016), 61-70 years (n=3,854), and 71 years and older (n=3,810) for analysis. MEASUREMENTS: Adults were stratified by meeting or not meeting the protein recommendation (0.8 g/kg/d) to compare demographics, diet quality with Healthy Eating Index-2015, functional limitations, and other dietary intakes. Dietary recalls were collected using the multiple pass method. Data analyses were weighted to create a nationally-representative sample. RESULTS: Dietary protein intakes were significantly lower in older age groups, with up to 46% of the oldest adults not meeting the protein intake recommendation. Participants consuming protein below the recommended intake level had significantly poorer diet quality across all age groups (P<0.01), however, overall diet quality was better in older adults. Those not meeting the protein recommendation were more likely to have intakes of other nutrients below recommended levels. Those below the protein recommendation had significantly more functional limitations across all age groups, while grip strength was significantly lower in those over 70 years old. CONCLUSION: Lower protein intakes, and lower diet quality and physical functioning are related in an aging population. Meeting the protein recommendation was linked to better overall diet quality and may be protective of lean mass; therefore, evaluation of individual characteristics which may affect protein intakes is crucial in supporting older adults to meet their protein needs.


Asunto(s)
Dieta , Proteínas en la Dieta/análisis , Estado Nutricional/fisiología , Rendimiento Físico Funcional , Anciano , Envejecimiento , Estudios Transversales , Dieta Saludable , Femenino , Fuerza de la Mano/fisiología , Humanos , Masculino , Persona de Mediana Edad , Nutrientes , Encuestas Nutricionales
9.
J Cardiovasc Comput Tomogr ; 13(4): 179-187, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31302027

RESUMEN

BACKGROUND: A diminished coronary lumen volume to left ventricle mass ratio (V/M) derived from coronary computed tomography angiography (CCTA) has been proposed as factor contributing to impaired myocardial blood flow (MBF) even in the absence of obstructive disease on invasive coronary angiography (ICA). METHODS: Patients underwent CCTA, and positron emission tomography (PET) prior to ICA. Matched global V/M, global, and vessel specific hyperaemic MBF (hMBF), coronary flow reserve (CFR), and, FFR were available for 431 vessels in 152 patients. The median V/M (20.71 mm3/g) was used to divide the population into patients with either a low V/M or a high V/M. RESULTS: Overall, a higher percentage of vessels with an abnormal hMBF and FFR (34% vs. 19%, p = 0.009 and 20% vs. 9%, p = 0.004), as well as a lower FFR (0.93 [interquartile range: 0.85-0.97] vs. 0.95 [0.89-0.98], p = 0.016) values were observed in the low V/M group. V/M was weakly associated with vessel specific hMBF (R = 0.148, p = 0.027), and FFR (R = 0.156, p < 0.001). Among vessels with non-obstructive CAD on ICA (361 vessels), no association between V/M and vessel specific hMBF nor CFR was noted. However, in the absence of obstructive CAD, V/M was associated with (R = 0.081, p = 0.027), and independently predictive for FFR (p = 0.047). CONCLUSION: Overall, an abnormal vessel specific hMBF and FFR were more prevalent in patients with a low V/M compared to those with a high V/M. Furthermore, V/M was weakly associated with vessel specific hMBF and FFR. In the absence of obstructive CAD on ICA, V/M was weakly associated with notwithstanding independently predictive for FFR.


Asunto(s)
Angiografía por Tomografía Computarizada , Angiografía Coronaria/métodos , Enfermedad de la Arteria Coronaria/diagnóstico por imagen , Vasos Coronarios/diagnóstico por imagen , Reserva del Flujo Fraccional Miocárdico , Ventrículos Cardíacos/diagnóstico por imagen , Anciano , Ensayos Clínicos como Asunto , Enfermedad de la Arteria Coronaria/fisiopatología , Vasos Coronarios/fisiopatología , Femenino , Ventrículos Cardíacos/fisiopatología , Humanos , Masculino , Persona de Mediana Edad , Valor Predictivo de las Pruebas
10.
Clin Exp Immunol ; 151(2): 284-96, 2008 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-18005260

RESUMEN

Adoptive immunotherapy with in vitro expanded antigen-specific cytotoxic T lymphocytes (CTLs) may be an effective approach to prevent, or even treat, Aspergillus (Asp) infections. Such lines can be generated using monocyte-derived dendritic cells (DC) as antigen-presenting cells (APC) but requires a relatively high volume of starting blood. Here we describe a method that generates Asp-specific CTL responses more efficiently using a protocol of antigen presented on DC followed by Epstein-Barr virus (EBV)-transformed B lymphoblastoid cell lines (BLCL) as APC. Peripheral blood mononuclear cells were stimulated weekly (2-5x) with a complete pool of pentadecapeptides (PPC) spanning the coding region of Asp f16 pulsed onto autologous mature DC. Cultures were split and stimulated subsequently with either PPC-DC or autologous PPC-pulsed BLCL (PPC-BLCL). Lines from the DC/BLCL arm demonstrated Asp f16-specific cytotoxicity earlier and to a higher degree than lines generated with PPC-DC alone. The DC/BLCL-primed lines showed a higher frequency of Asp f16-specific interferon (IFN)-gamma producing cells but an identical effector cell phenotype and peptide specificity compared to PPC-DC-only-primed lines. Tumour necrosis factor (TNF)-alpha, but not IL-10, appeared to play a role in the effectiveness of BLCL as APC. These results demonstrate that BLCL serve as highly effective APC for the stimulation of Asp f16-specific T cell responses and that a culture approach using initial priming with PPC-DC followed by PPC-BLCL may be a more effective method to generate Asp f16-specific T cell lines and requires less starting blood than priming with PPC-DC alone.


Asunto(s)
Alérgenos/inmunología , Presentación de Antígeno/inmunología , Linfocitos B/inmunología , Células Dendríticas/inmunología , Linfocitos T Citotóxicos/inmunología , Células Presentadoras de Antígenos/inmunología , Antígenos Fúngicos/inmunología , Antígenos de Plantas , Aspergillus/crecimiento & desarrollo , Aspergillus/inmunología , Línea Celular , Transformación Celular Viral , Células Cultivadas , Citotoxicidad Inmunológica , Epítopos de Linfocito T/inmunología , Proteínas Fúngicas , Herpesvirus Humano 4 , Humanos , Hifa/crecimiento & desarrollo , Hifa/inmunología , Inmunofenotipificación , Interferón gamma/biosíntesis , Interleucina-10/inmunología , Factor de Necrosis Tumoral alfa/inmunología
11.
Rural Remote Health ; 8(2): 932, 2008.
Artículo en Inglés | MEDLINE | ID: mdl-18503293

RESUMEN

INTRODUCTION: Rates of overweight among US children have been rising over the past three decades. Changes in lifestyle behaviors, including dietary and physical activity habits, have been examined thoroughly to identify correlates of weight status in children. Youth in rural US Appalachia are at a disproportionately greater risk for obesity and related health complications. Inadequate physical activity and poor dietary habits are two primary causes of obesity that have been noted in West Virginia adolescents. Few existing data describes the decisional balance in performing lifestyle behaviors, nor the perceptions of these youth regarding their beliefs about weight. The purpose of this study was to identify the perceptions of a healthy weight in rural Appalachian adolescents. METHODS: Ninth grade students were recruited from classroom presentations in four high schools throughout West Virginia. Interested parent-caregiver pairs returned forms to indicate interest in participation. Separate focus group interviews were conducted concurrently with adolescent and parents or caregivers to identify the cultural perceptions of a healthy weight. Questions were developed using grounded theory to explore how a healthy weight was defined, what factors dictate body weight, the perceived severity of the obesity issue, and the social or health ramifications of the condition. Verbatim transcripts were analyzed to identify dominant themes, and content analysis provided text segments to describe the themes. This article describes the data obtained from the adolescent focus groups. RESULTS: When asked what defined a healthy weight, the adolescents who participated in the focus groups placed great value on physical appearance and social acceptability. Students believed there was a particular number, either an absolute weight or body mass index value that determined a healthy weight. These numbers were usually conveyed by a physician; however, there was also a general acceptance of being 'thick' or a reliance on 'feeling healthy' as a determinant of maintaining a healthy weight. Despite these beliefs, many teens had unrealistic and unhealthy perceptions of weight. Female participants were more concerned with weight than males, some to the point of obsession. Both males and females expressed a social stigma associated with overweight. Issues of guilt and diminished self-esteem were prevalent. When asked about the extensiveness of the problem of childhood overweight, the students indicated that a degree of familiarity with being overweight has developed and 'you just get used to [seeing] it.' Because of the rising rates of chronic disease in this region, a fear was evident in these youth about the increased risk of developing these conditions in those who are overweight. Experiences with family members with diabetes and cardiovascular disease fueled these concerns, which instilled a fear of becoming overweight in many of the students. Many perceptions of healthy weight and appropriate body size were shaped by the media and entertainment industry. Additionally, some participants admitted to performing unsafe practices to reduce body mass, such as very low calorie diets or fasting. CONCLUSIONS: Youth in rural Appalachia present similar perceptions about weight as other children; however, differences in perceived healthy lifestyle habits and a general acceptance of a higher average body weight present additional challenges to addressing the increasing problem of child overweight. Despite the relative isolation of many of these communities, the media has a profound impact on weight valuation that has been intertwined with school-based health education and cultural values of health. These data will provide valuable information for the development of obesity prevention programs in rural Appalachia.


Asunto(s)
Conducta del Adolescente/psicología , Imagen Corporal , Conocimientos, Actitudes y Práctica en Salud , Estado de Salud , Percepción Social , Estudiantes/estadística & datos numéricos , Adolescente , Región de los Apalaches , Índice de Masa Corporal , Peso Corporal , Características Culturales , Femenino , Grupos Focales , Humanos , Estilo de Vida , Masculino , Obesidad/epidemiología , Autoimagen , West Virginia/epidemiología
12.
J Colloid Interface Sci ; 314(2): 531-9, 2007 Oct 15.
Artículo en Inglés | MEDLINE | ID: mdl-17618637

RESUMEN

Amphoteric, inorganic particles used as pigments and extenders in dried coatings are not completely inert, particularly when exposed to acidity similar to atmospheric pollution, or when in a water-borne paint suspension at alkaline pH. Changes to these materials may harm the integrity of the dried coating and thus its performance during weathering or affect the colloidal stability during storage within liquid paint. The effect on aqueous titanium dioxide pigment suspensions was examined under various pH conditions. A substantial amount of aluminum was dissolved, but little silicon or titanium. Dissolution occurred at both acid and alkali pH leaving a different balance of hydrated alumina phases and overall surface composition. Changes in particle surface were apparent in topography, colloidal properties and by thermogravimetry. Such changes show that other, more complicated, changes may be possible, particularly in an aqueous paint medium where there are many other ingredients in solution or suspension.

13.
Bone Marrow Transplant ; 37(2): 135-41, 2006 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-16273115

RESUMEN

Children with Philadelphia chromosome positive (Ph+) acute lymphocytic leukemia (ALL) have only a 20% event-free survival when treated with chemotherapy alone. Bone marrow transplant (BMT) for patients with matched siblings has been associated with significantly better long-term survival. We asked whether children who lack a matched sibling donor would do as well if an alternative donor was utilized. Between 1987 and 2002, we transplanted 29 children and adolescents using either an unrelated donor (23) or a mismatched family member (six). The conditioning regimen included cytosine-arabinoside, cyclophosphamide and total body irradiation. Graft-versus-host disease (GVHD) prophylaxis consisted of T-cell depletion (antibody T10B9 or OKT3 and complement) with post transplant cyclosporine (CSA). All patients engrafted. Four developed grades III-IV acute GVHD. Three of 24 evaluable patients developed extensive chronic GVHD. Two patients died of relapse (7%). Two long-term survivors (>6 years) died of malignant glioblastoma multiforme. Event-free survival at 3, 5, and 10 years is 56, 51, and 46%, respectively. Five of six patients in >CR2 or relapse at the time of transplant died. Our data should encourage the use of alternative donor transplants early in the course of disease for children with Ph+ ALL.


Asunto(s)
Trasplante de Médula Ósea , Selección de Donante , Leucemia-Linfoma Linfoblástico de Células Precursoras/terapia , Acondicionamiento Pretrasplante , Adolescente , Adulto , Trasplante de Médula Ósea/efectos adversos , Trasplante de Médula Ósea/métodos , Trasplante de Médula Ósea/mortalidad , Niño , Preescolar , Ciclofosfamida/administración & dosificación , Citarabina/administración & dosificación , Supervivencia sin Enfermedad , Selección de Donante/métodos , Femenino , Glioblastoma/mortalidad , Enfermedad Injerto contra Huésped/etiología , Enfermedad Injerto contra Huésped/prevención & control , Humanos , Inmunosupresores/administración & dosificación , Depleción Linfocítica/métodos , Depleción Linfocítica/mortalidad , Masculino , Neoplasias Primarias Secundarias/mortalidad , Leucemia-Linfoma Linfoblástico de Células Precursoras/complicaciones , Leucemia-Linfoma Linfoblástico de Células Precursoras/mortalidad , Pronóstico , Recurrencia , Estudios Retrospectivos , Acondicionamiento Pretrasplante/métodos , Irradiación Corporal Total/efectos adversos , Irradiación Corporal Total/métodos , Irradiación Corporal Total/mortalidad
14.
Pharmacol Ther ; 38(2): 169-200, 1988.
Artículo en Inglés | MEDLINE | ID: mdl-3054938

RESUMEN

Induced hypothermia is an interesting and useful adjunct to therapy in many areas of surgery and medicine. To paraphrase Professor Swan (1973), clinical hypothermia 'has a past and some promise for the future'.


Asunto(s)
Hipotermia Inducida , Humanos , Procedimientos Quirúrgicos Operativos
15.
Bone Marrow Transplant ; 35(11): 1049-54, 2005 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-15821762

RESUMEN

We performed real-time quantitative polymerase chain reaction (RQ-PCR) in peripheral blood (PB) and/or bone marrow (BM) samples collected pre- and post transplant from 23 recipient-donor pairs receiving allogeneic stem cell transplantation (allo-SCT) for follicular lymphoma (FL). Of 23 donors, 11 had a PB and/or BM sample positive for t(14;18) (BCL2/IGH fusion) at low levels (

Asunto(s)
Cromosomas Humanos Par 14/ultraestructura , Cromosomas Humanos Par 18/ultraestructura , Linfoma Folicular/terapia , Trasplante de Células Madre/métodos , Translocación Genética , Adulto , Células de la Médula Ósea/citología , Supervivencia sin Enfermedad , Femenino , Enfermedad Injerto contra Huésped , Humanos , Linfoma Folicular/mortalidad , Masculino , Persona de Mediana Edad , Recurrencia , Estudios Retrospectivos , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Factores de Tiempo , Donantes de Tejidos , Trasplante Homólogo/métodos , Resultado del Tratamiento
16.
Comput Methods Biomech Biomed Engin ; 8(5): 295-305, 2005 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-16298851

RESUMEN

In this study, we present an adaptive anisotropic finite element method (FEM) and demonstrate how computational efficiency can be increased when applying the method to the simulation of blood flow in the cardiovascular system. We use the SUPG formulation for the transient 3D incompressible Navier-Stokes equations which are discretised by linear finite elements for both the pressure and the velocity field. Given the pulsatile nature of the flow in blood vessels we have pursued adaptivity based on the average flow over a cardiac cycle. Error indicators are derived to define an anisotropic mesh metric field. Mesh modification algorithms are used to anisotropically adapt the mesh according to the desired size field. We demonstrate the efficiency of the method by first applying it to pulsatile flow in a straight cylindrical vessel and then to a porcine aorta with a stenosis bypassed by a graft. We demonstrate that the use of an anisotropic adaptive FEM can result in an order of magnitude reduction in computing time with no loss of accuracy compared to analyses obtained with uniform meshes.


Asunto(s)
Arterias/fisiología , Velocidad del Flujo Sanguíneo/fisiología , Presión Sanguínea/fisiología , Hemorreología/métodos , Modelos Cardiovasculares , Flujo Pulsátil/fisiología , Adaptación Fisiológica/fisiología , Animales , Anisotropía , Simulación por Computador , Elasticidad , Análisis de Elementos Finitos , Humanos , Viscosidad
17.
Eur J Cell Biol ; 39(1): 97-104, 1985 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-3936713

RESUMEN

The localization of the protein-disulfide interchange enzyme, glutathione-insulin transhydrogenase (GIT), in rat and mouse pancreas was studied by protein A-gold immunocytochemistry, immunodiffusion, and assay of enzymatic activity. Immunocytochemistry on tissue sections using antibody to GIT and protein A-gold complex indicated the presence of GIT in alpha and beta cells in islets as well as acinar cells. The beta cells in obese (ob/ob) hyperinsulinemic mice showed increased GIT immunoreactivity. In both alpha and beta cells, GIT immunoreactive sites were associated predominantly with secretory granules. In pancreas from rats injected with glibenclamide, the degranulated beta cells contained GIT immunoreactive sites on the cisternal surface of the rough endoplasmic reticulum (RER). In acinar cells, the RER, Golgi elements, condensing vacuoles, and zymogen granules possessed GIT immunoreactive sites as did mitochondria. Immunocytochemistry on sections of isolated subcellular fractions showed that GIT was associated with different membranes. The enzymatic activity of GIT was found in the following order: Golgi elements greater than mitochondria greater than microsomes greater than zymogen granules greater than cytosol. In Ouchterlony immunodiffusion tests, each subcellular fraction showed a precipitin band which was continuous with that of purified GIT, a result indicating the presence of immunologically identical GIT in all fractions.


Asunto(s)
Oxidorreductasas/análisis , Páncreas/enzimología , Proteína Disulfuro Reductasa (Glutatión)/análisis , Animales , Gránulos Citoplasmáticos/enzimología , Gránulos Citoplasmáticos/ultraestructura , Femenino , Oro , Histocitoquímica , Inmunodifusión , Masculino , Ratones , Ratones Endogámicos C57BL , Ratones Obesos , Páncreas/ultraestructura , Proteína Disulfuro Reductasa (Glutatión)/inmunología , Proteína Disulfuro Reductasa (Glutatión)/metabolismo , Ratas , Ratas Endogámicas , Proteína Estafilocócica A , Fracciones Subcelulares/enzimología , Fracciones Subcelulares/ultraestructura , Tiamina Pirofosfatasa/metabolismo
18.
J Invest Dermatol ; 110(5): 824-7, 1998 May.
Artículo en Inglés | MEDLINE | ID: mdl-9579553

RESUMEN

The effects of low dose ultraviolet (UV) radiation on delayed type hypersensitivity responses to tuberculin purified protein derivative were investigated in 17 healthy, Mantoux-positive volunteers. Suberythemal and erythemal doses of solar simulated UV from a fluorescent lamp source were delivered to the subjects' lower backs daily for five consecutive days. Mantoux testing with intradermally injected purified protein derivative was then performed at both the irradiated sites and an adjacent, unirradiated site, and the Mantoux induced erythema was quantitated 72 h later with a reflectance erythema meter. In comparison with the unirradiated Mantoux sites, Mantoux induced erythema was significantly reduced at the irradiated test sites. In six subjects, we compared the effects of chronic versus short term UV irradiation on the Mantoux reaction. These volunteers were irradiated on one side of their lower backs with the 5 d UV protocol, and on the other side of their backs for 4 or 5 wk. In all but one subject, the short irradiation protocol induced greater suppression of Mantoux responses than prolonged UV exposure. We conclude that even suberythemal doses of UV significantly reduce delayed type hypersensitivity responses to purified protein derivative, and that an adaptive mechanism appears to counteract the immunosuppressive effects of chronic irradiation.


Asunto(s)
Hipersensibilidad Tardía/inmunología , Tolerancia Inmunológica , Tuberculina/inmunología , Rayos Ultravioleta , Adulto , Relación Dosis-Respuesta a Droga , Humanos , Inyecciones Intradérmicas , Persona de Mediana Edad , Piel/inmunología , Piel/efectos de la radiación , Factores de Tiempo , Prueba de Tuberculina
19.
Endocrinology ; 111(4): 1270-7, 1982 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-6889490

RESUMEN

Photoaffinity-labeled androgen-binding protein (ABP), present in cytosol prepared from the caput epididymidis of intact sexually mature rabbits, was produced using 17 beta-hydroxy-[1,2-3H]4,6-androstadien-3-one (delta 6-testosterone). Photo-labeled ABP could not be distinguished from unlabeled ABP by gel filtration chromatography, electrophoresis on nondenaturing polyacrylamide gels, or sucrose gradient ultracentrifugation. Rabbit ABP was found to have a sedimentation coefficient of 4.6S and a Stokes radium of approximately 45A. Based on these parameters, its native molecular weight was calculated to be approximately 86,300. A model of ABP as a prolate ellipsoid having an axial ratio of 10 is consistent with its frictional ratio of 1.555. When photolabeled rabbit ABP was examined on polyacrylamide gels containing sodium dodecyl sulfate, two androgen-specific peaks of approximately 52,000 and approximately 48,000 daltons were detected. Both peaks contained approximately the same amount of radioactivity. When photolabeled ABP was treated with the cross-linking reagent disuccinimidyl suberate before electrophoresis on gels containing sodium dodecyl sulfate, an additional androgen-specific peak corresponding to approximately 100,000 daltons was obtained. We interpret this peak to represent dimers of the lower molecular weight species. The 52,000- and 48,000-dalton subunits were observed regardless of whether the proteins were treated with 2-mercaptoethanol, indicating that the monomers are not linked by disulfide bonds.


Asunto(s)
Proteína de Unión a Andrógenos , Proteínas Portadoras , Testosterona/análogos & derivados , Marcadores de Afinidad , Animales , Centrifugación por Gradiente de Densidad , Fenómenos Químicos , Química Física , Cromatografía en Gel , Reactivos de Enlaces Cruzados , Electroforesis en Gel de Poliacrilamida , Epidídimo/análisis , Sustancias Macromoleculares , Masculino , Fotólisis , Conejos
20.
Endocrinology ; 111(4): 1278-85, 1982 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-6889491

RESUMEN

Photolabeled testosterone-binding globulin (TeBG), obtained from the plasma of sexually immature male rabbits, was produced using 17 beta-hydroxy-[1,2-3H]4,6-androstadien-3-one. Photolabeled TeBG could not be distinguished from unlabeled TeBG by gel filtration chromatography, electrophoresis on nondenaturing gels, or sucrose gradient ultracentrifugation. Rabbit TeBG had a Stokes radius of approximately 45 A and a sedimentation coefficient of approximately 4.6S. Based on these parameters, its native molecular weight was calculated to be approximately 78,000. The frictional ratio of rabbit TeBG was found to be approximately 1.6. When photolabeled TeBG was examined on polyacrylamide gels containing sodium dodecyl sulfate, a single androgen-specific peak of approximately 40,000 daltons was obtained. When photolabeled TeBG was treated with the cross-linking reagent disuccinimidyl suberate before electrophoresis on sodium dodecyl sulfate gels, an additional androgen-specific peak of radioactivity corresponding to approximately 100,000 daltons was obtained. We interpret this peak to represent oligomers of the TeBG subunits. The 40,000-dalton subunit was obtained regardless of whether the proteins were treated with 2-mercaptoethanol, indicating that the monomers are not linked by disulfide bonds.


Asunto(s)
Globulina de Unión a Hormona Sexual , Testosterona/análogos & derivados , Marcadores de Afinidad , Animales , Centrifugación por Gradiente de Densidad , Fenómenos Químicos , Química Física , Cromatografía en Gel , Reactivos de Enlaces Cruzados , Electroforesis en Gel de Poliacrilamida , Sustancias Macromoleculares , Masculino , Fotólisis , Conejos
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