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1.
Int J Phytoremediation ; 25(4): 483-492, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-35786062

RESUMEN

In this paper, aboveground biomass and basic nutrients removal, nitrogen (N) and phosphorus (P), was analyzed by the use of reed as the main component of Constructed Wetland System (CWS) "Glozan". In almost ideal conditions of temperate continental climate, with favorable substrate humidity, due to the constant inflow of municipal wastewater, reed populations reach a high density, on average 217 ind/m2. The reed produces significant aboveground biomass, fresh weight (FW) of 144.21 g/plant and dry weight (DW) of 77.04 g/plant, with the largest share being per tree (87.49 g FW/plant, 48.17 g DW/plant), then leaf (49.45 g FW/plant, 24.89 g DW/plant) and the smallest inflorescence (7.27 g FW/plant, 3.99 g DW/plant). The results obtained in this way indicate that the largest amount of nitrogen was removed by leaves, then by stems and, the smallest by inflorescences, 181.07 g/m2, 97.73 g/m2, 23.41 g/m2, respectively. Thus, an average of 302.21 g/m2 of nitrogen was removed by the entire aboveground part of the reed. Also, the largest amount of phosphorus was removed by leaves, then by stems, and the smallest by inflorescences, 5.72 g/m2, 4.82 g/m2 and 2.57 g/m2, respectively, while the entire aboveground part of the reed is on average about 13.11 g/m2.


The contribution of this paper is reflected in the obtained results for population density, reed biomass, and reed efficiency in the process of accumulation and removal of nitrogen and phosphorus as the main factors of accelerated eutrophication of aquatic ecosystems, the recipients of municipal wastewater. These results are significant because there is not enough data concerning this topic in the temperate continental climate of Southeast Europe. In addition to this, Constructed Wetland System is the first system of this kind, developed in our country that has been functioning for past 18 years. Due to this, the results are encouraging the application of CWS for a large number of smaller settlements in Southeast Europe as well as in other similar areas. Also, the results obtained in this paper can be useful to all those who are committed to the environmental approach and are engaged in research related to the use of reed in the process of municipal wastewater treatment.


Asunto(s)
Nitrógeno , Humedales , Biomasa , Nitrógeno/análisis , Fósforo , Eliminación de Residuos Líquidos/métodos , Biodegradación Ambiental , Poaceae
2.
Mol Plant Microbe Interact ; 32(2): 208-216, 2019 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-30070615

RESUMEN

Symbiotic nitrogen fixation between legumes and rhizobia involves a coordinated expression of many plant and bacterial genes as well as finely tuned metabolic activities of micro- and macrosymbionts. In spite of such complex interactions, symbiotic proficiency remains a resilient process, with host plants apparently capable of compensating for some deficiencies in rhizobia. What controls nodule homeostasis is still poorly understood and probably varies between plant species. In this respect, the promiscuous Sinorhizobium (Ensifer) fredii strain NGR234 has become a model to assess the relative contribution of single gene products to many symbioses. Here, we describe how a deletion in nifQ of NGR234 (strain NGRΔnifQ) makes nodules of Vigna unguiculata, V. radiata, and Macroptilium atropurpureum but not of the mimisoid tree Leucaena leucocephala, purple-red. This peculiar dark-nodule phenotype did not necessarily correlate with a decreased proficiency of NGRΔnifQ but coincided with a 20-fold or more accumulation of coproporphyrin III and uroporphyrin III in V. unguiculata nodules. Porphyrin accumulation was not restricted to plant cells infected with bacteroids but also extended to the nodule cortex. Nodule metal-homeostasis was altered but not sufficiently to prevent assembly and functioning of nitrogenase. Although the role of NifQ in donating molybdenum during assembly of nitrogenase cofactor FeMo-co makes it essential in free-living diazotrophs, our results highlight the dispensability of NifQ in many legume species.


Asunto(s)
Proteínas Bacterianas , Metales , Nitrógeno , Porfirinas , Simbiosis , Proteínas Bacterianas/genética , Proteínas Bacterianas/metabolismo , Homeostasis , Metales/metabolismo , Nitrógeno/metabolismo , Fijación del Nitrógeno , Porfirinas/metabolismo
3.
Children (Basel) ; 11(4)2024 Apr 05.
Artículo en Inglés | MEDLINE | ID: mdl-38671653

RESUMEN

(1) Background: The influence of different factors on balance in adolescence is assessed by conducting functional balance tests that examine its different components. (2) Materials and methods: The study sample comprised 110 healthy adolescents of both sexes, aged 12-18 years. Single Leg Stance with Eyes Open (SLS-EO) and Eyes Closed (SLS-EC) tests were conducted to evaluate static balance, whereas the Functional Reach Test (FRT) and Lateral Reach Test (LRT) were performed to establish functional stability limits. The influence of sex, age, demographic factors, anthropometric characteristics, participation in sports activities, and trunk extensor muscle endurance (Biering-Sorensen test) on balance performance was determined through correlational and univariate linear regression analyses. (3) Results: Older age (Beta [ß] = 0.247; 95% CI [0.75, 5.20]; p < 0.01) and better trunk extensor muscle endurance (ß = 0.224; 95% CI [0.015, 0.13]; p < 0.05) were significant predictors of the SLS-EO results, while younger age (ß = -0.219; 95% CI [-1.32, -0.11]; p < 0.05) and higher muscle percentage (ß = 0.237; 95% CI [0.06, 0.48]; p < 0.05) emerged as significant predictors of LRT performance, and greater bone mass was a significant predictor of FRT results (ß = 0.444; 95% CI [3.62, 8.17]; p < 0.01). However, none of the independent variables was a statistically significant predictor of the SLS-EC results. (4) Conclusions: The current study found that age, trunk extensor muscle endurance, muscle percentage, and bone mass are significant predictors of different balance components, suggesting that balance is task-specific.

4.
Nanomaterials (Basel) ; 12(23)2022 Nov 25.
Artículo en Inglés | MEDLINE | ID: mdl-36500821

RESUMEN

Environmental pollution is an emerging global issue. Heterogenous photocatalytic degradation, which belongs to the advanced oxidation processes, is a promising sustainable technique for the removal of harmful pollutants (e.g., pharmaceuticals) from natural resources (surface and underground waters), as well as wastewaters. In our study, we examined the efficiency of photocatalytic degradation (with TiO2 and ZnO as photocatalysts) of tolperisone hydrochloride (TLP) and the effect of TLP and its degradation intermediates on germination, photosynthetic capacity, and biomass production of wheat. According to the UFLC-DAD and LC-ESI-MS results, we found that the complete degradation of TLP can be reached after 60.83 min of UV irradiation using TiO2 as a photocatalyst. Furthermore, we determined that germination, biomass production, and chlorophyll b (Chl b) were not related to the percentage of TLP after irradiation. Chlorophyll a (Chl a) (r = -0.61, p ≤ 0.05), Chl a+b (r = -0.56, p ≤ 0.05), and carotenoid (car) (r = -0.57, p ≤ 0.05) were strongly inversely (negatively) correlated with TLP, while Chl a+b/car (r = 0.36, p ≤ 0.05) was moderately (positively) related.

5.
Biol Futur ; 72(4): 453-459, 2021 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-34554488

RESUMEN

The presence of excessive salts in the soil and irrigation water can change the growth and affect the metabolic functions of plants. Coriander (Coriandrum sativum L.) is often cultivated in arid and semiarid areas where irrigation with low-quality water and uneven distribution of rainfall may contribute to the accumulation of salts in the substrate. In the present study, coriander plants were cultivated in half-strength Hoagland nutrient solution containing 0.2, 0.6 and 1.2 g NaCl L-1 to assess the effect of low concentrations of NaCl on biomass production and mineral nutrients accumulation (Ca, K, Mg, Na, P). The presence of 0.2, 0.6 and 1.2 g NaCl L-1 slightly stimulated biomass production. The concentration of Na increased in coriander tissues (up to 4 times relative to control). However, concentration of K and Ca in leaves of plants treated with 1.2 g NaCl L-1 was decreased with respect to control. Based on the findings, even though biomass of coriander, under applied NaCl concentrations, was slightly increased, the chemical composition of its vegetative organs was severely disrupted by present salt which is very important for the quality of coriander as a popular herb or spice plant.


Asunto(s)
Biomasa , Coriandrum/crecimiento & desarrollo , Minerales/análisis , Cloruro de Sodio/efectos adversos , Coriandrum/fisiología , Cloruro de Sodio/metabolismo
6.
Plant Physiol Biochem ; 167: 132-139, 2021 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-34352516

RESUMEN

Imidazolium-based ionic liquids (ILs) have unique and tunable features with high potential in industrial use. However, the utilization of the ILs in industrial processes has recently arisen the question of their disposal and the effect on the environment. Therefore, in the present study, we investigated the effect of two commercial imidazolium-based ILs, 1-butyl-3-methylimidazolium chloride ([Bmim][Cl]) and 1-decyl-3-methylimidazolium chloride ([Dmim][Cl]) on the growth and chemical composition of widely grown vegetables - tomato and cucumber. Different concentrations (10, 100 or 1000 mg L-1) of [Bmim][Cl] and [Dmim][Cl] were applied to the soil on which tomato was cultivated. After the harvest of tomato fruits, the same soil was used to grow and analyze the growth and chemical composition of cucumber. ILs significantly reduced shoot biomass and yield of tomato and significantly changed concentrations of N, K, Ca, Fe and Mn in the leaves, whereas concentrations of P, Cu and Zn were at the level of respected controls. The number of fruits of cucumber, grown on the soil previously treated with ILs, was significantly reduced along with yield, and mineral composition of leaves was significantly altered, with the exception to Cu. [Dmim][Cl] in general affected both tomato and cucumber more than [Bmim][Cl]. The application of IL with a longer alkyl substituent ([Dmim][Cl]) increased the temperature inside the tomato canopy and accelerated the senescence of plants.


Asunto(s)
Cucumis sativus , Líquidos Iónicos , Solanum lycopersicum , Minerales , Hojas de la Planta
7.
Nanomaterials (Basel) ; 11(1)2021 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-33467696

RESUMEN

Pharmaceuticals and pesticides are emerging contaminants problematic in the aquatic environment because of their adverse effects on aquatic life and humans. In order to remove them from water, photocatalysis is one of the most modern technologies to be used. First, newly synthesized photocatalysts were successfully prepared using a sol-gel method and characterized by different techniques (XRD, FTIR, UV/Vis, BET and SEM/EDX). The photocatalytic properties of TiO2, ZnO and MgO nanoparticles were examined according to their removal from water for two antibiotics (ciprofloxacin and ceftriaxone) and two herbicides (tembotrione and fluroxypyr) exposed to UV/simulated sunlight (SS). TiO2 proved to be the most efficient nanopowder under UV and SS. Addition of (NH4)2S2O8 led to the faster removal of both antibiotics and herbicide fluroxypyr. The main intermediates were separated and identified for the herbicides and antibiotic ciprofloxacin. Finally, the toxicity of each emerging pollutant mixture and formed intermediates was assessed on wheat germination and biomass production.

8.
Chemosphere ; 254: 126918, 2020 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-32957302

RESUMEN

The increasing application of various surfactants nowadays, may lead to the contamination of the natural environment and represent potential threat to terrestrial higher plants. In this article, the effect of 13 surfactants, with dodecyl alkyl chain and various aromatic (imidazolium, pyridinium, thiazolium) and aliphatic (guanidinium, ammonium, thiosemicarbazidium) polar heads, on germination, development and growth of wheat and cucumber was investigated. The study aimed to prove how changes in lipophilicity of surfactants and their various structural modifications (existence of the aliphatic or aromatic polar group, the introduction of oxygen and sulfur) influence toxicity towards investigated plants. The calculated lipophilic parameter (AlogP) is shown to be a useful parameter for predicting potential toxicity of the compound. The strategy of using surfactants with aliphatic polar heads instead of aromatic prove to be a promising strategy in reducing harmful effect, as well as the introduction of polar groups in the structure of cation. From all investigated compounds, surfactants with imidazolium polar head displayed the most harmful effect towards wheat and cucumber. The cucumber seeds were more sensitive to the addition of surfactants comparing to wheat. All obtained experimental results were additionally investigated using computational methods, simulating the transport of surfactants through a lipid bilayer. The influence of cation tendency to fit in lipid bilayer structure was correlated with toxicity. For the first time, it is concluded that cation ability to mimic the structure of bilayer have less harmful effect on plant development.


Asunto(s)
Cucumis sativus/efectos de los fármacos , Imidazoles/toxicidad , Compuestos de Piridinio/toxicidad , Tensoactivos/toxicidad , Triticum/efectos de los fármacos , Cationes , Membrana Celular/química , Membrana Celular/efectos de los fármacos , Cucumis sativus/crecimiento & desarrollo , Germinación/efectos de los fármacos , Imidazoles/química , Membrana Dobles de Lípidos/química , Simulación de Dinámica Molecular , Compuestos de Piridinio/química , Compuestos de Piridinio/farmacología , Plantones/efectos de los fármacos , Plantones/crecimiento & desarrollo , Semillas/efectos de los fármacos , Semillas/crecimiento & desarrollo , Relación Estructura-Actividad , Tensoactivos/química , Triticum/crecimiento & desarrollo
9.
J Back Musculoskelet Rehabil ; 32(1): 131-139, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-30248029

RESUMEN

BACKGROUND: Low back pain (LBP) is the most common type of musculoskeletal pain, thus it is one of the most commonly encountered conditions in Physical and Rehabilitation Medicine. The physicians who are primarily responsible for the nonsurgical management of LBP are physiatrists. OBJECTIVE: The present study aimed to investigate the approaches of physiatrists to low back pain across Europe. Preferences, tendencies, and priorities in the diagnosis, management, and treatment of LBP, as well as the epidemiological data pertaining to LBP in PRM practice were evaluated in this Europe-wide study. METHODS: The study was conducted under the control of the European Society of Physical and Rehabilitation Medicine (ESPRM) Musculoskeletal Disorders Research Committee. A total of 576 physiatrists from most European countries participated in the survey. RESULTS: The results show that physiatrists frequently deal with patients with LBP in their daily practice. Most patients are not referred to other departments and are treated with various conservative methods. Less than one-fifth of patients are primarily referred for surgery. The physiatrists believe that a clear diagnosis to account for cases of low back pain is rarely established. The most common diagnosis is discopathy. History and physical examination remain the most valuable clinical evaluation tools for low back pain according to physiatrists. Less than half the patients require a magnetic resonance imaging. Non-steroidal anti-inflammatory drugs are the most commonly prescribed drugs for low back pain. Exercise, back care information, and physical therapy are the preferred conservative treatments. More than half of the physiatrists offer interventional treatments to patients with low back pain. CONCLUSION: The present study is a preliminary report that presents the attitudes of European physiatrists in the management of low back pain. Further researches are warranted to standardize the conservative management of LBP.


Asunto(s)
Dolor de la Región Lumbar/terapia , Fisiatras , Pautas de la Práctica en Medicina/estadística & datos numéricos , Adulto , Antiinflamatorios no Esteroideos/uso terapéutico , Estudios Transversales , Europa (Continente) , Femenino , Humanos , Masculino , Anamnesis , Persona de Mediana Edad , Examen Físico , Modalidades de Fisioterapia/estadística & datos numéricos , Derivación y Consulta/estadística & datos numéricos , Encuestas y Cuestionarios , Adulto Joven
10.
Environ Sci Pollut Res Int ; 25(35): 35594-35601, 2018 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-30353431

RESUMEN

In this work, the effect on cucumber growth of seven different imidazolium-based ionic liquids, namely 1-(2-oxybutyl)-3-methylimidazolium chloride, [C2OC2mIm][Cl]; 1-(2-oxypropyl)-3-methylimidazolium chloride, [C1OC2mIm][Cl]; 1-(3-hydroxypropyl)-3-ethylimidazolium chloride, [OHC3eIm][Cl]; 1-(3-hydroxypropyl)-3-methylimidazolium chloride, [OHC3mIm][Cl]; 1-(2-hydroxyethyl)-3-methylimidazolium chloride, [OHC2mIm][Cl], 1-butyl-3-methylimidazolium chloride, [bmim][Cl] and imidazolium chloride, [Im][Cl], were examined. The influence of polarity of the alkyl side chain of the imidazolium cation on the reduction of the ionic liquid's toxicity is investigated. For all investigated seedlings, significant reduction of biomass was noted, with the incoherent influence of the ionic liquid (IL) concentration. The total inhibition of germination was shown at the highest used concentration for some of the used ionic liquids. Although investigated ILs affected root and shoot growth of cucumber, the effect on stress marker (MDA) as well as biosynthesis of chlorophyll and carotenoids was negligible. The data collected in this research suggest that tuning of the lipophilicity of imidazolium cations by the introduction of polar groups in the side alkyl chain does not have pronounced effect on cucumber, as it was shown for other plant species.


Asunto(s)
Cucumis sativus/efectos de los fármacos , Germinación/efectos de los fármacos , Imidazoles/toxicidad , Líquidos Iónicos/toxicidad , Estrés Oxidativo/efectos de los fármacos , Clorofila/metabolismo , Cucumis sativus/crecimiento & desarrollo , Cucumis sativus/metabolismo , Imidazoles/química , Líquidos Iónicos/química , Plantones/efectos de los fármacos
11.
Med Pregl ; 68(1-2): 59-65, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26012246

RESUMEN

The purpose of this article is to provide a historical background of medicine, science and sports with the focus on the development of modern sports medicine in European countries, with an accent on Eastern European countries that have a long sports medicine tradition. The development of modern sports medicine began at the end of 19th and the beginning of 20th century, and it has been associated with social and cultural changes in the world of medicine, science and sports. Advanced medical knowledge, skills and practices, and the progress of scientific achievements enabled sports people to improve their performance level. Increased popularisation and commercialisation of sports have resulted from urbanization and city lifestyle, leading to the lack of physical activity and increased psychological pressure. In addition, the growing need and interest in sports and successes in professional sports have become a symbol of international recognition and


Asunto(s)
Medicina Deportiva/historia , Europa Oriental , Promoción de la Salud , Historia del Siglo XIX , Historia del Siglo XX , Humanos , Estilo de Vida , Urbanización
12.
Med Pregl ; 67(7-8): 255-60, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-25151767

RESUMEN

Body composition represents an unbreakable unity of the human body basic structure elements and involves a relative representation of the various constituent elements of the human total body weight. It is well known that body composition changes under the influence of continuous physical activity, and, therefore, it is one of the major components of fitness, and general health of the athletes. Therefore, this topic has become a major field of interest for many exercise and sport scientists as well as clinicians who specialize not only in different training methods but also in the prevention of and rehabilitation from major injuries. To date, having considered issues of accuracy, repeatability and utility, there is no universally applicable criterion or 'gold standard' methodology for body composition assessment in athletes. The main objective of this review was to give a short overview of methods for body composition analysis in athletes and to show and compare the latest data on their usefulness and reliability in order to find the best solution for practical everyday work.


Asunto(s)
Antropometría/métodos , Atletas , Composición Corporal , Humanos
13.
Med Pregl ; 66(5-6): 225-32, 2013.
Artículo en Sr | MEDLINE | ID: mdl-23888731

RESUMEN

INTRODUCTION: The use of electrocardiogram in athletes as a routine screening method for diagnosing potentially dangerous cardiovascular diseases is still an issue of debate. According to the guidelines of the European Society of Cardiology, the recording of electrocardiogram is necessary in all athletes as a screening method, whereas the guidelines of the American Heart Association do not necessitate an electrocardiogram as a screening method and they insist on detailed personal and family history and clinical examination. CLASSIFICATION OF ELECTROCARDIOGRAM CHANGES IN ATHLETES: According to the classification of the European Society of Cardiology, electrocardiogram changes in athletes are divided into two groups: a) usual (physiological) that are connected with training; b) unusual (potentially clinically relevant) that are not connected with training. SUDDEN CARDIAC DEATH IN ATHLETES: The most frequent causes include hypertrophic cardiomyopathy and congenital coronary artery anomalies, while others may be found only sporadically at autopsy. Physiological electrocardiogram changes are frequent in asymptomatic athletes and they do not require further assessment. They include sinus bradycardia, atrioventricular blocks of I and II degree--Wenkebach, isolated increased QRS voltage, incomplete right bundle branch block and early repolarization. Potentially pathological electrocardiogram changes in athletes are not frequent but they are alarming and they urge further assessment to diagnose the underlying cardiovascular disease as well as the prevention of sudden cardiac death. They include: T wave inversion, ST segment depression, complete right or left bundle branch block, atrial pre-excitation syndrome-WPW, long QT interval, short QT interval, Brugada like electrocardiogram finding. CONCLUSION: Introduction of electrocardiogram recording into the screening protocol in athletes increases the sensitivity of evaluation and may help to discover asymptomatic cardiovascular diseases that may cause sudden cardiac death. Special attention and further assessment are required when the above potentially pathological electrocardiogram changes are found in athletes.


Asunto(s)
Atletas , Electrocardiografía , Cardiopatías/diagnóstico , Arritmias Cardíacas/diagnóstico , Muerte Súbita Cardíaca/prevención & control , Humanos , Tamizaje Masivo , Examen Físico , Deportes
14.
Med Pregl ; 66(7-8): 307-10, 2013.
Artículo en Sr | MEDLINE | ID: mdl-24069812

RESUMEN

INTRODUCTION: Our purpose was to review the literature on the subject of peritoneal closure and to evaluate the advantages and disadvantages of this procedure. EXPERIMENTAL STUDIES: Experimental studies have proved that peritoneal defects demonstrate mesothelial integrity (reperitonealization) 48-72 hours after injury and gross healing occurs within five days. A foreign body in the peritoneum causes tissue ischemia, necrosis, inflammation, and it stimulates numerous and dense adhesions. SURGERY (GENERAL AND GYNECOLOGICAL): The major advantage of peritoneal non-closure is a decreased adhesion formation, quicker return of bowel activity and reduced risk of bowel obstruction after surgery. Not only does peritoneal closure provide no immediate postoperative benefits, but it also prolongs surgical time, exposure to anesthesia and post-operative hospital stay unnecessarily, thus increasing surgery expenses. In summary, the existing data do not show advantages of this technique. Since many surgical tenets are based on limited data or opinion of the individual surgeons, they should be changed according to evidence-based medicine. CONCLUSION: Therefore, we suggest that the traditional practice of peritoneal closure be abolished in gynecology and obstetrics. It is our strong wish to encourage clinicians not to close both parietal and visceral peritoneum.


Asunto(s)
Técnicas de Cierre de Herida Abdominal , Procedimientos Quirúrgicos Ginecológicos/métodos , Procedimientos Quirúrgicos Obstétricos/métodos , Enfermedades Peritoneales/etiología , Peritoneo/cirugía , Técnicas de Cierre de Herida Abdominal/efectos adversos , Femenino , Cuerpos Extraños/complicaciones , Reacción a Cuerpo Extraño/etiología , Procedimientos Quirúrgicos Ginecológicos/efectos adversos , Humanos , Inflamación/etiología , Isquemia/etiología , Necrosis/etiología , Procedimientos Quirúrgicos Obstétricos/efectos adversos , Enfermedades Peritoneales/prevención & control , Peritoneo/irrigación sanguínea , Peritoneo/patología , Suturas/efectos adversos , Adherencias Tisulares/etiología , Adherencias Tisulares/prevención & control , Cicatrización de Heridas
15.
Case Rep Oncol ; 6(3): 490-2, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-24163666

RESUMEN

Etoposide is commonly used in the treatment of a variety of neoplasms. Hypersensitivity reactions to etoposide are infrequently reported and include hypotension, hypertension, flushing, diaphoresis, chest discomfort, dyspnea, bronchospasm and loss of consciousness. We report the case of a 39-year-old woman who experienced acute bronchospasm, tachycardia, hypoxia and hypotension. The symptoms resolved within an hour after administration of intravenous fluids, methylprednisolone, diphenhydramine and oxygen. Subsequently, the patient was given etoposide phosphate without incident.

16.
Med Pregl ; 66(9-10): 417-23, 2013.
Artículo en Sr | MEDLINE | ID: mdl-24245453

RESUMEN

INTRODUCTION: Venous thromboembolism is one of the leading cause of maternal mortality worldwide. The incidence of venous thromboembolism is estimated at 0.76 to 1.72 per 100.000 pregnancies which is four times as great as the risk in nonpregnant women. The purpose of this article is to raise awareness of this frequent problem in pregnancy and provide a practical approach for the diagnosis, management, and prevention of venous thromboembolism during pregnancy and delivery. RISK FACTORS: A number of risk factors for the development venous thromboembolism have been identified. The two most important risk factors for venous thromboembolism in pregnancy are thrombophilia and previous venous thromboembolism. Deep venous thrombosis in the majority of cases occurs in the lower extremities and pelvis. DIAGNOSIS: As the clinical diagnosis of venous thromboembolism is unreliable, the women who are suspected of having deep venous thrombosis or pulmonary embolism should be examined promptly using imaging diagnostics. The first diagnostic method is Doppler ultrasound. Where available, individual authors recommend magnetic resonance venography, pulmonary angiography or computed tomography. THERAPY: Unfractionated heparin or low-molecular-weight heparin has a central place in the prevention and treatment of venous thromboembolism in pregnancy because they do not pass through the placenta, thus avoiding the risks likely to be induced by warfarin. The prevention of venous thromboembolism must focus on the patients known to be at high risk bearing in mind that the recommendations for prophylaxis, even in high-risk patients, are based on the limited data.


Asunto(s)
Complicaciones Hematológicas del Embarazo/diagnóstico , Tromboembolia Venosa/diagnóstico , Anticoagulantes/efectos adversos , Parto Obstétrico , Ecocardiografía Doppler , Femenino , Heparina de Bajo-Peso-Molecular/uso terapéutico , Humanos , Embarazo , Complicaciones Hematológicas del Embarazo/diagnóstico por imagen , Complicaciones Hematológicas del Embarazo/tratamiento farmacológico , Embolia Pulmonar/diagnóstico , Factores de Riesgo , Trombofilia/epidemiología , Tromboembolia Venosa/diagnóstico por imagen , Tromboembolia Venosa/tratamiento farmacológico , Trombosis de la Vena/diagnóstico , Warfarina/efectos adversos
17.
Med Pregl ; 66(3-4): 126-9, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23653989

RESUMEN

INTRODUCTION: Chronic obstructive pulmonary disease is the fourth leading cause of mortality worldwide. It is defined as a persistent airflow limitation usually progressive and not fully reversible to treatment. The diagnosis of chronic obstructive pulmonary disease and severity of disease is confirmed by spirometry. Chronic obstructive pulmonary disease produces electrical changes in the heart which shows characteristic electrocardiogram pattern. The aim of this study was to observe and evaluate diagnostic values of electrocardiogram changes in chronic obstructive pulmonary disease patients with no other comorbidity. MATERIAL AND METHODS: We analyzed 110 electrocardiogram findings in clinically stable chronic obstructive pulmonary disease patients and evaluated the forced expiratory volume in the first second, ratio of forces expiratory volume in the first second to the fixed vital capacity, chest radiographs and electrocardiogram changes such as p wave height, QRS axis and voltage, right bundle branch block, left bundle branch block, right ventricular hypertrophy, T wave inversion in leads V1-V3, S1S2S3 syndrome, transition zone in praecordial lead and QT interval. RESULTS: We found electrocardiogram changes in 64% patients, while 36% had normal electrocardiogram. The most frequent electrocardiogram changes observed were transition zone (76.36%) low QRS (50%) and p pulmonale (14.54%). Left axis deviation was observed in 27.27% patients. CONCLUSION: Diagnostic values of electrocardiogram in patients with chronic obstructive pulmonary disease suggest that chronic obstructive pulmonary disease patients should be screened electrocardiographically in addition to other clinical investigations.


Asunto(s)
Electrocardiografía , Enfermedad Pulmonar Obstructiva Crónica/fisiopatología , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Volumen Espiratorio Forzado , Humanos , Masculino , Persona de Mediana Edad , Enfermedad Pulmonar Obstructiva Crónica/diagnóstico , Espirometría
18.
Med Pregl ; 65(9-10): 396-404, 2012.
Artículo en Sr | MEDLINE | ID: mdl-23214333

RESUMEN

Arrhythmogenic right ventricular cardiomyopathy/dysplasia is a progressive condition with right ventricular myocardium being replaced by fibro-fatty tissue. It is a hereditary disorder mostly caused by desmosome gene mutations. The prevalence of arrhythmogenic right ventricular cardiomyopathy is about 1/1000-5000. Clinical presentation is usually related to ventricular tachycardias, syncope or presyncopa, or ventricular fibrillation leading to cardiac arrest, mostly in young people and athletes. It may be difficult to make the diagnosis of arrhythmogenic right ventricular cardiomyopathy due to several problems arising from the specificity of electrocardiograph abnormalities, different potential etiologies of ventricular arrhythmias with a left bundle branch morphology, the assessment of the right ventricular structure and function, and the interpretation of endomyocardial biopsy findings. Therefore, standardized diagnostic criteria have been proposed by the Study Group on arrhythmogenic right ventricular cardiomyopathy of the European Society of Cardiology. In order to make the diagnosis ofarrhythmogenic right ventricular cardiomyopathy, a number of clinical tests are employed, including the electrocardiogram, echocardiography, myocardial perfusion scintigraphy, myocardial biopsy, right ventricular angiography, cardiac magnetic resonance imaging and genetic testing. The therapeutic options include beta blockers, antiarrhythmic drugs, catheter ablation, and implantable cardioverter defibrillator. The implantable cardioverter defibrillator is the most effective safe-guard against arrhythmic sudden death. Preparticipation screening for sport eligibility has been proven to be effective in detecting asymptomatic patients and sport disqualification has been lifesaving, substantially declining sudden death in young athletes.


Asunto(s)
Displasia Ventricular Derecha Arritmogénica/complicaciones , Muerte Súbita Cardíaca/etiología , Displasia Ventricular Derecha Arritmogénica/diagnóstico , Displasia Ventricular Derecha Arritmogénica/terapia , Humanos
19.
Med Pregl ; 61(1-2): 33-6, 2008.
Artículo en Sr | MEDLINE | ID: mdl-18798471

RESUMEN

INTRODUCTION: The understanding of testicular physiology, pathology, and male fertility issues requires knowledge of male germ cell death, energy production and oxygen consumption. The aim of this study was to examine the effect of a new donor of exogenous nitric oxide, di-propylen-three amin-NONOate (DPTA/NO), on the oxygen consumption by freshly isolated rats' testis interstitial cells. MATERIAL AND METHODS: Rats' testis interstitial cells (ISC) were isolated according to Anakwe method and oxygen consumption was measured in an ex vivo bath. The ISC were stimulated with glutamate (0.5 M, 20 microl). DPTA (10(-3) - 10(-6) M) was added and its effect was tested in the absence of ADP (state 4 of respiration) and after that in the presence of ADP (state 3). The reaction was followed for 10 minutes and for each concentration the measurement was done in duplicate. The same measurements without treatment of DPTA/NO were done for control group. RESULTS: DPTA/NO (10(-4) - 10(-6) M) reduced the oxygen consumption rate compared with the control group. The inhibition of respiration was not noticed in concentration of 10(-3) M. In V3 respiratory phase, all tested concentrations of DPTA/NO (10(-3) - l0(-6) M) decreased the oxygen consumption rate in comparison with the control group. CONCLUSION: Our results demonstrate that a NO donor, DPTA/NO (10(-3) - 10(-6) M) inhibits oxygen consumption in isolated rat testis interstitial cells in a manner that could be concentration dependent. Because of limited number of measurements this was not fully proved and additional experiments are needed.


Asunto(s)
Alquenos/farmacología , Células Intersticiales del Testículo/metabolismo , Donantes de Óxido Nítrico/farmacología , Consumo de Oxígeno/efectos de los fármacos , Adenosina Difosfato/farmacología , Animales , Técnicas In Vitro , Masculino , Ratas , Ratas Wistar
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