Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 52
Filtrar
Más filtros

País/Región como asunto
Tipo del documento
Intervalo de año de publicación
1.
Cell Tissue Bank ; 22(4): 539-549, 2021 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-34549351

RESUMEN

The transmission of microbial infection through tissue allografts is one of the main risks that must be controlled in tissue banks. Therefore, microbiological monitoring controls and validated protocols for the decontamination of tissues during processing have been implemented. This study is based on the evaluation of data from microbiological cultures of arteries (mainly long peripheral arteries) processed in the tissue bank of Valencia (Spain). Donors' profile, pre- and post-disinfection tissue samples were assessed. The presence of residual antibiotics in disinfected tissues was determined and the antimicrobial potential of these tissues was tested. Our overall contamination rate was 23.69%, with a disinfection rate (after antibiotic incubation) of 87.5%. Most (76.09%) of the microbial contaminants were identified as Gram positive. Arterial allografts collected from body sites affected by prior organ removal showed higher risk of contamination. Only vancomycin was detected as tissue release. The antimicrobial effect on Candida albicans was lower than that for bacterial species. Risk assessment for microbial contamination suggested the donor's skin and the environment during tissue collection as the main sources for allograft contamination. Antibiotic-disinfected arterial allografts showed antimicrobial potential.


Asunto(s)
Bancos de Tejidos , Vancomicina , Aloinjertos , Arterias , Donantes de Tejidos , Trasplante Homólogo
2.
Rev Med Liege ; 75(7-8): 518-520, 2020 Jul.
Artículo en Francés | MEDLINE | ID: mdl-32779902

RESUMEN

Bladder cancer (urothelial carcinoma in 90 % of cases) is the most common neoplasia of the urinary tract. Superficial carcinoma represents 70-80 % of bladder cancers. The treatment of these tumours includes, after transuretral resection, intravesical Bacillus Calmette-Guerin (BCG) instillation therapy. This treatment constitutes, by its immune-mediated anti-tumoral action, the first step of immunotherapy in cancer. Severe complications (granulomatosis, hypersensitivity pneumonitis or orchitis) are rare (0.5-2 %). Here we report a complex case of pulmonary granulomatosis secondary to BCG therapy. This is a 74-year-old male, treated for superficial bladder carcinoma by transuretral resection (pT1G3) and then endovesical instillations of BCG therapy for two months. Two years later, a new transuretral resection shows an infiltrating urothelial carcinoma pT2G3. The extension balance finds a persistent micro-nodular pulmonary infiltrate. A broncho-alveolar lavage is then realised but no mycobacteria was found. A surgical biopsy of a nodule is performed and revealed a histiocytic reaction without any neoplastic element. Detection of Mycobacterium tuberculosis by Polymerase Chain Reaction (PCR) was finally positive. In the absence of a secondary lesion, the patient had a cysto-prostatectomy and began a tritherapy against tuberculosis. Post-BCG therapy granulomatosis is a rare complication but should remain a differential diagnosis in front of the appearance of pulmonary nodes in patients who have received posttransuretral resection BCG instillations. Mycobacterial DNA PCR research remains the most sensitive examination.


Les carcinomes urothéliaux superficiels de vessies représentent 70 à 80 % des tumeurs de la vessie. Leur traitement comprend, après résection transurétrale, une BCG (Bacille de Calmette et Guérin) thérapie par instillations endovésicales. Les complications sévères (granulomatose, pneumopathie d'hypersensibilité ou orchite) sont rares (0,5-2 %) mais nous rapportons ici un cas complexe de granulomatose pulmonaire secondaire à une BCG thérapie. Il s'agit d'un homme de 74 ans, traité pour un carcinome urothélial superficiel de vessie par résection endo-urétrale (pT1G3) puis instillations endovésicales de BCG thérapie. Deux années après, une nouvelle résection transurétrale objective un carcinome urothélial infiltrant pT2G3. Le bilan d'extension retrouve un infiltrat pulmonaire micronodulaire persistant. Un lavage bronchoalvéolaire ne retrouve pas de bacilles acido-alcoolo-résistants. La biopsie chirurgicale d'un nodule retrouve une réaction histiocytaire sans élément néoplasique. La Polymerase Chain Reaction (PCR) à la recherche de mycobactérie du groupe tuberculosis revient finalement positive. En l'absence de lésion secondaire, le patient a bénéficié d'une cystoprostatectomie et a débuté dans les suites une trithérapie antituberculeuse. La granulomatose post-BCG thérapie est une complication rare, mais doit rester un diagnostic différentiel devant l'apparition de micronodules pulmonaires chez les patients ayant reçu des instillations de BCG post-résection transurétrale. La recherche par PCR d'ADN de mycobactéries reste l'examen le plus sensible.


Asunto(s)
Mycobacterium bovis , Tuberculosis Miliar , Tuberculosis Pulmonar , Neoplasias de la Vejiga Urinaria/tratamiento farmacológico , Administración Intravesical , Anciano , Humanos , Masculino
3.
BMC Cancer ; 16(1): 752, 2016 09 23.
Artículo en Inglés | MEDLINE | ID: mdl-27664126

RESUMEN

BACKGROUND: Platinum-based systemic chemotherapy is considered the backbone for management of advanced urothelial carcinomas. However there is a lack of real world data on the use of such chemotherapy regimens, on patient profiles and on management after treatment failure. METHODS: Fifty-one randomly selected physicians from 4 European countries registered 218 consecutive patients in progression or relapse following a first platinum-based chemotherapy. Patient characteristics, tumor history and treatment regimens, as well as the considerations of physicians on the management of urothelial carcinoma were recorded. RESULTS: A systemic platinum-based regimen had been administered as the initial chemotherapy in 216 patients: 15 in the neoadjuvant setting, 61 in adjuvant therapy conditions, 137 in first-line advanced setting and 3 in other conditions. Of these patients, 76 (35 %) were initially considered as cisplatin-unfit, mainly because of renal impairment (52 patients). After platinum failure, renal impairment was observed in 44 % of patients, ECOG Performance Status ≥ 2 in 17 %, hemoglobinemia < 10 g/dL in 16 %, hepatic metastases in 13 %. 80 % of these patients received further anticancer therapy. Immediately after failure of adjuvant/neoadjuvant chemotherapy, most subsequent anticancer treatments were chemotherapy doublets (35/58), whereas after therapy failure in the advanced setting most patients receiving further anticancer drugs were treated with a single agent (80/114). After first progression to chemotherapy, treatment decisions were mainly driven by Performance Status and prior response to chemotherapy (>30 % patients). The most frequent all-settings second anticancer therapy regimen was vinflunine (70 % of single-agent and 42 % of all subsequent treatments), the main reasons evoked by physicians (>1 out of 4) being survival benefit, safety and phase III evidence. CONCLUSION: In this daily practice experience, a majority of patients with urothelial carcinoma previously treated with a platinum-based therapy received a second chemotherapy regimen, most often a single agent after an initial chemotherapy in the advanced setting and preferably a cytotoxic combination after a neoadjuvant or adjuvant chemotherapy. Performance Status and prior response to chemotherapy were the main drivers of further treatment decisions.


Asunto(s)
Anemia/epidemiología , Enfermedades Renales/epidemiología , Neoplasias Hepáticas/epidemiología , Platino (Metal)/uso terapéutico , Neoplasias de la Vejiga Urinaria/tratamiento farmacológico , Urotelio/patología , Anciano , Anciano de 80 o más Años , Progresión de la Enfermedad , Europa (Continente)/epidemiología , Femenino , Humanos , Neoplasias Hepáticas/secundario , Masculino , Metástasis de la Neoplasia , Guías de Práctica Clínica como Asunto , Insuficiencia del Tratamiento , Neoplasias de la Vejiga Urinaria/complicaciones , Neoplasias de la Vejiga Urinaria/patología
4.
Prog Urol ; 26(9): 524-31, 2016 Sep.
Artículo en Francés | MEDLINE | ID: mdl-27567304

RESUMEN

INTRODUCTION: The aim of this study was to appreciate the place and role of geriatric assessment in elderly patients with prostate cancer. MATERIALS AND METHODS: We performed a retrospective analysis of prostate cancer patients who underwent geriatric assessment during the therapeutic management from 2008 to 2014. Patient, tumor, treatment characteristics and their associated toxicity as well as the parameters of geriatric assessment were studied. The occurrence of geriatric assessment within the 3 months preceding a therapeutic decision was reviewed. RESULTS: Data of seventy-four patients were analyzed with a median follow-up of 15.6 years. The average age at diagnosis was 74.3 and 80.6 at the geriatric assessment. At the time of the geriatric assessment 64 patients had metastatic disease, 39 were in poor condition more than 50% of patients had walking ability disorders. Thirteen patients underwent radical surgery, 28 received radiotherapy, 30 patients had chemotherapy and hormonotherapy was prescribed for 72 patients. The geriatric assessment, requested on average 15 years after diagnosis, was not carried out within the 3 months preceding treatment decision for 55 patients. CONCLUSION: The recourse to geriatric assessment is predominantly used to endorse a decision of supportive care for elderly patients with prostate cancer. An early intervention by a geriatrician consultant for the initial management and then at each therapeutic event is a sine qua non condition for efficient personalized therapeutic management suitable to every patient according to physiological age. LEVEL OF EVIDENCE: 4.


Asunto(s)
Evaluación Geriátrica/estadística & datos numéricos , Neoplasias de la Próstata/terapia , Adenocarcinoma/terapia , Anciano , Anciano de 80 o más Años , Toma de Decisiones Clínicas , Humanos , Masculino , Estudios Retrospectivos
5.
Clin Oncol (R Coll Radiol) ; 35(3): e245-e255, 2023 03.
Artículo en Inglés | MEDLINE | ID: mdl-36526521

RESUMEN

Many drugs are available in renal cell carcinoma (RCC), yet clinicians are still looking for predictive biomarkers of disease recurrence or progression supporting more personalised treatments. An assessment of circulating biomarkers over time was carried out in this French, open-label, single-arm, multicentre trial conducted in 25 patients with either locally advanced (n = 14) or metastatic RCC (n = 11) who received everolimus (10 mg daily) for 6 weeks prior to nephrectomy (NEORAD, NCT01715935). Circulating biomarkers, including circulating tumour cells, haematopoietic and endothelial cells, plasma angiogenesis and inflammatory markers were quantified at baseline, upon everolimus and post-nephrectomy. We assessed tumour burden, objective response rate upon RECIST1.1, disease-free survival (DFS) and progression-free survival (PFS). The correlation between circulating biomarkers was evaluated with multiple factor analysis and biomarker association with DFS/PFS by Cox regression. No objective response rate was obtained before nephrectomy. Upon everolimus, neutrophils, platelets and sVEGFR2 significantly decreased. We did not find any association between circulating biomarkers and DFS/PFS, but patients with the highest tumour burden at baseline had significantly higher plasma levels of interleukin-6, an inflammatory circulating biomarker, and lower levels of sVEGFR2, related to angiogenesis. Further understanding of the link between these circulating biomarkers could help to optimise drug combinations in RCC.


Asunto(s)
Antineoplásicos , Carcinoma de Células Renales , Neoplasias Renales , Humanos , Everolimus/uso terapéutico , Carcinoma de Células Renales/tratamiento farmacológico , Carcinoma de Células Renales/cirugía , Antineoplásicos/uso terapéutico , Neoplasias Renales/tratamiento farmacológico , Neoplasias Renales/cirugía , Células Endoteliales/patología , Biomarcadores , Nefrectomía
6.
Mol Microbiol ; 80(4): 1102-19, 2011 May.
Artículo en Inglés | MEDLINE | ID: mdl-21435032

RESUMEN

We identified a genetic context encoding a transcriptional regulator of the Rgg family and a small hydrophobic peptide (SHP) in nearly all streptococci and suggested that it may be involved in a new quorum-sensing mechanism, with SHP playing the role of a pheromone. Here, we provide further support for this hypothesis by constructing a phylogenetic tree of the Rgg and Rgg-like proteins from Gram-positive bacteria and by studying the shp/rgg1358 locus of Streptococcus thermophilus LMD-9. We identified the shp1358 gene as a target of Rgg1358, and used it to confirm the existence of the steps of a quorum-sensing mechanism including secretion, maturation and reimportation of the pheromone into the cell. We used surface plasmon resonance to demonstrate interaction between the pheromone and the regulatory protein and performed electrophoretic mobility shift assays to assess binding of the transcriptional regulator to the promoter regions of its target genes. The active form of the pheromone was identified by mass spectrometry. Our findings demonstrate that the shp/rgg1358 locus encodes two components of a novel quorum-sensing mechanism involving a transcriptional regulator of the Rgg family and a SHP pheromone that is detected and reimported into the cell by the Ami oligopeptide transporter.


Asunto(s)
Proteínas Bacterianas/metabolismo , Feromonas/metabolismo , Percepción de Quorum , Streptococcaceae/metabolismo , Transactivadores/metabolismo , Secuencia de Aminoácidos , Proteínas Bacterianas/química , Proteínas Bacterianas/genética , Proteínas de Unión al ADN , Ensayo de Cambio de Movilidad Electroforética , Regulación Bacteriana de la Expresión Génica , Interacciones Hidrofóbicas e Hidrofílicas , Espectrometría de Masas , Filogenia , Regiones Promotoras Genéticas , Análisis de Secuencia de ADN , Transducción de Señal , Streptococcaceae/química , Streptococcaceae/genética , Resonancia por Plasmón de Superficie , Transactivadores/química , Transactivadores/genética , Transcripción Genética
7.
Spinal Cord ; 50(10): 766-71, 2012 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-22508537

RESUMEN

STUDY DESIGN: A case study. OBJECTIVE: The aim was to investigate whether motor imagery (MI) could be successfully incorporated into conventional therapy among individuals with spinal cord injury (SCI) to improve upper limb (UL) function. SETTING: The Physical Medicine and Rehabilitation Unit at the Henry Gabrielle Hospital in Lyon, France. METHODS: The participant was an individual with a complete C6 SCI. MI content was focused on functional UL movements, to improve hand transport to reach out and grasp with tenodesis. The participant was tested before and after 15 MI training sessions (45 min each, three times a week during 5 consecutive weeks). MI ability and program compliance were used as indicators of feasibility. The Minnesota and Box and Blocks tests, as well as movement time and hand trajectory during targeted movements were the dependent variables, evaluating motor performance before and after MI training. RESULTS: The participant's ability to generate MI was checked and compliance with the rehabilitation program was confirmed. The time needed to complete the Minnesota test decreased by 1 min 25 s. The Box and Blocks score was improved by three units after MI program. Decreased movement time and enhanced hand trajectory smoothness were still observed 3 months later, despite a slight decrease in performance. CONCLUSIONS: This study supports the feasibility for introducing MI in conventional therapy. Further studies should confirm the potential role of MI in motor recovery with a larger sample.


Asunto(s)
Brazo/fisiología , Imágenes en Psicoterapia/métodos , Movimiento/fisiología , Traumatismos de la Médula Espinal/fisiopatología , Traumatismos de la Médula Espinal/rehabilitación , Vértebras Cervicales , Fuerza de la Mano/fisiología , Humanos , Imágenes en Psicoterapia/instrumentación , Masculino , Traumatismos de la Médula Espinal/psicología , Resultado del Tratamiento , Adulto Joven
8.
Appl Psychophysiol Biofeedback ; 36(1): 47-56, 2011 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-21274746

RESUMEN

Despite the accumulating evidence supporting an interaction between cognitive functions and postural control, little is known about the selective impact of the mental representation of an action, i.e., motor imagery (MI) on postural control. As postural oscillations are reduced during a cognitive task of backward silent counting, a greater stability is also expected during MI compared to a no-task condition (standing). Twenty participants took part in this experiment, which aimed at providing evidence that MI may improve postural stability. They were requested to mentally imagine a movement while standing on a force-plate. Results showed a decrease in both path length and postural sway variability on the anterior-posterior and lateral axes during all dual-task sessions, as compared to the motionless condition. These postural adjustments might result from both central and peripheral processes, and/or increased muscle stiffness. Conversely, postural oscillation amplitude increased on the vertical axis during MI of three vertical jumps, hence suggesting that postural regulations remain task-related during MI. Finally, our data showed that kinesthetic and visual imagery differentially impacted the postural regulation.


Asunto(s)
Imaginación/fisiología , Cinestesia/fisiología , Postura/fisiología , Visión Ocular/fisiología , Adulto , Señales (Psicología) , Interpretación Estadística de Datos , Femenino , Dedos/fisiología , Humanos , Masculino , Músculo Esquelético/fisiología , Equilibrio Postural/fisiología , Desempeño Psicomotor/fisiología , Programas Informáticos , Adulto Joven
9.
Ann Oncol ; 21(9): 1834-1838, 2010 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-20154303

RESUMEN

BACKGROUND: Xp11 translocation renal cell carcinoma (RCC) is an RCC subtype affecting 15% of RCC patients <45 years. We analyzed the benefit of targeted therapy [vascular endothelial growth factor receptor (VEGFR)-targeted agents and/or mammalian target of rapamycin (mTOR) inhibitors] in these patients. PATIENTS AND METHODS: Patients with Xp11 translocation/TFE3 fusion gene metastatic RCC who had received targeted therapy were identified. Nuclear TFE3 positivity was confirmed by reviewing pathology slides. Responses according to RECIST criteria, progression-free survival (PFS), and overall survival (OS) were analyzed. RESULTS: Overall, 53 patients were identified; 23 had metastatic disease, and of these 21 had received targeted therapy (median age 34 years). Seven patients achieved an objective response. In first line, median PFS was 8.2 months [95% confidence interval (CI) 2.6-14.7 months] for sunitinib (n = 11) versus 2 months (95% CI 0.8-3.3 months) for cytokines (n = 9) (log-rank P = 0.003). Results for further treatment (second, third, or fourth line) were as follows: all three patients receiving sunitinib had a partial response (median PFS 11 months). Seven of eight patients receiving sorafenib had stable disease (median PFS 6 months). One patient receiving mTOR inhibitors had a partial response and six patients had stable disease. Median OS was 27 months with a 19 months median follow-up. CONCLUSION: In Xp11 translocation RCC, targeted therapy achieved objective responses and prolonged PFS similar to those reported for clear-cell RCC.


Asunto(s)
Factores de Transcripción Básicos con Cremalleras de Leucinas y Motivos Hélice-Asa-Hélice/genética , Carcinoma de Células Renales/genética , Cromosomas Humanos Par 11/genética , Cromosomas Humanos X/genética , Fusión Génica , Neoplasias Renales/genética , Translocación Genética/genética , Adolescente , Adulto , Antineoplásicos/uso terapéutico , Antivirales/uso terapéutico , Bencenosulfonatos/uso terapéutico , Carcinoma de Células Renales/tratamiento farmacológico , Carcinoma de Células Renales/secundario , Niño , Preescolar , Everolimus , Femenino , Humanos , Inmunosupresores/uso terapéutico , Indoles/uso terapéutico , Interferón-alfa/uso terapéutico , Neoplasias Renales/tratamiento farmacológico , Neoplasias Renales/patología , Masculino , Persona de Mediana Edad , Niacinamida/análogos & derivados , Compuestos de Fenilurea , Piridinas/uso terapéutico , Pirroles/uso terapéutico , Informe de Investigación , Estudios Retrospectivos , Sirolimus/análogos & derivados , Sirolimus/uso terapéutico , Sorafenib , Sunitinib , Tasa de Supervivencia , Serina-Treonina Quinasas TOR/antagonistas & inhibidores , Resultado del Tratamiento , Factor A de Crecimiento Endotelial Vascular/antagonistas & inhibidores , Adulto Joven
10.
Ergonomics ; 53(5): 589-601, 2010 May.
Artículo en Inglés | MEDLINE | ID: mdl-20432082

RESUMEN

The impact of cell (mobile) phone use on driving performance has been widely questioned for 20 years. This paper reviews the literature to evaluate the extent to which phoning may impact behaviour with a risk to affect safety. After analysing epidemiological studies that give an overview of cell phone use, this paper examines the experimental results and focuses on variables showing that driving is impacted by holding a mobile-phone conversation. Information processing (e.g. reaction time and detection rate of cues related to driving information) and variables associated with vehicle control (e.g. lane-keeping, headway and vehicle speed) seem the most relevant. Although less studied than behavioural indices, physiological data give information about the supplementary potential strain that the driver may undergo under dual-task conditions. This first part of the review highlights common findings, questionable results and differences among studies, which originate from specific experimental designs with particular dependent variables, i.e. self-report, behavioural and physiological indicators. Finally, how drivers try to compensate for the additional load brought by phone use is described. STATEMENT OF RELEVANCE: The two papers review the influence of mobile-phone use on driving performance. While there is ample evidence that this dual task is likely to increase the risk of car crash, the review analyses the variables eliciting detrimental conditions and, conversely, those that may preserve acceptable conditions for safety, close to usual driving. The decision of answering or initiating a cell phone call while driving depends upon the complex interaction among several variables, including driving conditions and driver's own characteristics. In addition, this decision remains under driver's awareness of being able or not to manage the two tasks simultaneously.


Asunto(s)
Conducción de Automóvil/psicología , Teléfono Celular/estadística & datos numéricos , Asunción de Riesgos , Seguridad , Atención , Humanos
11.
Ergonomics ; 53(5): 602-16, 2010 May.
Artículo en Inglés | MEDLINE | ID: mdl-20432083

RESUMEN

The first paper examined how the variables related to driving performance were impacted by the management of holding a phone conversation. However, the conditions under which this dual task is carried out are dependent upon a set of factors that may particularly influence the risk of crash. These conditions are defined by several independent variables, classified into five main categories: i) legislation; ii) phone type (hands-free or hand-held); iii) drivers' features regarding age, gender, personal individual profile and driving experience; iv) conversation content (casual or professional) and its context (held with passengers or with a cell (mobile) phone); v) driving conditions (actual or simulated driving, road type, traffic density and weather). These independent variables determine the general conditions. The way in which these factors are combined and interact one with another thus determines the risk that drivers undergo when a cell phone is used while driving. Finally, this review defined the general conditions of driving for which managing a phone conversation is likely to elicit a high risk of car crash or, conversely, may provide a situation of lower risk, with sufficient acceptance to ensure safety.


Asunto(s)
Conducción de Automóvil , Teléfono Celular , Medición de Riesgo , Seguridad , Accidentes de Tránsito , Atención , Humanos , Factores de Riesgo
13.
Neurosci Lett ; 435(3): 181-5, 2008 Apr 25.
Artículo en Inglés | MEDLINE | ID: mdl-18343579

RESUMEN

To provide evidence that motor imagery (MI) is accompanied by improvement of intramuscular conduction velocity (CV), we investigated surface electromyographic (EMG) activity of 3 muscles during the elbow flexion/extension. Thirty right-handed participants were asked to lift or to imagine lifting a weighted dumbbell under 3 types of muscular contractions, i.e. concentric, isometric and eccentric, taken as independent variables. The EMG activity of the agonist (long and short heads of biceps brachii) and the antagonist (long portion of triceps brachii) muscles was recorded and processed to determine the median frequency (MF) of EMG power spectrum as dependant variable. The MF was significantly higher during the MI sessions than during the resting condition while the participants remained strictly motionless. Moreover, the MF during imagined concentric contraction was significantly higher than during the eccentric. Thus, the MF variation was correlated to the type of contraction the muscle produced. During MI, the EMG patterns corresponding to each type of muscle contraction remained comparable to those observed during actual movement. In conclusion, specific motor programming is hypothesized to be performed as a function of muscle contraction type during MI.


Asunto(s)
Electromiografía , Imágenes en Psicoterapia , Contracción Muscular/fisiología , Músculo Esquelético/fisiología , Adolescente , Adulto , Análisis de Varianza , Femenino , Humanos , Masculino , Análisis Espectral/métodos , Soporte de Peso/fisiología
15.
Int J Psychophysiol ; 66(1): 18-27, 2007 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-17590469

RESUMEN

This study was designed to gain more insight into the mechanisms underlying motor imagery (MI). While there is ample evidence that motor performance and MI share common central neural mechanisms, the question whether MI is accompanied by subliminal electromyographic (EMG) activity remained unsolved. Thirty right-handed volunteers were asked to lift or to imagine lifting a weighted dumbbell using different types of muscle contraction, i.e. heavy concentric, light concentric, isometric and eccentric contractions. EMG activity from 9 muscles of the dominant arm (agonist, antagonist, synergist and fixator muscles) was monitored. Autonomic nervous system responses were also recorded on the non-dominant hand, thus attesting mental activity at the peripheral level. A significant increased pattern of EMG activity was recorded in all muscles during MI, when compared to the rest condition, while the goniometric data did not reveal any movement. Although being subliminal, the magnitude of this activation was found to be correlated to the mental effort required to lift a weight mentally, as more EMG activity was recorded during imaginary lifting of heavy than light concentric contractions. When considering the different types of contraction, our results provided evidence of selective changes in EMG activity. Especially, the imagined eccentric condition elicited a significant weaker muscular activity than all other conditions. In addition, the changes in the EMG pattern mirrored those usually observed during physical movement. These findings support the hypotheses of a selective effect of MI at the level of muscular activity and of incomplete inhibition of the motor command during MI.


Asunto(s)
Imaginación/fisiología , Contracción Muscular/fisiología , Músculo Esquelético/fisiología , Soporte de Peso/fisiología , Adolescente , Adulto , Electromiografía/métodos , Femenino , Respuesta Galvánica de la Piel/fisiología , Humanos , Masculino , Análisis Multivariante
16.
J Thromb Haemost ; 15(3): 420-428, 2017 03.
Artículo en Inglés | MEDLINE | ID: mdl-28035750

RESUMEN

Essentials Bleeding incidence as hemorrhagic risk factors are unknown in palliative care inpatients. We conducted a multicenter observational study (22 Palliative Care Units, 1199 patients). At three months, the cumulative incidence of clinically relevant bleeding was 9.8%. Cancer, recent bleeding, thromboprophylaxis and antiplatelet therapy were independent risk factors. SUMMARY: Background The value of primary thromboprophylaxis in patients admitted to palliative care units is debatable. Moreover, the risk of bleeding in these patients is unknown. Objectives Our primary aim was to assess the bleeding risk of patients in a real-world practice setting of hospital palliative care. Our secondary aim was to determine the incidence of symptomatic deep vein thrombosis and to identify risk factors for bleeding. Patients/Methods In this prospective, observational study in 22 French palliative care units, 1199 patients (median age, 71 years; male, 45.5%), admitted for the first time to a palliative care unit for advanced cancer or pulmonary, cardiac or neurologic disease were included. The primary outcome was adjudicated clinically relevant bleeding (i.e. a composite of major and clinically relevant non-major bleeding) at 3 months. The secondary outcome was symptomatic deep vein thrombosis. Results The most common reason for palliative care was cancer (90.7%). By 3 months, 1087 patients (91.3%) had died and 116 patients had presented at least one episode of clinically relevant bleeding (fatal in 23 patients). Taking into account the competing risk of death, the cumulative incidence of clinically relevant bleeding was 9.8% (95% confidence interval [CI], 8.3-11.6). Deep vein thrombosis occurred in six patients (cumulative incidence, 0.5%; 95% CI, 0.2-1.1). Cancer, recent bleeding, antithrombotic prophylaxis and antiplatelet therapy were independently associated with clinically relevant bleeding at 3 months. Conclusions Decisions regarding the use of thromboprophylaxis in palliative care patients should take into account the high risk of bleeding in these patients.


Asunto(s)
Hemorragia , Neoplasias/complicaciones , Neoplasias/terapia , Cuidados Paliativos , Trombosis de la Vena/complicaciones , Trombosis de la Vena/prevención & control , Anciano , Anticoagulantes/uso terapéutico , Femenino , Francia , Heparina de Bajo-Peso-Molecular/uso terapéutico , Hospitalización , Humanos , Incidencia , Estimación de Kaplan-Meier , Masculino , Persona de Mediana Edad , Neoplasias/patología , Inhibidores de Agregación Plaquetaria/química , Inhibidores de Agregación Plaquetaria/uso terapéutico , Estudios Prospectivos , Factores de Riesgo , Índice de Severidad de la Enfermedad , Enfermo Terminal , Resultado del Tratamiento
17.
Poult Sci ; 95(7): 1609-1616, 2016 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-26944969

RESUMEN

Research was carried out to determine the effectiveness of 4 hatching eggs disinfection processes (i.e., disinfecting products and administration method) using a multi-pronged approach assessing the reduction of microbial eggshell contamination, the effects on worker exposure, hatching results and broiler performance, and, finally, suitability for use in commercial hatcheries. The 4 disinfection processes were: sodium dichlorocyanurate (DC) by thermonebulization, hydrogen peroxide 6% by nebulization (HP6), electrolyzed oxidizing water (EOW) by fogging, and hydrogen peroxide 30% vapor (HP30). In order to meet commercial hatchery conditions, the tested products were applied in an experimental hatchery by aerial disinfection in a dedicated room, not sprayed directly onto the eggs. Compared to the untreated control group, eggshell microbial load was significantly decreased by over 1 log10 cfu per egg in groups DC and HP30. These results were confirmed during a second experiment. In addition, these 2 products comply with legal requirements on worker exposure. Fertility and hatching results were significantly higher in group HP30 than in group DC, with no impact on chick quality and subsequent broiler performance. Under these study conditions, the disinfection process (i.e., administration of the product, contact with the eggs and aeration) lasted 65 min in group DC vs. 135 min in group HP30. When considering commercial hatchery conditions, this difference in application time confers a clear advantage on the DC process. Moreover, the investment required for HP30 is much higher than for DC. Overall, HP30 presented a clear advantage for hatching results whereas DC is a relatively more practical and less expensive disinfection process. To our knowledge, this is the first report on the use of hydrogen peroxide vapor as an egg disinfection process. Further research is needed to confirm the results of this study under commercial hatchery conditions.


Asunto(s)
Pollos , Desinfectantes/farmacología , Desinfección/métodos , Peróxido de Hidrógeno/farmacología , Óvulo/efectos de los fármacos , Reproducción/efectos de los fármacos , Crianza de Animales Domésticos , Animales , Pollos/microbiología , Relación Dosis-Respuesta a Droga , Formaldehído/farmacología , Humanos , Nebulizadores y Vaporizadores , Salud Laboral , Óvulo/microbiología , Distribución Aleatoria , Triazinas/farmacología , Agua/farmacología
18.
J Mot Behav ; 37(1): 10-20, 2005 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-15642689

RESUMEN

The authors review studies of mentally simulated movements. In automatic or cyclical movements, actual and motor imagery (MI) durations are similar. When athletes simulate only dynamic phases of movement or perform MI just before competing, however, environmental and time constraints lead to an underestimation of actual duration. Conversely, complex attention-demanding movements take longer to image. Finally, participants can modify the speed of MI voluntarily when they receive specific instructions. To complete the available data, the authors compared imagined and actual durations in tennis and gymnastics. Results showed systematic and disproportionate overestimation of actual duration. The authors found a relationship between complex motor skills and MI duration. They discuss the factors leading to over- and underestimation and the hypotheses that could be tested.


Asunto(s)
Procesos Mentales/fisiología , Movimiento/fisiología , Humanos , Imaginación , Destreza Motora/fisiología , Desempeño Psicomotor/fisiología , Deportes , Factores de Tiempo
19.
Neuroscience ; 305: 146-56, 2015 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-26241339

RESUMEN

The effect of motor imagery (MI) practice on isometric force development is well-documented. However, whether practicing MI during rest periods of physical training improves the forthcoming performance remains unexplored. We involved 18 athletes in a counterbalanced design including three physical training sessions scheduled over five consecutive days. Training involved 10 maximal isometric contractions against a force plate, with the elbow at 90°. During two sessions, we integrated MI practice (focusing on either muscle activation or relaxation) during the inter-trial rest periods. We measured muscle performance from force plate and electromyograms of the biceps brachii and anterior deltoideus. We continuously monitored electrodermal activity (EDA) to control sympathetic nervous system activity. MI of muscle activation resulted in higher isometric force as compared to both MI of muscle relaxation and passive recovery (respectively +2.1% and +3.5%). MI practice of muscle relaxation also outperformed the control condition (+1.9%). Increased activation of the biceps brachii was recorded under both MI practice conditions compared to control. Biceps brachii activation was similar between the two MI practice conditions, but electromyography revealed a marginal trend toward greater activation of the anterior deltoideus during MI practice of muscle activation. EDA and self-reports indicated that these effects were independent from physiological arousal and motivation. These results might account for priming effects of MI practice yielding to higher muscle activation and force performance. Present findings may be of interest for applications in sports training and neurologic rehabilitation.


Asunto(s)
Imágenes en Psicoterapia , Contracción Isométrica/fisiología , Fuerza Muscular/fisiología , Músculo Esquelético/fisiología , Práctica Psicológica , Entrenamiento de Fuerza , Adolescente , Sistema Nervioso Autónomo/fisiología , Articulación del Codo/inervación , Electromiografía , Potenciales Evocados Motores/fisiología , Femenino , Respuesta Galvánica de la Piel , Humanos , Masculino , Autoinforme , Factores de Tiempo , Adulto Joven
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA