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1.
Phys Rev Lett ; 123(16): 160405, 2019 Oct 18.
Artículo en Inglés | MEDLINE | ID: mdl-31702331

RESUMEN

Quantum droplets may form out of a gaseous Bose-Einstein condensate, stabilized by quantum fluctuations beyond mean field. Determining the ground state of a rotating binary condensate, we show that multiple singly quantized vortices may form in these droplets at moderate angular momenta in two dimensions. Droplets carrying these precursors of an Abrikosov lattice remain self-bound for certain timescales after switching off an initial harmonic confinement. Intriguingly, we find evidence of a metastable persistent current in these new types of binary condensates. We discuss how this finding can be used to experimentally generate vortex-carrying quantum droplets.

2.
Niger J Clin Pract ; 21(9): 1087-1092, 2018 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-30156190

RESUMEN

BACKGROUND AND AIM: Platelet-rich fibrin (PRF) can be named as a natural fibrin-based biomaterial favorable to increasing vascularization and able to guide epithelial cell migration to its surface. The membrane has a significant positive effect on protecting open wounds and accelerating healing. Similar to PRF Ankaferd Blood Stopper (ABS) also has positive effects on wound healing. The aim of this study was to detect if we can improve known physical properties of PRF combining with ABS. This idea was based on the known mechanism of ABS in forming protein network without damaging any blood cells. Materials and Methods: A total of 25 adult rabbits used for collecting 5-7 ml of blood passively with the help of winged blood collection needle to the test tube. Collected samples were centrifuged at 3000 rpm for 10 min. Two similar samples obtained from each animal and one of the samples was placed in 20% ABS 80% saline solution for 5 min. Mechanical properties of the membrane samples were measured using Universal Testing Machine. Results: There is the statistically significant difference between PRF and ABS added PRF in elongation/mm (dL) and elongation/% at break values. Maximum force (fMax) and modulus values did not show any statistically significant differences. CONCLUSION: ABS loaded PRF causes better physical properties. This combination seems to exhibit superior performance when used as a membrane barrier solely. Advanced studies can be done on biological properties of ABS loaded PRF, especially on tissue healing.


Asunto(s)
Fibrina/uso terapéutico , Extractos Vegetales/uso terapéutico , Fibrina Rica en Plaquetas , Cicatrización de Heridas , Adulto , Animales , Materiales Biocompatibles/química , Plaquetas , Centrifugación , Humanos , Conejos , Cicatrización de Heridas/fisiología
3.
Phys Rev Lett ; 115(3): 033006, 2015 Jul 17.
Artículo en Inglés | MEDLINE | ID: mdl-26230790

RESUMEN

We introduce a density functional formalism to study the ground-state properties of strongly correlated dipolar and ionic ultracold bosonic and fermionic gases, based on the self-consistent combination of the weak and the strong coupling limits. Contrary to conventional density functional approaches, our formalism does not require a previous calculation of the interacting homogeneous gas, and it is thus very suitable to treat systems with tunable long-range interactions. Because of its asymptotic exactness in the regime of strong correlation, the formalism works for systems in which standard mean-field theories fail.

4.
Eur Rev Med Pharmacol Sci ; 27(2): 704-712, 2023 01.
Artículo en Inglés | MEDLINE | ID: mdl-36734727

RESUMEN

OBJECTIVE: Patients with chronic disease whose treatments are limited may experience depression, anxiety, and stress-related symptoms, as well as an increase in the levels of these conditions. This study aims to determine the factors affecting the depression, stress, and anxiety levels of hepatocellular carcinoma (HCC) patients due to the fear of COVID-19 exposure. PATIENTS AND METHODS: 118 patients with advanced HCC treated with non-transplant treatment options or on the waiting list due to the lack of a donor were enrolled. To evaluate the stress, depression, and anxiety levels during the COVID-19 process, Depression Anxiety Stress Scales (DASS-21) and the Coronavirus Anxiety Scale (CAS) were administered to 118 patients through a face-to-face interview. Sociodemographic and clinical characteristics were recorded, and the primary endpoint measure was the total score of DASS. In addition, the multilayer perceptron (MLP) model was constructed to predict the scores of the DASS-21 total. RESULTS: There were significant differences between DASS depression (p=0.010; p=0.030) DASS anxiety (p=0.010; p=0.010) and DASS total (p=0.046; p=0.023) scores in terms of gender and protective effect of the vaccine. Also, a significant difference between gender for the CAS scale was determined (p=0.044). The median score of the DASS total in the COVID-19 group was higher than in the non-COVID-19 group; however, the increase was not significant. MLP model revealed that chronic disease, gender, age, place of residence, smoking, type of vaccine, and COVID-19 exposure were the most important predictors for the DASS total. CONCLUSIONS: Chronic disease, gender, and age were prominent factors in predicting the DASS-21 total score in HCC patients. Therefore, the crucial factors were clinically considered for managing depression, stress, and anxiety in HCC patients.


Asunto(s)
COVID-19 , Carcinoma Hepatocelular , Neoplasias Hepáticas , Humanos , Carcinoma Hepatocelular/epidemiología , COVID-19/epidemiología , Depresión/epidemiología , Depresión/diagnóstico , Pandemias , Estrés Psicológico/epidemiología , Estrés Psicológico/diagnóstico , Neoplasias Hepáticas/epidemiología , Ansiedad/epidemiología , Ansiedad/diagnóstico , Enfermedad Crónica
5.
J Card Surg ; 27(5): 538-42, 2012 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-22978830

RESUMEN

BACKGROUND AND AIM: In the present study, we investigated the benefit of ascending aorta replacement in patients with severe aortic atherosclerosis who undergo coronary artery bypass surgery (CABG). METHODS: From January 2001 to April 2011, 3842 patients underwent CABG and in 36 of these patients (31 male, 5 female) the ascending aorta was replaced due to severe atherosclerosis. Total circulatory arrest was used in 22 patients (61%). The patients were followed for 69 ± 36 months (1-133 months) and compared to a control group of patients. The control group consisted of patients who underwent CABG with or without a concomitant procedure (n = 3806). RESULTS: For the study group, the mean additive and logistic Euroscores of the patients were nine and 20, respectively. One stroke (2.8%) was observed and this patient died in the early postoperative period. There were a total of four confirmed deaths (12%) at any time point over the length of the follow-up among the patients who were discharged from the hospital. Two of them died of malignancy (lung and gastric tumors) and the other two from cardiac reasons. No patients had a stroke during follow-up. For the control group the mean age was 61 ± 1, the stroke rate was 0.6%, and the mortality rate was 0.96%, and the mean logistic and additive Euroscores were 3.7 ± 4.4, and 3.5 ± 2.5, respectively. CONCLUSIONS: Replacement of highly calcified ascending aortas during CABG can be safely performed in selected patients with good long-term outcomes.


Asunto(s)
Aorta/cirugía , Aterosclerosis/cirugía , Implantación de Prótesis Vascular/métodos , Puente de Arteria Coronaria/métodos , Estenosis Coronaria/cirugía , Aorta/patología , Aterosclerosis/diagnóstico por imagen , Implantación de Prótesis Vascular/mortalidad , Estudios de Casos y Controles , Terapia Combinada , Puente de Arteria Coronaria/mortalidad , Estenosis Coronaria/diagnóstico por imagen , Estenosis Coronaria/mortalidad , Femenino , Estudios de Seguimiento , Humanos , Tiempo de Internación , Modelos Logísticos , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias/mortalidad , Complicaciones Posoperatorias/fisiopatología , Radiografía , Valores de Referencia , Estudios Retrospectivos , Medición de Riesgo , Índice de Severidad de la Enfermedad , Tasa de Supervivencia , Factores de Tiempo , Resultado del Tratamiento , Turquía
6.
Allergy ; 66(1): 48-57, 2011 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-20608916

RESUMEN

BACKGROUND: Even though the genotype at the promoter region of the CD14 molecule is known to affect the atopic phenotypes, the cellular and molecular basis of this association is largely unknown. OBJECTIVE: To investigate the effect of lipopolysaccharide (LPS) on IgE production and cytokine profile by peripheral blood mononuclear cells (PBMC) obtained from asthmatic children with the TT and the CC genotypes at position -159 of the CD14 gene. METHODS: Peripheral blood mononuclear cells from asthmatic children with alternative genotypes at CD14 C159T locus were stimulated with 2 and 200 ng/ml LPS in vitro. The IgE, IgG and, IgM response was determined by ELISA and Ig έ-germline, IgG, and IgM transcription by real-time PCR. A cluster of cytokines was measured by cytometric bead array. RESULTS: Asthmatic children with the TT genotype but not those with the CC genotype responded with increased IgE synthesis and germline transcription to LPS stimulation. There were no genotype-related differences in IgG and IgM. TT but not the CC genotype was associated with significantly increased interleukin (IL)-4/IL-12 and IL-4/interferon-gamma (IFN-γ) ratios in the culture supernatant. There were no genotype-related differences in IL-1ß, IL-7, IL-10, IL-13, IL-17A, granulocyte colony stimulating factor, granulocyte macrophage colony stimulating factor, monocyte chemotactic protein, and tumor necrosis factor alpha. CONCLUSION: Peripheral blood mononuclear cells from asthmatic children with the TT genotype at position -159 of the CD14 gene make more IgE than those with the CC genotype following LPS stimulation because of increased germline transcription and have an augmented Th2 cytokine profile.


Asunto(s)
Asma/genética , Citocinas/biosíntesis , Inmunoglobulina E/biosíntesis , Receptores de Lipopolisacáridos/genética , Polimorfismo Genético , Adolescente , Asma/epidemiología , Niño , Femenino , Predisposición Genética a la Enfermedad , Genotipo , Humanos , Inmunoglobulina E/inmunología , Inmunoglobulina E/metabolismo , Leucocitos Mononucleares , Lipopolisacáridos/inmunología , Masculino , Células Th2/inmunología
7.
J Trop Pediatr ; 56(1): 53-9, 2010 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-19602486

RESUMEN

Our objective was to determine the factors that affect (i) the rectal-axillary temperature measurement difference (RATD) for digital and mercury-in-glass thermometers and (ii) the difference between mercury-in-glass and digital thermometer readings taken by the rectal and axillary routes. Children (between the ages of 2 and 48 months) who were admitted to Hacettepe University Children Hospital and Corum Children's Hospital in 2 months period were included in this study. Two measurements were taken from each patient within 2 days at two different occasions including day/night and sleep/awake by the same physician. A total of 135 patients were enrolled. RATD was 0.61 + 0.54 degrees C in the mercury-in-glass thermometer, and 0.81 +/- 0.57 degrees C in the digital thermometer. The mean differences between digital and mercury-in-glass thermometers were 0.16 degrees C for rectal routes and -0.02 degrees C for axillary routes. Children at older age with hypoalbuminemia and children exposed to higher ambient temperatures had lower values of RATD than others. Temperature recordings from different sites might change with ambient temperature and individual characteristics of children.


Asunto(s)
Axila , Temperatura Corporal , Recto , Termómetros/clasificación , Preescolar , Femenino , Hospitales Universitarios , Humanos , Masculino , Mercurio , Reproducibilidad de los Resultados , Sensibilidad y Especificidad , Factores de Tiempo
8.
Eur J Anaesthesiol ; 25(5): 357-64, 2008 May.
Artículo en Inglés | MEDLINE | ID: mdl-18205960

RESUMEN

BACKGROUND: Post-anaesthetic shivering is one of the most common complications, occurring in 5-65% of patients recovering from general anaesthesia and 33% of patients receiving epidural anaesthesia. Our objective was to investigate the efficacy of intraoperative dexmedetomidine infusion on postoperative shivering. METHODS: Ninety female patients, ASA I-II, 35-60 yr old, scheduled for elective total abdominal hysterectomy with or without bilateral salpingo-oophorectomy were randomized into two groups. After endotracheal intubation one group received normal saline infusion and the other received dexmedetomidine as a loading dose of 1 microg kg(-1) for 10 min followed by a maintenance infusion of 0.4 microg kg(-1) h(-1). In the recovery room, pain was assessed using a 100 mm visual analogue scale and those patients who had a pain score of more than 40 mm were administered 1 mg kg(-1) intramuscular diclofenac sodium. Patients with shivering grades more than 2 were administered 25 mg intravenous meperidine. Patients were protected with passive insulation covers. RESULTS: Post-anaesthetic shivering was observed in 21 patients in the saline group and in seven patients in the dexmedetomidine group (P = 0.001). Shivering occurred more often in the saline group. The Ramsay Sedation Scores were higher in the dexmedetomidine group during the first postoperative hour. Pain scores were higher in the saline group for 30 min after the operation. The need for intraoperative atropine was higher in the dexmedetomidine group. Intraoperative fentanyl use was higher in the saline group. Perioperative tympanic temperatures were not different between the groups whereas postoperative measurements were lower in the dexmedetomidine group (P < 0.05). CONCLUSION: Intraoperative dexmedetomidine infusion may be effective in the prevention of post-anaesthetic shivering.


Asunto(s)
Analgésicos no Narcóticos/administración & dosificación , Anestesia General/efectos adversos , Dexmedetomidina/administración & dosificación , Histerectomía/efectos adversos , Complicaciones Posoperatorias/prevención & control , Tiritona/efectos de los fármacos , Adulto , Analgésicos Opioides/uso terapéutico , Análisis de Varianza , Periodo de Recuperación de la Anestesia , Temperatura Corporal/efectos de los fármacos , Procedimientos Quirúrgicos Electivos , Femenino , Fentanilo/uso terapéutico , Humanos , Histerectomía/métodos , Infusiones Intravenosas , Persona de Mediana Edad , Dimensión del Dolor/métodos
9.
Eur J Trauma Emerg Surg ; 44(6): 859-867, 2018 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-28965136

RESUMEN

INTRODUCTION: The wound healing properties of platelet-rich plasma (PRP) gel have been documented in many studies. PRP gel has also become a promising agent for treating surgical site infections. In this study, we investigated the antibacterial activity and wound healing effectiveness of PRP in an animal model of Methicillin-resistant Staphylococcus aureus subsp. aureus (MRSA N315)-contaminated superficial soft tissue wounds. MATERIALS AND METHODS: Subcutaneous wounds in Wistar Albino male rats were created by making two cm midline incisions followed by inoculation of microorganisms. Study groups comprised of Sham (no treatment), PRP alone, MRSA alone, MRSA + PRP, MRSA + Vancomycin, and MRSA + Vancomycin + PRP groups. We inoculated 0.1 mL (3 × 108 CFU/mL) of MRSA in contaminated groups. After 8 days, all rats were killed, wounds were excised and subjected to histopathologic examination, and MRSA counts were determined. RESULTS: MRSA counts in MRSA, MRSA + PRP, MRSA + Vancomycin and MRSA + Vancomycin + PRP groups were 5.1 × 106 (SD ± 0.4) CFU/mL, 4.3 × 106 (SD ± 0.7) CFU/mL, 2.3 × 106 (SD ± 0.3) CFU/mL, 1.1 × 106 (SD ± 0.4) CFU/mL, respectively. The inflammation scores of MRSA + PRP, MRSA + Vancomycin, and MRSA + Vancomycin + PRP groups were significantly lower than the MRSA group. MRSA + Vancomycin + PRP group inflammation score was significantly lower than the MRSA + PRP group. DISCUSSION: All treatment groups were effective in wound healing and decreasing the MRSA counts. MRSA + PRP combined created identical inflammation scores to the PRP group. More in vivo studies are required to corroborate these findings.


Asunto(s)
Antibacterianos/uso terapéutico , Staphylococcus aureus Resistente a Meticilina , Plasma Rico en Plaquetas , Infecciones Estafilocócicas/tratamiento farmacológico , Infección de la Herida Quirúrgica/tratamiento farmacológico , Vancomicina/uso terapéutico , Animales , Antibacterianos/administración & dosificación , Modelos Animales de Enfermedad , Geles , Masculino , Ratas , Ratas Wistar , Vancomicina/administración & dosificación
10.
Aust Dent J ; 52(4): 295-9, 2007 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-18265685

RESUMEN

BACKGROUND: Gingival enlargement is usually noted within one to two months after the initiation of nifedipine therapy. The aetiology of nifedipine-induced gingival overgrowth is uncertain. The aim of this study was to determine the relationship between plasma and gingival crevice fluid (GCF) nifedipine concentrations and the degree of gingival overgrowth in patients treated with nifedipine, and also to assess the correlations between clinical and pharmacological variables. METHODS: Eighteen patients taking nifedipine in regular doses for at least six months participated in the study. Gingival enlargement was evaluated with two indices to score vertical and horizontal overgrowth. Gingival index (GI), plaque index (PI), gingival bleeding time index (GBTI), probing depth (PD) and clinical attachment level (CAL) were also evaluated. GCF and plasma nifedipine concentrations were determined by using high performance liquid chromatography. RESULTS: There was no significant difference between responders and non-responders for PI, GI and GBTI. The mean concentration of nifedipine in GCF was significantly greater than concentration in plasma. No significant difference was observed for GCF and plasma nifedipine concentration between responders and non-responders. CONCLUSIONS: The present study showed that neither GCF nor plasma nifedipine levels appeared to be a risk factor for nifedipine-induced gingival overgrowth. Improving the oral hygiene in patients using nifedipine may help control the degree of drug-induced gingival enlargement.


Asunto(s)
Sobrecrecimiento Gingival/inducido químicamente , Nifedipino/efectos adversos , Vasodilatadores/efectos adversos , Adulto , Anciano , Placa Dental/complicaciones , Métodos Epidemiológicos , Femenino , Líquido del Surco Gingival/química , Líquido del Surco Gingival/efectos de los fármacos , Humanos , Masculino , Persona de Mediana Edad , Nifedipino/sangre , Vasodilatadores/sangre
11.
J Laryngol Otol ; 130(11): 1059-1063, 2016 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-27823580

RESUMEN

OBJECTIVE: To inform on the incidence of high jugular bulb and dehiscent high jugular bulb, and the symptoms related to these vascular anomalies. METHODS: A retrospective analysis was performed of temporal bone computed tomography scans of 3285 patients who attended our clinic with various symptoms. The medical records of patients with high jugular bulb and dehiscent high jugular bulb were analysed, and the clinical findings reviewed. Patients with dehiscent high jugular bulb were evaluated for hearing loss with pure tone audiometry. RESULTS: High jugular bulb was evident in 730 patients (22 per cent) (510 right-sided, 220 left-sided; p < 0.01). Twenty-six high jugular bulb patients had dehiscent high jugular bulb. Ten of these 26 patients had vertigo, 15 had tinnitus and 1 had hearing disturbance. Ten dehiscent high jugular bulb patients had undergone pure tone audiometry: seven patients had conductive hearing loss, two had sensorineural hearing loss and one had mixed hearing loss. CONCLUSION: The incidences of high jugular bulb and dehiscent high jugular bulb were 22 per cent and 3.5 per cent, respectively. Tinnitus was the most common symptom of all patients. Dehiscent high jugular bulb was associated with various degrees of hearing loss, but not hearing disturbance.


Asunto(s)
Audiometría de Tonos Puros , Venas Yugulares/diagnóstico por imagen , Tomografía Computarizada por Rayos X , Malformaciones Vasculares/diagnóstico por imagen , Adulto , Femenino , Pérdida Auditiva/diagnóstico por imagen , Pérdida Auditiva/etiología , Humanos , Venas Yugulares/anomalías , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Hueso Temporal/diagnóstico por imagen , Acúfeno/diagnóstico por imagen , Acúfeno/etiología , Malformaciones Vasculares/complicaciones , Vértigo/diagnóstico por imagen , Vértigo/etiología
12.
Rev Esp Med Nucl Imagen Mol ; 35(1): 3-11, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-26514321

RESUMEN

AIM: To examine the value of 18F-fluorodeoxyglucose positron emission tomography/computed tomography (FDG-PET/CT) for the detection of bone metastasis in breast cancer patients and assess whether whole body bone scan (BS) with (99m)Tc-methylene diphosphonate provides any additional information. MATERIAL AND METHODS: Study group comprised 150 patients, mean age 52 years (range 27-85) with breast cancer, suspected of having bone metastases. All patients had undergone both FDG-PET/CT and BS with or without single photon emission tomography/computed tomography (SPECT/CT) within a period of 6 weeks. The final diagnosis of bone metastasis was established by histopathological findings, additional imaging, or clinical follow-up longer than 10 months. Cancer antigen 15-3 (CA15-3) and carcinoembryogenic antigen (CEA) were measured in all patients. RESULTS: Histologically 83%, 7% and 10% had infiltrating ductal, lobular and mixed carcinoma respectively. Confirmed bone metastases were present in 86 patients (57.3%) and absent in 64 (42.7%). Mean CA15-3 and CEA values in patients with bone metastases were 74.6ng/mL and 60.4U/mL respectively, compared to 21.3ng/mL and 3.2U/mL without metastases (p<0.001). The sensitivity of FDG-PET/CT for the detection of bone metastases was 97.6% compared to 89.5% with SPECT/CT. In 57 patients, FDG-PET/CT correctly identified additional pulmonary, hepatic, nodal and other soft tissue metastases, not detected by BS. CONCLUSION: Our findings suggest that FDG-PET/CT is superior to BS with or without SPECT/CT.


Asunto(s)
Neoplasias Óseas/diagnóstico por imagen , Neoplasias Óseas/secundario , Neoplasias de la Mama/patología , Carcinoma Ductal de Mama/diagnóstico por imagen , Carcinoma Ductal de Mama/secundario , Tomografía Computarizada por Tomografía de Emisión de Positrones , Adulto , Anciano , Anciano de 80 o más Años , Biomarcadores de Tumor/sangre , Neoplasias Óseas/sangre , Antígeno Carcinoembrionario/sangre , Carcinoma Ductal de Mama/sangre , Carcinoma Lobular/sangre , Carcinoma Lobular/diagnóstico por imagen , Carcinoma Lobular/secundario , Femenino , Radioisótopos de Flúor/análisis , Fluorodesoxiglucosa F18/análisis , Humanos , Persona de Mediana Edad , Mucina-1/sangre , Tomografía de Emisión de Positrones , Radiofármacos/análisis , Estudios Retrospectivos , Tomografía Computarizada por Tomografía Computarizada de Emisión de Fotón Único , Medronato de Tecnecio Tc 99m/análisis , Imagen de Cuerpo Entero
13.
Korean J Thorac Cardiovasc Surg ; 48(6): 404-6, 2015 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-26665107

RESUMEN

Gebode defect, that can accurately be treated surgical repair, is defined as a true communication between left ventricle and right atrium. A 74-year-old woman with a worsening history of ortophnea and peripheral edema was hospitalised. A communication between right atrium and left ventricle was diagnosed using transeusophageal echocardiography. The defect was repaired and mitral valve was replaced with a biologic valve. It would be beter to tailor surgical strategy for each case with atrioventricular canal defect after preoperative transeusophageal echocardiography and peroperative direct sight.

14.
Ann Thorac Surg ; 72(4): 1256-61; discussion 1261-2, 2001 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-11603446

RESUMEN

BACKGROUND: Atrial fibrillation (AF) is one of the most common complications of cardiac surgery. Magnesium, like several other pharmacologic agents, has been used in the prophylaxis of postoperative AF with varying degrees of success. However, the dose and the timing of magnesium prophylaxis need to be clarified. The purpose of this study was to assess the effect of intermittent magnesium infusion on postoperative AF. METHODS: A total of 200 consecutive patients who had elective, isolated, first-time coronary artery bypass grafting were prospectively randomized to two groups. Patients in the magnesium group (n = 100) received 6 mmol MgSO4 infusion in 100 mL 0.9% NaCl solution (25 mL/h) the day before surgery, just after cardiopulmonary bypass, and once daily for 4 days after surgery. Patients in the control group (n = 100) received only 100 mL 0.9% NaCl solution (25 mL/h) at the same time points. RESULTS: Postoperative AF occurred in 2 (2%) patients in the magnesium group and in 21 (21%) patients in the control group (p < 0.001). Atrial fibrillation started, on average, 49.4 +/- 16.8 hours postoperatively. The postoperative length of hospital stay was not significantly different in patients with AF (7.4 +/- 8.0 days) compared with patients without AF (5.4 +/- 1.1 days; p = 0.236). CONCLUSIONS: The use of magnesium in the preoperative and early postoperative periods is highly effective in reducing the incidence of AF after coronary artery bypass grafting.


Asunto(s)
Fibrilación Atrial/prevención & control , Puente de Arteria Coronaria , Sulfato de Magnesio/administración & dosificación , Complicaciones Posoperatorias/prevención & control , Premedicación , Anciano , Relación Dosis-Respuesta a Droga , Esquema de Medicación , Femenino , Humanos , Infusiones Intravenosas , Tiempo de Internación , Sulfato de Magnesio/efectos adversos , Masculino , Persona de Mediana Edad
15.
Eur J Ophthalmol ; 13(4): 377-82, 2003 May.
Artículo en Inglés | MEDLINE | ID: mdl-12872795

RESUMEN

PURPOSE: To measure the retinal nerve fiber layer thickness in patients with pigment dispersion syndrome (PDS) using scanning laser polarimetry and to compare these measurements with those of normal subjects and patients with pigmentary glaucoma (PG). METHODS: Age-, sex-, and refractive error-matched subjects--18 patients with PDS, 18 patients with PG, and 20 healthy subjects--were evaluated by scanning laser polarimetry (Nerve Fiber Analyzer [NFA] GDx). The NFA did not have a compensator for corneal polarization. One randomly selected eye from each patient was included in the statistical analysis. The NFA measurements of patients with PDS and PG and healthy subjects were compared statistically using analysis of variance, Tukey multiple comparisons, chi-square, and independent t-tests. RESULTS: The mean values for average thickness, superior and inferior maximum, superior and inferior average, ellipse average thickness, and superior integral were found to be lower in the patients with PDS (p < 0.02) and PG (p < 0.005) compared to the normal subjects. The mean values for maximum modulation, superior ratio, inferior ratio, and superior/nasal ratio in PDS were in between those of the PG and control groups (p > 0.05). The ellipse modulation was significantly lower in the PG group when compared to the other two groups (p < 0.03). CONCLUSIONS: Retinal nerve fiber loss is present to some extent in patients with PDS and this loss is not age or sex dependent. Parameters of modulation might be more representative of significant damage of the nerve fiber layer.


Asunto(s)
Oftalmopatías/patología , Glaucoma de Ángulo Abierto/patología , Rayos Láser , Fibras Nerviosas/patología , Trastornos de la Pigmentación/patología , Retina/patología , Adulto , Anciano , Birrefringencia , Estudios de Casos y Controles , Técnicas de Diagnóstico Oftalmológico , Femenino , Humanos , Masculino , Microscopía de Polarización , Persona de Mediana Edad
16.
Eye (Lond) ; 28(10): 1165-73, 2014 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-25033902

RESUMEN

OBJECT: To record emmetropization, visual acuity, and strabismus outcomes among hyperopic infants followed with partial hyperopic corrections given in accordance with dynamic retinoscopy (DR). METHODS: Infants (3.5-12 months of age) with ≥5 D hyperopia were followed without glasses or partial hyperopic corrections prescribed according to their near dynamic accommodative abilities determined by DR responses at the initial visit and follow-ups. Refraction and binocular accommodative ability assessments were made at 3-month intervals up to the age of 1 and at 6-month intervals afterwards for a mean 35.4±2.1 months; main outcome measures being the development of esotropia, emmetropization rate, and visual acuity level after emmetropization period. RESULTS: Among 211, 146 were normal accommodators initially (Group 1). These infants were followed without treatment and none presented with strabismus. Sixty-five infants were hypo-accommodators (Group 2) and received minimum DR-based corrections. Of the 65 infants 31 (48%) developed strabismus (Group 2B). The remaining 34 constituted Group 2A. Each of the three groups showed an overall reduction of hyperopia by 0.37±0.25 days per year, 0.50±0.28 days per year, and 0.60±0.20 days per year, respectively. Visual acuity assessments among Groups 1 and 2A revealed normal values (0.2-0.0 LogMAR); among Group 2B 19% were within normal range. CONCLUSIONS: Binocular accommodative behavior at the initial visit seems to be one of the indicators for pointing out infants at risk of developing strabismus and amblyopia. Prescription of DR-based corrections to hyperopic orthotropic infants does not impede emmetropization and result in normal visual acuities after emmetropization period.


Asunto(s)
Emetropía/fisiología , Esotropía/fisiopatología , Anteojos , Hiperopía/terapia , Agudeza Visual/fisiología , Acomodación Ocular/fisiología , Estudios de Seguimiento , Humanos , Hiperopía/fisiopatología , Lactante , Refracción Ocular/fisiología , Retinoscopía , Visión Binocular/fisiología
17.
Transplant Proc ; 45(2): 474-9, 2013 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-23498781

RESUMEN

BACKGROUND: Total vascular exclusion (TVE) causes warm liver ischemia. The aim of this study was to investigate the patterns of injury caused by inflow-outflow obstruction in the rat liver. MATERIALS AND METHODS: Twenty-four Wistar-Albino rats were divided into three groups: liver inflow occlusion (Group A), inflow-outflow occlusion (Group B) and intermittent inflow-outflow occlusion applied for 15 minutes. Microcirculation was measured with laser Doppler flowmetry during the procedure. Samples for biochemical and histopathological analyses were collected at the end of the ischemia period. RESULTS: Significant alterations in microcirculation were determined by application of vascular control maneuvers. Microcirculation in the central and dome segments were affected adversely compared with the dome segments in all experimental groups. TVE induced severe disturbances in hepatic microcirculation with more prominent hepatocellular damage. Damage to central segments of the rat liver was more prominent with inflow occlusion; whereas inflow-outflow occlusion produced more prominent damage to dome segments. Intermittent application of TVE clamping was associated with more hepatocellular damage compared with continuous TVE. CONCLUSION: Our mapping methodology within the liver parenchyma suggested that hepatovenous back-perfusion is a principle source of continuity of microcirculation in the rat liver during inflow occlusion. Inflow-outflow occlusion caused more tissue damage compared with inflow occlusion. Ischemic preconditioning during TVE did not increase the tolerance of the liver against ischemia.


Asunto(s)
Circulación Hepática , Trasplante de Hígado/efectos adversos , Hígado/irrigación sanguínea , Hígado/cirugía , Microcirculación , Daño por Reperfusión/fisiopatología , Alanina Transaminasa/sangre , Animales , Aspartato Aminotransferasas/sangre , Biomarcadores/sangre , Velocidad del Flujo Sanguíneo , L-Lactato Deshidrogenasa/sangre , Flujometría por Láser-Doppler , Hígado/enzimología , Hígado/patología , Masculino , Ratas , Ratas Wistar , Daño por Reperfusión/sangre , Daño por Reperfusión/etiología , Daño por Reperfusión/patología
18.
JBR-BTR ; 94(5): 278-82, 2011.
Artículo en Inglés | MEDLINE | ID: mdl-22191292

RESUMEN

OBJECTIVE: The aim of our study was to compare the diagnostic ability of oral added intravenous (IV) contrast-enhanced multidetector computed tomography (MDCT) versus only IV contrast-enhanced MDCT in diagnosing of acute appendicitis. MATERIALS AND METHODS: MDCT images of 200 patients were evaluated prospectively in this study. Patients were randomized into one of two groups: Group 1 (Gp1) patients underwent 16-MDCT performed with oral and IV contrast-enhanced and Group 2 (Gp2) subjects underwent 16-MDCT with only IV contrast-enhanced protocol. Final decision was based on histopathologic operative data and follow-up of patients. RESULTS: In Gp1, Reader1 had 96.9% and 98.5% and Reader2 had 84% and 94.7% sensitivity and specificity values respectively. For Gp2, the values for Reader1 were 81% and 94%. For Reader2 in Gp2, the values were 76% and 91%. We achieved higher sensitivity and specificity values with combined contrast administration versus only IV contrast-enhanced MDCT imaging. However, there was no statistically significant differences between two readers in the AUC values of each group for the detection of acute appendicitis. CONCLUSION: It is statistically concluded that oral contrast do not contribute to the a better accuracy. So in the routine practice, oral contrast has not to be recommended.


Asunto(s)
Apendicitis/diagnóstico por imagen , Medios de Contraste/administración & dosificación , Ácido Yotalámico/análogos & derivados , Tomografía Computarizada por Rayos X/métodos , Enfermedad Aguda , Administración Oral , Adulto , Diagnóstico Diferencial , Humanos , Inyecciones Intravenosas , Ácido Yotalámico/administración & dosificación , Masculino , Estudios Prospectivos , Curva ROC , Sensibilidad y Especificidad
19.
Transplant Proc ; 42(9): 3820-2, 2010 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-21094863

RESUMEN

Zoledronic acid (ZA), a nitrogen-bearing bisphosphonate, is used to treat the hypercalcemia associated with cancer. In addition to its antiumor effects, it acts as an osteoclast inhibitor. To investigate the effects of ZA on oxidative stress and antioxidants, we studied reduced glutathione (GSH) and antioxidant gamma glutamate cysteine, including nitrite and nitrate, which are endproducts of nitric oxide (NO) as well as malondialdehyde (MDA) in rabbit liver tissue. In the study ZA (100 µg/kg) was administered to 7 rabbits that were fed ad libitum for comparison with untreated controls. MDA was studied using Thiobarbituric acid-reactive substance reduction, NO using cadmium reduction, GSH using an enzymatic method yielding dithinitrobenzene yellow substance. We observed significantly higher MDA and NO levels in the ZA group (P < .0001), whereas GSH levels were significantly lower (P < .0001). Tissues were examined histopathologically. According to our results we find ZA induced rabbit liver oxidative stress and decreases with antioxidant levels in liver tissue. Further studies are needed to explore the safe use of this agent.


Asunto(s)
Antioxidantes/metabolismo , Conservadores de la Densidad Ósea/farmacología , Difosfonatos/farmacología , Imidazoles/farmacología , Hígado/efectos de los fármacos , Oxidantes/metabolismo , Estrés Oxidativo/efectos de los fármacos , Animales , Dipéptidos/metabolismo , Glutatión/metabolismo , Hígado/metabolismo , Malondialdehído/metabolismo , Nitratos/metabolismo , Nitritos/metabolismo , Conejos , Ácido Zoledrónico
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