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1.
PLoS One ; 15(6): e0234476, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32584848

RESUMEN

Soils contaminated with per- and polyfluoroalkyl substances (PFASs) are an important source for impacting drinking water delivery systems and surface water bodies world-wide, posing an urgent risk to human health and environmental quality. However, few treatment techniques have been tested for PFAS-contaminated soil hotspots. This study investigated the possibility of thermal desorption as a possible technique to remediate soils contaminated with multiple PFASs. Two fortified soils (∑9PFAS ≈ 4 mg kg-1) and one field-contaminated soil (∑9PFAS ≈ 0.025 mg kg-1) were subjected to a 75-min thermal treatment at temperatures ranging from 150 to 550°C. Soil concentrations of PFASs showed a significant decrease at 350°C, with the ∑9PFAS concentration decreasing by, on average, 43% and 79% in the fortified and field contaminated soils, respectively. At 450°C, >99% of PFASs were removed from the fortified soils, while at 550°C the fraction removed ranged between 71 and 99% for the field contaminated soil. In the field contaminated soil, PFAS classes with functional groups of sulfonates (PFSAs) and sulfonamides (FOSAs) showed higher removal than the perfluoroalkyl carboxylates (PFCAs). Thus thermal desorption has the potential to remove a wide variety of PFASs from soil, although more studies are needed to investigate the cost-effectiveness, creation of transformation products, and air-phase vacuum filtration techniques.


Asunto(s)
Alcanosulfonatos , Restauración y Remediación Ambiental/métodos , Fluorocarburos , Incineración/métodos , Contaminantes del Suelo
2.
Science ; 201(4350): 56-9, 1978 Jul 07.
Artículo en Inglés | MEDLINE | ID: mdl-17777756

RESUMEN

The ratio of the amplitudes of P and S waves from the foreshocks and aftershocks to three recent California earthquakes show a characteristic change at the time of the main events. As this ratio is extremely sensitive to small changes in the orientation of the fault plane, a small systematic change in stress or fault configuration in the source region may be inferred. These results suggest an approach to the recognition of foreshocks based on simple measurements of the amplitudes of seismic waves.

3.
Science ; 229(4714): 619-24, 1985 Aug 16.
Artículo en Inglés | MEDLINE | ID: mdl-17739363

RESUMEN

Five moderate (magnitude 6) earthquakes with similar features have occurred on the Parkfield section of the San Andreas fault in central California since 1857. The next moderate Parkfield earthquake is expected to occur before 1993. The Parkfield prediction experiment is designed to monitor the details of the final stages of the earthquake preparation process; observations and reports of seismicity and aseismic slip associated with the last moderate Parkfield earthquake in 1966 constitute much of the basis of the design of the experiment.

4.
Science ; 225(4659): 288-91, 1984 Jul 20.
Artículo en Inglés | MEDLINE | ID: mdl-17749545

RESUMEN

The Morgan Hill, California, earthquake (magnitude 6.1) of 24 April 1984 ruptured a 30-kilometer-long segment of the Calaveras fault zone to the east of San Jose. Although it was recognized in 1980 that an earthquake of magnitude 6 occurred on this segment in 1911 and that a repeat of this event might reasonably be expected, no short-term precursors were noted and so the time of the 1984 earthquake was not predicted. Unilateral rupture propagation toward the south-southeast and an energetic late source of seismic radiation located near the southeast end of the rupture zone contributed to the highly focused pattern of strong motion, including an exceptionally large horizontal acceleration of 1.29g at a site on a dam abutment near the southeast end of the rupture zone.

5.
J Affect Disord ; 243: 421-426, 2019 01 15.
Artículo en Inglés | MEDLINE | ID: mdl-30268958

RESUMEN

BACKGROUND: We aimed to compare the prevalence of impulsive suicide attempts (ISA) among young adults and those over 25 who present at hospital in connection with attempted suicide. We also aimed to identify factors associated with ISA in young adults and to assess medical severity as well as the probability of repeated suicide attempts in this age group. METHOD: A prospective multicentre cohort study included hospital known cases of suicide attempt (N = 666). The prevalence of ISA was compared between young adults (18-25) and adults aged > 26. We used logistic regression models to identify factors associated with ISA, associations of ISA with high medical severity and prediction of new fatal or non-fatal suicide attempts within 6 months. RESULTS: 43.7% of the young patients had made an ISA, and 30.2% among those aged > 26 (p = 0.001). Among the young, substance use disorder was associated with ISA; crude odds ratio (OR) 2.0 (1.0-4.2), and adjusted OR 2.1 (0.99-4.4). Affective disorder and unemployment/ sickness absence implied lower odds of ISA. ISA resulted in injuries of high medical severity as often as more planned attempts and non-fatal or fatal repetition within 6 months was equally common (30%) in both groups. LIMITATIONS: The study was set in psychiatric emergency services, which limits the generalizability. CONCLUSIONS: Clinicians should acknowledge that suicide attempts among youth often occur without previous planning and may result in medically severe injuries. The probability of new fatal or non-fatal suicide attempts should be kept in mind also after an impulsive suicide attempt.


Asunto(s)
Conducta Impulsiva , Intento de Suicidio/estadística & datos numéricos , Adolescente , Adulto , Estudios de Cohortes , Femenino , Humanos , Modelos Logísticos , Masculino , Persona de Mediana Edad , Prevalencia , Estudios Prospectivos , Factores de Riesgo , Suecia/epidemiología , Adulto Joven
6.
Cytogenet Genome Res ; 116(1-2): 38-45, 2007.
Artículo en Inglés | MEDLINE | ID: mdl-17268176

RESUMEN

The RAD51C (RAD51L2) protein is one out of five RAD51 paralogs and forms a complex that includes either XRCC2 or XRCC3. Both of these complexes may have important functions in homologous recombination (HR). Here, we confirm that the frequency of DNA double-strand break (DSB)-induced HR is reduced in the RAD51C deficient cell line CL-V4B, in agreement with a role for RAD51C in HR. We report that mitotic RAD51C deficient CL-V4B cells also have an increased number of centrosomes in mitosis resulting in aberrant mitotic spindles. These data suggest that the RAD51C protein is important in maintaining correct centrosome numbers and that the complexes including RAD51C and XRCC2 or XRCC3 may be of importance in maintaining correct centrosome numbers in mitosis. Increased centrosome numbers following a RAD51C defect indicates that this protein might be important in preventing aneuploidy, suggesting that it could be a potential tumour suppressor in mammals.


Asunto(s)
Centrosoma/ultraestructura , Proteínas de Unión al ADN/fisiología , Mitosis , Recombinación Genética , Huso Acromático , Animales , Células CHO , Línea Celular , Centrosoma/metabolismo , Cricetinae , Cricetulus , Proteínas de Unión al ADN/química , Genes Reporteros , Genotipo , Microscopía Fluorescente
7.
Intensive Care Med ; 22(8): 728-34, 1996 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-8880239

RESUMEN

OBJECTIVE: To evaluate the dose response of inhaled nitric oxide (NO) on gas exchange and central haemodynamics in patients with early acute lung injury (ALI). DESIGN: Prospective, multicentre clinical study. SETTING: General ICUs in university and regional hospitals. PATIENTS: 18 Patients with early ALI according to specified criteria. INTERVENTIONS: During controlled ventilation an inhalation system was used to deliver NO (1000 ppm in N2) and O2/air to the low pressure fresh gas inlet of a Siemens 900C ventilator. Haemodynamics and pulmonary gas exchange variables were measured at baseline and at stepwise increased inspiratory NO concentrations of 0.1, 0.3, 1, 3, 10, 30 and 100 ppm, each dose being maintained for 15 min. Dose testing was repeated the next day, and the response to prolonged (2 h) NO inhalation at 1 and 10 ppm was also tested. MEASUREMENTS AND RESULTS: Inhalation of NO produced a significant increase in PaO2 (P < 0.0025). The degree of response, as well as the optimal NO dose varied in individual patients and between different days. Venous admixture (QVA/QT) was reduced (P < 0.02) from 38% (31-46%) to 33% (26-41%). In our patients with early acute lung injury and only a moderate elevation in pulmonary arterial pressure NO inhalation did not reduce mean pulmonary artery pressure significantly, being 27.0 (21-30) mmHg at baseline and 26.0 (21-30) mm Hg at 100 ppm. CONCLUSIONS: This study shows that improvements in arterial oxygenation in response to inhaled NO may show great inter- as well as intraindividual variability, and that improvements in arterial oxygenation occur without any measurable lowering of the pulmonary artery pressure.


Asunto(s)
Hemodinámica/efectos de los fármacos , Óxido Nítrico/farmacología , Intercambio Gaseoso Pulmonar/efectos de los fármacos , Síndrome de Dificultad Respiratoria/fisiopatología , Administración por Inhalación , Adulto , Anciano , Relación Dosis-Respuesta a Droga , Humanos , Persona de Mediana Edad , Óxido Nítrico/uso terapéutico , Oxígeno/sangre , Estudios Prospectivos , Presión Esfenoidal Pulmonar/efectos de los fármacos , Respiración Artificial , Síndrome de Dificultad Respiratoria/tratamiento farmacológico , Estadísticas no Paramétricas
8.
Drug Alcohol Depend ; 14(1): 51-61, 1984 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-6489152

RESUMEN

Female rats were given 16% ethanol solution as the sole liquid during the entire period of gestation. At birth the offspring was removed and reared by foster dams consuming normal drinking water. When tested for feminine sexual behavior in adulthood, the males showed marked signs of feminization as evidenced by an increased amount of lordosis responses. No changes were seen in the masculine sexual behavior. No deviations were seen in the female estrous cycles or in onset of vaginal estrus, whereas the onset of behavioral estrus was delayed. It is suggested that prenatal ethanol exposure may lower the fetal testosterone production and thereby interfere with the normal course of sexual differentiation in the male.


Asunto(s)
Etanol/efectos adversos , Efectos Tardíos de la Exposición Prenatal , Conducta Sexual Animal/efectos de los fármacos , Animales , Reacción de Prevención/efectos de los fármacos , Peso al Nacer/efectos de los fármacos , Estro/efectos de los fármacos , Femenino , Actividad Motora/efectos de los fármacos , Postura , Embarazo , Ratas , Ratas Endogámicas , Diferenciación Sexual/efectos de los fármacos , Testosterona/metabolismo
9.
Clin Nutr ; 8(3): 145-9, 1989 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-16837280

RESUMEN

The removal rates from plasma of Intralipid and (125)I-albumin, simultaneously injected i.v., were analyzed in 10 chronic renal failure (CRF) patients. The results were compared with 9 intensive care unit (ICU) patients and five healthy subjects as controls. The fractional removal rates of Intralipid (k2) were significantly lower for the CRF patients compared to both ICU patients and healthy subjects. The initial plasma concentration of Intralipid, calculated by extrapolation of the elimination curve back to zero-time (y0), showed significantly higher values for CRF patients and healthy subjects compared to ICU patients. Removal curves expressed as ratios between Intralipid and (125)I-albumin paralleled the elimination curves for Intralipid, which suggests that the slope of the curves depends on Intralipid removal and not on leakage of macromolecules from the circulation. The very low initial plasma concentration of Intralipid in the ICU patients cannot be explained by a hyperdynamic circulation, but may be attributed to a rapid first passage disappearance of Intralipid from plasma into tissues such as the pulmonary vasculature.

10.
Physiol Behav ; 35(4): 487-92, 1985 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-4070419

RESUMEN

Spontaneously hypertensive rats of the Okamoto strain (SHR) were compared with inbred normotensive rats of the Wistar-Kyoto strain (WKY) and with normally bred Wistar rats (NT) in tests on the audiogenic immobility reaction (freezing), open-field behavior in a dark and an enlightened arena respectively, auditory startle response and male sexual behavior. Compared to the WKYs the SHRs showed increased locomotion and rearing in the open-field situations, reduced startle response and shortened immobility reaction. The SHRs differed in the same way from the NT rats with the exception for motor activity in the dark arena, where no differences were observed. The WKY rats showed less motor activity than the NT animals. Both SH and WKY rats showed shorter latency time for ejaculation than the NT rats. The characteristics of the behavior patterns displayed by the SH rats were interpreted as indicating a reduced propensity for fear reactions in this strain of rats compared to the WKY and NT strains used in the present study.


Asunto(s)
Conducta Animal , Hipertensión/psicología , Estimulación Acústica , Animales , Presión Sanguínea , Frecuencia Cardíaca , Masculino , Actividad Motora , Ratas , Ratas Endogámicas SHR , Ratas Endogámicas WKY , Reflejo de Sobresalto , Conducta Sexual Animal
11.
JPEN J Parenter Enteral Nutr ; 10(3): 265-73, 1986.
Artículo en Inglés | MEDLINE | ID: mdl-3458934

RESUMEN

Trauma induces changes in the serum lipoprotein pattern in man. A characteristic apolipoprotein, named apolipoprotein T existing in its isoforms T-I to T-IV, in the high density lipoprotein (HDL) fraction of serum, also appears in response to trauma. In this report eight patients operated on for abdominal aortic aneurysms were studied concerning the time dependency in changes of serum lipoproteins and the appearance of apolipoprotein T. Blood samples for lipoprotein analysis were taken preoperatively, postoperatively on days 1, 2, 4, 6 and thereafter twice a week until discharge from the hospital. The serum lipoprotein concentrations were compared with those from a group of healthy men. The most striking abnormalities were found in serum VLDL where both concentrations of triglycerides and cholesterol decreased during the first 2 days by more than 50%, compared to the initial level, and remained low for about 1 week. Also the concentration of LDL cholesterol in serum decreased about 40% from the preoperative value during the first days. Serum HDL cholesterol either increased during the first 2 days in those patients with a low preoperative concentration or stayed on a subnormal level during the first 4 days. After day 4 the serum HDL cholesterol decreased and reached the minimum level on days 10 to 13. Already on day 1 after trauma apolipoprotein T had reached a high level in order to stay high for several weeks. The apolipoprotein T isoforms had different appearance with time and varied independently of serum cholesterol in HDL.


Asunto(s)
Apolipoproteínas/sangre , Lipoproteínas/sangre , Estrés Psicológico/complicaciones , Procedimientos Quirúrgicos Operativos , Anciano , Colesterol/sangre , LDL-Colesterol/sangre , VLDL-Colesterol , Electroforesis , Femenino , Humanos , Lipoproteínas HDL/sangre , Lipoproteínas LDL/sangre , Lipoproteínas VLDL/sangre , Masculino , Persona de Mediana Edad , Factores de Tiempo , Triglicéridos/sangre
12.
Lab Anim ; 48(1): 36-49, 2014 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-24080597

RESUMEN

We investigated if there were any negative effects on the behaviour and physiology of rats housed in groups of five in two types of enriched cages and compared them with paired-housed rats housed in traditional cages. Eighty-four male Wistar and Sprague-Dawley rats were housed in an enriched rat cage (ERC), a rebuilt rabbit cage (RRC) or a Makrolon III cage (MC) system from 5-16 weeks of age with access to different enrichments. Recordings of behaviour and cage use (3 × 24 h video recording), weekly weighing, measuring food consumption four days/week and water consumption two days/week, were carried out. The rats' muscle strength was assessed using the 'inclined plane' at the end of the study, and after euthanasia the adrenal glands were removed and weighed. Being in the shelter was the most common behaviour in the ERC and RRC groups. In the MC group, which lacked a shelter, rats performed the highest percentage of lying, grooming, rearing, play fighting and manipulating paper shreds. Rats in the RRC had the highest percentage of standing and manipulating gnawing sticks. Water consumption was higher in MC than in ERC and RRC rats. Rats from the RRC managed to remain at a steeper angle on the 'inclined plane' than rats from the MC. There were no significant effects of cage type on weight gain, food consumption or relative weights of adrenal glands. In conclusion, male rats kept in groups of five in larger enriched cages benefited from the enrichments, and no negative effects were found in the larger groups.


Asunto(s)
Glándulas Suprarrenales/crecimiento & desarrollo , Crianza de Animales Domésticos/métodos , Bienestar del Animal , Vivienda para Animales , Actividad Motora , Ratas/fisiología , Aumento de Peso , Animales , Masculino , Mesotelina , Ratas Sprague-Dawley/fisiología , Ratas Wistar/fisiología , Medio Social , Especificidad de la Especie
13.
Int J Sports Med ; 29(6): 519-23, 2008 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-18004687

RESUMEN

Sodium bicarbonate ingestion has been shown to improve performance in single-bout, high intensity events, probably due to an increase in buffering capacity, but its influence on single-bout swimming performance has not been investigated. The effects of sodium bicarbonate supplementation on 200 m freestyle swimming performance were investigated in elite male competitors. Following a randomised, double blind counterbalanced design, 9 swimmers completed maximal effort swims on 3 separate occasions: a control trial (C); after ingestion of sodium bicarbonate (SB: NaHCO3 300 mg . kg (-1) body mass); and after ingestion of a placebo (P: CaCO3 200 mg . kg (-1) body mass). The SB and P agents were packed in gelatine capsules and ingested 90 - 60 min prior to each 200 m swim. Mean 200 m performance times were significantly faster for SB than C or P (1 : 52.2 +/- 4.7; 1 : 53.7 +/- 3.8; 1 : 54.0 +/- 3.6 min : ss; p < 0.05). Base excess, pH and blood bicarbonate were all elevated pre-exercise in the SB compared to C and P trials (p < 0.05). Post-200 m blood lactate concentrations were significantly higher following the SB trial compared with P and C (p < 0.05). It was concluded that SB supplementation can improve 200 m freestyle performance time in elite male competitors, most likely by increasing buffering capacity.


Asunto(s)
Tolerancia al Ejercicio , Bicarbonato de Sodio/farmacología , Natación/fisiología , Suplementos Dietéticos , Método Doble Ciego , Prueba de Esfuerzo , Humanos , Masculino , Bicarbonato de Sodio/uso terapéutico , Análisis y Desempeño de Tareas
14.
Acta Diabetol ; 45(4): 231-5, 2008 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-18769865

RESUMEN

The aim of this study was to compare the frequency of human leukocyte antigen (HLA) genotypes in 1-18-year-old patients with type 1 diabetes newly diagnosed in 1986-1987 (n = 430), 1996-2000 (n = 342) and in 2003-2005 (n = 171). We tested the hypothesis that the HLA DQ genotype distribution changes over time. Swedish type 1 diabetes patients and controls were typed for HLA using polymerase chain reaction amplification and allele specific probes for DQ A1* and B1* alleles. The most common type 1 diabetes HLA DQA1*-B1*genotype 0501-0201/0301-0302 was 36% (153/430) in 1986-1987 and 37% (127/342) in 1996-2000, but decreased to 19% (33/171) in 2003-2005 (P \ 0.0001). The 0501-0201/0501-0201 genotype increased from 1% in 1986-1987 to 7% in 1996-2000 (P = 0.0047) and to 5% in 2003-2005 (P > 0.05). This study in 1-18-year-old Swedish type 1 diabetes patients supports the notion that there is a temporal change in HLA risk.


Asunto(s)
Diabetes Mellitus Tipo 1/genética , Diabetes Mellitus Tipo 1/inmunología , Genotipo , Antígenos HLA/genética , Adolescente , Edad de Inicio , Niño , Preescolar , Diabetes Mellitus Tipo 1/epidemiología , Femenino , Frecuencia de los Genes , Antígenos HLA-DQ/genética , Cadenas alfa de HLA-DQ , Cadenas beta de HLA-DQ , Humanos , Lactante , Masculino , Suecia/epidemiología
15.
Genes Immun ; 8(6): 518-21, 2007 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-17554341

RESUMEN

SUMO4 M55V, located in IDDM5, has been a focus for debate because of its association to type I diabetes (TIDM) in Asians but not in Caucasians. The current study aims to test the significance of M55V association to TIDM in a large cohort of Swedish Caucasians, and to test whether M55V is associated in those carrying human leukocyte antigen (HLA) class II molecules. A total of 673 TIDM patients and 535 age- and sex-matched healthy controls were included in the study. PCR-RFLP was performed to identify the genotype and allele variations. Our data suggest that SUMO4 M55V is not associated with susceptibility to TIDM by itself. When we stratified our patients and controls based on heterozygosity for HLA-DR3/DR4 and SUMO4 genotypes, we found that presence of SUMO4 GG increased further the relative risk conferred by HLA-DR3/DR4 to TIDM, whereas SUMO4 AA decreased the risk. From the current study, we conclude that SUMO4 M55V is associated with TIDM in association with high-risk HLA-DR3 and DR4, but not by itself.


Asunto(s)
Diabetes Mellitus Tipo 1/genética , Antígeno HLA-DR3/genética , Antígeno HLA-DR4/genética , Proteínas Modificadoras Pequeñas Relacionadas con Ubiquitina/genética , Adolescente , Adulto , Alelos , Estudios de Casos y Controles , Niño , Preescolar , Estudios de Cohortes , Diabetes Mellitus Tipo 1/inmunología , Femenino , Predisposición Genética a la Enfermedad , Genotipo , Antígeno HLA-DR3/inmunología , Antígeno HLA-DR4/inmunología , Haplotipos , Humanos , Lactante , Recién Nacido , Masculino , Polimorfismo de Nucleótido Simple , Proteínas Modificadoras Pequeñas Relacionadas con Ubiquitina/inmunología , Suecia
16.
Genes Immun ; 8(6): 503-12, 2007 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-17641683

RESUMEN

In a large case-control study of Swedish incident type I diabetes patients and controls, 0-34 years of age, we tested the hypothesis that the GIMAP5 gene, a key genetic factor for lymphopenia in spontaneous BioBreeding rat diabetes, is associated with type I diabetes; with islet autoantibodies in incident type I diabetes patients or with age at clinical onset in incident type I diabetes patients. Initial scans of allelic association were followed by more detailed logistic regression modeling that adjusted for known type I diabetes risk factors and potential confounding variables. The single nucleotide polymorphism (SNP) rs6598, located in a polyadenylation signal of GIMAP5, was associated with the presence of significant levels of IA-2 autoantibodies in the type I diabetes patients. Patients with the minor allele A of rs6598 had an increased prevalence of IA-2 autoantibody levels compared to patients without the minor allele (OR=2.2; Bonferroni-corrected P=0.003), after adjusting for age at clinical onset (P=8.0 x 10(-13)) and the numbers of HLA-DQ A1*0501-B1*0201 haplotypes (P=2.4 x 10(-5)) and DQ A1*0301-B1*0302 haplotypes (P=0.002). GIMAP5 polymorphism was not associated with type I diabetes or with GAD65 or insulin autoantibodies, ICA, or age at clinical onset in patients. These data suggest that the GIMAP5 gene is associated with islet autoimmunity in type I diabetes and add to recent findings implicating the same SNP in another autoimmune disease.


Asunto(s)
Autoanticuerpos/inmunología , Diabetes Mellitus Tipo 1/genética , Diabetes Mellitus Tipo 1/inmunología , Proteínas de Unión al GTP/genética , Adolescente , Adulto , Autoanticuerpos/sangre , Estudios de Casos y Controles , Niño , Preescolar , Diabetes Mellitus Tipo 1/metabolismo , Femenino , Proteínas de Unión al GTP/metabolismo , Humanos , Lactante , Recién Nacido , Masculino , Polimorfismo de Nucleótido Simple , Suecia
17.
Int J Clin Pract ; 59(1): 62-8, 2005 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-15707467

RESUMEN

This study aimed to evaluate the cost-effectiveness of formoterol (Oxis) Turbuhaler 4.5 microg and salbutamol 200 microg as reliever medications in Sweden and Spain. The study used data on effectiveness (exacerbations and symptom-free days) and resource utilisation from an open, 6-month, parallel-group, multicentre randomised trial with 18,124 asthma patients in 24 countries. Country-specific unit costs for Sweden and for Spain were used to transform resource utilisation data into costs. Total healthcare costs were not significantly different between formoterol and salbutamol dry powder inhalers in Sweden, whereas in Spain, the healthcare costs were 20% higher for formoterol vs. salbutamol pressurised metered dose inhalers. Total healthcare costs increased with disease severity, defined according to the Global Initiative for Asthma guidelines. Compared with salbutamol, formoterol produced statistically significant improvements in effectiveness, less reliever and maintenance medication usage, reduced healthcare resource utilisation, with no increase or a limited increase in healthcare cost.


Asunto(s)
Albuterol/economía , Asma/economía , Broncodilatadores/economía , Etanolaminas/economía , Administración por Inhalación , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Albuterol/uso terapéutico , Asma/tratamiento farmacológico , Broncodilatadores/administración & dosificación , Niño , Preescolar , Análisis Costo-Beneficio , Etanolaminas/administración & dosificación , Femenino , Fumarato de Formoterol , Costos de la Atención en Salud , Humanos , Masculino , Persona de Mediana Edad , Nebulizadores y Vaporizadores , Índice de Severidad de la Enfermedad , España , Suecia
18.
Crit Care Med ; 15(9): 826-30, 1987 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-3621955

RESUMEN

Plasma fractional removal rates (k2) of Intralipid injected in parallel with 125I albumin were analyzed in five healthy males and nine critically ill patients. The k2 values of critically ill patients were similar to those of healthy subjects. However, the initial plasma concentrations of Intralipid calculated by extrapolation to zero-time (y0) were markedly different. The mean y0 value in the critically ill patients was 43% that of healthy subjects. No plasma loss of 125I albumin occurred throughout the test. Intralipid to 125I albumin plasma concentration ratios during the removal phase paralleled the curves obtained from the iv fat tolerance test. This suggests that these ratios depend on Intralipid clearance rather than leakage from the circulation. The immediate loss of Intralipid suggests that the pulmonary vasculature, the first capillary bed through which the emulsion passes, could be the site where a substantial uptake of the emulsion occurs in critically ill patients.


Asunto(s)
Emulsiones Grasas Intravenosas/metabolismo , Insuficiencia Multiorgánica/metabolismo , Adolescente , Adulto , Anciano , Emulsiones Grasas Intravenosas/sangre , Humanos , Inyecciones Intravenosas , Radioisótopos de Yodo , Cinética , Lipoproteínas/sangre , Pulmón/metabolismo , Masculino , Persona de Mediana Edad
19.
Crit Care Med ; 14(5): 476-80, 1986 May.
Artículo en Inglés | MEDLINE | ID: mdl-3084170

RESUMEN

Intralipid elimination patterns were compared in 25 healthy controls, 12 patients recovering from uncomplicated cholecystectomy, and 25 critically ill patients. The intravenous fat tolerance test revealed a similar fractional removal rate (k2) in healthy controls and critically ill patients, but k2 was increased in cholecystectomy patients. The concentration of cross-reactive protein (CRP) correlated positively to the concentration of total triglyceride and low-density lipoprotein-triglyceride, and negatively to low-density lipoprotein-cholesterol and high-density lipoprotein-cholesterol. The extrapolated zero-time concentration of Intralipid in the critically ill patients was only one-third of the value in healthy controls. After this initial loss, however, Intralipid was removed from the circulation after first-order kinetics. These low concentrations of Intralipid were not correlated with concentrations of CRP. Possible explanations for this phenomenon include a change in the configuration of the lipid particles, the so-called creaming phenomenon, and/or immediate and substantial uptake of the emulsion by certain organs.


Asunto(s)
Emulsiones Grasas Intravenosas/metabolismo , Nutrición Parenteral Total , Enfermedad Aguda , Adolescente , Adulto , Anciano , Proteína C-Reactiva/sangre , Colecistectomía , Colesterol/sangre , Cuidados Críticos , Emulsiones Grasas Intravenosas/sangre , Femenino , Glucosa/uso terapéutico , Haptoglobinas/sangre , Humanos , Cinética , Lipoproteínas HDL/sangre , Lipoproteínas LDL/sangre , Masculino , Persona de Mediana Edad , Insuficiencia Multiorgánica/terapia , Orosomucoide/sangre , Periodo Posoperatorio , Factores de Tiempo , Triglicéridos/sangre
20.
J Neural Transm ; 73(3): 217-37, 1988.
Artículo en Inglés | MEDLINE | ID: mdl-2905383

RESUMEN

The present study was undertaken to investigate the involvement of the noradrenergic neurotransmission system in the ultra sonic callings emitted by rat pups separated from their mother and exposed to cold stimulation. The investigation was primarily performed by help of agents selectively affecting the alpha-adrenoceptors: the alpha 2-agonist clonidine, the alpha 1-antagonist prazosin and the alpha 2-antagonist idazoxan. Clonidine dose-dependently stimulated the amount of ultra sonic vocalization, an effect not solely dependent upon the effect of clonidine on body temperature. In a developmental study it was found that clonidine uniformly stimulated crying at all ages from 4 days of age up to 18 days of age, that is during the whole preweaning period. Clonidine stimulated ultrasonic crying in rat pups, devoid of presynaptic catecholamine (CA) neurons by combined pretreatment with the monoamine depletor, reserpine, and the inhibitor of CA-synthesis, alpha-methyl-tyrosine. This finding suggested that the stimulating effect of clonidine on ultrasonic vocalization was mediated by postsynaptic adrenoceptors. In pups, 12 days of age, idazoxan blocked the effect of cold stimulation on ultra sonic crying, suggesting that alpha 2-adrenoceptors, presumably postsynaptic ones, mediated this kind of stimulation. Idazoxan also antagonized the effect of clonidine, but only at a dose effective also in control pups. Prazosin had no effect on cold-stimulated crying, but antagonized the effect of clonidine, suggesting that the effect of clonidine was also mediated by alpha 1-receptors. At 18 days of age, prazosin no longer antagonized the effect of clonidine, whereas the antagonizing action of idazoxan was reinforced. The age-dependent variation in responsiveness to the adrenergic drugs suggest maturational changes in the function of the CA-system occurring between 12-16 days of age.


Asunto(s)
Clonidina/farmacología , Ratas Endogámicas/crecimiento & desarrollo , Vocalización Animal/efectos de los fármacos , Antagonistas Adrenérgicos alfa/farmacología , Envejecimiento , Animales , Temperatura Corporal/efectos de los fármacos , Dioxanos/farmacología , Relación Dosis-Respuesta a Droga , Calor , Idazoxan , Prazosina/farmacología , Ratas , Valores de Referencia , Ultrasonido
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