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1.
Environ Sci Technol ; 52(10): 5734-5743, 2018 05 15.
Artículo en Inglés | MEDLINE | ID: mdl-29672036

RESUMEN

Infiltration systems are treatment technologies based on water percolation through porous media where biogeochemical processes take place. Grain size distribution (GSD) acts as a driver of these processes and their rates and influences nutrient accumulation in sediments. Coarse sands inhibit anaerobic reactions such as denitrification and could constrain nutrient accumulation in sediments due to smaller specific surface area. Alternatively, fine sands provide higher nutrient accumulation but need a larger area available to treat the same volume of water; furthermore, they are more susceptible to bioclogging. Combining both sand sizes in a bilayer system would allow infiltrating a greater volume of water and the occurrence of aerobic/anaerobic processes. We studied the performance of a bilayer coarse-fine system compared to a monolayer fine one-by triplicate-in an outdoor infiltration experiment to close the C-N-P cycles simultaneously in terms of mass balances. Our results confirm that the bilayer coarse-fine GSD promotes nutrient removal by physical adsorption and biological assimilation in sediments, and further it enhances biogeochemical process rates (2-fold higher than the monolayer system). Overall, the bilayer coarse-fine system allows treating a larger volume of water per surface unit achieving similar removal efficiencies as the fine system.


Asunto(s)
Nutrientes , Dióxido de Silicio , Sedimentos Geológicos , Porosidad , Agua
2.
Biofouling ; 34(2): 200-211, 2018 02.
Artículo en Inglés | MEDLINE | ID: mdl-29405091

RESUMEN

Two non-destructive techniques, confocal laser scanning microscopy (CLSM) and planar optode (VisiSens imaging), were combined to relate the fine-scale spatial structure of biofilm components to real-time images of oxygen decay in aquatic biofilms. Both techniques were applied to biofilms grown for seven days at contrasting light and temperature (10/20°C) conditions. The geo-statistical analyses of CLSM images indicated that biofilm structures consisted of small (~100 µm) and middle sized (~101 µm) irregular aggregates. Cyanobacteria and EPS (extracellular polymeric substances) showed larger aggregate sizes in dark grown biofilms while, for algae, aggregates were larger in light-20°C conditions. Light-20°C biofilms were most dense while 10°C biofilms showed a sparser structure and lower respiration rates. There was a positive relationship between the number of pixels occupied and the oxygen decay rate. The combination of optodes and CLMS, taking advantage of geo-statistics, is a promising way to relate biofilm architecture and metabolism at the micrometric scale.


Asunto(s)
Biopelículas/crecimiento & desarrollo , Procesamiento de Imagen Asistido por Computador , Microscopía Confocal , Oxígeno/análisis , Biopelículas/clasificación , Biopolímeros/análisis , Chlorophyta/química , Chlorophyta/crecimiento & desarrollo , Cianobacterias/química , Cianobacterias/crecimiento & desarrollo , Espacio Extracelular/química
3.
Environ Sci Technol ; 51(11): 6110-6119, 2017 Jun 06.
Artículo en Inglés | MEDLINE | ID: mdl-28481089

RESUMEN

Physical heterogeneity determines interstitial fluxes in porous media. Nutrients and organic matter distribution in depth influence physicochemical and microbial processes occurring in subsurface. Columns 50 cm long were filled with sterile silica sand following five different setups combining fine and coarse sands or a mixture of both mimicking potential water treatment barriers. Water was supplied continuously to all columns during 33 days. Hydraulic conductivity, nutrients and organic matter, biofilm biomass, and activity were analyzed in order to study the effect of spatial grain size heterogeneity on physicochemical and microbial processes and their mutual interaction. Coarse sediments showed higher biomass and activity in deeper areas compared to the others; however, they resulted in incomplete denitrification, large proportion of dead bacteria in depth, and low functional diversity. Treatments with fine sediment in the upper 20 cm of the columns showed high phosphorus retention. However, low hydraulic conductivity values reported in these sediments seemed to constraint biofilm activity and biomass. On the other hand, sudden transition from coarse-to-fine grain sizes promoted a hot-spot of organic matter degradation and biomass growth at the interface. Our results reinforce the idea that grain-size disposition in subsurface sandy sediments drives the interstitial fluxes, influencing microbial processes.


Asunto(s)
Bacterias , Fósforo , Microbiología del Agua , Biomasa , Sedimentos Geológicos
4.
J Hepatol ; 60(4): 699-705, 2014 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-24291239

RESUMEN

BACKGROUND & AIMS: Patients with genotype 3 hepatitis C virus (HCV) infection and cirrhosis have poor response rates after 24 weeks treatment with pegylated interferon and ribavirin. Treatment for 48 weeks is therefore recommended, although the benefits of this are untested. We examined extended therapy in patients with genotype 3 HCV and advanced fibrosis. METHODS: Multicentre, open labelled randomized trial comparing therapy with 24 weeks pegylated interferon and ribavirin to 48 weeks of the same therapy. RESULTS: 136 patients completed the study. 67 received 24 weeks therapy and the SVR rate (48%) did not differ from that seen in the 69 patients who received 48 weeks therapy (42%). The response rates in patients with biopsy proven cirrhosis (13 patients treated for 24 weeks, 18 patients treated for 48 weeks) or cirrhosis proven on imaging (28 patients treated for 24 weeks and 25 patients treated for 48 weeks) were 46% in those treated for 24 weeks and 40% in those treated for 48 weeks. The differences were not significantly different. Treatment failure was due to relapse in the majority of patients. CONCLUSIONS: Patients with genotype 3 HCV and advanced fibrosis do not benefit from extended therapy with pegylated interferon and ribavirin.


Asunto(s)
Antivirales/administración & dosificación , Hepacivirus/genética , Hepatitis C Crónica/tratamiento farmacológico , Hepatitis C Crónica/virología , Interferón-alfa/administración & dosificación , Polietilenglicoles/administración & dosificación , Ribavirina/administración & dosificación , Adulto , Anciano , Antivirales/efectos adversos , Esquema de Medicación , Quimioterapia Combinada , Femenino , Genotipo , Hepatitis C Crónica/patología , Humanos , Interferón-alfa/efectos adversos , Cirrosis Hepática/tratamiento farmacológico , Cirrosis Hepática/patología , Cirrosis Hepática/virología , Masculino , Persona de Mediana Edad , Polietilenglicoles/efectos adversos , Proteínas Recombinantes/administración & dosificación , Proteínas Recombinantes/efectos adversos , Ribavirina/efectos adversos , Resultado del Tratamiento
5.
Water Res ; 168: 115192, 2020 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-31654962

RESUMEN

Ultraviolet filters (UVFs) are emerging organic compounds found in most water systems. They are constituents of personal care products, as well as industrial ones. The concentration of UVFs in the water bodies in space and time is mostly determined by degradation and sorption, both processes being determinant of their bioavailability and toxicity to ecosystems and humans. UVFs are a wide group of compounds, with different sorption behavior expected depending on the individual chemical properties (pKa,Koc,Kow). The goal of this work is framed in the context of improving our understanding of the sorption processes of UVFs occurring in the aquifer; that is, to evaluate the role of biomass growth, solid organic matter (SOM) and redox conditions in the characterization of sorption of a set of UVFs. We constructed a conceptual and a numerical model to evaluate the fate of selected UV filters, focused on both sorption and degradation. The models were validated with published data by Liu et al. (2013), consisting in a suite of batch experiments evaluating the fate of a cocktail of UVs under different redox conditions. The compounds evaluated included ionic UV filters (Benzophenone-3; 2-(3-t-butyl-2-hydroxy-5-methylphenyl)5-chloro-benzotriazole; 2-(2'-hydroxy-5'-octylphenyl)-benzotriazole) and neutral ones (octyl 4-methoxycinnamatte; and octocrylene).


Asunto(s)
Contaminantes Químicos del Agua , Biomasa , Ecosistema , Protectores Solares , Agua
6.
Sci Total Environ ; 740: 140139, 2020 Oct 20.
Artículo en Inglés | MEDLINE | ID: mdl-32927576

RESUMEN

We propose and exemplify a framework to assess Natural Background Levels (NBLs) of target chemical species in large-scale groundwater bodies based on the context of Object Oriented Spatial Statistics. The approach enables one to fully exploit the richness of the information content embedded in the probability density function (PDF) of the variables of interest, as estimated from historical records of chemical observations. As such, the population of the entire distribution functions of NBL concentrations monitored across a network of monitoring boreholes across a given aquifer is considered as the object of the spatial analysis. Our approach starkly differs from previous studies which are mainly focused on the estimation of NBLs on the basis of the median or selected quantiles of chemical concentrations, thus resulting in information loss and limitations related to the need to invoke parametric assumptions to obtain further summary statistics in addition to those considered for the spatial analysis. Our work enables one to (i) assess spatial dependencies among observed PDFs of natural background concentrations, (ii) provide spatially distributed kriging predictions of NBLs, as well as (iii) yield a robust quantification of the ensuing uncertainty and probability of exceeding given threshold concentration values via stochastic simulation. We illustrate the approach by considering the (probabilistic) characterization of spatially variable NBLs of ammonium and arsenic detected at a monitoring network across a large scale confined groundwater body in Northern Italy.

7.
Sci Total Environ ; 669: 559-569, 2019 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-30889445

RESUMEN

Bioclogging is a main concern in infiltration systems as it may significantly shorten the service life of these low-technology water treatment methods. In porous media, biofilms grow to clog partially or totally the pore network. Dynamics of biofilm accumulation (e.g., by attachment, detachment, advective transport in depth) and their impact on both surface and deep bioclogging are still not yet fully understood. To address this concern, a 104 day-long outdoor infiltration experiment in sand tanks was performed, using secondary treated wastewater and two grain size distributions (GSDs): a monolayer system filled with fine sand, and a bilayer one composed by a layer of coarse sand placed on top of a layer of fine sand. Biofilm dynamics as a function of GSD and depth were studied through cross-correlations and multivariate statistical analyses using different parameters from biofilm biomass and activity indices, plus hydraulic parameters measured at different depths. Bioclogging (both surface and deep) was found more significant in the monolayer fine system than in the bilayer coarse-fine one, possibly due to an early low-cohesive biofilm formation in the former, driven by lower porosity and lower fluxes; under such conditions biomass is favorably detached from the top layer, transported and accumulated in depth, so that new biomass might colonize the surface. On the other hand, in the bilayer system, fluxes are highest, and the biofilm is still in a growing phase, with low biofilm detachment capability from the top sand layer and high microbial activity in depth, resulting in low bioclogging. Overall, the bilayer coarse-fine system allows infiltrating higher volume of water per unit of surface area than the monolayer fine one, minimizing surface and deep bioclogging, and thus increasing the longevity and efficiency of infiltration systems.


Asunto(s)
Eliminación de Residuos Líquidos/métodos , Biopelículas , Biomasa , Permeabilidad , Porosidad , Dióxido de Silicio , Aguas Residuales , Movimientos del Agua , Purificación del Agua
8.
J Contam Hydrol ; 82(1-2): 23-43, 2006 Jan 05.
Artículo en Inglés | MEDLINE | ID: mdl-16216383

RESUMEN

We address advective transport of a solute traveling toward a single pumping well in a two-dimensional randomly heterogeneous aquifer. The two random variables of interest are the trajectory followed by an individual particle from the injection point to the well location and the particle travel time under steady-state conditions. Our main objective is to derive the predictors of trajectory and travel time and the associated uncertainty, in terms of their first two statistical moments (mean and variance). We consider a solute that undergoes mass transfer between a mobile and an immobile zone. Based on Lawrence et al. [Lawrence, A.E., Sánchez-Vila, X., Rubin, Y., 2002. Conditional moments of the breakthrough curves of kinetically sorbing solute in heterogeneous porous media using multirate mass transfer models for sorption and desorption. Water Resour. Res. 38 (11), 1248, doi:10.1029/2001WR001006.], travel time moments can be written in terms of those of a conservative solute times a deterministic quantity. Moreover, the moments of solute particles trajectory do not depend on mass transfer processes. The resulting mean and variance of travel time and trajectory for a conservative species can be written as functions of the first, second moments and cross-moments of trajectory and velocity components. The equations are developed from a consistent second order expansion in sigmaY (standard deviation of the natural logarithm of hydraulic conductivity). Our solution can be completely integrated with the moment equations of groundwater flow of Guadagnini and Neuman [Guadagnini, A., Neuman, S.P., 1999a. Nonlocal and localized analyses of conditional mean steady state flow in bounded, randomly non uniform domains 1. Theory and computational approach. Water Resour. Res. 35(10), 2999-3018.,Guadagnini, A., Neuman, S.P., 1999b. Nonlocal and localized analyses of conditional mean steady state flow in bounded, randomly non uniform domains 2. Computational examples. Water Resour. Res. 35(10), 3019-3039.], it is free of distributional assumptions regarding the log conductivity field, and formally includes conditioning. We present analytical expressions for the unconditional case by making use of the results of Riva et al. [Riva, M., Guadagnini, A., Neuman, S.P., Franzetti, S., 2001. Radial flow in a bounded randomly heterogeneous aquifer. Transport in Porous Media 45, 139-193.]. The quality of the solution is supported by numerical Monte Carlo simulations. Potential uses of this work include the determination of aquifer reclamation time by means of a single pumping well, and the demarcation of the region potentially affected by the presence of a contaminant in the proximity of a well, whenever the aquifer is very thin and Dupuit-Forchheimer assumption holds.


Asunto(s)
Modelos Teóricos , Análisis Numérico Asistido por Computador , Contaminantes del Suelo/análisis , Contaminantes del Agua/análisis , Abastecimiento de Agua , Cinética , Tamaño de la Partícula , Porosidad , Reología , Esporas , Movimientos del Agua
9.
Comput Methods Programs Biomed ; 132: 197-205, 2016 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-27282239

RESUMEN

BACKGROUND AND OBJECTIVE: At present, tools capable of acquiring heart rate data can be found both in commercial and research fields. However, these tools do not allow users to manage experiments comprising sequences of activities or to store the information needed to perform heart rate variability analysis across different activities. One exception is VARVI, a simple software tool developed previously in our research group that does not have a graphical user interface and it works only with visual stimuli. In this paper, we present gVARVI, a software tool aimed at obtaining heart rate data signals while the user is either receiving a sequence of external stimuli or performing a sequence of actions (an activity). METHODS: gVARVI is an open source application developed in Python programming language. It can acquire heart rate data by means of a wireless chest strap using either Bluetooth or ANT+ protocols. Users can define activities of different types (video, sounds, pictures or keyboard controlled actions) which will associate contextual information to the heart rate data. gVARVI allows users to preview this data or to store it to be used for heart rate variability studies. Our tool was validated by 15 researchers, who worked with the application and filled in a usability questionnaire. RESULTS: The outcome of the usability test was satisfactory, giving a mean score of 4.75 in a 1-5 scale (1 - strongly disagree, 5 - strongly agree). Participants also contributed with valuable comments, which we used to include new features in the last version of our tool. CONCLUSIONS: gVARVI is an open source tool that offers new possibilities to both physicians and clinicians to perform heart rate variability studies. It allows users to acquire heart rate data including information on the activity performed by subjects while recording. In this paper, we describe all the functionalities included in gVARVI, and a complete example of use is provided.


Asunto(s)
Frecuencia Cardíaca , Programas Informáticos , Humanos
10.
Sci Total Environ ; 540: 20-31, 2016 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-25900223

RESUMEN

Water flowing through hyporheic river sediments or artificial recharge facilities promotes the development of microbial communities with sediment depth. We performed an 83-day mesocosm infiltration experiment, to study how microbial functions (e.g., extracellular enzyme activities and carbon substrate utilization) are affected by sediment depth (up to 50 cm) and different oxygen concentrations. Results indicated that surface sediment layers were mainly colonized by microorganisms capable of using a wide range of substrates (although they preferred to degrade carbon polymeric compounds, as indicated by the higher ß-glucosidase activity). In contrast, at a depth of 50 cm, the microbial community became specialized in using fewer carbon substrates, showing decreased functional richness and diversity. At this depth, microorganisms picked nitrogenous compounds, including amino acids and carboxyl acids. After the 83-day experiment, the sediment at the bottom of the tank became anoxic, inhibiting phosphatase activity. Coexistence of aerobic and anaerobic communities, promoted by greater physicochemical heterogeneity, was also observed in deeper sediments. The presence of specific metabolic fingerprints under oxic and anoxic conditions indicated that the microbial community was adapted to use organic matter under different oxygen conditions. Overall the heterogeneity of oxygen concentrations with depth and in time would influence organic matter metabolism in the sediment tank.


Asunto(s)
Sedimentos Geológicos/análisis , Sustancias Húmicas , Oxígeno/análisis , Eliminación de Residuos Líquidos/métodos , Microbiología del Agua , Sedimentos Geológicos/microbiología
11.
Clin Microbiol Infect ; 11(1): 71-3, 2005 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-15649309
12.
Arch Microbiol ; 169(5): 452-9, 1998 May.
Artículo en Inglés | MEDLINE | ID: mdl-9560427

RESUMEN

Two new phototrophic consortia, "Chlorochromatium lunatum" and "Pelochromatium selenoides", were observed and collected in the hypolimnion of several dimictic lakes in Wisconsin and Michigan (USA). The two consortia had the same morphology but different pigment composition. The cells of the photosynthetic components of the consortia were half-moon-shaped. This morphology was used to differentiate them from the previously described motile phototrophic consortia "Chlorochromatium aggregatum" and "Pelochromatium roseum". These phototrophic cells did not resemble any described unicellular green sulfur bacteria. The predominant pigments detected were bacteriochlorophyll d and chlorobactene for the green-colored "Clc. lunatum", and bacteriochlorophyll e and isorenieratene for the brown-colored "Plc. selenoides". Their pigment compositions and the presence of chlorosomes attached to the inner face of the cytoplasmic membrane in both kinds of photosynthetic cells confirmed this new half-moon-shaped morphotype as a green sulfur bacterium. Both consortia were found thriving in lakes with low concentrations of sulfide (< 60 &mgr;M), below the layers of "Clc. aggregatum" and "Plc. roseum". The green consortia were observed in lakes where the oxic-anoxic interface was located at shallow depths (2-7 m), while the brown consortia were found at greater depths (8-16 m). The two newly described consortia were never detected together at the same depth in any lake.

13.
Am J Surg ; 171(2): 289-92, 1996 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-8619470

RESUMEN

BACKGROUND: Laparoscopy has played an ill-defined role as a diagnostic tool for the staging of gastric and other intra-abdominal malignancies for a long time. The widespread use of the laparoscopic approach for the treatment of some benign abdominal diseases, such as biliary lithiasis and gastroesophageal reflux disease, has encouraged the authors toward its use in the treatment of malignant gastric neoplasms, both for palliation and for curative surgery. METHODS: A five-puncture technique for laparoscopic distal subtotal gastrectomy, omentectomy, division of the left gastric artery at its origin, and D1 lymph node dissection has been developed by the authors, and is fully depicted and discussed. Reconstruction of digestive continuity is achieved through a posterior transmesocolic side-to-side stapled gastrojejunostomy, facilitated by an original method of suspension of the gastric stump to the anterior abdominal wall. RESULTS: In a preliminary series of 10 cases, this technique was demonstrated to be safe, showing no mortality, and having morbidity rates comparable to those of open surgery. CONCLUSION: The operation is effective, with a mean number of resected nodes comparable to that usually achieved in open surgery, and no cases of conversion to laparotomy.


Asunto(s)
Gastrectomía/métodos , Laparoscopía/métodos , Neoplasias Gástricas/cirugía , Músculos Abdominales , Anastomosis Quirúrgica , Muñón Gástrico , Humanos , Yeyunostomía
14.
Vet Microbiol ; 55(1-4): 361-70, 1997 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-9220634

RESUMEN

This report describes the results of experiments with an inactivated oily vaccine containing per dose about 10(5.5) median tissue culture infectious dose (TCID50) of the Spanish strain of porcine reproductive and respiratory syndrome (PRRS) virus grown in porcine alveolar macrophages (PAMs). In order to evaluate the efficacy of the vaccine, two experimental infection routes were tested in sows; subsequent intranasal (i.n.) and intravenous (i.v.) (out of a total of 93 piglets born to 7 sows, 16% were mummified, 18.2% were weak and died within 48 h of birth, 37% were stillborn, 5.3% died between 2 and 7 days of age, 22.5% lived for more than one week) and intranasal alone (out of a total of 65 piglets born to 5 sows, 0% were mummified, 22.5% were weak and died within 48 h of birth, 40% were stillborn, 4.6% lived for more than one week). I.N. alone was selected to evaluate the efficacy of the vaccine because this is the natural route of infection. A number of experiments were conducted to test the immunogenicity of the vaccine. In general, after challenge with the homologous strain, protection in vaccinated sows was high (at least 70% of the piglets were born alive and healthy), whereas protection in unvaccinated sows was low (only 10% of the piglets were born alive and healthy). Vaccinated animals devoid of antibodies by immunoperoxidase monolayer assay (IPMA) at the time of challenge were still protected at experimental infection.


Asunto(s)
Síndrome Respiratorio y de la Reproducción Porcina/prevención & control , Virus del Síndrome Respiratorio y Reproductivo Porcino/inmunología , Vacunas de Productos Inactivados , Vacunas Virales , Animales , Anticuerpos Antivirales/sangre , Formación de Anticuerpos , Ensayo de Inmunoadsorción Enzimática , Femenino , Muerte Fetal/veterinaria , Tamaño de la Camada , Macrófagos Alveolares/virología , Síndrome Respiratorio y de la Reproducción Porcina/inmunología , Virus del Síndrome Respiratorio y Reproductivo Porcino/crecimiento & desarrollo , Virus del Síndrome Respiratorio y Reproductivo Porcino/aislamiento & purificación , Embarazo , Porcinos
15.
J Appl Microbiol ; 85 Suppl 1: 138S-150S, 1998 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-21182703

RESUMEN

The spectral distribution of light reaching the populations of phototrophic bacteria in the metalimnion of stratified lakes is a selective factor determining the community composition. At deep metalimnia, light spectra are enriched in photons of the central part of the spectrum (500-600 nm) and benefit Chromatiaceae, brown-coloured Chlorobiaceae and phyco-erythrine-containing cyanobacteria. Their carotenoids (okenone, spiriloxanthine, isorenieratene) and phycoerythrines allow these phototrophic bacteria to use light from the narrow central spectral wavebands. Otherwise, shallow metalimnetic communities receive light from a wide range (400-800 nm) and their composition is more diverse and usually enriched in green-coloured Chlorobiaceae, which are unable to take advantage of the central part of the spectrum. Gilvin compounds (humic substances dissolved in water), have strong effects on light absorption, especially at shorter wavelengths. Therefore, light spectra in lakes with high gilvin contents are enriched in photons of long wavelengths (> 600 nm). Several Wisconsin lakes with different gilvin contents were studied during the period of summer stratification in 1994. Spectral distribution of light reaching their metalimnia changed with increasing gilvin contents (measured as g(440) ). In the latter, phototrophic metalimnetic bacterial communities were absolutely dominated by green-coloured Chlorobiaceae. Intermediate lakes could experiment changes on their community composition depending on variations in gilvin content, as happened in Little Long lake. The dynamics of this lake was studied during summer 1995. The ratio of green-coloured species in respect to brown-coloured species increased after a sudden increase of gilvin due to strong rainfall. These results agree with the photosynthetic advantage of green-coloured Chlorobiaceae under red-light illumination, inferred from laboratory experiments, and suggest a bacteriochlorophyll-dependent, light-harvesting strategy of these phototrophic sulphur bacteria.


Asunto(s)
Fenómenos Fisiológicos Bacterianos , Ecosistema , Agua Dulce/química , Agua Dulce/microbiología , Sustancias Húmicas/análisis , Microbiología del Agua , Biodiversidad , Clorofila/análisis , Luz , América del Norte , Procesos Fototróficos/fisiología , Factores de Tiempo , Wisconsin
16.
Hepatogastroenterology ; 45(24): 2447-52, 1998.
Artículo en Inglés | MEDLINE | ID: mdl-9951942

RESUMEN

BACKGROUND/AIMS: Surgery is the only effective treatment for the truly morbidly obese patient. Gastric banding was demonstrated to be a safe, effective, and easily reversible technique in the open surgical approach. METHODOLOGY: A five-puncture technique, developed by the authors, for laparoscopic gastric banding utilizing an expanded polytetrafluoroethylene (ePTFE) band is fully described and discussed. This technique was utilized in 100 consecutive patients operated on between October 1995 and November 1996. RESULTS: We recorded no mortality, no cases of conversion, a 1% rate of major complications, a low minor morbidity rate (10%), and an acceptable length of operative time (106+/-8 minutes). This was significantly related to body weight, B.M.I. and % of I.B.W. being longer in more obese patients, but not to the experience of the surgical team. Weight loss (35.0+/-5.1 kg), percentage of excess weight lost (55.3+/-5.3%), percentage of ideal body weight achieved (149.1+/-8.4%), and body mass index (33.8+/-2.0) were all significantly improved at 3, 6, 9 and 12-months follow-up. CONCLUSIONS: Early results of this series are promising, showing low morbidity and a rate of weight loss comparable to that achievable by means of open gastric banding or vertical banded gastroplasty. Any statement about long-term results deserves a longer follow-up.


Asunto(s)
Gastroplastia/métodos , Laparoscopía/métodos , Obesidad Mórbida/cirugía , Politetrafluoroetileno , Estómago/cirugía , Adulto , Índice de Masa Corporal , Peso Corporal , Femenino , Estudios de Seguimiento , Humanos , Masculino , Resultado del Tratamiento
17.
Int Surg ; 78(1): 28-31, 1993.
Artículo en Inglés | MEDLINE | ID: mdl-8473079

RESUMEN

The authors herein report their personal experience in the management of 21 patients with iatrogenic perforation of the esophagus, collected in a fifteen-year period. The etiology was more commonly a hiatal surgical procedure (28.6%), following diagnostic endoscopy (19%), endoscopic dilatation for achalasia (19%) and foreign body (19%). Consequently, 47.6% of the lesions were located in the abdominal, 28.6% in the thoracic and 23.8% in the cervical esophagus. Treatment was set up at surgery in 28.6%, within 6 hours in 47.6% and within 48 hours in 9.6%. Conservative medical management was successfully carried out in three cases (14.2%). As a result of their policy of "tailored" treatment on single lesion characteristics (size and location, underlying esophageal diseases, early or delayed diagnosis) they report an overall mortality rate of 28.6%, the prognosis being worse in thoracic (50%) than in abdominal perforations (30%). Based on this series and on a literature review the authors suggest that the best management should be "tailored" to single patients characteristics. Early diagnosis and treatment are the most important prognostic factors.


Asunto(s)
Perforación del Esófago/epidemiología , Enfermedad Iatrogénica/epidemiología , Dilatación/efectos adversos , Perforación del Esófago/etiología , Perforación del Esófago/terapia , Esofagoscopía/efectos adversos , Femenino , Hernia Hiatal/cirugía , Humanos , Complicaciones Intraoperatorias/epidemiología , Masculino , Persona de Mediana Edad , Pronóstico , España/epidemiología
18.
Arch Bronconeumol ; 30(6): 320-2, 1994.
Artículo en Español | MEDLINE | ID: mdl-8087395

RESUMEN

The causes of multiple pulmonary nodules are many, with metastasis being the most feared. A rare but possible etiology, however, is hyalinizing multiple granuloma. We present a case that allows us to review this condition and its course, as well as a variety of associated immunological changes and possible complications.


Asunto(s)
Granuloma , Enfermedades Pulmonares , Adulto , Diagnóstico Diferencial , Femenino , Granuloma/diagnóstico , Granuloma/diagnóstico por imagen , Humanos , Enfermedades Pulmonares/diagnóstico , Enfermedades Pulmonares/diagnóstico por imagen , Tomografía Computarizada por Rayos X
19.
Arch Bronconeumol ; 33(4): 164-7, 1997 Apr.
Artículo en Español | MEDLINE | ID: mdl-9280557

RESUMEN

To analyze whether a characteristic pattern distinguishes acute forms (symptoms starting no more than one week earlier) and subacute or chronic forms (symptoms lasting more than one week) of pleural tuberculosis (PT) in our practice. Retrospective analysis of 102 cases of PT diagnosed between 1986 and 1992, comparing the findings of case histories, imaging, pleural biochemistry and cytology, microbiology of sputum, pleural biopsy and fluid, anatomy and pathology studies of the biopsy specimens, course of disease, response to treatment and sequelae after one year and a half. Thirty-two patients (31.4%) had acute PT and 70 (68.6%) had chronic forms. LDH levels and the percentage of pleural nuclear polymorphism were higher in acute cases, while the concurrence of systemic involvement and lymphocytic predominance was more often seen in chronic cases. Other data analyzed were similar in both groups. No specific clinical or X-ray profiles or differences in course of disease and response to treatment distinguishes between acute and chronic forms of PT after 7 days. Only LDH levels and cytology results differentiated acute forms and, occasionally, such cases were indistinguishable from pneumonia-like effusion.


Asunto(s)
Tuberculosis Pleural/clasificación , Enfermedad Aguda , Adolescente , Adulto , Anciano , Niño , Enfermedad Crónica , Humanos , Persona de Mediana Edad , Estudios Retrospectivos , Tuberculosis Pleural/diagnóstico , Tuberculosis Pleural/tratamiento farmacológico
20.
J Nematol ; 34(3): 232-8, 2002 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-19265938

RESUMEN

In recent years, the productivity of cotton in Brazil has been progressively decreasing, often the result of the reniform nematode Rotylenchulus reniformis. This species can reduce crop productivity by up to 40%. Nematodes can be controlled by nematicides but, because of expense and toxicity, application of nematicides to large crop areas may be undesirable. In this work, a methodology using geostatistics for quantifying the risk of nematicide application to small crop areas is proposed. This risk, in economic terms, can be compared to nematicide cost to develop an optimal strategy for Precision Farming. Soil (300 cm(3)) was sampled in a regular network from a R. reniformis-infested area that was a cotton monoculture for 20 years. The number of nematodes in each sample was counted. The nematode number per volume of soil was characterized using geostatistics, and 100 conditional simulations were conducted. Based on the simulations, risk maps were plotted showing the areas where nematicide should be applied in a Precision Farming context. The methodology developed can be applied to farming in countries that are highly dependent on agriculture, with useful economic implications.

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