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1.
Mol Phylogenet Evol ; 111: 158-168, 2017 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-28390910

RESUMEN

High throughput sequencing technologies have revolutionized the potential to reconcile incongruence between gene and species trees, and numerous approaches have been developed to take advantage of these advances. Genotyping-by-sequencing is becoming a regular tool for gathering phylogenetic data, yet comprehensive evaluations of phylogenetic methods using these data are sparse. Here we use multiple phylogenetic and population genetic methods for genotyping-by-sequencing data to assess species relationships in a group of forest insect pests, the spruce budworm (Choristoneura fumiferana) species complex. With few exceptions, all methods agree on the same relationships, most notably placing C. pinus as basal to the remainder of the group, rather than C. fumiferana as previously suggested. We found strong support for the monophyly of C. pinus, C. fumiferana, and C. retiniana, but more ambiguous relationships and signatures of introgression in a clade of western lineages, including C. carnana, C. lambertiana, C. occidentalis occidentalis, C. occidentalis biennis, and C. orae. This represents the most taxonomically comprehensive genomic treatment of the spruce budworm species group, which is further supported by the broad agreement among multiple methodologies.


Asunto(s)
Genoma de los Insectos , Mariposas Nocturnas/genética , Filogenia , Polimorfismo de Nucleótido Simple/genética , Animales , Análisis Discriminante , Especiación Genética , Genética de Población , Genotipo , Geografía , América del Norte , Análisis de Componente Principal , Análisis de Secuencia de ADN , Especificidad de la Especie , Estados Unidos
2.
Neurotoxicol Teratol ; 44: 89-104, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-24946037

RESUMEN

The progression of epileptiform activity following soman (GD) exposure is characterized by a period of excessive cholinergic activity followed by excessive glutamatergic activity resulting in status epilepticus, which may lead to neuropathological damage and behavioral deficits. Caramiphen edisylate is an anticholinergic drug with antiglutamatergic properties, which conceptually may be a beneficial therapeutic approach to the treatment of nerve agent exposure. In the present study, rats were exposed to 1.2 LD50 GD or saline, treated with atropine sulfate (2mg/kg, im) and HI-6 (93.6mg/kg, im) 1min after GD exposure, and monitored for seizure activity. Rats were treated with diazepam (10mg/kg, sc) and caramiphen (0, 20 or 100mg/kg, im) 30min after seizure onset. Following GD exposure, performance was evaluated using a battery of behavioral tests to assess motor coordination and function, sensorimotor gating, and cognitive function. Caramiphen as adjunct to diazepam treatment attenuated GD-induced seizure activity, neuropathological damage, and cognitive deficits compared to diazepam alone, but did not attenuate the GD-induced sensorimotor gating impairment. These findings show that physiological, behavioral, and neuropathological effects of GD exposure can be attenuated by treatment with caramiphen as an adjunct to therapy, even if administration is delayed to 30min after seizure onset.


Asunto(s)
Anticonvulsivantes/uso terapéutico , Inhibidores de la Colinesterasa/toxicidad , Trastornos del Conocimiento/tratamiento farmacológico , Ciclopentanos/uso terapéutico , Convulsiones/tratamiento farmacológico , Soman/toxicidad , Animales , Atropina/uso terapéutico , Temperatura Corporal/efectos de los fármacos , Peso Corporal/efectos de los fármacos , Encéfalo/efectos de los fármacos , Encéfalo/patología , Trastornos del Conocimiento/inducido químicamente , Diazepam/uso terapéutico , Quimioterapia Combinada , Locomoción/efectos de los fármacos , Masculino , Aprendizaje por Laberinto/efectos de los fármacos , Oximas/uso terapéutico , Compuestos de Piridinio/uso terapéutico , Ratas , Ratas Sprague-Dawley , Convulsiones/inducido químicamente
3.
Behav Brain Res ; 256: 188-96, 2013 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-23968590

RESUMEN

Genes and proteins of the Fos family are used as markers of neuronal activity and can be modulated by stress. This study investigated whether social defeat (SD) or exposure to an olfactory cue associated with the SD experience activated Fos and FosB/DeltaFosB (ΔFosB) expression in brain regions implicated in the development of post-traumatic stress disorder. Mice exposed to acute SD showed more Fos positive cells in the basolateral amygdala (BLA), CA1 of the hippocampus and the medial prefrontal cortex (mPFC) 1h after SD, and had greater expression of the more persistent FosB/ΔFosB protein in the BLA 24 h after SD compared to controls. Mice exposed to an olfactory cue 24 h or 7 days after SD had higher levels of Fos expression in all three regions 1h after exposure to the cue, and displayed increased avoidance behavior compared to controls. While the avoidance response dissipated with time (less at 7 day vs 24 h after social defeat), Fos expression in the mPFC and CA1 in response to an olfactory cue was greater at 7 days relative to 24 h after social defeat. The results suggest additional processing of the cue-stress association and may provide further support for a role of the mPFC in fear inhibition. These findings may have implications for brain regions and circuitry involved in the avoidance of cues associated with a stressful event that may lead to context-dependent adaptive or maladaptive behavior.


Asunto(s)
Encéfalo/fisiopatología , Señales (Psicología) , Percepción Olfatoria/fisiología , Proteínas Proto-Oncogénicas c-fos/metabolismo , Conducta Social , Estrés Psicológico/fisiopatología , Amígdala del Cerebelo/fisiopatología , Animales , Reacción de Prevención/fisiología , Región CA1 Hipocampal/fisiopatología , Inmunohistoquímica , Masculino , Ratones Endogámicos C57BL , Corteza Prefrontal/fisiopatología , Predominio Social , Factores de Tiempo
4.
Toxicol Appl Pharmacol ; 259(3): 376-86, 2012 Mar 15.
Artículo en Inglés | MEDLINE | ID: mdl-22310180

RESUMEN

Therapy of seizure activity following exposure to the nerve agent soman (GD) includes treatment with the anticonvulsant diazepam (DZP), an allosteric modulator of γ-aminobutyric acid A (GABA(A)) receptors. However, seizure activity itself causes the endocytosis of GABA(A) receptors and diminishes the inhibitory effects of GABA, thereby reducing the efficacy of DZP. Treatment with an N-methyl-d-aspartic acid (NMDA) receptor antagonist prevents this reduction in GABAergic inhibition. We examined the efficacy of the NMDA receptor antagonist caramiphen edisylate (CED; 20mg/kg, im) and DZP (10mg/kg, sc), administered both separately and in combination, at 10, 20 or 30min following seizure onset for attenuation of the deleterious effects associated with GD exposure (1.2 LD(50); 132µg/kg, sc) in rats. Outcomes evaluated were seizure duration, neuropathology, acetylcholinesterase (AChE) activity, body weight, and temperature. We also examined the use of the reversible AChE inhibitor physostigmine (PHY; 0.2mg/kg, im) as a therapy for GD exposure. We found that the combination of CED and DZP yielded a synergistic effect, shortening seizure durations and reducing neuropathology compared to DZP alone, when treatment was delayed 20-30min after seizure onset. PHY reduced the number of animals that developed seizures, protected a fraction of AChE from GD inhibition, and attenuated post-exposure body weight and temperature loss independent of CED and/or DZP treatment. We conclude that: 1) CED and DZP treatment offers considerable protection against the effects of GD and 2) PHY is a potential therapeutic option following GD exposure, albeit with a limited window of opportunity.


Asunto(s)
Anticonvulsivantes/farmacología , Ciclopentanos/farmacología , Diazepam/farmacología , Convulsiones/tratamiento farmacológico , Soman/toxicidad , Acetilcolinesterasa/metabolismo , Animales , Anticonvulsivantes/administración & dosificación , Temperatura Corporal/efectos de los fármacos , Peso Corporal/efectos de los fármacos , Antagonistas Colinérgicos/administración & dosificación , Antagonistas Colinérgicos/farmacología , Inhibidores de la Colinesterasa/toxicidad , Ciclopentanos/administración & dosificación , Diazepam/administración & dosificación , Relación Dosis-Respuesta a Droga , Sinergismo Farmacológico , Masculino , Ratas , Ratas Sprague-Dawley , Convulsiones/inducido químicamente , Factores de Tiempo
5.
Neurotoxicol Teratol ; 2009 Feb 05.
Artículo en Inglés | MEDLINE | ID: mdl-19201158

RESUMEN

This article has been withdrawn at the request of the author(s) and/or editor. The Publisher apologizes for any inconvenience this may cause. The full Elsevier Policy on Article Withdrawal can be found at http://www.elsevier.com/locate/withdrawalpolicy.

6.
Int J Obes (Lond) ; 33(2): 212-8, 2009 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-19139751

RESUMEN

OBJECTIVE: To examine the impact of two diets differing in fat content and of wheel-running exercise on body mass. METHODS: A total of 32 female C57BL/6J mice were assigned to either a high-fat (HF, 41% of dietary energy as fat) or low-fat (LF, 11% of dietary energy as fat) diet (16 per diet, individually housed). Eight mice from each diet group were housed with running wheels. Non-running mice were housed in similar cages, without wheels. Total cage activity (including non-exercise physical activity +wheel running) and sleep time were also measured using an infra-red-sensing device. Oestrus stage of the wheel-running mice was assessed daily for 17 days. RESULTS: After 8 weeks, HF mice were significantly heavier than LF mice (P=0.004), but there was no detectable difference in body fat mass. Wheel-running mice tended to have a lower body mass than non-running controls (P=0.056). Voluntary cage activity was greater in LF control mice than HF control mice, and in wheel-running mice compared with non-wheel-running mice. HF control mice slept more than LF control mice. Stage of oestrus was significantly correlated with running distance, with mice running farthest in the immediate preoestrus phase and least immediately after oestrus. CONCLUSION: This study shows that HF diets in female C57BL/6J mice may increase sleep time similar to the effect of daytime sleepiness observed in obese humans.


Asunto(s)
Tejido Adiposo/fisiología , Peso Corporal/fisiología , Grasas de la Dieta/administración & dosificación , Estro/fisiología , Actividad Motora/fisiología , Sueño/fisiología , Animales , Índice de Masa Corporal , Dieta Aterogénica , Dieta con Restricción de Grasas , Prueba de Esfuerzo/métodos , Femenino , Ratones , Ratones Endogámicos C57BL
8.
Br J Cancer ; 90(1): 139-45, 2004 Jan 12.
Artículo en Inglés | MEDLINE | ID: mdl-14710221

RESUMEN

The objective of the present study was to investigate the role of early common infections and perinatal characteristics in the aetiology of childhood common leukaemia. A case-control study was conducted from 1995 to 1998 in France, and included 473 incident cases of acute leukaemia (AL) (408 acute lymphoblastic leukaemia (ALL), 65 acute myeloid leukaemia (AML) age-, sex- and region-matched with 567 population-based controls. Data on the medical history of the child and his/her environment were collected using self-administered questionnaires. Analyses were conducted using nonconditional logistic regression. A slight negative association with early infections was observed (OR=0.8; 95% CI (0.6-1.0)). The association was stronger for early gastrointestinal infections. Early day-care was found to be associated with a decreased risk of AL (OR=0.6; 95% CI (0.4-0.8) and OR=0.8; 95% CI (0.5-1.2) for day-care starting before age 3 months and between 3 and 6 months, respectively). No association with breast-feeding was observed, irrespective of its duration. A birth order of 4 or more was associated with a significantly increased risk of AL (OR=2.0; 95% CI (1.1-3.7) with ALL). A history of asthma was associated with a decreased risk of ALL (OR 0.5; 95% CI (0.3-0.90). Although the results regarding birth order and breast-feeding do not fit with Greaves' hypothesis, the study supports the hypothesis that early common infections may play a protective role in the aetiology of childhood leukaemia, although this effect was not more marked for common ALL.


Asunto(s)
Infecciones/complicaciones , Leucemia Mieloide/epidemiología , Leucemia Mieloide/etiología , Leucemia-Linfoma Linfoblástico de Células Precursoras/epidemiología , Leucemia-Linfoma Linfoblástico de Células Precursoras/etiología , Enfermedad Aguda , Factores de Edad , Asma/complicaciones , Orden de Nacimiento , Lactancia Materna , Estudios de Casos y Controles , Guarderías Infantiles , Femenino , Francia/epidemiología , Humanos , Lactante , Recién Nacido , Enfermedades del Recién Nacido , Masculino , Anamnesis , Oportunidad Relativa , Análisis de Regresión , Factores de Riesgo
9.
Psychopharmacology (Berl) ; 171(4): 375-81, 2004 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-14634711

RESUMEN

RATIONALE: Long-term individual housing increases aggressive behavior in mice, a condition termed isolation-induced aggression; this aggressiveness is reduced by some antidepressants and anxiolytics. NMDA antagonists also inhibit isolation-induced aggression in mice. The enzyme N-acetylated-alpha-linked acidic dipeptidase (NAALADase) hydrolyzes the neurotransmitter N-acetylaspartylglutamate (NAAG) to form glutamate and N-acetylaspartate; NAAG acts as a partial NMDA agonist as well as a full agonist at the presynaptic metabotropic glutamate receptor 3 (mGluR3), where it acts to reduce glutamate release. OBJECTIVE: We postulated that NAALADase inhibition would reduce isolation-induced aggression in mice. METHODS: We tested whether acute exposure to the NAALADase inhibitor 2-[[hydroxy[2,3,4,5,6-pentafluorophenyl)methyl]phosphinyl]methyl] pentanedioic acid (GPI-5232), administered 30 min prior to a social interaction test, would inhibit aggressive behavior in SJL mice that had been individually housed long term. RESULTS: Administration of GPI-5232 (30 mg/kg, IP) inhibited initiation of aggressive behavior, indicated by greater latencies to display tail-rattling, attack and biting, and by fewer mice initiating aggressive behavior, compared to mice that received vehicle. In addition, GPI-5232 treated mice had fewer tail-rattling responses to a non-aggressive conspecific. CONCLUSIONS: The effectiveness of GPI-5232 in this animal model suggests that NAALADase inhibition may be a novel therapeutic approach to reduce or inhibit heightened aggressiveness, and possibly to treat aggressive behavior associated with psychiatric disorders.


Asunto(s)
Agresión/efectos de los fármacos , Agresión/psicología , Inhibidores Enzimáticos/farmacología , Glutamato Carboxipeptidasa II/antagonistas & inhibidores , Aislamiento Social/psicología , Agresión/fisiología , Animales , Glutamato Carboxipeptidasa II/metabolismo , Glutaratos/farmacología , Masculino , Ratones , Ratones Endogámicos C57BL
10.
Ann N Y Acad Sci ; 1032: 304-7, 2004 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-15677437

RESUMEN

Repeated restraint stress in rodents impairs spatial memory in a Y-maze test and induces hippocampal neuronal changes that last up to 5 d after the stressor ends. Our goal was to implement a Barnes maze spatial memory test in mice that could be used to validate our findings of social stress induced Y-maze impairment. We measured performance of mice in 5- and 9-day test paradigms previously used in rats and mice, respectively. Selecting features from each paradigm, we implemented a 5-d test (pre-training, training (4 trials/d/3 d) and probe testing for assessment of spatial memory in mice. Stress consisted of placing each test mouse in a stainless steel perforated box (25.5 cm x 21.5 cm x 16.5 cm) within an aggressor's home cage for 6 h/d for 21 d; direct agonistic encounters occurred randomly throughout stress periods. Barnes maze pre-training (habituation) was on day 21 of the stress exposures. In a preliminary experiment, mice that habituated following their last stressor performed poorly relative to unstressed and to those not habituated prior to the last stressor, as demonstrated by a greater latency to escape and more errors. We conclude that acute stress in a chronic stress paradigm may impair spatial memory acquisition.


Asunto(s)
Aprendizaje por Laberinto/fisiología , Memoria/fisiología , Estrés Psicológico/psicología , Animales , Masculino , Ratones , Ratones Endogámicos C57BL , Proyectos Piloto , Medio Social
11.
Ann N Y Acad Sci ; 1032: 324-7, 2004 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-15677442

RESUMEN

Corticotropin-releasing hormone (CRH) is believed to play an important role in the regulation of behavioral responses to stress. CRH(1) receptor antagonists may reduce stress responsivity. Stress increases CRH in the amygdala, important in memory consolidation. We hypothesized that infusion of a CRH(1) antagonist into the amygdala following social defeat would prevent the development of generalized fear responses. Acute social defeat in mice increases defense towards intruders, even nonaggressive intruders, placed within their home cage. We infused the CRH(1) antagonist antalarmin (0.25 microg/125 nl) bilaterally into the amygdala of mice immediately after defeat and measured their response to a nonaggressive intruder stimulus mouse placed within their home cage 24 h after defeat. Defeated mice that received vehicle displayed high levels of crouch defensive posture and numerous flights from intruders, relative to nondefeated mice that received vehicle. Defeated mice that received antalarmin into the amygdala exhibited significantly less defensive posture than did vehicle-treated defeated mice. Display of defensive posture in antalarmin-treated mice approached that of vehicle-treated nondefeated mice. These findings support a role for CRH in the amygdala to promote consolidation of emotional memory and indicate that antagonism of CRH(1) receptors in the amygdala may prevent the development of exaggerated fear responses in stressed mice.


Asunto(s)
Agresión/efectos de los fármacos , Amígdala del Cerebelo/fisiología , Receptores de Hormona Liberadora de Corticotropina/antagonistas & inhibidores , Animales , Conflicto Psicológico , Miedo/efectos de los fármacos , Inyecciones , Relaciones Interpersonales , Memoria/efectos de los fármacos , Ratones , Ratones Endogámicos C57BL , Actividad Motora/efectos de los fármacos , Bulbo Olfatorio/fisiología , Pirimidinas/farmacología , Pirroles/farmacología
12.
Eur J Cancer ; 38(6): 815-9, 2002 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-11937316

RESUMEN

Childhood malignant brain stem tumours have a very poor prognosis with a median survival of 9 months despite radiotherapy. No chemotherapy has improved survival. However, carboplatin has been reported to have activity in glial tumours as well as antitumour synergy with radiation. Our aims were to test the response rate of these tumours to carboplatin alone and to evaluate the efficacy on survival of carboplatin alone followed by concurrent carboplatin and radiotherapy. Patients younger than 16 years with typical clinical and radiological presentation of infiltrating brain stem tumour, as well as histologically-documented cases in the atypical forms, were eligible. Two courses of carboplatin (1050 mg/m2 over 3 days) were administered initially. This treatment was followed by a chemoradiotherapy phase including five weekly carboplatin courses (200 mg/m2) and conventional radiotherapy. 38 eligible patients were included. No tumour response was observed after the initial phase. This schedule of first-line carboplatin followed by concurrent carboplatin and radiotherapy did not improve survival.


Asunto(s)
Antineoplásicos/uso terapéutico , Neoplasias del Tronco Encefálico/tratamiento farmacológico , Neoplasias del Tronco Encefálico/radioterapia , Carboplatino/uso terapéutico , Adolescente , Niño , Preescolar , Terapia Combinada/métodos , Femenino , Humanos , Masculino , Análisis de Supervivencia
13.
Semin Hematol ; 38(4 Suppl 12): 21-5, 2001 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-11735106

RESUMEN

Recombinant factor VIIa (rFVIIa; NovoSeven, Novo Nordisk, Bagsvaerd, Denmark) appears effective and relatively safe for the treatment of bleeding and for surgical prophylaxis in patients with Glanzmann thrombasthenia as reported to the International Registry on rFVIIa and Congenital Platelet Disorders. One of the shortcomings of the Registry data is the heterogeneity of treatment protocol, including dosage, number of doses used, duration of treatment before declaration of failure, and mode of rFVIIa administration (bolus v continuous infusion). The data are not yet sufficient to define optimal regimens for various indications such as the type of bleeding or the type of procedures. The place of this drug compared to platelet transfusion in the overall management of patients with Glanzmann thrombasthenia will need to be determined in relationship to a number of challenges and unresolved issues in the clinical care of these patients. These issues include: how to improve local measures for patients with mucosal bleeds, optimal management of young women during menarche, optimal platelet transfusion regimens for various indications, the relationship between antiplatelet antibodies detected by monoclonal antibody-specific immobilization of platelet antigens (MAIPA) and effectiveness of platelet transfusion, whether there are other biological tests that may correlate with effectiveness of platelet transfusion, and management of pregnancy and delivery regarding antiplatelet immunization.


Asunto(s)
Factor VII/uso terapéutico , Proteínas Recombinantes/uso terapéutico , Trombastenia/tratamiento farmacológico , Coagulantes/uso terapéutico , Factor VIIa , Femenino , Humanos , Masculino , Transfusión de Plaquetas/efectos adversos , Embarazo , Complicaciones Hematológicas del Embarazo/tratamiento farmacológico , Complicaciones Hematológicas del Embarazo/terapia , Trombastenia/diagnóstico , Trombastenia/terapia
15.
Physiol Behav ; 73(4): 451-5, 2001 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-11495648

RESUMEN

In mice, the neuropeptide arginine-8-vasopressin (AVP) induces excessive grooming, scratching, and hyperactivity when administered intracerebroventricularly. In hamsters, AVP infusion into the medial preoptic area/anterior hypothalamus (MPOA/AH) increases flank marking and flank mark grooming. We measured the behavioral effects of administration of AVP (0, 1, and 10 ng/250 nl) into the preoptic area (POA) of male C57BL/6 mice. Administration of AVP into the POA induced robust effects on grooming, including increased hindleg scratching and face washing. Rearing and olfactory investigation were inhibited by AVP into the POA. These findings indicate that the POA is one site in which AVP induces grooming behavior in mice.


Asunto(s)
Aseo Animal/efectos de los fármacos , Área Preóptica/fisiología , Vasopresinas/farmacología , Animales , Regulación de la Temperatura Corporal , Conducta Exploratoria/efectos de los fármacos , Masculino , Ratones , Ratones Endogámicos C57BL , Actividad Motora/efectos de los fármacos , Área Preóptica/anatomía & histología , Técnicas Estereotáxicas
16.
Clin Exp Rheumatol ; 19(4 Suppl 23): S60-5, 2001.
Artículo en Inglés | MEDLINE | ID: mdl-11510333

RESUMEN

We report the results of the cross-cultural adaptation and validation into the French language of two health status instruments. The Childhood Health Assessment Questionnaire (CHAQ) is a disease specific instrument that measures functional ability in daily living activities in children with juvenile idiopathic arthritis (JIA). The Child Health Questionnaire (CHQ) is a generic health related quality of life instrument designed to capture the physical and psychosocial well-being of children independently from the underlying disease. Five hundred children were enrolled including 306 patients with JIA classified into systemic (23%), polyarticular (22%), extended oligoarticular (25%), and persistent oligoarticular (30%) subtypes, and 194 healthy children. Both instruments were reliable with intra-class correlation (ICC) coefficients for the test-retest procedure of 0.91 for the CHAQ, and 0.87 and 0.89 for the physical and psychosocial summary scores of CHQ, respectively. Agreement between parents and children evaluated for the CHAQ was high with an ICC of 0.89 for the disability index; weighted kappa coefficients for the 8 domains ranged from 0.61 to 0.72. Convergent validity was demonstrated by significant correlations with the JIA core set of variables (physician and parent global assessment, scores for active joints and joints with limited range of motion, erythrocyte sedimentation rate) for both instruments. Both CHAQ and CHQ discriminated between healthy and JIA children, but only the disease specific CHAQ questionnaire discriminated clearly between the 4 JIA subtypes. In conclusion, the French versions of the CHAQ and the CHQ are reliable, and valid health assessment questionnaires to be used in children suffering from JIA.


Asunto(s)
Artritis Juvenil/diagnóstico , Comparación Transcultural , Estado de Salud , Encuestas y Cuestionarios , Adolescente , Niño , Características Culturales , Evaluación de la Discapacidad , Femenino , Francia , Humanos , Lenguaje , Masculino , Psicometría , Calidad de Vida , Reproducibilidad de los Resultados
17.
Arch Pediatr ; 8(6): 598-603, 2001 Jun.
Artículo en Francés | MEDLINE | ID: mdl-11446180

RESUMEN

UNLABELLED: Spacers with face masks are widely used for the treatment of asthma in young children. A poor inhalation technique may compromise the treatments efficiency. METHODS: The inhalation technique of spacers with face masks was evaluated in a prospective study of 60 children below four years of age. A checklist of 12 items was used, each one being coded by zero or one, and a total score < or = 12 points was calculated. RESULTS: Mean total score was 8.93 +/- 1.84 (extremes: 6-12). The canister was shaken before use in 48.3% of cases, one puff delivered when the child was breathing in 71.7% and the valve's mobility checked in 85%. The canister was shaken before the second puff in 13.3% of cases and two consecutive puffs individualized in 28%. DISCUSSION: The usual mistakes are lacking to shake the canister and consecutive puffs' individualization. Medical partners and families education should be reinforced.


Asunto(s)
Asma/tratamiento farmacológico , Máscaras , Administración por Inhalación , Aerosoles , Preescolar , Diseño de Equipo , Humanos , Lactante , Nebulizadores y Vaporizadores , Cooperación del Paciente , Educación del Paciente como Asunto
18.
Arch Pediatr ; 8(6): 608-10, 2001 Jun.
Artículo en Francés | MEDLINE | ID: mdl-11446182

RESUMEN

CASE REPORT: We report the case of a nine-year-old child with a cervical medullary arteriovenous malformation (AVM), revealed by total paraplegia, whose regression started during steroid therapy, before embolization. CONCLUSION: The frequency of AVM's spontaneous favorable outcome is unknown but should not be underestimated. It might be improved by steroids.


Asunto(s)
Malformaciones Arteriovenosas/complicaciones , Paraplejía/etiología , Médula Espinal/irrigación sanguínea , Corticoesteroides/uso terapéutico , Malformaciones Arteriovenosas/patología , Malformaciones Arteriovenosas/cirugía , Niño , Embolización Terapéutica , Humanos , Imagen por Resonancia Magnética , Masculino , Médula Espinal/patología , Resultado del Tratamiento
19.
Arch Pediatr ; 8(6): 611-3, 2001 Jun.
Artículo en Francés | MEDLINE | ID: mdl-11446183

RESUMEN

UNLABELLED: Chronic adenopathies usually reveal lymphoma or infectious disease, particularly tuberculosis. CASE REPORT: We report a case of Kikuchi-Fujimato's disease revealed by cervical adenopathies, associated with fever and inflammatory syndrome. CONCLUSION: The diagnosis of Kikuchi-Fujimato's disease lies on histological examination. Resolution is faster with steroids.


Asunto(s)
Linfadenitis Necrotizante Histiocítica/diagnóstico , Biopsia , Niño , Diagnóstico Diferencial , Femenino , Fiebre/etiología , Linfadenitis Necrotizante Histiocítica/patología , Humanos , Inflamación/etiología , Enfermedades Linfáticas/etiología , Cuello/patología , Síndrome
20.
Arch Pediatr ; 8(6): 614-6, 2001 Jun.
Artículo en Francés | MEDLINE | ID: mdl-11446184

RESUMEN

UNLABELLED: Hodgkin's disease without peripheral lymphadenopathy or hepatosplenomegaly is exceptional. CASE REPORT: Hodgkin's disease was revealed by lung nodules, one of them cavitating, with mediastinal enlargement. Diagnosis was confirmed on a video-assisted pleuroscopic biopsy. CONCLUSION: Hodgkin's disease should be considered in case of mediastinal enlargement with lung nodules.


Asunto(s)
Enfermedad de Hodgkin/patología , Neoplasias Pulmonares/patología , Adolescente , Biopsia , Diagnóstico Diferencial , Humanos , Masculino , Mediastino/patología , Cirugía Torácica Asistida por Video
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