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1.
Transpl Infect Dis ; 19(4)2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28429866

RESUMO

The increasing gap between availability of solid organs for transplantation and the demand has led to the inclusion of donor organs that, according to current guidelines, may be discarded, some of them because of the possibility for transmission of infection to the recipients. We present the first report, to the best of our knowledge, of a case of a brain-dead donor with a localized and treated Actinomyces israelii central nervous system infection who, after a thorough evaluation, provided organs for successful transplant procedures in four recipients. There was no evidence of transmission of infection within a 6-month follow-up. Relative contraindications must be individualized in order to expand the number of real organ donors, emphasizing caution in rare causes for brain death in which patients should be thoroughly evaluated for possible donation.


Assuntos
Actinomyces/isolamento & purificação , Actinomicose/diagnóstico por imagem , Morte Encefálica , Meningites Bacterianas/diagnóstico por imagem , Doadores de Tecidos , Obtenção de Tecidos e Órgãos , Actinomicose/microbiologia , Adulto , Idoso , Feminino , Transplante de Coração , Humanos , Transplante de Rim , Transplante de Fígado , Masculino , Meningites Bacterianas/microbiologia , Pessoa de Meia-Idade
2.
Molecules ; 20(5): 8048-59, 2015 May 05.
Artigo em Inglês | MEDLINE | ID: mdl-25951002

RESUMO

Essential oils can be used as an alternative to using synthetic insecticides for pest management. Therefore, the insectistatic and insecticidal activities of the essential oil of aerial parts of Salvia ballotiflora (Lamiaceae) were tested against the fall armyworm Spodoptera frugiperda (Lepidoptera: Noctuidae). The results demonstrated insecticidal and insectistatical activities against this insect pest with concentrations at 80 µg·mL(-1) resulting in 20% larval viability and 10% pupal viability. The larval viability fifty (LV50) corresponded to a concentration of 128.8 µg·mL(-1). This oil also increased the duration of the larval phase by 5.5 days and reduced the pupal weight by 29.2% withrespect to the control. The GC-MS analysis of the essential oil of S. ballotiflora showed its main components to be caryophyllene oxide (15.97%), and ß-caryophyllene (12.74%), which showed insecticidal and insectistatical activities against S. frugiperda. The insecticidal activity of ß-caryophyllene began at 80 µg·mL(-1), giving a larval viability of 25% and viability pupal of 20%. The insectistatic activity also started at 80 µg·mL(-1) reducing the pupal weight by 22.1% with respect to control. Caryophyllene oxide showed insecticidal activity at 80 µg·mL(-1) giving a larval viability of 35% and viability pupal of 20%.The insectistatic activity started at 400 µg·mL(-1) and increased the larval phase by 8.8% days with respect to control. The LV50 values for these compounds were 153.1 and 146.5 µg·mL(-1), respectively.


Assuntos
Inseticidas/química , Inseticidas/farmacologia , Óleos Voláteis/química , Óleos Voláteis/farmacologia , Salvia/efeitos dos fármacos , Animais , Larva/efeitos dos fármacos , Componentes Aéreos da Planta/química , Sesquiterpenos Policíclicos , Sesquiterpenos/química , Sesquiterpenos/farmacologia , Spodoptera/efeitos dos fármacos
3.
Food Funct ; 14(11): 5048-5061, 2023 Jun 06.
Artigo em Inglês | MEDLINE | ID: mdl-37161495

RESUMO

Obesity is an increasing global public health problem. A strategy to treat obesity is the use of functional foods. Edible and medicinal mushrooms contain diverse bioactive compounds showing important antihyperlipidemic, antioxidant, and prebiotic properties. We analysed the effects of adding (10%) of Pleurotus ostreatus (Po, basidiomata), Ganoderma lucidum (Gl, basidiomata), or Ustilago maydis (Um, galls), milled, to a high fat plus saccharose diet (HFD + S) for 6 months in a model of obesity with Wistar rats. We assessed weight gain, body composition, lipid parameters, endoplasmic reticulum stress (proteins and inflammatory markers: BiP, XBP-1, JNK, p-JNK, TNF-α), and adiponectin in subcutaneous adipose tissue (SAT). The consumption of edible and medicinal mushrooms decreased weight gain (-17.2-30.1%) and fat mass (-23.7-43.1%), maintained fat-free mass, reduced levels of serum biochemical parameters (TC: -40.1-44.1%, TG: -37.7-51.6%, LDL-C: -64.5-71.1%), and prevented adipocyte hypertrophy (-30.9-36.9%) and collagen deposition (-70.9-73.7%) in SAT. Compared with the HFD + S group, mushroom consumption by Wistar rats significantly reduced the expression of proteins associated with endoplasmic reticulum stress and inflammation (BiP: -72.2-88.2%; XBP-1: -71.5-81.8%; JNK: -71.2-90.0%; p-JNK: -37.3-81.0%; TNF-α: -80.7-91.5%), whereas significantly increased adiponectin protein expression (246.4-654.2%) in SAT. These effects outperformed those obtained through the commercial lipid-lowering drug atorvastatin, contributing synergistically to prevent further obesity-related dysfunctions, such as insulin resistance derived from inflammation and ER stress in adipose tissue. Bioactive compounds from edible, functional and medicinal mushrooms represent new emerging therapies for obesity treatments using natural products.


Assuntos
Agaricales , Pleurotus , Reishi , Ratos , Animais , Ratos Wistar , Pleurotus/química , Adiponectina , Fator de Necrose Tumoral alfa/farmacologia , Obesidade/tratamento farmacológico , Obesidade/metabolismo , Tecido Adiposo/metabolismo , Dieta Hiperlipídica/efeitos adversos , Inflamação/tratamento farmacológico , Aumento de Peso , Estresse do Retículo Endoplasmático , Lipídeos/farmacologia
4.
Microorganisms ; 9(11)2021 Oct 26.
Artigo em Inglês | MEDLINE | ID: mdl-34835349

RESUMO

The potential presence of spore-forming bacteria related to the Bacillus cereus group in Mexican chili powder elaborated from Capsicum annuum L. is of commercial and clinical interest, because chili powder is an essential spice in the Mexican diet and in diets around the globe. To facilitate detection and isolation of members of this group of spore-forming bacteria from Mexican chili powder samples, we identified colonies that grew on agar medium selective for Bacillus cereus sensu lato, supplemented with polymyxin B (10 µg/mL) and ampicillin (10 to 100 µg/mL). The presumptive B. cereus (s.l.) isolates were tested using a tRNACys-PCR-based approach and the results identified species related phylogenetically to B. cereus, B. thuringiensis, and B. toyonensis. Their toxigenic potential was assessed by serological tests to detect enterotoxins (Nhe and Hbl) and by PCR targeting the hemolysin BL (hbl) component C (hblC) and non-hemolytic enterotoxin component A (nheA). The antibiotic profiles of the isolates showed a high resistance to ß-lactams (100% of the isolates), trimethoprim-sulfamethoxazole (100%), tetracycline (90%), erythromycin (77%), clindamycin (74%), and chloramphenicol (42%). Our results indicate the presence of B. cereus s.l. with toxigenic characteristics in Mexican chili powder. Because of the potential for these organisms to cause disease through their production of various toxins, and resistance to antibiotics, we recommend that a microbiological risk assessment must be considered in the Mexican regulatory requirements.

5.
Plants (Basel) ; 10(9)2021 Sep 14.
Artigo em Inglês | MEDLINE | ID: mdl-34579435

RESUMO

Castor bean (Ricinus communis) seeds contain ricinine, an alkaloid with insecticidal and insectistatic activities. Elicitation with salicylic acid (SA) has proven to stress R. communis and might modify the ricinine concentration. The aim of this study was to evaluate the concentration of ricinine in the bagasse of seeds from R. communis elicited with exogenous SA under greenhouse conditions. Plants were grown and divided into five groups, which were sprayed with SA and drench with 50 mL 60 days after sowing with concentrations of SA (0, 100, 300, 600 and 900 µM). Clusters were mixed and separated according to the treatment, and dried. The seeds were ground, the oil was extracted by Soxhlet with hexane, and then the bagasse was extracted with methanol. Ricinine was determined by HPLC. Elicitation did not change the plant height or diameter; the control group had 9.17 µg mL-1 of ricinine; and the concentrations followed a hormesis curve with the peak at 300 µM of SA that had a ricinine concentration of 18.25 µg mL-1. Elicitation with SA might be a cost-effective technique to increase ricinine from R. communis bagasse.

6.
J Foot Ankle Surg ; 49(4): 398.e1-4, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20537566

RESUMO

Synovial sarcoma arising in the foot is a rare finding. We report a 64-year-old female with synovial sarcoma involving the calcaneus and central plantar compartment. The patient presented with a 2-year history of painful heel with soft tissue mass presentation 21 months after initial pain. We performed an incisional biopsy with frozen section; histopathology was consistent with synovial sarcoma.


Assuntos
Calcâneo/patologia , Sarcoma Sinovial/diagnóstico , Neoplasias de Tecidos Moles/diagnóstico , Analgésicos/administração & dosagem , Biópsia , Feminino , , Humanos , Neoplasias Pulmonares/tratamento farmacológico , Neoplasias Pulmonares/secundário , Imageamento por Ressonância Magnética , Pessoa de Meia-Idade , Invasividade Neoplásica , Sarcoma Sinovial/tratamento farmacológico , Neoplasias de Tecidos Moles/tratamento farmacológico
7.
J Hum Genet ; 54(12): 695-705, 2009 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-19834499

RESUMO

There are limited data on mitochondrial DNA (mtDNA) variation in the Mexican mestizo population. To examine the genetic diversity and matrilineal ancestry, the full mtDNA hypervariable regions I and II were sequenced in 270 unrelated mestizos from different regions of Mexico. A total of 202 different haplotypes were identified and the haplotype diversity was 0.9945. Amerindian haplotypes predominated in the sample with a proportion of 93.3%, followed by European (6.0%) and African haplotypes (0.7%). The frequency of the Amerindian haplogroups A2, B2, C1 and D1 was 51.1, 17.8, 18.5 and 5.9%, respectively. The frequency of Amerindian haplogroups was higher in the central region than in Mexico City, whereas it was the contrary for European haplogroups. This difference was accounted principally by the high frequency of B2 haplotypes in the central region. The minimum spanning network, the mismatch distribution and Tajima's D neutrality test suggest a population expansion for each Amerindian haplogroup, which could be initiated more recently for haplogroups A2 and D1. The present knowledge combined with other nuclear genetic markers will be essential in future association studies to correct for genetic substructure in mestizo populations.


Assuntos
DNA Mitocondrial/genética , Variação Genética , Haplótipos , Indígenas Norte-Americanos/genética , População Negra/genética , DNA Mitocondrial/química , DNA Mitocondrial/classificação , Frequência do Gene , Genética Populacional , Geografia , Humanos , México , Filogenia , Análise de Sequência de DNA , População Branca/genética
8.
Int J Infect Dis ; 78: 34-38, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30449728

RESUMO

BACKGROUND: The confirmatory diagnosis of pleural tuberculosis (pTB) remains challenging. The aim of this study was to describe the clinical and epidemiological characteristics of pTB patients and assess the yield of different diagnostic procedures in a low burden country with a high rate of immigrant population. METHODS: All adult patients with pTB between 2007 and 2014 were studied retrospectively. RESULTS: One hundred and three out of 843 patients with tuberculosis had pTB. Fifty-three (54.1%) were male, and the median age was 45years (range 18-87years). Fifty-two (50.49%) patients were immigrants. A confirmed diagnosis was reached in 16 patients (15.5%) by microbiological studies of pleural effusion. Lung involvement was demonstrated by sputum smear microscopy in 13/49 (26.5%), sputum GeneXpert MTB/RIF test in 13/20 (65%), and sputum culture in 16/37 (43.2%). High-resolution computed tomography (CT) showed lung involvement in 47.7% of the patients. The cure rate was 91.3% at the 1-year follow-up. Three patients died, all of them within the first month after diagnosis. CONCLUSIONS: The detection of lung involvement increased by two-fold when lung CT was used; this correlated with the likelihood of finding a positive microbiological result on sputum sample testing. Pleural microbiological studies had a low diagnostic yield, and sputum could have a complementary role.


Assuntos
Emigrantes e Imigrantes , Tuberculose Pleural/diagnóstico , Tuberculose Pleural/epidemiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Antituberculosos/uso terapêutico , Farmacorresistência Bacteriana Múltipla , Feminino , Seguimentos , Humanos , Incidência , Isoniazida , Masculino , Pessoa de Meia-Idade , Mycobacterium tuberculosis/efeitos dos fármacos , Mycobacterium tuberculosis/isolamento & purificação , Estudos Retrospectivos , Sensibilidade e Especificidade , Espanha/epidemiologia , Escarro/microbiologia , Tuberculose Pleural/tratamento farmacológico , Adulto Jovem
9.
Acta Cytol ; 51(2): 217-21, 2007.
Artigo em Inglês | MEDLINE | ID: mdl-17425208

RESUMO

BACKGROUND: Pulmonary adiaspiromycosis is a common disease of many species of wild rodents and occasionally of humans, caused by the inhalation of spores of the fungus Chrysosporium parvum var crescens (Emmonsia crescens). CASE: A 74-year-old female with pulmonary adiaspiromycosis was diagnosed by radiologically guided lung fine needle aspiration (FNA). The specimen showed intracellular and extracellular 100-300 microm conidia with a distinct thick, trilaminar wall, which was positive for Gomori-methenamine silver and periodic acid-Schiff stain. The background consisted of a granulomatous process. CONCLUSION: FNA is an effective method of diagnosing pulmonary adiaspiromycosis, and pathologists need to be aware of the characteristic features of this unusual opportunistic fungal infection.


Assuntos
Chrysosporium , Pneumopatias Fúngicas/microbiologia , Pneumopatias Fúngicas/patologia , Micoses/microbiologia , Micoses/patologia , Idoso , Biópsia por Agulha Fina , Chrysosporium/citologia , Diagnóstico Diferencial , Feminino , Células Gigantes/patologia , Histiócitos/patologia , Humanos , Pulmão/diagnóstico por imagem , Pulmão/microbiologia , Pulmão/patologia , Pneumopatias Fúngicas/fisiopatologia , Micoses/fisiopatologia , Valor Preditivo dos Testes , Coloração e Rotulagem/métodos , Tomografia Computadorizada por Raios X
11.
Oxf Med Case Reports ; 2014(3): 43-5, 2014 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-25988023

RESUMO

Cat scratch disease (CSD) is the most common zoonosis transmitted by household animals. There is limited data on the epidemiology and clinical presentation of this disease in Colombia. The typical presentation includes subacute or chronic lymph node infection following inoculation of Bartonella henselae bacilli through a cat scratch. Cats have a B. henselae seroprevalence as high as 90%. Here, we report the case of a preschool boy from a rural area of Antioquia, Colombia, who presented with chronic lymphadenopathy in the right axilla. Other important infectious etiologies were ruled out, and confirmation was made with the Warthin Starry stain of a lymph node biopsy. We also discuss the most important aspects of the diagnosis, treatment and prevention of the disease.

12.
Am J Surg Pathol ; 35(1): 36-44, 2011 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-21164285

RESUMO

Establishing a diagnosis of ovarian clear cell carcinoma (O-CCC) can be subject to significant interobserver variation. Accurately diagnosing this tumor is important because of its chemoresistance and reported association with Lynch syndrome. The spectrum of the morphologic features of O-CCC has not been well described in a series composed of immunohistochemically characterized cases. A total of 155 cases diagnosed as O-CCC were retrieved from the files of 3 institutions to analyze architectural and cytologic features. The immunohistochemical features of these cases have been reported earlier. A comprehensive list of features was recorded, including, but not limited to, architectural patterns, nuclear appearance, cytoplasmic characteristics, and mitotic index. Between 1 and 13 slides were available for review for each case. The cases were divided into 2 groups based on morphologic characteristics, those with features shared by the large majority (the first group, n=138) and those that showed unusual characteristics (second group, n=17). Tumors in the first group typically showed a mixture of architectural patterns, the most frequent being papillary and tubulocystic. Papillae, usually small and round and lacking hierarchical branching and tufting or stratification of more than 3 cells, were present at least focally in almost 3 of 4 cases. The cell shape was predominantly cuboidal, not columnar. Nuclear pleomorphism and prominent nucleoli were frequently present, but never diffusely. Clear cytoplasm was found in nearly every case and hobnail cells were common. Mitoses exhibited a range from 0 to 13 with an average of 3 to 4 per 10 high power fields. The second group of tumors showed numerous unusual morphologic characteristics, despite the presence of clear cytoplasm, including those typically seen in other ovarian epithelial tumors, such as serous and endometrioid carcinoma. Eighty-nine percent of tumors from the first group showed the expected "O-CCC immunophenotype" [hepatocyte nuclear factor (HNF) positive, and estrogen receptor (ER), progesterone receptor (PR), Wilms tumor 1 (WT1) and p53 negative], whereas 4% of tumors showed HNF positivity along with focal ER or PR expression. Seven percent of tumors were not immunoreactive with these markers. Twenty-nine percent of tumors in the second group showed the O-CCC immunophenotype, whereas 24% of tumors were p53 positive, 5% of tumors were WT1 positive, and the remaining cases were negative for all markers. Ninety-seven percent (112 of 117) of HNF-positive tumors in this series were classical O-CCC. Therefore, O-CCC has characteristic morphologic features and a specific, if not unique, immunophenotype in the vast majority of the cases. Clear cell-rich tumors with features that depart from the classical morphologic appearances described herein should suggest the possibility of an alternative diagnosis.


Assuntos
Biomarcadores Tumorais/análise , Carcinoma/química , Imuno-Histoquímica , Neoplasias Ovarianas/química , Canadá , Carcinoma/patologia , Núcleo Celular/patologia , Citoplasma/patologia , Feminino , Fator 1-beta Nuclear de Hepatócito/análise , Humanos , Imunofenotipagem , Mitose , Estadiamento de Neoplasias , Neoplasias Ovarianas/patologia , Valor Preditivo dos Testes , Receptores de Estrogênio/análise , Receptores de Progesterona/análise , Proteína Supressora de Tumor p53/análise , Estados Unidos , Proteínas WT1/análise
13.
Braz J Infect Dis ; 15(6): 540-6, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-22218512

RESUMO

INTRODUCTION: Traditional reading of chest X-rays usually has a low prognostic value and poor agreement. OBJECTIVE: This study aimed to determine the interobserver and intraobserver agreement using two reading formats in patients with community-acquired pneumonia, and to explore their association with etiology and clinical outcomes. METHODS: A pulmonologist and a radiologist, who were blind to clinical data, interpreted 211 radiographs using a traditional analysis format (type and location of pulmonary infiltrates and pleural findings), and a quantitative analysis (pulmonary damage categorized from 0 to 10). For both, the interobserver and intraobserver agreement was estimated (Kappa statistic and intraclass correlation coefficient). The latter was assessed in a subsample of 25 radiographs three months after the initial reading. Finally, the observers made a joint reading to explore its prognostic usefulness via multivariate analysis. RESULTS: Seventy-four chest radiographs were discarded due to poor quality. With the traditional reading, the mean interobserver agreement was moderate (0.43). It was considered good when the presence of pleural effusion, and the location of the infiltrates in the right upper lobe and both lower lobes, were evaluated; moderate for multilobar pneumonia; and poor for the type of infiltrates. The mean intraobserver agreement for each reviewer was 0.71 and 0.5 respectively. The quantitative reading had an agreement between good and excellent (interobserver 0.72, intraobserver 0.85 and 0.61). Radiological findings were neither associated to a specific pathogen nor to mortality. CONCLUSION: In patients with pneumonia, the interpretation of the chest X-ray, especially the smallest of details, depends solely on the reader.


Assuntos
Pneumonia/diagnóstico por imagem , Adulto , Idoso , Estudos de Coortes , Infecções Comunitárias Adquiridas/diagnóstico por imagem , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Variações Dependentes do Observador , Radiografia , Reprodutibilidade dos Testes
14.
Medisan ; 18(1)ene. 2014. ilus
Artigo em Espanhol | LILACS, CUMED | ID: lil-701835

RESUMO

Se presentan 2 casos clínicos de recién nacidas que, entre otros síntomas, presentaron cifras bajas de glucemia mantenidas (menores 2,2 mmol/L), por lo que fueron evaluadas en el Servicio de Endocrinología del Hospital Provincial Pediátrico Docente "Eduardo Agramonte Piña" de Camagüey, donde se les diagnosticó nesidioblastosis -- hipoglucemia neonatal persistente --. En una de las pacientes el tratamiento médico resultó favorable, pero en la otra fue necesario realizar la pancreatectomía subtotal. Actualmente ambas afectadas reciben esquemas terapéuticos adecuados a sus necesidades clínicas.


Two case reports of female newborns are presented who, among other symptoms, presented with low concentrations of maintained glucemia (lower than 2,2 mmol/L), so they were evaluated in the Endocrinology Service of "Eduardo Agramonte Piña" Teaching Pediatric Provincial Hospital in Camagüey, where they were diagnosed nesidioblastosis -- persistent neonatal hypoglycemia --. In one of the patients the medical treatment was favorable, but in the other it was necessary to carry out a subtotal pancreatectomy. At present both patients receive therapeutic schedules adjusted to their clinical needs.


Assuntos
Pancreatectomia , Nesidioblastose , Hipoglicemia , Hospitais Pediátricos
15.
Braz. j. infect. dis ; 15(6): 540-546, Nov.-Dec. 2011. tab
Artigo em Inglês | LILACS | ID: lil-610524

RESUMO

INTRODUCTION: Traditional reading of chest X-rays usually has a low prognostic value and poor agreement. OBJECTIVE: This study aimed to determine the interobserver and intraobserver agreement using two reading formats in patients with community-acquired pneumonia, and to explore their association with etiology and clinical outcomes. METHODS: A pulmonologist and a radiologist, who were blind to clinical data, interpreted 211 radiographs using a traditional analysis format (type and location of pulmonary infiltrates and pleural findings), and a quantitative analysis (pulmonary damage categorized from 0 to 10). For both, the interobserver and intraobserver agreement was estimated (Kappa statistic and intraclass correlation coefficient). The latter was assessed in a subsample of 25 radiographs three months after the initial reading. Finally, the observers made a joint reading to explore its prognostic usefulness via multivariate analysis. RESULTS: Seventy-four chest radiographs were discarded due to poor quality. With the traditional reading, the mean interobserver agreement was moderate (0.43). It was considered good when the presence of pleural effusion, and the location of the infiltrates in the right upper lobe and both lower lobes, were evaluated; moderate for multilobar pneumonia; and poor for the type of infiltrates. The mean intraobserver agreement for each reviewer was 0.71 and 0.5 respectively. The quantitative reading had an agreement between good and excellent (interobserver 0.72, intraobserver 0.85 and 0.61). Radiological findings were neither associated to a specific pathogen nor to mortality. CONCLUSION: In patients with pneumonia, the interpretation of the chest X-ray, especially the smallest of details, depends solely on the reader.


Assuntos
Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pneumonia , Estudos de Coortes , Infecções Comunitárias Adquiridas , Variações Dependentes do Observador , Reprodutibilidade dos Testes
16.
Arch. méd. Camaguey ; 15(5)nov. 2011. tab
Artigo em Espanhol | LILACS | ID: lil-615961

RESUMO

Muchas investigaciones muestran la relación existente entre las enfermedades sistémicas y las buco dentales. La diabetes mellitus es un problema mundial del que Cuba no escapa. El gran dilema es la posibilidad de originar complicaciones cuando no se cumple con el control de la enfermedad, dentro de ellas, la periodontopatía. Objetivo: evaluar el impacto de una estrategia educativa en pacientes diabéticos tipo 1 en edad pediátrica, con gingivitis crónica. Método: según el análisis y alcance de los resultados se realizó un estudio cuasi experimental (ensayo de intervención comunitaria), en el Policlínico de Especialidades Pediátricas de la provincia de Camagüey, entre enero y julio de 2008. El universo estuvo constituido por los 54 pacientes diabéticos entre 8 y 19 años registrados en el Programa provincial de atención al niño y adolescente diabéticos. La muestra coincidió con el universo. Se tuvieron en cuenta variables como nivel de información, higiene bucal, estado de salud gingival. Se compararon los resultados antes de realizar la intervención con los obtenidos a corto y a mediano plazo. Resultados: inicialmente el nivel de información se evaluó de mal en el 57,4 % de los pacientes. A mediano plazo el 68,6 % fue evaluado de bien. La higiene bucal fue buena en el 8 % de los pacientes al inicio, pasados 18 meses la evaluación de bien se extendió al 70,4 %. Al año y medio el 50 % no padecía enfermedad gingival. Conclusiones: se constató que el impacto, pasado 18 meses de aplicada la estrategia, fue positivo.


Many researches show the relationship between systemic and buccodental diseases. Diabetes mellitus is a global problem and Cuba is no exception. The dilemma is the possibility to cause complications when does not comply with the control of the disease inside them, periodontopathy. Objective: to assess the impact of an educational strategy in patients with diabetes type 1 in pediatric age with chronic gingivitis. Method: according to the analysis and the scope of results a quasi-experimental study was conducted (Community intervention trial), at the General Hospital of pediatric specialties in the province of Camagüey, from January to July 2008. The universe was made up of 54 diabetic patients between 8 and 19 years, registered in the provincial programme of care for diabetic children and adolescents. The sample coincided with the universe. Variables as: level of information, oral hygiene, and gingival health status were considered. The results were compared before making the intervention with those obtained in the short and medium term. Results: initially the level of information was evaluated of wrong in 57.4 % of patients. At medium term 68.6 % was rated of good. Oral hygiene was good in 8 % of patients at the beginning, after 18 months evaluation of well spread to 70.4 %. To one year and a half the 50 % was not suffering from gingival disease. Conclusions: it was found that the impact, after 18 months of being applied the strategy, was positive.


Assuntos
Humanos , Adolescente , Adolescente , Diabetes Mellitus Tipo 1 , Ensaio Clínico , Educação em Saúde Bucal
17.
Anesth Analg ; 95(5): 1344-50, table of contents, 2002 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-12401624

RESUMO

UNLABELLED: Epidural ropivacaine has not been compared with bupivacaine for postthoracotomy analgesia. Eighty patients undergoing elective lung surgery were randomized in a double-blinded manner to receive one of three solutions for high thoracic epidural analgesia. A continuous epidural infusion of 0.1 mL. kg(-1). h(-1) of either 0.2% ropivacaine, 0.15% ropivacaine/fentanyl 5 micro g/mL, or 0.1% bupivacaine/fentanyl 5 micro g/mL was started at admission to the intensive care unit. We assessed pain scores (rest and spirometry), IV morphine consumption, spirometry, hand grip strength, PaCO(2), heart rate, blood pressure, respiratory rate, and side effects (sedation, nausea, vomiting, and pruritus) for 48 h. Thoracic epidural ropivacaine/fentanyl provided adequate pain relief similar to bupivacaine/fentanyl during the first 2 postoperative days after posterolateral thoracotomy. The use of plain 0.2% ropivacaine was associated with worse pain control during spirometry, larger consumption of IV morphine, and increased incidence of postoperative nausea and vomiting. Morphine requirements were larger in the ropivacaine group, with no differences between bupivacaine/fentanyl and ropivacaine/fentanyl groups. Patients in the ropivacaine group experienced more pain and performed worse in spirometry than patients who received epidural fentanyl. There was no significant difference in motor block. We conclude that epidural ropivacaine/fentanyl offers no clinical advantage compared with bupivacaine/fentanyl for postthoracotomy analgesia. IMPLICATIONS: Thoracic epidural ropivacaine/fentanyl provided adequate pain relief and similar analgesia to bupivacaine/fentanyl during the first 2 postoperative days after posterolateral thoracotomy. Plain 0.2% ropivacaine was associated with worse pain control and an increased incidence of postoperative nausea and vomiting. We conclude that epidural ropivacaine/fentanyl offers no clinical advantage compared with bupivacaine/fentanyl for postthoracotomy analgesia.


Assuntos
Amidas/uso terapêutico , Anestesia Epidural , Anestésicos Intravenosos/uso terapêutico , Anestésicos Locais/uso terapêutico , Bupivacaína/uso terapêutico , Fentanila/uso terapêutico , Dor Pós-Operatória/tratamento farmacológico , Toracotomia , Amidas/administração & dosagem , Analgésicos Opioides/uso terapêutico , Anestésicos Intravenosos/administração & dosagem , Anestésicos Locais/administração & dosagem , Bupivacaína/administração & dosagem , Método Duplo-Cego , Combinação de Medicamentos , Fentanila/administração & dosagem , Hemodinâmica/efeitos dos fármacos , Humanos , Morfina/uso terapêutico , Medição da Dor , Desempenho Psicomotor/efeitos dos fármacos , Mecânica Respiratória/efeitos dos fármacos , Ropivacaina
18.
Interciencia ; 32(10): 692-696, oct. 2007. graf
Artigo em Espanhol | LILACS | ID: lil-493266

RESUMO

Entre las zeolitas, la clinoptilolita y la mordenita se distinguen por su utilidad en la agricultura, debido a que al entrar en contacto con el amonio del medio lo retienen en su estructura interna y externa, funcionando entonces como un fertilizante nitrogenado de lenta liberación. Se estudió el efecto de la zeolita ZCU (clinoptilolita y mordenita) en la producción de biomasa vegetal y el ambiente químico del suelo, empleando la avena como cultivo indicador. Se evaluaron cinco concentraciones de ZCU en suelo (0, 5, 10, 20 y 30 por ciento peso base seca del suelo) y un tratamiento adicional preparado solo con ZCU. Las variables evaluadas fueron biomasa aérea y de raíces, pH y capacidad de intercambio catiónico (CIC), NH4+ sustrato y NO3-l lixiviado. La aplicación de ZCU tuvo un efecto positivo sobre la producción de la biomasa aérea y de raíces y modificó el ambiente químico edáfico en sus valores de pH y CIC. La aplicación de ZCU provocó una menor acumulación de NO3- lixiviado en relación a la cantidad de NH4+ en sustrato. Los resultados apoyan que la ZCU tiene capacidad para adsorber amonio y aminorar el proceso de nitrificación.


Assuntos
Cloreto de Amônio , Avena , Resinas de Troca de Cátion , Evapotranspiração , Agricultura , Biologia , México
19.
Arch. méd. Camaguey ; 8(1)ene.-feb. 2004. ilus
Artigo em Espanhol | LILACS | ID: lil-462135

RESUMO

Se hace la presentación de un caso de tiroides lingual en una niña de cinco años de edad atendida en el Hospital Provincial Pediátrico de Camagüey, entidad rara en la práctica pediátrica, lo cual nos ha permitido indagar sobre algunos aspectos de interés en esta enfermedad en los niños y sus características clínicas, anatomopatológicas y conducta a seguir


Assuntos
Feminino , Criança , Humanos , Glândula Tireoide/patologia , Neoplasias da Glândula Tireoide/diagnóstico , Doenças da Glândula Tireoide
20.
Interciencia ; 31(12): 856-860, dic. 2006. ilus, tab
Artigo em Espanhol | LILACS | ID: lil-453633

RESUMO

Los hongos entomopatógenos tienen un gran potencial como agentes de control, ya que constituyen un grupo con más de 750 especies que al dispersarse en el ambiente provocan infecciones fúngicas en las poblaciones de insectos. Estos hongos inician su proceso infectivo cuando las esporas son retenidas en la superficie del integumento, donde se inicia la formación del tubo germinativo, comenzando el hongo a excretar enzimas como las proteasas, quitinasas, quitobiasas, lipasas y lipooxigenasas. Estas enzimas degradan la cutícula del insecto y coadyuvan con el proceso de penetración por presión mecánica iniciado por el apresorio, que es una estructura especializada formada en el tubo germinativo. Una vez dentro del insecto, el hongo se desarrolla como cuerpos hifales que se van diseminando a través del hemocele e invaden diversos tejidos musculares, cuerpos grasos, tubos de Malpighi, mitocondrias y hemocitos, ocasionando la muerte del insecto después de 3 a 14 días de iniciada la infección. Una vez muerto el insecto y ya agotados muchos de los nutrientes, el hongo inicia un crecimiento micelar e invade todos los órganos del hospedero. Finalmente, las hifas penetran la cutícula desde el interior del insecto y emergen a la superficie, donde en condiciones ambientales apropiadas inician la formación de nuevas esporas


Assuntos
Fungos , Biologia , México
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