Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 37
Filtrar
Mais filtros

Base de dados
País/Região como assunto
Tipo de documento
Intervalo de ano de publicação
1.
Science ; 193(4255): 804-5, 1976 Aug 27.
Artigo em Inglês | MEDLINE | ID: mdl-17747785

RESUMO

The argon content of the martian atmosphere at the Viking 1 landing site is

2.
Science ; 194(4260): 81-4, 1976 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-17793085

RESUMO

Iron, calcium, aluminum, silicon, and sulfur are major elements in the first surface sample of Mars that has been analyzed by the Viking x-ray fluorescence spectrometer. Titanium is present in minor quantities. This is consistent with the sample being a mixture of fine silicate and oxide mineral grains, with a significant proportion of sulfates, possibly hydrated. Ferric oxide is regarded as the red pigmenting agent on the martian surface, but if it coats silicate grains, the coatings must be very thin (

3.
Science ; 194(4271): 1288-93, 1976 Dec 11.
Artigo em Inglês | MEDLINE | ID: mdl-17797085

RESUMO

Chemical results from four samples of martian fines delivered to Viking landers 1 and 2 are remarkably similar in that they all have high iron; moderate magnesium, calcium, and sulfur; low aluminum; and apparently very low alkalies and trace elements. This composition is best interpreted as representing the weathering products of mafic igneous rocks. A mineralogic model, derived from computer mixing studies and laboratory analog preparations, suggests that Mars fines could be an intimate mixture of about 80 percent iron-rich clay, about 10 percent magnesium sulfate (kieserite?), about 5 percent carbonate (calcite), and about 5 percent iron oxides (hematite, magnetite, maghemite, goethite?). The mafic nature of the present fines (distributed globally) and their probable source rocks seems to preclude large-scale planetary differentiation of a terrestrial nature.

4.
Science ; 167(3918): 520-1, 1970 Jan 30.
Artigo em Inglês | MEDLINE | ID: mdl-17781478

RESUMO

Major and selected minor elements were determined in seven whole rock fragments, five portions of pulverized lunar rock, and the lunar soil. Three different rock types were represented: vesicular, fine-grained basaltic rocks; medium to coarse-grained, vuggy gabbroic rocks; and breccia. The ranges (in percent) for the major constituents of the lunar samples are: SiO(2), 38 to 42; Al(2)O(3), 8 to 14; total iron as FeO, 15 to 20; MgO, 6 to 8; CaO, 10 to 12; Na(2)O, 0.5 to 1; K(2)0, 0.05 to 0.4; TiO(2), 8 to 13; MnO, 0.2 to 0.3; and Cr(2)O(3), 0.2 to 0.4. The high reducing capacity of the samples strongly suggests the presence of Ti(III).

5.
Science ; 194(4271): 1283-8, 1976 Dec 11.
Artigo em Inglês | MEDLINE | ID: mdl-17797084

RESUMO

Elemental analyses of fines in the Martian regolith at two widely separated landing sites, Chryse Planitia and Utopia Planitia, produced remarkably similar results. At both sites, the uppermost regolith contains abundant Si and Fe, with significant concentrations of Mg, Al, S, Ca, and Ti. The S concentration is one to two orders of magnitude higher, and K(<0.25 percent by weight) is at least 5 times lower than the average for the earth's crust. The trace elements Sr, Y, and possibly Zr, have been detected at concentrations near or below 100 parts per million. Pebblesized fragments sampled at Chryse contain more S than the bulk fines, and are thought to be pieces of a sulfate-cemented duricrust.

6.
Neuroscience ; 134(3): 1033-45, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-15979241

RESUMO

Auditory cortex neurons integrate information over a broad range of sound frequencies, yet it is not known how such integration is accomplished at the cellular or systems levels. Whereas information about frequencies near a neuron's characteristic frequency is likely to be relayed to the neuron by lemniscal thalamocortical inputs from the ventral division of the medial geniculate nucleus, we recently proposed that information about frequencies spectrally distant from characteristic frequency is mainly relayed to the neuron via "horizontal" intracortical projections from neurons with spectrally-distant characteristic frequencies [J Neurophysiol 91 (2004) 2551]. Here we test this hypothesis by using current source density analysis to determine if characteristic frequency and spectrally-distant non-characteristic frequency stimuli preferentially activate thalamocortical and horizontal pathways, respectively, in rat auditory cortex. Characteristic frequency stimuli produced current source density profiles with prominent initial current sinks in layers 3 and 4--the termination zone of lemniscal inputs from medial geniculate nucleus. In contrast, stimuli three octaves below characteristic frequency produced initial current sinks mainly in the infragranular layers. Differences between current source density profiles were only apparent for initial current sinks; profiles for longer-latency current sinks evoked by characteristic frequency and non-characteristic frequency stimuli overlapped to a greater degree, likely due to shared mechanisms of intracortical processing or to longer-latency thalamocortical contributions (lemniscal and nonlemniscal). To identify current source density profiles produced by activation of lemniscal thalamocortical inputs alone, we utilized the mouse auditory thalamocortical slice preparation. Electrical stimulation of the medial geniculate nucleus in vitro produced major current sinks in cortical layers 3/4, and excitation spread horizontally from this point throughout primary auditory cortex to produce current sinks in multiple cortical layers. These data support the hypothesis that relay of thalamocortical information throughout auditory cortex via horizontal intracortical projections may be the basis of broad spectral integration in vivo.


Assuntos
Vias Aferentes/fisiologia , Córtex Auditivo/citologia , Potenciais Evocados/fisiologia , Neurônios/fisiologia , Análise Espectral , Estimulação Acústica/métodos , Análise de Variância , Animais , Relação Dose-Resposta à Radiação , Estimulação Elétrica/métodos , Potenciais Evocados/efeitos da radiação , Imuno-Histoquímica/métodos , Técnicas In Vitro , Masculino , Parvalbuminas/metabolismo , Ratos , Ratos Sprague-Dawley
7.
Clin Pharmacol Ther ; 21(2): 141-6, 1977 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-837633

RESUMO

The renal clearance of furosemide and tetraethylammonium (TEA) were compared in 10 patients with hypertensive nephropathy. BUN and creatinine ranges were 10 to 88 mg/dl and 0.9 to 3.8 mg/dl, respectively. Diuretics were discontinued 48 hr prior to the study, and 2 consecutive clearances (ml/min/1.73 m2BSA) of creatinine were performed. The patient then received a bolus followed by a constant infusion of furosemide-14C and tetraethylammonium-14C (analyzed by specific methodology for plasma and urine), both in subpharmacologic doses. After 40-min equilibration sequential 20-min clearance periods were obtained. Both the clearance of furosemide (range 17 to 133) and TEA (range 99 to 443) correlated negatively with BUN and serum creatinine and positively with creatinine and urea clearances. Thus, by using a constant-infusion technique we demonstrated that the renal clearance of furosemide is depressed by azotemia in man and that there was greater depression with furosemide than with TEA.


Assuntos
Furosemida/urina , Uremia/metabolismo , Adulto , Nitrogênio da Ureia Sanguínea , Creatinina/metabolismo , Feminino , Humanos , Hipertensão/complicações , Pessoa de Meia-Idade , Compostos de Tetraetilamônio/urina , Uremia/etiologia
8.
Am J Clin Nutr ; 71(5): 1115-22, 2000 May.
Artigo em Inglês | MEDLINE | ID: mdl-10799373

RESUMO

BACKGROUND: Glycation reactions of proteins and other compounds, depending on blood glucose concentrations, have a detrimental effect on health. OBJECTIVE: The association of diet and other lifestyle factors with glycated hemoglobin (Hb A(1c)) values was examined in a nondiabetic population. DESIGN: This was a cross-sectional study of 1773 middle-aged men and women. Mean Hb A(1c) values were calculated for categories of diet and lifestyle factors, and odds ratios (ORs) for the highest versus lowest tertiles of Hb A(1c) were determined and compared. RESULTS: The OR of being in the highest Hb A(1c) tertile compared with the lowest increased with greater age [age 40-44 y compared with >60 y: men (OR: 2.86; 95% CI: 1.60, 5.20) and women: (6.11; 3.15, 12.30)] and greater obesity [body mass index (in kg/m(2)) >25 and waist-hip ratio >1.0 in men and >0.8 in women): men (2.80; 1.48, 5.45) and women (1.73; 1.15, 2.61)]. High energy and energy-adjusted saturated fat intakes were associated with increased risk of being in the highest tertile of Hb A(1c) [highest compared with lowest quintile: (1.53; 1.04, 2.26; P for trend = 0.013) and (1. 98; 1.33, 2.95; P for trend = 0.003), respectively]. No significant associations were observed for intakes of carbohydrates, protein, dietary fiber, or beta-carotene; however, some of the associations were nearly significant. Alcohol, vitamin C, and vitamin E intakes were inversely related to risk [highest compared with lowest quintile: (0.56; 0.38, 0.83; P for trend = 0.001), (0.50; 0.33, 0. 74; P for trend = 0.003), and (0.65; 0.43, 0.96; P for trend = 0. 036), respectively]. CONCLUSION: Hb A(1c) values might be modifiable by diet and other lifestyle factors.


Assuntos
Dieta/estatística & dados numéricos , Hemoglobinas Glicadas/análise , Estilo de Vida , Adulto , Fatores Etários , Consumo de Bebidas Alcoólicas , Anticorpos Monoclonais , Índice de Massa Corporal , Estudos de Coortes , Estudos Transversais , Suplementos Nutricionais , Escolaridade , Exercício Físico , Feminino , Alemanha , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Obesidade , Razão de Chances , Fatores Sexuais , Fumar , Inquéritos e Questionários
9.
Neuropsychopharmacology ; 24(4): 410-9, 2001 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-11182536

RESUMO

The dopamine (DA) neurons in the ventral tegmental area and medial substantia nigra (VTA/mSN) projecting to the limbic forebrain and prefrontal cortex have long been postulated to play a major role in cognitive and behavioral effects of stress. In this study, the effects of a chronic stressor (prolonged exposure to cold) on the spontaneous activity of DA neurons in the VTA/mSN were examined. Extracellular single-unit recordings of DA neurons were performed in rats following a 17-day continuous exposure to a cold (4 degrees C) environment. Compared to controls, cold-exposed rats displayed 64% fewer spontaneously active DA neurons. The average spike activity (average firing rate, average spikes fired in bursts) of the DA cells that remained active in the cold-exposed rats did not differ significantly from controls. However, a significantly larger proportion of those cells showed excessive burst activity, compared to the DA cell population in controls. These results show that chronic stress can lead to the cessation of spontaneous activity in a subpopulation of VTA/mSN DA cells. These changes may indicate that unlike acute stress, which can potently activate the mesolimbic/mesocortical DA systems, chronic stress leads to an adaptive reduction in the number of active DA cells, perhaps altering the response of these systems to subsequent stressors.


Assuntos
Temperatura Baixa , Dopamina/metabolismo , Neurônios/metabolismo , Estresse Fisiológico/fisiopatologia , Área Tegmentar Ventral/fisiologia , Potenciais de Ação/fisiologia , Animais , Comportamento Animal/fisiologia , Temperatura Corporal/efeitos dos fármacos , Temperatura Corporal/fisiologia , Regulação da Temperatura Corporal/efeitos dos fármacos , Regulação da Temperatura Corporal/fisiologia , Hidrato de Cloral/farmacologia , Masculino , Ratos , Ratos Sprague-Dawley , Respiração/efeitos dos fármacos , Substância Negra/citologia , Substância Negra/fisiologia , Área Tegmentar Ventral/citologia
10.
Am J Med ; 61(4): 579-82, 1976 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-973652

RESUMO

Solitary renal cysts associated with hypertension and documented hyperreninemia are relatively uncommon. A 13 year old boy with these findings is described (pressure 160/120 mm Hg). Contrast studies of the urinary tract and arteriography with selective renal vein sampling demonstrated a solitary cyst in the right kidney. The ratio of plasma renin activity in the right renal vein to left renal vein (RRV:LRV) was 2.35:1. After drainage of the cyst, there was a marked reduction in both systolic and diastolic pressures (126/84 mm Hg). Hypertension has not recurred during 14 months' follow-up.


Assuntos
Hipertensão/complicações , Doenças Renais Císticas/complicações , Renina/sangue , Adolescente , Drenagem , Humanos , Doenças Renais Císticas/diagnóstico por imagem , Doenças Renais Císticas/terapia , Masculino , Radiografia , Remissão Espontânea
11.
Transplantation ; 72(6): 1153-5, 2001 Sep 27.
Artigo em Inglês | MEDLINE | ID: mdl-11579316

RESUMO

BACKGROUND: Reinnervation occurs in many transplanted tissues and organs. Sympathetic reinnervation in rat kidney grafts was investigated. METHODS: Rats were syngeneically transplanted with a kidney and bilaterally nephrectomized. Reinnervation was assessed by immunohistochemical staining for neuron-specific protein gene product 9.5 (PGP 9.5) and by tissue norepinephrine measurements in grafts removed 1.5 (n=6), 3 (n=7), 6 (n=8), and 9 (n=7) months after transplantation. RESULTS: PGP 9.5-positive neural structures were significantly reduced in grafts removed 1.5 and 3 months after transplantation compared with native kidneys with slightly increased numbers at 6 and 9 months after transplantation. Median transplant norepinephrine concentrations remained at approximately 3% compared with native kidneys until 9 months after transplantation. CONCLUSIONS: In transplanted rat kidneys, some reinnervation occurs in the hilum within 9 months after transplantation. This is not accompanied by a significant recovery of norepinephrine concentration in renal tissue indicating persistent sympathetic denervation.


Assuntos
Transplante de Rim , Rim/inervação , Regeneração Nervosa , Sistema Nervoso Simpático/fisiopatologia , Animais , Feminino , Rim/metabolismo , Masculino , Norepinefrina/metabolismo , Concentração Osmolar , Período Pós-Operatório , Ratos , Ratos Endogâmicos SHR , Ratos Endogâmicos WKY , Valores de Referência , Fatores de Tempo
12.
Neuroscience ; 106(2): 331-40, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11566504

RESUMO

Stimulation of the medial geniculate body in an auditory thalamocortical slice elicits a short-latency current sink in the middle cortical layers, as would be expected following activation of thalamocortical relay neurons. However, corticothalamic neurons can have axon collaterals that project to the middle layers, thus, a middle-layer current sink could also result from antidromic activation of corticothalamic neurons and their axon collaterals. The likelihood of thalamic stimulation activating corticothalamic neurons would be reduced substantially if the corticothalamic pathway was not well preserved in the slice, and/or if the threshold for antidromic activation was significantly higher than for orthodromic activation. To determine the prevalence and threshold of antidromic activation, we recorded intracellularly from day 14-17 mouse brain slices containing infragranular cortical neurons while stimulating the medial geniculate or thalamocortical pathway. Antidromic spikes were confirmed by spike collision and characterized according to spike latency "jitter" and the ability to follow a high-frequency (100 Hz) stimulus train. The ability to follow a 100-Hz tetanus was a reliable indicator of antidromic activation, but both antidromic and orthodromic spikes could have low jitter. Thalamic stimulation produced antidromic activation in two of 69 infragranular cortical neurons (<3%), indicating the presence of antidromic activity, but implying a limited corticothalamic connection in the slice. Antidromic spikes in 13 additional neurons were obtained by stimulating axons in the thalamocortical pathway. The antidromic threshold averaged 214+/-40.6 microA (range 6-475 microA), over seven times the orthodromic threshold for medial geniculate-evoked responses in layer IV extracellular (28+/-5.4 microA) or intracellular (27+/-5.6 microA) recordings. We conclude that medial geniculate stimulation activates relatively few corticothalamic neurons. Conversely, low-intensity thalamic stimulation strongly activates thalamocortical neurons. Thus, at low-stimulus intensities, the auditory thalamocortical slice can be used to probe mechanisms of thalamocortical function with limited antidromic activation of corticothalamic neurons.


Assuntos
Potenciais de Ação/fisiologia , Córtex Auditivo/fisiologia , Percepção Auditiva/fisiologia , Potenciais Evocados/fisiologia , Corpos Geniculados/fisiologia , Vias Neurais/fisiologia , Neurônios/fisiologia , Animais , Córtex Auditivo/citologia , Estimulação Elétrica , Corpos Geniculados/citologia , Camundongos , Vias Neurais/citologia , Técnicas de Cultura de Órgãos , Tempo de Reação/fisiologia
13.
Toxicol Lett ; 107(1-3): 225-31, 1999 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-10414800

RESUMO

Several pesticides used as herbicides, insecticides and fungicides are known to be endocrine disrupting chemicals (EDCs). In three pair-matched studies we found changes in sex hormone concentrations and T-lymphocytes in relation to acute and chronic pesticide exposure. After acute exposure, 1 day later the concentrations of testosterone and especially estradiol decreased. T4- and T8-lymphocytes slightly increased. Effects of chronic occupational pesticide exposure were expressed by a higher level of testosterone and a larger ratio of T4-/T8-lymphocytes in comparison to control persons. Concentrations of LH in exposed men were higher after exposure than before. We assume an inhibition of the aromatase system by testosterone metabolites. The studies show two effects with regard to the duration of exposure: a hormonal and immune suppression after acute exposure and an activation of both systems following chronic exposure.


Assuntos
Praguicidas/efeitos adversos , Testosterona/sangue , Linfócitos T CD4-Positivos/efeitos dos fármacos , Linfócitos T CD8-Positivos/efeitos dos fármacos , Hormônio Foliculoestimulante/sangue , Humanos , Hormônio Luteinizante/sangue , Masculino , Exposição Ocupacional
14.
Int J Artif Organs ; 20(6): 309-15, 1997 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-9259206

RESUMO

The removal of amino acids during continuous renal replacement therapies induces clinical problems. Previous studies on animals have shown nephroprotective (glycine, alanine) or negative effects (lysine) on renal function in occurrence of acute renal failure. Disturbed metabolism in acute renal failure needs adequate parenteral nutrition. On the other hand, experience with continuous renal replacement therapies of metabolic crises in inborn errors of metabolism indicate a good control of disturbed amino acid metabolism. The aim of our study was to find amino acids, that might play an important role in the pathogenesis, prognosis and detection of acute renal failure and severe illness, so far only estimated by lactic acid. Thirty-three probes (serum and hemofiltrate) were taken from patients, suffering with acute renal failure caused by septic shock, severe pancreatitis and hepatorenal syndrome, one hour after the beginning of extracorporal circulation, the conditions of treatment were standardized. The material was deproteinized and studied by the amino acid analyzer LBK 4251 Apha Plus (Pharmacia, Stockholm, Sweden), while the lactic acid concentration was determined in a standard laboratory. Proline, glycine, alanine, methionine and histidine showed a close relationship to the lactic acid levels, but these amino acids were an essential part of parenteral nutrition. A statistical relationship was also established in (amino acids with amide groups) asparagine, glutamine, citrulline, cystathionine and phosphoethanolamine. The mean values of most of the amino acids were higher than normal, but standard deviations were increased. The presence of these amino acids in hemofiltrate and the good sieving coefficients could mean that the better prognosis of critically ill patients in continuous renal replacement therapies may also be due to continuous control of amino acid levels (especially with amide groups).


Assuntos
Aminoácidos/sangue , Hemofiltração , Falência Renal Crônica/metabolismo , Alanina/sangue , Aminoácidos/metabolismo , Asparagina/sangue , Citrulina/sangue , Cistationina/sangue , Etanolaminas/sangue , Circulação Extracorpórea , Glutamina/sangue , Glicina/sangue , Histidina/sangue , Humanos , Falência Renal Crônica/terapia , Ácido Láctico/sangue , Metionina/sangue , Prolina/sangue
15.
Int J Artif Organs ; 22(7): 482-7, 1999 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10493555

RESUMO

UNLABELLED: Bleeding complications during renal replacement therapies can be attributed to coagulation system and platelet function alterations in uremia, and the application of heparin in extracorporeal circulation. Small protein losses during hemofiltration are always described, however the high molecular weight of coagulation factors should significantly prevent their removal during hemofiltration. To exclude degradation of coagulation factors under conditions of spontaneous ultrafiltration, the hemofiltrate of 40 patients with acute renal failure (treated with continuous veno-venous hemofiltration, CVVH) was sampled from the filtrate line after 1 h from the beginning of treatment and in 5 patients also after 12 and 24 h. Samples were investigated with human factor deficient plasma (VII, X, XI, XII) from donors with a congenital deficiency and with human plasma depleted of factor V, VIII, IX, and protein S and C. Factor XIII was detected photometrically. Subsequently the presence of factor- XIII and -VII activity was investigated in plasma and hemofiltrate from 16 patients treated with intermittent hemofiltration before (plasma) and after (plasma, hemofiltrate) therapy. These patients also suffered from acute renal failure and needed renal replacement therapies. Quality control was carried out with a buffer solution (<1% activity in the assays according to recommended protocols). RESULTS: Factor-V, -VIII, -IX, -X, -XI, and -XII activity, and protein C and S could not be detected in the hemofiltrate from continuous hemofiltration. Factor-VII and -XIII activity was present in the hemofiltrate (mean activity in CVVH: 1.93% for factor VII and 6.9% for factor XIII, mean activity in intermittent hemofiltration: <1% for factor-VII and 7.3% for factor-XIII). Three were no significant differences (Student's t-test) in plasma activity before and after intermittent hemofiltration of factor VII (44 vs. 47%, p = 0.39) and factor XIII (44 vs. 52%, p = 0.24). The presence of factor-VII and -XIII activity in the hemofiltrate cannot influence plasma activities in intermittent hemofiltration. Rapid new synthesis and short half-life should neutralize these effects. Elimination of coagulation factor-XIII activity should be excluded by the next generation of highly permeable membranes and on-line hemodiafiltration.


Assuntos
Fator VII/análise , Fator XIII/análise , Hemofiltração , Injúria Renal Aguda/sangue , Injúria Renal Aguda/terapia , Antitrombina III/análise , Testes de Coagulação Sanguínea , Humanos
17.
J Hum Nutr Diet ; 18(5): 395-400, 2005 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-16150136

RESUMO

BACKGROUND: As part of a study on the effects of a fat-supplemented phenylalanine (phe)-free protein substitute on the fatty acid status of children with phenylketonuria (PKU), the adequacy of the diets of children aged 1-10 years for fat and essential fatty acids (EFA) was assessed. METHODS: Subjects randomized in a 1 : 1 ratio to a phe-free protein substitute supplemented with EFA (test-treatment group) or a phe-free, fat-free protein substitute (control group) for 20 weeks. 3-day semi-weighed records of food intakes collected at the end of the study period. RESULTS: Total fat and alpha-linolenic acid (alpha-LA) intakes were found to be poor in the control group (n = 19). Those in the test-treatment group (n = 24) had higher fat and EFA intakes (P < 0.05), bringing intakes closer to population norms. The youngest children (<5 years of age) in the control group appeared to be especially vulnerable to poor fat intakes because of the restricted diversity of their diets and, regardless of age, alpha-LA intakes by this group were poor compared with the non-PKU population. CONCLUSIONS: The quantity and quality of fat in the diets of children with PKU, in particular young children, should be given careful consideration in trying to optimize the ratio of linoleic acid: alpha-LA in their diets and in satisfying the requirements of this group for fat and alpha-LA.


Assuntos
Gorduras na Dieta/administração & dosagem , Ácidos Graxos Essenciais/administração & dosagem , Fenilalanina/administração & dosagem , Fenilcetonúrias/dietoterapia , Criança , Pré-Escolar , Gorduras na Dieta/normas , Ingestão de Energia , Feminino , Humanos , Lactente , Masculino , Necessidades Nutricionais , Ácido alfa-Linolênico/administração & dosagem
18.
Klin Padiatr ; 217(1): 9-14, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-15640964

RESUMO

BACKGROUND: Chlamydophila pneumoniae was frequently found in bronchial secretions of children with therapy-refractory bronchitis or pneumonia. It was studied, how the agent modifies the course of disease and what findings are associated with the infection. PATIENTS AND METHODS: Bronchial secretions obtained at bronchoscopy of 428 children were studied for C. pneumoniae infection using polymerase chain reaction with enzyme immunoassay detection. Children tested negative and positive were compared for their clinical findings. RESULTS: C. pneumoniae was found in 143 children (33 %). A C. pneumoniae infection has been found to be associated with a purulent bronchial inflammation (90/143 vs. 144/285, p = 0.02), a Streptococcus pneumoniae co-infection (13/143 vs. 6/285, p = 0.002) and a restrictive disturbance (11/51 vs. 8/93, p = 0.04). Purulent inflammation (Odds ratio 7.9; 95 % confidence interval [CI] 1.6-39.3), 2 co-infections (Odds ratio 14.3; 95 % CI 1.4-144.4) and co-infection with M. pneumoniae (4/4 versus 9/26, p = 0.03; Mantel Haentzel 3.0; 95 % CI 1.1-8.0) were identified as factors more often associated with a restrictive disturbance in children with bronchial C. pneumoniae infection. An adequate antibiotic therapy improved pulmonary function. No association was found for wheezing, eosinophil inflammation of the nasal mucosa, alpha-1 antitrypsin or immunoglobulin deficiency in serum, level of secretory IgA in bronchial mucus, pathological lung scintigram, gastro-esophageal reflux disease, sweat test and other co-infections. CONCLUSIONS: In children with therapy-refractory bronchitis or pneumonia bronchial C. pneumoniae infection was associated with a more severe disease in case of several, mostly bacterial co-infections. Adequate antibiotic therapy for C. pneumoniae infection has been demonstrated to improve pulmonary function.


Assuntos
Bronquite Crônica/diagnóstico , Infecções por Chlamydia/diagnóstico , Infecções por Chlamydophila/diagnóstico , Chlamydophila pneumoniae , Pneumonia Bacteriana/diagnóstico , Pneumonia Pneumocócica/diagnóstico , Infecções Respiratórias/diagnóstico , Superinfecção/diagnóstico , Antibacterianos/uso terapêutico , Bronquite Crônica/tratamento farmacológico , Broncoscopia , Criança , Pré-Escolar , Infecções por Chlamydia/tratamento farmacológico , Infecções por Chlamydophila/tratamento farmacológico , Progressão da Doença , Feminino , Seguimentos , Humanos , Técnicas Imunoenzimáticas , Lactente , Medidas de Volume Pulmonar , Masculino , Testes de Sensibilidade Microbiana , Pneumonia por Mycoplasma/diagnóstico , Pneumonia por Mycoplasma/tratamento farmacológico , Pneumonia Pneumocócica/tratamento farmacológico , Reação em Cadeia da Polimerase , Infecções Respiratórias/tratamento farmacológico , Estudos Retrospectivos , Fatores de Risco
19.
J R Coll Gen Pract ; 33(255): 651-3, 1983 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-6644670

RESUMO

Clinical influenza attacked 304 out of 576 boys at a west country boarding school. Influenza A/ENG/333/80 (H(1)N(1)), a drift from A/USSR/92/77, was isolated from 14 out of 40 throat swabs. Pre-epidemic sera from 64 new boys showed that 54 already had antibodies to H(1)N(1) and 40 of them had antibodies to this novel variant. Nevertheless, when their serum was re-examined post-epidemically, 36 showed a rise in antibody, indicating that infection had occurred.One hundred and twenty-six junior boys were given amantadine and, of these, 22 (17.4 per cent) developed influenza, whereas 218 (57 per cent) of 382 boys who did not take amantadine had influenza. The immune status was known for 64 boys, 43 of whom were given amantadine. Only five (11.6 per cent) became clinically ill while taking the drug, whereas 10 (47.6 per cent) of the remaining 21 boys became ill. When their serum was re-examined, it was found that 20/43 of those taking amantadine and 5/21 of those not taking the drug had subclinical infection. The two groups were comparable in their pre-epidemic antibody status and all lived within the same environment during the outbreak.It is concluded that amantadine secured a reduction in clinical influenza without protecting significantly against subclinical infection, thus allowing subtype specific immunity to develop.


Assuntos
Amantadina/uso terapêutico , Surtos de Doenças/prevenção & controle , Influenza Humana/prevenção & controle , Adolescente , Anticorpos Antivirais/análise , Criança , Inglaterra , Humanos , Influenza Humana/imunologia , Masculino
20.
J R Coll Gen Pract ; 30(219): 619-21, 1980 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-7452602

RESUMO

Prophylactic immunization with the current standard vaccine failed to prevent an epidemic of type A influenza in a large boarding school. In one House 31 boys were given amantadine 100 mg daily at the start of the epidemic. None of these boys suffered influenza whereas 30 per cent of the rest of the school was confined to the sickbays. This experience with amantadine challenges the policy of routine prophylactic immunization against influenza.


Assuntos
Amantadina/uso terapêutico , Surtos de Doenças/prevenção & controle , Vacinas contra Influenza/uso terapêutico , Influenza Humana/prevenção & controle , Criança , Humanos , Vírus da Influenza A , Masculino
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA