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1.
Int J Mol Sci ; 25(10)2024 May 11.
Artículo en Inglés | MEDLINE | ID: mdl-38791271

RESUMEN

Phenolic compounds from a hydroalcoholic extract of wet olive pomace were purified and concentrated by an integrated membrane process in organic media. First, UF010104 (Solsep BV) and UP005 (Microdyn Nadir) membranes were tested to be implemented in the ultrafiltration stage, with the aim of purifying the extract and obtaining a permeate enriched in phenolic compounds. Despite the high flux observed with the UF010104 membrane (20.4 ± 0.7 L·h-1·m-2, at 2 bar), the UP005 membrane was selected because of a more suitable selectivity. Even though some secoiridoids were rejected, the permeate stream obtained with this membrane contained high concentrations of valuable simple phenols and phenolic acids, whereas sugars and macromolecules were retained. Then, the ultrafiltration permeate was subjected to a nanofiltration step employing an NF270 membrane (DuPont) for a further purification and fractionation of the phenolic compounds. The permeate flux was 50.2 ± 0.2 L·h-1·m-2, working at 15 bar. Hydroxytyrosol and some phenolic acids (such as vanillic acid, caffeic acid, and ferulic acid) were recovered in the permeate, which was later concentrated by reverse osmosis employing an NF90 membrane. The permeate flux obtained with this membrane was 15.3 ± 0.3 L·h-1·m-2. The concentrated phenolic mixture that was obtained may have important applications as a powerful antioxidant and for the prevention of diabetes and neurodegenerative diseases.


Asunto(s)
Membranas Artificiales , Olea , Fenoles , Ultrafiltración , Olea/química , Ultrafiltración/métodos , Fenoles/aislamiento & purificación , Fenoles/química , Fenoles/análisis , Ósmosis , Solventes/química , Extractos Vegetales/química
2.
Eur J Pediatr ; 182(12): 5465-5471, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-37773295

RESUMEN

The purpose of the study is to test whether NT-proBNP serves as a screening tool for low-risk patent ductus arteriosus and safely avoids routine early echocardiography. This is a prospective observational study in preterm infants ≤32 weeks of gestational age. Infants with ≥5100 pg/ml (positive screening) at 48-72 hours of life received comprehensive echocardiography and were treated according to shunt severity. Infants with NT-proBNP below 5100 pg/ml (negative screening) were managed expectantly. The main outcome was need for ductus treatment within the first 7 days of life. One hundred twenty-five infants were included; 82 had a negative NT-proBNP screening and 43 had a positive NT-proBNP screening. No infant (0%) with a negative screening was treated for ductus while 26 (60.4%) with a positive screening were treated (p < 0.001). NT-proBNP avoided a 65.6% of routine echocardiograms. NT-proBNP had an excellent performance to predict PDA treatment (AUC = 0.967).Conclusion: NT-proBNP at 48-72 hours of life has an excellent performance to detect low risk and avoids unnecessary echocardiograms. This may contribute to optimize PDA management in terms of resource utilization.


Asunto(s)
Conducto Arterioso Permeable , Recien Nacido Prematuro , Lactante , Recién Nacido , Humanos , Estudios de Seguimiento , Biomarcadores , Péptido Natriurético Encefálico , Conducto Arterioso Permeable/diagnóstico por imagen
3.
Mar Drugs ; 21(5)2023 May 17.
Artículo en Inglés | MEDLINE | ID: mdl-37233499

RESUMEN

Alaria esculenta is a brown seaweed farmed in many European countries for its biomass rich in useful bio compounds. This study aimed to identify the optimal growing season to maximise biomass production and quality. The seeded longlines of the brown seaweed were deployed in the southwest of Ireland in October and November 2019 and samples of the biomass were harvested in different dates, between March and June 2020. Biomass gain and composition, phenolic and flavonoid content (TPC and TFC) and biological activities (antioxidant and anti-hypertensive activities) of seaweed extracts prepared with Alcalase were evaluated. The biomass production was significantly higher for the line deployed in October (>20 kg·m-1). In May and June, an increasing amount of epiphytes was observed on the surface of A. esculenta. The protein content of A. esculenta varied between 11.2 and 11.76% and fat content was relatively low (1.8-2.3%). Regarding the fatty acids profile, A. esculenta was rich in polyunsaturated fatty acids (PUFA), especially in eicosapentaenoic acid (EPA). The samples analysed were very rich in Na, K, Mg, Fe, Mn, Cr and Ni. The content of Cd, Pb Hg was relatively low and below the maximum levels allowed. The highest TPC and TFC were obtained in extracts prepared with A. esculenta collected in March and levels of these compounds decreased with time. In general, the highest radical scavenging activities (ABTS and DPPH), as well as chelating activities (Fe2+ and Cu2+) were observed in early spring. Extracts from A. esculenta collected in March and April presented higher ACE inhibitory activity. The extracts from seaweeds harvested in March exhibited higher biological activity. It was concluded that an earlier deployment allows for maximising growth and harvest of biomass earlier when its quality is at the highest levels. The study also confirms the high content of useful bio compounds that can be extracted from A. esculenta and used in the nutraceutical and pharmaceutical industry.


Asunto(s)
Phaeophyceae , Algas Marinas , Antioxidantes/química , Phaeophyceae/química , Algas Marinas/química , Fenoles/farmacología , Fenoles/análisis , Extractos Vegetales/química
4.
BMC Biol ; 18(1): 24, 2020 03 02.
Artículo en Inglés | MEDLINE | ID: mdl-32122347

RESUMEN

BACKGROUND: Contaminant DNA is a well-known confounding factor in molecular biology and in genomic repositories. Strikingly, analysis workflows for whole-genome sequencing (WGS) data commonly do not account for errors potentially introduced by contamination, which could lead to the wrong assessment of allele frequency both in basic and clinical research. RESULTS: We used a taxonomic filter to remove contaminant reads from more than 4000 bacterial samples from 20 different studies and performed a comprehensive evaluation of the extent and impact of contaminant DNA in WGS. We found that contamination is pervasive and can introduce large biases in variant analysis. We showed that these biases can result in hundreds of false positive and negative SNPs, even for samples with slight contamination. Studies investigating complex biological traits from sequencing data can be completely biased if contamination is neglected during the bioinformatic analysis, and we demonstrate that removing contaminant reads with a taxonomic classifier permits more accurate variant calling. We used both real and simulated data to evaluate and implement reliable, contamination-aware analysis pipelines. CONCLUSION: As sequencing technologies consolidate as precision tools that are increasingly adopted in the research and clinical context, our results urge for the implementation of contamination-aware analysis pipelines. Taxonomic classifiers are a powerful tool to implement such pipelines.


Asunto(s)
Bacterias/genética , Contaminación de ADN , Variación Genética , Secuenciación de Nucleótidos de Alto Rendimiento/normas , Mycobacterium tuberculosis/genética , Secuenciación Completa del Genoma/normas , Secuenciación de Nucleótidos de Alto Rendimiento/instrumentación , Polimorfismo de Nucleótido Simple
5.
Molecules ; 26(8)2021 Apr 16.
Artículo en Inglés | MEDLINE | ID: mdl-33923713

RESUMEN

Microencapsulation procedures have recently focused attention on designing novel microspheres via green synthesis strategies. The use of chitosan (CS) as an encapsulating material has increased interest due to its unique bioactive properties and the various crosslinking possibilities offered by their functional groups. The consolidation of the microspheres by physical crosslinking using sodium tripolyphosphate (TPP) combined with chemical crosslinking using vanillin (VA) open new opportunities in the framework of green dual crosslinking strategies. The developed strategy, a straightforward technique based on an aqueous medium avoiding complex separation/washing steps, offers advantages over the processes based on VA, mostly using water-in-oil emulsion approaches. Thus, in this work, the combination of TPP crosslinking (3, 5, and 10 wt.%) via spray-coagulation technique with two VA crosslinking methods (in situ and post-treatment using 1 wt.% VA) were employed in the preparation of microspheres. The microspheres were characterized concerning morphology, particle size, physicochemical properties, thermal stability, and swelling behavior. Results revealed that the combination of 5 wt.% TPP with in situ VA crosslinking led to microspheres with promising properties, being an attractive alternative for natural bioactives encapsulation due to the green connotations associated with the process.


Asunto(s)
Benzaldehídos/química , Quitosano/química , Polifosfatos/química , Emulsiones , Microesferas
6.
Artículo en Inglés | MEDLINE | ID: mdl-31378137

RESUMEN

This study evaluates the application of the vegetal activated carbon (AC), vegetable AC impregnated with Ag and Cu (0.08% m/m) and cationic SupergelTM SGC650H resin for adsorption of Fe3+ and Pb2+ ions in closed and batch system. The best adsorption capacities were obtained by using the cationic resin SGC650H, pH 3, temperature of 30 °C and stirring speed of 100 rpm. Thus, the kinetic and equilibrium experiments, in mono- and bicomponent, were performed using SGC650H resin, wherein the kinetic models of pseudo-first and pseudo-second order presented a good fit to the kinetic data, for mono- and bicomponent, respectively. The Langmuir isotherm adequately represented the monocomponent equilibrium data, showing maximum adsorption capacities values of 7.18 and 4.00 meq g-1 for Fe3+ and Pb2+, respectively. An inhibitory effect between the metal species was verified by fitting the modified extended Langmuir isotherm model to the binary equilibrium data, which allowed to predict changes in the surface affinity to the adsorbent by the metal ions. Based on the observed results, the use of SGC650H resin presents great potential for water treatment systems contaminated with heavy metals.


Asunto(s)
Agua Subterránea , Metales Pesados/química , Contaminantes Químicos del Agua/química , Purificación del Agua/métodos , Adsorción , Resinas de Intercambio de Catión/química , Carbón Orgánico/química , Agua Subterránea/química , Concentración de Iones de Hidrógeno , Cinética , Metales Pesados/análisis , Temperatura , Contaminantes Químicos del Agua/análisis
7.
Artículo en Inglés | MEDLINE | ID: mdl-30587072

RESUMEN

The objective of this study was the toxicity evaluation of landfill leachate samples both raw and after treatment by photo-Fenton (PF), biological (Bio) and photo-Fenton followed by biological (PF-Bio) processes. The organisms Artemia salina and Lactuca sativa were exposed to the leachate in different dilution. In the phytotoxicity evaluation, the inhibition of root (RGI) and radicle (RAGI) growth, and the number of germinated seeds (GR) were evaluated. In the ecotoxicity analysis, the 50% lethal dose (LD50) for each type of treatment was evaluated. The raw leachate, and after treatments PF, Bio and PF-Bio presented COD of 12,797, 1,347, 1,685, 220 mg/L and BOD5 of 4,251, 1,060, 692 and 89 mg/L, respectively. The GR was 0, 95, 25 and 40%, RGI was 100, 83, 100, 93%, whereas RAGI was 100, 72, 100 and 79% in the raw leachate and after treatments PF, Bio and PF-Bio, respectively. LD50 values of 0.25, 0.40, 0.38 and 0.54 were obtained for the raw effluent and after the PF, Bio and PF-Bio treatments, respectively. Smaller values of COD, BOD5, ecotoxicity and phytotoxicity were observed in the effluent after the PF-Bio treatment, indicating that this is the most environmentally suitable system for the treatment of landfill leachate.


Asunto(s)
Peróxido de Hidrógeno/química , Hierro/química , Aguas del Alcantarillado/microbiología , Contaminantes Químicos del Agua/toxicidad , Purificación del Agua/métodos , Animales , Artemia/efectos de los fármacos , Fenómenos Biológicos , Relación Dosis-Respuesta a Droga , Dosificación Letal Mediana , Lactuca/efectos de los fármacos , Oxidación-Reducción , Procesos Fotoquímicos , Pruebas de Toxicidad
8.
Am J Perinatol ; 35(5): 503-508, 2018 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-29183098

RESUMEN

INTRODUCTION: Percutaneous central venous catheter (CVC) insertion is a challenging procedure in neonates, especially in preterm infants. OBJECTIVE: This study aims to describe the technical success and safety profile of ultrasound (US)-guided brachiocephalic vein (BCV) cannulation in neonates. METHODS: Prospective observational study. Neonates admitted to the neonatal intensive care unit (NICU) in whom US-guided cannulation of the BCV was attempted were eligible. Outcomes included first attempt success rate, the overall success rate, the number of attempts, the cannulation time, immediate mechanical complications, catheter indwelling days, and late complications. RESULTS: A total of 40 procedures in 37 patients were included. Median weight and age at the time of cannulation were 1.85 kg (0.76-4.8) and 13 days (3-31), respectively. First attempt and overall success rates were 29 (72.5%) and 38 (95%), respectively. No major complications were observed. Catheter-associated infection rate was 2.4/1,000 catheter days. There were no difference in outcomes between low weight preterm infants (<1.5 kg) and the rest of the cohort. There was no linear relationship between weight at time of insertion and the number of puncture attempts (r = 0.250; p = 0.154) or cannulation time (r = 0.257; p = 0.142). CONCLUSION: US-guided cannulation of the BCV may be considered in acutely ill neonates, including small preterm infants, who need a large bore CVC.


Asunto(s)
Venas Braquiocefálicas , Infecciones Relacionadas con Catéteres/etiología , Cateterismo Venoso Central/métodos , Unidades de Cuidado Intensivo Neonatal/estadística & datos numéricos , Ultrasonografía Intervencional , Cateterismo Venoso Central/efectos adversos , Catéteres Venosos Centrales/efectos adversos , Femenino , Humanos , Recién Nacido , Recien Nacido Prematuro , Masculino , Estudios Prospectivos , España
9.
Artículo en Inglés | MEDLINE | ID: mdl-30596333

RESUMEN

In this work, a physical-chemical, elemental and microbiological groundwater monitoring was performed on wells of the Serra Geral aquifer, located in the western region of the Brazilian state of Paraná, along with an evaluation of the elemental composition of soil sediments in the region of groundwater monitoring. The monitoring was carried out in 10 wells distributed throughout the rural area of the municipality of Toledo-PR. Elemental analyses were performed using the analytical technique of total reflection X-ray fluorescence spectrometry. From the results obtained, it was observed that in some wells, iron and lead concentrations were above the maximum limits allowed by the Brazilian legislation in some months, demonstrating that the evaluated groundwater is susceptible to contamination. By the analysis of the soil sediments, the presence of iron and lead in the region soil/rock was verified, which may be associated to rainwater percolation making it necessary to periodically monitor the groundwater consumed by the population of the municipality of Toledo-PR.


Asunto(s)
Monitoreo del Ambiente/métodos , Agua Subterránea/análisis , Contaminantes Químicos del Agua/análisis , Calidad del Agua , Brasil , Sedimentos Geológicos/análisis , Agua Subterránea/química , Humanos , Hierro/análisis , Plomo/análisis , Suelo/química
10.
BMC Pulm Med ; 17(1): 2, 2017 01 05.
Artículo en Inglés | MEDLINE | ID: mdl-28056943

RESUMEN

BACKGROUND: Tuberculosis (TB) control is more likely to be achieved if the level of knowledge regarding TB is increased among health workers managing high-risk groups. No formal assessments regarding knowledge, attitudes and practises of health workers about TB have been published for Mozambique, a country facing challenges in the fight against TB, with a fragile health system and considerable work overload of health personnel. The main objective of the study was to determine the level of knowledge, identify attitudes and assess practices regarding TB care and control among health care workers of the district of Manhiça. METHODS: A descriptive cross-sectional study was performed through the use of a specifically designed Knowledge, Attitudes and Practices (KAP) questionnaire in the district of Manhiça, a high tuberculosis and HIV burden rural area in Southern Mozambique. In this district, 14 health care facilities service a population of approximately 160,000 people. The questionnaire took 30-45 min to administer with external assistance not permitted. The survey contained 79 questions pertaining to four different areas: demographics, TB knowledge, attitudes and practices. RESULTS: The study sample included 170 health care workers. The average knowledge score was 14.89 points (SD = 3.61) out of a total possible 26 points. Less than 30% of respondents had heard of Xpert MTB/RIF®. Seventy per cent agreed there was stigma associated with TB and 48.2% believed this stigma was greater than that associated with HIV. The average practice score was 3.2 out of 9 points (35.6%, SD = 2.4). CONCLUSION: Health care worker's knowledge gaps identified in this study may result in substandard patient care. Specific deficiencies in understanding existed in terms of paediatric TB and Xpert MTB/RIF® testing. The present study provides impetus for tailored TB education among health care workers from a high TB burden rural area in Southern Mozambique.


Asunto(s)
Antibióticos Antituberculosos/uso terapéutico , Conocimientos, Actitudes y Práctica en Salud , Personal de Salud , Tuberculosis/tratamiento farmacológico , Adulto , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Mozambique , Encuestas y Cuestionarios , Adulto Joven
11.
Pediatr Crit Care Med ; 16(9): e340-5, 2015 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-26181295

RESUMEN

OBJECTIVE: To compare the use of bedside ultrasound and chest radiography to verify central venous catheter tip positioning. DESIGN: Prospective observational study. SETTING: PICU of a university hospital. PATIENTS: Patients aged 0-14 who required a central venous catheter. INTERVENTION: None. MEASUREMENTS AND MAIN RESULTS: Central venous catheter tip location was confirmed by ultrasound and chest radiography. Central venous catheters were classified as intra-atrial or extra-atrial according to their positions in relation to the cavoatrial junction. Central venous catheters located outside the vena cava were considered malpositioned. The distance between the catheter tip and the cavoatrial junction was measured. The time elapsed from image capture to interpretation was recorded. Fifty-one central venous catheters in 40 patients were analyzed. Chest radiography and ultrasound results agreed 94% of the time (κ coefficient, 0.638; p < 0.001) in determining intra-atrial and extra-atrial locations and 92% of the time in determining the diagnosis of central venous catheter malposition (κ coefficient, 0.670; p < 0.001). Chest radiography indicated a greater distance between the central venous catheter tip and the cavoatrial junction than measured by ultrasound, with a mean difference of 0.38 cm (95% CI, +0.27, +0.48 cm). Three central venous catheters were classified as extra-atrial by chest radiography but as intra-atrial by ultrasound. To locate the central venous catheter tip, ultrasound required less time than chest radiography (22.96 min [20.43 min] vs 2.23 min [1.06 min]; p < 0.001). CONCLUSIONS: Bedside ultrasound showed a good agreement with chest radiography in detecting central venous catheter tip location and revealing incorrect positions. Ultrasound could be a preferable method for routine verification of central venous catheter tip and can contribute to increased patient safety.


Asunto(s)
Puntos Anatómicos de Referencia/diagnóstico por imagen , Cateterismo Venoso Central/métodos , Atrios Cardíacos/diagnóstico por imagen , Venas Cavas/diagnóstico por imagen , Adolescente , Cateterismo Venoso Central/efectos adversos , Niño , Preescolar , Humanos , Lactante , Recién Nacido , Sistemas de Atención de Punto , Estudios Prospectivos , Radiografía , Ultrasonografía
12.
J Pediatr ; 165(4): 862-5.e1, 2014 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-25063721

RESUMEN

An ultrasound evaluation of lumbar spine anatomic landmarks relevant for lumbar puncture was performed in 199 newborn infants. Effects of 6 patient positions and gestational age on interspinous process distance, subarachnoid space width, predicted needle entry angle, and needle insertion depth were assessed. Our results identify optimized conditions for lumbar puncture: sitting the infant with hips flexed, a needle entry angle of 65-70 degrees, and proper needle insertion depth (calculated as 2.5 × weight in kilograms + 6 in millimeters).


Asunto(s)
Vértebras Lumbares/diagnóstico por imagen , Punción Espinal/métodos , Peso Corporal , Femenino , Edad Gestacional , Humanos , Recién Nacido , Recien Nacido Prematuro , Masculino , Posicionamiento del Paciente , Estudios Prospectivos , Ultrasonografía
13.
Eur J Pediatr ; 173(10): 1387-90, 2014 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-24797698

RESUMEN

UNLABELLED: Our objective was to test the ability of pediatric residents to intubate the trachea of infant and child manikins during continuous chest compressions (CC) by means of indirect videolaryngoscopy with Glidescope® versus standard direct laryngoscopy. A randomized crossover simulation trial was designed. Twenty-three residents trained to intubate child and infant manikins were eligible for the study. They were asked to perform tracheal intubation in manikins assisted by both standard laryngoscopy and Glidescope® while a colleague delivered uninterrupted chest compressions. In the infant cardiac arrest scenario, the median (IQR) total time for intubation was significantly shorter with the Miller laryngoscope [28.2 s (20.4-34.4)] than with Glidescope® [38.0 s (25.3-50.5)] (p = 0.021). The number of participants who needed more than 30 s to intubate the manikin was also significantly higher with Glidescope® (n = 13) than with the Miller laryngoscope (n = 7, p = 0.01). In the child scenario, the total time for intubation and number of intubation failures were similar with Macintosh and Glidescope® laryngoscopes. The participants' subjective difficulty of the procedure was similar for direct and videolaryngoscopy. CONCLUSION: In simulated infant and child cardiac arrest scenarios, pediatric residents are able to intubate the trachea during CC. The videolaryngoscope Glidescope® does not improve performance in this setting.


Asunto(s)
Competencia Clínica , Paro Cardíaco/terapia , Masaje Cardíaco , Intubación Intratraqueal/instrumentación , Laringoscopios , Laringoscopía/instrumentación , Adulto , Niño , Preescolar , Estudios Cruzados , Femenino , Humanos , Lactante , Internado y Residencia , Intubación Intratraqueal/métodos , Laringoscopía/métodos , Masculino , Maniquíes , Pediatría/educación , España , Factores de Tiempo , Grabación en Video
14.
Arch Cardiol Mex ; 94(1): 48-54, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38507313

RESUMEN

BACKGROUND: Ascending aortic aneurysms are rare pathologies in childhood, especially in the absence of previous diseases such as Marfan syndrome. OBJECTIVE: Present the possibility of successful endovascular management of large vessel aneurysms, using stents and microcatheters with embolization of the aneurysm sac. METHOD: We present the case of a previously healthy ten-year-old patient, in whom a pseudoaneurysm was documented between the origin of the left common carotid artery and left subclavian artery, successfully managed endovascularly, initially with a stent covering the neck of the aneurysm to remodel it and later with embolization of the aneurysm sac using a microcatheter. RESULTS: Aneurysms of large vessels, such common carotid artery and subclavian artery, are at risk of rupture with devastating complications; endovascular management is considered a minimally invasive management option, with favorable results. CONCLUSION: The endovascular management of large vessel aneurysms using stents and microcatheters with embolization of the aneurysmal sac is a novel management option that achieves successful results.


ANTECEDENTES: Los aneurismas de la aorta ascendente son patologías poco frecuentes en la infancia, sobre todo en ausencia de enfermedades previas como el síndrome de Marfan. OBJETIVO: Dar a conocer la posibilidad del manejo endovascular exitoso de los aneurismas de grandes vasos, usando stent y micro catéter con embolización del saco aneurismático. MÉTODO: Presentamos el caso de una paciente de 10 años y 2 meses, previamente sana, en quien se documentó un pseudoaneurisma entre el origen de la arteria carótida común izquierda y la arteria subclavia izquierda, que logró manejarse de forma endovascular, inicialmente con un stent cubriendo el cuello del aneurisma con el fin de remodelarlo y posteriormente por medio de microcatéter se realizó embolización del saco del aneurisma con coils, con resultado exitoso. RESULTADOS: Los aneurismas de los grandes vasos, como la arteria carótida común y la arteria subclavia, tienen riesgo de ruptura con complicaciones devastadoras; el manejo endovascular se plantea como una opción poco invasiva de manejo, con resultados favorables. CONCLUSIÓN: El manejo de aneurismas de grandes vasos, por vía endovascular usando stent y microcatéter con embolización del saco aneurismático, es una opción novedosa de manejo que logra resultados exitosos.


Asunto(s)
Aneurisma del Arco Aórtico , Aneurisma Falso , Aneurisma de la Aorta Torácica , Aneurisma de la Aorta , Procedimientos Endovasculares , Humanos , Niño , Aneurisma de la Aorta/cirugía , Stents , Aneurisma Falso/diagnóstico por imagen , Aneurisma Falso/cirugía , Resultado del Tratamiento , Aneurisma de la Aorta Torácica/cirugía
15.
Arch Cardiol Mex ; 94(3): 292-299, 2024 02 20.
Artículo en Español | MEDLINE | ID: mdl-38377958

RESUMEN

BACKGROUND: Aneurysms and diverticula of the left ventricle are rare entities in childhood, with a prevalence of less than 0.1%. Described since 1886, as a severe and potentially fatal disease if not corrected, mainly due to the presence of associated anomalies and the risk of rupture. OBJETIVE: Present other management options for ventricular diverticula, different from surgical options, using alternative materials that are not used very often in daily practice. METHOD: A detailed description of a case successfully managed with these new treatment modalities. RESULTS: Endovascular management of the left ventricular diverticulum, diagnosed prenatally in the patient presented, was successful after initial failure with surgical management. CONCLUSIONS: Endovascular management of ventricular diverticula, using alternative materials to those commonly used, is an attractive option with satisfactory results in these patients.


Asunto(s)
Procedimientos Endovasculares , Aneurisma Cardíaco , Ventrículos Cardíacos , Humanos , Aneurisma Cardíaco/cirugía , Aneurisma Cardíaco/diagnóstico por imagen , Ventrículos Cardíacos/anomalías , Ventrículos Cardíacos/cirugía , Procedimientos Endovasculares/métodos , Masculino , Resultado del Tratamiento , Femenino , Divertículo/cirugía , Divertículo/complicaciones
16.
J Clin Microbiol ; 51(7): 2124-30, 2013 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-23616454

RESUMEN

The Mycobacterium tuberculosis pandemic is a major health problem, further complicated by an increasing incidence of drug-resistant isolates and the existence of highly transmissible strains, such as those in the Beijing family. Streptomycin (STR)-resistant M. tuberculosis clinical isolates have been analyzed to look for mutations in the rpsL, rrs, and gidB genes. In addition, the Rv1258c gene, which encodes Tap, an efflux pump that transports STR, has been sequenced. Mutations affecting codons 43 and 88 of the rpsL gene were found in 44.4% of the strains, and 16.7% of the strains carried mutations in the rrs gene, both of which probably contribute to STR resistance. Many strains presented with mutations in the gidB gene, but the implication of those mutations in STR resistance remains unclear. Interestingly, a cytosine nucleotide insertion between positions 580 and 581 (denominated Tap(580)) in the Rv1258c gene has been found in all Beijing isolates included in this study, suggesting that it might be a novel polymorphism specific to the Beijing family of M. tuberculosis. A simple and fast restriction fragment length polymorphism (RFLP)-PCR method for detecting the Tap(580) insertion has been developed and used to screen a collection of 220 DNA samples obtained from cultures of M. tuberculosis isolates and 30 respiratory specimens. In all cases, the Beijing and non-Beijing representative samples were identified correctly. Tap(580) is a novel polymorphism specific to the highly transmissible Beijing family, which allows for fast detection of these strains even at the very early stages of infection.


Asunto(s)
Farmacorresistencia Bacteriana , Marcadores Genéticos , Tipificación Molecular/métodos , Mutagénesis Insercional , Mycobacterium tuberculosis/clasificación , Mycobacterium tuberculosis/genética , Antibacterianos/farmacología , Proteínas Bacterianas/genética , Genotipo , Humanos , Mycobacterium tuberculosis/efectos de los fármacos , Polimorfismo de Longitud del Fragmento de Restricción , Sensibilidad y Especificidad , Estreptomicina/farmacología
17.
J Sci Food Agric ; 93(2): 187-96, 2013 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-23169488

RESUMEN

Microfiltration applied in the dairy industry for bacteria removal is an important technology for extending the shelf life of milk while maintaining or even improving its organoleptic and nutritional properties. This article reviews the evolution of this technique over recent years and the advances currently being made in the field. The cited literature indicates the strategies used to overcome the main drawbacks of this type of operation, the most common operating conditions employed and the reduction degree of bacteria obtained.


Asunto(s)
Industria Lechera/métodos , Filtración/métodos , Conservación de Alimentos/métodos , Leche/microbiología , Animales , Bovinos , Filtración/instrumentación , Filtración/tendencias , Contaminación de Alimentos/prevención & control , Conservación de Alimentos/instrumentación , Bacterias Gramnegativas/crecimiento & desarrollo , Bacterias Grampositivas/crecimiento & desarrollo , Viabilidad Microbiana , Pasteurización
18.
Membranes (Basel) ; 13(2)2023 Jan 17.
Artículo en Inglés | MEDLINE | ID: mdl-36837622

RESUMEN

Despite the environmental concerns raised every year by the generation of high volumes of wet olive pomace, it contains valuable phenolic compounds that are essential for the valorization of this by-product. In this work, an integrated process to recover phenolic compounds from wet olive pomace is proposed. It consists of ultrasound-assisted solid-liquid extraction, followed by ultrafiltration and nanofiltration. Several commercial membranes were studied at different operational conditions. The ultrafiltration stage allowed the purification of biophenols, which were obtained in the permeate stream. Regarding organic matter, satisfactory rejection values were obtained with both commercial UH030 and UP005 membranes (Microdyn Nadir), but the latter provided more efficient purification and higher values of permeate flux, above 18 L·h-1·m-2 at 2.5 bar and 1.5 m·s-1. Later, this permeate stream was concentrated by means of a nanofiltration process, obtaining polyphenol rejection values that surpassed 85% with the commercial NF270 membrane (DuPont), then achieving the concentration of the previously purified polyphenols.

19.
Trop Med Infect Dis ; 8(7)2023 Jul 17.
Artículo en Inglés | MEDLINE | ID: mdl-37505663

RESUMEN

In several low-income countries, the transport of sputa could take up to one week to reach the laboratories, resulting in increased contamination rates and a loss of growth. The aim of this study was to evaluate the effect of the OMNIgene-SPUTUM in preserving Mycobacterium tuberculosis on sputum samples simulating three hypothetical scenarios for conservation and/or decontamination: (1) sputum was mixed with OMN and conserved at room temperature for five days and then processed for culture (OMN); (2) sputum cultures followed the routine standing operating procedure at day 0 (STD); and (3) sputum samples were kept at room temperature for five days and mixed with the standard decontamination reagent (SDT5) and then processed for culture. The positivity rate based on smear microscopy was 36.4%, 29.1%, and 27.3% for STD, STD5, and OMN, respectively. The proportion of positive results by liquid culture (MGIT) was 39.1% (43/110) for STD, 26.4% (29/110) for STD5, and 20.0% for OMN (22/110). The overall concordance of liquid culture results was 51.8% (57/110): 37.3% (41/110) for negative results, 11.8% (13/110) for MTBC growth, and 2.7% (3/110) for contaminated results. The OMN arm showed better performance in solid culture than in liquid culture, with a notable reduction in contaminated results.

20.
Membranes (Basel) ; 13(8)2023 Aug 21.
Artículo en Inglés | MEDLINE | ID: mdl-37623806

RESUMEN

Currently, understanding the dynamics of the interaction between the agents in a process is one of the most important factors regarding its operation and design. Membrane processes for industrial wastewater management are not strangers to this topic. One such example is the concentration of compounds with high added value, such as the phenolic compounds present in olive mill wastewater (OMW). This process is a viable option, thanks to the forward osmosis (FO) process, osmotically driven by a saline stream. In this context, the transport of the solute and the solvent through the FO membranes, although essential to the process, remains problematic. This paper presents a study to predict, by means of a theoretical model, the water flux for two membranes (a cellulose triacetate flat sheet and a polyamide hollow fiber with integrated aquaporin proteins) with different characteristics using a sodium chloride solution as the draw solution (DS). The novelty of this model is the consideration of the contribution of organic compounds (in addition to the inorganic salts) to the osmotic pressure in the feed side. Moreover, the geometry of the modules and the characteristics of the membranes were also considered. The model was developed with the ability to run under different conditions, with or without tyrosol (the compound chosen as representative of OMW phenolic compounds) in the feed solution (FS), and was fitted and evaluated using experimental data. The results presented a variability in the model prediction, which was a function of both the membrane used and the FS and DS, with a greater influence of tyrosol observed on the permeate flux in the flat cellulose triacetate membrane.

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