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1.
Ecol Appl ; 31(8): e02431, 2021 12.
Artículo en Inglés | MEDLINE | ID: mdl-34339067

RESUMEN

Implementation of wildfire- and climate-adaptation strategies in seasonally dry forests of western North America is impeded by numerous constraints and uncertainties. After more than a century of resource and land use change, some question the need for proactive management, particularly given novel social, ecological, and climatic conditions. To address this question, we first provide a framework for assessing changes in landscape conditions and fire regimes. Using this framework, we then evaluate evidence of change in contemporary conditions relative to those maintained by active fire regimes, i.e., those uninterrupted by a century or more of human-induced fire exclusion. The cumulative results of more than a century of research document a persistent and substantial fire deficit and widespread alterations to ecological structures and functions. These changes are not necessarily apparent at all spatial scales or in all dimensions of fire regimes and forest and nonforest conditions. Nonetheless, loss of the once abundant influence of low- and moderate-severity fires suggests that even the least fire-prone ecosystems may be affected by alteration of the surrounding landscape and, consequently, ecosystem functions. Vegetation spatial patterns in fire-excluded forested landscapes no longer reflect the heterogeneity maintained by interacting fires of active fire regimes. Live and dead vegetation (surface and canopy fuels) is generally more abundant and continuous than before European colonization. As a result, current conditions are more vulnerable to the direct and indirect effects of seasonal and episodic increases in drought and fire, especially under a rapidly warming climate. Long-term fire exclusion and contemporaneous social-ecological influences continue to extensively modify seasonally dry forested landscapes. Management that realigns or adapts fire-excluded conditions to seasonal and episodic increases in drought and fire can moderate ecosystem transitions as forests and human communities adapt to changing climatic and disturbance regimes. As adaptation strategies are developed, evaluated, and implemented, objective scientific evaluation of ongoing research and monitoring can aid differentiation of warranted and unwarranted uncertainties.


Asunto(s)
Incendios , Incendios Forestales , Ecosistema , Bosques , Humanos , América del Norte
2.
Pharm Stat ; 20(2): 413-417, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-32893957

RESUMEN

Composite endpoints reveal the tendency for statistical convention to arise locally within subfields. Composites are familiar in cardiovascular trials, yet almost unknown in sepsis. However, the VITAMINS trial in patients with septic shock adopted a composite of mortality and vasopressor-free days, and an ordinal scale describing patient status rapidly became standard in COVID studies. Aware that recent use could incite interest in such endpoints, we are motivated to flag their potential value and pitfalls for sepsis research and COVID studies.


Asunto(s)
COVID-19/epidemiología , Determinación de Punto Final/estadística & datos numéricos , Ensayos Clínicos Controlados Aleatorios como Asunto/estadística & datos numéricos , COVID-19/terapia , Determinación de Punto Final/métodos , Humanos , Ensayos Clínicos Controlados Aleatorios como Asunto/métodos
3.
J Microsc ; 250(2): 122-129, 2013 May.
Artículo en Inglés | MEDLINE | ID: mdl-23489021

RESUMEN

Tantalum carbide samples have been subjected to high-temperature testing at ∼2300°C using an oxyacetylene torch to evaluate their potential for ultra-high temperature applications. While large samples cracked during the rapid heating, indicating their inability to withstand thermal shock, small samples survived the severe test conditions. The oxidation products formed were characterized and found to comprise different phases of Ta2 O5 . The ultra-high temperature experienced by the samples resulted in the formation of many interesting microstructures, including the formation of submicron sized grains, which has not been reported previously in the literature, as well as the expected evidence of melting.

4.
Artículo en Inglés | MEDLINE | ID: mdl-35493979

RESUMEN

Background: Acute kidney injury (AKI) is common among patients admitted to the intensive care unit (ICU). It is an independent risk factor for morbidity and mortality. The optimal timing of renal replacement therapy (RRT) remains unknown, resulting in a wide variation in observed current practices. There is a paucity of data on current practices within ICUs in South Africa. Objectives: To describe current practices in the timing of RRT in patients with AKI admitted to the ICU. The secondary objectives were to describe the patient characteristics, severity of illness scores, staging at initiation of RRT, outcome at ICU discharge, and to estimate and describe delays in the initiation of RRT. Methods: A retrospective, descriptive study was conducted in an adult academic ICU in Soweto from 1 January 2014 to 31 December 2015. Results: There were 2 152 ICU admissions over the 2 years. Less than a tenth of the patients (3.5%; n=76) required RRT and the majority had sepsis (83%). The most common indication for RRT was oliguria/anuria (50%; n=38), followed by worsening urea/creatinine (29%; n=22), metabolic acidosis (11.8%; n=9), refractory hyperkalaemia (5.3%; n=4), fluid overload (2.6%; n=2) and other (1.3%; n=1). More than half of the patients (55%; n=42) had RRT instituted on admission day (D0 ), while 45% (n=34) had RRT initiated after D0 (D1-21). RRT was initiated at stage 3 AKI in 90% and 94% of D0 RRT group and D1-21 RRT group, respectively. The median (interquartile range (IQR)) time to starting RRT was 4 (4) hours once the decision to initiate RRT was made. The composite outcome of death, RRT dependence and diuretic dependence at ICU discharge was 21% and there was no difference between the two groups (p=0.22). The ICU mortality was 3%. Conclusion: The sampled population was young, predominantly male and had post emergency surgery with a high burden of sepsis and HIV. The observed current threshold for RRT was late (stage 3 AKI with classic/emergent indications) with outcomes comparable with the reviewed literature. Contributions of the study: The present study adds insight into the practice of initiating RRT in patients admitted to the ICU with AKI. These data have previously not been described in the South African context. The patient population differed from the literature in that they were young, predominantly male and had post-emergency surgery with a high burden of sepsis and HIV.

5.
Vet Comp Oncol ; 16(1): 108-113, 2018 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-28508557

RESUMEN

BACKGROUND: The aim of this study was to describe the use of a lomustine (CCNU), vincristine, procarbazine and prednisolone (LOPP) protocol used for treatment of chemotherapy naive T-cell lymphoma patients and to describe the response rate, toxicity and disease-free interval compared historically to CHOP chemotherapy. MATERIALS AND METHODS: Retrospective case study of 31 dogs with naïve T-cell lymphoma treated with a lomustine (CCNU), vincristine, procarbazine and prednisolone (LOPP) protocol. RESULTS: Thirty-one dogs with T cell lymphoma were treated. The overall response rate was 97%. Of the 30 dogs that had a response to LOPP chemotherapy, the median disease free interval was 176 days (range 0-1745 days). The median overall survival time for this study group was 323 days (range 51-1758 days). All deaths in this study were attributable to lymphoma. CONCLUSION: LOPP chemotherapy for T cell lymphoma is well tolerated with a low toxicity profile and an excellent overall response rate. This protocol showed minimal toxicity and comparable disease free interval and survival times for canine high grade T cell lymphoma treated with CHOP.


Asunto(s)
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Enfermedades de los Perros/tratamiento farmacológico , Linfoma de Células T/veterinaria , Animales , Protocolos de Quimioterapia Combinada Antineoplásica/administración & dosificación , Enfermedades de los Perros/mortalidad , Perros , Femenino , Lomustina/administración & dosificación , Lomustina/uso terapéutico , Linfoma de Células T/tratamiento farmacológico , Linfoma de Células T/mortalidad , Masculino , Prednisona/administración & dosificación , Prednisona/uso terapéutico , Procarbazina/administración & dosificación , Procarbazina/uso terapéutico , Estudios Retrospectivos , Análisis de Supervivencia , Resultado del Tratamiento , Vincristina/administración & dosificación , Vincristina/uso terapéutico
6.
Sci Data ; 5: 180239, 2018 10 23.
Artículo en Inglés | MEDLINE | ID: mdl-30351305

RESUMEN

Invasive alien species are widely recognized as one of the main threats to global biodiversity. Rapid flow of information on the occurrence of invasive alien species is critical to underpin effective action. Citizen science, i.e. the involvement of volunteers in science, provides an opportunity to improve the information available on invasive alien species. Here we describe the dataset created via a citizen science approach to track the spread of a well-studied invasive alien species, the harlequin ladybird Harmonia axyridis (Coleoptera: Coccinellidae) in Britain and Ireland. This dataset comprises 48 510 verified and validated spatio-temporal records of the occurrence of H. axyridis in Britain and Ireland, from first arrival in 2003, to the end of 2016. A clear and rapid spread of the species within Britain and Ireland is evident. A major reuse value of the dataset is in modelling the spread of an invasive species and applying this to other potential invasive alien species in order to predict and prevent their further spread.


Asunto(s)
Escarabajos , Especies Introducidas , Animales , Especies Introducidas/estadística & datos numéricos , Especies Introducidas/tendencias , Irlanda , Reino Unido
7.
Aust Vet J ; 94(9): 309-16, 2016 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-27569833

RESUMEN

OBJECTIVE: Retrospective study to describe clinical experience with a portable single-use negative pressure wound therapy device after application of full-thickness meshed skin grafts to wounds on the distal extremities of seven dogs. METHODS: Seven dogs were treated with portable NPWT after receiving skin grafts; six as the result of tumour resection and one for traumatic injury. Medical records were reviewed and data recorded on patient signalment, cause and location of wound, surgical technique, application and maintenance of portable NPWT, graft survival and outcome, and complications encountered with the system. CLINICAL OUTCOMES: NPWT was provided for between 4 and 7 days. Five patients were discharged from hospital during the treatment period. Application and maintenance of the portable device was technically easy and no major complications were encountered. Minor complications consisted of fluid accumulation in the evacuation tubing. All dogs achieved 100% graft survival. CONCLUSIONS: Application and maintenance of the portable device was technically straightforward. All dogs receiving portable NPWT after transfer of a free skin graft to the distal extremity had a successful outcome.


Asunto(s)
Enfermedades de los Perros/cirugía , Terapia de Presión Negativa para Heridas/veterinaria , Sarcoma/veterinaria , Trasplante de Piel/veterinaria , Animales , Enfermedades de los Perros/patología , Perros , Femenino , Miembro Anterior/lesiones , Miembro Anterior/patología , Masculino , Mastocitos/patología , Registros Médicos , Terapia de Presión Negativa para Heridas/métodos , Estudios Retrospectivos , Sarcoma/patología , Sarcoma/terapia , Trasplante de Piel/métodos , Resultado del Tratamiento , Cicatrización de Heridas
8.
Biochim Biophys Acta ; 1023(3): 341-51, 1990 Apr 30.
Artículo en Inglés | MEDLINE | ID: mdl-2110480

RESUMEN

Fluorescence microscopy and assays of the cytotoxicity of liposome-encapsulated cytosine arabinoside (araC) have been used to examine the interactions of CV-1 cells with pH-sensitive liposomes, combining phosphatidylethanolamine (PE) with oleic acid or with double-chain protonatable amphiphiles, and with pH-insensitive liposomes combining phosphatidylcholine (PC) and phosphatidylglycerol (PG). Fluorescence-microscopic observations indicate that double-chain protonatable amphiphiles remain tightly associated with pH-sensitive liposomes during incubations with CV-1 cell monolayers, and that cellular uptake of liposomes is strongly promoted by transferrin coupled to the liposome surface. Liposome-encapsulated araC showed much greater cytotoxicity toward CV-1 cells than did the free drug at equivalent concentrations under the same conditions. The cytotoxicity of encapsulated araC was strongly enhanced by liposome-conjugated transferrin and was maximal using pH-sensitive liposomes combining PE with the double-chain protonatable amphiphile N-(N'-oleoyl-2-aminopalmitoyl)serine. However, the drug was also markedly more cytotoxic when encapsulated in other types of transferrin-conjugated liposomes, including pH-insensitive PC/PG/cholesterol liposomes, than in the free form. The cytotoxicity of liposome-encapsulated araC is significantly attenuated by the nucleoside transport inhibitor nitrobenzothioinosine, and fluorescence microscopy using calcein-containing liposomes provides no evidence for efficient fusion between cellular membranes and any of the types of liposomes examined here. Based on these observations, we suggest that the major mechanism for cytoplasmic delivery of liposome-encapsulated araC is the carrier-mediated transport of drug that has been released from liposomes into the endosomal and/or the lysosomal compartments.


Asunto(s)
Citarabina/administración & dosificación , Animales , Transporte Biológico , Línea Celular/efectos de los fármacos , Supervivencia Celular/efectos de los fármacos , Citarabina/toxicidad , Citoplasma/metabolismo , Portadores de Fármacos , Haplorrinos , Concentración de Iones de Hidrógeno , Liposomas , Lisosomas/metabolismo , Microscopía Fluorescente , Timidina/metabolismo
9.
Biochim Biophys Acta ; 980(2): 181-90, 1989 Apr 14.
Artículo en Inglés | MEDLINE | ID: mdl-2930786

RESUMEN

We have used lipid mixing, contents mixing and contents-leakage assays to characterize the divalent cation-mediated interactions of vesicles composed of various headgroup-modified analogues of phosphatidylethanolamine, PE (N- and C-2-alkylated derivatives, and analogues with increased separations of the phosphoryl and amino groups) together with a low mole percentage of phosphatidylserine (PS). Vesicles containing different structural analogues of PE exhibit marked differences, both in the threshold divalent cation concentrations that are required to initiate vesicle-vesicle interactions and in the rates of contents mixing and leakage observed at suprathresholds divalent cation concentrations. The efficiencies of divalent cation-promoted contents leakage, and to a slightly lesser extent those of contents mixing, for PS/PE (analogue) vesicles show a marked inverse correlation with the lamellar-to-hexagonal II transition temperature (TH) of the PE (analogue) component. However, the destabilization kinetics for such vesicles show no abrupt changes over the temperature range around the equilibrium TH value measured for the vesicle lipids. Vesicles combining PS with different PE analogues exhibit divalent cation thresholds for aggregation that are not correlated with the TH values of the PE (analogue) components but appear instead to be correlated with the equilibrium interbilayer separations measured in multilamellar dispersions of these species. We have identified headgroup-modified analogues of PE that can be used to prepare vesicles that fuse more rapidly under a given set of conditions, or that show a bette ratio of fusion-to-contents-leakage rates, than do PE-containing vesicles. These results may be useful both for understanding better the bases for the high fusion-supporting ability of PE and for the preparation of lipid vesicles 'tailored' for particular practical applications.


Asunto(s)
Liposomas/análisis , Fosfatidiletanolaminas/análisis , Calcio/farmacología , Estabilidad de Medicamentos , Enlace de Hidrógeno , Concentración de Iones de Hidrógeno , Magnesio/farmacología , Tamaño de la Partícula , Espectrometría de Fluorescencia , Propiedades de Superficie , Temperatura
10.
J Mol Biol ; 262(5): 671-85, 1996 Oct 11.
Artículo en Inglés | MEDLINE | ID: mdl-8876646

RESUMEN

We have used hydroxyl radical and DNase I footprinting to examine the interaction of four AT-selective minor groove binding ligands (Hoechst 33258, distamycin, netropsin and berenil) with DNA fragments which have been reconstituted with nucleosome core particles. Hydroxyl radical footprints of reconstituted tyrT DNA show that all four ligands induce changes in the phased cleavage pattern, consistent with the suggestion that they cause the DNA to rotate by 180 degrees on the nucleosome surface. This observation was confirmed by a series of hydroxyl radical and DNase I footprinting experiments on a synthetic DNA fragment containing five different (A/T)4 sites spaced ten bases apart, in phase with the nucleosomal repeat. This fragment produces a phased cleavage pattern when bound to the nucleosome cores, with minima in the AT regions, suggesting that these regions are positioned with their narrow minor grooves facing towards the protein surface. In the presence of the minor groove binding ligands the hydroxyl radical cleavage maxima are shifted by about five base-pairs. It appears that the ligands have caused the DNA to rotate by about 180 degrees on the protein surface; those DNA regions which were facing out are turned in and vice versa. Regions to which the ligands are bound are turned away from the protein surface, thereby minimising electrostatic repulsion between the cationic charges on the ligand and protein. The absence of any observable footprints in the AT-regions suggests that these changes are induced at low levels of occupancy.


Asunto(s)
Bisbenzimidazol/química , Diminazeno/análogos & derivados , Distamicinas/química , Netropsina/química , Conformación de Ácido Nucleico , Nucleosomas/ultraestructura , Composición de Base , Secuencia de Bases , Huella de ADN , ADN Bacteriano/química , Desoxirribonucleasa I , Diminazeno/química , Radical Hidroxilo/química , Ligandos , Datos de Secuencia Molecular , Plásmidos
11.
J Laryngol Otol ; 119(8): 614-9, 2005 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-16102216

RESUMEN

Our aim was to ascertain the current practice of adjuvant therapy for tonsillectomy and to determine whether it is evidence based. Anonymized postal questionnaires were sent to all UK otolaryngology consultants registered with the specialty association, and a literature search was performed using relevant search terms in all possible combinations. Among the responders there was little enthusiasm for routine intra-operative local anaesthesia, post-operative topical benzydamine hydrochloride (Difflam) spray or post-operative antibiotics. This is consistent with the lack of robust evidence to support any of these practices. Paracetamol (acetaminophen) is prescribed by almost 90 per cent for post-operative analgesia, and the current literature supports its efficacy and safety. Further, most practitioners combine paracetamol with opioids and/or non-steroidal anti-inflammatory drugs (NSAIDs). Evidence to support the additional use of these agents is, however, non-existent or limited. Some aspects of tonsillectomy care are uniform and evidence based. Others are heterogeneous and suffer from lack of adequate data in the literature.


Asunto(s)
Medicina Basada en la Evidencia , Pautas de la Práctica en Medicina , Tonsilectomía , Acetaminofén/uso terapéutico , Analgésicos/uso terapéutico , Antiinflamatorios no Esteroideos/uso terapéutico , Quimioterapia Adyuvante , Humanos , Narcóticos/uso terapéutico , Encuestas y Cuestionarios , Resultado del Tratamiento , Reino Unido
12.
Diabetes Care ; 15(11): 1721-6, 1992 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-1468307

RESUMEN

OBJECTIVE: To assess the effect of selective beta 1-blockade (atenolol and betaxolol) and nonselective beta-blockade (propranolol) on glucose turnover in subjects with insulin-dependent (type I) diabetes mellitus during moderate exercise. RESEARCH DESIGN AND METHODS: Five subjects with type I diabetes were infused with insulin and then exercised for 1 h, after pretreatment with each of the three drugs or saline and, on a separate day, after withdrawal of insulin. Glucose turnover was measured using tritiated glucose. RESULTS: Plasma glucose, initially 9.2 +/- 0.5 mmol/L (mean +/- SE) when insulin infused and 14.0 +/- 0.8 when insulin was withdrawn, fell on exercise by 3.4 +/- 1.1 mmol/L (P < 0.05) saline, 4.0 +/- 0.8 mmol/L (P < 0.01) with betaxolol, 3.8 +/- 0.7 mmol/L (P < 0.01) with atenolol, 5.0 +/- 0.6 mmol/L (P < 0.005) with propranolol, and 1.7 +/- 1.0 mmol/L (NS) when insulin was withdrawn. Propranolol, but not the other beta-blockers, caused a significantly greater fall in glucose on exercise than during the control study. Glucose appearance rate (Ra) was similar basally and rose to an almost identical level in all five groups during exercise. Glucose disappearance rate (Rd) rose similarly during exercise, except after propranolol when the rise was significantly greater than with saline (P < 0.01). Failure of glucose to change significantly during exercise when insulin had been withdrawn was associated with the smallest rise in Rd and the highest nonesterified fatty acid concentrations. Propranolol and betaxolol, but not atenolol, reduced nonesterified fatty acids. CONCLUSIONS: We conclude that the greater fall in glucose on exercise after beta-blocking drugs is probably largely a direct effect of beta 2-blockade on muscle, increasing the exercise-induced rise in Rd glucose. This offers support to the use of beta 1-specific drugs, where beta-blockade is necessary in type I diabetes.


Asunto(s)
Atenolol/farmacología , Betaxolol/farmacología , Glucemia/metabolismo , Diabetes Mellitus Tipo 1/metabolismo , Ejercicio Físico/fisiología , Glucosa/metabolismo , Insulina/farmacología , Propranolol/farmacología , Adulto , Diabetes Mellitus Tipo 1/fisiopatología , Hemoglobina Glucada/análisis , Humanos , Cinética , Masculino , Esfuerzo Físico , Tritio
13.
Stroke ; 32(11): 2635-40, 2001 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-11692028

RESUMEN

BACKGROUND AND PURPOSE: Argatroban, a specific thrombin inhibitor, has been shown to reduce ischemic lesion size after focal cerebral ischemia in rats. In addition, recombinant tissue plasminogen activator (rtPA) has been shown to reduce ischemic lesion size in both rats and humans if given within 3 hours of symptom onset. We tested the hypothesis that the administration of argatroban with rtPA could extend the treatment window of stroke to 4 hours without increasing gross cerebral hemorrhage rates or reducing efficacy. METHODS: Male Wistar rats were subjected to middle cerebral artery (MCA) occlusion by a single fibrin-rich clot. After embolization, rats were administered argatroban at the following dose levels: 2.08, 6.25, and 18.75 microgram . kg(-1). min(-1). In a second experiment, rats received argatroban (6.25 microgram . kg(-1). min(-1)) or argatroban in combination with rtPA 4 hours after MCA occlusion. Tissue sections were then analyzed for lesion volume, gross hemorrhage and fibrin deposition. RESULTS: The 6.25 microgram. kg(-1). min(-1) dose demonstrated a significant reduction (P<0.05) in lesion volume after 48 hours (27.2+/-6.3%) compared with controls (35.3+/-3.7%). A significant reduction (P<0.05) in lesion volume was observed in the argatroban-plus-rtPA group (17.1+/-10.4%) compared with controls (35.3+/-3.7%). No increase in hemorrhagic transformation was observed. Fibrin deposition in the ipsilateral cortical microvasculature was significantly decreased in the 4-hour combination argatroban-plus-rtPA group compared with the controls (P<0.05). CONCLUSIONS: This study demonstrates that the combination of argatroban and rtPA extends the window of opportunity for treatment of stroke to 4 hours without increasing hemorrhagic transformation.


Asunto(s)
Antitrombinas/uso terapéutico , Infarto de la Arteria Cerebral Media/tratamiento farmacológico , Ácidos Pipecólicos/uso terapéutico , Accidente Cerebrovascular/tratamiento farmacológico , Activador de Tejido Plasminógeno/uso terapéutico , Animales , Arginina/análogos & derivados , Isquemia Encefálica/tratamiento farmacológico , Isquemia Encefálica/patología , Hemorragia Cerebral/epidemiología , Relación Dosis-Respuesta a Droga , Fibrina/análisis , Incidencia , Infarto de la Arteria Cerebral Media/patología , Embolia Intracraneal/tratamiento farmacológico , Embolia Intracraneal/patología , Masculino , Ratas , Ratas Wistar , Proteínas Recombinantes/uso terapéutico , Sulfonamidas , Factores de Tiempo , Activador de Tejido Plasminógeno/genética
14.
J Thorac Cardiovasc Surg ; 94(2): 256-9, 1987 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-3497309

RESUMEN

Although increasing use is being made of arterial grafts (the internal mammary arteries) for direct myocardial revascularization, it is frequently not possible to reach the posterior surface of the heart with the internal mammary as either a pedicle or a free graft. Since June 1984 we have used the right gastroepiploic artery in nine patients as a pedicle graft to the distal right coronary artery (four patients), the posterior descending artery (three patients), and the distal circumflex branches (two patients). Eight patients survived the operation. Celiac axis opacification confirmed patency in six and coronary angiography strongly suggested patency in the remaining two. All survivors are functionally in New York Heart Association Class I or II. The early angiographic and clinical results demonstrate the feasibility of using the right gastroepiploic artery as a bypass graft to coronary vessels on the posterior surface of the heart when traditional conduits are unsuitable. If its long-term patency as a living arterial graft is similar to that of the internal mammary arteries, the gastroepiploic artery may become the coronary bypass graft of choice for the distal right coronary and circumflex systems.


Asunto(s)
Puente de Arteria Coronaria/métodos , Estómago/irrigación sanguínea , Anciano , Arterias/trasplante , Estudios de Seguimiento , Humanos , Masculino , Grado de Desobstrucción Vascular
15.
Surgery ; 92(3): 468-73, 1982 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-7112398

RESUMEN

The problems of quantifying internal carotid stenoses were studied by analyzing 119 arteriograms. The normal carotid artery diameters, corrected for arteriographic magnification, are reported. Using these measurements, a theoretical comparison is made between the different methods that have been used for defining the severity of a carotid stenosis. Also, in the 119 arteriograms, the minimum residual lumen diameter of the stenosis was compared with the calculated percentage area of stenosis, the percentage diameter of stenosis, and the qualitative estimates of stenosis made by radiologists. Based on these data and other theories, it is concluded that the measurement of the minimum residual lumen diameter is the preferred method for quantifying the severity of carotid stenoses and that its use will avoid some of the current confusion in interpreting the results of noninvasive and clinical studies.


Asunto(s)
Enfermedades de las Arterias Carótidas/diagnóstico por imagen , Constricción Patológica/diagnóstico por imagen , Arterias Carótidas/diagnóstico por imagen , Arteria Carótida Interna/diagnóstico por imagen , Angiografía Cerebral/métodos , Humanos
16.
Ann Thorac Surg ; 66(1): 51-5, 1998 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-9692437

RESUMEN

BACKGROUND: Minimally invasive direct coronary artery bypass grafting involving beating heart left internal mammary artery to left anterior descending coronary artery anastomoses are performed with increasing frequency. Controversy exists regarding the need for intraoperative assessment of graft patency. METHODS: We designed a technique to perform arteriography of the left internal mammary artery by using left radial artery access and standard fluoroscopy to evaluate patency in the operating room. The last 50 of 87 minimally invasive direct coronary artery bypass grafting operations were evaluated by intraoperative arteriography and Doppler ultrasound. Angiograms were performed by the surgeon and involved cannulation and direct injection of contrast medium into the origin of the left internal mammary artery via the left radial artery. RESULTS: Total procedure time was less than 15 minutes. No injuries to the left internal mammary artery were identified. Anastomotic occlusions were identified in 4 cases (8%), 2 of which involved sequential diagonal and left anterior descending anastomoses. These were corrected at the time of surgery with 2 cases requiring conversion to standard coronary artery bypass grafting. Qualitative assessment of grafts with Doppler ultrasound failed to definitively identify these occlusions. There were no deaths and no perioperative infarctions. CONCLUSION: Intraoperative arteriography of the left internal mammary artery can be performed by the surgeon, and a significant number of anastomotic problems may be identified and corrected by using this technique. Therefore, a 100% early graft patency rate may be attainable.


Asunto(s)
Angiografía Coronaria , Vasos Coronarios/diagnóstico por imagen , Anastomosis Interna Mamario-Coronaria/métodos , Cuidados Intraoperatorios , Radiografía Intervencional , Ultrasonografía Doppler , Ultrasonografía Intervencional , Grado de Desobstrucción Vascular , Adulto , Anciano , Anciano de 80 o más Años , Cateterismo Periférico , Medios de Contraste/administración & dosificación , Puente de Arteria Coronaria , Estudios de Evaluación como Asunto , Femenino , Fluoroscopía , Oclusión de Injerto Vascular/diagnóstico por imagen , Humanos , Anastomosis Interna Mamario-Coronaria/efectos adversos , Complicaciones Intraoperatorias/prevención & control , Masculino , Persona de Mediana Edad , Procedimientos Quirúrgicos Mínimamente Invasivos , Infarto del Miocardio/prevención & control , Arteria Radial , Tasa de Supervivencia , Factores de Tiempo
17.
Clin Biochem ; 34(3): 167-71, 2001 May.
Artículo en Inglés | MEDLINE | ID: mdl-11408013

RESUMEN

Hepatitis C virus is a common cause of hepatocellular injury that is associated with complex and vigorous immunologic mechanisms. Both humoral and cell-mediated immune responses participate in the host defense against hepatitis C viral infection, but there is increasing recognition of the roles played by the cell-mediated response, and in particular the cytokine system, in the immunopathogenesis of chronic hepatitis C. The cell-mediated response depends on cytotoxic and helper T-cell activity, and functions through the actions of cytokines to regulate macrophages, natural killer cells, and antiviral cellular proteins. Cytokines produced in the liver are essential in defending the host against hepatitis C invasion, but they have also been implicated in the hepatocellular injury seen in the majority of chronically infected patients. Cytokines are thought to be involved in the pathogenesis of hepatitis C under conditions where the virus can mutate effectively and evade T-cell immune defense mechanisms. Persistent infection upsets the balance between immunostimulatory and inhibitory cytokines which can prolong inflammation and lead to necrosis, fibrosis, and chronic liver disease.


Asunto(s)
Citocinas/inmunología , Hepatitis C/inmunología , Células TH1/inmunología , Células Th2/inmunología , Anticuerpos Antihepatitis/biosíntesis , Hepatitis C/patología , Humanos , Hígado/patología
18.
Clin Biochem ; 34(3): 211-8, 2001 May.
Artículo en Inglés | MEDLINE | ID: mdl-11408019

RESUMEN

OBJECTIVES: To determine the cytotoxicity of valproic acid (VPA) and its metabolite, 4-ene-valproic acid (4-ene-VPA) in human hepatoblastoma cells (Hep G2), and to study the modulatory effect of cytochrome P450 2E1 induction in this model. METHODS: Cells were exposed to VPA or 4-ene-VPA in the presence of either ethanol (EtOH), or EtOH combined with disulphiram (DS). Some cells were exposed to alpha-fluoro-VPA or to alpha-fluoro-4-ene-VPA in the absence of CYP2E1 inducers. Apoptosis and necrosis were measured by analyzing 6000 cells per sample using transmission electron microscopy, while cytokine release and apoptosis were quantitated by ELISA. RESULTS: VPA + EtOH increased VPA cytotoxicity. 4-ene-VPA + EtOH significantly increased toxicity, while DS + EtOH significantly reduced this toxicity. Alpha-fluorinated analogues reduced cytotoxicity compared to the corresponding VPA compounds. Neither VPA nor alpha-fluorinated VPA increased the release of IL-6 or TNF-alpha in media. A significant increase in the release of TNF-alpha was observed in cells exposed to 4-ene-VPA that further increased with EtOH exposure. CONCLUSIONS: Cells exposed to 4-ene-VPA experience greater cytotoxicity than those treated with VPA. Cytochrome P450 2E1 inducers enhance toxicity in VPA-exposed cells, while alpha-fluorination of VPA diminishes cytotoxicity by directly interfering with the beta-oxidation of the 4-ene-VPA metabolite.


Asunto(s)
Anticonvulsivantes/toxicidad , Citocromo P-450 CYP2E1/metabolismo , Hígado/efectos de los fármacos , Ácido Valproico/toxicidad , Apoptosis , Supervivencia Celular/efectos de los fármacos , Citocromo P-450 CYP2E1/biosíntesis , Inducción Enzimática , Humanos , Interleucina-6/metabolismo , Hígado/enzimología , Hígado/metabolismo , Hígado/ultraestructura , Microscopía Electrónica , Células Tumorales Cultivadas , Factor de Necrosis Tumoral alfa/metabolismo
19.
Am J Surg ; 164(5): 412-5; discussion 415-6, 1992 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-1443363

RESUMEN

Febrile intensive care unit (ICU) patients were evaluated prospectively for sinusitis. Of 598 admissions, 26 patients with transnasal cannulas, ICU stays over 48 hours, and occult fevers were identified. These 26 underwent physical examinations and sinus computed tomographic (CT) scans. Maxillary centeses and cultures were done in patients with CT abnormalities. Patients with positive scans had nasal tubes removed and received decongestants. Scans were abnormal in 19 (73%). All patients with major CT changes had positive maxillary taps. Most infections were polymicrobial; enteric bacilli were common. Fever resolved with nonoperative care in 18 (95%) patients; in only 1 patient was fever primarily from sinusitis. Sinus CT scans are often abnormal in ICU patients with occult fevers and transnasal cannulas. Pneumatic otoscopy can serve as a screening tool. Most patients respond to nonoperative management. Remote infections are often present. Although radiographic nosocomial ICU sinusitis is common, it is seldom the sole source of fever or the proximate cause of significant morbidity.


Asunto(s)
Fiebre/etiología , Unidades de Cuidados Intensivos , Intubación Gastrointestinal/efectos adversos , Intubación Intratraqueal/efectos adversos , Nariz , Sinusitis/complicaciones , Infecciones Bacterianas/diagnóstico , Endoscopía , Humanos , Intubación Gastrointestinal/instrumentación , Intubación Intratraqueal/instrumentación , Sinusitis Maxilar/complicaciones , Sinusitis Maxilar/diagnóstico , Sinusitis Maxilar/diagnóstico por imagen , Otitis Media/diagnóstico , Estudios Prospectivos , Punciones , Sinusitis/diagnóstico , Sinusitis/diagnóstico por imagen , Tomografía Computarizada por Rayos X
20.
Toxicol Lett ; 13(3-4): 247-51, 1982 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-7147269

RESUMEN

Rats were fed a diet containing 5% gum karaya for 24 h and faeces and urine were collected over 72 h. Faeces were examined, after methanolysis, by gas chromatography--mass spectometry and the quantity and monosaccharide composition of the faecal polysaccharide were compared with the dose and original composition of the gum polysaccharide. Gum-derived rhamnose was not found in the urine. Indications of minor quantitative changes in composition but no evidence of extensive degradation or absorption of gum polysaccharide, were found.


Asunto(s)
Goma de Karaya/metabolismo , Polisacáridos/metabolismo , Animales , Dieta , Heces/análisis , Masculino , Monosacáridos/análisis , Polisacáridos/análisis , Ratas , Ratas Endogámicas , Factores de Tiempo
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