Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 151
Filtrar
Más filtros

Colección CLAP
Intervalo de año de publicación
1.
Respirology ; 27(4): 286-293, 2022 04.
Artículo en Inglés | MEDLINE | ID: mdl-35132732

RESUMEN

BACKGROUND AND OBJECTIVE: The availability of chest computed tomography (CT) imaging can help diagnose comorbidities associated with chronic obstructive pulmonary disease (COPD). Their systematic identification and relationship with all-cause mortality have not been explored. Furthermore, whether their CT-detected prevalence differs from clinical diagnosis is unknown. METHODS: The prevalence of 10 CT-assessed comorbidities was retrospectively determined at baseline in 379 patients (71% men) with mild to severe COPD attending pulmonary clinics. Anthropometrics, smoking history, dyspnoea, lung function, exercise capacity, BODE (BMI, Obstruction, Dyspnoea and Exercise capacity) index and exacerbations rate were recorded. The prevalence of CT-determined comorbidities was compared with that recorded clinically. Over a median of 78 months of observation, the independent association with all-cause mortality was analysed. A 'CT-comorbidome' graphically expressed the strength of their association with mortality risk. RESULTS: Coronary artery calcification, emphysema and bronchiectasis were the most prevalent comorbidities (79.8%, 62.7% and 33.9%, respectively). All were underdiagnosed before CT. Coronary artery calcium (hazard ratio [HR] 2.09; 95% CI 1.03-4.26, p = 0.042), bronchiectasis (HR 2.12; 95% CI 1.05-4.26, p = 0.036) and low psoas muscle density (HR 2.61; 95% CI 1.23-5.57, p = 0.010) were independently associated with all-cause mortality and helped define the 'CT-comorbidome'. CONCLUSION: This study of COPD patients shows that systematic detection of 10 CT-diagnosed comorbidities, most of which were not detected clinically, provides information of potential use to patients and clinicians caring for them.


Asunto(s)
Bronquiectasia , Enfermedad de la Arteria Coronaria , Enfisema , Enfermedad Pulmonar Obstructiva Crónica , Bronquiectasia/diagnóstico por imagen , Bronquiectasia/epidemiología , Bronquiectasia/etiología , Estudios de Cohortes , Comorbilidad , Enfermedad de la Arteria Coronaria/diagnóstico por imagen , Enfermedad de la Arteria Coronaria/epidemiología , Enfermedad de la Arteria Coronaria/etiología , Disnea , Enfisema/diagnóstico por imagen , Enfisema/epidemiología , Enfisema/etiología , Femenino , Humanos , Masculino , Prevalencia , Enfermedad Pulmonar Obstructiva Crónica/diagnóstico por imagen , Enfermedad Pulmonar Obstructiva Crónica/epidemiología , Enfermedad Pulmonar Obstructiva Crónica/mortalidad , Estudios Retrospectivos , Tomografía Computarizada por Rayos X
2.
Plant Dis ; 106(7): 1832-1836, 2022 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-35072493

RESUMEN

For years, the presence of clubroot disease and its causal agent, Plasmodiophora brassicae, in Mexico has been stated as a fact. However, an intensive search of the scientific literature in English and Spanish, as well as gray literature including theses and government reports, did not reveal any information about the actual detection of the pathogen, affected hosts, or areas with clubroot presence, or any information about clubroot (hernia de la col in Mexico). We followed a multistep process to confirm whether P. brassicae was indeed in Mexico. First, we identified agricultural communities with a history of cruciferous crop cultivation. Second, we asked growers if they had seen clubroot on their crops, using pictures of the characteristic root galls. Third, we collected soil from the locations where clubroot was reported and looked for clubroot/P. brassicae in the soil using several cruciferous bait plants. For the first time we confirm the presence of the clubroot pathogen P. brassicae in Mexico, through a bioassay, the presence of resting spores, and a P. brassicae-specific PCR assay. The identification of P. brassicae in Mexico will contribute to our understanding of the genetic diversity of this elusive and devastating plant pathogen in future studies.[Formula: see text] Copyright © 2022 The Author(s). This is an open access article distributed under the CC BY-NC-ND 4.0 International license.


Asunto(s)
Plasmodiophorida , México , Enfermedades de las Plantas , Plasmodiophorida/genética , Suelo , Esporas Protozoarias
3.
Anal Bioanal Chem ; 413(18): 4673-4680, 2021 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-34046698

RESUMEN

A fast PCR-assisted impedimetric biosensor was developed for the selective detection of the clbN gene from the polyketide synthase (pks) genomic island in real Escherichia coli samples. This genomic island is responsible for the production of colibactin, a harmful genotoxin that has been associated with colorectal cancer. The experimental protocol consisted of immobilizing the designated forward primer onto an Au electrode surface to create the sensing probe, followed by PCR temperature cycling in blank, positive, and negative DNA controls. Target DNA identification was possible by monitoring changes in the system's charge transfer resistance values (Rct) before and after PCR treatment through electrochemical impedance spectroscopy (EIS) analysis. Custom-made, flexible gold electrodes were fabricated using chemical etching optical lithography. A PCR cycle study determined the optimum conditions to be at 6 cycles providing fast results while maintaining a good sensitivity. EIS data for the DNA recognition process demonstrated the successful distinction between target interaction resulting in an increase in resistance to charge transfer (Rct) percentage change of 176% for the positive DNA control vs. 21% and 20% for the negative and non-DNA-containing controls, respectively. Results showed effective fabrication of a fast, PCR-based electrochemical biosensor for the detection of pks genomic island with a calculated limit of detection of 17 ng/µL.


Asunto(s)
Técnicas Biosensibles/métodos , Espectroscopía Dieléctrica/métodos , Escherichia coli/genética , Genoma Bacteriano , Péptidos/genética , Sintasas Poliquetidas/genética , Reacción en Cadena de la Polimerasa/métodos , Límite de Detección , Policétidos
4.
Molecules ; 26(15)2021 Jul 23.
Artículo en Inglés | MEDLINE | ID: mdl-34361589

RESUMEN

Virus-like particles are excellent inducers of the adaptive immune response of humans and are presently being used as scaffolds for the presentation of foreign peptides and antigens derived from infectious microorganisms for subunit vaccine development. The most common approaches for peptide and antigen presentation are translational fusions and chemical coupling, but some alternatives that seek to simplify the coupling process have been reported recently. In this work, an alternative platform for coupling full antigens to virus-like particles is presented. Heterodimerization motifs inserted in both Tobacco etch virus coat protein and green fluorescent protein directed the coupling process by simple mixing, and the obtained complexes were easily taken up by a macrophage cell line.


Asunto(s)
Presentación de Antígeno/inmunología , Antígenos , Potyvirus , Vacunas de Partículas Similares a Virus , Animales , Antígenos/química , Antígenos/inmunología , Ratones , Potyvirus/química , Potyvirus/inmunología , Células RAW 264.7 , Vacunas de Partículas Similares a Virus/química , Vacunas de Partículas Similares a Virus/inmunología
5.
Dermatol Online J ; 27(3)2021 Mar 15.
Artículo en Inglés | MEDLINE | ID: mdl-33865279

RESUMEN

Scleredema adultorum of Buschke is a rare skin disease characterized by skin thickening and tightening typically at the neck and the upper part of the body. This thickening results from increased mucin deposition in the reticular dermis. Three variants are recognized. Scleredema diabeticorum is one subtype associated with diabetes mellitus. We report a man with a history of poorly controlled diabetes presenting with extensive scleredema adultorum of the trunk in a "cuirasse" pattern associated with restrictive lung disease. Cutaneous ultrasonography revealed a marked thickening of the dermis as well as various echogenic spots in the dermis. Cutaneous hardness secondary to scleredema may cause limited mobility. Therefore, respiratory manifestations may be associated and assessed, mainly in cases of extensive scleredema involving trunk and shoulders. Moreover, cutaneous ultrasonography may be useful to monitor the evolution of scleredema and confirm the diagnosis.


Asunto(s)
Complicaciones de la Diabetes/patología , Trastornos Respiratorios/etiología , Escleredema del Adulto/complicaciones , Escleredema del Adulto/patología , Humanos , Masculino , Persona de Mediana Edad , Escleredema del Adulto/diagnóstico por imagen , Torso/patología , Ultrasonografía
6.
Medicina (Kaunas) ; 55(10)2019 Sep 24.
Artículo en Inglés | MEDLINE | ID: mdl-31554263

RESUMEN

Background and objectives: Drug misuse among young people has become a major worldwide health concern. The present study analyzes substance misuse and its social and personal consequences in young university students. Materials and Methods: Screening of alcohol misuse was based on the Alcohol Use Disorder Identification Test (AUDIT), while screening of substance-related risks and problems was performed with the Car, Relax, Alone, Forget, Friends, Trouble (CRAFFT) score. Results: The population was composed of nursing students at the University of Valencia (Valencia, Spain) (n = 185). More than 50% of the surveyed students reported alcohol intake based on the CRAFFT scale; 31.4% were classified as having "risky alcohol use", and 19.5% met the criterion for hazardous drinking based on the AUDIT score. In turn, 34.1% of the sample reported marijuana/hashish intake based on the CRAFFT scale. A gender effect was only observed for marijuana/hashish use, which was significantly (p < 0.001) higher in male students. No other gender differences were observed. In the logistic regression analysis, only age was identified as a protective factor for obtaining a reduced risk score with both the AUDIT and the CRAFFT. Among the social and personal consequences of drug misuse, the inability to "stop drinking once you have started" or the inability to "remember what happened while consuming" was significantly associated with an increased frequency of alcohol consumption (OR 20.93, p < 0.0001 and OR 13.68, p < 0.05, respectively). Conclusions: Our findings are consistent with emerging social concerns about drug misuse in the university population, including nursing students as future healthcare professionals.


Asunto(s)
Alcoholismo/epidemiología , Uso de la Marihuana/epidemiología , Estudiantes de Enfermería , Adulto , Factores de Edad , Consumo de Bebidas Alcohólicas/epidemiología , Femenino , Humanos , Modelos Logísticos , Masculino , Abuso de Marihuana/epidemiología , Persona de Mediana Edad , Factores Sexuales , España/epidemiología , Trastornos Relacionados con Sustancias/epidemiología , Encuestas y Cuestionarios , Adulto Joven
7.
Eur Respir J ; 50(5)2017 11.
Artículo en Inglés | MEDLINE | ID: mdl-29167301

RESUMEN

The impact of blood eosinophilia in chronic obstructive pulmonary disease (COPD) remains controversial.To evaluate the prevalence and stability of a high level of blood eosinophils (≥300 cells·µL-1) and its relationship to outcomes, we determined blood eosinophils at baseline and over 2 years in 424 COPD patients (forced expiratory volume in 1 s (FEV1) 60% predicted) and 67 smokers without COPD from the CHAIN cohort, and in 308 COPD patients (FEV1 60% predicted) in the BODE cohort. We related eosinophil levels to exacerbations and survival using Cox hazard analysis.In COPD patients, 15.8% in the CHAIN cohort and 12.3% in the BODE cohort had persistently elevated blood eosinophils at all three visits. A significant proportion (43.8%) of patients had counts that oscillated above and below the cut-off points, while the rest had persistent eosinophil levels <300 cells·µL-1 A similar eosinophil blood pattern was observed in controls. Exacerbation rates did not differ in patients with and without eosinophilia. All-cause mortality was lower in patients with high eosinophils compared with those with values <300 cells·µL-1 (15.8% versus 33.7%; p=0.026).In patients with COPD, blood eosinophils ≥300 cells·µL-1 persisting over 2 years was not a risk factor for COPD exacerbations. High eosinophil count was associated with better survival.


Asunto(s)
Eosinofilia/epidemiología , Enfermedad Pulmonar Obstructiva Crónica/complicaciones , Enfermedad Pulmonar Obstructiva Crónica/fisiopatología , Anciano , Estudios de Cohortes , Progresión de la Enfermedad , Eosinófilos/citología , Femenino , Volumen Espiratorio Forzado , Humanos , Recuento de Leucocitos , Masculino , Persona de Mediana Edad , Prevalencia , Factores de Riesgo , España/epidemiología , Análisis de Supervivencia
8.
Antimicrob Agents Chemother ; 60(4): 2505-8, 2016 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-26824955

RESUMEN

We report for the first time the isolation of CTX-M-15-producingEscherichia colistrains belonging to sequence type (ST) 410, ST224, and ST1284 in commercial swine in Brazil. TheblaCTX-M-15gene was located on F-::A9::B1 and C1::A9::B1 IncF-type plasmids, surrounded by a new genetic context comprising the IS26insertion sequence truncated with the ISEcp1element upstream ofblaCTX-M-15 These results reveal that commercial swine have become a new reservoir of CTX-M-15-producing bacteria in South America.


Asunto(s)
Infecciones por Escherichia coli/veterinaria , Escherichia coli/genética , Carne/microbiología , Plásmidos/química , Enfermedades de los Porcinos/epidemiología , beta-Lactamasas/genética , Animales , Antibacterianos/farmacología , Brasil/epidemiología , Resistencia a las Cefalosporinas , Cefalosporinas/farmacología , Elementos Transponibles de ADN , Escherichia coli/efectos de los fármacos , Escherichia coli/enzimología , Escherichia coli/aislamiento & purificación , Infecciones por Escherichia coli/epidemiología , Infecciones por Escherichia coli/microbiología , Expresión Génica , Genotipo , Pruebas de Sensibilidad Microbiana , Plásmidos/metabolismo , Porcinos , Enfermedades de los Porcinos/microbiología , beta-Lactamasas/metabolismo
9.
Virol J ; 13(1): 196, 2016 11 29.
Artículo en Inglés | MEDLINE | ID: mdl-27894314

RESUMEN

BACKGROUND: Assembly of recombinant capsid proteins into virus-like particles (VLPs) still represents an interesting challenge in virus-based nanotechnologies. The structure of VLPs has gained importance for the development and design of new adjuvants and antigen carriers. The potential of Tobacco etch virus capsid protein (TEV CP) as adjuvant has not been evaluated to date. FINDINGS: Two constructs for TEV CP expression in Escherichia coli were generated: a wild-type version (TEV-CP) and a C-terminal hexahistidine (His)-tagged version (His-TEV-CP). Although both versions were expressed in the soluble fraction of E. coli lysates, only His-TEV-CP self-assembled into micrometric flexuous filamentous VLPs. In addition, the His-tag enabled high yields and facilitated purification of TEV VLPs. These TEV VLPs elicited broader IgG2-specific antibody response against a novel porcine reproductive and respiratory syndrome virus (PRRSV) protein when compared to the potent IgG1 response induced by the protein alone. CONCLUSIONS: His-TEV CP was purified by immobilized metal affinity chromatography and assembled into VLPs, some of them reaching 2-µm length. TEV VLPs administered along with PRRSV chimeric protein changed the IgG2/IgG1 ratio against the chimeric protein, suggesting that TEV CP can modulate the immune response against a soluble antigen.


Asunto(s)
Adyuvantes Inmunológicos/administración & dosificación , Anticuerpos Antivirales/sangre , Proteínas de la Cápside/administración & dosificación , Virus del Síndrome Respiratorio y Reproductivo Porcino/inmunología , Potyvirus/inmunología , Vacunas Virales/inmunología , Virosomas/administración & dosificación , Citoesqueleto de Actina/metabolismo , Adyuvantes Inmunológicos/metabolismo , Proteínas de la Cápside/metabolismo , Escherichia coli/genética , Escherichia coli/metabolismo , Expresión Génica , Inmunoglobulina G/sangre , Multimerización de Proteína , Proteínas Recombinantes/genética , Proteínas Recombinantes/inmunología , Proteínas Recombinantes/metabolismo , Virosomas/metabolismo
10.
Eur Respir J ; 46(3): 640-50, 2015 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-26160874

RESUMEN

Multimorbidity frequently affects the ageing population and their co-existence may not occur at random. Understanding their interactions and that with clinical variables could be important for disease screening and management.In a cohort of 1969 chronic obstructive pulmonary disease (COPD) patients and 316 non-COPD controls, we applied a network-based analysis to explore the associations between multiple comorbidities. Clinical characteristics (age, degree of obstruction, walking, dyspnoea, body mass index) and 79 comorbidities were identified and their interrelationships quantified. Using network visualisation software, we represented each clinical variable and comorbidity as a node with linkages representing statistically significant associations.The resulting COPD comorbidity network had 428, 357 or 265 linkages depending on the statistical threshold used (p≤0.01, p≤0.001 or p≤0.0001). There were more nodes and links in COPD compared with controls after adjusting for age, sex and number of subjects. In COPD, a subset of nodes had a larger number of linkages representing hubs. Four sub-networks or modules were identified using an inter-linkage affinity algorithm and their display provided meaningful interactions not discernible by univariate analysis.COPD patients are affected by larger number of multiple interlinked morbidities which clustering pattern may suggest common pathobiological processes or be utilised for screening and/or therapeutic interventions.


Asunto(s)
Comorbilidad , Servicios de Información , Enfermedad Pulmonar Obstructiva Crónica/epidemiología , Enfermedad Pulmonar Obstructiva Crónica/fisiopatología , Distribución por Edad , Anciano , Análisis por Conglomerados , Estudios de Cohortes , Progresión de la Enfermedad , Femenino , Humanos , Masculino , Persona de Mediana Edad , Prevalencia , Pronóstico , Estudios Prospectivos , Sistema de Registros , Medición de Riesgo , Distribución por Sexo , Estadística como Asunto , Análisis de Supervivencia
11.
Clin Chem ; 61(11): 1372-80, 2015 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-26369787

RESUMEN

BACKGROUND: Nucleic acid testing (NAT) has become the standard for high sensitivity in detecting low levels of virus. However, adoption of NAT can be cost prohibitive in low-resource settings where access to extreme sensitivity could be clinically advantageous for early detection of infection. We report development and preliminary validation of a simple, low-cost, fully automated digital p24 antigen immunoassay with the sensitivity of quantitative NAT viral load (NAT-VL) methods for detection of acute HIV infection. METHODS: We developed an investigational 69-min immunoassay for p24 capsid protein for use on a novel digital analyzer on the basis of single-molecule-array technology. We evaluated the assay for sensitivity by dilution of standardized preparations of p24, cultured HIV, and preseroconversion samples. We characterized analytical performance and concordance with 2 NAT-VL methods and 2 contemporary p24 Ag/Ab combination immunoassays with dilutions of viral isolates and samples from the earliest stages of HIV infection. RESULTS: Analytical sensitivity was 0.0025 ng/L p24, equivalent to 60 HIV RNA copies/mL. The limit of quantification was 0.0076 ng/L, and imprecision across 10 runs was <10% for samples as low as 0.09 ng/L. Clinical specificity was 95.1%. Sensitivity concordance vs NAT-VL on dilutions of preseroconversion samples and Group M viral isolates was 100%. CONCLUSIONS: The digital immunoassay exhibited >4000-fold greater sensitivity than contemporary immunoassays for p24 and sensitivity equivalent to that of NAT methods for early detection of HIV. The data indicate that NAT-level sensitivity for acute HIV infection is possible with a simple, low-cost digital immunoassay.


Asunto(s)
Proteína p24 del Núcleo del VIH/análisis , Infecciones por VIH/diagnóstico , VIH/aislamiento & purificación , Inmunoensayo/métodos , Línea Celular , Proteína p24 del Núcleo del VIH/sangre , Infecciones por VIH/sangre , Humanos , Inmunoensayo/economía , Técnicas de Amplificación de Ácido Nucleico , ARN Viral/análisis , Sensibilidad y Especificidad , Carga Viral/economía , Carga Viral/métodos
12.
Phys Chem Chem Phys ; 17(48): 32251-6, 2015 Dec 28.
Artículo en Inglés | MEDLINE | ID: mdl-26580293

RESUMEN

In this study we probe the electrocatalytic activity of Pt nanoparticles supported on ceria nanoparticles (NPs) and nanorods (NRs) in the ethanol oxidation reaction (EOR) in alkaline media. The goal of this study was to relate morphology, support structure and composition to the EOR catalytic activity by using in situ X-ray absorption fine structure (XAFS) studies. Cyclic voltammetry experiments showed that both ceria supported catalysts (NP vs. NR) had similar peak current densities at fast scan rates, however at slow scan rates, the ceria NR catalyst showed superior catalytic activity. In situ XAFS studies in KOH showed that both ceria supported catalysts had more electron density in their d-band (with the ceria NR having more electron density overall) than ceria - free Pt/Vulcan standard. However, in an ethanol solution the ceria NR catalyst had the least electron density. We propose that this change is due to the increased charge transfer efficiency between the ceria nanorod support and platinum. In the KOH solution, the increased electron density makes the platinum less electrophilic and hinders Pt-OH bond formation. In the EtOH solution, platinum's increased nucleophilicity facilitates the bond formation between Pt and the electron deficient carbon in ethanol which in turn withdraws the electron density from platinum and increases the white line intensity as observed in the XAS measurements.

13.
J Phys Chem A ; 119(31): 8476-87, 2015 Aug 06.
Artículo en Inglés | MEDLINE | ID: mdl-26166549

RESUMEN

We combined various modalities of the optical-optical double resonance (OODR) photoionization technique to simplify the interpretation of crowded molecular spectra. To demonstrate the effectiveness of our method, we applied it to the 64000 to 65200 cm(-1) spectral region of the molecule NO, where exist the following electronic states: B (2)Π (v = 21), D (2)Σ(+) (v = 5), F (2)Δ (v = 1), L (2)Π (v = 3), and K (2)Π (v = 0). This spectral region is complicated because (1) several electronic states are close in energy, (2) some of the rotational energy patterns are irregular, and (3) the relative intensity of the different bands varies markedly. We implemented four modalities of the OODR experimental technique that involved the combined use of two or three lasers. The individual rotational levels up to N' = 20 of the A(2)Σ(+) (v = 0) state were pumped as intermediate states by one-photon excitation from appropriate rotational levels in the X(2)Π (v = 0) ground state. Some of the schemes implemented provided information about line positions and relative band intensities, whereas the ion-dip detection scheme provided insight into the fate of the population in the different states. The term values that we derived are in good agreement with the literature ones. We rotationally resolved the spectra for the K (2)Π (v = 0) and B (2)Π (v = 21) states up to N = 20, and for the D (2)Σ(+) (v = 5) and L (2)Π (v = 3) states up to N = 8 and 7, respectively. Strangely, only in the rotational levels between N = 6 and N = 20 were we able to observe the F (2)Δ state, which is mostly mixed with the B' (2)Δ (v = 4) state and usually notated as F (2)Δ (v = 1) → B' (2)Δ (v = 4). We obtained the rotational constants for the B (2)Π1/2 (v = 21), L (2)Π3/2 (v = 3), and K (2)Π1/2 (v = 0) states, which had not been previously reported.


Asunto(s)
Rayos Láser , Óxido Nítrico/química , Fotones , Análisis Espectral
14.
J Nanobiotechnology ; 13: 70, 2015 Oct 19.
Artículo en Inglés | MEDLINE | ID: mdl-26482026

RESUMEN

BACKGROUND: This study provides fundamental information on the influence of graphene oxide (GO) nanosheets and glycans on protein catalytic activity, dynamics, and thermal stability. We provide evidence of protein stabilization by glycans and how this strategy could be implemented when GO nanosheets is used as protein immobilization matrix. A series of bioconjugates was constructed using two different strategies: adsorbing or covalently attaching native and glycosylated bilirubin oxidase (BOD) to GO. RESULTS: Bioconjugate formation was followed by FT-IR, zeta-potential, and X-ray photoelectron spectroscopy measurements. Enzyme kinetic parameters (k(m) and k(cat)) revealed that the substrate binding affinity was not affected by glycosylation and immobilization on GO, but the rate of enzyme catalysis was reduced. Structural analysis by circular dichroism showed that glycosylation did not affect the tertiary or the secondary structure of BOD. However, GO produced slight changes in the secondary structure. To shed light into the biophysical consequence of protein glycosylation and protein immobilization on GO nanosheets, we studied structural protein dynamical changes by FT-IR H/D exchange and thermal inactivation. CONCLUSIONS: It was found that glycosylation caused a reduction in structural dynamics that resulted in an increase in thermostability and a decrease in the catalytic activity for both, glycoconjugate and immobilized enzyme. These results establish the usefulness of chemical glycosylation to modulate protein structural dynamics and stability to develop a more stable GO-protein matrix.


Asunto(s)
Fenómenos Biofísicos , Grafito/química , Óxidos/química , Oxidorreductasas actuantes sobre Donantes de Grupo CH-CH/química , Biocatálisis , Caproatos/química , Dicroismo Circular , Medición de Intercambio de Deuterio , Dextranos/química , Glicosilación , Proteínas Inmovilizadas/metabolismo , Cinética , Nanopartículas/química , Oxidación-Reducción , Espectroscopía de Fotoelectrones , Espectroscopía Infrarroja por Transformada de Fourier , Electricidad Estática , Temperatura
15.
Rev Med Chil ; 143(6): 733-43, 2015 Jun.
Artículo en Español | MEDLINE | ID: mdl-26230556

RESUMEN

BACKGROUND: The Diabetes Mellitus 2 treatment adherence scale version III (EATDM-III) was devised in Costa Rica. Its seven factors are family support, community organization and support, physical exercise, medical control, hygiene and self-care and assessment of physical condition. AIM: To assess the psychometric properties of the scale in Chilean patients. MATERIAL AND METHODS: The results of the EATDM-III scale, applied to 274 patients with Diabetes Mellitus 2 aged 59 ± 11 years (59% women), were analyzed. Reliability, item, exploratory and confirmatory factorial analyses were carried out both in the initial and the proposed model. RESULTS: We propose a version of 30 items grouped in six dimensions, improving the fit indices obtained with the original scale. The review of item factor loadings shows that all are appropriate both in magnitude and statistical significance, with values between 0.46 and 0.93. Internal consistency measured by Cronbach's alpha, was 0.85 for the total scale. CONCLUSIONS: The adapted EATDM-III scale is reliable and can be used to assess treatment adherence in Chilean patients.


Asunto(s)
Diabetes Mellitus Tipo 2/terapia , Lenguaje , Encuestas y Cuestionarios , Adulto , Anciano , Anciano de 80 o más Años , Chile , Comparación Transcultural , Ejercicio Físico , Femenino , Humanos , Higiene , Masculino , Persona de Mediana Edad , Cooperación del Paciente , Psicometría , Reproducibilidad de los Resultados , Autocuidado , Apoyo Social , Adulto Joven
16.
J Chem Educ ; 92(2): 360-363, 2015 Feb 10.
Artículo en Inglés | MEDLINE | ID: mdl-25691801

RESUMEN

Nanotechnology allows the synthesis of nanoscale catalysts, which offer an efficient alternative for fuel cell applications. In this laboratory experiment, the student selects a cost-effective anode for fuel cells by comparing three different working electrodes. These are commercially available palladium (Pd) and glassy carbon (GC) electrodes, and a carbon paste (CP) electrode that is prepared by the students in the laboratory. The GC and CP were modified with palladium nanoparticles (PdNP) suspensions. The electrodes efficiencies were studied for ethanol oxidation in alkaline solution using cyclic voltammetry techniques. The ethanol oxidation currents obtained were used to determine the current density using the geometric and surface area of each electrode. Finally, students were able to choose the best electrode and relate catalytic activity to surface area for ethanol oxidation in alkaline solution by completing a critical analysis of the cyclic voltammetry results. With this activity, fundamental electrochemical concepts were reinforced.

17.
J Am Chem Soc ; 136(4): 1280-3, 2014 Jan 29.
Artículo en Inglés | MEDLINE | ID: mdl-24422507

RESUMEN

The synthesis of shape-controlled nanoparticles is currently a hot research topic. However, from an applied point of view, there is still a lack of easy, cheap, and scalable methodologies. In this communication we report, for the first time, the synthesis of cubic platinum nanoparticles with a very high yield using a water-in-oil microemulsion method, which unlike others, such as the colloidal method, fulfills the previous requirements. This shape/surface structure control is determined by the concentration of HCl in the water phase of the microemulsion. The results reported here show that the optimal HCl percentage in the water phase is about 25% to obtain the highest amount of cubic nanostructures. Ammonia electro-oxidation is used as a surface structure sensitive reaction to illustrate HCl surface structure effects. Moreover, in situ electrochemical characterization has been performed to study the nanoparticle surface structure.

18.
Thorax ; 69(9): 799-804, 2014 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-24969641

RESUMEN

BACKGROUND: The Global Obstructive Lung Disease (GOLD) 2011 revision recommends the multidimensional assessment of COPD including comorbidities and has developed a disease categories system (ABCD) attempting to implement this strategy. The added value provided by quantifying comorbidities and integrating them to multidimensional indices has not been explored. OBJECTIVE: Compare the prognostic value of the GOLD ABCD categories versus the BMI, Obstruction, Dyspnea, Exercise (BODE) index, and explore the added prognostic value of comorbidities evaluation to this multidimensional assessment. METHODS: From the patients who have been enrolled in the BODE study, we selected the most recent ones who had the available information needed to classify them by the ABCD GOLD categories. Cox proportional hazards ratios for all-cause mortality were performed for GOLD categories and BODE index. The added value of the comorbidity Copd cO-morbidity TEst (COTE) index was also explored using receiver operating curves (ROC) values. RESULTS: 707 patients were followed for 50±30 months including all degrees of airway limitation and BODE index severity. ABCD GOLD predicted global mortality (HR: 1.47; 95% CI 1.28 to 1.70) as did the BODE index (HR: 2.02; 95% CI 1.76 to 2.31). Area under the curve (AUC) of ROC for ABCD GOLD was 0.68; (95% CI 0.64 to 0.73) while for the BODE index was 0.71 (95% CI 0.67 to 0.76). The C statistics value was significantly higher for the observed difference. Adding the COTE index to the BODE index improved its AUC to 0.81 (95% CI 0.77 to 0.85), (χ(2)=40.28, p<0.001). CONCLUSIONS: In this population of COPD patients, the BODE index had a better survival prediction than the ABCD GOLD categories. Adding the COTE to the BODE index was complimentary and significantly improved outcome prediction.


Asunto(s)
Enfermedad Pulmonar Obstructiva Crónica/clasificación , Índice de Severidad de la Enfermedad , Anciano , Área Bajo la Curva , Comorbilidad , Femenino , Humanos , Estimación de Kaplan-Meier , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Pronóstico , Enfermedad Pulmonar Obstructiva Crónica/mortalidad , Enfermedad Pulmonar Obstructiva Crónica/fisiopatología , Curva ROC
19.
Eur Respir J ; 44(2): 324-31, 2014 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-24696115

RESUMEN

Chronic obstructive pulmonary disease (COPD), although frequent in older individuals, can also occur at younger age; this latter population has not been well described. We reviewed the functional progression of 1708 patients with COPD attending pulmonary clinics. Those with three or more annual spirometries were divided into those who, at enrolment, were ≤ 55 (n = 103) or ≥ 65 (n = 463) years of age (younger and older COPD, respectively). Baseline and annual changes in lung function (forced expiratory volume in 1 s (FEV1)) and BODE (body mass index, airflow obstruction, dyspnoea, exercise capacity) score were recorded and compared between both groups. Severity distribution by Global Initiative for Chronic Obstructive Lung Disease and BODE scores were similar in both groups, except for mild obstruction, which was higher in the younger group. Mean FEV1 decline was 38.8 and 40.6 mL · year(-1), while BODE scores increased 0.19 and 0.23 units per year, for younger and older COPD, respectively. Both groups had similar proportion of FEV1 rapid decliners (42% and 46%, respectively). The severity distribution and progression of disease in younger patients with COPD is similar to that of patients of older age. This observation suggests that younger individuals presenting with COPD develop the disease from an already compromised pulmonary and systemic status, complementing the model of steeper decline of lung function proposed by Fletcher and Peto.


Asunto(s)
Enfermedad Pulmonar Obstructiva Crónica/fisiopatología , Enfermedad Pulmonar Obstructiva Crónica/terapia , Anciano , Antropometría , Índice de Masa Corporal , Estudios de Cohortes , Progresión de la Enfermedad , Tolerancia al Ejercicio , Femenino , Volumen Espiratorio Forzado , Humanos , Pulmón/fisiopatología , Masculino , Persona de Mediana Edad , Modelos Estadísticos , Estudios Prospectivos , Neumología/normas , Pruebas de Función Respiratoria , Índice de Severidad de la Enfermedad , Espirometría
20.
Chemphyschem ; 15(10): 1997-2001, 2014 Jul 21.
Artículo en Inglés | MEDLINE | ID: mdl-24648299

RESUMEN

The increasing number of applications for shape-controlled metal nanoparticles (NPs) has led to the need for easy, cheap, and scalable methodologies. We report the synthesis of (100) preferentially oriented Pt NPs, with a particle size of 9 nm, by using a water-in-oil microemulsion method. The specific surface structure of the NPs is induced by the presence of H(2)SO(4) in the water phase of the microemulsion. Interestingly, the results reported herein show how increasing amounts of H(2)SO(4) lead to the formation of Pt NPs containing a larger amount of (100) sites on their surface. This preferential surface orientation is confirmed electrochemically by using the so-called hydrogen adsorption/desorption process. In addition, transmission electron microscopy measurements confirm the presence of cubic-like Pt NPs. Finally, the electrocatalytic properties of the Pt NPs are evaluated towards ammonia and CO electro-oxidations, which are (100) structure-sensitive reactions.

SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA