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1.
Nanotechnology ; 32(10): 105202, 2021 Mar 05.
Artículo en Inglés | MEDLINE | ID: mdl-33142273

RESUMEN

The performance of core-shell InGaN/GaN nanowire (NW) light emitting diodes (LEDs) can be limited by wire-to-wire electrical inhomogeneities. Here we investigate an array of core-shell InGaN/GaN NWs which are morphologically identical, but present electrical dissimilarities in order to understand how the nanoscale phenomena observed in individual NWs affect the working performance of the whole array. The LED shows a low number of NWs (∼20%) producing electroluminescence under operating conditions. This is related to a presence of a potential barrier at the interface between the NW core and the radially grown n-doped layer, which differently affects the electrical properties of the NWs although they are morphologically identical. The impact of the potential barrier on the performance of the NW array is investigated by correlating multi-scanning techniques, namely electron beam induced current microscopy, electroluminescence mapping and cathodoluminescence analysis. It is found that the main cause of inhomogeneity in the array is related to a non-optimized charge injection into the active region, which can be overcome by changing the contact architecture so that the electrons become injected directly in the n-doped underlayer. The LED with so-called 'front-n-contacting' is developed leading to an increase of the yield of emitting NWs from 20% to 65%.

2.
Nanotechnology ; 30(8): 084005, 2019 Feb 22.
Artículo en Inglés | MEDLINE | ID: mdl-30524074

RESUMEN

With a band gap value of 1.7 eV, Al0.2Ga0.8As is one of the ideal III-V alloys for the development of nanowire-based Tandem Solar Cells on silicon. Nevertheless, growing self-catalysed AlGaAs nanowires on silicon by solid-source molecular beam epitaxy is a very difficult task due to the oxidation of Al adatoms by the SiO2 layer present on the surface. Here we propose a nanowire structure including a p.i.n radial junction inside an Al0.2Ga0.8As shell grown on a p-GaAs core. The crystalline structure of such self-catalysed nanowires grown on an epi-ready Si(111) substrate (with a thin native SiO2 layer) was investigated by transmission electronic microscopy and photoluminescence. I(V) measurements performed on single nanowires have shown a diode-like behaviour corresponding to the radial p.i.n junction inside the Al0.2Ga0.8As shell. Moreover, a current generation under the electron beam was evidenced over the entire radial junction along the nanowires by means of electron beam induced current (EBIC) microscopy. The same structure was reproduced on patterned substrates with a SiO2 mask, producing an ordered hexagonal array. High and uniform yields from 83% to 87% of vertical nanowires were obtained on 0.9 × 0.9 cm2 patterned areas. EBIC mapping performed on these nanowires confirmed the good electrical properties of the radial junction within the nanowires.

3.
J Microsc ; 260(2): 194-9, 2015 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-26224369

RESUMEN

Laser-scanning imaging techniques are frequently used to probe the molecule spatial orientation in a sample of interest by exploiting selection rules depending on the polarisation of the excitation light. For the successful implementation of these techniques the precise control of the polarisation at the sample level is of fundamental importance. Polarisation distortions induced by the optical elements are often the main limitation factor for the maximum size of the field-of-view in polarisation-resolved (PR) laser-scanning microscopy, since for large scanning angles the polarisation distortions may mask the real sample structure. Here we shall demonstrate the implementation of large-field-of-view PR microscopy and show PR CARS imaging of mouse spinal cord thanks to a careful design of the laser-beam optical path. We shall show that this design leads to strongly suppressed distortions and quantify their effects on the final images. Although the focus of this work is on CARS imaging, we stress that the approaches described here can be successfully applied to a wide range of PR laser-scanning techniques.


Asunto(s)
Microscopía Confocal/instrumentación , Microscopía Confocal/métodos , Animales , Rayos Láser , Ratones , Espectrometría Raman , Columna Vertebral/ultraestructura
4.
J Hum Nutr Diet ; 26(3): 276-85, 2013 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-23190442

RESUMEN

BACKGROUND: Energy balance (EB) is important when assessing nutritional status. EB has never been assessed in haemodialysis (HD) and peritoneal dialysis (PD) patients. The present study aimed to assess weekly EB in these patients. METHODS: This clinical cross-sectional study was conducted for 7 days in eight HD and eight PD patients. Nutritional status was assessed by anthropometry, bioelectrical impedance analysis and biochemical markers. Energy intake (EI per day) and total energy expenditure (TEE per day) were determined by a 7-day weighed food diary and a portable armband device, respectively. RESULTS: No significant differences in age, body mass index, fat free mass (FFM), parathyroid hormone were found between the two groups. EB was calculated by subtracting TEE per day from EI per day. EB was negative in HD {-1347 (1276) kJ day(-1) [-322 (305) kcal day(-1) ]}, as well as in PD patients {-427 (5338) kJ day(-1) [-102 (395) kcal day(-1) ]}. TEE per day was positively correlated with EI per day, prealbumin, FFM. EI per day was positively correlated with prealbumin. C-reactive protein was negatively correlated with TEE and FFM (P < 0.05). EB showed a positive correlation with EI per day (P = 0.012) and a negative trend with TEE. CONCLUSIONS: HD and PD patients have a negative EB and are at risk of malnutrition. Inflammatory status determines a lower EI per day and a reduction in TEE per day. The most important parameter in determining EB in HD and PD patients is EI per day. This topic deserves further investigation to better understand the mechanisms of impaired EB with respect to preserving patients' nutritional status.


Asunto(s)
Registros de Dieta , Metabolismo Energético , Evaluación Nutricional , Diálisis Peritoneal , Diálisis Renal , Anciano , Antropometría , Proteína C-Reactiva , Estudios Transversales , Impedancia Eléctrica , Ingestión de Energía , Femenino , Humanos , Fallo Renal Crónico/complicaciones , Fallo Renal Crónico/dietoterapia , Fallo Renal Crónico/fisiopatología , Masculino , Desnutrición/etiología , Desnutrición/fisiopatología , Desnutrición/prevención & control , Persona de Mediana Edad , Estado Nutricional , Cooperación del Paciente
5.
Phys Rev Lett ; 104(17): 170403, 2010 Apr 30.
Artículo en Inglés | MEDLINE | ID: mdl-20482094

RESUMEN

We show that an Aharonov-Bohm ring with asymmetric electron injection can act as a coherent detector of electron dephasing. The presence of a dephasing source in one of the two arms of a moderately-to-highly asymmetric ring changes the response of the system from total reflection to complete transmission while preserving the coherence of the electrons propagating from the ring, even for strong dephasing. We interpret this phenomenon as an implementation of an interaction-free measurement.

6.
Sci Rep ; 10(1): 6549, 2020 04 16.
Artículo en Inglés | MEDLINE | ID: mdl-32300235

RESUMEN

Many aspects of the supposed hyperthermal Toarcian Oceanic Anoxic Event (T-OAE, Early Jurassic, c. 182 Ma) are well understood but a lack of robust palaeotemperature data severely limits reconstruction of the processes that drove the T-OAE and associated environmental and biotic changes. New oxygen isotope data from calcite shells of the benthic fauna suggest that bottom water temperatures in the western Tethys were elevated by c. 3.5 °C through the entire T-OAE. Modelling supports the idea that widespread marine anoxia was induced by a greenhouse-driven weathering pulse, and is compatible with the OAE duration being extended by limitation of the global silicate weathering flux. In the western Tethys Ocean, the later part of the T-OAE is characterized by abundant occurrences of the brachiopod Soaresirhynchia, which exhibits characteristics of slow-growing, deep sea brachiopods. The unlikely success of Soaresirhynchia in a hyperthermal event is attributed here to low metabolic rate, which put it at an advantage over other species from shallow epicontinental environments with higher metabolic demand.


Asunto(s)
Adaptación Fisiológica , Hipoxia/fisiopatología , Invertebrados/fisiología , Océanos y Mares , Temperatura , Animales , Ciclo del Carbono , Isótopos de Carbono , Geografía , Invertebrados/ultraestructura , Modelos Teóricos , Isótopos de Oxígeno , Paleontología
7.
Opt Express ; 17(26): 23785-92, 2009 Dec 21.
Artículo en Inglés | MEDLINE | ID: mdl-20052089

RESUMEN

We have realized a differential Near-field Scanning Optical Microscope (NSOM) working with subwavelength resolution in the THz spectral region. The system employs a quantum cascade laser emitting at lambda approximately 105 microm as source, and the method, differently from conventional NSOM, involves diffracting apertures with size comparable to the wavelength. This concept ensures a higher signal-to-noise level at the expense of an additional computational step. In the implementation here reported lambda/10 resolution has been achieved; present limiting factors are investigated through finite difference time domain simulations.


Asunto(s)
Aumento de la Imagen/instrumentación , Láseres de Semiconductores , Iluminación/instrumentación , Microscopía Acústica/instrumentación , Imágen por Terahertz/instrumentación , Diseño Asistido por Computadora , Diseño de Equipo , Análisis de Falla de Equipo , Radiación Terahertz
8.
Waste Manag ; 29(1): 233-9, 2009 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-18448323

RESUMEN

In this work, a procedure is suggested to assess the rate of biogas emitted by the Bellolampo landfill (Palermo, Italy), starting from the data acquired by two of the stations for monitoring meteorological parameters and polluting gases. The data used refer to the period November 2005-July 2006. The methane concentration, measured in the CEP suburb of Palermo, has been analysed together with the meteorological data collected by the station situated inside the landfill area. In the present study, the methane has been chosen as a tracer of the atmospheric pollutants produced by the dump. The data used for assessing the biogas emission refer to night time periods characterized by weak wind blowing from the hill toward the city. The methane rate emitted by the Bellolampo dump has been evaluated using a Gaussian model and considering the landfill both as a single point source and as a multiple point one. The comparison of the results shows that for a first approximation it is sufficient to consider the landfill of Palermo as a single point source. Starting from the monthly percentage composition of the biogas, estimated for the study period, the rate of biogas produced by the dump was evaluated. The total biogas produced by the landfill, obtained as the sum of the emitted component and the recovered one, ranged from 7519.97 to 10,153.7m3/h. For the study period the average monthly estimations of biogas emissions into the atmosphere amount to about 60% of the total biogas produced by the landfill, a little higher than the one estimated by the company responsible for the biogas recovery plant at the landfill.


Asunto(s)
Contaminantes Atmosféricos/análisis , Gases/química , Modelos Teóricos , Eliminación de Residuos/métodos , Efecto Invernadero , Italia , Distribución Normal , Viento
9.
Transplant Proc ; 51(1): 206-209, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-30685105

RESUMEN

BACKGROUND: Pump speed optimization in patients implanted with a ventricular assist device represents a major challenge during the follow-up period. We present our findings on whether combined invasive hemodynamic ramp tests and cardiopulmonary exercise testing (CPX) can help optimize patient management. METHODS: Eighteen patients implanted with a HeartMate 3 (HM3) device underwent ramp tests with right heart catheterization (including central venous pressure [CVP], pulmonary artery pressure, pulmonary capillary wedge pressure [PCWP], and blood pressure) and echocardiography. Data were recorded at up to 4 speed settings. Speed changes were in steps of 200 revolutions/min (rpm). Evaluation of functional capacity by CPX was conducted according to the modified Bruce protocol. RESULTS: Only 30% of patients had normal PCWPs at their original rpm settings. In going from lowest to highest speeds, cardiac output improved by 0.25 ± 0.35 L/min/step (total change, 1.28 ± 0.3 L/min), and PCWP decreased by 1.9 ± 0.73 mm Hg/step (total change, 6 ± 1.6 mm Hg). CVP and systolic blood pressure did not change significantly with rpm. The rpm assessment was adjusted based on test results to achieve CVPs and PCWPs as close to normal limits as possible, which was feasible in all patients. On CPX, all patients demonstrated good performance (peak VO2, 16.8 ± 3.5 mL/kg/min). CONCLUSION: Hemodynamic ramp testing provides an objective means of optimizing rpm, and has the potential to provide good exercise tolerance.


Asunto(s)
Técnicas de Diagnóstico Cardiovascular , Prueba de Esfuerzo/métodos , Insuficiencia Cardíaca , Corazón Auxiliar , Hemodinámica/fisiología , Adulto , Anciano , Femenino , Insuficiencia Cardíaca/fisiopatología , Insuficiencia Cardíaca/cirugía , Humanos , Masculino , Persona de Mediana Edad
10.
Transplant Proc ; 51(1): 210-214, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-30655160

RESUMEN

INTRODUCTION: The measurement of blood pressure (BP) and the management of hypertension in patients with continuous-flow ventricular assist devices (CF-VADs) can present unique challenges. Patients with CF-VADs often do not have a palpable pulse, and therefore traditional blood pressure measurement by auscultation or automated cuff is less reliable. We tested the efficacy of blood pressure estimation using sphygmomanometry combined with finger pulse oximetry only after a hemodynamic optimization was effected to make the values estimated approximately similar to mean arterial pressure. METHODS: Fifteen consecutive patients with a mean age of 57.8 ± 11.2 years were implanted with HeartMate 3 between November 2015 and March 2017. All patients underwent pump speed optimization by conducting a ramp test during right heart catheterization. The patients were prospectively studied during the follow-up period and mean arterial pressure was estimated using 3 different methodologies: Doppler ultrasound, pulse oximeter, and automated blood pressure cuff. For each method 3 consecutive evaluations were conducted during 3 follow-up visits. RESULTS: For each patient, 9 different evaluations were obtained (3 for each method). The overall success rate was 100% for blood pressure assessment conducted with Doppler ultrasound and pulse oximeter and 80%-87% for automated monitor evaluations. The first 2 methodologies were 100% successful, while the third was 60% successful. Pearson's correlation analyses for the Doppler ultrasound and pulse oximeter measurements showed a good correlation when evaluations conducted with the same method were compared. A high variability emerged between estimations obtained by using an automated monitor and a poor correlation was found when this method was compared to the Doppler ultrasound and pulse oximeter measurements. CONCLUSION: According to our results, the pulse oximeter method showed a high success rate and a good correlation level with the standard procedure. Our data encourage the use of oximeters for domiciliary blood pressure assessment in patients implanted with a continuous flow device.


Asunto(s)
Determinación de la Presión Sanguínea/métodos , Corazón Auxiliar , Oximetría/métodos , Ultrasonografía Doppler/métodos , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Monitoreo Fisiológico/métodos , Esfigmomanometros
11.
J Hazard Mater ; 360: 452-460, 2018 10 15.
Artículo en Inglés | MEDLINE | ID: mdl-30142596

RESUMEN

Toxicity of polyethylene microplastics (PE-MP) of size ranges similar to their natural food to zooplanktonic organisms representative of the main taxa present in marine plankton, including rotifers, copepods, bivalves, echinoderms and fish, was evaluated. Early life stages (ELS) were prioritized as testing models in order to maximize sensitivity. Treatments included particles spiked with benzophenone-3 (BP-3), a hydrophobic organic chemical used in cosmetics with direct input in coastal areas. Despite documented ingestion of both virgin and BP-3 spiked microplastics no acute toxicity was found at loads orders of magnitude above environmentally relevant concentrations on any of the invertebrate models. In fish tests some effects, including premature or reduced hatching, were observed after 12 d exposure at 10 mg L-1 of BP-3 spiked PE-MP. The results obtained do not support environmentally relevant risk of microplastics on marine zooplankton. Similar approaches testing more hydrophobic chemicals with higher acute toxicity are needed before these conclusions could be extended to other organic pollutants common in marine ecosystems. Therefore, the replacement of these polymers in consumer products must be carefully considered.


Asunto(s)
Polietileno/toxicidad , Contaminantes Químicos del Agua/toxicidad , Zooplancton/efectos de los fármacos , Animales , Invertebrados/efectos de los fármacos , Tamaño de la Partícula , Pruebas de Toxicidad Aguda
12.
Minerva Gastroenterol Dietol ; 53(4): 329-36, 2007 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-18043551

RESUMEN

AIM: Trace elements are involved in many metabolic processes. They circulate prevalently bound to protein. In literature few studies deal with metal metabolism in adult patients with proteinuria, so we decided to further investigate metal metabolism in proteinuric patients. METHODS: We studied 27 patients (14 male, 13 female), mean age 61.6+/-17 years with different degrees of renal function, serum albumin and proteinuria. Metal concentrations of copper (Cu), zinc (Zn) and aluminum (Al) were measured in serum and urine. No patient had environmental exposure to these metals. RESULTS: The serum Zn level was below the normal range in 11 patients. The serum Cu level was reduced in 5 patients. The Al serum level was elevated in 4 patients. Six patients had reduced and 6 patients had elevated Zn excretion. The urinary Cu excretion was elevated in 6 patients. The urinary Al excretion was elevated in 1 patient. Trace metal concentrations were related neither to renal function nor to total serum protein or albumin levels. Serum zinc was directly correlated with proteinuria and urinary zinc and negatively correlated with testosterone levels in both sexes. CONCLUSION: Adult patients with proteinuria have several modification of trace metal concentration in serum and urine. Serum concentration of metals did not depend on renal function or serum protein levels. Urinary Zn excretion was directly related to proteinuria and serum Zn levels. A negative correlation between serum Zn levels and testosterone was found in both sexes. Renal failure reduced urinary excretion of Cu and Al.


Asunto(s)
Síndrome Nefrótico/metabolismo , Proteinuria/metabolismo , Insuficiencia Renal/metabolismo , Oligoelementos/análisis , Adulto , Anciano , Anciano de 80 o más Años , Aluminio/sangre , Aluminio/orina , Cobre/sangre , Cobre/orina , Femenino , Humanos , Masculino , Persona de Mediana Edad , Síndrome Nefrótico/sangre , Síndrome Nefrótico/orina , Proteinuria/sangre , Proteinuria/orina , Insuficiencia Renal/sangre , Insuficiencia Renal/orina , Oligoelementos/sangre , Oligoelementos/orina , Zinc/sangre , Zinc/orina
13.
Sci Rep ; 7(1): 2858, 2017 06 06.
Artículo en Inglés | MEDLINE | ID: mdl-28588216

RESUMEN

Correlative approaches are a powerful tool in the investigation of biological samples, but require specific preparation procedures to maintain the strength of the employed methods. Here we report the optimization of the embedding protocol of nervous system samples for a correlative synchrotron X-ray computed microtomography (micro-CT) and transmission electron microscopy (TEM) approach. We demonstrate that it is possible to locate, with the micrometric resolution of micro-CT, specific volumes of interest for a further ultrastructural characterization to be performed with TEM. This approach can be applied to samples of different size and morphology up to several cm. Our optimized method represents an invaluable tool for investigating those pathologies in which microscopic alterations are localized in few confined regions, rather than diffused in entire tissues, organs or systems. We present a proof of concept of our method in a mouse model of Globoid Cells Leukodistrophy.


Asunto(s)
Microscopía Electrónica de Transmisión , Sistema Nervioso/diagnóstico por imagen , Sistema Nervioso/ultraestructura , Microtomografía por Rayos X , Animales , Modelos Animales de Enfermedad , Imagenología Tridimensional , Leucodistrofia de Células Globoides/diagnóstico por imagen , Leucodistrofia de Células Globoides/patología , Ratones , Sistema Nervioso/patología , Ratas , Médula Espinal/diagnóstico por imagen , Médula Espinal/patología , Médula Espinal/ultraestructura , Microtomografía por Rayos X/métodos
14.
Eur J Histochem ; 49(4): 341-8, 2005.
Artículo en Inglés | MEDLINE | ID: mdl-16377575

RESUMEN

In this work, the presence and distribution of serotonin in the cyprid of the barnacle Balanus amphitrite were investigated by immunohistochemical methods. Serotonin-like immuno-reactive neuronal cell bodies were detected in the central nervous system only. Various clusters of immunoreactive neuronal cell bodies are distributed in the brain (protocerebrum, deutocerebrum, optical lobes), and at least, four pairs of neuronal cell bodies were detected in the centrally positioned neuropil of the posterior ganglion. Rich plexuses of immunoreactive nerve fibers in the neuropil area were also observed. Furthermore, bundles of strongly immunoreactive nerve fibers surrounding the gut wall were localized, and immunoreactive nerve terminals in the antennules and compound eyes were observed. These data demonstrate the presence of a serotonin-like immunoreactive substance in the barnacle cyprids; furthermore, its immunolocalization in the cephalic nerve terminals allows us to postulate the involvement of this bioactive molecule in substrate recognition during the settlement process.


Asunto(s)
Serotonina/análisis , Thoracica/anatomía & histología , Animales , Sistema Nervioso Central/química , Sistema Nervioso Central/citología , Inmunohistoquímica , Larva/anatomía & histología , Larva/química , Larva/citología , Thoracica/química , Thoracica/citología
15.
Nanoscale ; 7(16): 7307-17, 2015 Apr 28.
Artículo en Inglés | MEDLINE | ID: mdl-25815711

RESUMEN

Superparamagnetic iron oxide nanoparticles with a wide size range (2.6-14.1 nm) were synthesized and coated with the amphiphilic poly(amidoamine) PAMAM-C12 dendrimer. The resulting well dispersed and stable water suspensions were fully characterized in order to explore their possible use in biomedical applications. The structural and magnetic properties of the nanoparticles were preserved during the coating and were related to their relaxometric behaviour. The Nuclear Magnetic Resonance Dispersion (NMRD) profiles were found to be in accordance with the Roch model. The biocompatibility was assessed by means of cell viability tests and Transmission Electron Microscopy (TEM) analysis. The nanoparticles' capability of being detected via Magnetic Resonance Imaging (MRI) was investigated by means of clinical MRI scanners both in water and agar gel phantoms, and in a mouse model.


Asunto(s)
Dendrímeros/química , Compuestos Férricos/química , Nanopartículas del Metal/química , Animales , Línea Celular Tumoral , Supervivencia Celular/efectos de los fármacos , Medios de Contraste/química , Medios de Contraste/metabolismo , Semivida , Humanos , Imagen por Resonancia Magnética , Nanopartículas del Metal/toxicidad , Ratones , Microscopía Confocal , Microscopía Electrónica de Transmisión , Ratas , Ratas Wistar , Distribución Tisular
16.
Coron Artery Dis ; 6(5): 389-96, 1995 May.
Artículo en Inglés | MEDLINE | ID: mdl-7655726

RESUMEN

BACKGROUND: On the basis of extensive studies concerning the prognostic value of Holter monitoring in patients with angina, we evaluated the clinical outcome of patients with transient ischemic episodes soon after myocardial infarction. METHODS: The incidence and clinical significance of myocardial ischemia, detected in the acute phase of myocardial infarction, were evaluated in 87 patients. Twenty-four-hour Holter recordings were obtained on the 2nd, 4th, 6th, and 12th hospital day. RESULTS: Myocardial ischemia was detected during at least one of the four recording periods in 28 patients (32%). A total of 157 ischemic episodes were documented. The proportion of recordings that showed transient myocardial ischemia progressively declined from 20% on the 2nd day to 5% on the 12th post-infarction day. Of the 157 ischemic episodes, 132 (84%) were silent and 25 (16%) were symptomatic. Transient ST-segment elevation was present in 99 of the 157 episodes (63%), while transient ST-segment depression occurred in the remaining 58 of the 157 cases (37%). One or more in-hospital cardiac events (reinfarction, acute pulmonary edema, ventricular tachycardia or fibrillation, cardiac death) were more frequent in patients with (group I) than in those without (group II) transient myocardial ischemia [nine out of 28 (32%) versus six out of 59 (10%); P < 0.03]. At follow-up (mean 11.5 +/- 2 months) the incidence of cardiac events (angina, reinfarction, heart failure, ventricular tachycardia or fibrillation, revascularization procedures, cardiac death, sudden death) was comparable in the two groups [four out of 24 (17%) versus 10 out of 49 (20%); NS]. Predischarge exercise testing, performed in 64 patients (74%), showed myocardial ischemia in 50%; the percentage did not vary significantly between group I and group II patients. Moreover, a positive exercise test was not predictive of major cardiac events at follow-up. CONCLUSION: Transient myocardial ischemia, frequently silent, is not uncommon in the acute phase of myocardial infarction and progressively decreases during the in-hospital stay. Its recognition in the subacute phase of myocardial infarction may lead to the identification of a subset of patients at the highest risk of early major complications, who may benefit from aggressive diagnostic and therapeutic strategies.


Asunto(s)
Electrocardiografía Ambulatoria , Infarto del Miocardio/fisiopatología , Isquemia Miocárdica/diagnóstico , Estudios de Casos y Controles , Prueba de Esfuerzo , Femenino , Humanos , Incidencia , Masculino , Persona de Mediana Edad , Infarto del Miocardio/diagnóstico , Infarto del Miocardio/epidemiología , Isquemia Miocárdica/epidemiología , Isquemia Miocárdica/fisiopatología , Factores de Riesgo , Factores de Tiempo
17.
Int J Clin Pharmacol Res ; 3(5): 371-7, 1983.
Artículo en Inglés | MEDLINE | ID: mdl-6678831

RESUMEN

The authors have performed a between-patient study in 76 patients with mild or moderate essential arterial hypertension, with the aim of comparing the results of atenolol 100 mg daily, hydrochlorothiazide 50 mg + amiloride 5 mg 1 tablet daily, and the combination of the above two agents at the same daily doses. Thirty-one patients received the free combination diuretic-beta-blocker throughout the study period; 26 patients non-responders to atenolol 100 mg daily (supine diastolic blood pressure greater than 90 mmHg) after a one-month treatment period received the above combination for a further four months; and 19 patients non-responders to hydrochlorothiazide 50 mg + amiloride 5 mg, 1 tablet daily, after a one-month treatment period received the above combination for a further four months. In the patients who were non-responders to either atenolol or the diuretic, supine and upright blood pressure showed a further and clinically consistent decrease as a result of the combination therapy. A similar consistent decrease was seen in the patients receiving the combination therapy throughout the study. Plasma levels of glucose, urea, creatinine, sodium, potassium and uric acid were not modified either by the single agents or during administration of the combination therapy. In particular, plasma potassium concentration did not show any statistical or clinical changes. Any side-effects were of little clinical importance and never required discontinuation of therapy. In conclusion, atenolol combined with hydrochlorothiazide + amiloride (100 mg + 50 mg + 5 mg) provides an effective and well tolerated blood pressure control in most patients with mild or moderate arterial hypertension, including non-responders to diuretic or beta-blocker alone.


Asunto(s)
Amilorida/farmacología , Atenolol/farmacología , Presión Sanguínea/efectos de los fármacos , Hidroclorotiazida/farmacología , Potasio/sangre , Pirazinas/farmacología , Adulto , Amilorida/administración & dosificación , Amilorida/efectos adversos , Atenolol/administración & dosificación , Combinación de Medicamentos/administración & dosificación , Combinación de Medicamentos/efectos adversos , Combinación de Medicamentos/farmacología , Femenino , Frecuencia Cardíaca/efectos de los fármacos , Humanos , Hidroclorotiazida/administración & dosificación , Hidroclorotiazida/efectos adversos , Masculino , Persona de Mediana Edad
18.
Int J Artif Organs ; 9 Suppl 3: 43-8, 1986 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-3104212

RESUMEN

To further elucidate the mechanisms responsible for the hypoxemia we studied ventilation, pulmonary gas exchanges, blood gas pressures and exchanges of CO2-T, CO2-D and HCO-3 in six patients during AD and BD on 1 m2 cuprophan filter and during BF on 1.2 m2 polyacrylonitrile filter. Blood passing through the dialyzer lost 172.8 mM/h of CO2-T in AD, 149.2 mM/h in BF and gained 25.6 mM/h in BD. In AD VE, VA and PaO2 decreased significantly after 30 and 60 min., in BF for the whole duration of dialysis. PoO2 showed a significant decrease both in AD and BF after 60 min. In AD PaCO2 was significantly reduced after 120 and 180 min. All the above parameters remained unchanged in BD. VCO2 remained unchanged in all. VCO2 and R decreased both in AD and BF. However, when VCO2 was corrected for CO2 loss across the dialyzer, overall CO2 loss (ventilated plus filtered) and R returned to basal values. In AD, HCO-3 and pH fell in the first 120 min., while in BD and BF they increased from the beginning of dialysis. In AD hypoventilation, hypoxemia and inadequate correction of acid-base balance were due to the loss of HCO-3 across the filter. In BF also hypoventilation and hypoxemia were due to the loss of HCO-3 across the filter but the acid-base balance was adequately corrected by HCO-3 reinfusion. In BD, there was HCO-3 gain across the filter which induced a gradual correction of acid-base balance without impairment of ventilation.


Asunto(s)
Equilibrio Ácido-Base , Resinas Acrílicas , Sangre , Membranas Artificiales , Respiración , Ultrafiltración/métodos , Adulto , Bicarbonatos/sangre , Dióxido de Carbono/sangre , Humanos , Hipoxia/sangre , Persona de Mediana Edad , Oxígeno/sangre , Consumo de Oxígeno , Intercambio Gaseoso Pulmonar , Diálisis Renal , Ultrafiltración/instrumentación
19.
Minerva Med ; 83(4): 197-200, 1992 Apr.
Artículo en Italiano | MEDLINE | ID: mdl-1574190

RESUMEN

One hundred and forty-six patients with chronic liver disease have been studied. Some of them (15) showed a clinical picture characterized by cryptogenetic liver cirrhosis associated with hypotriglyceridemia and hypobetalipoproteinemia. These patients had compensated cirrhosis and no history of alcohol abuse; they did not suffer major illness in the past and had no signs of portosystemic encephalopathy. The pathogenetic mechanism of this association and the possible role of genetic factors are discussed. The HLA system has been studied and the A2 antigen found with high frequency, raising the possibility that patients with this syndrome may represent a particular subgroup among these with liver cirrhosis.


Asunto(s)
Antígenos HLA/clasificación , Hipobetalipoproteinemias/etiología , Cirrosis Hepática/etiología , Femenino , Antígenos HLA/sangre , Antígenos HLA/genética , Humanos , Hipobetalipoproteinemias/diagnóstico , Hipobetalipoproteinemias/genética , Cirrosis Hepática/diagnóstico , Cirrosis Hepática/genética , Masculino , Persona de Mediana Edad , Triglicéridos/sangre
20.
Minerva Med ; 83(5): 255-60, 1992 May.
Artículo en Italiano | MEDLINE | ID: mdl-1534158

RESUMEN

The Authors evaluated the prevalence of hyperostosis of the spine in 31 diabetic patients and in a control group of 32 non-diabetics. All of them underwent X-ray examination of the spine in the posteroanterior and lateral projections. Radiological signs of the disease were detected in 10 diabetics (32.25%) and in only 2 non-diabetics (6.25%). There was no statistical difference in the prevalence of the disease between insulin dependent and non-insulin dependent patients, between males and females. The Authors reviewed recent papers published on this subject and conclude that there is no clear explanation for this pathological process to occur. The hypothesis of increased GH secretion in diabetic patients did not find enough evidence but the disease is probably due to an abnormal synthesis of mucopolysaccharides.


Asunto(s)
Complicaciones de la Diabetes , Hiperostosis/etiología , Osteofitosis Vertebral/etiología , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Diabetes Mellitus/metabolismo , Diabetes Mellitus Tipo 1/complicaciones , Diabetes Mellitus Tipo 2/complicaciones , Femenino , Glicosaminoglicanos/biosíntesis , Humanos , Hiperostosis/diagnóstico por imagen , Hiperostosis/metabolismo , Masculino , Persona de Mediana Edad , Radiografía , Osteofitosis Vertebral/diagnóstico por imagen , Osteofitosis Vertebral/metabolismo
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