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1.
Metabolomics ; 15(2): 14, 2019 01 19.
Artículo en Inglés | MEDLINE | ID: mdl-30830463

RESUMEN

INTRODUCTION: Comparative analysis of metabolic features of plants has a high potential for determination of quality control of active ingredients, ecological or chemotaxonomic purposes. Specifically, the development of efficient and rapid analytical tools that allow the differentiation among species, subspecies and varieties of plants is a relevant issue. Here we describe a multivariate model based on LC-MS/MS fingerprinting capable of discriminating between subspecies and varieties of the medicinal plant Chamaecrista nictitans, a rare distributed species in Costa Rica. METHODS: Determination of the chemical fingerprint was carried out on a LC-MS (ESI-QTOF) in negative ionization mode, main detected and putatively identified compounds included proanthocyanidin oligomers, several flavonoid C- and O-glycosides, and flavonoid acetates. Principal component analysis (PCA), partial least square-discriminant analysis (PLS-DA) and cluster analysis of chemical profiles were performed. RESULTS: Our method showed a clear discrimination between the subspecies and varieties of Chamaecrista nictitans, separating the samples into four fair differentiated groups: M1 = C. nictitans ssp. patellaria; M2 = C. nictitans ssp. disadena; M3 = C. nictitans ssp. nictitans var. jaliscensis and M4 = C. nictitans ssp. disadena var. pilosa. LC-MS/MS fingerprint data was validated using both morphological characters and DNA barcoding with ITS2 region. The comparison of the morphological characters against the chemical profiles and DNA barcoding shows a 63% coincidence, evidencing the morphological similarity in C. nictitans. On the other hand, genetic data and chemical profiles grouped all samples in a similar pattern, validating the functionality of our metabolomic approach. CONCLUSION: The metabolomic method described in this study allows a reliably differentiation between subspecies and varieties of C. nictitans using a straightforward protocol that lacks extensive purification steps.


Asunto(s)
Chamaecrista/química , Chamaecrista/metabolismo , Metabolómica/métodos , Cromatografía Líquida de Alta Presión/métodos , Cromatografía Liquida/métodos , Análisis por Conglomerados , Análisis Discriminante , Análisis Multivariante , Fenoles/química , Análisis de Componente Principal/métodos , Espectrometría de Masa por Ionización de Electrospray/métodos , Espectrometría de Masas en Tándem/métodos
2.
J Phys Chem A ; 123(42): 9113-9122, 2019 Oct 24.
Artículo en Inglés | MEDLINE | ID: mdl-31573199

RESUMEN

A full-dimension quasi-classical trajectory study of collisions between two NH radicals is presented. Interatomic interactions are represented by a previously reported global six-dimensional potential energy surface for singlet electronic state of the N2H2 system. This study suggests that the formation of N2 from the collision of two NH radicals may occur via a one-step (NH + NH → N2 + H + H) or two-step (NH + NH → N2H + H → N2 + H + H) microscopic reaction mechanism. A fast vibrational energy redistribution is observed in the four-body complex in the latter mechanism. Excitation functions are presented and discussed. A variant of the vibrational energy quantum mechanical threshold method was used to correct the zero-point energy leakage in the classical calculations. The influence of reactant's rotational and vibrational energy on reactivity was investigated by state-specific calculations with one or both reactants excited. Reaction rate constants for the ground and some rotationally excited states are presented using an Arrhenius-Kooij-like functional form.

3.
Phytother Res ; 30(3): 439-46, 2016 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-26666462

RESUMEN

Bioassay-guided fractionation of the crude extract (80% EtOH) of the leaves of Cestrum schlechtendahlii, a plant used by Q'eqchi' Maya healers for treatment of athlete's foot, resulted in the isolation and identification of two spirostanol saponins (1 and 2). Structure elucidation by MS, 1D-NMR, and 2D-NMR spectroscopic methods identified them to be the known saponin (25R)-1ß,2α-dihydroxy-5α-spirostan-3-ß-yl-O-α-L-rhamnopyranosyl-(1 → 2)-ß-D-galactopyranoside (1) and new saponin (25R)-1ß,2α-dihydroxy-5α-spirostan-3-ß-yl-O-ß-D-galactopyranoside (2). While 2 showed little or no antifungal activity at the highest concentration tested, 1 inhibited growth of Saccharomyces cerevisiae (minimum inhibitory concentration (MIC) of 15-25 µM), Candida albicans, Cryptococcus neoformans, and Fusarium graminearum (MIC of 132-198 µM).


Asunto(s)
Antifúngicos/farmacología , Cestrum/química , Hongos/efectos de los fármacos , Extractos Vegetales/farmacología , Saponinas/farmacología , Espirostanos/farmacología , Antifúngicos/química , Antifúngicos/aislamiento & purificación , Candida albicans/efectos de los fármacos , Cryptococcus neoformans/efectos de los fármacos , Etnicidad , Fusarium/efectos de los fármacos , Humanos , Espectroscopía de Resonancia Magnética , Medicina Tradicional , Pruebas de Sensibilidad Microbiana , Estructura Molecular , Fitoterapia , Extractos Vegetales/química , Hojas de la Planta/química , Plantas Medicinales , Saccharomyces cerevisiae/efectos de los fármacos , Saponinas/química , Saponinas/aislamiento & purificación , Solanaceae , Espirostanos/química , Espirostanos/aislamiento & purificación
4.
Planta Med ; 80(4): 343-50, 2014 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-24488718

RESUMEN

Bacterial biofilms are responsible for many persistent infections by many clinically relevant pathogens such as Staphylococcus aureus and Pseudomonas aeruginosa. Biofilms are much more resistant to conventional antibiotics than their planktonic counterparts. Quorum sensing, an intercellular communication system, controls pathogenesis and biofilm formation in most bacterial species. Quorum sensing provides an important pharmacological target since its inhibition does not provide a selective pressure for resistance. In this study, we investigated the quorum sensing and biofilm inhibitory activities of 126 plant extracts from 71 species collected from neotropical rainforests in Costa Rica. Quorum sensing and biofilm interference were assessed using a modified disc diffusion bioassay with Chromobacterium violaceum ATCC 12,472 and a spectrophotometric bioassay with Pseudomonas aeruginosa PA14, respectively. Species with significant anti-quorum sensing and/or anti-biofilm activities belonged to the Meliaceae, Melastomataceae, Lepidobotryaceae, Sapindaceae, and Simaroubaceae families. IC50 values ranged from 45 to 266 µg/mL. Extracts of these active species could lead to future development of botanical treatments for biofilm-associated infections.


Asunto(s)
Antibacterianos/farmacología , Biopelículas/efectos de los fármacos , Chromobacterium/efectos de los fármacos , Magnoliopsida/química , Extractos Vegetales/farmacología , Pseudomonas aeruginosa/efectos de los fármacos , Percepción de Quorum/efectos de los fármacos , Costa Rica , Árboles , Clima Tropical
5.
Ann Biomed Eng ; 2024 Jun 05.
Artículo en Inglés | MEDLINE | ID: mdl-38836980

RESUMEN

Extravehicular activities will play a crucial role in lunar exploration on upcoming Artemis missions and may involve astronauts operating a lunar terrain vehicle (LTV) in a standing posture. This study assessed kinematic response and injury risks using an active muscle human body model (HBM) restrained in an upright posture on the LTV by simulating dynamic acceleration pulses related to lunar surface irregularities. Linear accelerations and rotational displacements of 5 lunar obstacles (3 craters; 2 rocks) over 5 slope inclinations were applied across 25 simulations. All body injury metrics were below NASA's injury tolerance limits, but compressive forces were highest in the lumbar (250-550N lumbar, tolerance: 5300N) and lower extremity (190-700N tibia, tolerance: 1350N) regions. There was a strong association between the magnitudes of body injury metrics and LTV resultant linear acceleration (ρ = 0.70-0.81). There was substantial upper body motion, with maximum forward excursion reaching 375 mm for the head and 260 mm for the chest. Our findings suggest driving a lunar rover in an upright posture for these scenarios is a low severity impact presenting low body injury risks. Injury metrics increased along the load path, from the lower body (highest metrics) to the upper body (lowest metrics). While upper body injury metrics were low, increased body motion could potentially pose a risk of injury from flail and occupant interaction with the surrounding vehicle, suit, and restraint hardware.

6.
J Mol Model ; 29(3): 65, 2023 Feb 08.
Artículo en Inglés | MEDLINE | ID: mdl-36752935

RESUMEN

PURPOSE: A recently proposed model potential to study quantum scattering of a positron from a hydrogen molecule is used to solve the Hamilton equations for scattering trajectories. In the present classical description, the positron can transfer energy to the vibrational mode of the molecule, remaining trapped for a while before escaping to infinity. Such vibrational resonances may correspond to trajectories which are embedded in phase-space regions of chaotic scattering.

7.
Traffic Inj Prev ; 23(sup1): S86-S91, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36190765

RESUMEN

Objectives: Quantify the independent and combined effects of abdominal muscle quantity and lumbar bone mineral density (BMD) on injury risk and in-hospital outcomes in severely injured motor vehicle crash (MVC) occupants ages 50 and older.Methods: Skeletal muscle area measurements of MVC occupants were obtained through semi-automated segmentation of an axial computed tomography (CT) slice at the L3 vertebra. An occupant height-normalized Skeletal Muscle Index (SMI) was calculated - a defining metric of sarcopenia and low muscle mass (sarcopenia thresholds: <38.5 cm2/m2 females; <52.4 cm2/m2 males). Lumbar BMD was obtained using a validated, phantomless CT calibration method (osteopenia threshold: <145 mg/cm3). SMI and BMD values were used to categorize occupants, and logistic regression was used to associate sarcopenia, osteopenia, and osteosarcopenia predictors to injury outcomes (e.g., Injury Severity Score (ISS), maximum Abbreviated Injury Scale (MAIS) score, fractures) and hospital outcomes (e.g., length of stay, ICU days).Results: Of the 336 occupants, 210 (63%) were female (mean ± SD: age 66.3 ± 10.6). SMI was 41.7 ± 8.0 cm2/m2 in females and 51.2 ± 10.8 cm2/m2 in males. Based on SMI, 40% of females and 55% of males were classified as sarcopenic. BMD was 163.2 ± 38.3 mg/cm3 in females and 164.1 ± 35.4 mg/cm3 in males, with 41% of females and 33% of males classified as osteopenic. Prevalence of both conditions (osteosarcopenia) was similar between females (21%) and males (22%). Incidence of low SMI and BMD increased with age. Sarcopenic individuals were less likely to sustain a MAIS 2+ thorax injury and had longer ICU stays. Osteopenic individuals were more likely to sustain upper extremity injuries and fractures, and were less likely to be discharged to a rehabilitation facility. Osteosarcopenic individuals were less likely to be ventilated or admitted to the ICU but tended to spend more time on the ventilator if placed on one.Conclusions: Osteosarcopenia was not associated with any injury outcomes, but sarcopenia was associated with thoracic injury and osteopenia was associated with upper extremity injury incidence. Sarcopenia was only associated with ICU length of stay, while osteopenia was only associated with discharge destination. Osteosarcopenia was associated with likelihood of being ventilated, being admitted to the ICU, and with increased length of ventilation.


Asunto(s)
Enfermedades Óseas Metabólicas , Fracturas Óseas , Sarcopenia , Masculino , Humanos , Femenino , Anciano , Persona de Mediana Edad , Accidentes de Tránsito , Densidad Ósea , Sarcopenia/diagnóstico por imagen , Sarcopenia/epidemiología , Fracturas Óseas/epidemiología , Enfermedades Óseas Metabólicas/epidemiología , Músculos , Vehículos a Motor
8.
Phytother Res ; 25(2): 264-70, 2011 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-20648677

RESUMEN

The purpose of this work was to develop an extraction technique to yield a betulinic acid-(BA) enriched extract of the traditional anti-anxiety plant Souroubea sympetala Gilg (Marcgraviaceae). Five extraction techniques were compared: supercritical carbon dioxide extraction (SCE), conventional solvent extraction with ethyl acetate (EtOAc), accelerated solvent extraction (ASE), ultrasonic assisted extraction (UAE) and soxhlet extraction (Sox). The EtOAc and SCE extraction methods resulted in BA-enriched extracts, with BA concentrations of 6.78 ± 0.2 and 5.54 ± 0.2 mg/g extract, respectively, as determined by HPLC-APCI-MS. The bioactivity of the BA-enriched extracts was compared in the elevated plus maze (EPM), a validated rodent anxiety behaviour assay. Rats orally administered a 75 mg/kg dose of SCE extract exhibited anxiolysis as compared with vehicle controls, with a 50% increase in the percent time spent in the open arms, a 73% increase in unprotected head dips and a 42% decrease in percent time spent in the closed arms. No significant differences were observed between the SCE and EtOAc extracts for these measures, but the animals dosed with SCE extract had significantly more unprotected head dips than those dosed with the EtOAc extract. The SCE extract demonstrated a dose-response in the EPM, with a trend toward decreased anxiety at 25 mg/kg, and significant anxiolysis was only observed at 75 mg/kg dose. This study demonstrates that SCE can be used to generate a betulinic acid-enriched extract with significant anxiolysis in vivo. Further, the study provides a scientific basis for the ethnobotanical use of this traditional medicine and a promising lead for a natural health product to treat anxiety.


Asunto(s)
Ansiolíticos/farmacología , Ansiedad/tratamiento farmacológico , Extractos Vegetales/farmacología , Triterpenos/farmacología , Animales , Conducta Exploratoria/efectos de los fármacos , Magnoliopsida/química , Masculino , Aprendizaje por Laberinto/efectos de los fármacos , Triterpenos Pentacíclicos , Ratas , Ratas Sprague-Dawley , Ácido Betulínico
9.
Rev Biol Trop ; 56(3): 1043-51, 2008 Sep.
Artículo en Español | MEDLINE | ID: mdl-19419026

RESUMEN

Fractionation of a non polar extract of the aerial parts of Amyris brenesii collected in Rio Cuarto, Grecia, Costa Rica has resulted in the isolation of four new compounds, 6-hidroxy-6-O-(3-hidroxymethyl-3-methylalyl)-angelicin 1, 6-(N-acetyl-2-etanamin)-2,2-dimethyl-2H-cromen 2, the lignan 2,5-dehidrohinokinin 3 and N-acetyl-O-(geranyl)-tiramine 4. In addition, we isolated six previously known compounds: the lignans hinokinin 5 and Justicidin E 6, the coumarins scopoletin 7 and marmesin 8, 24-moretenoic acid 9, and the nitrogen compound O-(3,3-dimethylalyl)-halfordinol 10. All the separations were done with chromatographic techniques and the structures were elucidated by using 1D and 2D NMR techniques.


Asunto(s)
Extractos Vegetales/química , Rutaceae/química , Cromatografía , Costa Rica , Espectroscopía de Resonancia Magnética
10.
Rev Salud Publica (Bogota) ; 20(5): 629-636, 2018.
Artículo en Español | MEDLINE | ID: mdl-33111898

RESUMEN

OBJECTIVES: To identify the most relevant dimensions for measuring patient satisfaction in urgent care centers. Also, to provide recommendations, based on the literature, both to provide a better service and to conduct further research. MATERIALS AND METHODS: A systematic review was performed in 5 databases: Jstor, Proquest, SciELO Public Health, Science Direct and Redalyc, using as search criteria: "Patient Satisfaction", "Quality Of Care", "Satisfaction With Care", "Patients' Perception Of Care", "Emergency Department" And "Emergency Medical Service". Full-text articles in Spanish and English and published between 1990 and 2015 were pre-selected. Of 172 articles, 42 empirical studies were included in the analysis. RESULTS: 39% of the articles were from North America, 38% from Europe, 11% from Asia, 5% from South America, 3% from Oceania and Australia and 2% from Africa and Central America. Eleven dimensions to measure patient satisfaction in urgent care centers with their respective associated variables were identified as frequently used and statistically significant. CONCLUSIONS: Patient satisfaction is a multidimensional variable of quality healthcare. Communication, customer service, courtesy and waiting times are considered the factors that should be adjusted to increase levels of satisfaction. Sociodemographic variables such as race, health status and age of the patient need to be assessed and studied, since they have effects on the level of satisfaction. Likewise, the correlation between satisfaction and intention to return to the medical center provides opportunities for administrators and investigators of the healthcare area for future work.


OBJETIVO: Identificar las dimensiones significativas para medir la satisfacción del paciente en centros de urgencia. Asimismo, brindar recomendaciones, basados en la literatura, tanto para proveer un mejor servicio, como para la realización de futuras investigaciones. MÉTODO: Se realizó una revisión sistemática explorando 5 base de datos: Jstor, Pro-quest, SciELO Public Health, Science Direct Y Redalyc, utilizando como criterios de búsqueda: "Patient Satisfaction", "Quality Of Care", "Satisfaction With Care", "Patients' Perception Of Care", "Emergency Department" y "Emergency Medical Service". Fueron preseleccionados Artículos en inglés y español, de textos completos y publicados entre 1990 y 2015. De 172 artículos, 42 estudios empíricos se incluyeron en el análisis. RESULTADOS: El 39% de los artículos fueron de procedencia norteamericana, el 38% europea, el 11% asiática, el 5% sudamericana, el 3% de Oceanía, el 2% africana y el 2% centroamericana. Once dimensiones para medir satisfacción del paciente en centros de urgencia con sus respectivas subvariables fueron identificadas como usadas frecuentemente y estadísticamente significativas. CONCLUSIONES: La satisfacción del paciente es una variable multidimensional de la calidad de la atención médica. La comunicación, la atención y cortesía y el tiempo de espera percibido son los principales factores que se deben trabajar para incrementar dicha satisfacción. Variables sociodemográficas como la raza, estado de salud y edad del paciente deben ser valoradas ya que influyen en el nivel de satisfacción. Asimismo, la correlación entre la satisfacción y la intención de retornar al centro a futuro evidencian oportunidades de trabajo para administradores e investigadores en el área de la salud.

11.
AAPS J ; 19(6): 1626-1631, 2017 11.
Artículo en Inglés | MEDLINE | ID: mdl-28895076

RESUMEN

As part of our ongoing research into botanical therapies for anxiety disorders, the neotropical vine Souroubea sympetala was chosen for study as a phytochemical discovery strategy focusing on rare Central American plant families. When orally administered to male Sprague-Dawley rats, the crude plant extract, its ethyl acetate fraction, supercritical carbon dioxide fraction, or its isolated triterpenes reduced anxiety and/or fear-related behavior in standardized behavioral models. Pharmacological studies showed that the extracts acted at the benzodiazepine GABAA receptor and reduced corticosterone levels. A preparation containing Souroubea fortified with a second triterpene containing plant, Platanus occidentalis, was shown to be safe in a 28-day feeding trial with beagles at 5 times the intended dose. Subsequent trials with beagles in a thunderstorm model of noise aversion showed that the material reduced anxiety behaviors and cortisol levels in dogs. The formulation has been released for the companion animal market in Canada and the USA under the Trademark "Zentrol." Ongoing research is exploring the use of the material in treatment of anxiety and post-traumatic stress in humans.


Asunto(s)
Ansiolíticos/uso terapéutico , Fitoterapia , Animales , Ensayos Clínicos como Asunto , Estabilidad de Medicamentos , Humanos , Extractos Vegetales/farmacología , Extractos Vegetales/uso terapéutico , Ratas , Ratas Sprague-Dawley , Receptores de GABA-A/efectos de los fármacos
12.
Phytochemistry ; 67(1): 62-9, 2006 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-16129464

RESUMEN

Investigation of the aerial parts of Vernonia triflosculosa afforded three hirsutinolides of which 8alpha-(4alpha-hydroxymethacryloyloxy)-10alpha-hydroxy-1,13-dimethoxy-hirsutinolide is new, three ent-kaurane diterpenes, among which the 19-[alpha-L-arabinopyranosyl-(1-->2)-beta-D-glucopyranosyl] esters of 16beta-hydroxy-ent-kauran-19-oic acid and of 16beta,17-hydroxy-ent-kauran-19-oic acid are also new. Diterpenes are reported here for the first time in the large genus Vernonia. Their structures were elucidated using 1D and 2D NMR measurement as well as ESI, CIMS, and HRMS analysis. Two hirsutinolides were studied for their NF-kappaB DNA binding activity in HaCaT cells (a human cell line similar to keratinocytes) and for their inhibition on IL-8 production in HeLa cells.


Asunto(s)
Disacáridos/química , Diterpenos de Tipo Kaurano/química , Glicósidos/química , Lactonas/química , Sesquiterpenos/química , Vernonia/química , Células Cultivadas , Cristalografía por Rayos X , ADN/efectos de los fármacos , ADN/metabolismo , Disacáridos/aislamiento & purificación , Diterpenos de Tipo Kaurano/aislamiento & purificación , Diterpenos de Tipo Kaurano/farmacología , Glicósidos/aislamiento & purificación , Glicósidos/farmacología , Células HeLa , Humanos , Interleucina-8/antagonistas & inhibidores , Lactonas/aislamiento & purificación , Lactonas/farmacología , Espectroscopía de Resonancia Magnética/métodos , Espectroscopía de Resonancia Magnética/normas , Modelos Moleculares , Conformación Molecular , FN-kappa B/antagonistas & inhibidores , FN-kappa B/metabolismo , Estándares de Referencia , Sesquiterpenos/aislamiento & purificación , Sesquiterpenos/farmacología , Especificidad de la Especie , Estereoisomerismo
13.
Rev Biol Trop ; 54(2): 245-52, 2006 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-18494294

RESUMEN

We tested the capacity of leaf (Urera baccifera, Loasa speciosa, Urtica leptuphylla, Chaptalia nutans, and Satureja viminea) and root (Uncaria tomentosa) extracts to inhibit edema induced by Bothrops asper snake venom. Edema-forming activity was studied plethysmographically in the rat hind paw model. Groups of rats were injected intraperitoneally with various doses of each extract and, one hour later, venom was injected subcutaneously in the right hind paw. Edema was assessed at various time intervals. The edematogenic activity was inhibited in those animals that received an injection U. tomentosa, C. nutans or L. speciosa extract. The extract of U. baccifera showed a slight inhibition of the venom effect. Extract from S. viminea and, to a lesser extent that of U. leptuphylla, induced a pro-inflammatory effect, increasing the edema at doses of 250 mg/kg at one and two hours.


Asunto(s)
Antiinflamatorios/uso terapéutico , Bothrops , Venenos de Crotálidos/toxicidad , Edema/tratamiento farmacológico , Fitoterapia , Extractos Vegetales/uso terapéutico , Animales , Antiinflamatorios/farmacología , Antivenenos/uso terapéutico , Costa Rica , Venenos de Crotálidos/antagonistas & inhibidores , Modelos Animales de Enfermedad , Edema/inducido químicamente , Masculino , Extractos Vegetales/química , Ratas , Ratas Sprague-Dawley
14.
J Agric Food Chem ; 53(6): 1907-13, 2005 Mar 23.
Artículo en Inglés | MEDLINE | ID: mdl-15769112

RESUMEN

A method for extraction and high performance liquid chromatography-mass spectrometer (HPLC-MS) analysis of the medicinally important genus Piper (Piperaceae) was developed. This allows for a rapid and accurate measure of unsaturated amides, or piperamides, in black pepper, Piper nigrum L., and in wild species from Central America. Reflux extraction provided the highest recovery of piperine (>80%) from leaf and peppercorn material. HPLC analysis using a binary gradient of acetonitrile and water separated the major amide peaks between 5 and 12 min. Atmospheric pressure chemical ionization (APCI)-MS improved the detection limit to 0.2 ng, 10-fold below the 2 ng limit of the HPLC-diode array detector (DAD) based on linear standard curves between 0.1 and 250 microg/mL (R2 = 0.999). The HPLC-MS method identified pellitorine, piperylin, 4,5-dihydropiperlonguminine, piperlonguminine, 4,5-dihydropiperine, piperine, and pipercide. The biological activity of six Costa Rican Piper species assessed by mosquito larval bioassays correlated well with piperamide content.


Asunto(s)
Amidas/análisis , Amidas/aislamiento & purificación , Cromatografía Líquida de Alta Presión/métodos , Espectrometría de Masas/métodos , Piperaceae/química , Extractos Vegetales/química , Aedes , Alcaloides/análisis , Alcaloides/aislamiento & purificación , Animales , Benzodioxoles , Insecticidas , Larva , Piperidinas/análisis , Piperidinas/aislamiento & purificación , Alcamidas Poliinsaturadas
15.
Rev. salud pública ; 20(5): 629-636, oct.-nov. 2018. tab, graf
Artículo en Español | LILACS | ID: biblio-1004480

RESUMEN

RESUMEN Objetivo Identificar las dimensiones significativas para medir la satisfacción del paciente en centros de urgencia. Asimismo, brindar recomendaciones, basados en la literatura, tanto para proveer un mejor servicio, como para la realización de futuras investigaciones. Método Se realizó una revisión sistemática explorando 5 base de datos: Jstor, Pro-quest, SciELO Public Health, Science Direct Y Redalyc, utilizando como criterios de búsqueda: "Patient Satisfaction", "Quality Of Care", "Satisfaction With Care", "Patients' Perception Of Care", "Emergency Department" y "Emergency Medical Service". Fueron preseleccionados Artículos en inglés y español, de textos completos y publicados entre 1990 y 2015. De 172 artículos, 42 estudios empíricos se incluyeron en el análisis. Resultados El 39% de los artículos fueron de procedencia norteamericana, el 38% europea, el 11% asiática, el 5% sudamericana, el 3% de Oceanía, el 2% africana y el 2% centroamericana. Once dimensiones para medir satisfacción del paciente en centros de urgencia con sus respectivas subvariables fueron identificadas como usadas frecuentemente y estadísticamente significativas. Conclusiones La satisfacción del paciente es una variable multidimensional de la calidad de la atención médica. La comunicación, la atención y cortesía y el tiempo de espera percibido son los principales factores que se deben trabajar para incrementar dicha satisfacción. Variables sociodemográficas como la raza, estado de salud y edad del paciente deben ser valoradas ya que influyen en el nivel de satisfacción. Asimismo, la correlación entre la satisfacción y la intención de retornar al centro a futuro evidencian oportunidades de trabajo para administradores e investigadores en el área de la salud.(AU)


ABSTRACT Objectives To identify the most relevant dimensions for measuring patient satisfaction in urgent care centers. Also, to provide recommendations, based on the literature, both to provide a better service and to conduct further research. Materials and Methods A systematic review was performed in 5 databases: Jstor, Proquest, SciELO Public Health, Science Direct and Redalyc, using as search criteria: "Patient Satisfaction", "Quality Of Care", "Satisfaction With Care", "Patients' Perception Of Care", "Emergency Department" And "Emergency Medical Service". Full-text articles in Spanish and English and published between 1990 and 2015 were pre-selected. Of 172 articles, 42 empirical studies were included in the analysis. Results 39% of the articles were from North America, 38% from Europe, 11% from Asia, 5% from South America, 3% from Oceania and Australia and 2% from Africa and Central America. Eleven dimensions to measure patient satisfaction in urgent care centers with their respective associated variables were identified as frequently used and statistically significant. Conclusions Patient satisfaction is a multidimensional variable of quality healthcare. Communication, customer service, courtesy and waiting times are considered the factors that should be adjusted to increase levels of satisfaction. Sociodemographic variables such as race, health status and age of the patient need to be assessed and studied, since they have effects on the level of satisfaction. Likewise, the correlation between satisfaction and intention to return to the medical center provides opportunities for administrators and investigators of the healthcare area for future work.(AU)


Asunto(s)
Humanos , Calidad de la Atención de Salud/normas , Satisfacción del Paciente , Servicios Médicos de Urgencia/normas , Investigación sobre Servicios de Salud/normas
16.
J Ethnopharmacol ; 133(2): 907-10, 2011 Jan 27.
Artículo en Inglés | MEDLINE | ID: mdl-20937373

RESUMEN

AIM OF THE STUDY: Witheringia solanacea is a small shrub that belongs to the Solanaceae family. The plant is used as an antidiabetic in Costa Rican herbal medicine. The aim of this study was to evaluate the hypoglycemic and antihyperglycemic activity of the aqueous extract of W. solanacea leaves in rodent models. MATERIALS AND METHODS: A crude extract of W. solanacea leaves was prepared in boiling water and the aqueous filtrate was lyophilized. A single oral dose of 250, 500 and 1000 mg/kg of the extract was evaluated for hypoglycemic activity in a glucose tolerance test in normal rats and for antihyperglycemic activity in alloxan-induced (140 mg/kg) diabetic rats. The blood glucose level was determined at different times by the glucose oxidase method. RESULTS: Dosage of 500 and 1000 mg/kg of the extract significantly decreased (p<0.05) blood glucose levels in the glucose tolerance test in normal rats after 1 h, there was no significant difference observed at 250 mg/kg. Dose of 500 mg/kg of the extract significantly reduced (p<0.05) blood glucose levels in alloxan induced hyperglycemic rats at 4 and 5 h. CONCLUSIONS: In the present study, the hypoglycemic and antihyperglycemic potential of the W. solanacea was demonstrated in rats. These results give support to the traditional use of W. solanacea as antidiabetic herbal medicine.


Asunto(s)
Diabetes Mellitus Experimental/tratamiento farmacológico , Hiperglucemia/tratamiento farmacológico , Hipoglucemiantes/farmacología , Fitoterapia , Solanaceae , Animales , Glucemia/metabolismo , Costa Rica , Diabetes Mellitus Experimental/sangre , Etnofarmacología , Prueba de Tolerancia a la Glucosa , Hiperglucemia/sangre , Hipoglucemiantes/aislamiento & purificación , Masculino , Medicina Tradicional , Extractos Vegetales/farmacología , Hojas de la Planta/química , Plantas Medicinales/química , Ratas , Ratas Sprague-Dawley , Solanaceae/química
17.
Phytochemistry ; 71(11-12): 1418-22, 2010 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-20580789

RESUMEN

Five spirocaracolitone triterpenoids were isolated from the dichloromethane-soluble fraction of the bark of Ruptiliocarpon caracolito, and their structures were determined mainly by application of 1D and 2D NMR spectroscopy. Two known CD-spirotriterpenoids were also isolated from the same source. This brings the total number of known CD-spirotriterpenoids from this source to 17. The discovery of such a large number of closely-related compounds in a single species represents an excellent example of phytochemical redundancy as a defense mechanism.


Asunto(s)
Celastraceae/química , Triterpenos/aislamiento & purificación , Costa Rica , Estructura Molecular , Resonancia Magnética Nuclear Biomolecular , Corteza de la Planta/química , Triterpenos/química
18.
J Ethnopharmacol ; 125(2): 257-64, 2009 Sep 07.
Artículo en Inglés | MEDLINE | ID: mdl-19591913

RESUMEN

ETHNOPHARMACOLOGICAL RELEVANCE: The Q'eqchi' Maya possess a large selection of plants to treat neurological disorders, including epilepsy and susto (fright), a culture-bound illness related to anxiety disorders. AIM OF THE STUDY: To investigate the activity of antiepileptic and anxiolytic plants in the GABAergic system, and determine if there is a pharmacological basis for plant selection. MATERIALS AND METHODS: Ethanol extracts of 34 plants were tested in vitro for their ability to inhibit GABA-transaminase (GABA-T) or bind to the GABA(A)-benzodiazepine (BZD) receptor, two principal drug targets in epilepsy and anxiety. Pharmacological activity was correlated with relative frequency of use, based on informant consensus. RESULTS: Ten plants showed greater than 50% GABA-T inhibition at 1mg/ml, while 23 showed greater than 50% binding to the GABA(A)-BZD receptor at 250 microg/ml. Piperaceae, Adiantaceae and Acanthaceae families were highly represented and active in both assays. There was a significant positive correlation between GABA-T inhibition and relative frequency of use for epilepsy, and an even stronger correlation between GABA(A) binding and relative frequency of use for susto (fright). CONCLUSIONS: Clearly, Q'eqchi' traditional knowledge of antiepileptic and anxiolytic plants is associated with the use of pharmacologically active plants. Based on the evidence, it is suggested that the mechanism of action for some traditionally used plants may be mediated through the GABAergic system.


Asunto(s)
4-Aminobutirato Transaminasa/antagonistas & inhibidores , Ansiolíticos/farmacología , Anticonvulsivantes/farmacología , Epilepsia/tratamiento farmacológico , Magnoliopsida , Extractos Vegetales/farmacología , Receptores de GABA-A/metabolismo , Ansiolíticos/uso terapéutico , Anticonvulsivantes/uso terapéutico , Ansiedad/tratamiento farmacológico , Belice , Etnofarmacología , Humanos , Indígenas Centroamericanos , Medicina Tradicional , Fitoterapia , Extractos Vegetales/química , Extractos Vegetales/uso terapéutico , Plantas Medicinales , Taninos/análisis
19.
J Nat Prod ; 70(8): 1228-32, 2007 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-17665950

RESUMEN

Six new triterpenoids named spirocarcolitones (G-L), which belong to a novel class of CD-spiro triterpenoids, were isolated from the dichloromethane-soluble fraction of the bark of Ruptiliocarpon caracolito. The structures of these natural products were established using mainly 1D and 2D NMR spectroscopy. One known CD-spiro triterpenoid and canophyllol were also isolated from the same source.


Asunto(s)
Celastraceae/química , Triterpenos/química , Triterpenos/aislamiento & purificación , Costa Rica , Estructura Molecular , Resonancia Magnética Nuclear Biomolecular , Corteza de la Planta/química , Triterpenos/clasificación
20.
Bol. latinoam. Caribe plantas med. aromát ; 10(2): 155-158, mar. 2011. ilus
Artículo en Inglés | LILACS | ID: lil-686995

RESUMEN

Following our phytochemical studies of Costa Rican plants, in this work we report the isolation and identification of eight compounds from aerial parts of Zanthoxylum setulosum (Rutaceae). They were identified as the alkaloid skimmianine, the lignans savinin, kusunokinin, sesamin, syringaresinol and the isopentenyl ether of pluviatol, the amide aurantiamide acetate, and the triterpen lupeol. This is the first report of isolation of skimmianine from the leaves of Z. setulosum and its presence confirm that quinoline and benzophenanthridine alkaloids, can be considered as chemotaxonomic markers of this genus. All the isolated compounds were characterized by spectroscopic methods (including 1H-NMR, 13C-NMR, , HMQC, HMBC and NOESY) and comparison with the literature data.


Continuando con el estudio fitoquímico de plantas de Costa Rica, en este trabajo informamos el aislamiento e identificación de ocho compuestos de las partes aéreas de Zanthoxylum setulosum (Rutaceae). Los compuestos fueron identificados como el alcaloide skimmianina, los lignanos savinina, kusunokinina, sesamina, siringaresinol y el éter isopentílico del pluviatol, la amida conocida como acetato de aurantiamida, y el triterpeno lupeol. Este es el primer informe del aislamiento de skimmianina en las hojas de Z. setulosum, lo cual confirma que alcaloides quinolínicos y benzofenantridinicos pueden ser considerados marcadores quimiotaxonómicos en éste género. La estructura de los compuestos aislados fue caracterizada por métodos espectroscópicos (incluyendo 1HNMR, 13C-NMR, HMQC, HMBC y NOESY) y comparación con datos de la literatura.


Asunto(s)
Alcaloides/aislamiento & purificación , Hojas de la Planta/química , Lignanos/aislamiento & purificación , Quinolinas/aislamiento & purificación , Zanthoxylum/química , Rutaceae/química , Análisis Espectral
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