ABSTRACT
BACKGROUND & AIMS: Fructooligosaccharides (FOS) are non-caloric and unconventional sugars that are not metabolized by the human body, but can be fermented by the colonic microbiota, leading to some beneficial effects on the absorption of minerals and trace elements. There is, however, a lack of research that describes the continued consumption of FOS in the diet between healthy and ill individuals and their impact. The objective of this systematic review was to evaluate the evidence behind the role of FOS in the absorption of minerals and trace elements in the human body. METHODS: The bibliographic research covered the period from January 2000 to August 2020. Four databases were investigated. We follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA). The systematic review protocol was recorded in PROSPERO (139621). Two reviewers examined and extracted data from qualitative and quantitative studies published in the main databases, through a careful analysis. The risk of bias was assessed by four reviewers. RESULTS: Of a total of 1494 texts, 30 complete articles composed this review. Two overarching categories represented the results: animal models and human models (randomized crossover design). Regarding human models, the results showed an improvement in minerals, especially the absorption of calcium, magnesium and iron after the ingestion of FOS, and specifically the absorption of minerals and trace elements in postmenopausal women was improved. CONCLUSIONS: The use of FOS to improve the absorption of minerals and trace elements seems to be beneficial with evidence corroborating both in human and animal studies. However, the literature lacks articles exploring the daily dose and duration for FOS benefits, as well as long-term side effects in healthy or unhealthy subjects. Future research should focus on addressing the extent of the functional effect of this fiber and identifying the impact on overall health.
Subject(s)
Trace Elements , Animals , Control Groups , Eating , Female , Humans , Minerals , OligosaccharidesABSTRACT
There is a growing interest in the possible relationship between rotavirus (RV) vaccine and hospitalizations due to childhood seizures. We explored variation in hospitalization rates after 9â¯years of vaccination against pre-vaccination period for children <5â¯years of age from Galicia (Northwest Spain) before and after the introduction of the RV vaccines. Hospitalization rates for childhood seizures in Galician children were compared before and after RV vaccine introduction (in 2007) using different statistical approaches, including time series analyses. Our study cohort totaled 7,712 children <5â¯years of age admitted to hospital between 2002 and 2015 for "all kind of childhood seizures". Hospitalization rates decreases steadily with reductions ranging from 22.3% (95% CI: 15.0-29.1) in 2008, to 50.9% (95% CI: 45.5-55.7) in 2014, and significant results were also observed for <1, 1, and 2-year-old children in comparison with pre-vaccination period hospitalization rate. Regression models indicate a negative association between RV vaccination and hospitalizations for all kind of seizures. In addition, time series analyses are consistent with this finding and predict that vaccination coverage will affect hospitalization rates for "all kind of seizures" after 9â¯months. The results strongly support that RV vaccination has significantly reduced hospitalization rates due to childhood seizures.
Subject(s)
Hospitalization/statistics & numerical data , Rotavirus Infections/prevention & control , Rotavirus Vaccines/administration & dosage , Seizures, Febrile/epidemiology , Vaccination Coverage/statistics & numerical data , Child, Preschool , Female , Gastroenteritis/prevention & control , Humans , Infant , Male , Retrospective Studies , Rotavirus/immunology , Rotavirus Infections/epidemiology , Seizures, Febrile/prevention & control , Spain/epidemiologySubject(s)
Arthritis, Psoriatic/psychology , Fertility , Psoriasis/psychology , Self Concept , Sexual Dysfunction, Physiological/psychology , Adolescent , Adult , Age Factors , Arthritis, Psoriatic/diagnosis , Arthritis, Psoriatic/epidemiology , Arthritis, Psoriatic/therapy , Female , Humans , Middle Aged , Pregnancy , Pregnancy Rate , Prevalence , Psoriasis/diagnosis , Psoriasis/epidemiology , Psoriasis/therapy , Registries/statistics & numerical data , Severity of Illness Index , Spain/epidemiology , Stereotyping , Time Factors , Young AdultABSTRACT
BACKGROUND: Xeroderma pigmentosum (XP) is a rare human syndrome associated with hypersensitivity to sunlight and a high frequency of skin tumours at an early age. We identified a community in the state of Goias (central Brazil), a sunny and tropical region, with a high incidence of XP (17 patients among approximately 1000 inhabitants). OBJECTIVES: To identify gene mutations in the affected community and map the distribution of the affected alleles, correlating the mutations with clinical phenotypes. METHODS: Functional analyses of DNA repair capacity and cell-cycle responses after ultraviolet exposure were investigated in cells from local patients with XP, allowing the identification of the mutated gene, which was then sequenced to locate the mutations. A specific assay was designed for mapping the distribution of these mutations in the community. RESULTS: Skin primary fibroblasts showed normal DNA damage removal but abnormal DNA synthesis after ultraviolet irradiation and deficient expression of the Polη protein, which is encoded by POLH. We detected two different POLH mutations: one at the splice donor site of intron 6 (c.764 +1 G>A), and the other in exon 8 (c.907 C>T, p.Arg303X). The mutation at intron 6 is novel, whereas the mutation at exon 8 has been previously described in Europe. Thus, these mutations were likely brought to the community long ago, suggesting two founder effects for this rare disease. CONCLUSIONS: This work describes a genetic cluster involving POLH, and, particularly unexpected, with two independent founder mutations, including one that likely originated in Europe.
Subject(s)
Founder Effect , Mutation/genetics , Skin Neoplasms/genetics , Xeroderma Pigmentosum/genetics , Adult , Aged , Aged, 80 and over , Brazil/ethnology , Europe/ethnology , Female , Heterozygote , Homozygote , Humans , Male , Middle Aged , Pedigree , Tumor Cells, Cultured , Xeroderma Pigmentosum/ethnologyABSTRACT
OBJECTIVES: To assess the impact of initiatives aiming to increase clinician awareness of radiation exposure; to explore the challenges they face when communicating with patients; to study what they think is the most appropriate way of communicating the long-term potential risks of medical radiological exposure to patients. DESIGN: A quantitative and qualitative evaluation through a survey and focal groups. SETTING: San Juan Hospital and Dr Peset Hospital (Southeast Spain) and clinicians from Spanish scientific societies. PARTICIPANTS: The surveys were answered (a) in person (216: all the radiologists (30), urologists (14) and surgeons (44) working at both participant hospitals; a sample of general practitioners from the catchment area of one hospital (45), and a consecutive sample of radiologists attending a scientific meeting (60)) or (b) electronically through Spanish scientific societies (299: radiologists (45), pneumologists (123), haematologists (75) and surgeons (40)). Clinicians were not randomly selected and thus the results are limited by the diligence of the individuals filling out the survey. PRIMARY AND SECONDARY OUTCOME MEASURES: Clinicians' knowledge and practices regarding medical radiological exposure, and what they considered most appropriate for communicating information to patients. RESULTS: Nearly 80% of the clinicians surveyed had never heard of the European recommendations. Fewer than 20% of the clinicians surveyed identified correctly the radiation equivalence dose of intravenous urography or barium enema. It was reported by 31.7% that they inform patients about the long-term potential risks of ionising radiation. All participants agreed that the most appropriate way to present information is a table with a list of imaging tests and their corresponding radiation equivalence dose in terms of chest X-rays and background radiation exposure. CONCLUSIONS: Medical radiological exposure is frequently underestimated and rarely explained to patients. With a clear understanding of medical radiological exposure and proper communication tools, clinicians will be able to accurately inform patients.
Subject(s)
Clinical Competence/standards , Internal Medicine , Physicians/psychology , Qualitative Research , Radiation Exposure/prevention & control , Focus Groups , Health Knowledge, Attitudes, Practice , Humans , Radiation Dosage , SpainABSTRACT
This study assessed the influence of three different anaesthetic protocols on semen quality obtained from the epididymis. Sixty male dogs undergoing to routine sterilization were assigned to three anaesthetic protocols: thiopental group (TG, n = 20), propofol group (PG, n = 20) and ketamine-dexmedetomidine group (KDG, n = 20). Immediately after orchidectomy, the cauda epididymides and vas deferent ducts were isolated and then a retrograde flushing was performed to collect spermatozoa. In experiment 1, after the initial evaluation of the semen (sperm concentration, sperm motility and the percentages of live spermatozoa, abnormal spermatozoa and acrosome membrane integrity), semen samples were diluted in Tris-glucose-egg yolk extender and chilled for 48 hr, and the sperm motility was assessed at 6, 24 and 48 hr. In experiment 2, semen samples were diluted in Tris-glucose-egg yolk extender and chilled for 24 hr, and then samples were frozen in two extenders with different glycerol concentrations, to reach a final concentration of 50-100 × 10(6) spermatozoa ml(-1) , 20% egg yolk, 0.5% Equex and 4% and 5% glycerol, respectively. Mean values of total sperm concentration, sperm viability and the percentages of intact acrosome and abnormal spermatozoa were not significantly different between experimental groups, and therefore, the anaesthetic protocols assessed did not affect sperm parameters mentioned above. However, our study confirmed a detrimental effect of the use of thiopental (TG) over the total sperm motility (p < 0.05) and progressive sperm motility (p < 0.05) of the fresh and chilled epididymal sperm samples. The anaesthetic protocols including the application of propofol or ketamine-dexmedetomidine can be used to recover sperm in domestic canids without significant changes in sperm quality compared when semen is collected routinely and these techniques could be applicable to endangered wild canids.
Subject(s)
Anesthesia/veterinary , Dogs/physiology , Epididymis/physiology , Semen Analysis/veterinary , Semen Preservation/veterinary , Spermatozoa/drug effects , Anesthetics/administration & dosage , Anesthetics/pharmacology , Animals , Male , Orchiectomy/veterinary , Spermatozoa/physiologyABSTRACT
The aims of this research were to evaluate mean echogenicity (ME) of the deep and superficial digital flexor tendons (DDFT and SDFT), the interosseous muscle (IM), and the accessory ligament of the deep digital flexor tendon (ALDDFT) of the metacarpal region in neonatal foals, and determine the effect of sex, side and body weight on this quantitative ultrasonographic evaluation. Thirteen orthopedically sound neonatal foals were examined. Four areas of study (1A, 1B, 2A, 2B) were identified. Transverse scans of the DDFT, SDFT, IM and ALDDFT were obtained, recorded, and analyzed. The most echogenic structures were the ALDDFT and DDFT, while the SDFT was significantly less echogenic than all other structures (P<0.05). No influence of sex, forelimb, or body weight was observed. The echogenicity of the tenodesmic structures of foals partially overlapped that reported in the metacarpal region in adult horses, except for IM.
Subject(s)
Animals, Newborn/physiology , Horses/physiology , Ligaments/physiology , Muscle, Skeletal/physiology , Tendons/physiology , Animals , Body Weight/physiology , Functional Laterality/physiology , Ligaments/anatomy & histology , Metacarpal Bones/anatomy & histology , Muscle, Skeletal/anatomy & histology , Sex Factors , Tendons/anatomy & histology , Ultrasonography/veterinaryABSTRACT
Hepatitis C virus (HCV) antiviral treatment for people who inject drugs (PWID) could prevent onwards transmission and reduce chronic prevalence. We assessed current PWID treatment rates in seven UK settings and projected the potential impact of current and scaled-up treatment on HCV chronic prevalence. Data on number of PWID treated and sustained viral response rates (SVR) were collected from seven UK settings: Bristol (37-48% HCV chronic prevalence among PWID), East London (37-48%), Manchester (48-56%), Nottingham (37-44%), Plymouth (30-37%), Dundee (20-27%) and North Wales (27-33%). A model of HCV transmission among PWID projected the 10-year impact of (i) current treatment rates and SVR (ii) scale-up with interferon-free direct acting antivirals (IFN-free DAAs) with 90% SVR. Treatment rates varied from <5 to over 25 per 1000 PWID. Pooled intention-to-treat SVR for PWID were 45% genotypes 1/4 [95%CI 33-57%] and 61% genotypes 2/3 [95%CI 47-76%]. Projections of chronic HCV prevalence among PWID after 10 years of current levels of treatment overlapped substantially with current HCV prevalence estimates. Scaling-up treatment to 26/1000 PWID annually (achieved already in two sites) with IFN-free DAAs could achieve an observable absolute reduction in HCV chronic prevalence of at least 15% among PWID in all sites and greater than a halving in chronic HCV in Plymouth, Dundee and North Wales within a decade. Current treatment rates among PWID are unlikely to achieve observable reductions in HCV chronic prevalence over the next 10 years. Achievable scale-up, however, could lead to substantial reductions in HCV chronic prevalence.
Subject(s)
Antiviral Agents/therapeutic use , Hepacivirus/isolation & purification , Hepatitis C/drug therapy , Substance Abuse, Intravenous/complications , Viral Load , Hepatitis C/epidemiology , Hepatitis C/transmission , Humans , Models, Statistical , Treatment Outcome , United Kingdom/epidemiologyABSTRACT
OBJECTIVE: To determine the prevalence of solitary pulmonary nodules (SPNs) in chest radiology studies and patient's features associated with malignancy in a non-high-risk clinical population. METHODS: Patients ≥35 years were referred for thoracic imaging in two hospitals (2010-2011). Eight radiologists determined the presence and characteristics of SPN. Selected variables were collected from radiological register and medical records. Observer agreement in the diagnosis of SPN was assessed. RESULTS: 25,529 patients were included: 23,102 (90.5%) underwent chest radiograph and 2,497 (9.5%) a CT. The prevalence of SPN was 2.1% (95% CI 1.9 - 2.3) in radiographs and 17.0% (95% CI 15.5 - 18.5) in CT. In patients undergoing chest radiograph, detection of SPN with an irregular border was more frequent among smokers. In patients who had a CT, larger SPNs appeared to be associated with 60 years of age or over, diagnosis of a respiratory illness, or male gender. In addition, an irregular border was also more common among men. CONCLUSIONS: The prevalence of SPNs detected by both radiograph and CT was lower than that shown in screening studies. Patient characteristics such as age, sex, respiratory disease, or smoking habit were associated with nodule characteristics that are known to be related with malignancy. KEY POINTS: There is a lower SPN prevalence in the clinical population than in screening studies. SPN prevalence is associated with some patient characteristics: sex, age, imaging test. Nodule characteristics related to malignancy were associated with some patient characteristics.
Subject(s)
Angiography/methods , Radiography, Thoracic/methods , Solitary Pulmonary Nodule/epidemiology , Tomography, X-Ray Computed/methods , Adult , Aged , Aged, 80 and over , Cross-Sectional Studies , Diagnosis, Differential , Female , Humans , Male , Middle Aged , Prevalence , ROC Curve , Retrospective Studies , Solitary Pulmonary Nodule/diagnostic imaging , Spain/epidemiologyABSTRACT
This study tried to define neonatal viability after cesarean section in brachycephalic breeds and the efficacy of an adapted Apgar test to assess newborn survival. Data from 44 cesarean sections and 302 puppies were included. Before surgery (59-61 days after ovulation), an ultrasound evaluation defined the fetal biparietal diameter (BPD). Immediately after the uterine delivery, the pups were evaluated to detect birth defects and then, a modified Apgar score (range: 0-10) was used to define neonatal health at 5min (Apgar 1) and 60min (Apgar 2) after neonatal delivery; puppies were classified into three categories: critical neonates (score: 0-3), moderate viability neonates (score: 4-6) and normal viability neonates (score: 7-10). Mean (±SEM) value of BPD was 30.8±0.1mm and 28.9±0.1mm in English and French Bull-Dog fetus, respectively. The incidence of spontaneous neonatal mortality (4.98%, 14/281) and birth defects (6.95%) were not influenced by the sex; however, congenital anomalies and neonatal mortality were higher (p<0.01) in those litters with a greater number of neonates. In Apgar 1, the percentage of critical neonates, moderate viability neonates and normal viability neonates were 20.5%, 46.3% and 33.1% respectively; sixty minutes after birth, the critical neonates only represented 10.3% of the total puppies. Almost all neonates (238/239) showing moderate or normal viability at Apgar 1, survived for the first 24h after birth. The results of the study showed a direct relationship (p<0.01) between the Apgar score and neonatal viability. Therefore, the routine performance of the Apgar score would appear to be essential in the assessment of the status of brachycephalic breed puppies.
Subject(s)
Animals, Newborn/physiology , Cesarean Section/veterinary , Dogs/physiology , Animals , Dogs/classification , Female , Litter Size , Male , Pregnancy , PrognosisABSTRACT
Objetivos: Valorar la sensación de agradabilidad percibida por los pacientes que acuden al servicio de radiología asociada a la instalación de elementos decorativos ambientales. Material y métodos: Los recursos materiales consistieron en la implantación de obras de arte en los techos en forma de «ventanas mágicas» y paneles en las paredes de las salas de espera y pasillos del Área de Imagen, respectivamente, que representan elementos ambientales de la naturaleza. Posteriormente, a los pacientes se les dio un breve cuestionario con datos generales y preguntas (tristeza-alegría, frialdad-calidez, oscuridad-luminosidad y pesimismo-optimismo) sobre la percepción que le transmiten los elementos decorativos instalados. Resultados: De 150 cuestionarios recogidos, 142 pacientes rellenaron completa y adecuadamente el cuestionario. El estado de salud general de estos pacientes era bueno en 84 (56%), regular en 58 (39%) y malo en 8 (5%). La idea les pareció muy buena a 70 pacientes (47%), buena a 58 (39%), regular a 8 (5%), indiferente a 11 (7%), mala a 1 (1%) y muy mala a 2 pacientes (1%). La movilidad del paciente al realizar la consulta se distribuyó entre aquellos que venían andando (119 pacientes, 79%), estaban encamados (18 pacientes, 12%) y necesitaban silla de ruedas (13 pacientes, 9%). Conclusiones: Se ha constatado un alto nivel de satisfacción por parte de los pacientes cuando se valora la sensación percibida asociada a la instalación de elementos decorativos ambientales en las paredes y techos de las salas de espera y pasillos del Área de Imagen (AU)
Objectives: To evaluate the sensation of pleasantness perceived by patients attended in the radiology department in response to decorative elements hung on the walls in the waiting rooms and in the hallways of the imaging area. Material and methods: The material resources comprised works of art in the form of "magic windows" representing scenes from nature installed on the ceilings and walls of the waiting area and hallways of the imaging area. Patients were given a brief questionnaire with general data and questions (sadness-cheerfulness, coldness-warmth, darkness-light, and pessimism-optimism) about their perception of the decorative elements. Results: Of the 150 questionnaires collected, 142 were filled out correctly. The overall health of these patients was good in 84 (56%), not bad in 58 (39%), and poor in 8 (5%). The idea seemed very good to 70 patients (47%), good to 58 (39%), not bad to 8 (5%), indifferent to 11 (7%), bad to 1 (1%), and very bad to 2 (1%). As far a patients mobility, 119 patients (79%) walked into the department, 18 (12%) were wheeled in on beds, and 13 (9%) needed wheelchairs. Conclusions: We found a high level of satisfaction with the decorative elements (AU)
Subject(s)
Humans , Interior Design and Furnishings , Hospital Units/organization & administration , Relaxation/psychology , Patient Satisfaction , Stress, Psychological/therapyABSTRACT
OBJECTIVES: To evaluate the sensation of pleasantness perceived by patients attended in the radiology department in response to decorative elements hung on the walls in the waiting rooms and in the hallways of the imaging area. MATERIAL AND METHODS: The material resources comprised works of art in the form of "magic windows" representing scenes from nature installed on the ceilings and walls of the waiting area and hallways of the imaging area. Patients were given a brief questionnaire with general data and questions (sadness-cheerfulness, coldness-warmth, darkness-light, and pessimism-optimism) about their perception of the decorative elements. RESULTS: Of the 150 questionnaires collected, 142 were filled out correctly. The overall health of these patients was good in 84 (56%), not bad in 58 (39%), and poor in 8 (5%). The idea seemed very good to 70 patients (47%), good to 58 (39%), not bad to 8 (5%), indifferent to 11 (7%), bad to 1 (1%), and very bad to 2 (1%). As far a patients' mobility, 119 patients (79%) walked into the department, 18 (12%) were wheeled in on beds, and 13 (9%) needed wheelchairs. CONCLUSIONS: We found a high level of satisfaction with the decorative elements.
Subject(s)
Hospital Design and Construction , Interior Design and Furnishings , Patient Satisfaction , Pleasure , Radiology Department, Hospital , Adolescent , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Surveys and Questionnaires , Young AdultABSTRACT
The aim of this study was to describe the cross-sectional area and mean echogenicity of the main tendons of the shoulder and elbow joints in adult German Shepherd dogs and to determine the effects of sex, weight, and age on these parameters. No previous publications in the veterinary literature have reported information regarding quantitative ultrasonographic tendon measurements in dogs. Thirty German Shepherd dogs were examined: 13 males and 17 females. The cross-sectional area was significantly higher in males than in females (p <0.05) for the distal tendon of the triceps brachii muscle and the tendons of the flexor carpi ulnaris and common digital extensor muscles. The influence of sex on mean echogenicity was not significant. According to age, mean echogenicity was higher in older dogs, while the cross-sectional areas were similar in the two groups. Cross-sectional area and mean echogenicity of the tendons showed a direct increase with an increase in body weight. The data gained from this study can help support the clinician to discriminate between normal and pathological conditions.
Subject(s)
Dogs/anatomy & histology , Forelimb/diagnostic imaging , Tendons/diagnostic imaging , Aging , Animals , Female , Forelimb/anatomy & histology , Male , Reference Values , Tendons/anatomy & histology , UltrasonographyABSTRACT
Mastitis obliterans is an uncommon and late manifestation of ductal ectasia. We report a case of a woman with a long-term type 2 diabetes, referred to us because of a palpable right breast mass. Mammography showed an asymmetry in the palpated area. Ultrasonography was consistent with a an irregular, hypoechoic mass with indistinct margins and linear tracts to the skin. The biopsy showed a fibrotic component surrounding dilated galactophore ducts, which were collapsed by an infiltrate of lymphocytes and histiocytes corresponding to mastitis obliterans. The differential diagnosis should be made between diabetic fibrous mastopathy, granulomatous mastitis and lobular carcinoma. In our opinion, the therapeutic approach should depend on the symptomatology and should be individualized for each patient owing to the lack of information on this pathology, adopting therefore a conservative attitude.
Subject(s)
Diabetes Mellitus, Type 2/complications , Mammary Glands, Human/pathology , Mastitis/etiology , Aged , Breast Diseases/complications , Diagnosis, Differential , Female , Humans , Mastitis/diagnosis , Mastitis/therapy , PalpationABSTRACT
No disponible
Subject(s)
Humans , Hemangiosarcoma/complications , Lymphedema/complications , Tomography, X-Ray Computed/methods , Chronic DiseaseSubject(s)
Hemangiosarcoma/diagnosis , Lymphangiosarcoma/diagnosis , Lymphedema/complications , Lymphoma, Large B-Cell, Diffuse/complications , Neoplasms, Second Primary/diagnosis , Skin Neoplasms/diagnosis , Aged, 80 and over , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Disease Susceptibility , Female , Hemangiosarcoma/drug therapy , Hemangiosarcoma/etiology , Hemangiosarcoma/pathology , Humans , Lymphangiosarcoma/drug therapy , Lymphangiosarcoma/etiology , Lymphangiosarcoma/pathology , Neoplasms, Second Primary/drug therapy , Neoplasms, Second Primary/etiology , Neoplasms, Second Primary/pathology , Palliative Care , Skin Neoplasms/drug therapy , Skin Neoplasms/etiology , Skin Neoplasms/pathologyABSTRACT
ObjetivoEl objetivo del presente trabajo es conocer el estado de la fisioterapia en atención primaria (AP) en la ciudad de Valencia respecto a actividades de promoción de la salud y prevención de la enfermedad, la implantación del trabajo en equipo, el nivel de actividad investigadora y los recursos materiales y humanos.Material y métodosSe plantea un estudio observacional descriptivo, con la toma de información directa a través de un cuestionario estructurado de respuestas cerradas en el que se plantean distintas cuestiones, a las que deben responder los fisioterapeutas que desarrollan su labor profesional en centros de salud (CS). La muestra está formada por todas las unidades básicas de rehabilitación (UBR) de la ciudad de Valencia.ResultadosEl 73,3% de los encuestados manifestaron no emplear habitualmente sistemas de trabajo en equipo. Asimismo, el 86,6% de los fisioterapeutas contestaron que los responsables de los CS no promueven tales sistemas. Respecto a la realización de actividades de promoción de la salud y prevención de la enfermedad, el 46,7% de los encuestados afirmó que regularmente realizaba tales actividades. En cuanto a la actividad investigadora, el 80% manifestó no realizar investigación en su CS.ConclusionesA tenor de los resultados del estudio, se pone de manifiesto, en las UBR de la ciudad de Valencia, la escasez de actividades realizadas mediante sistemas de trabajo en equipo. Asimismo se puede concluir que las actividades de promoción de la salud y prevención de la enfermedad son más bien escasas en AP, mientras que la investigación es prácticamente inexistente(AU)
ObjectiveThis paper has aimed to evaluate the status of the physiotherapy in Primary Care (PC) in the city of Valencia in relation to promotion of health and disease prevention, establishing teamwork, research activity level as well as human and material resources.Matrial and methodsAn observational and descriptive study was proposed, obtaining direct information using a structured questionnaire with closed items in which different questions were proposed. These questions were to be answered by the physiotherapists who develop their professional work in Health Centers (HC). The sample is made up of all the Basic Units of Rehabilitation (BRU) of the City of Valencia.ResultsA total of 73.3% of those surveyed stated that they do not usually use teamwork systems. Furthermore, 86.6% of physiotherapists replied that such systems were not promoted by the HC responsible persons. Regarding health promotion and disease prevention activities, 46.7% of those surveyed stated that they regularly carried out those activities. Regarding research activity, 80% stated that they did conduct any research in their HC.ConclusionsIn accordance with the data results, this study highlights the lack of activities carried out through team working systems in the BRU in the city of Valencia. It can also be concluded that health promotion and disease prevention activities are rather limited in PC, while research is virtually non-existent(AU)
Subject(s)
Humans , Primary Health Care/trends , Health Promotion , Disease PreventionABSTRACT
REASONS FOR PERFORMING STUDY: The assessment of a normal range for cross-sectional area (CSA) of tendons in the tarsal region is important in order to use them as reference values in the identification of pathological changes of dimensions. OBJECTIVES: To provide normal reference values for the CSA of the tendons of the tarsus of Standardbred trotter horses (STH) by means of ultrasonography. METHODS: Transverse echographic images of the tendons were obtained at different levels proximodistally; these images were digitised and CSA values (mean ± s.d.) were obtained for each structure. RESULTS: The largest structure corresponded with the lateral digital flexor/caudal tibial tendon complex at Level 1 and the smallest was the medial digital flexor tendon at Level 4. Almost all tendons showed a slight decreasing in their CSA when crossing the tarsus. CONCLUSIONS: The normal CSA values of tendinous structures in the tarsal region of the STH are reported. These data could be used as anatomical references. POTENTIAL RELEVANCE: The establishment of reference values could serve as a tool to discriminate between normal and abnormal dimensions of tarsal tendons in STH. Other horse breeds should need their own reference values.
Subject(s)
Hindlimb/anatomy & histology , Horses/anatomy & histology , Tendons/anatomy & histology , Animals , Female , Hindlimb/diagnostic imaging , Male , Tendons/diagnostic imaging , UltrasonographyABSTRACT
Although the use of medicinal plants or natural products has increased in recent decades all over the world, little information is available on their potential risk to health. Annona crassiflora Mart., a plant commonly known as araticum in Brazil, has been widely used in folk medicine for a long time since its seeds and leaves are often utilised in the treatment of cancer, snake bites, and venereal diseases, its fruits are consumed as tonic and astringent, and its bark powder has anti-fungal and anti-rheumatic properties. To evaluate the genotoxic and mutagenic properties induced by the ethanolic extract of araticum leaves, we performed the prophage λ induction (Inductest) and bacterial mutagenicity assays. We used Escherichia coli WP2s(λ) and RJF013 strains in the lysogenic induction test, whereas the mutagenic studies were carried out using Salmonella typhimurium histidine auxotroph strains TA97a, TA98, TA100, and TA102. Each experiment was performed three times in duplicate and included positive and negative controls. No statistically significant (p > 0.05) positive results were obtained for any of the strains tested, which suggests that the ethanolic extract of araticum leaves did not exhibit direct mechanisms of genotoxicity or mutagenicity that could be detected by the tests used in the present work.
Subject(s)
Annona/chemistry , Escherichia coli/drug effects , Mutagenicity Tests/methods , Plant Extracts/toxicity , Salmonella typhimurium/drug effects , DNA Damage/drug effects , DNA Damage/genetics , Escherichia coli/genetics , Prophages/drug effects , Prophages/genetics , SOS Response, Genetics/drug effects , SOS Response, Genetics/genetics , Salmonella typhimurium/geneticsABSTRACT
This study assessed the efficacy of aglepristone at inducing parturition in pregnant goats. Six experimental groups were defined: group A-5 (n = 12), group A-3.3 (n = 12), group A-2.5 (n = 12) and group A-1.5 (n = 12) in which goats were injected SC once with 5.0, 3.3, 2.5 and 1.5 mg of aglepristone per kg body weight of goat, respectively, group L (n = 11), which was treated IM with 3.75 mg of luprostiol; and group Ct (n = 11), which was injected SC with 1 ml of saline solution. Different parameters associated with parturition were thereafter investigated. In addition, plasma progesterone concentrations were defined after treatments till parturition. Aglepristone effectively induced parturition in all of the goats. In the A-5, A-3.3 and A-2.5 groups, the time to parturition was around 30-34 h, and the majority of goats (97.2%, 35/36) started kidding between 25 and 40 h after the aglepristone injection. However, the goats in group A-1.5 showed a significantly (p < 0.01) higher time to parturition (mean: 46.8 h). Overall, the incidence of dystocia registered in aglepristone-induced goats (20.8%, 10/48) and luprostiol-induced goats was not different from that observed after a spontaneous parturition. The percentage of live kids was very similar between A-5, A-3.3, A.2.5 and L groups (95.7, 95.3, 95.0 and 96.3%, respectively) but was higher that observed in the control (83.4%) and A-1.5 (81.2%) groups. In addition, no maternal mortality was registered in any groups. No changes in plasma progesterone were observed during the first 24 h after treatment, and high plasma progesterone concentrations were present at kidding (6.7, 5.5, 4.5 and 3.6 ng/ml for groups A-5, A-3.3, A-2.5 and A-1.5, respectively), confirming that aglepristone does not induce parturition via luteolysis. This study demonstrates that aglepristone can be used to induce parturition in goats with satisfactory efficacy, inducing pregnancy termination without direct or immediate modifications of luteal function.