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1.
Sensors (Basel) ; 24(12)2024 Jun 12.
Article in English | MEDLINE | ID: mdl-38931591

ABSTRACT

In recent years, there has been a growing interest in developing portable and personal devices for measuring air quality and surrounding pollutants, partly due to the need for ventilation in the aftermath of COVID-19 situation. Moreover, the monitoring of hazardous chemical agents is a focus for ensuring compliance with safety standards and is an indispensable component in safeguarding human welfare. Air quality measurement is conducted by public institutions with high precision but costly equipment, which requires constant calibration and maintenance by highly qualified personnel for its proper operation. Such devices, used as reference stations, have a low spatial resolution since, due to their high cost, they are usually located in a few fixed places in the city or region to be studied. However, they also have a low temporal resolution, providing few samples per hour. To overcome these drawbacks and to provide people with personalized and up-to-date air quality information, a personal device (smartwatch) based on MEMS gas sensors has been developed. The methodology followed to validate the performance of the prototype was as follows: firstly, the detection capability was tested by measuring carbon dioxide and methane at different concentrations, resulting in low detection limits; secondly, several experiments were performed to test the discrimination capability against gases such as toluene, xylene, and ethylbenzene. principal component analysis of the data showed good separation and discrimination between the gases measured.


Subject(s)
COVID-19 , Carbon Dioxide , Environmental Monitoring , Environmental Monitoring/instrumentation , Environmental Monitoring/methods , Humans , Carbon Dioxide/analysis , Air Pollutants/analysis , Air Pollution/analysis , Gases/analysis , SARS-CoV-2/isolation & purification , Methane/analysis
2.
Micromachines (Basel) ; 14(9)2023 Sep 12.
Article in English | MEDLINE | ID: mdl-37763924

ABSTRACT

Insufficient control of tomato ripening before harvesting and infection by fungal pests produce large economic losses in world tomato production. Aroma is an indicative parameter of the state of maturity and quality of the tomato. This study aimed to design an electronic system (TOMATO-NOSE) consisting of an array of 12 electrochemical sensors, commercial metal oxide semiconductor sensors, an optical camera for a lateral flow reader, and a smartphone application for device control and data storage. The system was used with tomatoes in different states of ripeness and health, as well as tomatoes infected with Botrytis cinerea. The results obtained through principal component analysis of the olfactory pattern of tomatoes and the reader images show that TOMATO-NOSE is a good tool for the farmer to control tomato ripeness before harvesting and for the early detection of Botrytis cinerea.

3.
Chemosphere ; 307(Pt 3): 135948, 2022 Nov.
Article in English | MEDLINE | ID: mdl-35963375

ABSTRACT

Breathing poor-quality air is a global threat at the same level as unhealthy diets or tobacco smoking, so the availability of affordable instrument for the measurement of air pollutant levels is highly relevant for human and environmental protection. We developed an air quality monitoring platform that comprises a wearable device embedding low-cost metal oxide semiconductor (MOS) gas sensors, a PM sensor, and a smartphone for collecting the data using Bluetooth Low Energy (BLE) communication. Our own developed app displays information about the air surrounding the user and sends the gathered geolocalized data to a cloud, where the users can map the air quality levels measured in the network. The resulting device is small-sized, light-weighted, compact, and belt-worn, with a user-friendly interface and a low cost. The data collected by the sensor array are validated in two experimental setups, first in laboratory-controlled conditions and then against referential pollutant concentrations measured by standard instruments in an outdoor environment. The performance of our air quality platform was tested in a field testing campaign in Barcelona with six moving devices acting as wireless sensor nodes. Devices were trained by means of machine learning algorithms to differentiate between air quality index (AQI) referential concentration values (97% success in the laboratory, 82.3% success in the field). Humidity correction was applied to all data.


Subject(s)
Air Pollutants , Air Pollution , Wearable Electronic Devices , Air Pollutants/analysis , Air Pollution/analysis , Cloud Computing , Environmental Monitoring/methods , Humans , Oxides
4.
Molecules ; 27(13)2022 Jul 04.
Article in English | MEDLINE | ID: mdl-35807543

ABSTRACT

Spanish-style table olives are one of the most common processed foods in the Mediterranean countries. Lack of control during fermentation can lead to one of the main defects of the olive, called 'Zapateria', caused by the combination of volatile fatty acids reminiscent of rotten leather. In this study, table olives altered with 'Zapateria' defect were stuffed with a hydrocolloid flavoured with the aroma 'Mojo picón' to improve consumer acceptance. Sensory analysis, determination of volatile compounds and electronic nose (E-nose) were used to evaluate the quality of the olives. The control samples had a high concentration of the defect 'Zapateria' and were classified in the second commercial category, while higher 'Mojo picón' flavour concentrations resulted in these olives being classified as 'extra category' (a masking effect). The main volatile compounds in olives with 'Zapateria' defect were cyclohexanecarboxylic acid and pentanoic acid. E-nose allowed discrimination between stuffed olives without added flavouring and olives with 'Mojo picón' flavouring at different concentrations. Finally, PLS regression allowed a predictive linear model to be established between E-nose and sensory analysis values. The RP2 values were 0.74 for perceived defect and 0.86 for perceived aroma. The E-nose was successfully applied for the first time to classify Spanish-style table olives with 'Zapateria' defect intensity and with the addition of the 'Mojo picón' aroma masking the defect.


Subject(s)
Olea , Electronic Nose , Flavoring Agents/analysis , Odorants/analysis , Taste
5.
Sensors (Basel) ; 22(9)2022 Apr 30.
Article in English | MEDLINE | ID: mdl-35591143

ABSTRACT

2,4,6-trichloroanisole (TCA) is mainly responsible for cork taint in wine, which causes significant economic losses; therefore, the wine and cork industries demand an immediate, economic, noninvasive and on-the-spot solution. In this work, we present a novel prototype of an electronic nose (e-nose) using an array of digital and analog metal-oxide gas sensors with a total of 31 signals, capable of detecting TCA, and classifying cork samples with low TCA concentrations (≤15.1 ng/L). The results show that the device responds to low concentrations of TCA in laboratory conditions. It also differentiates among the inner and outer layers of cork bark (81.5% success) and distinguishes among six different samples of granulated cork (83.3% success). Finally, the device can predict the concentration of a new sample within a ±10% error margin.


Subject(s)
Electronic Nose , Wine , Anisoles/analysis , Wine/analysis
6.
Sensors (Basel) ; 22(3)2022 Feb 08.
Article in English | MEDLINE | ID: mdl-35162017

ABSTRACT

We present a device based on low-cost electrochemical and optical sensors, designed to be attached to bicycle handlebars, with the aim of monitoring the air quality in urban environments. The system has three electrochemical sensors for measuring NO2 and O3 and an optical particle-matter (PM) sensor for PM2.5 and PM10 concentrations. The electronic instrumentation was home-developed for this application. To ensure a constant air flow, the input fan of the particle sensor is used as an air supply pump to the rest of the sensors. Eight identical devices were built; two were collocated in parallel with a reference urban-air-quality-monitoring station and calibrated using a neural network (R2 > 0.83). Several bicycle routes were carried out throughout the city of Badajoz (Spain) to allow the device to be tested in real field conditions. An air-quality index was calculated to facilitate the user's understanding. The results show that this index provides data on the spatiotemporal variability of pollutants between the central and peripheral areas, including changes between weekdays and weekends and between different times of the day, thus providing valuable information for citizens through a dedicated cloud-based data platform.


Subject(s)
Air Pollutants , Air Pollution , Air Pollutants/analysis , Air Pollution/analysis , Bicycling , Environmental Monitoring , Particulate Matter/analysis
7.
J Sci Food Agric ; 102(6): 2232-2241, 2022 Apr.
Article in English | MEDLINE | ID: mdl-34622476

ABSTRACT

BACKGROUND: Olive oil continues to be the main destination for olives. The production of table olives is increasing. 'Californian-style' processes are among the most frequently employed to produce oxidized olives. Sensory evaluation requires the development of an instrumental detection method that can be used as an adjunct to traditional tasting panels. RESULTS: An electronic nose (E-nose) was used to classify two varieties of olives following exposure to different sterilization. Principal component analysis (PCA) revealed that both varieties had different volatile profiles. Sensory panel evaluations were similar for both. Partial least squares-discriminant analysis (PLS-DA) obtained from the E-nose was able to separate the two varieties and explained 82% of total variance. Moreover, volatile profiles correctly classified olives according to sterilization times recorded up to 121 °C . The only exception was at F0 ≥ 22 min, at which a plot of PCA outcomes failed to differentiate scores. E-nose data showed similar results to those produced from the volatile analysis when grouping samples were sterilized to F0 ≥ 18 min, at the same time distinguishing these samples from those subjected to less intense thermal treatments. A partial least squares (PLS) chemometric approach was evaluated for quantifying important olive quality parameters. With regards to validation parameters, R P 2 pertaining to perceived defect was 0.88, whilst R P 2 pertaining to overall assessment was 0.78. CONCLUSIONS: E-nose offers a fast, inexpensive and non-destructive method for discriminating between varieties and thermal treatments up to a point at which cooking defects are highly similar (from F0  = 18 onwards). © 2021 Society of Chemical Industry.


Subject(s)
Electronic Nose , Olea , Least-Squares Analysis , Olive Oil/analysis , Sterilization
8.
Foods ; 10(12)2021 Dec 02.
Article in English | MEDLINE | ID: mdl-34945524

ABSTRACT

Californian-style black olives require a sterilization treatment that produces a carcinogenic contaminant, acrylamide. Thus, this compound was evaluated in two different olive cultivars using an electronic nose (E-nose). The sterilization intensity had a significant influence on the final phenol concentrations, acrylamide content, and volatile compounds. Increasing the sterilization intensity from 10 to 26 min (F0) reduced the phenol content, but it promoted acrylamide synthesis, leading to a wide range of this toxic substance. The Ester and phenol groups of volatile compounds decreased their content when the sterilization treatment increased; however, aldehyde and other volatile compound groups significantly increased their contents according to the thermal treatments. The compounds 4-ethenyl-pyridine, benzaldehyde, and 2,4-dimethyl-hexane are volatile compounds with unpleasant odours and demonstrated a high amount of influence on the differences found after the application of the thermal treatments. The "Manzanilla Cacereña" variety presented the highest amount of phenolic compounds and the lowest acrylamide content. Finally, it was found that acrylamide content is correlated with volatile compounds, which was determined using multiple linear regression analysis (R2 = 0.9994). Furthermore, the aroma of table olives was analysed using an E-nose, and these results combined with Partial Least Square (PLS) were shown to be an accurate method (range to error ratio (RER) >10 and ratio of performance to deviation (RPD) >2.5) for the indirect quantification of this toxic substance.

9.
Sensors (Basel) ; 21(18)2021 Sep 16.
Article in English | MEDLINE | ID: mdl-34577435

ABSTRACT

This paper presents a portable device for outdoor air quality measurement that provides concentration values for the main pollutants: NO2, NO, CO, O3, PM2.5 and PM10, and other values such as temperature, humidity, location, and date. The device is based on the use of commercial electrochemical gas and optical particle matter sensors with a careful design of the electronics for reducing the electrical noise and increasing the accuracy of the measurements. The result is a low-cost system with IoT technology that connects to the Internet through a GSM module and sends all real-time data to a cloud platform with storage and computational potential. Two identical devices were fabricated and installed on a mobile reference measurement unit and deployed in Badajoz, Spain. The results of a two-month field campaign are presented and published. Data obtained from these measurements were calibrated using linear regression and neural network techniques. Good performance has been achieved for both gaseous pollutants (with a Pearson correlation coefficient of up to 0.97) and PM sensors.

10.
Molecules ; 26(17)2021 Sep 02.
Article in English | MEDLINE | ID: mdl-34500786

ABSTRACT

Current legislation in Spain indicates that table olives must be free of off-odors and off-flavors and without symptoms of ongoing alteration or abnormal fermentations. In this regard, the International Olive Council (IOC) has developed a protocol for the sensory classification of table olives according to the intensity of the predominantly perceived defect (PPD). An electronic nose (e-nose) was used to assess the abnormal fermentation defects of Spanish-style table olives that were previously classified by a tasting panel according to the IOC protocol, namely zapateria, butyric, putrid, and musty or humidity. When olives with different defects were mixed, the putrid defect had the greatest sensory impact on the others, while the butyric defect had the least sensory dominance. A total of 49 volatile compounds were identified by gas chromatography, and each defect was characterized by a specific profile. The e-nose data were analyzed using principal component analysis (PCA) and partial least square discriminant analysis (PLS-DA). The different defects were clearly separated from each other and from the control treatment, independently of PPD intensity. Moreover, the e-nose differentiated control olives from table olives with combined sensory defects despite the dilution effect resulting from the combination. These results demonstrate that e-nose can be used as an olfactory sensor for the organoleptic classification of table olives and can successfully support the tasting panel.


Subject(s)
Electronic Nose , Fermentation , Olea/metabolism , Humans , Spain
11.
Rev Med Chil ; 149(3): 399-408, 2021 Mar.
Article in Spanish | MEDLINE | ID: mdl-34479319

ABSTRACT

Parathyroid carcinoma is a rare malignant disease that presents as a sporadic or familial primary hyperparathyroidism (PHP). The latter is associated with some genetic syndromes. It occurs with equal frequency in both sexes, unlike PHP caused by parathyroid adenoma that is more common in women. It should be suspected in cases of severe hypercalcemia, with high parathyroid hormone levels and a palpable cervical mass. Given the difficulty in distinguishing between parathyroid carcinoma and adenoma prior to the surgery, the diagnosis is often made after parathyroidectomy. The only curative treatment is complete surgical resection with oncologic block resection of the primary tumor to ensure free margins. Adjuvant therapies with chemotherapy or radiation therapy do not modify overall or disease-free survival. Recurrences are common and re-operation of resectable recurrent disease is recommended. The palliative treatment of symptomatic hypercalcemia is crucial in persistent or recurrent disease after surgery since morbidity and mortality are more associated with hypercalcemia than with tumor burden.


Subject(s)
Hypercalcemia , Hyperparathyroidism, Primary , Parathyroid Neoplasms , Female , Humans , Hypercalcemia/etiology , Male , Neoplasm Recurrence, Local , Parathyroid Hormone , Parathyroid Neoplasms/diagnosis , Parathyroid Neoplasms/surgery , Parathyroidectomy
12.
Rev. méd. Chile ; 149(3): 399-408, mar. 2021. tab, ilus
Article in Spanish | LILACS | ID: biblio-1389472

ABSTRACT

Parathyroid carcinoma is a rare malignant disease that presents as a sporadic or familial primary hyperparathyroidism (PHP). The latter is associated with some genetic syndromes. It occurs with equal frequency in both sexes, unlike PHP caused by parathyroid adenoma that is more common in women. It should be suspected in cases of severe hypercalcemia, with high parathyroid hormone levels and a palpable cervical mass. Given the difficulty in distinguishing between parathyroid carcinoma and adenoma prior to the surgery, the diagnosis is often made after parathyroidectomy. The only curative treatment is complete surgical resection with oncologic block resection of the primary tumor to ensure free margins. Adjuvant therapies with chemotherapy or radiation therapy do not modify overall or disease-free survival. Recurrences are common and re-operation of resectable recurrent disease is recommended. The palliative treatment of symptomatic hypercalcemia is crucial in persistent or recurrent disease after surgery since morbidity and mortality are more associated with hypercalcemia than with tumor burden.


Subject(s)
Humans , Male , Female , Parathyroid Neoplasms/surgery , Parathyroid Neoplasms/diagnosis , Hyperparathyroidism, Primary , Hypercalcemia/etiology , Parathyroid Hormone , Parathyroidectomy , Neoplasm Recurrence, Local
13.
Sensors (Basel) ; 20(3)2020 Jan 31.
Article in English | MEDLINE | ID: mdl-32023974

ABSTRACT

This paper introduces a miniaturized personal electronic nose (39 mm × 33 mm), which is managed through an app developed on a smartphone. The electronic nose (e-nose) incorporates four new generation digital gas sensors. These MOx-type sensors incorporate a microcontroller in the same package, being also smaller than the previous generation. This makes it easier to integrate them into the electronics and improves their performance. In this research, the application of the device is focused on the detection of atmospheric pollutants in order to complement the information provided by the reference stations. To validate the system, it has been tested with different concentrations of NOx including some tests specifically developed to study the behavior of the device in different humidity conditions. Finally, a mobile application has been developed to provide classification services. In this regard, a neural network has been developed, trained, and integrated into a smartphone to process the information retrieved from e-nose devices.

14.
Thyroid ; 30(5): 704-712, 2020 05.
Article in English | MEDLINE | ID: mdl-31910118

ABSTRACT

Background: Although most thyroid nodules with indeterminate cytology are benign, in most of the world, surgery remains as the most frequent diagnostic approach. We have previously reported a 10-gene thyroid genetic classifier, which accurately predicts benign thyroid nodules. The assay is a prototype diagnostic kit suitable for reference laboratory testing and could potentially avoid unnecessary diagnostic surgery in patients with indeterminate thyroid cytology. Methods: Classifier performance was tested in two independent, ethnically diverse, prospective multicenter trials (TGCT-1/Chile and TGCT-2/USA). A total of 4061 fine-needle aspirations were collected from 15 institutions, of which 897 (22%) were called indeterminate. The clinical site was blind to the classifier score and the clinical laboratory blind to the pathology report. A matched surgical pathology and valid classifier score was available for 270 samples. Results: Cohorts showed significant differences, including (i) clinical site patient source (academic, 43% and 97% for TGCT-1 and -2, respectively); (ii) ethnic diversity, with a greater proportion of the Hispanic population (40% vs. 3%) for TGCT-1 and a greater proportion of African American (11% vs. 0%) and Asian (10% vs. 1%) populations for TGCT-2; and (iii) tumor size (mean of 1.7 and 2.5 cm for TGCT-1 and -2, respectively). Overall, there were no differences in the histopathological profile between cohorts. Forty-one of 155 and 45 of 115 nodules were malignant (cancer prevalence of 26% and 39% for TGCT-1 and -2, respectively). The classifier predicted 37 of 41 and 41 of 45 malignant nodules, yielding a sensitivity of 90% [95% confidence interval; CI 77-97] and 91% [95% CI 79-98] for TGCT-1 and -2, respectively. One hundred one of 114 and 61 of 70 nodules were correctly predicted as benign, yielding a specificity of 89% [95% CI 82-94] and 87% [95% CI 77-94], respectively. The negative predictive values for TGCT-1 and TGCT-2 were 96% and 94%, respectively, whereas the positive predictive values were 74% and 82%, respectively. The overall accuracy for both cohorts was 89%. Conclusions: Clinical validation of the classifier demonstrates equivalent performance in two independent and ethnically diverse cohorts, accurately predicting benign thyroid nodules that can undergo surveillance as an alternative to diagnostic surgery.


Subject(s)
Thyroid Gland/pathology , Thyroid Neoplasms/genetics , Thyroid Nodule/genetics , Adolescent , Adult , Aged , Aged, 80 and over , Biopsy, Fine-Needle , Cytodiagnosis , Female , Humans , Male , Middle Aged , Prospective Studies , Sensitivity and Specificity , Thyroid Neoplasms/pathology , Thyroid Nodule/pathology , Young Adult
15.
Foods ; 8(9)2019 Sep 14.
Article in English | MEDLINE | ID: mdl-31540071

ABSTRACT

This work aims to advance understanding of the differentiation of mushroom species through electronic devices that use sensors of various technologies and techniques for pattern recognition, comparing mainly volatile substances that emanate from them. In this first phase, the capacity of human olfaction to differentiate between the smell released by different wild mushrooms of the genus Amanita was analyzed by means of a triangular sensory test, comparing later the data to those obtained for the same samples with an electronic nose in a similar test. The results, still very preliminary, encourage imagining the wide application that these techniques will have and the feedback that this application can suppose for the training of the sense of human olfaction.

16.
Sensors (Basel) ; 19(3)2019 Feb 08.
Article in English | MEDLINE | ID: mdl-30744013

ABSTRACT

Low-cost air pollution wireless sensors are emerging in densely distributed networks that provide more spatial resolution than typical traditional systems for monitoring ambient air quality. This paper presents an air quality measurement system that is composed of a distributed sensor network connected to a cloud system forming a wireless sensor network (WSN). Sensor nodes are based on low-power ZigBee motes, and transmit field measurement data to the cloud through a gateway. An optimized cloud computing system has been implemented to store, monitor, process, and visualize the data received from the sensor network. Data processing and analysis is performed in the cloud by applying artificial intelligence techniques to optimize the detection of compounds and contaminants. This proposed system is a low-cost, low-size, and low-power consumption method that can greatly enhance the efficiency of air quality measurements, since a great number of nodes could be deployed and provide relevant information for air quality distribution in different areas. Finally, a laboratory case study demonstrates the applicability of the proposed system for the detection of some common volatile organic compounds, including: benzene, toluene, ethylbenzene, and xylene. Principal component analysis, a multilayer perceptron with backpropagation learning algorithm, and support vector machine have been applied for data processing. The results obtained suggest good performance in discriminating and quantifying the concentration of the volatile organic compounds.

17.
Chemosphere ; 205: 618-626, 2018 Aug.
Article in English | MEDLINE | ID: mdl-29715676

ABSTRACT

This study addresses the development of a miniaturized (60 × 60 mm) Wireless Sensing Module (WSM) for environmental application and air quality detection. The proposed prototype has six sensors: one for humidity, one for ambient temperature (SHT21 from Sensirion), and four for gas detection (MiCS-4514, MiCS-5526 and MiCS-5914 from SGX Sensortech). The core of the system is based on a high performance 8-bit microcontroller, model PIC18F46K80, from Microchip. The obtained data values were transmitted to the Smartphone through a Bluetooth communication module and a home-developed Android app. The discrimination capability of the module is tested with 10 volatile organic compounds (acetone, acetic acid, benzene, ethanol, ethyl acetate, ethylbenzene, formaldehyde, toluene, xylene, and dimethylacetamide) and the effect of humidity and drift of the sensors is also studied. Results show that 88.33% and 92.22% success rates in classification stage are obtained using Multilayer Perceptron with BackPropagation Learning algorithm and Radial-Basis based Neural Networks, respectively.


Subject(s)
Air Pollution/analysis , Environmental Monitoring/methods , Gases/analysis , Neural Networks, Computer , Smartphone/standards , Acetone , Algorithms , Benzene/analysis , Environmental Monitoring/instrumentation , Formaldehyde , Toluene/analysis , Xylenes
18.
Rev. chil. endocrinol. diabetes ; 10(4): 157-159, oct. 2017. ilus
Article in Spanish | LILACS | ID: biblio-999054

ABSTRACT

Anaplastic thyroid cancer is an uncommon malignant tumor, usually fatal, primarily affecting older adults and doesn't have effective systemic therapy. The median survival is less than 6 months from diagnosis. Brain metastases are low frequency and reach 18 percent. We present the case of a patient with papillary carcinoma of the thyroid who takes an aggressive form, becoming anaplastic carcinoma, with involvement of the central nervous system (CNS) manifested by paralysis of the cranial nerve IV, which is rare clinical condition.


Subject(s)
Humans , Thyroid Neoplasms/diagnosis , Thyroid Carcinoma, Anaplastic/diagnosis , Thyroidectomy , Biopsy , Thyroid Neoplasms/surgery , Thyroid Neoplasms/pathology , Thyroid Neoplasms/diagnostic imaging , Tomography, X-Ray Computed , Fatal Outcome , Cavernous Sinus Thrombosis/etiology , Thyroid Carcinoma, Anaplastic/surgery , Thyroid Carcinoma, Anaplastic/pathology , Thyroid Carcinoma, Anaplastic/diagnostic imaging
19.
Clin Interv Aging ; 12: 995-1001, 2017.
Article in English | MEDLINE | ID: mdl-28721027

ABSTRACT

BACKGROUND: Age-associated brain physiologic decline and reduced mobility are key elements of increased age-associated vulnerability. OBJECTIVE: To study the frequency of frailty phenotype and its association with mental health and survival in older Chileans. METHODS: Follow-up of ALEXANDROS cohorts designed to study disability associated with obesity in community-dwelling people 60 years and older living in Santiago, Chile. At baseline, 2,098 (67% women) of 2,372 participants had the necessary measurements for the identification of the frailty phenotype: weak handgrip dynamometry, unintentional weight loss, fatigue/exhaustion, five chair-stands/slow walking speed and difficulty walking (low physical activity). After 10-15 years, 1,298 people were evaluated and 373 had died. Information regarding deaths was available for the whole sample. RESULTS: The prevalence of frailty at baseline (≥3 criteria) in the whole sample was 13.9% (women 16.4%; men 8.7%) and the pre-frailty prevalence (1-2 criteria) was 63.8% (65.0% vs 61.4%), respectively. Frailty was associated with cognitive impairment (frail 48.1%; pre-frail 21.7%; nonfrail 20.5%, P<0.001) and depression (frail 55.1%; pre-frail 27.3%; nonfrail 18.8%, P<0.001). Logistic regression models for frailty adjusted for sex and age showed a strong association between frailty and mild cognitive impairment (MCI) (odds ratio [OR] =3.93; 95% CI: 1.41-10.92). Furthermore, an important association was found for depression and frailty (OR =2.36; 95% CI 1.82-3.06). Age- and sex-adjusted hazard ratios (HRs) for death showed an increased risk with increasing frailty: pre-frail HR =1.56 (95% CI: 1.07-2.29), frail HR =1.91 (95% CI: 1.15-3.19); after adjustment by age and sex, a higher risk of death was observed for people identified as frail (HR =1.56, P=0.014) and pre-frail (HR =1.30, P=0.065). MCI and dementia were also risk factors for death (MCI: HR =1.69, P<0.027; dementia: HR =1.66, P=0.016). CONCLUSION: Frailty is highly prevalent and strongly associated with cognitive impairment and depression in older Chileans. The risk for death was higher for frail people, but underlying cognitive impairment is a key component of the lower survival rate.


Subject(s)
Cognitive Dysfunction/epidemiology , Frail Elderly/statistics & numerical data , Frailty/epidemiology , Aged , Aged, 80 and over , Chile/epidemiology , Fatigue/epidemiology , Female , Geriatric Assessment , Hand Strength , Humans , Logistic Models , Male , Middle Aged , Mobility Limitation , Obesity/epidemiology , Odds Ratio , Prevalence , Risk Factors
20.
Rev. chil. endocrinol. diabetes ; 10(3): 103-106, jul. 2017. ilus, tab
Article in Spanish | LILACS | ID: biblio-998990

ABSTRACT

The lingual thyroid carcinoma is very uncommon neoplasia with an incidence of less than 1 percent. The papillary variant is the most frequent. Cervical MRI helps differentiate muscle from thyroid tissue. The definitive diagnosis is given by histology. Management is similar to that of orthotopic thyroid cancer. We present the case of a 23-year-old woman with hypothyroidism undergoing treatment with dysphagia and sensation of pharyngeal foreign body and malodorous oral bleeding. Nasopharyngoscopy showed a rounded mass at the base of the tongue; the biopsy was compatible with thyroid neoplasia. Image study with ultrasound confirms empty thyroid bed with presence of lingual ectopic thyroid. The team of surgeons performed surgery with Trotter Technique, they removed a tumor of 4 centimeters of diameter. The definitive biopsy concludes minimally invasive follicular carcinoma. The treatment was completed with 100 mCi of radioiodine. Systemic screening at 7 days was negative, as the post-operative thyroglobulin (Tg)


Subject(s)
Humans , Female , Young Adult , Thyroid Neoplasms/diagnosis , Thyroid Neoplasms/pathology , Tongue Neoplasms/diagnosis , Tongue Neoplasms/pathology , Carcinoma, Papillary, Follicular/diagnosis , Carcinoma, Papillary, Follicular/pathology , Thyroid Neoplasms/surgery , Tongue Neoplasms/surgery , Carcinoma, Papillary, Follicular/surgery , Lingual Thyroid
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