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1.
Sci Rep ; 9(1): 9506, 2019 Jun 26.
Article in English | MEDLINE | ID: mdl-31239448

ABSTRACT

A correction to this article has been published and is linked from the HTML version of this paper. The error has been fixed in the paper.

2.
eNeuro ; 5(4)2018.
Article in English | MEDLINE | ID: mdl-30225356

ABSTRACT

L-selectin, a lectin-like receptor on all leukocyte classes, functions in adhesive and signaling roles in the recruitment of myeloid cells from the blood to sites of inflammation. Here, we consider L-selectin as a determinant of neurological recovery in a murine model of spinal cord injury (SCI). Spinal cord-injured, L-selectin knock-out (KO) mice (male) showed improved long-term recovery with greater white matter sparing relative to wild-type (WT) mice and reduced oxidative stress in the injured cord at 72 h post-SCI. There was a partial and transient reduction in accumulation of neutrophils in the injured spinal cords of KOs at 24 h post-injury. To complement these findings with KO mice, we sought a pharmacologic means for lowering L-selectin levels. We found that diclofenac, a nonsteroidal anti-inflammatory drug (NSAID), induced the shedding of L-selectin from the cell surface of myeloid subsets, specifically neutrophils and non-classical monocytes, in the blood and the injured spinal cord. Diclofenac administration to injured WT mice enhanced neurological recovery to a level comparable to that of KOs but did not improve recovery in KOs. While diclofenac treatment had no effect on myeloid cell accumulation, there was a reduction in oxidative stress at 72 h post-SCI. These findings implicate L-selectin in secondary pathogenesis beyond a role in leukocyte recruitment and raise the possibility of repurposing diclofenac for the treatment of SCI.


Subject(s)
Anti-Inflammatory Agents, Non-Steroidal/pharmacology , Diclofenac/pharmacology , Inflammation , L-Selectin/metabolism , Leukocytes/metabolism , Myeloid Cells/metabolism , Oxidative Stress/physiology , Spinal Cord Injuries , Animals , Disease Models, Animal , Inflammation/drug therapy , Inflammation/immunology , Inflammation/metabolism , L-Selectin/drug effects , Leukocytes/drug effects , Male , Mice , Mice, Inbred C57BL , Mice, Knockout , Myeloid Cells/drug effects , Oxidative Stress/drug effects , Spinal Cord Injuries/drug therapy , Spinal Cord Injuries/immunology , Spinal Cord Injuries/metabolism
3.
Sci Rep ; 8(1): 8963, 2018 06 12.
Article in English | MEDLINE | ID: mdl-29895973

ABSTRACT

The stellate ganglia are the predominant source of sympathetic innervation to the heart. Remodeling of the nerves projecting to the heart has been observed in several cardiovascular diseases, however studies of adult stellate ganglia are limited. A profile of the baseline transcriptomic and neurochemical characteristics of the stellate ganglia in adult C57Bl6j mice, a common model for the study of cardiovascular diseases, may aid future investigations. We have generated a dataset of baseline measurements of mouse stellate ganglia using RNAseq, HPLC and mass spectrometry. Expression differences between male and female mice were identified. These differences included physiologically important genes for growth factors, receptors and ion channels. While the neurochemical profiles of male and female stellate ganglia were not different, minor differences in neurotransmitter content were identified in heart tissue.


Subject(s)
Gene Expression Profiling , Gene Expression Regulation/physiology , Sex Characteristics , Stellate Ganglion/metabolism , Animals , Brain Chemistry/physiology , Female , Male , Mice , Stellate Ganglion/cytology
4.
Scanning ; 37(6): 389-92, 2015.
Article in English | MEDLINE | ID: mdl-26011683

ABSTRACT

In this work, the influence of substrate on the morphology of ZnS thin films by chemical bath deposition is studied. The materials used were zinc acetate, tri-sodium citrate, thiourea, and ammonium hydroxide/ammonium chloride solution. The growth of ZnS thin films on different substrates showed a large variation on the surface, presenting a poor growth on SiO2 and HfO2 substrates. The thin films on ITO substrate presented a uniform and compact growth without pinholes. The optical properties showed a transmittance of about 85% in the visible range of 300-800 nm with band gap of 3.7 eV.

5.
Scanning ; 37(3): 165-71, 2015.
Article in English | MEDLINE | ID: mdl-25676058

ABSTRACT

The bimetallic nickel-tungsten catalysts were prepared via solvothermal method. The X-ray Diffractometer (XRD) analysis revealed that the corresponding peaks at 14°, 34°, and 58° were for tungsten disulfide (WS2 ) hexagonal phase. The catalysts displayed different crystalline phase with nickel addition, and as an effect the WS2 surface area decreased from 74.7 to 2.0 m(2) g(--1) . In this sense, high-resolution transmission electron microscopy (HRTEM) showed the layers set in direction (002) with an onion-like morphology, and in the center of the particles there is a large amount of nickel contained with 6-8 layers covering it. The catalytic dehydration of 2-propanol was selective to propene in 100% at 250 °C for the sample with 0.7 of atomic ratio of Ni/Ni + W.

6.
Scanning ; 36(5): 547-50, 2014.
Article in English | MEDLINE | ID: mdl-25156672

ABSTRACT

This study reports the characterization of the Tetrasphaera duodecadis bacteria and the techniques used therein. In order to evaluate the morphological characteristics of the T. duodecadis bacteria scanning electron microscope (SEM) was used throughout its different growth stages. These microorganisms were grown in vitamin B12 broths with 1% tryptone, 0.2% yeast extract, and 0.1% glucose. The turbidimetric method was employed for the determination of bacterial concentration and growth curve. The SEM results show small agglomerates of 0.8 ± 0.05 µm during the lag phase, and rod-like shapes during the exponential phase with similar shapes in the stationary phase.


Subject(s)
Actinobacteria/ultrastructure , Actinobacteria/growth & development , Biomass , Culture Media/chemistry , Microscopy, Electron, Scanning , Spectrophotometry
7.
Fisioterapia (Madr., Ed. impr.) ; 35(2): 58-65, mar.-abr. 2013. tab
Article in Spanish | IBECS | ID: ibc-110925

ABSTRACT

Introducción El trabajo demuestra que una intervención educativa en las aulas, realizada por un fisioterapeuta, reduce el peso de las mochilas que deben transportar los escolares de 8 a 10 años. Conseguir que el peso de la mochila no supere el 10-15% del peso total del alumno evita la sobrecarga de la columna vertebral y, por tanto, uno de los factores de riesgo de presentar vertebrales. Cargas superiores modifican la curvatura espinal con una percepción de aumento de esfuerzo y aparición de dolor. Material y método Diseño: tipo ensayo clínico controlado aleatorizado abierto. Emplazamiento: colegios públicos de Alcobendas y San Sebastián de los Reyes. Participantes: un total de 357 niños entre 8 y 10 años. Mediciones principales: se pesaron los niños y las mochilas escolares antes de la intervención educativa, inmediatamente después y a los 3 meses de la intervención educativa. Resultados Respecto de la variable «peso excesivo en la mochila», observamos que los niños que recibieron la intervención tienen aproximadamente 3 veces más posibilidades, tanto al terminar dicha intervención como a los 3 meses (RR=2,63 y RR=2,96, respectivamente), de conseguir tener mochilas sin peso excesivo. Respecto de la variable principal del estudio, peso medio de la mochila, la diferencia entre los 2 grupos es superior a 1kg (diferencia señalada como relevante) tanto al acabar la intervención (diferencia de medias (DM)=2,28 kg) como a los 3 meses de la misma (DM=2,24kg), (p=<0,001) en ambos casos. Conclusiones El estudio demuestra que una intervención educativa con revisión del material escolar que transportan los estudiantes de 8 a 10 años consigue una disminución de más de 1 kg del peso de sus mochilas con respecto del grupo control (medias de 2,28kg al finalizar la primera intervención). Además, demuestra que estos resultados se mantienen en el tiempo (media de 2,24kg a los 3 meses) (AU)


Introduction This work shows that classroom educational orientation provided by a physiotherapist can lead to reduction in the weight of backpacks carried by 8-10 year old schoolchildren. The purpose was to have them limit backpack weight to no more than 10-15% of the total weight of the student and avoid some of the spinal cord overload and therefore one of the risk factors of suffering back pain. Higher loads can change spinal curvature with a perception of increased effort and onset of pain. Materials and method Design: randomized, open labeled, controlled clinical trial. Location: public schools in Alcobendas and San Sebastian de los Reyes. Participants: a total of 357 children, aged 8 to 10 years. Main measurements: children and their school backpacks were weighed prior to the educational intervention, immediately after and at three months of the educational intervention. Results Regarding the study primary endpoint, average weight of the backpack, the difference between the two groups was greater than 1kg (difference considered relevant) both at the end of the intervention (difference of means (SD)=2.28kg) and at 3 months of it (SD=2.24kg) (P=<.001). Regarding the endpoint “excess weight in the backpack”, it was observed that those children who received the intervention had approximately three times more likelihood both at the end of said intervention and at 3 months (RR=2.63 and RR=2.96, respectively) of carrying backpacks without excessive weight. Conclusions The study shows educational intervention with review of school supplies transported by students aged 8 to 10 achieves a decrease of more than onekg in weight of their backpacks versus the control group (mean 2.28kg at the end of the first intervention). It also shows that these results are maintained over time (mean 2.24kg at 3 months) (AU)


Subject(s)
Humans , Male , Female , Child , Weight-Bearing , Health Education/methods , Growth Disorders/prevention & control , Evaluation of the Efficacy-Effectiveness of Interventions , School Health Services
8.
Diabetologia ; 54(6): 1480-90, 2011 Jun.
Article in English | MEDLINE | ID: mdl-21400042

ABSTRACT

AIMS: Hypoxia has been implicated as a cause of adipose tissue inflammation in obesity, although the inflammatory response of human adipose tissue to hypoxia is not well understood. The goal of this study was to define in vitro inflammatory responses of human adipose tissue to hypoxia and identify molecular mechanisms of hypoxia-induced inflammation. METHODS: The inflammatory milieu and responses of visceral (VAT) and subcutaneous (SAT) adipose tissue explants and purified stromovascular cells (SVFs) from obese and lean humans were studied in an in vitro hypoxic culture system using quantitative real-time PCR, ELISA, western blotting, immunofluorescence microscopy, flow cytometry and immunohistochemistry. RESULTS: Human adipose tissue in obesity demonstrates an increased leucocyte infiltrate that is greater in VAT than SAT and involves macrophages, T cells and natural killer (NK) cells. Hypoxic culture regulates inflammatory cytokine secretion and transcription of metabolic stress response genes in human adipose tissue SVF. Adipocyte diameter is increased and adipose tissue capillary density is decreased in obese participants. Inhibition of c-Jun terminal kinase (JNK) or p38 significantly attenuates hypoxia-induced SVF inflammatory responses. Hypoxia induces phosphorylation of p38 in adipose tissue. CONCLUSIONS: Human adipose tissue in obesity is characterised by a depot-specific inflammatory cell infiltrate that involves not only macrophages, but also T cells and NK cells. Hypoxia induces inflammatory cytokine secretion by human adipose tissue SVF, the primary source of which is adipose tissue macrophages. These data implicate p38 in the regulation of hypoxia-induced inflammation and suggest that alterations in adipocyte diameter and adipose tissue capillary density may be potential underlying causes of adipose tissue hypoxia.


Subject(s)
Cytokines/metabolism , Hypoxia/physiopathology , Intra-Abdominal Fat/metabolism , Obesity/metabolism , Subcutaneous Fat/metabolism , Thinness/metabolism , Adult , Cells, Cultured , Female , Humans , Intra-Abdominal Fat/pathology , Killer Cells, Natural/pathology , MAP Kinase Kinase 4/metabolism , Macrophages/pathology , Male , Middle Aged , Obesity/pathology , Phosphorylation , Subcutaneous Fat/pathology , T-Lymphocytes/pathology , Thinness/pathology , p38 Mitogen-Activated Protein Kinases/metabolism
9.
DNA Repair (Amst) ; 8(3): 400-12, 2009 Mar 01.
Article in English | MEDLINE | ID: mdl-19162564

ABSTRACT

Neurons of the developing brain are especially vulnerable to environmental agents that damage DNA (i.e., genotoxicants), but the mechanism is poorly understood. The focus of the present study is to demonstrate that DNA damage plays a key role in disrupting neurodevelopment. To examine this hypothesis, we compared the cytotoxic and DNA damaging properties of the methylating agents methylazoxymethanol (MAM) and dimethyl sulfate (DMS) and the mono- and bifunctional alkylating agents chloroethylamine (CEA) and nitrogen mustard (HN2), in granule cell neurons derived from the cerebellum of neonatal wild type mice and three transgenic DNA repair strains. Wild type cerebellar neurons were significantly more sensitive to the alkylating agents DMS and HN2 than neuronal cultures treated with MAM or the half-mustard CEA. Parallel studies with neuronal cultures from mice deficient in alkylguanine DNA glycosylase (Aag(-/-)) or O(6)-methylguanine methyltransferase (Mgmt(-/-)), revealed significant differences in the sensitivity of neurons to all four genotoxicants. Mgmt(-/-) neurons were more sensitive to MAM and HN2 than the other genotoxicants and wild type neurons treated with either alkylating agent. In contrast, Aag(-/-) neurons were for the most part significantly less sensitive than wild type or Mgmt(-/-) neurons to MAM and HN2. Aag(-/-) neurons were also significantly less sensitive than wild type neurons treated with either DMS or CEA. Granule cell development and motor function were also more severely disturbed by MAM and HN2 in Mgmt(-/-) mice than in comparably treated wild type mice. In contrast, cerebellar development and motor function were well preserved in MAM-treated Aag(-/-) or MGMT-overexpressing (Mgmt(Tg+)) mice, even as compared with wild type mice suggesting that AAG protein increases MAM toxicity, whereas MGMT protein decreases toxicity. Surprisingly, neuronal development and motor function were severely disturbed in Mgmt(Tg+) mice treated with HN2. Collectively, these in vitro and in vivo studies demonstrate that the type of DNA lesion and the efficiency of DNA repair are two important factors that determine the vulnerability of the developing brain to long-term injury by a genotoxicant.


Subject(s)
Alkylating Agents/toxicity , Cerebellum , DNA Repair/physiology , Animals , Cattle , Cell Survival/drug effects , Cell Survival/genetics , Cerebellum/chemistry , Cerebellum/drug effects , Cerebellum/growth & development , Chickens , DNA/chemistry , DNA/genetics , DNA Fragmentation/drug effects , DNA Glycosylases/deficiency , DNA Modification Methylases/biosynthesis , DNA Modification Methylases/deficiency , DNA Repair Enzymes/biosynthesis , DNA Repair Enzymes/deficiency , Ethylamines/toxicity , Humans , Mechlorethamine/toxicity , Methylazoxymethanol Acetate/analogs & derivatives , Methylazoxymethanol Acetate/toxicity , Mice , Motor Activity/drug effects , Neurons/chemistry , Neurons/drug effects , Sulfuric Acid Esters/toxicity , Tumor Suppressor Proteins/biosynthesis , Tumor Suppressor Proteins/deficiency
10.
J Proteome Res ; 5(10): 2656-65, 2006 Oct.
Article in English | MEDLINE | ID: mdl-17022636

ABSTRACT

The genotoxicant methylazoxymethanol (MAM) is a widely used developmental neurotoxin, and its glucoside is an etiological factor for western Pacific amyotrophic lateral sclerosis-parkinsonism-dementia complex (ALS/PDC). Identification of global protein expression changes that occur in response to MAM in the developing cerebellum could provide valuable insight into the potential mechanisms involved in the neurodegeneration process. We have utilized fluorescence 2-dimensional differential gel electrophoresis (2D-DIGE), to determine the protein expression changes that occur during normal cerebellar development and in response to MAM. Three day-old postnatal C57BL/6 mice (PND3) received a single injection of MAM, and the cerebella of postnatal day 4 (PND4) and day 22 (PND22) were analyzed. Approximately, 1400 unique spots were matched and quantified in all samples. Comparison of PND4 and PND22 developing cerebellum showed that a significant fraction of the proteome (approximately 68%) changes at this stage. The immediate response of the developing cerebellum to MAM was minimal (approximately 10%). However, significant differences (27%) were noted 14 days after MAM exposure. In contrast, the transcriptome changes were more pronounced at 24 h compared to 14 days. MAM targeted several proteins networks including transport (e.g., alpha-synuclein), cytoskeletal (e.g., beta-tubulin, vimentin), and mitochondrial (e.g., Atp5b) proteins. Immunochemistry confirmed several of the changes in protein expression (alpha-synuclein). Comparison with gene expression changes revealed that the temporal changes observed in the transcriptome and proteome are not correlative. These studies demonstrate for the first time the potential networks involved during neuronal development and neurodegenerative processes that are perturbed by MAM.


Subject(s)
Cerebellum/drug effects , Cerebellum/growth & development , Methylazoxymethanol Acetate/analogs & derivatives , Mutagens/toxicity , Proteins/metabolism , Proteomics , Animals , Animals, Newborn , Cerebellum/metabolism , Methylazoxymethanol Acetate/toxicity , Mice , Mice, Inbred C57BL , Neurodegenerative Diseases/metabolism , Proteins/analysis , Proteins/genetics
11.
DNA Repair (Amst) ; 3(6): 617-27, 2004 Jun 03.
Article in English | MEDLINE | ID: mdl-15135729

ABSTRACT

Base-excision (BER) and nucleotide-excision (NER) repair play pivotal roles in protecting the genomes of dividing cells from damage by endogenous and exogenous agents (i.e. environmental genotoxins). However, their role in protecting the genome of post-mitotic neuronal cells from genotoxin-induced damage is less clear. The present study examines the role of the BER enzyme 3-alkyladenine DNA glycosylase (AAG) and the NER protein xeroderma pigmentosum group A (XPA) in protecting cerebellar neurons and astrocytes from chloroacetaldehyde (CAA) or the alkylating agent 3-methyllexitropsin (Me-Lex), which produce ethenobases or 3-methyladenine (3-MeA), respectively. Neuronal and astrocyte cell cultures prepared from the cerebellum of wild type (C57BL/6) mice or Aag(-/-) or Xpa(-/-) mice were treated with 0.1-50 microM CAA for 24h to 7 days and examined for cell viability, DNA fragmentation (TUNEL labeling), nuclear changes, and glutathione levels. Aag(-/-) neurons were more sensitive to the acute (>20 microM) and long-term (>5 microM) effects of CAA than comparably treated wild type neurons and this sensitivity correlated with the extent of DNA fragmentation and nuclear changes. Aag(-/-) neurons were also sensitive to Me-Lex at comparable concentrations of CAA. In contrast, Xpa(-/-) neurons were more sensitive than either wild type or Aag(-/-) neurons to CAA (>10 microM), but less sensitive than Aag(-/-) neurons to Me-Lex. Astrocytes from the cerebellum of wild type, Aag(-/-) or Xpa(-/-) mice were essentially insensitive to CAA at the concentrations tested. These studies demonstrate that BER and NER are required to protect neurons from genotoxin-induced cell death.


Subject(s)
Acetaldehyde/analogs & derivatives , Adenine/analogs & derivatives , Apoptosis/drug effects , Astrocytes/drug effects , Cerebellum/drug effects , DNA Glycosylases/physiology , DNA Repair , DNA-Binding Proteins/physiology , Mutagens/toxicity , Netropsin/analogs & derivatives , Acetaldehyde/toxicity , Adenine/metabolism , Alkylating Agents/toxicity , Animals , Astrocytes/cytology , Cell Culture Techniques , DNA Glycosylases/genetics , DNA-Binding Proteins/genetics , Female , Glutathione/metabolism , In Situ Nick-End Labeling , Male , Mice , Mice, Inbred C57BL , Mice, Knockout , Netropsin/toxicity , Neurons/drug effects , Oxidation-Reduction , Xeroderma Pigmentosum Group A Protein
13.
Rev Enferm ; 20(230): 20-30, 1997 Oct.
Article in Spanish | MEDLINE | ID: mdl-9416195

ABSTRACT

There has been a considerable increase in recent years in the number of persons who suffer a spinal cord lesion, winding up either paraplegics or tetraplegics. Their quality of life depends to a large degree on the attention provided by healthcare professionals, both during their period of rehabilitation as well as later, assisting them to avoid those problems which develop. The authors propose to provide the reader with a grasp of what it means to live with a spinal cord lesion. They will comment on the alterations which develop, detailing what monitoring and care the nurse should offer for each one: state how one can avoid or solve problems related to these lesions, point out what the most frequent complications are and inform what aspects one must consider if a patient has to have surgery.


Subject(s)
Quality of Life , Rehabilitation Nursing/methods , Spinal Cord Injuries/nursing , Spinal Cord Injuries/psychology , Adult , Humans , Spinal Cord Injuries/rehabilitation
15.
Circulation ; 86(3): 741-7, 1992 Sep.
Article in English | MEDLINE | ID: mdl-1516185

ABSTRACT

BACKGROUND: In a study of normal and abnormal growth of the aorta before birth, high-resolution echocardiographic imaging of the aortic arch in 92 normal fetuses aged 16-38 weeks was used to establish normal values for aortic arch dimensions at varying gestational ages. METHODS AND RESULTS: From long-axis views of the aortic arch, the internal diameter of the aortic root, ascending aorta, transverse aortic arch, aortic isthmus, proximal descending thoracic aorta, and left common carotid artery were measured. Correlation coefficients for the diameter of each aortic arch segment when related to gestational age varied from r = 0.87 to r = 0.94 (p less than 0.001 for each), and growth curves were derived from the third and 97th percentiles around each linear regression analysis. In most of the fetuses, there was progressive tapering of the aortic arch, with the smallest diameter being at the isthmus. The ratio of the transverse aorta, isthmus, descending aorta, and aortic root to the ascending aorta remained relatively constant with gestational age, with mean values of 0.94, 0.81, 0.96, and 1.13, respectively. In five fetuses in whom a prenatal diagnosis of aortic coarctation was confirmed postnatally, transverse aortic and isthmic measurements fell on or below the third percentile for gestational age from the above data. In each case, the ratio of left common carotid artery to transverse aorta was greater than or equal to 0.73 compared with less than or equal to 0.62 for the 92 normal fetuses (mean ratios, 0.77 +/- 0.05 [SD] for coarctation versus 0.48 +/- 0.08 for normal fetuses; p less than or equal to 0.001). CONCLUSIONS: Use of normal growth curves for the developing aortic arch should facilitate the prenatal diagnosis of left heart and aortic arch abnormalities, particularly aortic coarctation, which until recently has been a difficult prenatal diagnosis to make with certainty.


Subject(s)
Aorta, Thoracic/embryology , Aortic Coarctation/diagnostic imaging , Echocardiography , Embryonic and Fetal Development , Fetus/anatomy & histology , Prenatal Diagnosis , Female , Humans , Pregnancy , Reference Values , Retrospective Studies
16.
J Am Coll Cardiol ; 18(3): 824-32, 1991 Sep.
Article in English | MEDLINE | ID: mdl-1869745

ABSTRACT

An accurate but simple and noninvasive method for quantifying flow across a ventricular septal defect has yet to be implemented for routine clinical use. A region of flow convergence is commonly imaged by Doppler color flow mapping on the left septal surface of the ventricular septal defect, appearing as a narrowed region of laminar flow with aliased flow velocities entering the orifice. If the first aliasing region represents a hemispheric isovelocity boundary of a surface of flow convergence and all flow at this surface crosses the ventricular septal defect, the flow through the defect can be estimated by using the radius (R), measured from the first alias to the orifice, and the Nyquist limit (NL) velocity (the flow velocity at the first alias). Doppler color flow imaging was performed in 18 children with a single membranous ventricular septal defect undergoing cardiac catheterization at a mean age of 29.8 months (Group I). Indexes of maximal flow rate across the defect were developed from either the radius or the area, obtained by planimetry, of the first alias, based on Doppler color flow images. All indexes were corrected for body surface area and compared with shunt flow (Qp-Qs) and pulmonary to systemic flow ratio (Qp/Qs) determined at cardiac catheterization. Doppler color flow indexes derived from images of flow convergence in both the long-axis (n = 15) and oblique four-chamber (n = 10) views correlated closely with Qp/Qs (r = 0.71 to 0.92) and Qp - Qs (r = 0.69 to 0.97).(ABSTRACT TRUNCATED AT 250 WORDS)


Subject(s)
Echocardiography, Doppler/methods , Heart Septal Defects, Ventricular/diagnostic imaging , Blood Flow Velocity/physiology , Cardiac Catheterization , Child, Preschool , Coronary Circulation/physiology , Female , Heart Septal Defects, Ventricular/physiopathology , Heart Septum/diagnostic imaging , Humans , Male
17.
Bol Med Hosp Infant Mex ; 48(4): 261-6, 1991 Apr.
Article in Spanish | MEDLINE | ID: mdl-1867747

ABSTRACT

The Pelger-Huet anomaly is a benign disorder which affects the morphology of the granulocytes and is namely inherited as an autosomic dominant trait. The frequency of this anomaly varies from country to country and in México this constitutes the sixth family reported. This is a case of a 21-month-old boy whose anomaly was detected during the study of his ferropenic anemia with which he arrived at the hospital. During the study of his nine family members, the anomaly was found to have also been present in his father. An electron microscopy study of the subject, his father's and a normal control's neutrophils was conducted. The patient's and his father's leucocyte granules were found to be normal but decreased in number. This work includes some discussion on inherited traits, their presentation, morphology, differential diagnosis and emphasizes the importance in recognizing this anomaly and the promotion of genetic counselling.


Subject(s)
Pelger-Huet Anomaly/diagnosis , Adult , Cell Nucleus/ultrastructure , Cytoplasmic Granules/ultrastructure , Diagnosis, Differential , Humans , Infant , Male , Mexico , Microscopy, Electron , Neutrophils/ultrastructure , Pedigree , Pelger-Huet Anomaly/blood , Pelger-Huet Anomaly/genetics
18.
Circulation ; 83(3): 1023-7, 1991 Mar.
Article in English | MEDLINE | ID: mdl-1999007

ABSTRACT

BACKGROUND: Recent advances in miniaturization of phased-array and mechanical ultrasound devices have resulted in exploration of alternative approaches to cardiac and vascular imaging in the form of transesophageal or intravascular imaging. Preliminary efforts in adapting phased-array endoscopes designed for transesophageal use to a transvascular approach have used full-sized phased-array devices introduced directly into the right atrium in open-chested animals. The purpose of this study was to assess the feasibility of using a custom-made, very small phased-array endoscope for intracardiac imaging introduced intravascularly through a jugular venous approach in young piglets. METHODS AND RESULTS: Experimental atrial septal defects created in four piglets (3-4 weeks old) had been closed with a buttoned atrial septal defect closure device consisting of an occluder in the left atrium and a counteroccluder in the right atrium. Five to 15 days after atrial septal defect closure, the piglets were returned to the experimental laboratory, where a 6.3-mm, 17-element, 5-MHz phased-array probe mounted on a 4-mm endoscope was introduced through a cutdown incision of the external jugular vein and advanced to the right atrium. From the right atrium all four cardiac chambers, their inflows and outflows, and all four valves were well imaged with minimal superior and inferior rotation. High-resolution imaging of the atrial septum defined with anatomical accuracy, later verified by autopsy, the exact placement of both the occluder and counteroccluder in the left and right sides of the atrial septal defects and the absence of any shunting across the atrial septum in any of the four animals. CONCLUSIONS: Our efforts indicate that transvascular passage of small phased-array probes can be easily accomplished and is a promising technique for detailed visualization of cardiac structures. This approach may provide an alternative to transesophageal echocardiography, particularly for guiding interventional procedures such as placement of transcatheter closure devices in pediatric patients.


Subject(s)
Echocardiography/instrumentation , Endoscopes , Animals , Feasibility Studies , Heart Atria/diagnostic imaging , Heart Septal Defects, Atrial/diagnostic imaging , Miniaturization , Swine
20.
J Am Coll Cardiol ; 11(3): 659-61, 1988 Mar.
Article in English | MEDLINE | ID: mdl-3343468

ABSTRACT

Anomalous origin of the left coronary artery from the pulmonary artery is a rare but important cause of congestive heart failure in infancy and of sudden death at all ages. Diagnosis is often missed when based solely on physical examination and noninvasive methods. A 4 year old patient is presented in whom mitral regurgitation was noted by a referring physician and an anomalous left coronary artery was found by Doppler color flow mapping upon referral and verified at cardiac catheterization. Doppler color flow mapping was also used intraoperatively using a gas-sterilized transducer to further clarify the hemodynamics and assess the surgical result. After creation of an intrapulmonary artery tunnel from the ostium of the left coronary artery to the aorta, anterograde coronary artery flow and absence of a residual left to right pulmonary artery shunt were verified during surgery by Doppler flow mapping. Postoperatively, residual mitral regurgitation and patency of the left coronary artery graft have been followed up serially by Doppler flow mapping. Therefore, Doppler color flow mapping is useful in the diagnosis and intraoperative and postoperative management of this important and potentially life-threatening abnormality.


Subject(s)
Coronary Vessel Anomalies/diagnosis , Echocardiography/methods , Pulmonary Artery/abnormalities , Blood Vessel Prosthesis , Cardiac Catheterization , Child, Preschool , Color , Coronary Circulation , Coronary Vessel Anomalies/surgery , Female , Humans , Pulmonary Artery/surgery
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