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1.
J Mater Chem B ; 11(46): 11110-11120, 2023 11 29.
Artículo en Inglés | MEDLINE | ID: mdl-37947078

RESUMEN

Superparamagnetic iron oxide nanoparticles have hogged the limelight in different fields of nanotechnology. Surprisingly, notwithstanding the prominent role played as agents in magnetic hyperthermia treatments, the effects of nanoparticle size and shape on the magnetic hyperthermia performance have not been entirely elucidated yet. Here, spherical or cubical magnetic nanoparticles synthesized by a thermal decomposition method with the same magnetic and hyperthermia properties are evaluated. Interestingly, spherical nanoparticles displayed significantly higher magnetic relaxivity than cubic nanoparticles; however, comparable differences were not observed in specific absorption rate (SAR), pointing out the need for additional research to better understand the connection between these two parameters. Additionally, the as-synthetized spherical nanoparticles showed negligible cytotoxicity and, therefore, were tested in vivo in tumor-bearing mice. Following intratumoral administration of these spherical nanoparticles and a single exposure to alternating magnetic fields (AMF) closely mimicking clinical conditions, a significant delay in tumor growth was observed. Although further in vivo experiments are warranted to optimize the magnetic hyperthermia conditions, our findings support the great potential of these nanoparticles as magnetic hyperthermia mediators for tumor therapy.


Asunto(s)
Hipertermia Inducida , Neoplasias , Ratones , Animales , Hipertermia Inducida/métodos , Campos Magnéticos , Neoplasias/diagnóstico por imagen , Neoplasias/terapia , Nanopartículas Magnéticas de Óxido de Hierro , Imagen por Resonancia Magnética
2.
Environ Res ; 220: 115124, 2023 03 01.
Artículo en Inglés | MEDLINE | ID: mdl-36563982

RESUMEN

Biogeochemical processes govern the transport and availability of arsenic in sediments. However, little is known about the transition from indigenous communities to cultivable consortia when exposed to high arsenic concentrations. Such cultivable communities could be exploited for arsenic bioremediation of waste streams and polluted sites. Thus, it is crucial to understand the dynamics and selective pressures that shape the communities during the development of customized bacterial consortia. First, from the arsenic partitioning of two sediments with high arsenic concentrations, we found that up to 55% of arsenic was bioavailable because it was associated with the soluble, carbonate, and ionically exchangeable fractions. Next, we prepared sediment enrichment cultures under arsenate- and sulfate-reducing conditions to precipitate arsenic sulfide biominerals and analyze the communities. The produced biominerals were used as the inoculum to develop bacterial consortia via successive transfers. Tracking of the 16S rRNA gene in the fresh sediments, sediment enrichments, biogenic minerals, and bacterial consortia revealed differences in the bacterial communities. Removing the sediment caused a substantial decrease in diversity and shifts toward the dominance of the Firmicutes phylum to the detriment of Proteobacteria. In agreement with the 16S rRNA gene results, the sequencing of the arrA gene confirmed the presence of phylotypes closely related to Desulfosporosinus sp. Y5 (100% similarity), highlighting the pivotal role of this genus in the removal of soluble arsenic. Here, we demonstrated for the first time that besides being important as arsenic sinks, the biogenic arsenic sulfide minerals are reservoirs of arsenic resistant/respiring bacteria and can be used to culture them.


Asunto(s)
Arsénico , Contaminantes Químicos del Agua , ARN Ribosómico 16S/genética , Contaminantes Químicos del Agua/análisis , Bacterias/genética , Sulfuros , Sedimentos Geológicos
3.
Econ Dev Q ; 37(2): 183-197, 2023 May.
Artículo en Inglés | MEDLINE | ID: mdl-38602933

RESUMEN

The COVID-19 pandemic may have spurred automation, especially in critical occupations. This article explores the potential of each detailed Standard Occupational Classification System (SOC) occupation being automated due to COVID-19. The authors explore two key elements of each occupation: its exposure to diseases such as COVID-19 and the probability of that occupation being automated. The results reveal that food preparation, service, and cleaning-related occupations have a higher chance of pandemic-induced automation. Using monthly U.S. job postings from 2016 to 2021, the estimates show that the potential pandemic-induced automation is associated with a statistically significant decrease in job postings. A higher Automation Index is associated with fewer job postings since the pandemic. Such trends remain robust after accounting for posting duration and excluding health-related occupations. These findings contribute to the early assessment of the impact of COVID-19 on the potential integration of automation in the labor force and offer insights into building a resilient and labor-centric post-pandemic labor market.

4.
Toxics ; 9(11)2021 Nov 15.
Artículo en Inglés | MEDLINE | ID: mdl-34822698

RESUMEN

Mine wastes from the La Aurora mine in the state of Guanajuato were generated by the flotation process and placed in four tailing dumps on the local stream while the plant operated. Given that these wastes contain toxic elements, it is important to establish their impact on the quality of several surrounding natural sources of water that are considered potential drinking water supplies. This study identified four water source types, in which the contents of arsenic (As), mercury (Hg), and thallium (Tl) were exceeded, according to international guideline values for drinking water quality. The first type of aqueous sample corresponded to leachates produced by rainwater infiltration in tailings and water-mineral waste interactions. The second type corresponded to surface water along the Xichú and La Laja Streams, and the third and fourth types involved two groundwater well samples and spring samples, respectively. The Chiquito Stream was used as a reference area that had not been impacted by the mine wastes. The isotopic signatures associated with δ34Ssulfate and δ18Osulfate compositions from the El Ojo de Agua spring are similar to those of the Santa María River and are different from those of the mine waste leachates. This study shows evidence of the presence of As in the El Ojo de Agua spring, which results from dissolution of secondary mineral phases that were produced by alteration of the mine wastes, which then migrated along the Xichú Stream system until reaching the spring. These As-bearing fine particles are prone to dissolution when in contact with this water source. Principal component analysis revealed that the observed As, Tl, and Hg can be attributed to weathering of the mine wastes. However, the results suggest that a natural contribution of these elements could be associated with rainwater-igneous rock interactions.

5.
Telecomm Policy ; 44(9): 102025, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-32863542

RESUMEN

We use a county-level panel dataset from 2012 to 2018 to assess the impacts of various state policies on total and rural broadband availability in the United States. The primary dependent variable is the percentage of residents with access to 25 Megabits per second (MBPS) download and 3 MBPS upload speeds via a fixed connection, with alternative specifications considering other aspects of availability such as technology type and competition. We control for the main determinants of Internet availability such as income, education, age, and population density. Our policy variables come from the newly released State Broadband Policy Explorer from the Pew Charitable Trusts and individual contacts from the nationwide State Broadband Leaders Network. Our primary policies of interest are those related to: (1) availability of state-level funding, (2) existence of a state-level broadband office/task force with full-time employees, and (3) restrictions on municipal/cooperative broadband provision. We find a positive and significant impact of state-level funding programs on general (and fiber) broadband availability, and a negative impact of municipal/cooperative restrictions. The findings are similar when the analysis is restricted to the rural portions of counties.

6.
Int J Phytoremediation ; 22(14): 1448-1461, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32603186

RESUMEN

Nama aff. stenophylla plants grow on mining waste abandoned 100 years ago, exposed to high concentrations of heavy metals. Accumulation of heavy metals in plant biomass has been related to the phyto-accessible fractions of these, so we assessed the effect of those heavy metals in different concentrations on the germination and development of seedlings. The seed traits were characterized with optical and scanning electron microscope. The seeds were assessed for dormancy by pre-germinative treatments, germination percentage, tolerance index regarding heavy metals, and the elongation of seedlings under three concentrations of arsenic (As), cadmium (Cd), Iron (Fe), lead (Pb), and zinc (Zn) (phyto-accessible [Ph], five times higher [Hi] and lower [Lo]). The seeds have no dormancy, and the heavy metals did not affect the embryo. Pb, Cd, and As, affected the germination percentage more (p < 0.005). The treatments that most affected seedling elongation were Zn [Hi], Cd [Hi], Pb [Lo], Zn [Ph], Pb [Hi], Zn [Lo] (p < 0.005). The seedlings cells alterations were associated with the reduction in length, although larger cortical cells may be due to heavy metal compartmentalization in vacuoles. The seeds and seedlings showed tolerance to high concentrations of Fe and As, and to phyto-accessible of As, Cd, Pb, and Fe.


Asunto(s)
Metales Pesados , Contaminantes del Suelo , Biodegradación Ambiental , Germinación , Metales Pesados/análisis , Metales Pesados/toxicidad , Plantones/química , Semillas , Contaminantes del Suelo/análisis , Contaminantes del Suelo/toxicidad
7.
Chemosphere ; 239: 124823, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31726520

RESUMEN

Several studies have demonstrated that gypsum (CaSO4·2H2O) and calcite (CaCO3) can be important hosts of arsenic in contaminated hydrogeological systems. However, the extent to which microbial reducing processes contribute to the dissolution and transformation of carbonate and sulfate minerals and, thereby, to arsenic mobilization is poorly understood. These processes are likely to have a strong impact on arsenic mobility in iron-poor environments and in reducing aquifers where iron oxyhydroxides become unstable. Anoxic batch bioassays with arsenate (As(V)) coprecipitated with calcite, gypsum, or ferrihydrite (Fe(OH)3) were conducted in the presence of sulfate or molybdate to examine the impact of bioprocesses (i.e. As(V), sulfate, and Fe(III)-reduction) on arsenic dissolution, speciation, and eventual remineralization. Microbial reduction of As(V)-bearing calcite caused an important dissolution of arsenite, As(III), which remained in solution up to the end of the experiment (30 days). The reduction of As(V) from gypsum-As(V) also led to the release of As(III), which was subsequently remineralized, possibly as arsenic sulfides. The presence of sulfate triggered arsenic dissolution in the bioassays with ferrihydrite-As(V). This study showed that although gypsum and calcite have a lower capacity to bind arsenic, compared to iron oxides, they can play a critical role in the biogeochemical cycle of arsenic in natural calcareous and gypsiferous systems depleted of iron since they can be a source of electron acceptors for reducing bioprocesses.


Asunto(s)
Arsénico/química , Bacterias/metabolismo , Carbonato de Calcio/química , Sulfato de Calcio/química , Compuestos Férricos/química , Arseniatos/química , Arsenicales/química , Arsenitos/química , Carbonatos/química , Agua Subterránea/química , Hierro/química , Molibdeno/química , Oxidación-Reducción , Solubilidad , Sulfatos/química , Sulfuros/química
8.
J Hazard Mater ; 339: 114-121, 2017 Oct 05.
Artículo en Inglés | MEDLINE | ID: mdl-28633082

RESUMEN

High arsenic concentrations have been detected in alluvial aquifers of arid and semi-arid zones in Mexico. This work describes the potential of microbial arsenate reduction of the indigenous community present in sediments from an arsenic contaminated aquifer. Microcosms assays were conducted to evaluate arsenate and sulfate-reducing activities of the native microbiota. Two different sediments were used as inoculum in the assays amended with lactate (10mM) as electron donor and with sulfate and arsenate (10mM each) as electron acceptors. Sediments were distinguished by their concentration of total arsenic 238.3±4.1mg/kg or 2263.1±167.7mg/kg, which may be considered as highly contaminated sediments with arsenic. Microbial communities present in both sediments were able to carry out arsenate reduction, accomplished within 4days, with the corresponding formation of arsenite; sulfate reduction took place as well. Both reducing activities occurred without previous acclimation period or enrichment, even at potential inhibitory concentrations of arsenate as high as 750mg/L (10mM). The formation of a yellowish colloidal precipitate was evident when both reducing processes occurred in the microcosm, which contributed to remove between 52 and 90.9% of As(III) from the liquid phase by bioprecipitation of arsenic as arsenic sulfide.


Asunto(s)
Arsénico/metabolismo , Sedimentos Geológicos/microbiología , Microbiota , Contaminantes Químicos del Agua/metabolismo , Acetatos/metabolismo , Biodegradación Ambiental , Lactatos/metabolismo , Oxidación-Reducción , Sulfatos/metabolismo , Sulfuros/metabolismo
9.
J Environ Sci Health B ; 52(4): 274-281, 2017 Apr 03.
Artículo en Inglés | MEDLINE | ID: mdl-28085564

RESUMEN

The most efficient system of horizontal subsurface flow constructed wetlands (HSSFCW) for removing dissolved organic carbon (DOC) in the presence of chlorothalonil pesticide (CLT) present in synthetic domestic wastewater was determined using the macrophyte Phragmites australis. Two concentrations of CLT (85 and 385 µg L-1) and one concentration of glucose (20 mg L-1) were evaluated in four pilot scale horizontal surface flow constructed wetlands coupled with two sizes of silica gravel, igneous gravel, fine chalky gravel (3.18-6.35 mm), coarse gravel (12.70-25.40 mm) and two water surface heights (20 and 40 cm). For a month, wetlands were acclimated with domestic wastewater. Some groups of bacteria were also identified in the biofilm attached to the gravel. In each treatment periodic samplings were conducted in the influent and effluent. Chlorothalonil was quantified by gas chromatography (GC-ECD m), DOC by an organic carbon analyzer and bacterial groups using conventional microbiology in accordance with Standard Methods. The largest removals of DOC (85.82%-85.31%) were found when using fine gravel (3.18-6.35 mm) and the lower layer of water (20 cm). The bacterial groups quantified in the biofilm were total heterotrophic, revivable heterotrophic, Pseudomonas and total coliforms. The results of this study indicate that fine grain gravel (3.18-6.35 mm) and both water levels (20 to 40 cm) can be used in the removal of organic matter and for the treatment of agricultural effluents contaminated with organo-chloride pesticides like CLT in HSSFCW.


Asunto(s)
Carbono , Nitrilos , Eliminación de Residuos Líquidos/métodos , Humedales , Amoníaco/metabolismo , Biopelículas , Carbono/química , Cromatografía de Gases , Consorcios Microbianos , Nitrilos/análisis , Fosfatos/metabolismo , Poaceae , Aguas Residuales/química , Purificación del Agua/métodos
10.
Bioprocess Biosyst Eng ; 39(2): 295-305, 2016 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-26650720

RESUMEN

The biological production of butanol has become an important research field and thanks to genome sequencing and annotation; genome-scale metabolic reconstructions have been developed for several Clostridium species. This work makes use of the iCAC490 model of Clostridium acetobutylicum ATCC 824 to analyze its metabolic capabilities and response to an external electron supply through a constraint-based approach using the Constraint-Based Reconstruction Analysis Toolbox. Several analyses were conducted, which included sensitivity, production envelope, and phenotypic phase planes. The model showed that the use of an external electron supply, which acts as co-reducing agent along with glucose-derived reducing power (electrofermentation), results in an increase in the butanol-specific productivity. However, a proportional increase in the butyrate uptake flux is required. Besides, the uptake of external butyrate leads to the coupling of butanol production and growth, which coincides with results reported in literature. Phenotypic phase planes showed that the reducing capacity becomes more limiting for growth at high butyrate uptake fluxes. An electron uptake flux allows the metabolism to reach the growth optimality line. Although the maximum butanol flux does not coincide with the growth optimality line, a butyrate uptake combined with an electron uptake flux would result in an increased butanol volumetric productivity, being a potential strategy to optimize the production of butanol by C. acetobutylicum ATCC 824.


Asunto(s)
Clostridium acetobutylicum/metabolismo , Simulación por Computador , Electrones , Modelos Biológicos
12.
Environ Pollut ; 176: 114-22, 2013 May.
Artículo en Inglés | MEDLINE | ID: mdl-23416746

RESUMEN

An As-contaminated perched aquifer under an urban area affected by mining was studied over a year to determine the contamination source species and the mechanism of As mobilization. Results show that the dissolution of calcium arsenates in residues disposed on an inactive smelter has caused high levels of As pollution in the adjoining downgradient 6-km perched aquifer, reaching up to 158 mg/L of dissolved As, and releasing a total of ca. 7.5 tons of As in a year. Furthermore, free calcium ion availability was found to control As mobility in the aquifer through the diagenetic precipitation of calcium arsenates (Ca5H2(AsO4)4·cH2O) preventing further mobilization of As. Results shown here represent a model for understanding a highly underreported mechanism of retention of arsenate species likely to dominate in calcium-rich environments, such as those in calcareous sediments and soils, where the commonly reported mechanism of adsorption to iron(III) oxyhydroxides is not the dominant process.


Asunto(s)
Arseniatos/análisis , Arsénico/análisis , Compuestos de Calcio/análisis , Contaminantes del Suelo/análisis , Adsorción , Monitoreo del Ambiente , Restauración y Remediación Ambiental , Sedimentos Geológicos/química , México , Minería , Modelos Químicos , Suelo/química
13.
Psiquiatr. salud ment ; 26(3/4): 116-122, jul.-dic. 2009. ilus
Artículo en Español | LILACS | ID: lil-708257

RESUMEN

Métodos: A partir del año 2007 se efectúan estudios en nuestro Instituto para precisar una dosis adecuada de complejo B a aplicar en el Síndrome de Deprivación Alcohólico (Ibáñez y Bustamante) Resultados: Después de tres semanas de tratamiento con benzodiacepina y complejo B (tiamina) según el nuevo protocolo se logra una recuperación motora y mental de un paciente con un Síndrome Korsakoiwideo alcohólico y un cuadro de paraparesia. Conclusión: Los resultados sugieren que la encefalopatía de Wernicke tratada con dosis superiores a 300 mg/diarios de tiamina puede tener un resultado altamente beneficioso para el paciente con síndrome de deprivación alcohólico.


Method: Since 2007, different studies have been made in our Institute, in order to find the right dose of Vitamin B Complex in cases of Alcohol Withdrawal Syndrome (Ibáñez y Bustamante). Results: After a 3 weeks treatment with Benzodiazepine and Vitamin B Complex (Thiamine), according to the new protocol, a patient with Alcoholic Korsakow Syndrome and Paraparesis, recovers his mental and motor functions. Conclusions: Wernicke’s encephalopathy can be treated with high doses of Thiamine (around 300 mg/a day), on patients with Alcohol Withdrawal Syndrome with highly good results.


Asunto(s)
Humanos , Masculino , Persona de Mediana Edad , Alcoholismo/complicaciones , Complejo Vitamínico B/uso terapéutico , Encefalopatía de Wernicke/tratamiento farmacológico , Tiamina/uso terapéutico , Alcoholismo/tratamiento farmacológico , Complejo Vitamínico B/administración & dosificación , Síndrome de Abstinencia a Sustancias/complicaciones , Síndrome de Abstinencia a Sustancias/tratamiento farmacológico , Resultado del Tratamiento , Tiamina/administración & dosificación
14.
Int. j. morphol ; 27(3): 699-703, sept. 2009. ilus
Artículo en Inglés | LILACS | ID: lil-598925

RESUMEN

The fibularis longus muscle (FLM) has an important role in the movement of eversion of the foot and in maintaining the plantar arch. The electrostimulation procedures seek to maintain muscle trophism, increase strength and endurance, and are frequently used in physiotherapy, for which the clinician needs to know the location of the motor points of the FLM. Therefore, the purpose of this study was to determine the number and distribution of motor points of the FLM and relate them to observable parameters in the surface anatomy. Ten formalin-preserved limbs were used, and the lateral regions of the leg were dissected in detail. In all the cases, the muscle presented three fascicular patterns, the superior and anteroinferior fascicles presented two motor points each, while the posteroinferior fascicles were between 2 and 3 motor points. Our results suggest that there is a pattern of distribution of the superficial fibular nerve, whose knowledge is useful for clinical application in the FLM electrostimulation proceedings.


El músculo fibular largo (MFL) tiene una importante función en el movimiento de eversión del pié y en la mantención del arco plantar. Los procedimientos de electroestimulación buscan mantener el trofismo muscular, aumentar la potencia y resistencia y es frecuente su utilización en fisioterapia, para ello el clínico necesita conocer la localización de los puntos motores del MFL, por ello, el propósito de este estudio fue determinar el número y distribución de los puntos motores del MFL y relacionarlos con parámetros observables en la anatomía de superficie. Se utilizaron 10 miembros inferiores conservados y se disecó detalladamente la región lateral de la pierna. El músculo presentó en todos los casos una estructura trifascicular, los fascículos superiores y anteroinferiores presentaron dos puntos motores cada uno, mientras en el fascículo posteroinferior encontramos entre 2 y 3 puntos motores. Nuestros resultados sugieren que existe un patrón de distribución del nervio fibular superficial cuyo conocimiento es de utilidad clínica para los procedimientos de electroestimulación del MFL.


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Músculos/anatomía & histología , Músculos/inervación , Nervio Peroneo/anatomía & histología , Estimulación Eléctrica Transcutánea del Nervio/métodos , Placa Motora/anatomía & histología
15.
J Hazard Mater ; 172(1): 400-7, 2009 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-19695775

RESUMEN

This study investigated the inhibition effect of iron, cadmium and sulfide on the substrate utilization rate of sulfate reducing granular sludge. A series of batch experiments in a UASB reactor were conducted with different concentrations of iron (Fe2+, 4.0-8.5 mM), cadmium (Cd2+, 0.53-3.0 mM) and sulfide (4.2-10.6 mM), the reactor was fed with ethanol at 1g chemical oxygen demand (COD)/L and sulfate to yield a COD/SO4(2-) (g/g) ratio of 0.5. The addition of iron, up to a concentration of 8.1mM, had a positive effect on the substrate utilization rate which increased 40% compared to the rate obtained without metal addition (0.25 g COD/gVSS-d). Nonetheless, iron concentration of 8.5 mM inhibited the specific substrate utilization rate by 57% compared to the substrate utilization rate obtained in the batch amended with 4.0 mM Fe2+ (0.44 g COD/gVSS-d). Cadmium had a negative effect on the specific substrate utilization rate at the concentrations tested; at 3.0 mM Cd2+ the substrate utilization rate was inhibited by 44% compared with the substrate utilization rate without metal addition. Cadmium precipitation with sulfide did not decrease the inhibition of cadmium on sulfate reduction. These results could have important practical implications mainly when considering the application of the sulfate reducing process to treat effluents with high concentrations of sulfate and dissolved metals such as iron and cadmium.


Asunto(s)
Cadmio/química , Hierro/química , Aguas del Alcantarillado , Sulfatos/química , Sulfuros/química , Purificación del Agua/métodos , Biodegradación Ambiental , Reactores Biológicos , Técnicas de Química Analítica , Diseño de Equipo , Metales , Eliminación de Residuos Líquidos/métodos , Contaminantes Químicos del Agua/análisis
16.
FEBS J ; 273(24): 5703-13, 2006 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-17212785

RESUMEN

High-molecular-mass PC complexes (PC-HMWCs) constituted by phytochelatins (PCs), cadmium and sulfide are synthesized by several organisms after exposure to cadmium. In this study, PC-HMWCs were isolated from photoheterotrophic Euglena gracilis and purified to homogeneity, resulting in compounds of molecular mass 50-380 kDa depending on the CdCl2 and sulfate concentrations in the culture medium. In contrast with plants and some yeasts, PC-HMWCs from E. gracilis mainly comprise (57-75%) monothiol molecules (Cys, gamma-glutamylcysteine, GSH) and, to a lesser extent (25-43%), PCs. A similar acid-soluble thiol compound composition was found in whole cell extracts. The -SH/Cd2+ and S2-/Cd2+ ratios found in purified PC-HMWCs were 1.5 and 1.8, respectively; the (-SH + S2-)/Cd2+ ratio was 3.2. PC-HMWCs of molecular mass 60 and 100 kDa were also localized inside Percoll-purified chloroplasts, in which cadmium and PCs were mainly compartmentalized. Cadmium and sulfur-rich clusters with similar sulfur/cadmium stoichiometries to those of the purified PC-HMWCs were detected in the chloroplast and throughout the cell by energy dispersive microanalysis and atomic resolution electron microscopy. The presence of PC-HMWCs in primitive photosynthetic eukaryotes such as the protist, E. gracilis, suggests that their function as the final cadmium-storage-inactivation process is widespread. Their particular intracellular localization suggests that chloroplasts may play a major role in the cadmium-resistance mechanism in organisms lacking a plant-like vacuole.


Asunto(s)
Compuestos de Cadmio/química , Cloroplastos/química , Euglena gracilis/química , Glutatión/química , Sustancias Macromoleculares/química , Sulfuros/química , Animales , Compuestos de Cadmio/análisis , Euglena gracilis/ultraestructura , Glutatión/análisis , Sustancias Macromoleculares/aislamiento & purificación , Peso Molecular , Fitoquelatinas , Sulfuros/análisis
17.
Rev. chil. neuro-psiquiatr ; 42(1): 37-42, ene. 2004. tab
Artículo en Español | LILACS | ID: lil-363584

RESUMEN

En pacientes esquizofrénicos los antipsicóticos atípicos están considerados como las drogas de mayor ventaja en el tratamiento de las psicosis. Sin embargo, pueden provocar un trastorno importante en el peso, en la homeostasis de la glucosa y de los lípidos. La obesidad es un factor importante en la patogenia de la Diabetes mellitus, dislipidemias secundarias y de hipertensión arterial. Se ha descrito que la clozapina actua como antagonista de receptores a nivel hipotalámico, que puede generar hiperinsulinemia y el síndrome plurimetabólico (Síndrome X) de alto riesgo vascular en obesidades moderadas o severas (IMC > 30 kg/m2). Se describen tres casos (2 mujeres, 1 hombre) que fueron tratados por un período mayor de 5 a¤os con clozapina, en dosis entre 300-400mg/día y monitorizados clínicamente (peso, glicemia y perfil lipídíco). Estas evaluaciones permitieron establecer trastornos metabólicos relevantes. Se sugiere la importancia de una adecuada evaluación metabólica y adoptar medidas nutricionales en pacientes tratados con antipsicóticos atípicos.


Asunto(s)
Humanos , Masculino , Adulto , Femenino , Clozapina/administración & dosificación , Clozapina/antagonistas & inhibidores , Clozapina/efectos adversos , Aumento de Peso , Esquizofrenia/tratamiento farmacológico
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