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1.
Sci Rep ; 6: 21367, 2016 Feb 17.
Artículo en Inglés | MEDLINE | ID: mdl-26883288

RESUMEN

The present study aimed at the molecular characterization of pathogenic and non pathogenic F. oxysporum f. sp. lycopersici strains isolated from tomato. The causal agent isolated from symptomatic plants and soil samples was identified based on morphological and molecular analyses. Pathogenicity testing of 69 strains on five susceptible tomato varieties showed 45% of the strains were highly virulent and 30% were moderately virulent. Molecular analysis based on the fingerprints obtained through ISSR indicated the presence of wide genetic diversity among the strains. Phylogenetic analysis based on ITS sequences showed the presence of at least four evolutionary lineages of the pathogen. The clustering of F. oxysporum with non pathogenic isolates and with the members of other formae speciales indicated polyphyletic origin of F. oxysporum f. sp. lycopersici. Further analysis revealed intraspecies variability and nucleotide insertions or deletions in the ITS region among the strains in the study and the observed variations were found to be clade specific. The high genetic diversity in the pathogen population demands for development of effective resistance breeding programs in tomato. Among the pathogenic strains tested, toxigenic strains harbored the Fum1 gene clearly indicating that the strains infecting tomato crops have the potential to produce Fumonisin.


Asunto(s)
Fusarium/clasificación , Fusarium/fisiología , Filogenia , Enfermedades de las Plantas/microbiología , ADN Intergénico , Variación Genética , Genotipo , Solanum lycopersicum/microbiología , Repeticiones de Microsatélite , Tipificación Molecular , Virulencia
3.
J Agric Saf Health ; 17(4): 327-42, 2011 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-22164462

RESUMEN

Systematic reviews of agricultural safety and health interventions have shown little evidence of effectiveness. In this study, we used a self-documentation and collaborative interpretation method (cultural probes, n = 9) as well as farm interviews (n = 11) to identify factors affecting the adoption and implementation of safety information. The three main barrier groups found were (1) personal characteristics of the farmer, (2) limited resources to make safety improvements, and (3) the slow incremental evolution of the physical farm environment where old, hazardous environments remain along with new, safer improvements. The enabling factors included good examples or alarming (and thus activating) examples from peers, ease of implementation of the promoted safety measures, and enforcement of regulations. The findings suggest that a user-centered approach could facilitate the development of more effective safety and health interventions. A conceptual model of the safety intervention context created in this study can be used as a framework to examine specific barriers and enabling factors in planning and implementing safety and health interventions.


Asunto(s)
Accidentes de Trabajo/prevención & control , Agricultura , Conocimientos, Actitudes y Práctica en Salud , Traumatismos Ocupacionales/prevención & control , Administración de la Seguridad/métodos , Agricultura/educación , Agricultura/métodos , Agricultura/normas , Finlandia , Incendios/prevención & control , Humanos , Entrevistas como Asunto
4.
Ticks Tick Borne Dis ; 2(1): 50-4, 2011 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-21771537

RESUMEN

Polymorphism of 10 Beauveria bassiana strains, isolated from Ixodes ricinus in Moldova, was evaluated using traditional (morphological and cultural properties) and molecular (RAPD patterns and ITS sequences) methods. The isolates differed greatly in morphological and cultural features, such as color, consistence, and growth rate. Four RAPD-PCR markers were used to evaluate genetic diversity of the strains. Phylogenetic neighbor-joining analysis of RAPD patterns divided strains into 3 major clades. The ITS sequences of 8 strains were identical to those of known B. bassiana strains. Two subsets (1 and 2) different by one nucleotide change were found in the ITS1 region. One strain of subset 1 was different from known B. bassiana strains by possessing 2 point mutations in the ITS region. RAPD-based clustering correlated to ITS sequence and colony morphology-based grouping of the strains.


Asunto(s)
Beauveria/genética , Ixodes/microbiología , Animales , Beauveria/aislamiento & purificación , ADN Bacteriano/genética , ADN Intergénico/genética , Moldavia , Polimorfismo Genético , Técnica del ADN Polimorfo Amplificado Aleatorio , Análisis de Secuencia de ADN
5.
Saudi J Biol Sci ; 18(4): 341-51, 2011 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-23961146

RESUMEN

Fusarium is one of the important phytopathogenic genera of microfungi causing serious losses on cucurbit plants in Kermanshah province, the largest area of cucurbits plantation in Iran. Therefore, the objectives in this study were to isolate and identify disease-causing Fusarium spp. from infected cucurbit plants, to ascertain their pathogenicity, and to determine their phylogenetic relationships. A total of 100 Fusarium isolates were obtained from diseased cucurbit plants collected from fields in different geographic regions in Kermanshah province, Iran. According to morphological characters, all isolates were identified as Fusarium oxysporum, Fusarium proliferatum, Fusarium equiseti, Fusarium semitectum and Fusarium solani. All isolates of the five Fusarium spp. were evaluated for their pathogenicity on healthy cucumber (Cucumis sativus) and honeydew melon (Cucumis melo) seedlings in the glasshouse. F. oxysporum caused damping-off in 20-35 days on both cucurbit seedlings tested. Typical stem rot symptoms were observed within 15 days after inoculation with F. solani on both seedlings. Based on the internal transcribed spacer (ITS) regions of ribosomal DNA (rDNA) restriction fragment length polymorphism (RFLP) analysis, the five Fusarium species were divided into two major groups. In particular, isolates belonging to the F. solani species complex (FSSC) were separated into two RFLP types. Grouping among Fusarium strains derived from restriction analysis was in agreement with criteria used in morphological classification. Therefore, the PCR-ITS-RFLP method provides a simple and rapid procedure for the differentiation of Fusarium strains at species level. This is the first report on identification and pathogenicity of major plant pathogenic Fusarium spp. causing root and stem rot on cucurbits in Iran.

6.
Pak J Biol Sci ; 13(24): 1178-86, 2010 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-21313898

RESUMEN

Fusarium is one of the most important pathogenic and toxigenic fungi widely distributed all over the world, including Iran. Fusarium species are found frequently in stored agriculture products especially wheat. The objective of this study was to identify Fusarium species associated with stored wheat seeds and their pathogenicity on root and head of wheat in Kermanshah, the leading province in wheat production in Iran. In this survey 75 seed samples of stored wheat were collected from 10 different regions during 2006-2008 and tested for the presence of Fusarium. Fusarium spp. were found in 51 (68%) of 75 samples. A total of 580 Fusarium strains were isolated, identified and preserved. All these strains belong to 20 Fusarium spp. according to morphological characters. Each conidial suspension of selected strains representing all species was evaluated for their pathogenicity on roots and spikes of healthy wheat var. Fallat in the greenhouse. F. graminearum, F. crookwellense, F. trichothecioides, F. culmorum and F. verticillioides were the most pathogenic to wheat's head. Foot rot assessment revealed that F. pseudograminearum and F. culmorum were the most damaging species. Of the Fusarium isolates, F. graminearum was the most prevalent followed by F. verticillioides and F. proliferatum. This is the first comprehensive report on identity and distribution of Fusarium spp. from stored wheat seeds in Iran while F. nelsonii was reported for the first time from wheat seeds in Iran.


Asunto(s)
Fusarium/aislamiento & purificación , Semillas/microbiología , Triticum/microbiología , Fusarium/clasificación , Fusarium/patogenicidad , Irán , Especificidad de la Especie , Triticum/embriología
7.
Talanta ; 76(5): 1218-23, 2008 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-18761181

RESUMEN

Performance of several time-of-flight (TOF) type ion mobility spectrometers (IMS) was compared in a joint measurement campaign and their mobility scales were adjusted based on the measurements. A standard reference compound 2,6-di-tert butylpyridine (2,6-DtBP) was used to create a single peak ion mobility distribution with a known mobility value. The effective length of the drift tube of each device, considered here as an instrument constant, was determined based on the measurements. Sequentially, two multi-peaked test compounds, DMMP and DIMP, were used to verify the performance of the adjustment procedure in a wider mobility scale. By determining the effective drift tube lengths using 2,6-DtBP, agreement between the devices was achieved. The determination of effective drift tube lengths according to standard reference compound was found to be a good method for instrument inter-comparison. The comparison procedure, its benefits and shortcomings as well as dependency on accuracy of literature value are discussed along with the results.

8.
J Agric Saf Health ; 13(4): 395-406, 2007 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-18075015

RESUMEN

Slip, trip, and fall (STF) injuries are common in agriculture. The aims of this study were to characterize STF injuries and to identify floor-related safety problems that can be reduced or eliminated through building design. Our material consisted of Finnish agricultural injury claim records for the period 1992-2002. The material included 6,414 slip, trip, and fall injuries that occurred in dairy, beef and swine production and were caused by floor structures. We examined coded information and injury descriptions to identify causes and contributing factors. The performance approach (PA) was used as a framework for discussing findings and their application to building design. PA provides a logic model for building design that considers the needs of workers, animals, and production processes. Nearly half (42%) of agricultural injuries occurred in dairy, beef, and swine production work. Fourteen percent of these injuries were slips, trips, and falls (STF) related to floor structures. More than 450 work years were lost due to disability resulting from these injuries. Many STF injuries occurred in milking (n = 1135), moving feeds (n = 962), and animal transport and care (n = 880). More than half (59%) of STF injuries occurred while carrying or moving a load. STF injury causes included floors, door sills, gutters, curbs, steps, ramps, grates, and contaminants like water, ice, snow, manure, detergent, forage, and hay. Men had a lower STF injury risk compared to women (RR = 0.63, 95% CI: 0.61-0.67). The magnitude and nature of STF injuries suggest that there is a need for improving the safety performance of floors and related structures. Key areas include slip-resistant floorings, effective contamination control, macro structures (elevations, entrances, access ways), and logistics for materials handling and storage spaces.


Asunto(s)
Accidentes por Caídas/prevención & control , Accidentes de Trabajo/prevención & control , Pisos y Cubiertas de Piso , Vivienda para Animales , Accidentes por Caídas/estadística & datos numéricos , Accidentes de Trabajo/estadística & datos numéricos , Animales , Femenino , Finlandia/epidemiología , Humanos , Masculino , Salud Laboral
9.
Mycotoxin Res ; 22(2): 79-86, 2006 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-23605577

RESUMEN

In this paper the latest studies dealing with genetic variation and mycotoxins ofF. avenaceum and related species are reviewed and compared to the data from chromatographic image analyses. Forty-three European strains ofFusarium avenaceum and related species were classified by chromatographic image analysis on full chromatographic matrices. The results were in most cases in agreement with those from morphological and molecular analyses and supported the separation betweenF. avenaceum, F. arthrosporioides andF. tricinctum and betweenF. avenaceum groups I and II. The mycotoxin profiles of the FinnishF. avenaceum, F. arthrosporioides andF tricinctum strains were very similar to each other. Moniliformin and enniatins were the main mycotoxins produced. A fluorogenic TaqMan PCR assay (qPCR) was used for the detection ofF. avenaceum/ F. arthrosporioides DNA in Finnish barley and wheat. The qPCR results obtained from grain samples were compared to mycotoxin levels. A correlation was found betweenF. avenaceum/F. arthrosporioides DNA and moniliformin (MON) and enniatin (ENNs) levels in barley. A correlation was also found between the combinedF. avenaceum/F. arthrosporioides/F. tricinctum contamination and MON and ENNs levels in barley in 2002, but not in 2003. This was probably due to the higher MON and ENNs levels in 2002 than in 2003. It was possible to use the DNA levels ofF. avenaceum/F. arthrosporioides to distinguish between most barley samples containing high amounts of MON and ENNs from those containing low levels of the mycotoxins.

10.
Food Addit Contam ; 21(8): 794-802, 2004 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-15370831

RESUMEN

Fusarium mycotoxins beauvericin, enniatins (A, A1, B, B1) and moniliformin were analysed in 38 Finnish grain samples (14 wheat, 22 barley, one rye, one oats) harvested in 2001-02. The contaminating Fusarium species were identified with the primer-specific polymerase chain reaction as well as with morphological studies. All the studied mycotoxins were found in the samples. Enniatins B and B1 were detected in all samples, and enniatin A, enniatin A1, beauvericin and moniliformin in 74, 95, 95 and 74% of the samples, respectively. There were higher concentrations of the mycotoxins analysed in 2001 compared with 2002. The highest levels of mycotoxins were detected in samples harvested late in the autumn after a long rainy period. Fusarium avenaceum was the most abundant Fusarium species in Finland during both years (0-29.5%) measured as infected kernels. A significant correlation was found between F. avenaceum contamination level and the concentration levels of enniatins B and B1, as well as moniliformin.


Asunto(s)
Ciclobutanos/análisis , Depsipéptidos/análisis , Grano Comestible/química , Contaminación de Alimentos/análisis , Fusarium/química , Micotoxinas/análisis , Finlandia , Hordeum/química , Modelos Químicos , Triticum/química
11.
Int J Food Microbiol ; 95(3): 267-85, 2004 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-15337592

RESUMEN

Fusarium langsethiae was recently described to accommodate "powdery" isolates of Fusarium poae, which morphologically resemble F. poae, but whose metabolite profile is similar to that of Fusarium sporotrichioides. In order to investigate the phylogenetic relationship of F. langsethiae to closely related species, we sequenced the internal transcribed spacer (ITS) regions 1 and 2 and part of the intergenic spacer (IGS) region of the rDNA cluster and part of the beta-tubulin gene from 109 strains of F. poae, F. sporotrichioides, F. langsethiae and Fusarium kyushuense from different geographic origin. Sequence analysis of ITS1 and 2 was unable to separate all F. sporotrichioides strains from F. langsethiae strains. Sequence analysis of beta-tubulin distinguished all four species, but it did not resolve the phylogenetic relationship between these two species. Sequence analysis of the IGS region distinguished the four species and led to a higher number of subgroups of the individual species, of which that of F. sporotrichioides var. minus isolates was even better supported than that of F. poae and F. langsethiae. Neighbor-joining and POY analyses of all combined sequences reliably separated all species studied, including F. langsethiae, clearly from F. sporotrichioides. The high intraspecific variability of the IGS sequences were found useful to group isolates according to their geographic origin. These results are in accordance with the results of the UP-PCR hybridization analysis. In summary, our data offer molecular support for the description of F. langsethiae as a new species in section Sporotrichiella.


Asunto(s)
Fusarium/clasificación , Fusarium/genética , Variación Genética , Filogenia , Secuencia de Bases , ADN de Hongos/química , ADN de Hongos/aislamiento & purificación , ADN Ribosómico/química , ADN Ribosómico/aislamiento & purificación , ADN Espaciador Ribosómico/química , ADN Espaciador Ribosómico/aislamiento & purificación , Proteínas Fúngicas/genética , Genes Fúngicos , Sensibilidad y Especificidad , Alineación de Secuencia , Especificidad de la Especie , Tubulina (Proteína)/química , Tubulina (Proteína)/genética , Tubulina (Proteína)/aislamiento & purificación
12.
Int J Food Microbiol ; 95(3): 341-9, 2004 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-15337598

RESUMEN

An integrated systematic study was carried out to clarify the taxonomical position and relationship of Fusarium langsethiae to other taxa within the Fusarium section Sporotrichiella. Strains of this species were compared with strains of the closely related species Fusarium poae and Fusarium sporotrichioides using a composite dataset. This set consisted of DNA sequences derived from the ribosomal internal transcribed spacer (ITS) regions, partial sequences of the ribosomal intergenic spacer (IGS) region, the beta-tubulin and translation elongation factor-1 alpha (EF-1alpha) genes, AFLP fingerprints, chromatographic data on secondary metabolites and morphological data and growth characteristics. From these combined data, a consensus matrix was calculated by taking the mean of all pairwise distances between single isolates over all separate datasets. The consensus matrix was used as the basis for the construction of a UPGMA dendrogram and a multidimensional scaling, both of which revealed a clear separation of the three taxa. Partial IGS, EF-1alpha and beta-tubulin sequence-as well as chromatography-and AFLP-derived similarities turned out to be comparably consistent, while ITS sequence- and morphology-derived similarity matrices were rather divergent.


Asunto(s)
ADN de Hongos/química , Fusarium/clasificación , Fusarium/genética , Secuencia de Bases , Análisis por Conglomerados , Dermatoglifia del ADN , Cartilla de ADN , ADN Espaciador Ribosómico/química , Genes Fúngicos , Factor 1 de Elongación Peptídica/genética , Filogenia , Especificidad de la Especie , Tubulina (Proteína)/genética
13.
Vasa ; 30(4): 262-70, 2001 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-11771210

RESUMEN

BACKGROUND: Screening for familial abdominal aortic aneurysms (AAA) is widely recommended. To analyze cost-effectiveness of screening for familial AAAs incremental cost-effectiveness (C/E) analysis based on an ultrasound screening among relatives and a decision model of screening program was compared to a baseline situation without systematic screening. PATIENTS AND METHODS: 74% (238/322) of first-degree relatives of 150 consecutive AAA patients were screened at HUCH (Helsinki University Central Hospital). Effectiveness and costs of treatment were assessed using the Finnish Hospital Discharge Register and from survival analysis of 1130 AAA patients who underwent elective or emergency surgery in HUCH. To form incremental C/E-ratios the existing clinical practice was compared to a screening program for male siblings. Hypothetical screened and control cohorts of 1000 male relatives were used to create the decision model. Parameters in C/E-analyses were derived from our own data except for growth and rupture rates. A sensitivity analysis was carried out. RESULTS: The incremental effectiveness in life-years gained by the screening of male siblings was 92 years with incremental C/E-ratio of FIM 33,000 ($6200). According to sensitivity analysis the C/E-ratios were robust for all variables tested. CONCLUSIONS: Screening of male siblings of AAA patients produces incremental life-years at low cost thus screening of male siblings is highly recommended.


Asunto(s)
Aneurisma de la Aorta Abdominal/economía , Tamizaje Masivo/economía , Anciano , Aneurisma de la Aorta Abdominal/genética , Aneurisma de la Aorta Abdominal/mortalidad , Análisis Costo-Beneficio , Finlandia , Humanos , Masculino , Persona de Mediana Edad , Análisis de Supervivencia
14.
J Agric Food Chem ; 48(12): 6085-93, 2000 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-11141273

RESUMEN

Fatty acid composition, oil content, free fatty acid content, and peroxide value of Baltic herring (Clupea harengus membras) and two processed products (fried fillets and fish burgers) were investigated. The highest oil content of the fillets was found in autumn (10%), at the time when the free fatty acids had their minimum (1.4%). The main fatty acids were oleic (18-23%), palmitic (17%), palmitoleic (8-12%), and docosahexaeneoic (8-10%) acids. The proportion of saturated fatty acids was a constant 23% all year around, whereas mono- and polyunsaturated acids varied from 34 to 39% and 33 to 37%, respectively. During processing the oil content doubled and the fatty acid composition changed to the pattern of the rapeseed oil used for frying. Oleic acid was a major fatty acid in the products comprising over 40% of the total fatty acids. The proportion of n-3 acids decreased during processing but the total amount of polyunsaturated acids remained fairly constant.


Asunto(s)
Ácidos Grasos/análisis , Aceites de Pescado/análisis , Productos Pesqueros/análisis , Manipulación de Alimentos/métodos , Animales , Peces , Estaciones del Año
15.
Exp Appl Acarol ; 24(10-11): 863-80, 2000.
Artículo en Inglés | MEDLINE | ID: mdl-11345320

RESUMEN

The variation within and between Finnish Euseius finlandicus populations was investigated by RAPD-PCR and ITS sequence analyses. Resin DNA extraction was found to be a suitable method for samples of single mites used in PCR. The banding patterns from 24 RAPD primers and 10 primer pairs were very similar and reproducible in all specimens of the predatory mite studied. However, the E. finlandicus K-strain could be distinguished from organophosphate-resistant predatory mites (R-strain), since almost all of them produced a 1,400 bp RAPD-PCR product, which was missing or very rare in other strains studied. Another RAPD band of ca. 680 bp was in turn much more common in other mites of E. finlandicus than in the K-strain mites. Mite specific primers were designed and used to follow the survival of the R-strain released on apple trees. The 680 bp band obtained with specific primers was specific to the species E. finlandicus mites studied, including those that had been negative with RAPD primers. The 1,400 bp specific primers could be used as a marker for following the survival of R-strain mites on apple trees. At the species level it was possible to distinguish adults and eggs of E. finlandicus from Anthoseius rhenanus and Phytonemus pallidus by RAPD-PCR. In addition, a band at 480bp was found to correspond to DNA of the predatory mite Phytoseius macropilis, when both specific primer pairs were used together. It was not possible to amplify the ITS region of E. finlandicus rDNA using several primer pairs that work in other mites and aphids. However, a basidiomycete rDNA sequence was amplified with one of these ITS primer pairs in K-strain mites. Finally, it was found that fungal rDNA-specific primers amplified an ITS region of ca. 650 bp in several strains of E. finlandicus. Internal primers, designed to amplify the central part of the 650 bp product, successfully amplified this product from all the mites.


Asunto(s)
ADN Ribosómico/genética , Variación Genética/genética , Ácaros/clasificación , Animales , Cladosporium/genética , Clonación Molecular , ADN/genética , ADN/aislamiento & purificación , ADN Ribosómico/química , Femenino , Finlandia , Masculino , Ácaros/genética , Ácaros/microbiología , Reacción en Cadena de la Polimerasa , Técnica del ADN Polimorfo Amplificado Aleatorio , Alineación de Secuencia , Análisis de Secuencia de ADN , Homología de Secuencia de Ácido Nucleico , Especificidad de la Especie
16.
J Theor Biol ; 196(1): 115-28, 1999 Jan 07.
Artículo en Inglés | MEDLINE | ID: mdl-9892560

RESUMEN

A three-dimensional model was constructed for studying the diffusion of CO2 molecules from air into stomatal air spaces and further into leaf mesophyll cells. The model covers two different phases, mesophyll and air, with appropriate boundary conditions. Sinks for CO2 molecules were obtained from a well-known biochemical photosynthesis model parametrized for Scots pine. The effects of the varying stomatal geometry on the CO2 flux and intercellular-air-space (IAS) and mesophyll concentrations were examined. The net CO2 flux is sensitive to the size of the IAS-mesophyll interface when the mesophyll transport coefficient is low, equalling the diffusivity of CO2 in water. The simulations have revealed an optimum between the volume of the assimilating mesophyll and the air-mesophyll interface. The solubility of CO2 molecules into water in the cell surfaces, which depends on temperature and pH, had a clear effect on the flux. Increasing pH from the value indicated by the physical solubility (pH reverse similar6) leads to an increase in the temperature maximum for CO2 flux into higher temperatures and to unrealistically high CO2 concentrates in the mesophyll. Copyright 1999 Academic Press

17.
Ann Chir Gynaecol ; 86(2): 113-20, 1997.
Artículo en Inglés | MEDLINE | ID: mdl-9366983

RESUMEN

BACKGROUND AND AIMS: Since improved immunosuppression in the 1980's, heart transplantation is a well established procedure to treat patients with end-stage heart failure. The first heart transplantation in Finland was performed in 1985. Since then the activity has gradually increased to a level of about 25 annual transplants. The aim of this report is to sum up the clinical experience during the first 11 years. MATERIALS AND METHODS: From February 1985 till the end of 1995, 190 heart transplantations were performed in our institution. There were 176 males and 14 females ranging from 15 to 62 (mean 42.2) years of age. End-stage preoperative cardiac disease was dilating cardiomyopathy in 108 cases, coronary artery disease in 65 cases, valvular disease in 12 cases and congenital heart disease in five cases. RESULTS: The 30-day hospital mortality was 29 out of 190 (15.2%). The actuarial survival was 77% at one year, 75% at two years and 73% at 10 years. The most common causes of death were rejection (11 cases), graft failure (11 cases), abdominal complications (six cases) and cytomegalovirus (CMV) infection (four cases). A total of 87 rejection episodes occurred in 53 patients consisting 28 per cent of patients. 44 rejections occurred within three months post transplantation. Significant infections were noted in 198 instances in 97 patients. These were of bacterial origin in 92, viral in 48, fungal in 12 and protozoal in 10 cases, and 36 such infections which responded to antibiotics favourably but in which the microbe remained unidentified. 138 infections (i.e. 80%) occurred within 6 months post transplantation. In viral infections cytomegalovirus (CMV) predominated (29 out of 48). The CMV infection was significantly milder in patients who were seropositive preoperatively than in preoperatively seronegative patients with seropositive donors. CMV infection was associated with increased risk of post-transplant coronary artery disease. Three years after transplantation some restoration of sympathetic nervous response was observed at orthostatic test in heart rate and blood pressure. CONCLUSIONS: It can be concluded that 1) if a patient survives the three immediate postoperative months, his prognosis is good for the forthcoming years, 2) clinically significant rejections occur in less than one third of the patients, 3) cytomegalovirus is the most harmful agent post transplantation and a risk factor for post-transplant coronary artery disease and that 4) some restoration of sympathetic nervous control of the heart occurs within three years after transplantation.


Asunto(s)
Trasplante de Corazón , Adulto , Infecciones por Citomegalovirus/epidemiología , Femenino , Finlandia/epidemiología , Rechazo de Injerto/epidemiología , Supervivencia de Injerto , Trasplante de Corazón/mortalidad , Trasplante de Corazón/estadística & datos numéricos , Mortalidad Hospitalaria , Humanos , Terapia de Inmunosupresión , Masculino , Complicaciones Posoperatorias/epidemiología , Factores de Riesgo , Tasa de Supervivencia
18.
Phys Rev B Condens Matter ; 54(23): 16676-16682, 1996 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-9985795
19.
20.
Phys Rev Lett ; 77(4): 699-702, 1996 Jul 22.
Artículo en Inglés | MEDLINE | ID: mdl-10062880
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