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1.
Urol Case Rep ; 37: 101702, 2021 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-34036046

RESUMEN

The objective is to perform a case report of primary melanoma of urethra in a male patient from a Teaching Hospital in Campinas, SP - Brazil. Male, 79 years of age, with blackened lesion on the meatus of the urethra with 1.5 cm of dimension, that could be palpated on the fossa navicularis region associated to an irregular lesion on the region of and the foreskin. The biopsy showed a malignant neoplasia. A partial penectomy with oncological margin of 2 cm was performed with a bilateral deep inguinal linfadenectomy. A follow up showed no recurrence of the disease.

2.
J Phys Condens Matter ; 29(27): 275802, 2017 Jul 12.
Artículo en Inglés | MEDLINE | ID: mdl-28530633

RESUMEN

Tetragonally strained interstitial Fe-Co-B alloys were synthesized as epitaxial films grown on a 20 nm thick Au0.55Cu0.45 buffer layer. Different ratios of the perpendicular to in-plane lattice constant c/a = 1.013, 1.034 and 1.02 were stabilized by adding interstitial boron with different concentrations 0, 4, and 10 at.%, respectively. Using ferromagnetic resonance (FMR) and x-ray magnetic circular dichroism (XMCD) we found that the total orbital magnetic moment significantly increases with increasing c/a ratio, indicating that reduced crystal symmetry and interstitial B leads to a noticeable enhancement of the effect of spin-orbit coupling (SOC) in the Fe-Co-B alloys. First-principles calculations reveal that the increase in orbital magnetic moment mainly originates from B impurities in octahedral position and the reduced symmetry around B atoms. These findings offer the possibility to enhance SOC phenomena-namely the magnetocrystalline anisotropy and the orbital moment-by stabilizing anisotropic strain by doping 4 at.% B. Results on the influence of B doping on the Fe-Co film microstructure, their coercive field and magnetic relaxation are also presented.

3.
J Fish Biol ; 90(4): 1305-1320, 2017 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-27976386

RESUMEN

This study used existing western brook lamprey Lampetra richardsoni age information to fit three different growth models (i.e. von Bertalanffy, Gompertz and logistic) with and without error in age estimates. Among these growth models, there was greater support for the logistic and Gompertz models than the von Bertalanffy model, regardless of ageing error assumptions. The von Bertalanffy model, however, appeared to fit the data well enough to permit survival estimates; using length-based estimators, annual survival varied between 0·64 (95% credibility interval: 0·44-0·79) and 0·81 (0·79-0·83) depending on ageing and growth process error structure. These estimates are applicable to conservation and management of L. richardsoni and other western lampreys (e.g. Pacific lamprey Entosphenus tridentatus) and can potentially be used in the development of life-cycle models for these species. These results also suggest that estimators derived from von Bertalanffy growth models should be interpreted with caution if there is high uncertainty in age estimates.


Asunto(s)
Lampreas/fisiología , Envejecimiento , Distribución Animal , Animales , Larva/fisiología , Estadios del Ciclo de Vida , Modelos Biológicos , Análisis de Supervivencia
4.
Acta Crystallogr F Struct Biol Commun ; 72(Pt 3): 179-87, 2016 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-26919521

RESUMEN

The enzyme 5-enolpyruvylshikimate-3-phosphate (EPSP) synthase catalyzes the sixth step of the seven-step shikimate pathway. Chorismate, the product of the pathway, is a precursor for the biosynthesis of aromatic amino acids, siderophores and metabolites such as folate, ubiquinone and vitamin K. The shikimate pathway is present in bacteria, fungi, algae, plants and apicomplexan parasites, but is absent in humans. The EPSP synthase enzyme produces 5-enolpyruvylshikimate 3-phosphate and phosphate from phosphoenolpyruvate and shikimate 3-phosphate via a transferase reaction, and is the target of the herbicide glyphosate. The Acinetobacter baumannii gene encoding EPSP synthase, aroA, has previously been demonstrated to be essential during host infection for the growth and survival of this clinically important drug-resistant ESKAPE pathogen. Prephenate dehydrogenase is also encoded by the bifunctional A. baumannii aroA gene, but its activity is dependent upon EPSP synthase since it operates downstream of the shikimate pathway. As part of an effort to evaluate new antimicrobial targets, recombinant A. baumannii EPSP (AbEPSP) synthase, comprising residues Ala301-Gln756 of the aroA gene product, was overexpressed in Escherichia coli, purified and crystallized. The crystal structure, determined to 2.37 Å resolution, is described in the context of a potential antimicrobial target and in comparison to EPSP synthases that are resistant or sensitive to the herbicide glyphosate.


Asunto(s)
3-Fosfoshikimato 1-Carboxiviniltransferasa/química , Acinetobacter baumannii/enzimología , Proteínas Bacterianas/química , Secuencia de Aminoácidos , Dominio Catalítico , Cristalización , Cristalografía por Rayos X , Modelos Moleculares , Conformación Proteica en Hélice alfa , Ácido Shikímico/análogos & derivados , Ácido Shikímico/química
5.
Nanotechnology ; 27(3): 035705, 2016 Jan 22.
Artículo en Inglés | MEDLINE | ID: mdl-26651087

RESUMEN

The local microstructure of Fe-Ga nanowires is investigated considering dependence on the deposition technique. Using a complexed electrolyte, smooth and homogeneous Fe80Ga20 nanowires are deposited into anodic aluminum oxide templates by either applying pulse potential or potentiostatic deposition technique. At optimized deposition conditions the wires show the desired composition of Fe80±2Ga20±2 without a gradient along the growth direction. Composition distribution, structure and microstructure are examined in detail and reveal only minor differences. Line EELS and crystal lattice measurements reveal a negligible oxygen content for both preparation routines. Neither Fe/Ga oxides nor hydroxides were found. Both potentiostatically deposited as well as pulse deposited nanowires exhibit a preferred 〈110〉orientation, the latter with slightly larger crystals. Different contrast patterns were found by TEM that appear more pronounced in the case of pulse deposited wires. High resolution transmission electron microscopy analysis and comparison of differently prepared focused ion beam lamellas reveal that these contrasts are caused by defects in the alternating potential deposition itself and are not induced during the TEM preparation process. The alternating potential mode causes periodic growth thereby inducing different layers with reduced wire thickness/defects at the layer interfaces.

6.
J Phys Condens Matter ; 27(47): 476002, 2015 Dec 02.
Artículo en Inglés | MEDLINE | ID: mdl-26548574

RESUMEN

In order to convert the well-known Fe-Co-B alloy from a soft to a hard magnet, we propose tetragonal strain by interstitial boron. Density functional theory reveals that when B atoms occupy octahedral interstitial sites, the bcc Fe-Co lattice is strained spontaneously. Such highly distorted Fe-Co is predicted to reach a strong magnetocrystalline anisotropy which may compete with shape anisotropy. To probe this theoretical suggestion experimentally, epitaxial films are examined. A spontaneous strain up to 5% lattice distortion is obtained for B content up to 4 at%, which leads to uniaxial anisotropy constants exceeding 0.5 MJ m(-3). However, a further addition of B results in a partial amorphisation, which degrades both anisotropy and magnetisation.

7.
Acta Crystallogr D Biol Crystallogr ; 71(Pt 8): 1736-44, 2015 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-26249354

RESUMEN

Acinetobacter baumannii is an opportunistic Gram-negative pathogen that is an important cause of healthcare-associated infections exhibiting high mortality rates. Clinical isolates of multidrug-resistant (MDR) and extremely drug-resistant (XDR) A. baumannii strains are increasingly being observed. Compounding this concern is the dearth of new antibacterial agents in late-stage development that are effective against MDR and XDR A. baumannii. As part of an effort to address these concerns, two genes (aroA and aroC) of the shikimate pathway have previously been determined to be essential for the growth and survival of A. baumannii during host infection (i.e. to be essential in vivo). This study expands upon these results by demonstrating that the A. baumannii aroK gene, encoding shikimate kinase (SK), is also essential in vivo in a rat soft-tissue infection model. The crystal structure of A. baumannii SK in complex with the substrate shikimate and a sulfate ion that mimics the binding interactions expected for the ß-phosphate of ATP was then determined to 1.91 Å resolution and the enzyme kinetics were characterized. The flexible shikimate-binding domain and LID region are compared with the analogous regions in other SK crystal structures. The impact of structural differences and sequence divergence between SKs from pathogenic bacteria that may influence antibiotic-development efforts is discussed.


Asunto(s)
Infecciones por Acinetobacter/microbiología , Acinetobacter baumannii/química , Acinetobacter baumannii/enzimología , Fosfotransferasas (Aceptor de Grupo Alcohol)/química , Fosfotransferasas (Aceptor de Grupo Alcohol)/metabolismo , Ácido Shikímico/metabolismo , Infecciones por Acinetobacter/metabolismo , Acinetobacter baumannii/crecimiento & desarrollo , Acinetobacter baumannii/metabolismo , Animales , Cristalografía por Rayos X , Humanos , Modelos Moleculares , Conformación Proteica , Ratas , Transducción de Señal
8.
AJNR Am J Neuroradiol ; 36(11): 2030-5, 2015 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-26206809

RESUMEN

BACKGROUND AND PURPOSE: The purpose of this study was to investigate imaging correlates to the changes occurring during angiogenesis in gliomas. This was accomplished through in vivo assessment of vascular parameters (relative CBV and permeability surface-area product) and their changing relationship with increasing glioma grade. MATERIALS AND METHODS: Seventy-six patients with gliomas underwent preoperative perfusion CT and assessment of relative CBV and permeability surface-area product. Regression analyses were performed to assess the rate of change between relative CBV and permeability surface-area product and to test whether these differed for distinct glioma grades. The ratio of relative CBV to permeability surface-area product was also computed and compared among glioma grades by using analysis of variance methods. RESULTS: The rate of change in relative CBV with respect to permeability surface-area product was highest for grade II gliomas followed by grade III and then grade IV (1.64 versus 0.91 versus 0.27, respectively). The difference in the rate of change was significant between grade III and IV (P = .003) and showed a trend for grades II and IV (P = .098). Relative CBV/permeability surface-area product ratios were the highest for grade II and lowest for grade IV. The pair-wise difference among all 3 groups was significant (P < .001). CONCLUSIONS: There is an increase in relative CBV more than permeability surface-area product in lower grade gliomas, whereas in grade III and especially grade IV gliomas, permeability surface-area product increases much more than relative CBV. The rate of change of relative CBV with respect to permeability surface-area product and relative CBV/permeability surface-area product ratio can serve as an imaging correlate to changes occurring at the tumor microvasculature level.


Asunto(s)
Neoplasias Encefálicas/irrigación sanguínea , Neoplasias Encefálicas/patología , Glioma/irrigación sanguínea , Glioma/patología , Neovascularización Patológica/patología , Adulto , Anciano , Permeabilidad Capilar/fisiología , Circulación Cerebrovascular/fisiología , Femenino , Humanos , Masculino , Microvasos/patología , Persona de Mediana Edad , Clasificación del Tumor , Imagen de Perfusión , Tomografía Computarizada por Rayos X
9.
Toxicol In Vitro ; 30(1 Pt A): 166-75, 2015 Dec 25.
Artículo en Inglés | MEDLINE | ID: mdl-25683621

RESUMEN

There is an increasing need to develop improved systems for predicting the safety of xenobiotics. However, to move beyond hazard identification the available concentration of the test compounds needs to be incorporated. In this study cyclosporine A (CsA) was used as a model compound to assess the kinetic profiles in two rodent brain cell cultures after single and repeated exposures. CsA induced-cyclophilin B (Cyp-B) secretion was also determined as CsA-specific pharmacodynamic endpoint. Since CsA is a potent p-glycoprotein substrate, the ability of this compound to cross the blood-brain barrier (BBB) was also investigated using an in vitro bovine model with repeated exposures up to 14 days. Finally, CsA uptake mechanisms were studied using a parallel artificial membrane assay (PAMPA) in combination with a Caco-2 model. Kinetic results indicate a low intracellular CsA uptake, with no marked bioaccumulation or biotransformation. In addition, only low CsA amounts crossed the BBB. PAMPA and Caco-2 experiments revealed that CsA is mostly trapped to lipophilic compartments and exits the cell apically via active transport. Thus, although CsA is unlikely to enter the brain at cytotoxic concentrations, it may cause alterations in electrical activity and is likely to increase the CNS concentration of other compounds by occupying the BBBs extrusion capacity. Such an integrated testing system, incorporating BBB, brain culture models and kinetics could be applied for assessing neurotoxicity potential of compounds.


Asunto(s)
Encéfalo/citología , Ciclosporina/farmacocinética , Neuronas/efectos de los fármacos , Animales , Barrera Hematoencefálica/fisiología , Células CACO-2 , Técnicas de Cultivo de Célula , Células Cultivadas , Embrión de Mamíferos/citología , Humanos , Ratones , Ratas , Ratas Sprague-Dawley
11.
J Phys Chem A ; 118(45): 10720-9, 2014 Nov 13.
Artículo en Inglés | MEDLINE | ID: mdl-25318063

RESUMEN

We have measured infrared spectra from several types of calcite: chalk, freshly cultured coccoliths produced by three species of algae, natural calcite (Iceland Spar), and two types of synthetic calcite. The most intense infrared band, the asymmetric carbonate stretch vibration, is clearly asymmetric for the coccoliths and the synthetic calcite prepared using the carbonation method. It can be very well fitted by two peaks: a narrow Lorenzian at lower frequency and a broader Gaussian at higher frequency. These two samples both have a high specific surface area. Density functional theory for bulk calcite and several calcite surface systems allows for assignment of the infrared bands. The two peaks that make up the asymmetric carbonate stretch band come from the bulk (narrow Lorenzian) and from a combination of two effects (broad Gaussian): the surface or near surface of calcite and line broadening from macroscopic dielectric effects. We detect water adsorbed on the high surface area synthetic calcite, which permits observation of the chemistry of thin liquid films on calcite using transmission infrared spectroscopy. The combination of infrared spectroscopy and density functional theory also allowed us to quantify the amount of polysaccharides associated with the coccoliths. The amount of polysaccharides left in chalk, demonstrated to be present in other work, is below the IR detection limit, which is 0.5% by mass.


Asunto(s)
Carbonato de Calcio/química , Haptophyta/química , Simulación por Computador , Microscopía Electrónica de Rastreo , Modelos Químicos , Mar del Norte , Espectrofotometría Infrarroja , Vibración , Agua/química , Difracción de Rayos X
12.
J Magn Reson ; 243: 98-106, 2014 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-24792962

RESUMEN

Nuclear magnetic resonance (NMR) and magnetic resonance imaging (MRI) are widely used techniques across numerous disciplines. While typically implemented at fields >1T, there has been continuous interest in the methods at much lower fields for reasons of cost, material contrast, or application. There have been numerous demonstrations of MR at much lower fields (from 1µT to 1mT), the so-called ultra-low field (ULF) regime. Approaches to ULF MR have included superconducting quantum interference device (SQUID) sensor technology for ultra-sensitive detection and the use of pulsed pre-polarizing fields to enhance the signal strength. There are many advantages to working in the ULF regime. However, due to the low strength of the measurement field, acquisition of MRI at ULF is more susceptible to ambient fields that cause image distortions. Imaging artifacts can be caused by transients associated with non-ideal field switching and from remnant fields in magnetic shielding, among other causes. In this paper, we introduce a general theoretical framework that describes effects of non-ideal measurement field inversion/rotation due to presence of these transient fields. We illustrate imaging artifacts via simulated and experimental examples.

13.
Micron ; 63: 52-6, 2014 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-24461627

RESUMEN

Aberration-corrected high-resolution transmission electron microscopy allows for the delocalization-free observation of atomic motions on metallic surfaces and thus enables measurements of the diffusion of single atoms on the surfaces of nanoscopic objects such as nanoparticles. Using this recently introduced method, the diffusion coefficient for surface self-diffusion of Pt nanoparticles is determined through the fluctuating occupation of the particle's atomic columns. This diffusion coefficient is determined to lie in the range D∼(10(-17)…10(-16)) cm(2)/s.

14.
Philos Trans A Math Phys Eng Sci ; 372(2009): 20120441, 2014 Feb 28.
Artículo en Inglés | MEDLINE | ID: mdl-24421374

RESUMEN

The role of elastic strain for magnetoelectric materials and devices is twofold. It can induce ferroic orders in thin films of otherwise non-ferroic materials. On the other hand, it provides the most exploited coupling mechanism in two-phase magnetoelectric materials and devices today. Complex oxide films (perovskites, spinels) are promising for both routes. The strain control of magnetic order in complex oxide films is a young research field, and few ab initio simulations are available for magnetic order in dependence on lattice parameters and lattice symmetry. Here, an experimental approach for the evaluation of how elastic strain in thin epitaxial films alters their magnetic order is introduced. The magnetic films are grown epitaxially in strain states controlled by buffer layers onto piezoelectric substrates of 0.72Pb(Mg1/3Nb2/3)O3-0.28PbTiO3(001). As an example, the strain dependence of the ordered magnetic moment of SrRuO3 has been investigated. At a tensile strain level of approximately 1%, SrRuO3 is tetragonal, and biaxial elastic strain induces a pronounced suppression of the ordered magnetic moment. As a second example, a strain-driven transition from a ferromagnetic to a magnetically disordered phase has been observed in epitaxial La0.8Sr0.2CoO3 films.

15.
Nat Commun ; 4: 2877, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-24309386

RESUMEN

The discovery of superconductivity with a transition temperature, Tc, up to 65 K in single-layer FeSe (bulk Tc=8 K) films grown on SrTiO3 substrates has attracted special attention to Fe-based thin films. The high Tc is a consequence of the combined effect of electron transfer from the oxygen-vacant substrate to the FeSe thin film and lattice tensile strain. Here we demonstrate the realization of superconductivity in the parent compound BaFe2As2 (no bulk Tc) just by tensile lattice strain without charge doping. We investigate the interplay between strain and superconductivity in epitaxial BaFe2As2 thin films on Fe-buffered MgAl2O4 single crystalline substrates. The strong interfacial bonding between Fe and the FeAs sublattice increases the Fe-Fe distance due to the lattice misfit, which leads to a suppression of the antiferromagnetic spin density wave and induces superconductivity with bulk Tc≈10 K. These results highlight the role of structural changes in controlling the phase diagram of Fe-based superconductors.

16.
Mater Sci Eng C Mater Biol Appl ; 33(8): 4795-801, 2013 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-24094189

RESUMEN

The correlation between the microstructure and mechanical behavior during tensile loading of Ti68.8Nb13.6Al6.5Cu6Ni5.1 and Ti71.8Nb14.1Al6.7Cu4Ni3.4 alloys was investigated. The present alloys were prepared by the non-equilibrium processing applying relatively high cooling rates. The microstructure consists of a dendritic bcc ß-Ti solid solution and fine intermetallic precipitates in the interdendritic region. The volume fraction of the intermetallic phases decreases significantly with slightly decreasing the Cu and Ni content. Consequently, the fracture mechanism in tension changes from cleavage to shear. This in turn strongly enhances the ductility of the alloy and as a result Ti71.8Nb14.1Al6.7Cu4Ni3.4 demonstrates a significant tensile ductility of about 14% combined with the high yield strength of above 820 MPa already in the as-cast state. The results demonstrate that the control of precipitates can significantly enhance the ductility and yet maintaining the high strength and the low Young's modulus of these alloys. The achieved high bio performance (ratio of strength to Young's modulus) is comparable (or even superior) with that of the recently developed Ti-based biomedical alloys.


Asunto(s)
Aleaciones/química , Metales/química , Módulo de Elasticidad , Microscopía Electrónica , Resistencia a la Tracción , Titanio/química
17.
J Magn Reson ; 233: 103-6, 2013 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-23796804

RESUMEN

Ultra-low field (ULF) MRI as an alternative to high field MRI can find some niche applications where high field is a liability. Previously we demonstrated hand images with a non-cryogenic ULF MRI system, but such a system was restrictive to the size of the imaging objects. We have modified the previous setup to increase the imaging volume and demonstrate the image of human hand near the wrist area. One goal for the demonstration is the evaluation of quality of larger bone structure to project image quality to other parts of extremities, such as elbows, shoulders, and knees. We found that after 12 min of acquisition, the image quality was quite satisfactory. To achieve this image quality, several problems were solved that appeared in the new system. The increase in the imaging volume size led to an increase in transient time and various measures were taken to reduce this time. We also explored a method of overcoming the artifacts and image quality reduction arising from field drifts present in the system due to heating of the coils. We believe that our results can be useful for evaluation of diagnostic capability of non-cryogenic ULF MRI of extremities and other parts of the body. The system can be also applied to image animals and tissues.


Asunto(s)
Antebrazo/anatomía & histología , Procesamiento de Imagen Asistido por Computador/métodos , Imagen por Resonancia Magnética/métodos , Muñeca/anatomía & histología , Artefactos , Mano/anatomía & histología , Humanos
18.
Nanotechnology ; 24(14): 145702, 2013 Apr 12.
Artículo en Inglés | MEDLINE | ID: mdl-23507583

RESUMEN

Magnetization reversal processes in Co/Pt multilayers prepared on nanoperforated templates are probed by magnetization relaxation measurements. The signature of pinning controlled domain wall movement as expected for percolated media is identified. This contrasts with the nucleation-type reversal mechanism of a Co/Pt reference film prepared on a smooth substrate. A zero field energy barrier of 93kBT is determined by fluctuation field measurements and is elucidated by micromagnetic calculations using the nudged elastic band method. This value is sufficiently large to qualify the material as a promising percolated medium.

19.
Mater Sci Eng C Mater Biol Appl ; 33(4): 2280-7, 2013 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-23498259

RESUMEN

Porous ß-type non-toxic Ti40Nb alloy was prepared by compaction of mechanically alloyed powder mixed with NaCl or Mg particles as space-holder material. The compacts with porosity of 36-80% demonstrated a very low Young's modulus of ~1.5-3 GPa and compression strength of ~10-35 MPa, which is suitable for potential implant material application. Porous samples were electrochemically covered with hydroxyapatite. The influence of the deposition time and of the electrolyte concentrations on the morphology of the hydroxyapatite coating was studied. It is demonstrated that a homogenous coating of hydroxyapatite crystals with different shape and size can be obtained on the surface of the porous samples.


Asunto(s)
Aleaciones/química , Tecnología Biomédica/métodos , Materiales Biocompatibles Revestidos/química , Durapatita/química , Módulo de Elasticidad , Galvanoplastia/métodos , Fuerza Compresiva , Magnesio/química , Microscopía Electrónica de Rastreo , Porosidad , Cloruro de Sodio/química , Espectrometría por Rayos X , Difracción de Rayos X , Microtomografía por Rayos X
20.
AJNR Am J Neuroradiol ; 34(4): 899-903, 2013 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-23042928

RESUMEN

BACKGROUND AND PURPOSE: The National Emergency X-Radiography Utilization Study Low-Risk Criteria were established to identify patients with a low probability of cervical spine injury in whom imaging of the cervical spine was unnecessary. The purpose of this study was to ascertain the number of unnecessary cervical spine CT studies on the basis of proper application of established clinical guidelines and, secondarily, to determine indications for ordering studies in the absence of guideline criteria. MATERIALS AND METHODS: All patients presenting to a level I trauma center for whom a screening cervical spine CT was ordered in the setting of blunt trauma were eligible for enrollment. For each study, the requesting clinician completed a survey regarding study indications. CT examinations were evaluated by a board-certified radiologist blinded to survey data to determine the presence or absence of cervical spine injury. RESULTS: Of 507 CT examinations, 5 (1%) were positive and 497 (98.0%) were negative for acute cervical spine injury. Five studies (1%) were indeterminate for acute injury but demonstrated no abnormality on subsequent imaging and clinical follow-up. Of the 502 studies without cervical spine injury, 81 (16.1%) were imaged despite meeting all 5 NEXUS criteria for nonimaging. Of these, the most common study indication was dangerous mechanism of injury (48.1%) followed by subjective neck pain (40.7%). CONCLUSIONS: Strict application of NEXUS criteria could potentially reduce the number of screening cervical spine CT scans in the setting of blunt trauma; this change would avoid a considerable amount of unnecessary radiation and cost.


Asunto(s)
Vértebras Cervicales/diagnóstico por imagen , Encuestas de Atención de la Salud , Traumatismos del Cuello/diagnóstico por imagen , Fracturas de la Columna Vertebral/diagnóstico por imagen , Tomografía Computarizada por Rayos X/estadística & datos numéricos , Centros Traumatológicos/estadística & datos numéricos , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Vértebras Cervicales/lesiones , Servicios Médicos de Urgencia/métodos , Servicios Médicos de Urgencia/estadística & datos numéricos , Femenino , Estudios de Seguimiento , Humanos , Masculino , Tamizaje Masivo/métodos , Tamizaje Masivo/estadística & datos numéricos , Persona de Mediana Edad , Estudios Prospectivos , Estudios Retrospectivos , Procedimientos Innecesarios/estadística & datos numéricos , Heridas no Penetrantes/diagnóstico por imagen , Adulto Joven
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