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1.
Actas Urol Esp (Engl Ed) ; 44(3): 187-195, 2020 Apr.
Artículo en Inglés, Español | MEDLINE | ID: mdl-31843220

RESUMEN

INTRODUCTION: Gleason score biopsy undergrading (GSBU) can have an impact on the management and prognosis of patients with prostate cancer. We analyze the possible impact of time and other clinical and analytical factors in the appearance of GSBU in our series. PATIENTS AND METHOD: Ambispective, multicenter study of 1955 patients with localized prostate cancer undergoing radical prostatectomy between 2005 and 2018. Descriptive statistics and hypothesis testing are reported by univariate and multivariate analyses. RESULTS: Mean age 63.69 (44-80) years, median PSA 8.70 ng / ml (1.23-99). GSBU was observed in 34.7% of the entire cohort. In 72.8% of the cases, the GSBU occurred in one consecutive Gleason score, with the progression from 3 + 3 to 3 + 4 being the most frequent (289 patients, 47.6%). Performing radical prostatectomy 90-180 days before or after the biopsy does not have an impact on its undergrading in any of the groups. In the univariate and multivariate analysis, the presence of tumor or pathological rectal examination in both lobes, the tumor load ≥50% of cylinders and a DPSA ≥0.20, showed independent discriminative capacity to select patients who presented GSBU. CONCLUSIONS: The time from biopsy to radical prostatectomy did not show impact on GSBU. The number of affected cylinders, bilateral tumor and DPSA are easily accessible parameters that can help us select patients with greater probability of presenting GSBU.


Asunto(s)
Próstata/patología , Prostatectomía , Neoplasias de la Próstata/patología , Neoplasias de la Próstata/cirugía , Adulto , Anciano , Anciano de 80 o más Años , Biopsia , Humanos , Masculino , Persona de Mediana Edad , Clasificación del Tumor , Estudios Prospectivos , Prostatectomía/métodos , Estudios Retrospectivos , Factores de Tiempo , Tiempo de Tratamiento
2.
Actas Urol Esp (Engl Ed) ; 42(9): 593-599, 2018 Nov.
Artículo en Inglés, Español | MEDLINE | ID: mdl-29292039

RESUMEN

OBJECTIVE: To determine the actual incidence of prostate cancer (PC) in the healthcare areas of Castilla-Leon in 2014. MATERIAL AND METHODS: A multicentre study was conducted with the participation of 7 of the 9 healthcare areas of Castilla-Leon. We collected retrospective data that included 87.8% of the target population (men diagnosed with PC with histopathological confirmation in 2014). We calculated the raw and age-adjusted incidence rates based on the direct method and consulted the community and national epidemiological data in the Spanish National Institute of Statistics. RESULTS: A total of 1198 new cases of PC were diagnosed, with a raw incidence rate in the community of 109.54 cases per 100,000 men. The adjusted rates for the Spanish and European populations were 115.41 and 110.07, respectively. The age group with the highest diagnostic concentration was the 60-70-year group, with 41.97% of the diagnoses. The group with the highest incidence was the 70-80-year group, with 438.87 cases per 100,000 inhabitants. There were differences in the raw and age-adjusted incidence rates and in the age at diagnosis among the various included healthcare areas. CONCLUSIONS: The community raw incidence rate was higher than most existing data. We observed significant differences among the various geographical areas, which could be explained mainly by the age distribution and the opportunistic screening policies for each area.


Asunto(s)
Neoplasias de la Próstata/epidemiología , Adulto , Anciano , Anciano de 80 o más Años , Áreas de Influencia de Salud , Humanos , Incidencia , Masculino , Persona de Mediana Edad , Sistema de Registros , España/epidemiología
3.
J Environ Manage ; 166: 237-49, 2016 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-26513322

RESUMEN

Improving the efficiency of management in protected areas is imperative in a generalized context of limited conservation budgets. However, this is overlooked due to flaws in problem definition, general disregard for cost information, and a lack of suitable tools for measuring costs and management quality. This study describes an innovative methodological framework, implemented in the web application SIGEIN, focused on maximizing the quality of management against its costs, establishing an explicit justification for any decision. The tool integrates, with this aim, a procedure for prioritizing management objects according to a conservation value, modified by a functional criterion; a project management module; and a module for management of continuous assessment. This appraisal associates the relevance of the conservation targets, the efficacy of the methods employed, both resource and personnel investments, and the resulting costs. Preliminary results of a prototypical SIGEIN application on the Site of Community Importance Chafarinas Islands are included.


Asunto(s)
Conservación de los Recursos Naturales/métodos , Animales , Conservación de los Recursos Naturales/economía , Especies en Peligro de Extinción , Extinción Biológica , Islas , Objetivos Organizacionales , España
4.
Vet Microbiol ; 174(3-4): 296-301, 2014 Dec 05.
Artículo en Inglés | MEDLINE | ID: mdl-25448444

RESUMEN

Porcine circovirus type 2 (PCV2) is a ubiquitous virus that mainly affects nursery and fattening pigs causing systemic disease (PCV2-SD) or subclinical infection. A characteristic sign in both presentations is reduction of average daily weight gain (ADWG). The present study aimed to assess the relationship between PCV2 load in serum and ADWG from 3 (weaning) to 21 weeks of age (slaughter) (ADWG 3-21). Thus, three different boar lines were used to inseminate sows from two PCV2-SD affected farms. One or two pigs per sow were selected (60, 61 and 51 piglets from Pietrain, Pietrain×Large White and Duroc×Large White boar lines, respectively). Pigs were bled at 3, 9, 15 and 21 weeks of age and weighted at 3 and 21 weeks. Area under the curve of the viral load at all sampling times (AUCqPCR 3-21) was calculated for each animal according to standard and real time quantitative PCR results; this variable was categorized as "negative or low" (<10(4.3) PCV2 genome copies/ml of serum), "medium" (≥10(4.3) to ≤10(5.3)) and "high" (>10(5.3)). Data regarding sex, PCV2 antibody titre at weaning and sow parity was also collected. A generalized linear model was performed, obtaining that paternal genetic line and AUCqPCR 3-21 were related to ADWG 3-21. ADWG 3-21 (mean±typical error) for "negative or low", "medium" and "high" AUCqPCR 3-21 was 672±9, 650±12 and 603±16 g/day, respectively, showing significant differences among them. This study describes different ADWG performances in 3 pig populations that suffered from different degrees of PCV2 viraemia.


Asunto(s)
Anticuerpos Antivirales/sangre , Infecciones por Circoviridae/veterinaria , Circovirus/fisiología , Enfermedades de los Porcinos/virología , Animales , Infecciones Asintomáticas , Infecciones por Circoviridae/virología , Femenino , Modelos Lineales , Embarazo , Porcinos , Carga Viral , Viremia/veterinaria , Destete , Aumento de Peso
5.
Res Vet Sci ; 96(3): 523-5, 2014 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-24746290

RESUMEN

The pharmacokinetic of the individual S-(+)-enantiomer of ketoprofen, S-(+)-ketoprofen, after intravenous (IV) and oral (PO) administration was determined in six dogs at 1 and 3 mg/kg. Plasma concentrations were determined by high performance liquid chromatography with ultraviolet detection. The concentration-time curves were analyzed by non-compartmental methods. Steady-state volume of distribution (Vss) and clearance (Cl) of S-(+)-ketoprofen after IV administration were 0.22 ± 0.07 and 0.19 ± 0.03 L/kg, and 0.10 ± 0.02 and 0.09 ± 0.01 L/h/kg, at 1 and 3 mg/kg, respectively. Following PO administration, S-(+)-ketoprofen achieved maximum plasma concentrations of 4.91 ± 0.76 and 12.47 ± 0.62 µg/ml, at two dose levels, respectively. The absolute bioavailability after PO route was 88.66 ± 12.95% and 85.36 ± 13.90%, respectively.


Asunto(s)
Antiinflamatorios no Esteroideos/farmacocinética , Perros/metabolismo , Cetoprofeno/farmacocinética , Administración Oral , Animales , Antiinflamatorios no Esteroideos/administración & dosificación , Antiinflamatorios no Esteroideos/sangre , Área Bajo la Curva , Disponibilidad Biológica , Estudios Cruzados , Femenino , Semivida , Inyecciones Intravenosas/veterinaria , Cetoprofeno/administración & dosificación , Cetoprofeno/sangre , Masculino , Estereoisomerismo
6.
J Vet Med A Physiol Pathol Clin Med ; 53(6): 300-4, 2006 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-16901274

RESUMEN

The pharmacokinetics (PK) of moxifloxacin in healthy white New Zealand rabbits was studied following intravenous (IV) and subcutaneous (SC) administration routes as well as a SC long-acting poloxamer 407 gel formulation (SC-P407). Moxifloxacin concentrations were determined by high-performance liquid chromatography assay with fluorescence detection. Mean half-life for IV, SC and SC-P407 routes was 2.15, 5.41 and 11.09 h. Clearance value after IV dosing was 0.78 l/kg/h. After SC administration, the mean absolute bioavailability was 117% and the C(max) was 1.61 +/- 0.49 mg/l. After SC-P407 administration, the bioavailability was 44% and the C(max) 1.83 was +/-0.62 mg/l. No adverse effects were observed in any of the rabbits following IV, SC and SC-P407 administration of moxifloxacin. Minimal inhibitory concentrations of moxifloxacin against different strains of Staphylococcus aureus from different european countries were used to compute the main pharmacodynamic (PD) surrogate markers of efficacy. The high tolerability of this SC-P407 formulation and the favourable PK behaviour such as the long half-life, acceptable bioavailability and excellent PK-PD ratios achieved indicate that it is likely to be effective in rabbits.


Asunto(s)
Compuestos Aza/farmacocinética , Vías de Administración de Medicamentos/veterinaria , Quinolinas/farmacocinética , Conejos/sangre , Animales , Área Bajo la Curva , Disponibilidad Biológica , Cromatografía Líquida de Alta Presión/veterinaria , Estudios Cruzados , Femenino , Fluorescencia , Fluoroquinolonas , Geles , Semivida , Inyecciones Intravenosas/veterinaria , Inyecciones Subcutáneas/veterinaria , Masculino , Moxifloxacino
7.
Rev Neurol ; 42(8): 455-61, 2006.
Artículo en Español | MEDLINE | ID: mdl-16625506

RESUMEN

INTRODUCTION: Bioelectrical behaviour was studied in a group of low birth weight children. AIM: To evaluate whether the characteristics of the waves of the brain potentials in these children, who weighed less than 1500 g at birth and experienced anomalous circumstances and events during their perinatal period, would help reach an early diagnosis of the possible developmental disorders they might suffer later on in life. SUBJECTS AND METHODS: Both visual and auditory cerebral evoked potentials were recorded in a group of children born underweight and the results were compared with the findings from another group of healthy children who were born in normal physiological conditions and were apparently free of any kind of pathology. RESULTS: In the waves and locations that were examined, the problem group displayed latencies that were longer than those of the control group; in contrast, no statistically significant differences were found in the amplitude, regardless of the location. Low gestational age and lower weight made latencies longer, but no relationship was found between latencies and the other perinatal features that were studied. CONCLUSIONS: Children with low weight at birth have slower wave latencies than normal children. This slowing, which is inversely proportional to the weight and weeks of gestation, is considered to be an anomalous sign that could be related to brain immaturity, delayed development or to disorders affecting myelination. Moreover, the amplitude, which has received far less attention from researchers, is usually shorter in these processes, although in our study we found no differences with the group of healthy children--only very slightly in the P300, in the weeks and the weight, and the N100 only in one location with respect to weight. Since these children usually have developmental disorders, the use of evoked potentials could be a very useful tool in their detection and ensuing therapy.


Asunto(s)
Discapacidades del Desarrollo/etiología , Potenciales Evocados/fisiología , Recien Nacido Prematuro/fisiología , Recién Nacido de muy Bajo Peso/fisiología , Peso al Nacer , Discapacidades del Desarrollo/fisiopatología , Femenino , Edad Gestacional , Humanos , Recién Nacido , Embarazo , Complicaciones del Embarazo , Estudios Retrospectivos , Factores de Riesgo
9.
J Vet Pharmacol Ther ; 28(1): 51-5, 2005 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-15720515

RESUMEN

Azithromycin is the first of a class of antimicrobial agents designated azalides. The aim of the present study was to investigate the disposition pharmacokinetics of azithromycin in goats and determine its bioavailability. A cross-over study was carried out in two phases separated by 30 days. Azithromycin was administered at a single dose of 20 mg/kg body weight by i.v. and i.m. routes. Plasma concentrations of azithromycin were determined by a modified agar diffusion bioassay. After a single i.v. dose plasma concentrations were best fitted to a three-compartment open model. A two-compartment open model with first-order absorption fitted best after i.m. administration. The values of the pharmacokinetic parameters after i.v. administration were: half-life 32.5 h, apparent volume of distribution at the steady-state 34.5 L/kg, clearance 0.85 L/kg. and mean residence time (MRT) 40.1 h. After i.m. administration half-life of 45.2 h, a MRT of 60.3 h, maximum plasma concentration 0.64 mg/L and a bioavalability 92.2% were obtained. The pharmacokinetic parameters of azithromycin after i.m. administration, principally its long half-life and high bioavailability, could provide an alternative to the oral route of administration in goats, although more studies are needed to establish a suitable pharmaceutical formulation, propose optimun dosage regimens, investigate clinical efficacy and study the tolerability of repeated doses.


Asunto(s)
Antibacterianos/farmacocinética , Azitromicina/farmacocinética , Cabras/metabolismo , Animales , Antibacterianos/administración & dosificación , Antibacterianos/sangre , Área Bajo la Curva , Azitromicina/administración & dosificación , Azitromicina/sangre , Estudios Cruzados , Inyecciones Intramusculares/veterinaria , Inyecciones Intravenosas/veterinaria , Masculino
10.
Rev Neurol ; 39(2): 105-8, 2004.
Artículo en Español | MEDLINE | ID: mdl-15264157

RESUMEN

INTRODUCTION: This work studies the behaviour of the N200 and P300 waves of the brain evoked potentials (BEP) in a group of very low birth weight infants and results are compared with a second group of children whose weight was normal at birth. AIMS: The objective of this study was to determine whether the N200 and, more especially, the P300 waves in children under the age of 3 could be used to assess the development and prognosis of their disorders. PATIENTS AND METHODS: BEP were performed in very low birth weight infants (taken as the test group) and in others whose weight at birth was normal (control group); the difference in ages when the potentials were recorded was not statistically significant. RESULTS: The EEG index was evaluated for both the test and the control group, and a difference was found with a significance of p < 0.001. Latency, in milliseconds, of the N200 wave and the P300 wave was recorded at the same sites for the test and control groups and showed differences with a significance of p < 0.001. CONCLUSIONS: The findings from the EEG and the latencies of the N200 and P300 waves in the BEP of very low birth weight infants are pathological and are linked to immaturity of the brain, which is characteristic of this population. This tool could help to detect developmental disorders and to facilitate a better approach to attending these children.


Asunto(s)
Potenciales Evocados/fisiología , Recién Nacido de muy Bajo Peso/fisiología , Encéfalo/fisiología , Encéfalo/fisiopatología , Niño , Preescolar , Electroencefalografía , Estudios de Seguimiento , Edad Gestacional , Humanos , Lactante , Recién Nacido , Trastornos Psicomotores/fisiopatología
11.
Aten Primaria ; 33(2): 78-85, 2004 Feb 15.
Artículo en Español | MEDLINE | ID: mdl-14967124

RESUMEN

OBJECTIVES: To find the social and clinical characteristics of patients over-using (OUP) our centre. To find how much these patients use the health services. DESIGN: Observational, descriptive study. SETTING: Urban primary care centre (36 408 inhabitants). PARTICIPANTS: Patients over 15 seen at the centre during the year 2000, who exceeded in their number of attendances the mean plus two standard deviations for their age group. MAIN MEASUREMENTS: The records of OUPS were reviewed to analyse their social and demographic characteristics, kinds of attendance, reasons for consultation, further tests, medication, referrals, and time off work this year. RESULTS: The sample was of 954 OUPs, 50.9% of whom were male with an average age of 50.54 (SD, 19.68). 86.3% had some risk factor recorded (34% hypertension, 32.4% mental health, 27.7% obesity, 25.7% tobacco dependency, 17.7% diabetes mellitus). They generated a mean of 9.6 visits to the doctor per year, with 95% CI (8.09-11.19), with the most common reason for attendance the monitoring of acute pathology (19.29%), followed by monitoring of chronic pathology (14.32%). There was an average of 1 analysis per OUP per year, and 0.68 image tests per OUP per year (48.38% were simple x-rays). 46.8% of the medication prescribed were analgesics. Average time off work was 0.5 periods off per OUP per year, with a mean period of 49.4 days off (SD, 113.69). They engendered an average of 4.15 nursing visits per OUP per year, 95% CI (2.60-5.70), with monitoring of chronic pathology the most common reason for consultation. 30.3% of OUP had a visit to hospital casualty recorded, with osteo-muscular pathology the most common reason for consultation (34.29%). Mean referrals were 0.88 OUP per year, with traumatology being the department to which most referrals were made (13.92%). CONCLUSIONS: OUP are middle-aged, have associated chronic pathology and use programmed appointments a lot. The additional tests conducted matched the centre's procedures for monitoring chronic pathologies. The most common reason for attendance at casualty was traumatology, as was the specialist clinic to which most referrals were made.


Asunto(s)
Servicios de Salud/estadística & datos numéricos , Visita a Consultorio Médico/estadística & datos numéricos , Atención Primaria de Salud/estadística & datos numéricos , Derivación y Consulta/estadística & datos numéricos , Adolescente , Adulto , Anciano , Estudios Transversales , Medicina Familiar y Comunitaria , Femenino , Humanos , Masculino , Persona de Mediana Edad , Factores de Riesgo , Factores Socioeconómicos
12.
J Theor Biol ; 227(1): 129-36, 2004 Mar 07.
Artículo en Inglés | MEDLINE | ID: mdl-14969711

RESUMEN

This paper introduces a methodology to analyse the structural costs on plant potential fitness, empirically exemplified in the hierarchical shoot system of a Mediterranean perennial plant, Retama sphaerocarpa (L.) Boiss. During growing season every year (March-August), the terminal shoot (which is the basic unit of growth) develops inflorescences, flowers and fruits, as well as new shoots (first-, second- and third-order branching shoots) which have the potential to "behave" as terminal shoots in the following year. Different morphological and demographical aspects of the modules within the terminal shoot were measured in 100 terminal shoots selected from different plants of a natural population of R. sphaerocarpa. Complementary samples of 100 shoots of different branching orders were collected to obtain biomass estimations of the terminal shoots. We propose a simple procedure to estimate structural cost (biomass investment) on plant potential fitness (flowering buds) as a methodology for interpreting and comparing the consequences on fitness of different plant growth patterns. The results of this study exemplify how differential allocation patterns among plant structural modules, depending on their position within the shoot system, can be quantified to estimate their influence upon plant potential fitness.


Asunto(s)
Fabaceae/crecimiento & desarrollo , Modelos Biológicos , Brotes de la Planta/crecimiento & desarrollo , Biomasa , Fabaceae/anatomía & histología , Flores/fisiología
13.
Aten. prim. (Barc., Ed. impr.) ; 33(2): 78-85, feb. 2004.
Artículo en Es | IBECS | ID: ibc-30614

RESUMEN

Objetivos. Conocer las características sociales y clínicas del paciente hiperfrecuentador (PHF) de nuestro centro. Conocer el uso que éste hace de los servicios sanitarios. Diseño. Estudio descriptivo observacional. Emplazamiento. Centro de atención primaria urbano (36.408 habitantes).Participantes. Pacientes mayores de 15 años visitados en el centro durante el año 2000, que superan en número de visitas la media más 2 desviaciones estándar para su grupo etario. Mediciones principales. Se revisan las historias de los PHF analizando las características sociodemográficas, los tipos de visitas, los motivos de consulta, las pruebas complementarias, la medicación, las derivaciones y las bajas generadas ese año. Resultados. La muestra es de 954 PHF; el 50,9 por ciento son varones, con una media de edad ñ desviación estándar de 50,54 ñ 19,68 años. En el 86,3 por ciento se halla registrado algún factor de riesgo (en un 34 por ciento, hipertensión arterial; en un 32,4 por ciento salud mental, en el 27,7 por ciento obesidad, en el 25,7 por ciento, tabaquismo; y en 17,7 por ciento, diabetes mellitus). Estos pacientes generan una media de 9,6 visitas/médico/año, con un intervalo de confianza del 95 por ciento de 8,09-11,19; el motivo de consulta más frecuente es el seguimiento de una enfermedad aguda (19,29 por ciento), seguida del control de una enfermedad crónica (14,32 por ciento).Se obtuvo una media de una analítica por PHF/año y de 0,68 pruebas de imagen por PHF/año (el 48,38 por ciento son placas simples). De la medicación prescrita, el 46,8 por ciento son analgésicos. La media de bajas laborales es de 0,5 bajas por PHF/año, con un período medio de 49,4 ñ 113,69 días de baja. Estos pacientes generan una media de 4,15 visitas de enfermería por PHF/año, con un intervalo de confianza del 95 por ciento de 2,60-5,70; el motivo más frecuente de consulta es el control de enfermedades crónicas. En el 30,3 por ciento de los PHF se encuentra registrada alguna visita al servicio de urgencias hospitalarias y el motivo de consulta más frecuente es una enfermedad osteomuscular (34,29 por ciento). La media de derivaciones es de 0,88 PHF/año y el especialista al que más se deriva es el traumatólogo (13,92 por ciento).Conclusiones. Los PHF son usuarios de mediana edad, con una enfermedad crónica asociada y una alta utilización de la cita programada. El consumo de pruebas complementarias se ajusta a los protocolos de seguimiento del centro para las enfermedades crónicas. Los problemas traumatológicos son el motivo más frecuente de la consulta al servicio de urgencias hospitalario y de la derivación al especialista más utilizado (AU)


Asunto(s)
Humanos , Masculino , Persona de Mediana Edad , Femenino , Adolescente , Adulto , Anciano , Atención Primaria de Salud , Factores Socioeconómicos , Visita a Consultorio Médico , Factores de Riesgo , Derivación y Consulta , Servicios de Salud , Estudios Transversales , Medicina Familiar y Comunitaria
14.
Actas Esp Psiquiatr ; 31(4): 177-81, 2003.
Artículo en Español | MEDLINE | ID: mdl-12838440

RESUMEN

INTRODUCTION: To study working memory function in major depression using identification and memory tests with event-related potentials (ERP). METHODS: We compared behavioral performance and event-related potentials during the processing of the Sternberg working memory task in 26 patients with major depression and 64 healthy matched control subjects. RESULTS: Depressed patients had more errors and had an increase in reaction time that was superior to the control subjects during the memory test of 5 letters presented. The depressive patients showed increased event-related potentials (P300 and N400) between 300-700 milliseconds registered in Pz. The prolonged positive activity in the patients ERPs suggests specific deficit in cortical activity and the large prolonged negativity activity in the patients' ERPs suggests abnormal activation of additional neuronal assemblies than those normally participating in the memory task. These data could reflect either compensatory mechanisms of dysfunction of inhibitory systems. CONCLUSIONS: This study provides objective evidence that major depression significantly affects working memory. The ERP changes in depression could be accounted for by cortical activity dysfunction of the central executive control of working memory.


Asunto(s)
Cognición , Trastorno Depresivo Mayor/psicología , Potenciales Evocados/fisiología , Trastornos de la Memoria/diagnóstico , Trastornos de la Memoria/etiología , Potenciales Relacionados con Evento P300/fisiología , Femenino , Humanos , Masculino , Trastornos de la Memoria/fisiopatología , Persona de Mediana Edad , Pruebas Neuropsicológicas , Factores de Tiempo
15.
Rev Neurol ; 35(2): 115-8, 2002.
Artículo en Español | MEDLINE | ID: mdl-12221620

RESUMEN

OBJECTIVE: The object of this study to analyse and compare the efficacy of the classic language tasks (repetition, phonological fluency and lexical decision), for the purpose of identifying the dominant hemisphere for language by means of functional magnetic resonance. SUBJECTS AND METHODS: The three tasks were performance with a groups of 10 right handed subjects with ages of 22 to 40 years. The examination was carried out using a 1,5 T MRI apparatus. An eight sequence of planar echo gradient (BOLD technique) was used, making the oblique axial plane coincide with the line between the anterior and posterior commissures (CA CP line) and covering the entire brain. RESULTS: Dominance was calculated by means of the lateralization index, comparing the activation in each hemisphere in two locations: first, taking account the temporal lobe together with the right and left frontal lobes, and second, taking into account only the right and left frontal lobes. CONCLUSION: The result indicate that the most effective test for obtaining the dominant hemisphere was the one for phonological fluency, this task activated the frontal areas, which showed greater participation in the left hemisphere.


Asunto(s)
Encéfalo/anatomía & histología , Encéfalo/fisiología , Lateralidad Funcional/fisiología , Imagen por Resonancia Magnética , Adulto , Toma de Decisiones , Femenino , Lóbulo Frontal/anatomía & histología , Lóbulo Frontal/fisiología , Humanos , Pruebas del Lenguaje , Masculino , Fonética , Vocabulario
16.
J Vet Pharmacol Ther ; 25(4): 259-64, 2002 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-12213113

RESUMEN

The pharmacokinetics of a 2:1 ampicillin-sulbactam combination in six rabbits, after intravenous and intramuscular injection at a single dosage of 20 mg/kg bodyweight (13.33 mg/kg of sodium ampicillin and 6.67 mg/kg of sodium sulbactam) were investigated by using a high performance liquid chromatographic method for determining plasma concentrations. The plasma concentration-time curves were analysed by compartmental pharmacokinetic and noncompartmental methods. The disposition curves for both drugs were best described by an open two-compartment model after intravenous administration and a one-compartment model with first order absorption after intramuscular administration. The apparent volumes of distribution calculated by the area method for ampicillin and sulbactam were 0.62 +/- 0.09 and 0.45 +/- 0.05 L/kg, respectively, and the total body clearances were 0.65 +/- 0.04 and 0.42 +/- 0.05 L/kg h, respectively. The elimination half-lives of ampicillin after intravenous and intramuscular administration were 0.64 +/- 0.11 and 0.63 +/- 0.16 h, respectively, whereas for sulbactam the half-lives were 0.74 +/- 0.12 and 0.77 +/- 0.17 h, respectively. The bioavailability after intramuscular injection was high and similar in both drugs (73.34 +/- 10.08% for ampicillin and 83.20 +/- 7.41% for sulbactam). The mean peak plasma concentrations of ampicillin and sulbactam were reached at similar times (0.20 +/- 0.09 and 0.34 +/- 0.15 h, respectively) and peak concentrations were also similar but nonproportional to the dose of both products administered (13.07 +/- 3.64 mg/L of ampicillin and 8.42 +/- 1.74 mg/L of sulbactam). Both drugs had similar pharmacokinetic behaviour after intramuscular administration in rabbits.


Asunto(s)
Ampicilina/farmacocinética , Quimioterapia Combinada/farmacocinética , Sulbactam/farmacocinética , Adsorción , Ampicilina/sangre , Animales , Quimioterapia Combinada/sangre , Femenino , Semivida , Inyecciones Intramusculares , Inyecciones Intravenosas , Masculino , Tasa de Depuración Metabólica , Conejos , Sulbactam/sangre
17.
Rev. neurol. (Ed. impr.) ; 35(2): 115-118, 16 jul., 2002.
Artículo en Es | IBECS | ID: ibc-22138

RESUMEN

Objetivo. El objetivo de este estudio es analizar y comparar la eficacia de tres tareas clásicas del lenguaje, la de repetición, la de fluidez fonológica y la de decisión léxica, con el fin de identificar el hemisferio dominante para el lenguaje mediante una resonancia magnética (RM) funcional. Sujetos y métodos. Las tres tareas se realizaron a un grupo de 10 sujetos diestros con edades comprendidas entre 22 y 40 años, para cuya evaluación se empleó un aparato de RM de 1,5 T, en ocho secuencias de gradiente eco planar (técnica BOLD) que se hicieron en el plano axial oblicuo, y que coincidían con la línea entre la comisura anterior y la posterior y cubrían todo el cerebro (línea CA-CP). Resultados. La dominancia se calculó mediante el índice de lateralización, al comparar la activación en cada hemisferio en dos situaciones. En primer lugar, se tuvo en cuenta el lóbulo temporal y el frontal derechos e izquierdos, y en segundo lugar, sólo los lóbulos frontales derechos e izquierdos. Conclusiones. Los resultados que se obtuvieron indican que la prueba más efectiva para obtener el hemisferio dominante es la de fluidez fonológica, y que la activación de las áreas frontales muestra una mayor participación del hemisferio izquierdo (AU)


Asunto(s)
Adulto , Masculino , Femenino , Humanos , Imagen por Resonancia Magnética , Vocabulario , Fonética , Toma de Decisiones , Lóbulo Frontal , Telencéfalo , Pruebas del Lenguaje , Lateralidad Funcional
18.
Actas Esp Psiquiatr ; 30(1): 1-6, 2002.
Artículo en Español | MEDLINE | ID: mdl-11893284

RESUMEN

INTRODUCTION: Event related potentials are an objective parameter reflecting cognitive functions. Among the event related potentials, the P300 component is viewed as a measure of stimulus evaluation time and it can provide a rough estimate of the time required for perceptual processing. Impairment in cognitive processing, psychomotor retardation and abnormally amplitude and longer P300 latency have been found in depressive patients. METHODS: To evaluate the influence of visual and auditory stimuli on the P300 latency we studied 595 patients with major depression. The experimental tasks applied were, first, a series of 300 auditory stimuli: 85% were tones of 1,000 Hz, and 15% were tones of 2,000 Hz, and second, a series of 300 visual stimuli; 85% were black circles on a white background and 15% were black squares on a white background. RESULTS: The results shown an increase of P300 latency in depressive patients during auditory and visual tasks. DISCUSSION: These results are consistent with an impairment in brain function with cortical hypo activity in depressive patients that is associated with cognitive deficit processing. These results determine the clinical utility of P300 in patients with major depression.


Asunto(s)
Encéfalo/fisiopatología , Trastorno Depresivo Mayor/fisiopatología , Potenciales Relacionados con Evento P300/fisiología , Trastornos del Conocimiento/diagnóstico , Trastornos del Conocimiento/etiología , Trastorno Depresivo Mayor/psicología , Electromiografía , Potenciales Evocados Auditivos/fisiología , Potenciales Evocados Visuales/fisiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Músculo Esquelético/fisiología , Pruebas Neuropsicológicas
19.
Aust Vet J ; 79(7): 492-6, 2001 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-11549049

RESUMEN

OBJECTIVE: To determine for two commercial preparations of oxytetracycline (OTC) the pharmacokinetic behaviour, the presence of detectable milk residues and the penetration in milk of OTC administered by intravenous (IV) (conventional formulation [CF]) and intramuscular (IM) routes (CF and long-acting [LA] formulations) in goats producing milk. The effects of these formulations on plasma activity values of creatine kinase (CK) and lactate dehydrogenase (LDH) were also determined as indicators of tissue damage. PROCEDURE: Five healthy lactating goats producing 1.5+/-0.5 L/d milk and weighing 56.0+/-4.8 kg were used. Single doses of OTC chlorhydrate (CF) were administered (20 mg OTC/kg) by IV (Trial 1 IV) and IM (Trial 1 IM) routes and OTC dehydrate (LA) by the IM route. The same goats were first given IV CF, then IM CF followed by IM LA with 3 weeks between each treatment. Blood and milk samples were taken. The quantification of OTC was performed by HPLC and the plasma activities of CK and LDH enzymes were determined by spectrophotometry. The presence of OTC residues in milk was determined by a commercial reagent. The plasma pharmacokinetic parameters were calculated using a two-compartment model. RESULTS: Estimates of kinetic variables following IV administration were: Vss= 400.0+/-120.0 mL/kg and CL= 110.0+/-14.0 (mL/h)/kg. The t(fi) for IV= 3.0+/-0.3 h; IM, CF = 10.5+/-2.1 h and IM, LA = 15.1+/-3.1 h. The concentration of OTC in milk at 48 h was: IV= 0.6+/-0.4; IM CF= 1.1+/-0.2 and at 72 h (IM LA)= 0.6+/-0.1 microg/mL and the penetration in milk of OTC was: IV= 70.0+/-18.0; IM CF= 79.0+/-14.0 and IM LA= 66.0+/-6.0%. The areas under the curve of CK and LDH activities in plasma were calculated by the trapezoidal method. Values of CK and LDH IM, LA were greater (P < 0.05) than those observed for IM, CF at 2 and 3 days after administration of the antibiotic. Finally, the bioavailability of OTC CF = 92.0+/-22.0 and LA= 78.0+/-23.0% was suitable for its usage by the IM route in lactating goats. CONCLUSION: Plasma concentration-time values of OTC administered parenterally in production dairy goats showed similar bioavailability for the two pharmaceutical preaprations. The presence of detectable residues in milk indicates that milk should not be used for human consumption for 2 and 3 days after administration of conventional and long-acting formulations, respectively. The increments in CK and LDH activities after the IM administration of LA are consistent with the presence of tissue damage provoked by the pharmaceutical preparations at the injection site.


Asunto(s)
Antibacterianos/farmacocinética , Enfermedades de las Cabras/prevención & control , Cabras/metabolismo , Leche/metabolismo , Oxitetraciclina/farmacocinética , Animales , Antibacterianos/administración & dosificación , Antibacterianos/sangre , Área Bajo la Curva , Química Farmacéutica , Cromatografía Líquida de Alta Presión/veterinaria , Creatina Quinasa/sangre , Residuos de Medicamentos , Femenino , Inyecciones Intramusculares/veterinaria , Inyecciones Intravenosas/veterinaria , L-Lactato Deshidrogenasa/sangre , Oxitetraciclina/administración & dosificación , Oxitetraciclina/sangre
20.
Environ Exp Bot ; 46(1): 11-20, 2001 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-11378168

RESUMEN

The different weight-number strategies of seed production displayed by individuals of a Mediterranean fire-prone plant species (Cistus ladanifer) were investigated in relation to seed germination responses to pre-germination heating. A control (no heating), a high temperature during a short exposure time (100 degrees C during 5 min) and a high temperature during a long exposure time (100 degrees C during 15 min) were applied to seeds from different individual plants with different mean seed weight. These pre-germination treatments resemble natural germination scenarios for the studied species, absence of fire, typical Mediterranean shrub fire, and severe fire with high fuel load. Seed germination was related to heat treatments and seed mass. Seed heating increased the proportion of seeds germinating compared with the control treatment. Mean seed weight was positively correlated to the proportion of germinated seeds but only within heat treatments. These results suggest that in periods without fire, the relative contributions to the population dynamics are equal for all seeds, regardless of their mass, whereas heavier seeds would be the main contribution after wildfire events. Since lighter seeds can be produced in higher quantities than heavier ones within a given fruit, the number of seedlings produced per fruit depended strongly on the germination conditions. In the absence of wildfire, fruits producing lighter seeds gave rise to more seedlings; nevertheless, they were numerically exceeded by those producing heavy seeds after a wildfire. The implications of these results are discussed in relation to their consequences on the population dynamics of this species, considering also additional information on stand flammability and changes in seed mass with plant age.

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