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1.
Front Microbiol ; 14: 1130397, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37007504

RESUMEN

Introduction: Conservation agriculture is a sustainable system of farming that safeguard and conserves natural resources besides enhancing crop production. The biological properties of soil are the most sensitive indicator to assess the short term impact of management practices such as tillage and residue incorporation. Methods: Nine treatments of tillage and residue management practices [Reduced till direct seeded rice-zero till barley (RTDSR-ZTB); RTDSR-ZTB-green gram residue (Gg); Zero till direct seeded rice-zero till barley-zero till green gram (ZTDSR-ZTB-ZTGg); RTDSR-ZTB + rice residue at 4 t ha 1 (RTDSR-ZTBRR4); RTDSR-ZTBRR6; un-puddled transplanted rice (UPTR)-ZTB-Gg; UPTR-ZTBRR4; UPTR-ZTBRR6, and puddled transplanted rice (PTR)-RTB] executed under fixed plot for five years on crop productivity and soil biological properties under rice-barley production system. Results: The shifting in either RTDSR or ZTDSR resulted in yield penalty in rice compared to PTR. The PTR recorded highest pooled grain yield of 3.61 ha-1. The rice grain yield reduced about 10.6% under DSR as compared to PTR. The ZTB along with residue treatments exhibited significantly higher grain yield over ZTB, and the RTDSR-ZTBRR6 registered highest pooled grain yield of barley. The system productivity (12.45 t ha-1) and sustainable yield index (0.87) were highest under UPTR-ZTBRR6. Biological parameters including microbial biomass carbon, soil respiration, microbial enzymes (Alkaline phosphatase, nitrate reductase and peroxidase), fluorescein diacetate hydrolysis, ergosterol, glomalin related soil proteins, microbial population (bacteria, fungi and actinobacteria) were found to be significantly (p < 0.05) effected by different nutrient management practices. Based on the PCA analysis, Fluorescein diacetate hydrolysis, microbial biomass carbon, soil respiration, nitrate reductase and fungi population were the important soil biological parameters indicating soil quality and productivity in present experiment. The results concluded that UPTR-ZTBRR6 was a more suitable practice for maintaining system productivity and soil biological health. Discussion: The understanding of the impact of different tillage and residue management practices on productivity, soil biological properties and soil quality index under rice-barley cropping system will help in determining the combination of best conservation agriculture practices for improved soil quality and sustainable production.

2.
J Neonatal Perinatal Med ; 14(2): 261-267, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33074197

RESUMEN

BACKGROUND: The aim was to assess the predictability of transcutaneous bilirubinometry in late preterm and term neonates at risk for pathological hyperbilirubinemia, and to identify the neonatal population in which transcutaneous bilirubin most accurately predicts serum bilirubin level (SB, mg/dl). METHODS: The correlations between transcutaneous bilirubin (TCB, mg/dl) and SB in different neonatal population subsets; and between ΔTSB (TCB-SB) and relevant neonatal variables and clinical groups were analyzed. RESULTS: TCB correlated with SB (r = 0.82, p < 0.05) in the cohort (n = 350) and in population subsets (r = 0.81-0.9, p < 0.001). Black infants with gestational age (GA) >35 weeks and chronological age (CA) >3 days recorded strongest correlation (r = 0.9, p < 0.001) followed by Blacks, and non-Black infants with CA >3 days and GA >35 weeks. ΔTSB was positive in Blacks, and in infants with CA <3 days, or with no phototherapy. ΔTSB was negative in non-Blacks, in infants with positive direct Coombs test (DC+) or those receiving phototherapy. Black race [beta (SE) = 1.3(0.33), p < 0.001] had positive, while CA [beta (SE) =-1.74 (0.36), p < 0.001], DC + status [beta (SE) =-0.72 (0.25), p = 0.004] and receipt of phototherapy [beta (SE) =-0.84 (0.21), p < 0.001] each had negative correlation with ΔTSB. ΔTSB for Blacks was >Whites, Hispanics and Asians. CONCLUSION: SB is best predicted by TCB in Black infants with CA over 3 days and GA over 35 weeks. Variability in SB estimation by TCB is race, CA and immune mediated hemolysis specific.


Asunto(s)
Bilirrubina/sangre , Hiperbilirrubinemia Neonatal/diagnóstico , Recien Nacido Prematuro/sangre , Nacimiento Prematuro/sangre , Pigmentación de la Piel , Femenino , Humanos , Lactante , Recién Nacido , Ictericia Neonatal/diagnóstico , Masculino , Tamizaje Neonatal/métodos , Embarazo
3.
J Genet ; 992020.
Artículo en Inglés | MEDLINE | ID: mdl-32893841

RESUMEN

This study was undertaken to measure the genetic diversity and population structure of 48 barley accessions introduced from ICARDA using 51 polymorphic simple sequence repeat (SSR) markers to select unique parents for breeding. The mean polymorphic information content was 0.491, suggesting high polymorphism for the selected SSR markers among the barley accessions. The population structure indicated a fine genetic base only with two major clusters. All accessions had 100% membership probability in their respective clusters. Analysis of molecular variance revealed that most (78%) of the variation was attributed between populations, while 22% was due to variation among individuals within populations. Neighbour-joining (NJ) tree was constructed using this distance matrix and two major clusters were observed in it. Cluster 1 had all hulled barley accessions and cluster 2 had all hulless barley accessions. Cluster 2 could be further divided into three subclusters. Principal coordinates analysis results were similar to the NJ tree, where the hulled and hulless barley accessions were grouped into separate clusters. This study established the existence of considerable genetic diversity among the 48 tested accessions. The selected genetic resources will be useful for barley breeding in India and other countries.


Asunto(s)
ADN de Plantas/genética , Marcadores Genéticos , Variación Genética , Genética de Población , Hordeum/genética , ADN de Plantas/análisis , Genoma de Planta , Hordeum/clasificación , Secuencias Repetitivas de Ácidos Nucleicos
4.
J Food Sci Technol ; 54(9): 2638-2644, 2017 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-28928503

RESUMEN

In this study, efforts were made to utilize hulless barley (variety BHS352) to enhance the nutritive value of chapatti and biscuit made from wheat flour. Barley flour was added to wheat flour in different ratios (5 to 30%). Antioxidant activity, total phenolic content and ß-glucan content were determined both in flour blends and their products. Changes in physical quality and taste of chapatti and biscuits after blending of hulless barley flour with wheat flour were measured. The chapatti quality score decreased by 15% and biscuit spread factor by 33% after 30% barley flour blending. Significant increase in ß-glucan content and antioxidant activity of flour blends and their products was observed at 30% blending level. The phenolic content increased from 63 to 135 µg for biscuits and 237 to 287 ug GAE/g for chapatti with blending of 30% barley flour.

5.
SAR QSAR Environ Res ; 26(5): 383-95, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-25967253

RESUMEN

This report describes development of an in silico, expert rule-based method for the classification of chemicals into irritants or non-irritants to eye, as defined by the Draize test. This method was developed to screen data-poor cosmetic ingredient chemicals for eye irritancy potential, which is based upon exclusion rules of five physicochemical properties - molecular weight (MW), hydrophobicity (log P), number of hydrogen bond donors (HBD), number of hydrogen bond acceptors (HBA) and polarizability (Pol). These rules were developed using the ADMET Predictor software and a dataset of 917 eye irritant chemicals. The dataset was divided into 826 (90%) chemicals used for training set and 91 (10%) chemicals used for external validation set (every 10th chemical sorted by molecular weight). The sensitivity of these rules for the training and validation sets was 72.3% and 71.4%, respectively. These rules were also validated for their specificity using an external validation set of 2011 non-irritant chemicals to the eye. The specificity for this validation set was revealed as 77.3%. This method facilitates rapid screening and prioritization of data poor chemicals that are unlikely to be tested for eye irritancy in the Draize test.


Asunto(s)
Fenómenos Químicos , Simulación por Computador , Sistemas Especialistas , Oftalmopatías/inducido químicamente , Irritantes/química , Alternativas a las Pruebas en Animales , Cosméticos/química , Cosméticos/toxicidad , Irritantes/toxicidad , Relación Estructura-Actividad Cuantitativa , Reproducibilidad de los Resultados , Toxicología/métodos
6.
Public Health Action ; 5(4): 241-5, 2015 Dec 21.
Artículo en Inglés | MEDLINE | ID: mdl-26767177

RESUMEN

BACKGROUND: In India, the National Health Mission has provided one mobile medical unit (MMU) per district in the state of Punjab to provide primary health care services for difficult-to-reach populations. OBJECTIVES: To determine the number of patients with presumptive tuberculosis (TB) and the number of TB cases detected and treated among patients who used the MMU services from May to December 2012 in Mohali district, Punjab, India. METHODS: A cross-sectional study was conducted and registers of the out-patient, laboratory, radiology, and TB departments of the MMU were reviewed to determine the number of persons presumed to have TB and the number of persons diagnosed with TB. RESULTS: Of 8346 patients who attended the MMUs, 663 (8%) had symptoms suggestive of TB. Among those with TB symptoms, 540 (81%) were evaluated for pulmonary TB using sputum examination or chest X-ray. In total, 58 (11%) patients had clinical or laboratory evidence of pulmonary TB, of whom 21 (36%) started anti-tuberculosis treatment. CONCLUSION: As MMUs are an integral part of the general public health system, these units have the potential to detect TB cases among difficult-to-reach populations. Additional research is required to optimise the diagnosis of TB at MMUs and to increase rates of TB treatment initiation.


Contexte : En Inde, la Mission nationale santé a fourni une unité médicale mobile (MMU) par district dans l'état du Penjab afin d'offrir des services de soins de santé primaires aux populations difficilement accessibles.Objectifs : Déterminer le nombre de patients présumés atteints de la tuberculose (TB) et le nombre de cas de TB détectés et traités parmi les patients qui ont utilisé les services de la MMU de mai à décembre 2012 dans le district de Mohali de l'état du Penjab, Inde.Méthodes : Une étude transversale a été réalisée et l'étude des registres des consultations, du laboratoire, de la radiologie et des services de TB de la MMU a permis de compter le nombre de personnes présumées atteintes de TB et le nombre de personnes ayant eu un diagnostic de TB.Résultats : Un total de 8346 patients ont fréquenté la MMU, dont 663 (8%) avaient des symptômes suggérant une TB. Parmi ces derniers, 540 (81%) ont bénéficié d'une recherche de TB pulmonaire grâce à un examen de l'expectoration ou à une radiographie pulmonaire. Au total, 58 (11%) patients ont eu des preuves cliniques ou biologiques de TB pulmonaire, dont 21 (36%) ont mis en route un traitement de la tuberculose.Conclusion : Comme les MMU font partie intégrante du système de santé publique général, ces unités ont le potentiel de détecter les cas de TB parmi les populations « difficiles à atteindre ¼. De plus amples recherches sont requises afin d'optimiser le diagnostic de la TB dans les MMU pour accélérer la mise en route du traitement de la TB.


Marco de referencia: En la India, la National Health Mission ha suministrado una unidad médica móvil (MMU) a cada distrito del estado del Punjab, con el objeto de prestar servicios de atención primaria de salud a las poblaciones de difícil acceso.Objetivos: Determinar el número de pacientes con presunción clínica de tuberculosis (TB) y el número de casos de TB diagnosticados y tratados en el grupo de pacientes que acudieron a las MMU de mayo a diciembre del 2012 en el distrito de Mohali del estado del Punjab, en la India.Métodos: Se llevó a cabo un estudio transversal, en el cual se examinaron los registros de los servicios de consulta externa, laboratorio, radiología y los departamentos de TB de las MMU, con el propósito de calcular el número de personas con presunción de TB y el número de casos de TB diagnosticados.Resultados: Durante el período del estudio acudieron a las MMU 8346 personas, de las cuales 663 refirieron síntomas indicativos de TB (8%). Se investigaron 540 personas por TB pulmonar (81%) mediante la baciloscopia del esputo o la radiografía de tórax. Se encontraron pruebas clínicas o de laboratorio de TB pulmonar en 58 pacientes (11%) y se inició el tratamiento antituberculoso en 21 de ellos (36%).Conclusión: Puesto que las MMU forman parte integrante del sistema general de salud pública, estas estructuras pueden detectar los casos de TB en las poblaciones de difícil acceso. Se precisan nuevas investigaciones que contribuyan a optimizar el diagnóstico de la TB en estas unidades y a conseguir que una mayor proporción de pacientes inicie el tratamiento antituberculoso.

7.
Anim Reprod Sci ; 140(1-2): 47-53, 2013 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-23755935

RESUMEN

The present study was undertaken to assess the effect of dietary supplementation of Tinospora cordifolia on physico-morphological, biochemical, antioxidant profiles and serum testosterone concentration in Muzzafarnagari rams. Twelve rams were randomly divided into two groups, control (n=6) and supplemental (n=6) group. The control group was fed with a diet satisfying NRC recommendations whereas the supplemental group was fed with T. cordifolia at the rate of 1g/kg body weight for 6 months. The semen samples were collected 60 days post-feeding. The result revealed that T. cordifolia supplementation did not have a significant effect on physico-morphological, biochemical attributes of semen and serum testosterone concentrations in rams. The concentration of cholesterol, superoxide dismutase (SOD) and catalase were, however, increased (P<0.05) in seminal plasma. It was concluded that the possible protective effects of T. cordifolia supplementation were enhancing antioxidant enzymes and cholesterol concentrations in semen which may be protected the spermatozoa during cryopreservation and thus enhancing fertility in farm animals.


Asunto(s)
Suplementos Dietéticos , Semen/fisiología , Ovinos/fisiología , Tinospora , Fosfatasa Ácida/análisis , Alanina Transaminasa/análisis , Fosfatasa Alcalina/análisis , Animales , Aspartato Aminotransferasas/análisis , Catalasa/análisis , Colesterol/análisis , Masculino , Distribución Aleatoria , Superóxido Dismutasa/análisis , Testosterona/sangre
9.
J Perinatol ; 26(3): 197-200, 2006 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-16493434

RESUMEN

OBJECTIVE: We studied the ante- and postnatal risk factors and clinical outcomes associated with pulmonary interstitial emphysema (PIE) in extremely low birth weight infants (ELBW, <1000 g at birth) in the present era of tocolytics, antenatal steroid and postnatal surfactant administration. STUDY DESIGN: This was a retrospective case-controlled study of all ELBW admitted consecutively during a designated study-period in a level III nursery. Data were analyzed by performing univariate and multivariate analysis as applicable. RESULTS: Infants with PIE had lower 1 and 5 min Apgar scores (P=0.04 and 0.003 respectively), increased surfactant utilization (P=0.004), higher maximum inspired oxygen concentration (P=0.04) and mean airway pressure administration (P=0.02) during the first week of life, and increased neonatal mortality (P=0.01). They received higher antenatal doses of magnesium sulfate (MgSO(4)) (P=0.02). 56% of infants with PIE were exposed to more than 10 g of MgSO(4) (Mg10), compared to 15% in non-PIE group (P=0.01). The multivariate logistic regression analysis including significant co-variates revealed an independent association between Mg10 and PIE (P=0.01, Odds ratio 19.8, 95% CI 1.5-263). CONCLUSION: Pulmonary interstitial emphysema is associated with increased mortality in ELBW infants. Mg10 is an independent risk factor for PIE in this population.


Asunto(s)
Recién Nacido de muy Bajo Peso , Enfisema Pulmonar/epidemiología , Enfisema Pulmonar/etiología , Síndrome de Dificultad Respiratoria del Recién Nacido/terapia , Puntaje de Apgar , Estudios de Casos y Controles , Femenino , Estudios de Seguimiento , Humanos , Incidencia , Recién Nacido , Unidades de Cuidado Intensivo Neonatal , Masculino , Oxígeno/uso terapéutico , Probabilidad , Enfisema Pulmonar/fisiopatología , Respiración Artificial/métodos , Síndrome de Dificultad Respiratoria del Recién Nacido/diagnóstico , Estudios Retrospectivos , Medición de Riesgo , Tasa de Supervivencia , Resultado del Tratamiento
10.
Pharmazie ; 60(11): 869-73, 2005 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-16320952

RESUMEN

Natural and synthetic caffeic acid esters were assayed for their enzymatic activity versus neutrophil elastase (EC 3.4.21.37) and thrombin (EC 3.4.21.5). Lipophilic caffeic acid esters inhibited neutrophil elastase activity and the inhibition rate was enhanced with increasing length of the aliphatic chain of the alcohol component. The geometry of the chain seems to be more important than the number of carbon atoms. The most inhibitory compound was n-octylcaffeic acid ester with an IC50 value of 1.0 microM. Thrombin activity was only weakly inhibited by the caffeic acid esters thus demonstrating a specificity for neutrophil elastase. Because of its critical role in inflammatory processes, inhibition of neutrophil elastase by caffeic acid esters might be of importance in the treatment of inflammation.


Asunto(s)
Ácidos Cafeicos/farmacología , Inhibidores Enzimáticos , Elastasa de Leucocito/antagonistas & inhibidores , Trombina/antagonistas & inhibidores , Ácidos Cafeicos/química , Fenómenos Químicos , Química Física , Humanos , Cinética , Relación Estructura-Actividad Cuantitativa , Especificidad por Sustrato
11.
Curr Top Med Chem ; 2(12): 1357-79, 2002 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-12470285

RESUMEN

In this review, the evolution of QSAR is traced from the insightful observations of Crum-Brown and Frazier to Hammett's critical equations and finally Hansch's seminal contributions on hydrophobicity and modelling of biological activity based on extrathermodynamic principles. Today's QSAR models can stand alone, augment other graphical approaches or be examined in tandem with equations of a similar mechanistic genre to truly reveal the power of the paradigm. This review will focus on the three standard classifications routinely used in QSAR analysis electronic, hydrophobic, and steric, as well as topological indices. Electronic parameters will focus on Hammett sigma constants and their numerous variations. Dipole moments, hydrogen bond descriptors and quantum chemical indices as well as applications of their utilization will be described. The hydrophobicity parameter will be examined by tracing its early history, its operational definition and its determination by either experimental methods or computational calculations. Steric parameters, which run the gamut from size to shape, will be described by Taft's, Hancock's, Charton's, Fujita's, Verloop's and Simon's contributions. Topological effects, delineated by connectivity indices, kappa shape and electrotopological indices of Kier and Hall are also described. Examples of QSAR models incorporating most of these parameters are reviewed. In cases where the 95% confidence intervals of variables are available, they are listed in parentheses. A brief Comparative QSAR analysis of non-nucleoside reverse transcriptase inhibitors (NNRTI's) is outlined and various models obtained by different groups examining 4, 5, 6, 7-tetrahydro-5-methylimidazo [4, 5,1-j,k][1,4] benzodiazepin-2(1H)-ones (TIBO) and 1-[(2-hydroxyethoxy)methyl]-6-(phenylthio)-thymine (HEPT) derivatives are compared for mechanistic insight that could be useful in the process of inhibitor design.


Asunto(s)
Relación Estructura-Actividad Cuantitativa , Estabilidad de Medicamentos , Humanos , Modelos Químicos , Modelos Moleculares
12.
Chemosphere ; 41(10): 1643-9, 2000 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-11057692

RESUMEN

There is an evidence that benzyl alcohols may exhibit toxicity via a radical mechanism. To test this possibility, we studied the toxicity of para substituted benzyl alcohols on rapidly dividing cancer cells (L1210 leukemia). This system has previously found utility in studying the apparent radical toxicity of a variety of phenols. However, no evidence could be found for an electronic effect and the cellular toxicity was associated primarily with hydrophobicity. Comparison of this quantitative structure-activity relationships (QSAR) with others for the reactions of benzyl alcohols in diverse systems provides insight into mechanisms of action. A QSAR for the interaction of benzyl alcohols with protozoa yields an equation that is dependent on both hydrophobicity and acidity of the OH group versus a mixture of bacteria and fungi, the critical dependence on hydrophobicity prevails with a small dependence on a resonance-stabilized, radical mediated electronic effect. The chloramphenicols provide an instructive example, where the radical mediated electronic effect overshadows the hydrophobic contribution to bacterial toxicity. These various QSAR for benzyl alcohols indicate that mechanisms of growth inhibition in vitro vary depending on cell/organism type, the strength of the bond and lability of the hydrogen, and the strength of the initiating radical reagent.


Asunto(s)
Alcoholes Bencílicos/química , Alcoholes Bencílicos/toxicidad , Relación Estructura-Actividad Cuantitativa , Animales , División Celular/efectos de los fármacos , Radicales Libres , Leucemia L1210/patología , Termodinámica , Pruebas de Toxicidad
13.
J Perinatol ; 18(6 Pt 1): 480-4, 1998.
Artículo en Inglés | MEDLINE | ID: mdl-9848767

RESUMEN

We report the earliest case of urinary tract infection (UTI) so far described in term uncomplicated newborn infants. The unusual features of this case included early massive hematuria as the only presenting symptom and a host with no risk factors for either sepsis or localization of infection in the genitourinary tract. Reports of urinary analysis, urine cultures, renal ultrasound, and renal scan established the diagnosis of UTI. Massive hematuria in this case was probably precipitated by mild renal venous thrombosis. Ampicillin-resistant Escherichia coli was cultured from the urine, which responded promptly to appropriate treatment. A urine culture was done because of the predominantly urinary signs and symptoms. Although urine culture analysis is not routinely performed for the evaluation of possible sepsis before 72 hours of age, this investigation may be important in critically ill neonates who present with predominantly genitourinary signs and symptoms.


Asunto(s)
Infecciones por Escherichia coli/diagnóstico , Infecciones Urinarias/diagnóstico , Ampicilina/farmacología , Escherichia coli/efectos de los fármacos , Escherichia coli/aislamiento & purificación , Infecciones por Escherichia coli/complicaciones , Hematuria/etiología , Humanos , Recién Nacido , Masculino , Pruebas de Sensibilidad Microbiana , Penicilinas/farmacología , Infecciones Urinarias/complicaciones , Orina/microbiología
14.
Am J Perinatol ; 13(7): 389-93, 1996 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-8960606

RESUMEN

Preterm infants often have abnormally low serum vitamin A concentrations. Persistence of vitamin A deficiency for a prolonged postnatal period may contribute to the development of bronchopulmonary dysplasia. We retrospectively analyzed data from 22 infants with birthweight < or = 1250 g who had hyaline membrane disease requiring mechanical ventilation with oxygen and in whom serum vitamin A concentrations had been measured at the onset of enteral feeding and every 2 weeks thereafter. Thirteen infants (low serum vitamin A group) had one or more serum vitamin A concentrations < or = 11 mcg/dL at > 10 days of age. In 9 infants (higher serum vitamin A group) all serum vitamin A concentrations were > 11 mcg/dL at > 10 days of age. Mean birthweight, mean gestational age, sex, race, incidence of antenatal maternal glucocorticoid treatment and ventilatory support on the first day of life were similar for the two groups. Severe bronchopulmonary dysplasia was as defined as characteristic radiographic changes and either discharge from the hospital with supplemental oxygen or death from respiratory failure at > 28 days of age following mechanical ventilation with oxygen since birth. The incidence of severe bronchopulmonary dysplasia was significantly higher in the low serum vitamin A group (11/13, 3 deaths vs. 1/9, no deaths; p=0.001). The incidence of pulmonary air leak, the number of ventilator days, the number of days of postnatal glucocorticoid treatment for chronic lung disease, the number of episodes of suspected sepsis and the number of days of antibiotic treatment also were higher in the low serum vitamin A group. Low serum vitamin A group infants were older at the onset of enteral feeding (21 days vs. 8 days; p = 0.001) and during feeding their average daily enteral intake of vitamin A was lower (713 IU vs. 1255 IU; p = 0.001) when compared with infants in the higher serum vitamin A group. Our retrospective analysis of data from these infants confirms earlier reports from other workers that persistent marked vitamin A deficiency in very low birthweight infants is associated with a high incidence of severe bronchopulmonary dysplasia, delayed onset of enteral feeding and low enteral intake of vitamin A.


Asunto(s)
Displasia Broncopulmonar/complicaciones , Recién Nacido de muy Bajo Peso , Deficiencia de Vitamina A/complicaciones , Displasia Broncopulmonar/epidemiología , Displasia Broncopulmonar/etiología , Estudios de Casos y Controles , Nutrición Enteral , Femenino , Humanos , Incidencia , Recién Nacido , Masculino , Morbilidad , Estudios Retrospectivos , Vitamina A/sangre , Deficiencia de Vitamina A/epidemiología
15.
Obstet Gynecol Surv ; 50(7): 542-55, 1995 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-7566832

RESUMEN

Pulmonary immaturity, including deficiency in the surfactant system, incomplete structural/functional development of lungs and high chest wall compliance contribute to the pathogenesis of respiratory distress syndrome (RDS). Pulmonary edema and overperfusion, resulting from a patent ductus arteriosus, may further worsen the respiratory failure, and aggravate the surfactant deficiency. Infants born prematurely present with respiratory distress within the first few minutes of life. This quickly becomes life-threatening, and may result in death from severe respiratory failure if appropriate respiratory and general supportive therapy are not immediately instituted. The oxygenation deficit in RDS is secondary to V/Q mismatch and right-left shunting of blood via pulmonary and extrapulmonary routes. Hypoxemia induced pulmonary vasoconstriction further contributes to V/Q mismatch and R-L shunting. Hypoventilation in RDS is due to decreased tidal volume, increased dead space ventilation, and finally, decreased minute ventilation. Characteristically, pulmonary compliance, both static and dynamic, are greatly reduced resulting in a high work of breathing, whereas airway resistance is normal or only slightly increased. This combination of abnormal pulmonary mechanics results in lower respiratory time constant in respiratory units, and helps in achieving ventilation and oxygenation by using low inspiratory time in the ventilator. Management of RDS starts with prenatal identification of the risk, prolongation of pregnancy by tocolysis and prenatal administration of pharmacological agents, like betamethasone. These agents increase the pulmonary gas exchange surface area and induce endogenous pulmonary surfactant in the fetus. Advances in ventilatory and general management techniques have strikingly improved the outcome and prognosis of children suffering from RDS since the 1960s. Recent advancements in the prevention and treatment of RDS, e.g., acceleration of lung development by prenatal pharmacological manipulations and postnatal provision of exogenous surfactant, have significantly contributed to the decrease in mortality from RDS. Pharmacological induction of lung maturation by drugs in combination, and improved technology in lung ventilation are expected to further improve the course and outcome of the disease in future.


Asunto(s)
Síndrome de Dificultad Respiratoria del Recién Nacido/fisiopatología , Síndrome de Dificultad Respiratoria del Recién Nacido/terapia , Diagnóstico Diferencial , Femenino , Predicción , Humanos , Recién Nacido , Embarazo , Diagnóstico Prenatal , Pronóstico , Surfactantes Pulmonares/análisis , Surfactantes Pulmonares/deficiencia , Síndrome de Dificultad Respiratoria del Recién Nacido/diagnóstico , Factores de Riesgo
16.
Indian J Pediatr ; 61(3): 213-21, 1994.
Artículo en Inglés | MEDLINE | ID: mdl-7959995

RESUMEN

Body electrolytes and their regulatory hormones were studied in preterm infants who suffered from bronchopulmonary dysplasia under two groups: those who were not treated with diuretics (Group II), and those who were treated with diuretics (Group III). The values were compared with a group of matched healthy controls (Group I). Lower serum Na levels, a need of higher Na intake, and higher urinary Na concentrations and urinary specific gravity were found in Group II infants. FeNa was normal and the urinary flow rate was lower than the controls. These data suggest an inability of these infants to dilute urine. Group III infants who were treated with diuretics showed higher serum Na levels and lower urinary specific gravity than Group II infants. These values, as well as water and Na intake/output ratios, were all similar to the control values. Serum aldosterone level was highest in Group II but did not reach significance. Intracellular K concentration was not different between the groups indicating an optimum total body K balance. A significant negative correlation between serum Na and aldosterone levels was found in Group II infants, which was not noted in the controls. Significant correlations were also found between FeNa and plasma aldosterone level in the BPD groups, unlike the controls. The control group of infants showed significant positive correlation between Na balance and serum Na levels. Our results suggest that inability to dilute urine appropriately might be the reason for the BPD patients to retain body water. Water restriction and diuretic therapy therefore are reasonable therapeutic approaches in such cases.


Asunto(s)
Displasia Broncopulmonar/tratamiento farmacológico , Displasia Broncopulmonar/metabolismo , Diuréticos/uso terapéutico , Electrólitos/metabolismo , Humanos , Lactante , Recién Nacido
17.
J Lab Clin Med ; 123(5): 676-84, 1994 May.
Artículo en Inglés | MEDLINE | ID: mdl-8195674

RESUMEN

Preterm human infants demonstrate high fecal K+/Na+ ratio that is inversely related to maturation. Renal and colonic basolateral membrane-located Na+,K(+)-adenosine triphosphatase (Na+,K(+)-ATPase) governs K+ excretion and is enhanced by both steroid administration and K+ loading. However, the response of premature kidney or colon to these stimuli is not well studied. We measured basal as well as stimulated levels of renal and colonic Na+,K(+)-ATPase activity in response to betamethasone and K+ load given separately and betamethasone given after K+ load in premature, mature, and 4-day-old Sprague-Dawley rats. Although preterm rats showed a higher basal level in the kidneys (p < 0.004), an increase in enzyme activity in response to the stimuli was achieved only in the colon (p < 0.001 for betamethasone, p < 0.0001 for K+ load, and p < 0.0007 for the combination). At term and at 4 days of postnatal age, however, the kidneys showed much higher levels than the colon in response to stimuli (p < 0.0001 for all) except for betamethasone at term. The response of colonic tissue of preterm and term rats to betamethasone given 4 days after a K+ load was less marked than response to betamethasone or K+ load given separately (p < 0.001). The stimulated levels achieved in the preterm colon were higher than the basal preterm renal values (p < 0.001). The tissue K+ content increased in response to K+ load in only the preterm colon (p < 0.05). We have demonstrated a tissue specificity in the development of Na+,K(+)-ATPase activity in K+ excretory organs of rats.(ABSTRACT TRUNCATED AT 250 WORDS)


Asunto(s)
Envejecimiento/metabolismo , Betametasona/farmacología , Colon/enzimología , Riñón/enzimología , Potasio/farmacología , ATPasa Intercambiadora de Sodio-Potasio/metabolismo , Animales , Colon/crecimiento & desarrollo , Edad Gestacional , Riñón/crecimiento & desarrollo , Ratas , Ratas Sprague-Dawley
18.
Indian J Pediatr ; 60(5): 631-8, 1993.
Artículo en Inglés | MEDLINE | ID: mdl-8157332

RESUMEN

We measured 24-hour fecal losses of sodium (Na) and potassium (K) in immediate post natal period of preterm neonates to determine the role of this route in the electrolyte imbalances seen in such infants. The values from preterm infants were compared to a group of age matched term infants. Eleven studies were done on unfed extremely low birth weight infants (group I, birth weight < 1200 gms), seven on fed preterm infants (group II, birth weight 1201-2500 gms) and nine on fed term infants (group III, birth weight 2501-4000 gms). Measured and derived variables compared between the groups were 24 hour fecal volume, total fecal electrolyte contents, Na or K lost per kg of body weight and per gm. of stool and Na or K losses as percent of intake. Although 24 hour fecal volume was lowest in group I, none of the variables related to Na differed between groups I and II whereas all of them were significantly lower in group I when compared with group III. Groups II and III differed only in terms of Na loss/gm stool which was lower in the previous group. Conversely K loss/gm of stool was significantly higher in group I when compared with both groups II and III and the only variable that differed between groups II and III was a higher fecal K content as fraction of intake. Fecal K/Na ratio was highest in group I, and decreased progressively with advancing gestational age, whereas creatinine clearance was lowest in group I and increased along with gestational age.(ABSTRACT TRUNCATED AT 250 WORDS)


Asunto(s)
Heces/química , Recién Nacido de Bajo Peso/fisiología , Potasio/metabolismo , Sodio/metabolismo , Desequilibrio Hidroelectrolítico/metabolismo , Humanos , Recién Nacido
19.
J Perinatol ; 13(2): 111-4, 1993.
Artículo en Inglés | MEDLINE | ID: mdl-8515302

RESUMEN

Myocardial calcification has been rarely described in premature infants after myocardial infarction and myocarditis with coxsackievirus B1. In adults and older children, metastatic myocardial calcification has been reported in chronic renal failure. We report a case of myocardial calcification in a 680-gm preterm infant after a prolonged course of renal failure complicated by secondary hyperparathyroidism. Subclinical myocardial injury was evidenced by a high serum creatine phosphokinase MB band concentration, which probably provided a susceptible substrate for the deposition of calcium crystals, because the multiplication product of serum calcium and inorganic phosphorus levels transiently exceeded 75 mg x mg/100 ml, indicating serum saturation during the course of secondary hyperparathyroidism. We report this case as an unusual complication of renal immaturity in extremely low birth weight infants and an indication of a relatively intact parathyroid glandular function in them. Hypoxia, myocardial dysfunction, and renal failure are common complications in such infants, and in the presence of renal failure, the serum levels of calcium and inorganic phosphorus should be maintained below the pathologic level to avoid ectopic calcification of the tissues, including the myocardium.


Asunto(s)
Calcinosis/etiología , Cardiomiopatías/etiología , Hiperparatiroidismo Secundario/complicaciones , Enfermedades del Prematuro , Fallo Renal Crónico/complicaciones , Calcinosis/diagnóstico , Calcinosis/tratamiento farmacológico , Calcio/sangre , Cardiomiopatías/diagnóstico , Cardiomiopatías/tratamiento farmacológico , Creatina Quinasa/sangre , Deshidratación/complicaciones , Deshidratación/terapia , Dopamina/uso terapéutico , Ecocardiografía , Femenino , Fluidoterapia , Furosemida/uso terapéutico , Humanos , Hiperpotasemia/tratamiento farmacológico , Hiperparatiroidismo Secundario/etiología , Recién Nacido de Bajo Peso , Recién Nacido , Fallo Renal Crónico/tratamiento farmacológico , Fallo Renal Crónico/terapia , Fósforo/sangre , Poliestirenos/uso terapéutico , Potasio/sangre
20.
Theor Appl Genet ; 72(6): 737-8, 1986 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-24248192

RESUMEN

The allelic relationship of resistance genes for MYMV was studied in blackgram (V. mungo (L.) Hepper). The resistant donors to MYMV - 'Pant U84' and 'UPU 2', and their F1, F2 and F3 generations - were inoculated artificially using an insect vector, whitefly (Bemisia tabaci Genn.). The two recessive genes previously reported for resistance were found to be the same in both donors.

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