Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 141
Filtrar
1.
Environ Toxicol Pharmacol ; 107: 104420, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38499263

RESUMO

Endocrine disruptors chemicals (EDCs) pose significant health risks, including cancer, behavioral disorders, and infertility. In this study, we employed the photoelectrocatalysis (PEC) technique with optimized tungsten oxide (WO3) nanostructures as a photoanode to degrade three diverse EDCs: methiocarb, dimethyl phthalate, and 4-tert-butylphenol. PEC degradation tests were carried out for individual contaminants and a mixture of them, assessing efficiency across different EDC families. Ultra High-Performance Liquid Chromatography and Mass Spectrometry was used to control the course of the experiments. For individual solutions, 4-tert-butylphenol and methiocarb were 100% degraded at 1 hour of PEC degradation. Among the tested EDCs, dimethyl phthalate showed the highest resistance to degradation when treated individually. However, when assessed in a mixture with the other EDCs, the degradation efficiency of dimethyl phthalate increased compared to its individual treatment. Furthermore, four degradation intermediates were identified for each contaminant. Finally, toxicity tests revealed that the initial solution was more toxic than the samples treated for all the contaminants tested, except for the phthalate.


Assuntos
Disruptores Endócrinos , Metiocarb , Fenóis , Ácidos Ftálicos , Humanos , Disruptores Endócrinos/toxicidade , Espectrometria de Massas em Tandem/métodos
2.
Nanomaterials (Basel) ; 12(23)2022 Dec 02.
Artigo em Inglês | MEDLINE | ID: mdl-36500910

RESUMO

In this work, WO3 nanostructures were synthesized with different complexing agents (0.05 M H2O2 and 0.1 M citric acid) and annealing conditions (400 °C, 500 °C and 600 °C) to obtain optimal WO3 nanostructures to use them as a photoanode in the photoelectrochemical (PEC) degradation of an endocrine disruptor chemical. These nanostructures were studied morphologically by a field emission scanning electron microscope. X-ray photoelectron spectroscopy was performed to provide information of the electronic states of the nanostructures. The crystallinity of the samples was observed by a confocal Raman laser microscope and X-ray diffraction. Furthermore, photoelectrochemical measurements (photostability, photoelectrochemical impedance spectroscopy, Mott-Schottky and water-splitting test) were also performed using a solar simulator with AM 1.5 conditions at 100 mW·cm-2. Once the optimal nanostructure was obtained (citric acid 0.01 M at an annealing temperature of 600 °C), the PEC degradation of methylparaben (CO 10 ppm) was carried out. It was followed by ultra-high-performance liquid chromatography and mass spectrometry, which allowed to obtain the concentration of the contaminant during degradation and the identification of degradation intermediates. The optimized nanostructure was proved to be an efficient photocatalyst since the degradation of methylparaben was performed in less than 4 h and the kinetic coefficient of degradation was 0.02 min-1.

3.
Cir. mayor ambul ; 27(1): 3-5, oct.- dic. 2022. graf
Artigo em Espanhol | IBECS | ID: ibc-212647

RESUMO

Introducción: La valoración que el paciente hace de la atención prestada es un indicador importante de la calidad del servicio prestado, demostrando ser eficaz en la mejora continua de la calidad asistencial a fin de detectar debilidades que ayuden a desarrollar estrategias de mejora. Uno de esos medidores es el Net Promoter Score (NPS), sistema de medición que indica la probabilidad que se recomiende el servicio a un familiar o amigo. En mayo de 2021 comenzó una prueba piloto con la cual se impulsa un proceso de automatización del sistema de evaluación de la satisfacción del paciente. El objetivo de este estudio es obtener una valoración cuantificable de la satisfacción de nuestros pacientes, conociendo el NPS de nuestra unidad. Metodología: Se realizó un estudio retrospectivo de los datos obtenidos a través de las encuestas realizadas digitalmente por los pacientes en un periodo comprendido desde el 21 de mayo de 2021 al 31 de marzo de 2022. Resultados: La satisfacción global ha sido muy alta, estando el 95,4 % de los pacientes feliz. Se obtuvo un NPS de 87, lo que sitúa a nuestra unidad en datos de excelencia. Conclusiones: Las herramientas cuantitativas de medición ayudan a mantener una monitorización continua de los estándares de calidad para identificar problemas, corregirlos y/o prevenirlos. Las encuestas informatizadas deben ser eficientes, de fácil desarrollo y efectuadas con regularidad (AU)


Introduction: The patient’s evaluation of the care provided is an important indicator of the quality of the service offered, proving to be effective in the continuous improvement of the quality of care, in order to detect weaknesses that help to develop strategies for improvement. One such measure is the Net Promoter Score (NPS), a system of measurement that indicates the probability that the service will be recommended to a family member or friend. In May 2021, a pilot test will begin to drive a process of automation of the patient satisfaction evaluation system. The aim of this study is to obtain a quantifiable assessment of the satisfaction of our patients, knowing the NPS of our department. Methodology: A retrospective study was carried out of the data obtained from the surveys carried out digitally by patients in the period from 21 May 2021 to 31 March 2022. Results: Overall satisfaction was very high, with 95.4% of patients being happy, and an NPS of 87 was obtained, which places our department in a position of excellence. Conclusions: Quantitative measurement tools help to keep a continuous monitoring of quality standards in order to identify problems, correct them and/or prevent them. Computerised surveys must be efficient, easy to develop and carried out regularly (AU)


Assuntos
Humanos , Procedimentos Cirúrgicos Ambulatórios , Processamento Eletrônico de Dados , Satisfação do Paciente , Estudos Retrospectivos , Inquéritos e Questionários
4.
RSC Adv ; 12(39): 25711-25721, 2022 Sep 05.
Artigo em Inglês | MEDLINE | ID: mdl-36199326

RESUMO

In this work the effect of noble metal on the photodegradation of 2,4-dichlorophenoxyacetic acid herbicide using TiO2 as support was studied. The metals and concentration were: Rh, Ru, Pt and Au and 1, 0.98, 1.89, and 1.91 wt% respectively. Rhodium was taken as reference for this experiment. The samples were characterized by X-Ray Diffraction (XRD), UV-vis absorption spectra, N2 physisorption (BET Specific Surface Area), High Annular Angle Analysis Darkfield (HAADF) and Transmission Electron Microscopy Scanning (STEM), H2 chemisorption, optical emission spectroscopy with inductive coupling plasma analysis (ICP-OES), solid fluorescence, X-ray Photoelectron Spectroscopy (XPS) and OH quantification. The presence of the anatase crystalline phase was mostly confirmed in all samples. The band gap decreased with the presence of metal (from 3.24 to 2.92 eV). The specific area was a function of the metal particle size. The metal particle diameter showed the following sequence Pt > Ru > Au > Rh. By XPS, TiO2 does not manifest changes in oxidation states, but when impregnated with metals, only Pt shows the highest abundance of any oxidized state (Pt2+). The presence of metal reveals less electron-hole recombination compared with titanium oxide. The results of photocatalytic activity showed that Pt and Rh are the two metals with the highest mineralization (99.0 and 98.3%, respectively).

5.
Neurología (Barc., Ed. impr.) ; 36(4): 285-297, mayo 2021. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-219746

RESUMO

Introducción: El entrenamiento de fuerza unilateral ha demostrado provocar aumentos de fuerza tanto en la extremidad entrenada como en la no entrenada. Una de las teorías actuales más aceptadas defiende que el origen de dicho aumento de rendimiento se encuentra en adaptaciones en el sistema nervioso, concretamente en la corteza motora primaria, siendo los aumentos en la excitabilidad corticoespinal (EC) medida con estimulación magnética transcraneal una de las principales adaptaciones observadas tras periodos crónicos de entrenamiento. Por ello, el principal objetivo es hacer un análisis de la literatura actual para determinar el grado de adaptación que se da en la EC y su posible relación funcional con el aumento de fuerza de la extremidad no entrenada.DesarrolloSe llevó a cabo una búsqueda sistemática en la literatura existente entre enero de 1970 hasta diciembre de 2016 en las bases de datos online Medline (vía PubMed), Ovid, Web of Science y Science Direct con la siguiente estrategia de búsqueda: (Transcranial magnetic stimulation OR excitability) Y (strength training OR resistance training or force) Y (cross transfer OR contralateral limb OR cross education). Finalmente se incluyeron un total de 10 artículos.ConclusionesExiste cierta inconsistencia en los resultados referentes al aumento de la EC. Aunque no se puede descartar que dicha inconsistencia se deba a aspectos metodológicos, los resultados parecen indicar que el aumento de fuerza y el incremento en la EC podrían no estar funcionalmente relacionados. (AU)


Introduction: Unilateral resistance training has been shown to improve muscle strength in both the trained and the untrained limb. One of the most widely accepted theories is that this improved performance is due to nervous system adaptations, specifically in the primary motor cortex. According to this hypothesis, increased corticospinal excitability (CSE), measured with transcranial magnetic stimulation, is one of the main adaptations observed following prolonged periods of training. The principal aim of this review is to determine the degree of adaptation of CSE and its possible functional association with increased strength in the untrained limb.DevelopmentWe performed a systematic literature review of studies published between January 1970 and December 2016, extracted from Medline (via PubMed), Ovid, Web of Science, and Science Direct online databases. The search terms were as follows: (transcranial magnetic stimulation OR excitability) AND (strength training OR resistance training OR force) AND (cross transfer OR contralateral limb OR cross education). A total of 10 articles were found.ConclusionResults regarding increased CSE were inconsistent. Although the possibility that the methodology had a role in this inconsistency cannot be ruled out, the results appear to suggest that there may not be a functional association between increases in muscle strength and in CSE. (AU)


Assuntos
Humanos , Eletromiografia , Córtex Motor/fisiologia , Treinamento Resistido , Estimulação Magnética Transcraniana
7.
Neurologia (Engl Ed) ; 36(4): 285-297, 2021 May.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-29305060

RESUMO

INTRODUCTION: Unilateral resistance training has been shown to improve muscle strength in both the trained and the untrained limb. One of the most widely accepted theories is that this improved performance is due to nervous system adaptations, specifically in the primary motor cortex. According to this hypothesis, increased corticospinal excitability (CSE), measured with transcranial magnetic stimulation, is one of the main adaptations observed following prolonged periods of training. The principal aim of this review is to determine the degree of adaptation of CSE and its possible functional association with increased strength in the untrained limb. DEVELOPMENT: We performed a systematic literature review of studies published between January 1970 and December 2016, extracted from Medline (via PubMed), Ovid, Web of Science, and Science Direct online databases. The search terms were as follows: (transcranial magnetic stimulation OR excitability) AND (strength training OR resistance training OR force) AND (cross transfer OR contralateral limb OR cross education). A total of 10 articles were found. CONCLUSION: Results regarding increased CSE were inconsistent. Although the possibility that the methodology had a role in this inconsistency cannot be ruled out, the results appear to suggest that there may not be a functional association between increases in muscle strength and in CSE.


Assuntos
Córtex Motor , Treinamento Resistido , Eletromiografia , Humanos , Córtex Motor/fisiologia , Músculo Esquelético , Estimulação Magnética Transcraniana
8.
Chemosphere ; 246: 125677, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-31884230

RESUMO

In this study, WO3 nanostructures were synthesized by the electrochemical anodization technique to use them on the degradation of persistent organic compounds such as the pesticide fenamiphos. The acids electrolyte used during the anodization were two different: 1.5 M H2SO4 - 0.05 M H2O2 and 1.5 M CH4O3S - 0.05 M H2O2. Once the samples have been manufactured, they have been subjected to different tests to analyze the properties of the nanostructures. With Field Emission Scanning Electron Microscopy (FE-SEM) the samples have been examined morphologically, their composition and crystallinity has been studied through Raman Spectroscopy and their photoelectrochemical behaviour by Photoelectrochemical Impedance Spectroscopy (PEIS). Finally, degradation tests have been carried out using the technique known as photoelectrocatalysis (PEC). The conditions that were applied in this technique were a potential of 1 VAg/AgCl and simulated solar illumination. The degradation process was monitored by UV-Visible and High-Performance liquid Chromatography (HPLC) to control the course of the experiment. The nanostructures obtained with 1.5 M CH4O3S - 0.05 M H2O2 electrolyte showed a better photoelectrochemical behaviour than nanostructures synthesized with 1.5 M H2SO4 - 0.05 M H2O2. The fenamiphos degradation was achieved at 2 h of experiment and the intermediate formation was noticed at 1 h of PEC experiment.


Assuntos
Nanotubos/química , Compostos Organofosforados/química , Óxidos/química , Praguicidas/química , Tungstênio/química , Eletrólitos , Peróxido de Hidrogênio , Microscopia Eletrônica de Varredura , Modelos Químicos , Nanoestruturas/química , Processos Fotoquímicos , Luz Solar
9.
Rev. esp. cir. ortop. traumatol. (Ed. impr.) ; 63(5): 336-341, sept.-oct. 2019. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-188924

RESUMO

Las fracturas de astrágalo son lesiones poco frecuentes (0,1-0,9%) y con un alto índice de complicaciones. Una de las situaciones en las que puede darse una fractura de astrágalo es en el contexto de un politraumatismo, lo que puede comprometer aún más el pronóstico funcional. El objetivo del presente trabajo ha sido analizar los resultados funcionales en los pacientes con fracturas de astrágalo según se produjeran en el contexto de un politraumatismo o no. Estudio observacional sobre una cohorte retrospectiva de 24 pacientes intervenidos por fractura de astrágalo en nuestro centro (2008-2016). Se agruparon según fuesen politraumatizados (ISS>16) o no (ISS≤16). Revisión de variables sociodemográficas, radiográficas, funcionales (escala EVA de dolor y FADI -Foot and Ankle Disability Index-) y la aparición de complicaciones como artrosis o necrosis avascular. Revisión de 25 fracturas de astrágalo en 24 pacientes con una edad media de 38 años (19-75) y un seguimiento medio de 4,2 años (0,5-9). Según el ISS un 44% de pacientes (11) fueron politraumatizados y un 56% (14) no. Respecto a los resultados funcionales entre politraumatizados y no politraumatizados, la puntuación media según la escala FADI fue de 62 puntos y de 76,9 respectivamente y según la escala EVA fue de 5,8 y 4,3 puntos respectivamente. Respecto a las complicaciones, en el grupo de politraumatizados se presentaron en un 64% de los pacientes y en los no politraumatizados en un 43%. Un 36% de los pacientes politraumatizados tuvieron signos clínicos y radiológicos de artrosis subastragalina y un 27% fueron intervenidos mediante una artrodesis frente al 35% y al 27% del grupo de no politraumatizados, Respecto a la necrosis avascular del astrágalo, se registro un 27% frente a un 0% de los no politraumatizados


Talar fractures are uncommon lesions (0.1-0.9%) and have a high rate of complications. One of the situations in which a fracture of the talus can occur is in the context of polytrauma which may further compromise the functional prognosis. The aim of this study was to analyze the functional results in patients with talar fractures whether or not they occurred in the context of polytrauma. Observational study on a retrospective cohort of 24 patients operated in our centre (2008-2016). They were grouped according to whether they were polytraumatized (ISS>16) or not (ISS≤16). Review of sociodemographic, radiographic, functional variables (VAS pain scale and FADI -Foot and Ankle Disability Index-) and the onset of complications such as arthrosis, arthrodesis or avascular necrosis. Review of 25 talar fractures in 24 patients with a mean age of 38 years (19-75) and a mean follow-up of 4.2 years (0.5-9). According to the ISS, 44% of patients (11) were polytraumatized and 56% (14) were not. The average score according to the FADI scale was 62 points for the polytraumatized patients and 76.9 for the non-polytraumatized patients. The pain according to the VAS scale was 5.8 points in the group of polytraumatized patients and 4.3 in the non-polytraumatized patient group. Regarding complications, 64% of the polytraumatized patients and 43% of the non-traumatized patients had a complication. 36% of the polytraumatized patients had clinical and radiological signs of subtalar arthrosis compared to 35% of the non-traumatized patients, of whom 27% underwent arthrodesis compared to 28% of the non-traumatized patients. 27% of the polytraumatized patients were diagnosed with avascular necrosis as opposed to 0% of the non-polytraumatized patients


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Fixação de Fratura/métodos , Fraturas Ósseas/cirurgia , Traumatismo Múltiplo/cirurgia , Complicações Pós-Operatórias/etiologia , Recuperação de Função Fisiológica , Tálus/lesões , Seguimentos , Fraturas Ósseas/diagnóstico , Fraturas Ósseas/fisiopatologia , Traumatismo Múltiplo/diagnóstico , Traumatismo Múltiplo/fisiopatologia , Complicações Pós-Operatórias/epidemiologia , Prognóstico , Tálus/cirurgia , Estudos Retrospectivos , Fatores de Risco , Tálus/diagnóstico por imagem
10.
Phys Ther Sport ; 40: 143-152, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31546134

RESUMO

OBJECTIVE: The increase in voluntary force of an untrained limb (i.e. Cross-education) after unilateral resistance training (RT) is believed to be a consequence of cortical adaptations. However, studies measuring neurophysiological adaptations with transcranial magnetic stimulation (TMS) found inconsistent results. One unexamined factor contributing to the conflicting data is the variation in the type and intensity of muscle contractions, fatigue, and the strategies of pacing the movement. Therefore, the purpose was to analyse how those unilateral RT variables affect the adaptations in ipsilateral M1 (iM1) and cross-education. METHODS: We performed a systematic literature review, with the following search terms with Boolean conjunctions: "Transcranial magnetic stimulation" AND "Ipsilateral cortex" AND "Resistance training". RESULTS: The 11 acute and 12 chronic studies included partially support the idea of increased cortical excitability and reduced intracortical inhibition in iM1, but the inconsistency between studies was high. CONCLUSIONS: Differences in type and intensity of contraction, fatigue, and strategies of pacing the movement contributed to the inconsistencies. The tentative conclusion is that high intensity eccentric or externally paced contractions are effective to increase iM1 excitability but cross-education can occur in the absence of such changes. Thus, the mechanism of the cross-education examined with TMS remains unclear.


Assuntos
Excitabilidade Cortical , Córtex Motor/fisiologia , Contração Muscular , Treinamento Resistido , Estimulação Magnética Transcraniana , Adaptação Fisiológica , Eletromiografia , Humanos , Músculo Esquelético/fisiologia
11.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-31078442

RESUMO

Talar fractures are uncommon lesions (0.1-0.9%) and have a high rate of complications. One of the situations in which a fracture of the talus can occur is in the context of polytrauma which may further compromise the functional prognosis. The aim of this study was to analyze the functional results in patients with talar fractures whether or not they occurred in the context of polytrauma. Observational study on a retrospective cohort of 24 patients operated in our centre (2008-2016). They were grouped according to whether they were polytraumatized (ISS>16) or not (ISS≤16). Review of sociodemographic, radiographic, functional variables (VAS pain scale and FADI -Foot and Ankle Disability Index-) and the onset of complications such as arthrosis, arthrodesis or avascular necrosis. Review of 25 talar fractures in 24 patients with a mean age of 38 years (19-75) and a mean follow-up of 4.2 years (0.5-9). According to the ISS, 44% of patients (11) were polytraumatized and 56% (14) were not. The average score according to the FADI scale was 62 points for the polytraumatized patients and 76.9 for the non-polytraumatized patients. The pain according to the VAS scale was 5.8 points in the group of polytraumatized patients and 4.3 in the non-polytraumatized patient group. Regarding complications, 64% of the polytraumatized patients and 43% of the non-traumatized patients had a complication. 36% of the polytraumatized patients had clinical and radiological signs of subtalar arthrosis compared to 35% of the non-traumatized patients, of whom 27% underwent arthrodesis compared to 28% of the non-traumatized patients. 27% of the polytraumatized patients were diagnosed with avascular necrosis as opposed to 0% of the non-polytraumatized patients.


Assuntos
Fixação de Fratura , Fraturas Ósseas/cirurgia , Traumatismo Múltiplo/cirurgia , Complicações Pós-Operatórias/etiologia , Recuperação de Função Fisiológica , Tálus/lesões , Adulto , Idoso , Feminino , Seguimentos , Fixação de Fratura/métodos , Fraturas Ósseas/diagnóstico , Fraturas Ósseas/fisiopatologia , Humanos , Masculino , Pessoa de Meia-Idade , Traumatismo Múltiplo/diagnóstico , Traumatismo Múltiplo/fisiopatologia , Complicações Pós-Operatórias/epidemiologia , Prognóstico , Estudos Retrospectivos , Fatores de Risco , Tálus/diagnóstico por imagem , Tálus/cirurgia
12.
Sci Total Environ ; 674: 88-95, 2019 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-31004907

RESUMO

A photoelectrocatalyst consisting of WO3 nanosheets or nanorods has been synthesized by electrochemical anodization under hydrodynamic conditions, and has been used for the degradation of two toxic pesticides: chlorfenvinphos and bromacil. Nanostructures have been characterized by FESEM and Raman spectroscopy. Photoelectrochemical degradation tests have been carried out both for individual pesticide solutions and for a mixture solution, and the concentration evolution with time has been followed by UV-Vis spectrophotometry. For individual pesticides, pseudo-first order kinetic coefficients of 0.402h-1 and 0.324h-1 have been obtained for chlorfenvinphos and bromacil, respectively, while for the mixture solution, these kinetic coefficients have been 0.162h-1 and 0.408h-1. The change in behavior towards pesticide degradation depending on whether individual or mixture solutions were used might be indicative of a competitive process between the two pesticide molecules when interacting with the WO3 nanostructures surface or when approaching the semiconductor/electrolyte interface.

13.
Clin. transl. oncol. (Print) ; 20(10): 1261-1267, oct. 2018. tab
Artigo em Inglês | IBECS | ID: ibc-173713

RESUMO

Purpose: The analysis of epidermal growth factor receptor (EGFR) mutations in many patients with advanced non-small-cell lung cancer (aNSCLC) has provided the opportunity for successful treatment with specific, targeted EGFR tyrosine kinase inhibitors. However, this therapeutic decision may be challenging when insufficient tumor tissue is available for EGFR mutation testing. Therefore, blood surrogate samples for EGFR mutation analysis have been suggested. Methods: Data were collected from the Spanish cohort of patients in the large, non-interventional, diagnostic ASSESS study (NCT01785888) evaluating the utility of circulating free tumor-derived DNA from plasma for EGFR mutation testing. The incidence of EGFR mutation in Spain and the level of concordance between matched tissue/cytology and plasma samples were evaluated. Results: In a cohort of 154 eligible patients, EGFR mutations were identified in 15.1 and 11.0% of tumor and plasma samples, respectively. The most commonly used EGFR mutation testing method for the tumor tissue samples was the QIAGEN Therascreen® EGFR RGQ PCR kit (52.1%). Fragment Length Analysis + PNA LNA Clamp was used for the plasma samples. The concordance rate for EGFR mutation status between the tissue/cytology and plasma samples was 88.8%; the sensitivity was 45.5%, and the specificity was 96.7%. Conclusions: The high concordance between the different DNA sources for EGFR mutation testing supports the use of plasma samples when tumor tissue is unavailable


No disponible


Assuntos
Humanos , Receptores ErbB/genética , Carcinoma Pulmonar de Células não Pequenas/genética , Neoplasias Pulmonares/genética , Biomarcadores Tumorais/análise , Marcadores Genéticos , Mutação/genética , DNA de Neoplasias/genética
14.
Kasmera ; 46(1): 52-60, ene.-jun 2018. tab
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-1008091

RESUMO

El Zika es una enfermedad emergente en Venezuela y en el estado Zulia, evoluciona generalmente de manera benigna y puede producir complicaciones como síndrome Guillain Barré y microcefalia en recién nacidos. Se plantea describir los aspectos clínicos, epidemiológicos del brote de Zika y los casos de microcefalia. La investigación es descriptiva, transversal, realizada de mayo 2016 a marzo 2017. La población fue de 1.155 casos sospechosos, la muestra 228 pacientes, resultando 108 positivos por PCR en tiempo real. El mayor número de casos se presentó en la edad de 17 a 33 años (59,3%), predomina el sexo femenino (81,5%), en los municipios Maracaibo y San Francisco (75%). En relación a la sintomatología, la frecuencia fue erupción (84,3%), cefalea y fiebre (76,9%), menos común la artralgia (65,7%) y mialgias (47,2%). Durante el brote, se presentaron dos muertes del sexo masculino, representando el 1,9%; 146 casos con el síndrome de Guillain Barré y 7 casos con microcefalia correspondiente al sexo masculino (85%), con una edad gestacional del recién nacido de 37,4 semanas y sobrevida de 85%. La principal recomendación, debe estar orientada al control del vector transmisor de la enfermedad y hacer el diagnóstico de los casos sospechosos para su confirmación.


Zika is an emerging disease in Venezuela and in the state of Zulia, it generally evolves in a benign manner and can produce complications such as Guillain-Barré syndrome and microcephaly in newborns. Itis proposed to describe the clinical and epidemiological aspects of the Zika outbreak and the cases of microcephaly. The research is descriptive, cross-sectional, conducted from May 2016 to March 2017. The population consisted of 1,155 suspected cases, with a sample of 228 patients, resulting in 108 positive PCR in real time. The largest number of cases occurred at the age of 17 to 33 years (59.3%), with a predominance of females (81.5%), in the municipalities of Maracaibo and San Francisco (75%). In relation to the symptomatology, the frequent are rash (84.3%), headache and fever (76.9%), while arthralgia (65.7%) and myalgia (47.2%) are less common. During the outbreak, there were two deaths of the male sex, representing 1.9%; 146 cases with Guillain-Barré syndrome and 7 cases with microcephaly, corresponding to the male sex (85%), with a newborn gestational age of 37.4 weeks and 85% survival. The main recommendation should be directed to the control of the transmitting vector of the disease and to make the diagnosis of the suspicious cases for their confirmation.

15.
Clin Transl Oncol ; 20(10): 1261-1267, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-29623586

RESUMO

PURPOSE: The analysis of epidermal growth factor receptor (EGFR) mutations in many patients with advanced non-small-cell lung cancer (aNSCLC) has provided the opportunity for successful treatment with specific, targeted EGFR tyrosine kinase inhibitors. However, this therapeutic decision may be challenging when insufficient tumor tissue is available for EGFR mutation testing. Therefore, blood surrogate samples for EGFR mutation analysis have been suggested. METHODS: Data were collected from the Spanish cohort of patients in the large, non-interventional, diagnostic ASSESS study (NCT01785888) evaluating the utility of circulating free tumor-derived DNA from plasma for EGFR mutation testing. The incidence of EGFR mutation in Spain and the level of concordance between matched tissue/cytology and plasma samples were evaluated. RESULTS: In a cohort of 154 eligible patients, EGFR mutations were identified in 15.1 and 11.0% of tumor and plasma samples, respectively. The most commonly used EGFR mutation testing method for the tumor tissue samples was the QIAGEN Therascreen® EGFR RGQ PCR kit (52.1%). Fragment Length Analysis + PNA LNA Clamp was used for the plasma samples. The concordance rate for EGFR mutation status between the tissue/cytology and plasma samples was 88.8%; the sensitivity was 45.5%, and the specificity was 96.7%. CONCLUSIONS: The high concordance between the different DNA sources for EGFR mutation testing supports the use of plasma samples when tumor tissue is unavailable.


Assuntos
Carcinoma Pulmonar de Células não Pequenas/genética , DNA Tumoral Circulante/análise , Análise Mutacional de DNA/métodos , Neoplasias Pulmonares/genética , Adulto , Idoso , DNA Tumoral Circulante/genética , Receptores ErbB/sangue , Receptores ErbB/genética , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Mutação , Reação em Cadeia da Polimerase/métodos , Sensibilidade e Especificidade , Espanha
16.
Rev. int. med. cienc. act. fis. deporte ; 18(69): 61-76, mar. 2018. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-171275

RESUMO

El objetivo del presente estudio fue analizar la concurrencia e interacción existente entre diferentes factores que afectan al rendimiento, tales como son la fatiga central, la fatiga periférica y la potenciación post-activación (PPA) tras la realización de una contracción máxima voluntaria (CMV) sostenida hasta la pérdida del 50% en los valores de fuerza iniciales. Con el objetivo de valorar los efectos de la fatiga central, fatiga periférica y la PPA se utilizó la técnica de interpolación de descargas. Los resultados han revelado pérdidas en los valores de durante aproximadamente 3'30'' y que la fatiga dependió tanto de factores centrales como periféricos. También se produjo una inhibición de la PPA tras la realización de la CMV sostenida, durante un breve periodo de tiempo (entre 30'' y 1'30''). Además, se observó la coexistencia de los distintos fenómenos estudiados, que sin embargo, demostraron tener una curva de recuperación temporal diferente (AU)


The aim of the present study was to analyze the concurrence and interaction between different factors affecting the performance, such as central fatigue, peripheral fatigue and post-activation potentiation (PAP) after the performance of a maximal voluntary contraction (MVC) sustained until the loss of the 50% of the initial torque value. In order to assess the effects of central fatigue, peripheral fatigue and the PAP on the performance of the MVC, the twitch interpolation technique was used. Our findings revealed a loss of the force capability during at least 3'30'' and that the recorded fatigue had central and peripheral contributions. Moreover, it has been observed an inhibition of the PAP after the completion of the sustained MVC during a brief interval (between 30'' and 1'30''). Furthermore, it has been observed the coexistence of the different studied phenomena, however, they showed different time course of the recovery (AU)


Assuntos
Humanos , Masculino , Adulto Jovem , Fadiga Muscular/fisiologia , Contração Muscular/fisiologia , Recuperação de Função Fisiológica/fisiologia , Articulação do Joelho/fisiologia , Tolerância ao Exercício/fisiologia , Esportes/fisiologia , Voluntários Saudáveis/estatística & dados numéricos
17.
J Musculoskelet Neuronal Interact ; 17(4): 275-282, 2017 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-29199186

RESUMO

OBJECTIVES: This study examined the neural adaptations associated with a low-volume Wingate-based High Intensity Interval Training (HIIT). METHODS: Fourteen recreationally trained males were divided into an experimental (HIIT) and a control group to determine whether a short-term (4 weeks) Wingate-based HIIT program could alter the Hoffmann (H-) reflex, volitional (V-) wave and maximum voluntary contraction (MVC) of the plantar-flexor muscles, and the peak power achieved during a Wingate test. RESULTS: Absolute and relative peak power increased in the HIIT group (ABS_Ppeak: +14.7%, P=0.001; and REL_Ppeak: +15.0%, P=0.001), but not in the control group (ABS_Ppeak: P=0.466; and REL_Ppeak: P=0.493). However, no significant changes were found in the MVC (P>0.05 for both groups). There was a significant increase in H-reflex size after HIIT (+24.5%, P=0.004), while it remained unchanged in the control group (P=0.134). No significant changes were observed either in the V-wave or in the Vwave/Mwave ratio (P>0.05 for both groups). CONCLUSION: The Wingate-based training led to an increased peak power together with a higher spinal excitability. However, no changes were found either in the volitional wave or in the MVC, indicating a lack of adaptation in the central motor drive.


Assuntos
Adaptação Fisiológica/fisiologia , Treinamento Intervalado de Alta Intensidade/métodos , Neurônios Motores/fisiologia , Músculo Esquelético/fisiologia , Reflexo H/fisiologia , Humanos , Masculino , Contração Muscular , Adulto Jovem
18.
Genet Mol Res ; 16(2)2017 Jun 20.
Artigo em Inglês | MEDLINE | ID: mdl-28653741

RESUMO

Water stress can affect the yield in tomato crops and, despite this, there are few types of research aiming to select tomato genotypes resistant to the water stress using physiological parameters. This experiment aimed to study the variables that are related to the gas exchanges and the efficiency in water use, in the selection of tomato genotypes tolerant to water stress. It was done in a greenhouse, measuring 7 x 21 m, in a randomized complete block design, with four replications (blocks), being five genotypes in the F2BC1 generation, which were previously obtained from an interspecific cross between Solanum pennellii versus S. lycopersicum and three check treatments, two susceptible [UFU-22 (pre-commercial line) and cultivar Santa Clara] and one resistant (S. pennellii). At the beginning of flowering, the plants were submitted to a water stress condition, through irrigation suspension. After that CO2 assimilation, internal CO2, stomatal conductance, transpiration, leaf temperature, instantaneous water use efficiency, intrinsic efficiency of water use, instantaneous carboxylation efficiency, chlorophyll a and b, and the potential leaf water (Ψf) were observed. Almost all variables that were analyzed, except CO2 assimilation and instantaneous carboxylation efficiency, demonstrated the superiority of the wild accession, S. pennellii, concerning the susceptible check treatments. The high photosynthetic rate and the low stomatal conductance and transpiration, presented by the UFU22/F2BC1#2 population, allowed a better water use efficiency. Because of that, these physiological characteristics are promising in the selection of tomato genotypes tolerant to water stress.


Assuntos
Cruzamentos Genéticos , Desidratação/genética , Genótipo , Solanum lycopersicum/fisiologia , Estresse Fisiológico/genética , Água , Produção Agrícola , Solanum lycopersicum/genética , Transpiração Vegetal/genética
19.
Odovtos (En línea) ; 19(1)abr. 2017.
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1506896

RESUMO

ntroduction. Enamel microabrasion is a procedure used for removing a superficial layer of enamel that has some alteration of color and/or texture caused by dental fluorosis. The purpose of this study was to compare the microhardness and micromorphology of the fluorotic enamel surface after microabrasion with 6.6% hydrochloric acid and silica or 18% hydrochloric acid and evaluate the effect of desensitizing agent exposure on the treated enamel. Materials and Methods. Twenty anterior teeth with moderate fluorosis were divided into two groups: 1) Perla-Dent® group and 2) Opalustre® group. Each buccal surface of incisors was sectioned to obtain samples 3x3 mm. The samples were then mounted in acrylic blocks. The enamel surface of the blocks was polished, after the microabrasion materials and desensitizing agent were applied according to the manufacturer's instructions. All samples were analyzed by Vickers microhardness tester and scanning electron microscopy (SEM). Results. Both experimental groups presented a decrease in the microhardness values, with statistically significant differences (p<0.0001) when comparing the baseline and after treatments values. To compare the microhardness values after both microabrasion and desensitizing treatment in the study groups, it was observed that the Perla-Dent® group obtained lower values than the Opalescence® group with a statistically significant difference (p<0.0001). The representative images of study groups in SEM showed the enamel surface morphology after Perla-Dent® treatment more irregular and a very marked relief than that observed in enamel surface morphology after Opalustre® treatment. Conclusion. The surface of the enamel was more affected with Perla-Dent® treatment than with Opalustre® treatment and the placement of UltraEz® agent does not recover its baseline microhardness.


ntroducción. La microabrasión del esmalte es un procedimiento usado para remover la capa superficial de esmalte que tiene alguna alteración de color y / o textura causada por la fluorosis dental. El objetivo de este estudio fue comparar la microdureza y micromorfología de la superficie del esmalte fluorado después de microabrasión con ácido clorhídrico al 6,6% y sílice ó 18% de ácido clorhídrico y evaluar el efecto de la exposición del agente desensibilizante sobre el esmalte tratado. Materiales y métodos. 20 dientes anteriores con fluorosis moderada se dividieron en dos grupos: 1) grupo PerlaDent® y 2) grupo Opalustre®. La superficie bucal se seccionó para obtener muestras de 3x3 mm. Las muestras se montaron luego en bloques acrílicos. La superficie del esmalte de los bloques fue pulida, y posteriormente los materiales de microabrasión y el agente desensibilizante se aplicaron de acuerdo con las instrucciones del fabricante. Todas las muestras fueron analizadas por medio de microdureza Vickers y Microscopía electrónica de barrido (MEB). Resultados. Ambos grupos experimentales presentaron disminución de los valores de microdureza con diferencias estadísticamente significativas (p<0.0001) al comparar los valores de antes y después de los tratamientos. Al comparar los valores de microdureza después del tratamiento de microabrasión y desensibilizante en los grupos de estudio, se observó que el grupo Perla-Dent® obtuvo valores más bajos que el grupo Opalustre® con diferencia estadísticamente significativa (p<0.0001). Las imágenes representativas de los grupos de estudio en MEB mostraron la morfología de la superficie del esmalte después del tratamiento con Perla-Dent® más irregular y con un relieve más marcado que el observado en la superficie del esmalte después del tratamiento con Opalustre®. Conclusión. La superficie del esmalte se presentó más afectada posterior al tratamiento con Perla-Dent® que con Opalustre® y la colocación del agente UltraEz® no logró recuperar el grado de microdureza basal.

20.
J Musculoskelet Neuronal Interact ; 17(1): 409-416, 2017 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-28250245

RESUMO

In the present study, we analysed the kinetic profile together with the lower limb EMG activation pattern during a countermovement jump and its respective landing phase in males and females. Twenty subjects (10 males and 10 females) took part in the study. One experimental session was conducted in order to record kinetic and electromyographic (EMG) parameters during a countermovement jump (CMJ) and the subsequent landing phase. During the CMJ, males recorded a higher (p<0.001) performance than females in terms of jump height and power production. Stiffness values were lower in males than females due to greater centre of mass displacement during the countermovement (p<0.01). According to the EMG activity, males demonstrated greater (p<0.05) activation during the concentric phase of the jump. However, females revealed a higher co-contraction ratio in the plantar flexors during the push-off phase. During landings males showed higher (p<0.01) peak ground reaction forces (Fpeak), greater (p<0.05) stiffness and a higher maximal displacement of the CoM (p<0.05) than females. EMG analysis revealed greater EMG activity in the tibialis anterior (p<0.05) and rectus femoris (p=0.05) muscles in males. Higher plantar flexor co-activation during landing has also been found in males. Our findings demonstrated different neuromuscular control in males and females during jumping and landing.


Assuntos
Contração Muscular/fisiologia , Força Muscular/fisiologia , Músculo Esquelético/fisiologia , Caracteres Sexuais , Esportes/fisiologia , Adolescente , Adulto , Fenômenos Biomecânicos/fisiologia , Eletromiografia/métodos , Feminino , Humanos , Masculino , Adulto Jovem
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...