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1.
Front Neurol ; 15: 1389703, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39108657

RESUMO

Introduction: The morbidity and mortality of acute ischemic hypoxic encephalopathy in newborns have not been dramatically modified over the last 20 years. The purpose of this review is to describe the use of hyperbaric oxygenation therapy (HBOT) in the management of acute ischemic hypoxic encephalopathy in newborns. Methods: A review of the medical literature was conducted on the use of HBOT in the pathophysiology of this condition and its impact on outcomes of patients treated at an early stage. Results: When HBOT is administered promptly, it can promote the survival of the penumbra, modulate the cytokine storm, modify inflammatory cascades, restore mitochondrial function, inhibit apoptosis, reinstate cellular communication and cytoskeleton function, reinstall the functioning of the kinase system, reduce cytotoxic and tissue edema, promote microcirculation, and provide an antioxidant effect. All these secondary mechanisms aid in saving, rescuing, and protecting the marginal tissue. Conclusion: When used promptly, HBOT is a non-invasive adjunct treatment that can preserve the marginal tissue affected by ischemia, hypoxia, meet the metabolic needs of the penumbra, reduce inflammatory cascades, prevent the extension of the damaged tissue, and modulate ischemia-reperfusion injury.

2.
J Mol Model ; 29(8): 252, 2023 Jul 17.
Artigo em Inglês | MEDLINE | ID: mdl-37458868

RESUMO

CONTEXT: The detection and monitoring of CO gas are essential to avoid human health problems. Therefore, the CO adsorption on Pd2 and PdCo dimers deposited on pyridinic Nx-doped graphene (PNxG; x = 1 - 3) was investigated employing the auxiliary density functional theory. In the most stable arrangements for the Pd2 dimer supported on PNxG, a Pd atom is in the PNxG vacancy, and the other Pd atom is placed on C atoms. For the PdCo dimer deposited on PNxG, the most stable interaction is like Pd2 dimer supported on PNxG, but with the Co atom centered over the vacancy site. Concerning the stability of the Pd2 and PdCo dimers supported on PNxG, the interaction energies (Eint) of the PdCo dimer deposited on PNxG are higher than those obtained with the Pd2 dimer. Also, the Eint of Pd2 and PdCo dimers deposited on PNxG are higher than those supported on pristine graphene. The CO adsorption energies on Pd2/PNxG and PdCo/PNxG composites are higher than those reported in the literature for pristine graphene, showing that the Pd2/PNxG and PdCo/PNxG composites have a good sensitivity toward the CO molecule. METHODS: All electronic structure calculations were performed using the auxiliary density functional theory implemented in the deMon2k program. For exchange and correlation functional, the revised PBE was used. The Pd atoms were treated with an 18-electron QECP|SD basis set, while the remaining atoms were subjected to a DZVP-GGA basis set. The GEN-A2* auxiliary-function-set was used for all computations.

3.
Pulmonology ; 2022 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-36117103

RESUMO

BACKGROUND: In coronavirus disease (COVID-19), physical capacity is one of the most impaired sequelae. Due to their simplicity and low cost, field tests such as the six-minute walk test (6MWT) are widely used However, in many places it is difficult to perform them and alternatives can be used such as the 1 min sit-to-stand test (1min-STST) or the Chester step test (CST). Therefore, our objective was to compare the 6MWT, 1min-STST and the CST in post-COVID-19 patients. METHODS: We conducted a cross-sectional analysis in post-COVID-19 patients, compared with matched controls (CG). Demographic characteristics and comorbidities were collected. We analysed oxygen saturation (SpO2), heart rate (HR), and the modified Borg scale in the 6MWT, 1min-STST, and CST. Additionally, the correlations between tests were analysed. RESULTS: We recruited 27 post-COVID-19 patients and 27 matched controls. The median age was 48 (IQR 43-59) years old (44% female). The median distance walked in 6MWT was 461 (IQR 415-506) m in post-COVID-patients and 517 (IQR 461-560) m in CG (p = 0.001). In 1min-STST, the repetitions were 21.9 ± 6.7 and 28.3 ± 7.1 in the post-COVID-19 group and CG, respectively (p = 0.001). In the CST, the post-COVID-19 group performed 150 (86-204) steps vs the CG with 250 (250-250) steps (p < 0.001). We found correlations between the 6MWT with the 1min-STST in COVID-19 patients (r = 0.681, p < 0.001) and CG (r = 0.668, p < 0.001), and between the 6MWT and the CST in COVID-19 patients (r = 0.692, p < 0.001). CONCLUSION: The 1min-STST and the CST correlated significantly with the 6MWT in patients post-COVID-19 being alternatives if the 6MWT cannot be performed.

4.
Rev. clín. esp. (Ed. impr.) ; 219(5): 266-274, jun.-jul. 2019. ilus, tab, graf
Artigo em Espanhol | IBECS | ID: ibc-186563

RESUMO

La pancreatitis aguda es una entidad de notable importancia debido a su elevada incidencia y a su no desdeñable morbimortalidad. Se conoce como pancreatitis aguda idiopática aquella en la que no se consigue determinar la causa del cuadro tras un estudio básico inicial. Conocer la etiología subyacente permite plantear un tratamiento dirigido para así disminuir el riesgo de recurrencia. La ecoendoscopia y la colangiografía por resonancia magnética son las pruebas de elección para profundizar en el estudio etiológico. La principal causa es la enfermedad litiásica no diagnosticada en el estudio inicial, cuyo tratamiento de elección es la colecistectomía. Por otra parte, la pancreatitis aguda recurrente se diagnostica tras la existencia de 2 o más episodios de pancreatitis aguda. El objetivo de esta revisión es proporcionar una aproximación actualizada de estas 2 entidades, repasando aspectos de su epidemiología, diagnóstico y alternativas terapéuticas disponibles


Acute pancreatitis is an entity of notable importance due to its high incidence and its non-negligible morbidity and mortality. Idiopathic acute pancreatitis is that in which the cause of the clinical condition cannot be determined after an initial basic study. Understanding the underlying aetiology enables clinicians to propose a targeted treatment to reduce the risk of recurrence. Endoscopic ultrasonography and magnetic resonance cholangiopancreatography are the tests of choice to deepen the aetiological study. The main cause is undiagnosed lithiasic disease in the initial study, whose treatment of choice is cholecystectomy. Moreover, recurrent acute pancreatitis is diagnosed after 2 or more episodes of acute pancreatitis. The objective of this review is to provide an updated approach for these 2 entities, reviewing aspects of their epidemiology, diagnosis and available alternative therapies


Assuntos
Humanos , Pancreatite Necrosante Aguda/terapia , Colangiopancreatografia por Ressonância Magnética/métodos , Endossonografia/métodos , Pancreatite Necrosante Aguda/classificação , Recidiva , Neoplasias Pancreáticas/diagnóstico por imagem , Doenças Autoimunes/epidemiologia , Predisposição Genética para Doença , Pancreatite Alcoólica/diagnóstico por imagem
5.
Rev Clin Esp (Barc) ; 219(5): 266-274, 2019.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-30826092

RESUMO

Acute pancreatitis is an entity of notable importance due to its high incidence and its non-negligible morbidity and mortality. Idiopathic acute pancreatitis is that in which the cause of the clinical condition cannot be determined after an initial basic study. Understanding the underlying aetiology enables clinicians to propose a targeted treatment to reduce the risk of recurrence. Endoscopic ultrasonography and magnetic resonance cholangiopancreatography are the tests of choice to deepen the aetiological study. The main cause is undiagnosed lithiasic disease in the initial study, whose treatment of choice is cholecystectomy. Moreover, recurrent acute pancreatitis is diagnosed after 2 or more episodes of acute pancreatitis. The objective of this review is to provide an updated approach for these 2 entities, reviewing aspects of their epidemiology, diagnosis and available alternative therapies.

6.
Inflammopharmacology ; 2018 Sep 12.
Artigo em Inglês | MEDLINE | ID: mdl-30209762

RESUMO

OBJECTIVES: To evaluate the utility of elevated serum P-glycoprotein (P-gp) as a risk marker of therapeutic response failure in rheumatoid arthritis (RA) patients treated with disease-modifying antirheumatic drugs (DMARDs). METHODS: A cross-sectional study was conducted in 151 RA patients. Patients were classified into two groups according to the response achieved in terms of the disease activity score (DAS)28 after ≥ 6 months: (1) patients with a therapeutic response to DMARDs, with DAS28 < 3.2; and (2) patients without a response to DMARDs, with persistent DAS28 ≥ 3.2. We explored a wide group of clinical factors associated with therapeutic resistance. Serum P-gp levels were measured by ELISA. The risk of P-gp elevation as a marker of failure to achieve a therapeutic response to DMARDs was computed using multivariate logistic regression. RESULTS: Serum P-gp levels were significantly higher in RA patients (n = 151) than in the controls (n = 30) (158.70 ± 182.71 ng/mL vs. 14.12 ± 8.97 ng/mL, p < 0.001). The P-gp level was correlated with the DAS28 score (r = 0.39, p < 0.001). RA patients with DMARD failure had higher serum P-gp levels than patients with a therapeutic response (206 ± 21.47 ng/mL vs 120.60 ± 15.70 ng/mL; p = 0.001). High P-gp levels increased the risk of DMARD failure (OR 3.36, 95% CI 1.54-7.27, p = 0.001). After adjusting for confounding variables, elevated P-gp remained associated with DMARD failure (OR 2.64, 95% CI 1.29-5.40, p = 0.01). CONCLUSION: Elevated serum P-gp is associated with DMARD failure. The P-gp level can be considered a clinical tool for evaluating the risk of DMARD failure in patients; however, future prospective studies should be performed to evaluate the utility of this marker in predicting long-term responses.

7.
Radiología (Madr., Ed. impr.) ; 60(4): 318-323, jul.-ago. 2018. ilus, graf
Artigo em Espanhol | IBECS | ID: ibc-175256

RESUMO

Objetivos: Estimar el nivel de conocimientos de los radiólogos y su implicación en el uso de medidas de radioprotección. Métodos: Se realizó una encuesta anónima y supervisada durante una reunión de trabajo. Resultados: De los 65 cuestionarios facilitados, se devolvieron 63. En líneas generales, los radiólogos consideraron su nivel de conocimientos como bajo, y quedó estadísticamente demostrado (p = 0,018) que el nivel de conocimientos que creían tener guardaba relación con el número de respuestas correctas. También guardaba relación (p < 0,05) con los años de experiencia, y era más alto en aquellos más experimentados. Conclusiones: Hay un importante margen de mejora en el nivel de conocimientos en materia de radioprotección


Objectives: To estimate radiologists¿ level of knowledge of and their implication in radioprotection. Methods: An anonymous and supervised survey was conducted during a work meeting. Results: Of the 65 questionnaires handed out, 63 were returned. In general, the radiologists surveyed considered their level of knowledge to be low, and it was statistically demonstrated (P = 0.018) that the level of knowledge they believed they had was related to the number of correct answers. The level of knowledge that radiologists believed they had was also related (p < 0.05) with the years of experience, and it was higher in the more experienced radiologists. Conclusions: There is an important margin of improvement in knowledge about radiation protection


Assuntos
Humanos , Proteção Radiológica/normas , Radiografia/normas , Tecnologia Radiológica/normas , Diagnóstico por Imagem/normas , Conhecimentos, Atitudes e Prática em Saúde , Radiologistas/estatística & dados numéricos , Pesquisas sobre Atenção à Saúde/estatística & dados numéricos , Exposição Ocupacional/normas , Doses de Radiação
8.
Radiologia (Engl Ed) ; 60(4): 320-325, 2018.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-29778419

RESUMO

OBJECTIVES: To estimate radiologists level of knowledge of and their implication in radioprotection. METHODS: An anonymous and supervised survey was conducted during a work meeting. RESULTS: Of the 65 questionnaires handed out, 63 were returned. In general, the radiologists surveyed considered their level of knowledge to be low, and it was statistically demonstrated (P = 0.018) that the level of knowledge they believed they had was related to the number of correct answers. The level of knowledge that radiologists believed they had was also related (p < 0.05) with the years of experience, and it was higher in the more experienced radiologists. CONCLUSIONS: There is an important margin of improvement in knowledge about radiation protection.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Proteção Radiológica , Radiologistas , Radiologia , Humanos , Autorrelato , Espanha
9.
Rev. Soc. Esp. Dolor ; 25(2): 112-120, mar.-abr. 2018. ilus, graf
Artigo em Espanhol | IBECS | ID: ibc-174636

RESUMO

El uso de dispositivos móviles inteligentes y aplicaciones para la evaluación y tratamiento de los pacientes con dolor crónico se está extendiendo. Las importantes ventajas de estas alternativas tecnológicas contribuyen a este proceso, entre ellas facilitar el acceso a los tratamientos, incluso desde lugares remotos y con difícil acceso a los recursos sanitarios, ayudar a mejorar los procedimientos clínicos así como a reducir los costes. En este trabajo presentamos Painometer v2(R), una aplicación móvil validada científicamente y gratuita, que sirve para medir y registrar la intensidad del dolor a lo largo del tiempo; la única aplicación sobre dolor disponible en español con un sello de calidad. Se describen las características de esta aplicación, las alternativas de uso que brinda y los resultados obtenidos hasta la fecha tanto en las pruebas de usabilidad y accesibilidad como respecto de sus propiedades psicométricas. Finalmente, se valora el estado de desarrollo de la aplicación y se plantean algunas líneas de investigación futuras


The use of smart mobile devices and apps for the evaluation and treatment of patients with chronic pain is spreading. The important advantages of these technological gadgets contribute to this process, including: facilitating access to treatments, even from remote places and with difficult access to health resources, helping to improve clinical procedures as well as reducing costs. In this work, we introduce Painometer v(R), a free and scientifically validated mobile application that is used to measure and record the intensity of pain over time; the only pain-related application available in Spanish with a quality seal. This paper describes the characteristics of the application, the ways in which it can be used, the results obtained to date in usability and accessibility tests, and its psychometric properties. Finally, the development status of the application is appraised and some future lines of research are suggested


Assuntos
Humanos , Medição da Dor/instrumentação , Aplicativos Móveis/tendências , Comunicação , Smartphone/instrumentação , Monitorização Fisiológica/métodos , Reprodutibilidade dos Testes , Smartphone , Reprodutibilidade dos Testes/instrumentação
10.
Rev. patol. respir ; 21(1): 11-16, ene.-mar. 2018. ilus, tab, graf
Artigo em Espanhol | IBECS | ID: ibc-173346

RESUMO

Objetivos: Se ha teorizado previamente sobre los distintos riesgos en función del tipo de construcción naval secundario a la exposición a amianto en los trabajadores de astilleros, asociando mayor exposición a la construcción militar. Pretendemos evaluar si realmente existen diferencias funcionales en ex-trabajadores de astilleros de una misma región según su afiliación laboral previa. Material y métodos: Presentamos una serie de pacientes remitidos desde la consulta específica de vigilancia post-ocupacional de los que hemos recabado datos de su historia laboral, diferenciando por astilleros su afiliación y sus resultados en la espirometría. Resultados: De los 54 pacientes en que se obtuvieron datos, aquellos que referían haber trabajado en un astillero dedicado en exclusiva a la construcción civil obtenían mejores resultados en las pruebas funcionales respecto al resto de ex-trabajadores, presentando un menor descenso en el porcentaje de la Capacidad Vital Forzada (FVC) con leve significación estadística (p= 0,02), pese al escaso número de pacientes de nuestra muestra. Conclusiones: Los resultados funcionales respiratorios agrupados según los astilleros en que habían trabajado los pacientes, especialmente dada la mayor edad media (casi diez años superior) en los ex-trabajadores del astillero civil, sugieren menor daño funcional para ese tipo de construcción naval. En nuestro conocimiento este es el primer estudio que aporta datos similares en la población de una misma región


Introduction: One of the population with higher exposure to asbestos is composed by shipyart's workers. Different risks have been theorized according to the type of naval construction, relating higher exposures to military construction. The objective of this research was to evaluate whether there were real differences between former shipbuilding employees of the same region by their previous labour affiliation. Material and methods: A series of patients coming from the specific post-occupational surveillance consultation is presented, with historical working data taking into account their membership, according to shipyard industries, and their spirometry values. Results: Information on 54 patients was gathered. Those who had been working in a shipyard exclusively dedicated to civil construction showed better results in the functional tests than the rest of the former workers, having a lower drop in the Forced Vital Capacity (FVC) percentage with a minor statistical relevance (p= 0,02), besides the small number of patients in this population. Conclusions: The results during the respiratory functional tests gathered by the shipyard where the patients had previously worked, specially due to a higher average age (almost ten years higher) in the former workers in civil shipyards, suggest a lower functional damage in this type of naval construction. To our knowledge, this is the first research ever providing such data in a population within the same area


Assuntos
Humanos , Masculino , Idoso , Amianto/efeitos adversos , Testes de Função Respiratória/métodos , Capacidade Vital , Fibrose Pulmonar/diagnóstico , Asbestose/diagnóstico por imagem , Exposição Ocupacional/efeitos adversos
11.
Poult Sci ; 97(4): 1382-1390, 2018 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-29340658

RESUMO

Food safety of table eggs is vital since many pathogens can contaminate the unfertilized egg, leading to increased risk of foodborne illness for consumers. The eggshell cuticle is the first line of defense to restrict the entry of egg-associated pathogens, such as Salmonella Enteritidis. The thickness and completeness of coverage of the cuticle layer are heritable traits that are strongly associated with egg resistance to bacterial penetration. The present study characterizes the chemical composition of the eggshell cuticle and structure of pore plugs from table eggs. Eggs collected from both brown and white egg laying Lohmann flocks (early, mid, and late lay) were either unwashed or washed. Pore plugs were characterized using scanning electron microscopy (SEM), and elemental composition was determined using energy-dispersive x-ray spectroscopy (EDS). SEM observations confirmed that the plug formed by the cuticle layer within the eggshell pore remains firmly lodged throughout the commercial washing process. The eggshell thickness and cuticle pore length visualized in brown eggs was significantly higher than in white eggs in hens of all ages. EDS analysis revealed that the pore inner surface was enriched in phosphorus and chemically different from the surrounding bulk eggshell mineral. Detailed assessment of the cuticle chemical composition was performed by Fourier transform infrared spectroscopy (FTIR). Washing of eggs removed cuticle from the eggshell surface. There was a trend of lower cuticle coverage with increasing hen age for white eggs. A significant reduction in the amount of proteins and phosphates and polysaccharides was observed in the cuticle of brown unwashed eggs with hen age. In white unwashed eggs, amides and lipids decreased with hen age; by contrast, the amount of sulfate was highest at mid-lay. The results from our research will assist selective breeding programs that target cuticle integrity and pore plug stability to enhance egg resistance to pathogen penetration and improve food safety.


Assuntos
Galinhas/fisiologia , Óvulo/ultraestrutura , Fatores Etários , Animais , Inocuidade dos Alimentos , Microscopia Eletrônica de Varredura/veterinária , Espectrometria por Raios X/veterinária , Espectroscopia de Infravermelho com Transformada de Fourier/veterinária
12.
Rev. Soc. Esp. Dolor ; 25(supl.1): 46-56, 2018. tab
Artigo em Espanhol | IBECS | ID: ibc-174649

RESUMO

Los conocimientos derivados de la Psicología y las contribuciones de los psicólogos han sido fundamentales en el progreso del estudio, evaluación y tratamiento del dolor infantil, particularmente del dolor crónico. El objetivo de este artículo es realizar una aproximación a algunas de las parcelas en las cuales los conocimientos de la Psicología y el trabajo de los psicólogos revisten especial interés en relación con el dolor crónico infantil. Y, así, en estas páginas se resumen los hallazgos más relevantes relacionados con el estudio de los factores de riesgo de la cronificación del dolor, el tratamiento psicológico y, en especial, las intervenciones cognitivo-conductuales cuando se utilizan en población infantil y la incorporación de las tecnologías de la información y la comunicación, particularmente la tecnología móvil inteligente para la evaluación y tratamiento de los jóvenes con dolor crónico


Psychology-based knowledge, along with the contributions of psychologists, has been instrumental for the progress of the study, assessment, and treatment of pediatric pain, particularly pediatric chronic pain. The objective of this article is to provide a brief analysis of some of the areas in which psychological-related knowledge and the work of psychologists are of special interest in relation to pediatric chronic pain. Here, we summarize the most relevant findings related to the study of risk factors for the development of pediatric chronic pain, psychological treatment, and especially cognitive-behavioral interventions when used with youths with chronic pain, and the incorporation of information and communication technologies, particularly mobile technology for the evaluation and treatment of young people with chronic pain


Assuntos
Humanos , Criança , Adolescente , Adulto Jovem , Dor Crônica/psicologia , Psicologia da Criança/métodos , Percepção da Dor , Fatores de Risco , Psicoterapia/métodos , Cefaleia/psicologia , Aplicativos Móveis/tendências
13.
Rev Esp Quimioter ; 30(5): 368-371, 2017 Oct.
Artigo em Espanhol | MEDLINE | ID: mdl-28841792

RESUMO

Septic shock sometimes starts with unspecific symptoms that hamper the clinical diagnosis and, therefore an appropriate treatment. When the septic shock follows a fulminating course with a fatal outcome, the etiological diagnosis has to be conducted post-mortem. Sudden unexpected deaths in children and young adults are frequently the object of medico-legal autopsies. Some sudden unexpected deaths have an infectious origin, which requires further analyses, including microbiology, to establish the cause of death. Here, the case of a fatal septic shock in a 19-month old male infant is presented. After a mild foot injury, an infection by Streptococcus pyogenes progressed to septic shock with a fatal outcome as post-mortem studies demonstrated.


Assuntos
Autopsia , Medicina Legal , Choque Séptico/diagnóstico , Evolução Fatal , Traumatismos do Pé/patologia , Humanos , Lactente , Masculino , Choque Séptico/microbiologia , Choque Séptico/patologia , Infecções Estreptocócicas/diagnóstico , Infecções Estreptocócicas/microbiologia , Streptococcus pyogenes
14.
Cuad. med. forense ; 23(1/2): 35-40, ene.-jun. 2017. ilus
Artigo em Espanhol | IBECS | ID: ibc-175453

RESUMO

El shock séptico es el final de numerosos procesos infecciosos que ponen en peligro la vida y que son catalogados como muertes súbitas, de mayor repercusión legal en niños y adultos jóvenes, por lo que son objeto de autopsias forenses. Normalmente son consecuencia de patógenos que en general producen enfermedades leves, pero que en determinadas circunstancias pueden evolucionar a cuadros graves que terminan en el fallecimiento y pueden plantear problemas médico-legales, sobre todo en su detección y diagnóstico. Presentamos el caso de un varón de 20 meses de edad que, tras un cuadro banal de herida en el pie, evolucionó hasta shock séptico y fallecimiento a consecuencia de sepsis por Streptococcus pyogenes, como se evidenció en estudios complementarios especiales post mortem con los que no está familiarizado el patólogo forense


Septic shock is the final common route of numerous life-threatening infectious processes, which are classified as sudden deaths of major legal repercussion in children and young adults and are the subject of forensic autopsies. They are usually the result of pathogens that usually have mild and banal diseases, but in certain circumstances can evolve into severe conditions that end in death and can pose medical problems, especially in detection and diagnosis. We present the case of a 20-month-old male who, after a common foot injury, evolved to septic shock and death as a consequence of streptococcus pyogenes sepsis, as evidenced in special postmortem studies with which the forensic pathologist is unfamiliar


Assuntos
Humanos , Masculino , Lactente , Choque Séptico/diagnóstico , Choque Séptico/mortalidade , Streptococcus pyogenes/patogenicidade , Patologia Legal/métodos , Fasciite Necrosante/diagnóstico , Fasciite Necrosante/patologia , Mudanças Depois da Morte
15.
Clin Radiol ; 72(9): 797.e1-797.e10, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28478929

RESUMO

AIM: To assess whether low voltage chest computed tomography (CT) can be used to successfully diagnose disease in patients with asbestos exposure. MATERIALS AND METHODS: Fifty-six former employees of the shipbuilding industry, who were candidates to receive a standard-dose chest CT due to their occupational exposure to asbestos, underwent a routine CT. Immediately after this initial CT, they underwent a second acquisition using low-dose chest CT parameters, based on a low potential (80 kV) and limited tube current. The findings of the two CT protocols were compared based on typical diseases associated with asbestos exposure. The kappa coefficient for each parameter and for an overall rating (grouping them based on mediastinal, pleural, and pulmonary findings) were calculated in order to test for correlations between the two protocols. RESULTS: A good correlation between routine and low-dose CT was demonstrated for most parameters with a mean radiation dose reduction of up to 83% of the effective dose based on the dose-length product between protocols. CONCLUSIONS: Low-dose chest CT, based on a limited tube potential, is useful for patients with an asbestos exposure background. Low-dose chest CT can be successfully used to minimise the radiation dose received by patients, as this protocol produced an estimated mean effective dose similar to that of an abdominal or pelvis plain film.


Assuntos
Asbestose/diagnóstico por imagem , Doenças Profissionais/diagnóstico por imagem , Exposição Ocupacional/efeitos adversos , Doses de Radiação , Proteção Radiológica/métodos , Radiografia Torácica/métodos , Tomografia Computadorizada por Raios X/métodos , Idoso , Humanos , Masculino , Navios
16.
Dalton Trans ; 46(5): 1510-1519, 2017 Jan 31.
Artigo em Inglês | MEDLINE | ID: mdl-28091644

RESUMO

An efficient method to obtain chiral 1,2-disubstituted ferrocenyl ligands has been developed. The introduction of planar chirality was accomplished by using 2-thiazoline as an ortho-directing lithiation group, and moreover, these kinds of ligands possess a central chirality from the amino alcohol used in their synthesis. The X-ray analysis and DFT calculations confirmed the diastereoselectivity of ortho-lithiation and the configuration of the planar chirality. The ability of these new bidentate [N,S]-ferrocene ligands to act in Pd-catalyzed asymmetric allylic alkylation has also been demonstrated and compared with their oxazoline counterparts.

17.
Cuad. med. forense ; 22(1/2): 6-11, ene.-jun. 2016. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-159566

RESUMO

La silicosis sigue siendo un problema de salud actual renovado por al aumento en la demanda del uso en el hogar de encimeras de aglomerados de cuarzo en nuestro país. Dichas encimeras contienen cuarzo (sílice cristalina), provocando que dicho polvo inorgánico dé lugar a su depósito en el intersticio pulmonar de los trabajadores que no realicen las medidas de protección adecuadas en el ámbito laboral. Es trabajo de las empresas encargadas de la prevención de riesgos laborales la información de la problemática futura en la salud de aquellos que no opten por utilizar los medios de prevención, así como responsabilidad directa de los encargados de dichas empresas facilitar el material y los medios adecuados para llevarlas a cabo. Presentamos el caso de un varón cuya autopsia reveló el hallazgo casual de neumoconiosis por sílice, confirmándose con posterioridad en la entrevista con la familia que desempeñaba su trabajo en una empresa de mármol artificial y la producción de una enfermedad profesional (AU)


Silicosis is still a current health problem by the renewed increase in demand for use in the home countertops quartz agglomerates in Spain. These countertops contain quartz (crystalline silica), causing said inorganic powder from place to deposit in the lung interstitium of workers not performing the appropriate protection measures in the workplace. It is a work of the companies in charge of the prevention of labor risks the information of the future problematics in the health of those that they do not choose to use the means of prevention as well as direct responsibility of the managers of the above mentioned companies of facilitating the material and the means adapted to carry out them. We report the case of a man whose autopsy revealed the incidental finding of pneumoconiosis silica, confirming later in the interview with the family who held his job at a company producing artificial marble and an occupational disease (AU)


Assuntos
Humanos , Masculino , Adulto , Pneumoconiose/metabolismo , Pneumoconiose/patologia , Quartzo/intoxicação , Autopsia/métodos , Suicídio/psicologia , 16359/classificação , Doenças Profissionais/diagnóstico , Pneumopatias/patologia , Silicose/patologia , Actinomicose Cervicofacial/metabolismo , Pneumoconiose/complicações , Pneumoconiose/diagnóstico , Quartzo/metabolismo , Doenças Profissionais/complicações , Pneumopatias/metabolismo , Silicose/prevenção & controle , Actinomicose Cervicofacial/diagnóstico
18.
J Plant Physiol ; 190: 72-8, 2016 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-26687637

RESUMO

Polyamines, small aliphatic polycations, have been suggested to play key roles in a number of biological processes. In this paper, attempts were made to investigate the possibility of improving antioxidant response of tomato fruits in relation with endogenous free polyamines content. We studied the reactive oxygen species and polyamines content, and antioxidant and polyamine-biosynthesis enzyme activities in fruits of ungrafted and grafted tomato plants under moderate water stress. We used a drought-tolerant cultivar (Zarina) and drought-sensitive cultivar (Josefina) to obtain reciprocal graft, selfgraft and ungraft plants. Fruits contained higher endogenous polyamine content during the course of the experiment relative to the control, coupled with higher arginine decarboxylase and spermine synthase activities in Zarina ungrafted and ZarxJos. In these cultivars, tomato fruits showed a lower reactive oxygen species generation and higher catalase and superoxide dismutase activities, suggesting that a higher content in polyamines (especially spermine) exerted a positive effect on antioxidant systems. All of these data suggest that spermine leads to more effective reactive oxygen species scavenging (less tissue damage) in tomato fruits, which may function collectively to enhance dehydration tolerance.


Assuntos
Antioxidantes/metabolismo , Dessecação , Poliaminas/metabolismo , Solanum lycopersicum/metabolismo , Secas , Frutas/metabolismo
19.
Cuad. med. forense ; 20(2/3): 99-106, abr.-sept. 2014. ilus
Artigo em Espanhol | IBECS | ID: ibc-131788

RESUMO

Se presenta el caso de un varón de 72 años de edad, ex fumador desde hace años, diagnosticado de silicosis y carcinoma epidermoide de pulmón derecho, solicitándose por parte de la familia autopsia judicial por la sospecha de padecimiento de asbestosis y tras su confirmación reclamación como enfermedad profesional. La exposición de este suceso nos permite realizar una revisión de una enfermedad profesional que suele pasar como desconocida en las salas de autopsia, a pesar de su repercusión judicial. La asbestosis es un tipo de neumoconiosis reconocida como enfermedad profesional producida por la inhalación de fibras de asbesto. Su inhalación provoca fibrosis pulmonar. Presenta un tiempo de latencia clínica inversamente proporcional al nivel de exposición. Además de fibrosis pulmonar pueden producirse derrames pleurales, placas fibrosas pleurales, mesoteliomas, carcinomas pleurales y carcinoma de laringe. La silicosis es la neumoconiosis producida por inhalación de partículas de sílice, entendiendo por neumoconiosis la enfermedad ocasionada por el depósito de polvo en los pulmones con una reacción patológica frente a este, en especialde tipo fibroso. La silicosis es una enfermedad fibrótica-pulmonar de carácter irreversible y considerada enfermedad profesional incapacitante en muchos países, una de cuyas variantes más raras es la silico-asbestosis, la cual requiere exposición al sílice y al amianto (AU)


The case is presented the case of a 72-year-old ex-smoker for years, diagnosed with silicosis and squamous cell carcinoma of the right lung, being requested by the judicial autopsy family suspected of suffering from asbestosis and after confirmation complaint as an occupational disease. The exposure of this event allows us to conduct a review of an occupational disease usually happens as unknown in autopsy rooms despite its legal repercussions. Asbestosis is a type of pneumoconiosis recognized as an occupational disease caused by inhaling asbestos fibers. Inhalation causes pulmonary fibrosis in the lung presenting a time inversely proportional to the exposure level clinical latency. Besides pulmonary fibrosis may occur pleural effusions, pleural fibrous plaques, mesothelioma, pleural carcinomas and laryngeal carcinoma. Silicosis is produced by inhalation pneumoconiosis silica particles, meaning the disease caused by pneumoconiosis dust deposit in the lungs with a pathological reaction to the same, especially fibrous. Silicosis is a fibrotic lung disease-and considered irreversible disabling occupational disease in many countries one of which is the more rare variants silico asbestosis, which requires exposure to silica and asbestos (AU)


Assuntos
Humanos , Masculino , Idoso , Asbestose/complicações , Silicose/complicações , Fibrose Pulmonar/etiologia , Autopsia , Asbestose/diagnóstico , Silicose/diagnóstico , Doenças Profissionais/prevenção & controle , Radiografia
20.
Plant Biol (Stuttg) ; 16(6): 1050-7, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-24750452

RESUMO

Water stress is one of the most important factors limiting the growth and productivity of crops. The implication of compatible osmolytes such as proline and polyamines in osmotic adjustment has been widely described in numerous plants species under stress conditions. In the present study, we investigated the response of five cherry tomato cultivars (Solanum lycopersicum L.) subjected to moderate water stress in order to shed light on the involvement of proline and polyamine metabolism in the mechanisms of tolerance to moderate water stress. Our results indicate that the most water stress-resistant cultivar (Zarina) had increased degradation of proline associated with increased polyamine synthesis, with a higher concentration of spermidine and spermine under stress conditions. In contrast, Josefina, the cultivar most sensitive to water stress, showed a proline accumulation associated with increased synthesis after being subjected to stress. In turn, in this cultivar, no rise in polyamine synthesis was detected. Therefore, all the data appear to indicate that polyamine metabolism is more involved in the tolerance response to moderate water stress.


Assuntos
Genótipo , Poliaminas/metabolismo , Prolina/metabolismo , Solanum lycopersicum/genética , Solanum lycopersicum/metabolismo , Água/metabolismo , Secas , Solanum lycopersicum/crescimento & desenvolvimento , Folhas de Planta/metabolismo
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