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1.
Phys Rev Lett ; 129(11): 112501, 2022 Sep 09.
Artigo em Inglês | MEDLINE | ID: mdl-36154392

RESUMO

The reduced transition probabilities for the 4_{1}^{+}→2_{1}^{+} and 2_{1}^{+}→0_{1}^{+} transitions in ^{92}Mo and ^{94}Ru and for the 4_{1}^{+}→2_{1}^{+} and 6_{1}^{+}→4_{1}^{+} transitions in ^{90}Zr have been determined in this experiment making use of a multinucleon transfer reaction. These results have been interpreted on the basis of realistic shell-model calculations in the f_{5/2}, p_{3/2}, p_{1/2}, and g_{9/2} proton valence space. Only the combination of extensive lifetime information and large scale shell-model calculations allowed the extent of the seniority conservation in the N=50 g_{9/2} orbital to be understood. The conclusion is that seniority is largely conserved in the first πg_{9/2} orbital.

2.
Rev Neurol ; 71(10): 373-376, 2020 Nov 16.
Artigo em Espanhol | MEDLINE | ID: mdl-33145748

RESUMO

INTRODUCTION: Megalencephalic leukoencephalopathy with cysts is a leukodystrophy of genetic origin that produces an alteration in the water and ion homeostasis in the brain, generating vacuolar forms and chronic oedema in the white matter with progressive neurological deterioration. It should be suspected in infants who present progressive macrocephaly during the first year of life, motor retardation and characteristic findings in magnetic resonance brain scans. CASE REPORT: We report the case of a girl who was followed up from the age of 9 months due to progressive macrocephaly and delayed psychomotor development and brain MRI findings consistent with megalencephalic leukoencephalopathy with cysts, and the appearance of epilepsy during its development. The usual genetic studies (new generation sequencing and array) were negative, but as the diagnostic criteria were met, a complementary messenger RNA and DNA study was conducted, which confirmed the presence of two pathogenic variants in MLC1. CONCLUSIONS: Megalencephalic leukoencephalopathy with cysts is a rare condition. Progressive macrocephaly in the first year of life, the absence of deterioration or slow deterioration, and the possibility of developing epilepsy, spasticity and ataxia are characteristic signs in its course. It is important for these patients to undergo an imaging test that shows findings that characterise this condition, which, together with the clinical features, makes it possible to differentiate it from other leukodystrophies and to establish a confirmatory diagnosis. Genetic studies can confirm the associated mutation that makes it possible to predict the clinicoradiological phenotype.


TITLE: Leucoencefalopatía megalencefálica con quistes: importancia de la descripción clínica en la era genética.Introducción. La leucoencefalopatía megalencefálica con quistes es una leucodistrofia de origen genético que produce una alteración de la homeostasis del agua e iones en el cerebro, generando formas vacuolares y edema crónico en la sustancia blanca con deterioro neurológico progresivo. Debe sospecharse en los lactantes que presentan macrocefalia progresiva durante el primer año de vida, retraso motor y hallazgos característicos en la resonancia magnética cerebral. Caso clínico. Niña en seguimiento desde los 9 meses por macrocefalia progresiva y retraso del desarrollo psicomotor con presencia en la resonancia magnética cerebral de hallazgos compatibles con leucoencefalopatía megalencefálica con quistes, y aparición de epilepsia en su evolución. Los estudios genéticos habituales (secuenciación de nueva generación y array) fueron negativos, pero, al cumplir los criterios diagnósticos, se procedió al estudio del ARN mensajero y el ADN complementario, que confirmó la presencia de dos variantes patogénicas en MLC1. Conclusiones. La leucoencefalopatía megalencefálica con quistes es una entidad infrecuente. Es característica la macrocefalia progresiva en el primer año de vida, la ausencia de deterioro o deterioro lento, y la posibilidad de desarrollar epilepsia, espasticidad y ataxia en su evolución. Cobra importancia en dichos pacientes la realización de una prueba de imagen que muestre hallazgos propios de la entidad, lo que, junto con la clínica, permite diferenciarla de otras leucodistrofias y establecer un diagnóstico confirmatorio. Los estudios genéticos pueden constatar la mutación asociada que posibilita predecir el fenotipo clinicorradiológico.


Assuntos
Cistos , Megalencefalia , Cistos/diagnóstico por imagem , Cistos/patologia , Doenças Desmielinizantes , Humanos , Lactente , Imageamento por Ressonância Magnética , Megalencefalia/diagnóstico por imagem , Megalencefalia/patologia , Mutação
3.
Reprod Domest Anim ; 53(1): 217-225, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-29105873

RESUMO

The early development in mammals is characterized by the contribution of nutrients from the maternal tissues through the placenta, which is in apposition with foetal membranes and the endometrium, allowing the physiological interchange between the embryos/foetuses and the mother. The aim of this work was to study the number of placental blood vessels and their vascular area through morphometric analyses and the haemotrophic diffusion distance in porcine placental tissues from early gestations, intermediates gestations, advanced gestations and term gestations. For those purposes, morphometric measurements, blood vessel quantification, high-resolution light microscopy and transmission electron microscopy were performed. The implementation of the high-resolution light microscopy allowed studying the placental vascular and tissue histoarchitecture with higher definition and resolution than using a conventional light microscopy. We highlight the close location of the subepithelial capillaries to the maternal/foetal interface as pregnancy progresses. We found statistically significant evidence to state that the area of blood vessels is dependent on the gestation period. In advanced gestations, the presence of numerous small blood vessels and its near location to foetal/maternal interface agree with the great remodelling reported in our previous studies. In conclusion, in gilts, given the type of non-invasive epithelial placentation, the new blood vessels generation and of haemotrophic diffusion distance reduction, determined in this report, assure the maternal/foetal haemotrophic exchange efficiency during gestation.


Assuntos
Placenta/irrigação sanguínea , Gravidez/fisiologia , Suínos/anatomia & histologia , Animais , Feminino , Troca Materno-Fetal , Placenta/anatomia & histologia , Placenta/ultraestrutura , Placentação/fisiologia , Suínos/fisiologia
6.
Biotech Histochem ; 90(7): 486-94, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25968146

RESUMO

Porcine embryo mortalities cause economic losses. Development of the placental vascular bed is required for successful gestation and postnatal survival. We studied the temporal and spatial distributions of vascular endothelial growth factor (VEGF), placenta growth factor (PlGF) and their receptors, Flt-1 and Flk-1. We used crossbred swine placental tissues from 30, 60, 80, 90 and 114 (term) days of gestation. Both VEGF and PlGF were present during gestation. At early pregnancy and at term, VEGF probably acts through Flt-1; during intermediate periods, its function is mediated by Flk-1. By day 90, factors other than members of VEGF family appear to be involved.


Assuntos
Placenta/metabolismo , Proteínas da Gravidez/metabolismo , Proteínas Proto-Oncogênicas/metabolismo , Fator A de Crescimento do Endotélio Vascular/metabolismo , Receptor 2 de Fatores de Crescimento do Endotélio Vascular/metabolismo , Animais , Feminino , Fator de Crescimento Placentário , Gravidez , RNA Mensageiro/metabolismo , Suínos
7.
Psychopharmacology (Berl) ; 232(16): 2995-3007, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-25943165

RESUMO

RATIONALE: The practice of binge drinking is very common among adolescents of both sexes. It can have long-term consequences with respect to drug consumption during adulthood, but knowledge on these effects in females is limited. OBJECTIVES: The long-lasting effects of intermittent exposure to ethanol (EtOH) during adolescence on different cocaine-elicited behaviours, including locomotor reactivity, conditioned place preference (CPP) and intravenous self-administration, were evaluated in male and female adult mice. It was hypothesized that an EtOH binge during adolescence would increase sensitivity to the effects of a sub-threshold dose of cocaine and has a differential impact on the drug's effects in males and females. METHODS: Adolescent OF1 mice (postnatal day (PND) 26) underwent a 2-week pre-treatment schedule consisting of 16 doses of EtOH (2.5 g/kg) or saline (twice daily administrations separated by a 4-h interval i.p.) administered on two consecutive days separated by an interval of 2 days. Three weeks later (PND > 60), we assessed locomotor activity responses induced by an acute injection of different doses of cocaine in experiment 1 and the rewarding effects of cocaine on the CPP (1 mg/kg) and intravenous self-administration (1 mg/kg/infusion) paradigms in experiment 2. RESULTS: Pre-exposure to EtOH during adolescence altered motor reactivity to cocaine in a dose- and sex-dependent manner, increased sensitivity to cocaine in CPP and enhanced self-administration in adult mice. CONCLUSIONS: The effects of intermittent exposure to ethanol during adolescence are evident in adulthood, during which greater sensitivity and intake of cocaine is observed and differ in each sex.


Assuntos
Cocaína/administração & dosagem , Inibidores da Captação de Dopamina/administração & dosagem , Etanol/administração & dosagem , Atividade Motora/efeitos dos fármacos , Recompensa , Caracteres Sexuais , Adolescente , Fatores Etários , Animais , Comportamento Animal/efeitos dos fármacos , Condicionamento Psicológico/efeitos dos fármacos , Feminino , Humanos , Masculino , Camundongos , Autoadministração
8.
Acta pediatr. esp ; 70(5): 217-219, mayo 2012. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-101523

RESUMO

El síndrome de Cowden es una enfermedad hereditaria rara, caracterizada por la presencia de una poliposis gastrointestinal de tipo hamartomatoso, anomalías cutaneomucosas y riesgo aumentado de neoplasias, sobre todo de mama, tiroides y genitourinarias; de ahí la importancia de su diagnóstico temprano. Presentamos el caso de una niña de 10 años de edad, remitida al servicio de pediatría desde el de estomatología por la sospecha de un síndrome de Cowden, dada la presencia de fibropapilomas orales. En el estudio realizado se constata la presencia de criterios clínicos mayores (macrocefalia) y menores (nódulos tiroideos, poliposis intestinal) que permiten su diagnóstico, pendiente de los resultados del gen supresor tumoral PTEN. Este diagnóstico precoz permitirá realizar revisiones periódicas para prevenir o detectar inicialmente enfermedades malignas, por lo que consideramos muy importante que el pediatra piense en este síndrome ante lesiones orales en apariencia banales(AU)


Cowden syndrome is a rare hereditary disease characterized by hamartoma-type gastrointestinal polyposis, mucocutaneous anomalies and high susceptibility to develop malignant neoplasia, mainly in the breast, thyroid and genitor-urinary tract, so early diagnosis is very important. We present the case of a ten years-old child diagnosed with Cowden syndrome after consultation for oral fibropapillomas to stomatologist. She presented major diagnostic criteria (macrocephaly) and minor diagnostic criteria (thyroid lesion and gastrointestinal polyps). We are wating for mutation in the tumor suppressor gene PTEN. This early diagnosis makes possible an adequate tumoral screening after a correct diagnosis of a banal pathology of oral mucosa, so is very important that paediatricians know this syndrome(AU)


Assuntos
Humanos , Feminino , Criança , Síndrome do Hamartoma Múltiplo/diagnóstico , Síndrome do Hamartoma Múltiplo/genética , Síndrome do Hamartoma Múltiplo/terapia , Colonoscopia , Polipose Intestinal/patologia , Nódulo da Glândula Tireoide
9.
ISRN Vet Sci ; 2012: 490530, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-23762584

RESUMO

The aim of this study was to evaluate the effect of feed restriction followed by a realimentation with monensin supplementation on morphological, ultrastructural, and apoptotic characteristics in the term placenta of Anglo-Nubian does. Treatments were a control group (C = 5), a group fed at 0.70 of that consumed by controls (R = 7), and the same as R with monensin (M = 7). After parturition, 27 placentas were gathered, C: 7, M: 10, and R: 10. No differences were detected between treatments in relation to morphological and ultrastructural analysis. The greatest values of binucleate cells were detected in placentas from R, and it could be due to the need to compensate and satisfy nutritional differences of restriction. We detected the highest apoptotic index in R as a consequence of nutritional treatment. We describe for the first time the structural and ultrastructural morphology and remodeling by apoptosis of Anglo-Nubian placenta at term of goats subjected to nutritional restriction during peripubertal period and the use of monensin as a growth promoter.

10.
Int. j. morphol ; 29(4): 1438-1443, dic. 2011. ilus
Artigo em Inglês | LILACS | ID: lil-627029

RESUMO

The molecules that constitute the extracellular matrix are important in several functions related to tissue support and cell-cell, cell-extracellular matrix interaction. Among the macromolecules that constitute the mentioned matrix we find osteopontin, fibrinogen and collagen. The present study was undertaken to analyze the rol of osteopontin, fibrinogen and collagen in uterine-placental interface during normal porcine gestation. Uterine and placental tissues from crossbred gilts of 30 (n=5), 60 (n=5), 70 (n=5) and 114 (at term, n=5) days of gestation were used. Macroscopic analysis of the embryos/fetuses allowed us to determine their gestational age by means of the crown-rump lenght. Haematoxylin-Eosin and Masson's Trichrome dyes along with light microscopy were used to structure analysis of every selected period of gestation. A spacial and temporal study of osteopontin and fibrinogen was performed through immunohistochemical technique. Determination of collagen fibers was carried out through Picrosirius red technique and polarizing microscopy. Results were expressed as semi-quantitative. Higher expression of osteopontin was observed at early periods of gestation, mainly in uterine and placental villi, endometrial gland epithelium and histotroph. Fibrinogen expressed abundantly in fetal mesenchyme in every period analyzed and in fetal and maternal vessels at Day 70. Negative expression of collagen fibers was observed in villi, however increasing expression of thick fibers throughout pregnancy was detected in uterine stroma and myometrium. These results confirm the importance of osteopontin, fibrinogen and collagen in the support of uterine and placental structures and in the suitable maintenance of pregnancy.


Las moléculas que constituyen la matriz extracelular son importantes en varias funciones relacionadas con el soporte del tejido y la interacción célula-célula, célula-matriz extracelular. Entre las macromoléculas que constituyen la matriz mencionada se encuentra la osteopontina, el fibrinógeno y el colágeno. Este estudio se realizó para analizar el rol de la osteopontina, el fibrinógeno y el colágeno en la interface útero-placentaria durante la gestación porcina normal. Tejidos uterinos y la placentarios de hembras porcinas cruzadas de 30 (n=5), 60 (n=5), 70 (n=5) y 114 (a término, n=5) días de gestación fueron utilizados. El análisis macroscópico de los embriones/fetos nos permitió determinar la edad gestacional por medio de la longitud cráneo-rabadilla. Tinciones de Hematoxilina-Eosina y Tricrómico de Masson con microscopía de luz se utilizó para estructurar el análisis de cada periodo de tiempo seleccionado de la gestación. Un estudio espacial y temporal de la osteopontina y el fibrinógeno se realizó mediante técnicas de inmunohistoquímica. La determinación de fibras colágenas se llevó a cabo a través de la técnica Picrosirius rojo por microscopia de polarización. Los resultados se expresaron como semi-cuantitativos. La expresión de osteopontina se observó en los primeros períodos de gestación, principalmente en las vellosidades del útero y la placenta, epitelio de las glándulas endometriales e histotrofos. El fibrinógeno se expresa abundantemente en mesénquima fetal en todos los períodos analizados y en los vasos fetales y maternos el día 70. Una expresión negativa de fibras colágenas se observó en las vellosidades, sin embargo, un aumento de expresión de las fibras gruesas durante la gestación se detectó en el estroma uterino y el miometrio. Estos resultados confirman la importancia de la osteopontina, fibrinógeno y colágeno en el soporte de las estructuras del útero y placenta, así como el mantenimiento adecuado durante la gestación.


Assuntos
Animais , Feminino , Gravidez , Colágeno/metabolismo , Fibrinogênio/metabolismo , Osteopontina/metabolismo , Placenta/metabolismo , Suínos , Matriz Extracelular , Imuno-Histoquímica , Prenhez/metabolismo , Útero/metabolismo
11.
Int. j. morphol ; 28(3): 829-834, Sept. 2010. ilus
Artigo em Inglês | LILACS | ID: lil-577192

RESUMO

Apoptosis is a permanent and dynamic physiological process by which an organism eliminates the undesirable cells without causing an inflammatory response. The objective of this work was to study the expression of FAS, DR4 and other members of the TNF-R1 superfamily extrinsic route apoptotic receptors the DNA fragmentation and the cellular apoptosis in placental samples at the early, mid and late pregnancy on +/- 30, +/- 55 and +/- 114 gestational days, respectively. We used placental histological sections of samples fixed in buffered saline formaldehyde. Immunohistochemical techniques were performed to detect the apoptotic receptors, whereas the DNA fragmentation was detected by TUNEL reaction and apoptotic cellular ultrastructure was detected by TEM conventional techniques. Apoptosis related receptors were immunolocalized in the early pig gestation and correlated with apoptosis, suggesting a role in the cellular remodelling of the placenta. At gestation day 55, apoptosis might be correlated to FAS route, but not by DR4-mediating pathway. At the end of gestation, increased apoptosis and both receptors markers were detected showing cellular death due to the extrinsic route through FAS and DR4 receptors. In conclusion, the immunolocalization of FAS and TNF R-1 receptors along the pig placental development correlates with TUNEL reaction and with apoptotic ultrastructure observed by TEM and seems to occur through different pathways along gestation.


La apoptosis es un proceso fisiológico, dinámico y permanente a través del cual un organismo elimina células indeseables sin provocar una respuesta inflamatoria. El objetivo del presente trabajo fue estudiar la expresión de los receptores de la vía extrínseca de apoptosis, FAS, DR4 y otros miembros de la superfamilia TNF-R1, la fragmentación del ADN y la apoptosis celular a través de TEM, en muestras placentarias del inicio, la mitad y el final de la gestación, hacia el día +/- 30, +/- 55 y +/- 114 de preñez, respectivamente. Se realizaron cortes histológicos de las muestras placentarias fijadas en formol tamponado. Para la detección de los receptores de apoptosis se realizaron técnicas inmunohistoquímicas, para el estudio de la fragmentación del ADN se utilizó el ensayo TUNEL y para el análisis de la ultraestructura celular apoptótica la técnica convencional de TEM. La inmunolocalización de los receptores de muerte celular al inicio de la preñez porcina sugiere el rol de la apoptosis en la remodelación celular placentaria. Hacia el día 55 de preñez, la apoptosis detectada ocurriría únicamente a través de la vía del receptor FAS, no del receptor DR4. Al final de la gestación, se detectó un incremento de la apoptosis y la expresión de ambos receptores, indicando que la muerte celular a través de la vía de señalización extrínseca estaría inducida por los receptores FAS y DR4. En conclusión, la inmunolocalización de los receptores FAS y otros miembros del TNF-R1, los resultados de TUNEL y la ultraestructura celular apoptótica observada en la placentación porcina, indican que la apoptosis detectada ocurre por diferentes vías de inducción a lo largo de la gestación.


Assuntos
Animais , Feminino , Gravidez , /fisiologia , /fisiologia , Apoptose/fisiologia , Placenta/citologia , Suínos/anatomia & histologia , Receptores Tipo I de Fatores de Necrose Tumoral/fisiologia , Fragmentação do DNA , Proteína Ligante Fas , Imuno-Histoquímica , Marcação In Situ das Extremidades Cortadas , Fotomicrografia , Placentação , Placenta/ultraestrutura , Suínos/fisiologia , Receptores de Morte Celular
12.
Eur J Neurol ; 17(6): 808-14, 2010 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-20074229

RESUMO

BACKGROUND: Mutations in the voltage-gated Na(V)1.7 Na(+) channel alpha1 gene SCN9A have been linked to pain disorders, such as inherited primary erythromelalgia and paroxysmal extreme pain disorder. Both show clinical overlap with complex regional pain syndrome (CRPS), a condition that is characterized by pain in association with combinations of vasomotor, sudomotor, sensory, and motor disturbances. Therefore, we here investigated the involvement of the SCN9A gene in familial CRPS. METHODS: We performed a mutation analysis of the SCN9A gene in four index cases of families with CRPS. All 26 coding exons and adjacent sequences of the SCN9A gene were analyzed for mutations using direct sequencing analysis. RESULTS: No causal gene mutations were identified in the SCN9A gene in any of the patients. CONCLUSIONS: Despite the fact that the SCN9A gene is an excellent candidate, we did not find evidence that it plays a major role in familial CRPS.


Assuntos
Síndromes da Dor Regional Complexa/genética , Predisposição Genética para Doença , Canais de Sódio/genética , Adolescente , Adulto , Idade de Início , Idoso , Análise Mutacional de DNA , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Mutação , Canal de Sódio Disparado por Voltagem NAV1.7 , Linhagem , Reação em Cadeia da Polimerase , Adulto Jovem
15.
Rev. esp. pediatr. (Ed. impr.) ; 64(6): 432-437, nov.-dic. 2008. ilus
Artigo em Espanhol | IBECS | ID: ibc-60235

RESUMO

Introducción: Ante el progresivo aumento del número de niños inmigrantes en las Urgencias de Pediatría, planteamos si estos pacientes presentan características de manejo particulares que requieran cambios en nuestra sección para mejorar su atención. Material y método: Estudio descriptivo, prospectivo, en el que se recoge mediante encuesta datos demográficos y clínicos de una muestra de 307 atenciones a inmigrantes (I) o hijos de inmigrantes (HI) durante un período de 6 meses. Se recogen los mismos datos de un grupo control de 127 atenciones de pacientes no inmigrantes (NOI). Resultados: El 47% del grupo de I+HI proceden de países hispanoparlantes. Del resto, el 13%, de los padres presentan severas dificultades con el idioma o no lo hablan. La mayoría son HI (63%), con un tiempo medio de residencia en España de 44 meses. Al comparar ambas poblaciones, el grupo I+HI tiene pero control sanitario (8,8% no tiene tarjeta sanitaria, 11,7% no tiene pediatra asignado y 11,1% no actualizado el calendario vacunal). Previamente consultan a su pediatra el 55% (Nol) vs 34,6% (NI+HI) (p<0,05). En general, el motivo de consulta, los diagnósticos al alta así como el número de ingresos es similar en ambos grupos. Durante el período de estudio se encontraron 3 casos de patología importada (paludismo) en el grupo I+HI. Conclusiones: Encontramos dificultades en el manejo de la población inmigrante, no tanto por la patología que presentan, sino por la barrera del idioma y el escaso control sanitario que sigue hasta un 10% de ellos. Por lo tanto, planteamos desarrollar mecanismos para mejorar la comunicación y facilitar los trámites de integración en los circuitos sanitarios normalizados. En contra de lo esperado, sus hábitos de utilización de las urgencias y la patología que presentan son similares a los de la población local (AU)


Introduction: Due to the progressive increase in the number of immigrant children in the Pediatric Emergency Service, we ask if these patients present specific characteristics in their management that require changes in our department to improve their care. Materials and methods: A descriptive and prospective study, in which, by means of a survey, the demographic and clinical information was collected form a sample of 307 cases of Immigrants (I) or Offspring of Immigrants (OI), over a period of 6 months. The same information was collected from a control group of 127 cases of Non-Immigrant patients (NI). Results: 47,8% of the I+OI group come form Spanish speaking countries. In 13% of the remaining, the parents have severe difficulty with the language or speak none at all. The majority are OI (63%), with an average time of residence in Spain of 44 months. When we compare both populations, the I+OI group have the worse health control (8,8% have no Sanitary Card, 11,7% have no assigned pediatrician and 11,1% do not have their vaccine record updated). 55% of the NI group consult their pediatrician in advance vs. 34,6% of the I+HI (p<0,05). In general, the reason for the consult, the final diagnosis as well as the number admitted is similar in both groups. During the period of the study 3 cases of imported pathology (malaria) were found in the I+OI group. Conclusions: We encountered difficulties in the management of the immigrant population, no so much because of the pathologies they presented, but because of the language barrier and the scarce sanitary control that continued in up to 10% of them. Therefore we propose to develop mechanisms to improve communication and facilitate the processes of integration in the ordinary sanitary circuits. Contrary to what was expected, the use of emergency service and the pathologies that they present are similar to the local population (AU)


Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Lactente , Pré-Escolar , Criança , Emigrantes e Imigrantes/estatística & dados numéricos , Serviços Médicos de Emergência/estatística & dados numéricos , Hospitais Pediátricos/estatística & dados numéricos , Estatísticas Hospitalares , Estudos Prospectivos , 24419
16.
Eur J Ophthalmol ; 16(2): 343-5, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-16703558

RESUMO

PURPOSE: To report a case of unusual endogenous endophthalmitis associated with the use of leflunomide and adalimumab. METHODS: A 48-year-old woman on treatment with leflunomide and adalimumab for rheumatoid arthritis developed an endogenous endophthalmitis caused by Propionibacterium acnes. Diagnosis was confirmed by polymerase chain reaction and positive cultures. The patient underwent surgical treatment and intravitreal vancomycin, but the eye developed retinal fibrosis and untreatable retinal detachment. RESULTS: This report of endogenous endophthalmitis associated with the use of anti-tumor necrosis factor alpha (anti -TNF-a) drugs is consistent with those in the literature. P. acnes may induce pathologic reactions in compromised patients and cause endophthalmitis, but only after ocular surgery or in intravenous drug users. The Naranjo probability scale indicated a probable relationship between the drugs and the infection. CONCLUSIONS: Awareness of atypical infectious conditions in patients on anti-TNF-a drugs is critical for early diagnosis and good outcome.


Assuntos
Anticorpos Monoclonais/uso terapêutico , Endoftalmite/complicações , Infecções Oculares Bacterianas/complicações , Infecções por Bactérias Gram-Positivas/complicações , Isoxazóis/uso terapêutico , Infecções Oportunistas/complicações , Propionibacterium acnes/isolamento & purificação , Adalimumab , Anti-Inflamatórios não Esteroides/uso terapêutico , Anticorpos Monoclonais Humanizados , Artrite Reumatoide/tratamento farmacológico , Terapia Combinada , DNA Bacteriano/análise , Endoftalmite/microbiologia , Endoftalmite/terapia , Infecções Oculares Bacterianas/terapia , Feminino , Infecções por Bactérias Gram-Positivas/terapia , Humanos , Leflunomida , Pessoa de Meia-Idade , Infecções Oportunistas/microbiologia , Infecções Oportunistas/terapia , Reação em Cadeia da Polimerase , Propionibacterium acnes/genética , Fator de Necrose Tumoral alfa/antagonistas & inibidores , Vancomicina/uso terapêutico , Vitrectomia
18.
Gastroenterol Hepatol ; 26(8): 482-4, 2003 Oct.
Artigo em Espanhol | MEDLINE | ID: mdl-14534021

RESUMO

Intestinal lipomatosis is a rare entity and few cases have been reported in the literature. The condition is usually asymptomatic. Symptomatic cases usually present as obstruction or, less frequently, as bleeding. Intestinal barium studies, ultrasonography and computed tomography are useful diagnostic techniques. We present the case of a 47-year-old man with no relevant medical history who presented with intestinal obstruction of several months' duration. Complementary investigations yielded a diagnosis of intestinal obstruction due to ileocecal invagination secondary to endoluminal tumors of the ileum. Surgery and pathological analysis revealed the latter to be intestinal lipomatosis. This rare clinical entity has been associated with diverticulosis and intestinal volvulus.


Assuntos
Doenças do Íleo/complicações , Valva Ileocecal/patologia , Obstrução Intestinal/etiologia , Intussuscepção/etiologia , Lipomatose/complicações , Procedimentos Cirúrgicos do Sistema Digestório , Humanos , Doenças do Íleo/patologia , Doenças do Íleo/cirurgia , Obstrução Intestinal/diagnóstico , Intussuscepção/diagnóstico , Laparotomia , Lipomatose/patologia , Lipomatose/cirurgia , Masculino , Pessoa de Meia-Idade , Resultado do Tratamento
19.
Org Lett ; 3(25): 4059-62, 2001 Dec 13.
Artigo em Inglês | MEDLINE | ID: mdl-11735584

RESUMO

[reaction: see text] Several lactones were examined to test the reactivity of carbon-centered radicals toward oxygen. Notably, the radical derived from 2-coumaranone (4) is unreactive toward oxygen, while 2-cuomaranone itself shows enhanced reactivity toward hydrogen abstraction by alkoxyl radicals. We propose that five parameters influence diminished reactivity toward oxygen, i.e., (a) benzylic resonance stabilization, (b) unpaired spin delocalization on oxygen, (c) favorable stereoelectronic effects, (d) electron-withdrawing effects, and (e) steric effects.

20.
J Am Chem Soc ; 123(48): 11883-9, 2001 Dec 05.
Artigo em Inglês | MEDLINE | ID: mdl-11724594

RESUMO

The temperature-dependent photochemical behavior of 1,3-diphenylpropene and several of its 3-substituted derivatives has been investigated over a wide temperature range. The singlet state is found to decay via two unactivated processes, fluorescence and intersystem crossing, and two activated processes, trans,cis isomerization and phenyl-vinyl bridging. The latter activated process yields a diradical intermediate which partitions between ground-state reactant and formation of the di-pi-methane rearrangement product. Kinetic modeling of temperature-dependent singlet decay times and quantum yields of fluorescence, isomerization, di-pi-methane rearrangement, and nonradiative decay provides rate constants and activation parameters for each of the primary and secondary processes. Substituents at the 3-position are found to have little effect on the electronic spectra or unactivated fluorescence and intersystem crossing pathways. However, they do effect the activated primary and secondary processes. Thus, the product ratios are highly temperature dependent.

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