Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 124
Filtrar
1.
J Med Biochem ; 43(1): 133-143, 2024 Jan 25.
Artigo em Inglês | MEDLINE | ID: mdl-38496020

RESUMO

Background: Establishing reference intervals (RIs) in clinical laboratories is essential, as these can vary due to inter-individual variability as well as the analytical methods used. The purpose of this study was to determine RIs for markers and ratios biochemical in apparently healthy Chilean adults. Methods: A sample of 1,143 data was selected from the Universidad Católica de Temuco, Clinical Laboratory database, La Araucanía Region, Chile, which were analysed by sex. The Tukey's Fences was used to detect outliers and the RIs were established using the non-parametric method.

2.
Chemosphere ; 352: 141282, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38307328

RESUMO

Metals such as copper (Cu) enter marine environments from natural and anthropogenic sources, causing changes in the biodiversity of marine microalgae and cyanobacteria. Cu plays a dual role as either a micronutrient or toxicant depending on the environmental concentration. Many studies have summarized the potential of Cu to become more toxic to microalgae under environmental stress (for instance climate change). Most of the data available on Cu toxicity concerning microalgae and cyanobacteria have been produced using single-species laboratory tests, and there is still a significant gap in the information concerning the behavior of a group of algae exposed to environmental stressors. Thus, the objective of this study was to evaluate the toxicity of Cu at two concentrations (C1 = 2 µg L-1 and C2 = 5 µg L-1) in multispecies bioassays using three phytoplankton species (one cyanobacteria, Synechococcus sp., and two microalgae, Chaetoceros gracilis and Pleurochrisys cf. roscoffensis). Combinations of two temperatures (20 and 23 °C) and two salinities (33 and 36 PSU), were applied in a 96 h study using flow cytometry analysis (FCM). Algal growth and reactive oxygen species (ROS) production by 2'7'-dichlorofluorescein (DCFH) were monitored by FCM. The results indicated that Synechococcus sp. was more sensitive than C. gracilis and P. roscoffensis to Cu stress at a temperature 23 °C and salinity of 36 PSU under both concentrations of Cu. Chlorophyll a fluorescence showed a significant decrease (p < 0.05) in Synechococcus sp. under 5 µg L-1 of Cu in the combined treatment of 20 °C and 33 PSU; however, there was a significant increase in P. roscoffensis in all combinations at C2 = 5 µg L-1 compared to the control with no Cu, indicating a potential hormetic response to Cu for P. roscoffensis. ROS levels were triggered in a combination of 23 °C and 33 PSU and 5 µg L-1 of Cu, which was higher than all the other combinations studied. Our study resulted in data concerning the potential impacts caused by possible future climate change scenarios in aquatic habitats chronically exposed to metals.


Assuntos
Diatomáceas , Microalgas , Synechococcus , Poluentes Químicos da Água , Temperatura , Cobre/toxicidade , Clorofila A , Salinidade , Técnicas de Cocultura , Espécies Reativas de Oxigênio , Poluentes Químicos da Água/toxicidade
3.
Mar Environ Res ; 193: 106279, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38016302

RESUMO

Changes in the temperature or salinity of ocean waters can affect marine organisms at multiple trophic levels. Both environmental variables could have an impact on marine microalgae populations. Therefore, the effect of the combination of three levels of temperature (20, 24 and 28 °C), and three levels of salinity (33, 36, and 39 PSU) were evaluated on the growth of a multispecies community of five common species of phytoplankton: (one cyanobacteria, Synechococcus sp., and four microalgae, Chaetoceros gracilis, Amphidinium carterae, Pleurochrysis roscoffensis and Rhodomonas baltica). The co-culture was monitored by flow cytometry under controlled conditions in a 96 h study. The effect of both variables on dissolved oxygen concentrations was measured using the SDR SensorDish Reader system. The results demonstrated that Synechococcus sp., C. gracilis, and A. carterae displayed a high growth at the temperature of 28 °C combined with the lowest salinity assayed. However, salinity increases negatively affected the growth of P. roscoffensis and R. baltica. Decreased salinity combined with decreased temperature exhibited a higher net O2 production. The interaction of two environmental factors related to global change such as temperature and salinity can cause structural (community growth) and functional (net oxygen production) changes in a phytoplanktonic community.


Assuntos
Cianobactérias , Microalgas , Temperatura , Salinidade , Técnicas de Cocultura , Fitoplâncton
4.
J Plast Reconstr Aesthet Surg ; 88: 245-247, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38006712

RESUMO

Patients with heparin-induced thrombocytopenia or confirmed allergies to heparin have a contraindication to heparin therapy, which poses a problem for intraoperative free flap irrigation in reconstruction. The use of argatroban as an alternative to heparin allowed us to perform a free flap for leg salvage and a deep inferior epigastric perforator flap for breast reconstruction without microvascular complication, with a 0.01 mg/mL solution. We reported two cases of using an alternative treatment to heparin in an emergency and planned surgeries for vessel irrigation during microsurgical anastomosis reconstruction without microvascular complications, suggesting the reliability and effectiveness of its use in case of contraindication to heparin.


Assuntos
Mamoplastia , Retalho Perfurante , Trombocitopenia , Humanos , Reprodutibilidade dos Testes , Heparina/efeitos adversos , Mamoplastia/efeitos adversos , Trombocitopenia/induzido quimicamente , Anastomose Cirúrgica , Microcirurgia , Retalho Perfurante/irrigação sanguínea
5.
Mar Environ Res ; 189: 106039, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-37286429

RESUMO

Global Climate Change could change physical parameters in oceans, such as salinity and temperature. The impact of such changes in phytoplankton has not been well stated yet. In this study the effect of combination of three levels of temperature (20, 23, and 26 °C), and three levels of salinity (33, 36, and 39) on growth of a mixture co-cultivation of three common species from phytoplankton (one cyanobacteria, Synechococcus sp., and two microalgae, Chaetoceros gracilis, and Rhodomonas baltica), is monitored by flow cytometry under controlled cultivation conditions in a 96 h study. Chlorophyll content, enzymes activities and oxidative stress were also measured. Results demonstrate that cultures of Synechococcus sp. Exhibited a high growth at the highest temperature chosen in this study (26 °C) combined with the three selected salinity levels 33, 36, and 39. Nevertheless, Chaetoceros gracilis grew very slowly with the combination of high temperature (39 °C) and all salinities, while Rhodomonas baltica did not grow at temperatures higher than 23 °C. Maximum dry biomass and ash-free dry weight for the microalgal mixture were reached at salinity of 39 and temperature of 20 °C, the but highest chlorophyll fluorescence values were found at 30 salinity and 20 °C, decreasing as salinity and temperature increased.

6.
Environ Pollut ; 333: 122073, 2023 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-37331580

RESUMO

BPA is a hazard for human and environmental health and recently BPA was added to the Candidate List of substances of very high concern by European Chemical Agency (ECHA). In accordance with this proposal, the authorities have encouraged the replacement of BPA by BPA analogues; however, little is known about the impact of these compounds on the environment. Due to this situation five BPA analogues (BPS, BPAP, BPAF, BPFL and BPC) were chosen in order to study their effects on marine primary producers. Three marine microalgae species (Phaeodactylum tricornutum, Tetraselmis suecica and Nannochloropsis gaditana) were selected for single and multispecies tests concerning the ecotoxicological effects of these BPA analogues. Microalgae were exposed to BPs over 72 h at different dosages (5, 20, 40, 80, 150 and 300 µM). Responses such as: growth, ROS production, cell complexity, cell size, autofluorescence of chlorophyll a, effective quantum yield of PSII and pigment concentrations were assessed at 24, 48 and 72 h. The results revealed that BPS and BPA showed lower toxicity to microalgae in comparison with BPFL > BPAF > BPAP and >BPC for the endpoints studied. N. gaditana was the least sensitive microalgae in comparison to P. tricornutum and T. suecica. However, a different trend was found in the multispecies tests where T. suecica dominated the microalgae community in relation to N. gaditana and P. tricornutum. The results of this work revealed for first time that present day BPA analogues are a threat and not a safe substitute for BPA in terms of the marine phytoplanktonic community. Therefore, the results of their impact on aquatic organisms should be shared.


Assuntos
Microalgas , Humanos , Clorofila A , Ecotoxicologia , Organismos Aquáticos , Compostos Benzidrílicos/toxicidade
7.
Mar Environ Res ; 188: 106025, 2023 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-37253651

RESUMO

Global Climate Change (GCC) could change physical parameters in oceans, such as salinity and temperature. The impact of such changes in phytoplankton has not been well stated yet. In this study, the effect of combination of three levels of temperature (20, 23, and 26 °C) and three levels of salinity (33, 36, and 39) on growth of a mixture co-cultivation of three common species from phytoplankton (one cyanobacteria, Synechococcus sp., and two microalgae, Chaetoceros gracilis, and Rhodomonas baltica), is monitored by flow cytometry under controlled cultivation conditions in a 96 h study. Chlorophyll content, enzymes activities and oxidative stress were also measured. Results demonstrate that cultures of Synechococcus sp. Exhibited a high growth at the highest temperature chosen in this study (26 °C) combined with the three selected salinity levels 33, 36, and 39. Nevertheless, Chaetoceros gracilis grew very slowly with the combination of high temperature (26 °C) and all salinities, while Rhodomonas baltica did not grow at temperatures higher than 23 °C. Maximum dry biomass and ash-free dry weight for the microalgal mixture were reached at salinity of 39 and temperature of 20 °C, and the highest chlorophyll fluorescence values were found at 30 salinity and 20 °C, decreasing as salinity and temperature increased.

8.
J Hazard Mater ; 452: 131279, 2023 06 15.
Artigo em Inglês | MEDLINE | ID: mdl-36989795

RESUMO

Harmful algal blooms (HABs) in coastal areas similarly impact both ecosystems and human health. The translocation of phytoplankton species via maritime transport can potentially promote the growth of HABs in coastal systems. Accordingly, ballast water must be disinfected. The main goal of this study is to assess the effectiveness of different emerging biocides, including H2O2, peracetic acid (PAA), peroxymonosulfate (PMS), and peroxydisulfate (PDS). The effectiveness of these biocides is compared with that of conventional chlorination methods. Their effects on two ichthyotoxic microalgae with worldwide distribution, i.e., Prymnesium parvum and Heterosigma akashiwo, are examined. To ensure the prolonged effectiveness of the different reagents, their concentration-response curves for 14 days are constructed and examined. The results suggest a strong but shorter effect by PMS (EC50 = 0.40-1.99 mg·L-1) and PAA (EC50 = 0.32-2.70 mg·L-1), a maintained effect by H2O2 (EC50 = 6.67-7.08 mg·L-1), and a negligible effect by PDS. H. akashiwo indicates higher resistance than P. parvum, except when H2O2 is used. Based on the growth inhibition performance and consumption of the reagents as well as a review of important aspects regarding their application, using H2O2, PAA, or PMS can be a feasible alternative to chlorine-based reagents for inhibiting the growth of harmful phytoplankton.


Assuntos
Desinfetantes , Herbicidas , Humanos , Fitoplâncton , Oxidantes/toxicidade , Peróxido de Hidrogênio , Ecossistema , Proliferação Nociva de Algas , Desinfetantes/toxicidade
9.
Mar Environ Res ; 186: 105932, 2023 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-36863077

RESUMO

Global Climate Change could change physical parameters in oceans, such as salinity and temperature. The impact of such changes in phytoplankton has not been well stated yet. In this study the effect of combination of three levels of temperature (20, 23, and 26 °C), and three levels of salinity (33, 36, and 39) on growth of a mixture co-cultivation of three common species from phytoplankton (one cyanobacteria, Synechococcus sp., and two microalgae, Chaetoceros gracilis, and Rhodomonas baltica), is monitored by flow cytometry under controlled cultivation conditions in a 96 h study. Chlorophyll content, enzymes activities and oxidative stress were also measured. Results demonstrate that cultures of Synechococcus sp. Exhibited a high growth at the highest temperature chosen in this study (26 °C) combined with the three selected salinity levels 33, 36, and 39. Nevertheless, Chaetoceros gracilis grew very slowly with the combination of high temperature (39 °C) and all salinities, while Rhodomonas baltica did not grow at temperatures higher than 23 °C. Maximum dry biomass and ash-free dry weight for the microalgal mixture were reached at salinity of 39 and temperature of 20 °C, the but highest chlorophyll fluorescence values were found at 30 salinity and 20 °C, decreasing as salinity and temperature increased.


Assuntos
Cianobactérias , Diatomáceas , Microalgas , Temperatura , Espécies Reativas de Oxigênio , Salinidade , Fitoplâncton , Clorofila
10.
J Therm Biol ; 112: 103496, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36796881

RESUMO

Sea urchin's survival may depend on their capacity to recover proper orientation rapidly and effectively after inversion, enabling escape from predator and preventing desiccation. This righting behavior has been used as a repeatable and reliable indicator to assess echinoderms performance across environmental conditions, including thermal sensitivity and thermal stress. The current study aims at evaluating and comparing the thermal reaction norm for righting behavior (time for righting (TFR) and capacity to self-right) of three common sea urchins from high latitude, the Patagonian sea urchins Loxechinus albus and Pseudechinus magellanicus, and the Antarctic sea urchin Sterechinus neumayeri. In addition, to infer the ecological implications of our experiments, we compared laboratory-based and in situ TFR of these three species. We observed that populations of the Patagonian sea urchins L. albus and P. magellanicus presented similar trend of righting behavior, overly accelerating with increasing temperature (from 0 to 22°C). Little variations and high inter-individual variability were observed below 6°C in the Antarctic sea urchin TFR, and righting success strongly decreased between 7 and 11°C. For the three species, TFR was lower in in situ experiments compared to the laboratory. Overall, our results suggest that the populations of Patagonian sea urchin exhibit a wide thermal tolerance and, based on S. neumayeri's TFR, aligning with the narrow thermal tolerance of Antarctic benthos. Finally, the differences between laboratory and in situ experiments highlights the importance of considering the complexity of marine environments for future predictions.


Assuntos
Ouriços-do-Mar , Animais , Regiões Antárticas , Temperatura
11.
Biology (Basel) ; 12(1)2023 Jan 13.
Artigo em Inglês | MEDLINE | ID: mdl-36671820

RESUMO

Ice scouring is one of the strongest agents of disturbance in nearshore environments at high latitudes. In depths, less than 20 m, grounding icebergs reshape the soft-sediment seabed by gouging furrows called ice pits. Large amounts of drift algae (up to 5.6 kg/m2) that would otherwise be transported to deeper water accumulate inside these features, representing an underestimated subsidy. Our work documents the distribution and dimensions of ice pits in Fildes Bay, Antarctica, and evaluates their relationship to the biomass and species composition of algae found within them. It also assesses the rates of deposition and advective loss of algae in the pits. The 17 ice pits found in the study area covered only 4.2% of the seabed but contained 98% of drift algal biomass, i.e., 60 times the density (kg/m2) of the surrounding seabed. Larger ice pits had larger and denser algal accumulations than small pits and had different species compositions. The accumulations were stable over time: experimentally cleared pits regained initial biomass levels after one year, and advective loss was less than 15% annually. Further research is needed to understand the impacts of ice scouring and subsequent algal retention on ecosystem functioning in this rapidly changing polar environment.

12.
Mar Environ Res ; 184: 105877, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36640723

RESUMO

Global climate change (GCC) constitutes a complex challenge posing a serious threat to biodiversity and ecosystems in the next decades. There are several recent studies dealing with the potential effect of increased temperature, decrease of pH or shifts in salinity, as well as cascading events of GCC and their impact on human-environment systems. Microalgae as primary producers are a sensitive compartment of the marine ecosystems to all those changes. However, the potential consequences of these changes for marine microalgae have received relatively little attention and they are still not well understood. Thus, there is an urgent need to explore and understand the effects generated by multiple climatic changes on marine microalgae growth and biodiversity. Therefore, this review aimed to compare and contrast mechanisms that marine microalgae exhibit to directly respond to harsh conditions associated with GCC and the potential consequences of those changes in marine microalgal populations. Literature shows that microalgae responses to environmental stressors such as temperature were affected differently. A stress caused by salinity might slow down cell division, reduces size, ceases motility, and triggers palmelloid formation in microalgae community, but some of these changes are strongly species-specific. UV irradiance can potentially lead to an oxidative stress in microalgae, promoting the production of reactive oxygen species (ROS) or induce direct physical damage on microalgae, then inhibiting the growth of microalgae. Moreover, pH could impact many groups of microalgae being more tolerant of certain pH shifts, while others were sensitive to changes of just small units (such as coccolithophorids) and subsequently affect the species at a higher trophic level, but also total vertical carbon transport in oceans. Overall, this review highlights the importance of examining effects of multiple stressors, considering multiple responses to understand the complexity behind stressor interactions.


Assuntos
Microalgas , Humanos , Ecossistema , Estresse Oxidativo , Biodiversidade , Fotossíntese
13.
Biology (Basel) ; 11(12)2022 Nov 28.
Artigo em Inglês | MEDLINE | ID: mdl-36552233

RESUMO

To study how Odontaster validus can influence the spatial structure of Antarctic benthic communities and how they respond to disturbance, it is necessary to assess potential dietary shifts in different habitats. We investigated the diets of O. validus from Maxwell Bay and South Bay in the West Antarctic Peninsula. A multifaceted approach was applied including in situ observations of cardiac stomach everted contents, isotopic niche, and trophic diversity metrics. Results confirm the flexible foraging strategy of this species under markedly different environmental conditions, suggesting plasticity in resource use. The data also showed evidence of isotopic niche expansion, high δ15N values, and Nacella concinna as a common food item for individuals inhabiting a site with low seasonal sea ice (Ardley Cove), which could have significant ecological implications such as new trophic linkages within the Antarctic benthic community. These results highlight the importance of considering trophic changes of key species to their environment as multiple ecological factors can vary as a function of climatic conditions.

15.
Sci Rep ; 12(1): 19839, 2022 11 18.
Artigo em Inglês | MEDLINE | ID: mdl-36400816

RESUMO

To propose a fall-classification framework for patients undergoing total knee replacement (TKR). In addition, we reinforced the available evidence on fall incidence and circumstances and compared the characteristics of fallers versus. nonfallers. Retrospective and prospective data were collected from 253 subjects with severe knee osteoarthritis who were waiting for primary TKR. Falls were classified considering the location of the destabilizing force, source of destabilization and fall precipitating factor. Fall incidence and circumstances were described; the characteristics of fallers and nonfallers in terms of functional and balance performance were compared with F-tests (95% CI). The fall incidence before surgery was 40.3% (95% CI 34.2% to 46.6%). This figure decreased to 13.1% (95% CI 9.2% to 18.0%) and to 23.4% (95% CI 17.8% to 29.6%) at 6 and 12 months after surgery, respectively. Most falls were caused by destabilizations in the base of support (n = 102, 72%) and were due to extrinsic factors (n = 78, 76%) and trip patterns. Significant differences between fallers and nonfallers were found in knee extensor strength and monopodal stability in the surgical limb (p < 0.05). Falls are prevalent in patients with severe knee osteoarthritis. Symptoms and functional performance improve after surgery, and fall incidence is reduced. Most fall events originate from disruptions in the base of support and are precipitated by extrinsic factors, generally trips during walking activities.


Assuntos
Artroplastia do Joelho , Osteoartrite do Joelho , Humanos , Incidência , Acidentes por Quedas , Estudos Retrospectivos , Estudos Prospectivos , Osteoartrite do Joelho/epidemiologia , Osteoartrite do Joelho/cirurgia
16.
Sci Rep ; 12(1): 14192, 2022 08 20.
Artigo em Inglês | MEDLINE | ID: mdl-35987816

RESUMO

Elucidating the processes responsible for maintaining the population connectivity of marine benthic species mediated by larval dispersal remains a fundamental question in marine ecology and fishery management. Understanding these processes becomes particularly important in areas with a biogeographic break and unidirectional water movement along the sides of the break. Based on variability at 4209 single-nucleotide polymorphisms in 234 individuals, we determine the genetic structure, temporal genetic stability, and gene flow among populations of the commercially important mola rock crab Metacarcinus edwardsii in a system in southern Chile with a biogeographic break at latitude 42°S. Specimens were collected at eight sites within its geographic distribution, with collection at four of these sites was performed twice. Using population genetic approaches, we found no evidence of geographic or temporal population differentiation. Similarly, we found no evidence of an effect on gene flow of the biogeographic break caused by the the West Wind Drift Current. Moreover, migration analyses supported gene flow among all sites but at different rates for different pairs of sites. Overall, our findings indicate that M. edwardsii comprises a single large population with high levels of gene flow among sites separated by over 1700 km and demonstrate temporal stability in its genetic structure.


Assuntos
Braquiúros , Genoma , Animais , Braquiúros/genética , Fluxo Gênico , Variação Genética , Genética Populacional , Filogeografia
17.
PLoS Biol ; 20(8): e3001702, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35925899

RESUMO

Cycling of organic carbon in the ocean has the potential to mitigate or exacerbate global climate change, but major questions remain about the environmental controls on organic carbon flux in the coastal zone. Here, we used a field experiment distributed across 28° of latitude, and the entire range of 2 dominant kelp species in the northern hemisphere, to measure decomposition rates of kelp detritus on the seafloor in relation to local environmental factors. Detritus decomposition in both species were strongly related to ocean temperature and initial carbon content, with higher rates of biomass loss at lower latitudes with warmer temperatures. Our experiment showed slow overall decomposition and turnover of kelp detritus and modeling of coastal residence times at our study sites revealed that a significant portion of this production can remain intact long enough to reach deep marine sinks. The results suggest that decomposition of these kelp species could accelerate with ocean warming and that low-latitude kelp forests could experience the greatest increase in remineralization with a 9% to 42% reduced potential for transport to long-term ocean sinks under short-term (RCP4.5) and long-term (RCP8.5) warming scenarios. However, slow decomposition at high latitudes, where kelp abundance is predicted to expand, indicates potential for increasing kelp-carbon sinks in cooler (northern) regions. Our findings reveal an important latitudinal gradient in coastal ecosystem function that provides an improved capacity to predict the implications of ocean warming on carbon cycling. Broad-scale patterns in organic carbon decomposition revealed here can be used to identify hotspots of carbon sequestration potential and resolve relationships between carbon cycling processes and ocean climate at a global scale.


Assuntos
Kelp , Carbono , Sequestro de Carbono , Mudança Climática , Ecossistema
18.
Rev. argent. cardiol ; 90(3): 215-218, ago. 2022. tab
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-1407145

RESUMO

RESUMEN Introducción: Es de práctica habitual la internación durante 24 h en los pacientes (P) intervenidos con una angioplastia coronaria (ATC) programada. Experiencias previas proponen el alta post ATC en el mismo día en P seleccionados. Material y métodos: Estudio prospectivo, aleatorizado, controlado, simple ciego. Se incluyeron P de 18 a 75 años candidatos a una ATC programada por acceso radial, con posibilidad de acceder al sistema de emergencias en menos de 40 minutos. Se excluyeron los P con fracción de eyección ventricular izquierda < 30%, Creatinina > 1,5 mg/dL, insuficiencia cardíaca, enfermedad pulmonar obstructiva crónica, diabetes descompensada, o anatomía coronaria muy compleja. Se dividió a la población en dos grupos (G). G 1: alta en 6 horas. G2: alta al día siguiente. Punto final primario: muerte o necesidad de rehospitalización dentro de las 24 h de realizado el procedimiento. Se realizó seguimiento telefónico la noche del procedimiento y a la mañana siguiente, presencial a las 48 h, y telefónico al mes, seis meses y un año. Resultados: Se adjudicaron aleatoriamente 80 P. Seis P (7,5%) presentaron criterios de exclusión durante el procedimiento. No se produjo ninguna muerte ni evento cardiovascular mayor en ninguno de ambos grupos. Al año de seguimiento se detectó 3,75% de reestenosis intra stent. Se detectó elevación de troponina en 20 P (25%) de los cuales 4 habían sido excluidos por complicaciones durante la ATC. En los restantes 16, la elevación de la troponina no tuvo repercusión clínica. Conclusión: En una población de pacientes entre 55 y 75 años, en su mayoría de género masculino, con alta prevalencia de infarto de miocardio previo, y depresión de la función ventricular, pudo realizarse una angioplastia programada por acceso radial con alta en 6 horas, con un adecuado margen de seguridad.


ABSTRACT Background: 24-hour hospitalization is common practice in patients (P) who underwent scheduled coronary angioplasty (PCI). Previous experiences propose same-day discharge in selected P. Methods: Prospective, comparative, randomized, single-blind study. P aged 18 to 75 years were included as candidates for a scheduled radial-access PCI with the possibility of accessing the emergency system in less than 40 minutes. P with left ventricular ejection fraction <30%, creatinine >1.5 mg/dL, heart failure, chronic obstructive pulmonary disease, decompensated diabetes or very complex coronary anatomy were excluded. The population was divided in two groups (G). G 1: same-day discharge in 6 hours. G2: discharge the next day. Primary endpoint: death or need for rehospitalization within 24 hours of the procedure. Follow-up was carried out by phone the night of the procedure and the next morning, in person at 48 hours, and by telephone after a month, six months and a year. Continuous variables were expressed as median and their respective interquartile range, and qualitative variables as percentages. Results: 80 P were randomized. Six P (7.5%) presented exclusion criteria during the procedure. There were no deaths or major cardiovascular events in either groups. At one year of follow-up, 3.75% of in-stent restenosis was detected. Troponin elevation was detected in 20 P (25%); 4 were P excluded due to complications during PCI, in the remaining 16 it had no clinical repercussion. Conclusion: In a population of patients between 55 and 75 years old, mostly male, with a high prevalence of previous myocardial infarction, and ventricular function depression, a scheduled radial-access PCI could be performed with same day discharge in 6 hours, with an adequate safety margin.

19.
Cancers (Basel) ; 14(8)2022 Apr 14.
Artigo em Inglês | MEDLINE | ID: mdl-35454888

RESUMO

During the second half of the twentieth century, oncology adopted a tumor-centric approach to cancer treatment, focusing primarily on the tumor cell to identify new therapeutic targets [...].

20.
Environ Pollut ; 292(Pt A): 118365, 2022 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-34656678

RESUMO

Marine ecosystems in the Arctic and Antarctica were once thought pristine and away from important human influence. Today, it is known that global processes as atmospheric transport, local activities related with scientific research bases, military and touristic maritime traffic, among others, are a potential source of pollutants. Macroalgae have been recognized as reliable metal-biomonitoring organisms due to their accumulation capacity and physiological responses. Metal accumulation (Al, Cd, Cu, Fe, Pb, Zn, Se, and Hg) and photosynthetic parameters (associated with in vivo chlorophyll a fluorescence) were assessed in 77 samples from 13 different macroalgal species (Phaeophyta; Chlorophyta; Rhodophyta) from areas with high human influence, nearby research and sometimes military bases and a control area, King George Island, Antarctic Peninsula. Most metals in macroalgae followed a pattern influenced by rather algal lineage than site, with green seaweeds displaying trends of higher levels of metals as Al, Cu, Cr and Fe. Photosynthesis was also not affected by site, showing healthy organisms, especially in brown macroalgae, likely due to their great dimensions and morphological complexity. Finally, data did not demonstrate a relationship between metal accumulation and photosynthetic performance, evidencing low anthropogenic-derived impacts associated with metal excess in the area. Green macroalgae, especially Monostroma hariotti, are highlighted as reliable for further metal biomonitoring assessments. In the most ambitious to date seaweed biomonitoring effort conducted towards the Austral pole, this study improved by 91% the overall knowledge on metal accumulation in macroalgae from Antarctica, being the first report in species as Sarcopeltis antarctica and Plocamium cartilagineum. These findings may suggest that human short- and long-range metal influence on Antarctic coastal ecosystems still remains under control.


Assuntos
Alga Marinha , Poluentes Químicos da Água , Regiões Antárticas , Monitoramento Biológico , Clorofila A , Ecossistema , Monitoramento Ambiental , Humanos , Poluentes Químicos da Água/análise
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...