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1.
Rev. med. vet. zoot ; 67(1): 9-16, ene.-abr. 2020. tab, graf
Artigo em Espanhol | LILACS, COLNAL | ID: biblio-1127009

RESUMO

RESUMEN La rinotraqueitis infecciosa bovina (IBR) es una enfermedad ampliamente difundida en el mundo con gran repercusión socio-económica en las ganaderías bovinas. El objetivo del presente estudio fue determinar la prevalencia de IBR en 100 hatos del departamento del Caquetá, para lo cual, se muestrearon 960 bovinos mayores de 36 meses entre enero y marzo de 2016 en predios seleccionados a partir de los criterios: a) tamaño (50-180 hectáreas), b) con más de 10 vacas en ordeño, c) disponibilidad de los productores para cooperar y d) accesibilidad de las vías. Las muestras de suero sanguíneo se remitieron al Laboratorio de Diagnóstico Clínico Veterinario del ICA y se analizaron a través la prueba Elisa de bloqueo (BHV-1) gB. Los sueros con porcentaje de bloqueo superior al 55% se consideraron positivos a anticuerpos para IBR. Se encontró alta seroprevalencia (73,13%), mayor además en machos que en hembras (p < 0,05). A nivel municipal la seroprevalencia fue mayor en los municipios de El Doncello, Puerto Rico y San Vicente del Caguán y se encontró diferencia significativa (p < 0,05) entre los nueve municipios analizados. A nivel de hatos, la prevalencia fue del 99%. En conclusión, la prevalencia del virus de la rinotraqueitis infecciosa bovina (IBR) en bovinos de doble propósito del departamento del Caquetá fue muy alta.


ABSTRACT Infectious bovine rhinotracheitis (IBR) is a disease widely spread throughout the world with great socio-economic impact on bovine livestock. The objective of this study was to determine the prevalence of IBR in 100 herds in Caqueta department, for which 960 cattle older than 36 months between January and March 2016 were sampled in farms selected from the criteria: a) size (50-180 hectares), b) with more than 10 cows in milking, c) availability of producers to cooperate and d) accessibility of roads. Blood serum samples were sent to the ICA veterinary clinical diagnostic laboratory and analyzed using the Elisa blocking test (BHV-1) gB, where sera with blocking percentage greater than 55% were considered as positive for IBR antibodies. High seroprevalence was found (73.13%), being higher in males than in females (p < 0.05). At municipal level, seroprevalence was greater in El Doncello, Puerto Rico and San Vicente del Caguán municipalities, significant difference (p<0.05) was found between the nine municipalities analyzed. At herd level prevalence was of 99%. In conclusion the prevalence of Infectious Bovine Rhinotracheitis (IBR) virus in dual-purpose cattle of Caquetá department was very high.


Assuntos
Vírus , Estudos Soroepidemiológicos , Doença , Prevalência , Herpesvirus Bovino 1 , Ecossistema Amazônico , Rinotraqueíte Infecciosa Bovina , Bovinos , Ensaio de Imunoadsorção Enzimática , Diagnóstico Clínico , Censos , Soro , Gado , Fazendas , Agulhamento Seco , Laboratórios
2.
Acta Ortop Mex ; 33(4): 241-246, 2019.
Artigo em Espanhol | MEDLINE | ID: mdl-32246595

RESUMO

INTRODUCTION: Bipolar hemiarthroplasty is an alternative for the treatment of displaced femoral neck fractures in elderly patients with low functional demand and associated comorbidities. The goal was to describe functionality in patients over 65 years of age with intracapsular fractures of the hip. MATERIAL AND METHODS: Retrospective review of patients over 65 years of age between January 2012 and May 2017. It was evaluated with the Harris Hip Score (HHS) and Oxford scale at six months and the year after surgery. Complications and mortality were documented during the first post-surgical year. RESULTS: 48 cases (12 men; 36 women), average age of 80.8 ± 7.7 years. Most common diseases: high blood pressure (77.1%), osteoporosis (37.5%), diabetes (33.3%) hypothyroidism (29.2%). The percentage of associated postoperative complications was 8.3% (four cases). The median HHS at six and 12 months was: 90.5 (DE: 77.5-96.0) and 96 (DE: 92-98), respectively. The Oxford scale was 45.5 (DE: 38.5-48.0) at six months and 47.0 (DE: 43.5-48.0) per postoperative year. 4.2% (two cases) died during the first post-surgical year and none were associated with the procedure. DISCUSSION: HA provides good functional outcomes in patients over 65 years of age, with a low rate of complications. No mortality associated with the surgical procedure was observed in our series and in the short term.


INTRODUCCIÓN: La hemiartroplastía bipolar (HA) es una alternativa para el tratamiento de las fracturas desplazadas de cuello femoral en pacientes de edad avanzada con baja demanda funcional y comorbilidades asociadas. El objetivo fue describir la funcionalidad en pacientes mayores de 65 años con fracturas intracapsulares de cadera tratados con HA. MATERIAL Y MÉTODOS: Revisión retrospectiva de pacientes mayores de 65 años entre Enero de 2012 y Mayo de 2017. Se evaluó con la escala de Harris (HHS) y Oxford a los seis meses y al año posterior a la cirugía. Se documentaron las complicaciones y la mortalidad durante el primer año postquirúrgico. RESULTADOS: 48 casos (12 hombres; 36 mujeres), edad promedio de 80.8 ± 7.7 años. Comorbilidades más frecuentes: hipertensión arterial (77.1%), osteoporosis (37.5%), diabetes (33.3%) e hipotiroidismo (29.2%). El porcentaje de complicaciones postoperatorias asociadas fue de 8.3% (cuatro casos). La mediana del HHS a los seis y 12 meses fue de: 90.5 (DE: 77.5-96.0) y 96 (DE: 92-98), respectivamente. La escala de Oxford fue de 45.5 (DE: 38.5-48.0) a los seis meses y de 47.0 (DE: 43.5-48) al año postoperatorio. El 4.2% (dos casos) fallecieron durante el primer año postquirúrgico y ninguno estuvo asociado al procedimiento. DISCUSIÓN: La HA ofrece buenos resultados funcionales en pacientes mayores de 65 años, con una tasa baja de complicaciones. En nuestra serie y en el corto plazo no se observó mortalidad asociada al procedimiento quirúrgico.


Assuntos
Artroplastia de Quadril , Fraturas do Colo Femoral , Hemiartroplastia , Fraturas do Quadril , Idoso , Idoso de 80 Anos ou mais , Feminino , Hemiartroplastia/métodos , Fraturas do Quadril/cirurgia , Humanos , Masculino , Estudos Retrospectivos , Resultado do Tratamento
3.
J Environ Manage ; 213: 206-216, 2018 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-29500994

RESUMO

Whereas soil test information on the fertility and chemistry of soils has been important to elaborate safe and sound agricultural practices, micro-scale information can give a whole extra dimension to understand the chemical processes occurring in soils. The objective of this study was to evaluate the effects that the consecutive application of untreated poultry litter, alum-treated litter or ammonium nitrate (NH4NO3) had on P solubility in soils over 20 years. For this, we used soil test data, sequential chemical fractionation (SCF) of P, and P K-edge XANES and µ-fluorescence spectroscopies. Water extractable P data indicated that application of alum to poultry litter was a very effective treatment for reducing P solubility. On the basis of our SCF of P data, P was primarily found within the 0.1 M NaOH pool across the applied rates and regardless of the treatment, where application of alum-treated litter accounted for as much as 59 ±â€¯2% of the total, followed by NH4NO3, 49 ±â€¯4%, and untreated litter, 40 ±â€¯2%. It was also shown that in soils where alum-treated litter was applied, the Resin pool accounted for 10 ±â€¯1% of the total, followed by NH4NO3, 13 ±â€¯4%, and untreated litter, 18 ±â€¯2%, indicating that P was less readily available in soils where alum-treated litter was applied. Phosphorus XANES indicated that P was predominantly associated to Fe > Al > Ca > organic molecules, regardless of the treatment or applied rates, though the formation of PoAl complexes was only found in soils that received application of alum-treated litter and was positively related to the applied rates. The combination of P-XANES with SCF or µ-fluorescence data was shown to provide valuable information about P reactivity and distribution in soils and should thus be used to address the fate of applied P amendments in soils.


Assuntos
Compostos de Alúmen/química , Esterco , Animais , Fracionamento Químico , Fósforo , Aves Domésticas , Solo
4.
Comput Methods Programs Biomed ; 154: 25-35, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-29249344

RESUMO

BACKGROUND AND OBJECTIVE: The corpus callosum (CC) is the largest white matter structure in the brain and has a significant role in central nervous system diseases. Its volume correlates with the severity and/or extent of neurodegenerative disease. Even though the CC's role has been extensively studied over the last decades, and different algorithms and methods have been published regarding CC segmentation and parcellation, no reviews or surveys covering such developments have been reported so far. To bridge this gap, this paper presents a systematic literature review of computational methods focusing on CC segmentation and parcellation acquired on magnetic resonance imaging. METHODS: IEEExplore, PubMed, EBSCO Host, and Scopus database were searched with the following search terms: ((Segmentation OR Parcellation) AND (Corpus Callosum) AND (DTI OR MRI OR Diffusion Tensor Imag* OR Diffusion Tractography OR Magnetic Resonance Imag*)), resulting in 802 publications. Two reviewers independently evaluated all articles and 36 studies were selected through the systematic literature review process. RESULTS: This work reviewed four main segmentation methods groups: model-based, region-based, thresholding, and machine learning; 32 different validity metrics were reported. Even though model-based techniques are the most recurrently used for the segmentation task (13 articles), machine learning approaches achieved better outcomes of 95% when analyzing mean values for segmentation and classification metrics results. Moreover, CC segmentation is better established in T1-weighted images, having more methods implemented and also being tested in larger datasets, compared with diffusion tensor images. CONCLUSIONS: The analyzed computational methods used to perform CC segmentation on magnetic resonance imaging have not yet overcome all presented challenges owing to metrics variability and lack of traceable materials.


Assuntos
Corpo Caloso/diagnóstico por imagem , Imagem de Tensor de Difusão/métodos , Processamento de Imagem Assistida por Computador/métodos , Imageamento por Ressonância Magnética/métodos , Doenças do Sistema Nervoso Central/diagnóstico por imagem , Simulação por Computador , Humanos , Aprendizado de Máquina , Doenças Neurodegenerativas/diagnóstico por imagem , Reprodutibilidade dos Testes
5.
Mol Hum Reprod ; 23(9): 583-593, 2017 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-28911211

RESUMO

STUDY QUESTION: Are there intracellular Ca2+ ([Ca2+]i) oscillations correlated with flagellar beating in human sperm? SUMMARY ANSWER: The results reveal statistically significant [Ca2+]i oscillations that are correlated with the human sperm flagellar beating frequency, when measured in three-dimensions (3D). WHAT IS KNOWN ALREADY: Fast [Ca2+]i oscillations that are correlated to the beating flagellar frequency of cells swimming in a restricted volume have been detected in hamster sperm. To date, such findings have not been confirmed in any other mammalian sperm species. An important question that has remained regarding these observations is whether the fast [Ca2+]i oscillations are real or might they be due to remaining defocusing effects of the Z component arising from the 3D beating of the flagella. STUDY DESIGN, SIZE, DURATION: Healthy donors whose semen samples fulfill the WHO criteria between the age of 18-28 were selected. Cells from at least six different donors were utilized for analysis. Approximately the same number of experimental and control cells were analyzed. PARTICIPANTS/MATERIALS, SETTING, METHODS: Motile cells were obtained by the swim-up technique and were loaded with Fluo-4 (Ca2+ sensitive dye) or with Calcein (Ca2+ insensitive dye). Ni2+ was used as a non-specific plasma membrane Ca2+ channel blocker. Fluorescence data and flagella position were acquired in 3D. Each cell was recorded for up to 5.6 s within a depth of 16 microns with a high speed camera (coupled to an image intensifier) acquiring at a rate of 3000 frames per second, while an oscillating objective vibrated at 90 Hz via a piezoelectric device. From these samples, eight experimental and nine control sperm cells were analyzed in both 2D and 3D. MAIN RESULTS AND THE ROLE OF CHANCE: We have implemented a new system that allows [Ca2+]i measurements of the human sperm flagellum beating in 3D. These measurements reveal statistically significant [Ca2+]i oscillations that correlate with the flagellar beating frequency. These oscillations may arise from intracellular sources and/or Ca2+ transporters, as they were insensitive to external Ni2+, a non-specific plasma membrane Ca2+ channel blocker. LARGE SCALE DATA: N/A. LIMITATIONS REASONS FOR CAUTION: Analysis in 3D needs a very fast image acquisition rate to correctly sample a volume containing swimming sperm. This condition requires a very short exposure time per image making it necessary to use an image intensifier which also increases noise. The lengthy analysis time required to obtain reliable results limited the number of cells that could be analyzed. WIDER IMPLICATIONS OF THE FINDINGS: The possibility of recording flagellar [Ca2+]i oscillations described here may open a new avenue to better understand ciliary and flagellar beating that are fundamental for mucociliary clearance, oocyte transport, fertilization, cerebrospinal fluid pressure regulation and developmental left-right symmetry breaking in the embryonic node. STUDY FUNDING AND COMPETING INTEREST(S): This work was supported by Consejo Nacional de Ciencia y Tecnología (CONACyT) (grants 253952 to G.C.; 156667 to F.M.M. and Fronteras 71 39908-Q to A.D. and Post-doctoral scholarships 366844 to P.H.-H. and 291028 to F.M.) and the Dirección General de Asuntos del Personal Académico of the Universidad Nacional Autónoma de México (DGAPA-UNAM) (grants CJIC/CTIC/4898/2016 to F.M. and IN205516 to A.D.). There are no conflicts of interest to declare.


Assuntos
Canais de Cálcio/fisiologia , Cálcio/metabolismo , Imageamento Tridimensional/métodos , Motilidade dos Espermatozoides/fisiologia , Cauda do Espermatozoide/fisiologia , Espermatozoides/fisiologia , Adolescente , Adulto , Compostos de Anilina/química , Bloqueadores dos Canais de Cálcio/farmacologia , Sinalização do Cálcio/efeitos dos fármacos , Sinalização do Cálcio/fisiologia , Fluoresceínas/química , Corantes Fluorescentes/química , Humanos , Imageamento Tridimensional/instrumentação , Masculino , Níquel/farmacologia , Motilidade dos Espermatozoides/efeitos dos fármacos , Cauda do Espermatozoide/efeitos dos fármacos , Cauda do Espermatozoide/ultraestrutura , Espermatozoides/efeitos dos fármacos , Espermatozoides/ultraestrutura , Gravação em Vídeo , Xantenos/química
6.
Actas esp. psiquiatr ; 33(4): 238-243, jul.-ago. 2005. tab
Artigo em Es | IBECS | ID: ibc-041993

RESUMO

Introducción. La sociedad guatemalteca estuvo expuesta a un conflicto armado interno durante el período de 1962 a 1996. Durante esos años la sociedad civil estuvo sometida a múltiples eventos traumáticos. El objetivo de este estudio es conocer el impacto psicológico que tuvo el conflicto sobre la salud mental de los guatemaltecos. Métodos. Una revisión de artículos publicados entre 1962 y 2004 en las bases de datos Medline, Lilacs, Embase, Psiclit-Infon, Cochrane Library y Pilots. Se seleccionaron los artículos que originaron prevalencias de trastornos mentales en guatemaltecos a través de instrumentos estandarizados. Resultados. Fueron encontrados ocho estudios epidemiológicos que demuestran, en general, elevadas prevalencias de trastornos mentales en diferentes grupos de poblaciones afectadas por la violencia. Para la depresión, rangos entre 38,8 y 41,8 %; para los cuadros de ansiedad, intervalos entre 27,7 y 54,4 %; para problemas del sueño, 75 %, y para el trastorno de estrés postraumático (TEPT), estudios con frecuencias bajas entre un 2 y un 11,8 %, y otros estudios que demuestran prevalencias mayores, entre un 32 y un 52 %. Conclusiones. Estas prevalencias de trastornos mentales pueden ser interpretadas como elevadas cuando se comparan con estudios poblacionales de personas no expuestas a conflictos armados y en donde los rangos de TEPT van de manera general entre 0,5 y 11,7 %, permitiendo inferir que estas frecuencias altas están probablemente relacionadas a las experiencias traumáticas de la guerra en Guatemala y del exilio


Introduction. The Guatemalan society was exposed to an internal armed conflict during the period from 1962 to 1996. During these years, the civil society suffered multiple traumatic events. The objective of this study is to understand the psychological impact that the conflict had on the mental health of the Guatemalans. Methods. A review of articles published between 1962 and 2004, in the databases Medline, Lilacs, Embase, Psiclit- Infon, Cochrane Library and Pilots was conducted. The articles that were selected found mental disorder prevalences in Guatemalans through standardized instruments. Results. Eight studies were found to demonstrate, in general, elevated prevalences for mental disorders in different population groups affected by the violence. For the depression ranges, the prevalence was between 38.8% and 41.8%; for anxiety symptoms intervals between 27.7% and 54.4 %; for sleep problems, 75 %, and for posttraumatic stress disorder (PTSD) studies with low frequencies from 2% to 11.8 % and other studies that demonstrated higher prevalences from 32% to 52%. Conclusions. These mental disorders prevalences can be interpreted as elevated when compared with population studies of persons not exposed to armed conflicts where the PTSD ranges generally go from 0.5% to 11.7%. This permits the inference that these high frequencies are probably related to traumatic experiences of the war in Guatemala and in exile


Assuntos
Humanos , Conflito Psicológico , Transtornos Mentais/epidemiologia , Guerra , Guatemala/epidemiologia
7.
Actas Esp Psiquiatr ; 33(4): 238-43, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-15999300

RESUMO

INTRODUCTION: The Guatemalan society was exposed to an internal armed conflict during the period from 1962 to 1996. During these years, the civil society suffered multiple traumatic events. The objective of this study is to understand the psychological impact that the conflict had on the mental health of the Guatemalans. METHODS: A review of articles published between 1962 and 2004, in the databases Medline, Lilacs, Embase, Psiclit-Infon, Cochrane Library and Pilots was conducted. The articles that were selected found mental disorder prevalences in Guatemalans through standardized instruments. RESULTS: Eight studies were found to demonstrate, in general, elevated prevalences for mental disorders in different population groups affected by the violence. For the depression ranges, the prevalence was between 38.8% and 41.8%; for anxiety symptoms intervals between 27.7% and 54.4 %; for sleep problems, 75 %, and for posttraumatic stress disorder (PTSD) studies with low frequencies from 2% to 11.8 % and other studies that demonstrated higher prevalences from 32% to 52%. CONCLUSIONS: These mental disorders prevalences can be interpreted as elevated when compared with population studies of persons not exposed to armed conflicts where the PTSD ranges generally go from 0.5% to 11.7%. This permits the inference that these high frequencies are probably related to traumatic experiences of the war in Guatemala and in exile.


Assuntos
Conflito Psicológico , Transtornos Mentais/epidemiologia , Guerra , Guatemala/epidemiologia , Humanos
8.
Clin Electroencephalogr ; 34(3): 145-52, 2003 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-14521276

RESUMO

Neurofeedback (NFB) is an operant conditioning procedure, by which the subject learns to control his/her EEG activity. On one hand, Learning Disabled (LD) children have higher values of theta EEG absolute and relative power than normal children, and on the other hand, it has been shown that minimum alpha absolute power is necessary for adequate performance. Ten LD children were selected with higher than normal ratios of theta to alpha absolute power (theta/alpha). The Test Of Variables of Attention (TOVA) was applied. Children were divided into two groups in order to maintain similar IQ values, TOVA values, socioeconomical status, and gender for each group. In the experimental group, NFB was applied in the region with highest ratio, triggering a sound each time the ratio fell below a threshold value. Noncontingent reinforcement was given to the other group. Twenty half-hour sessions were applied, at a rate of 2 per week. At the end of the 20 sessions, TOVA, WISC and EEG were obtained. There was significant improvement in WISC performance in the experimental group that was not observed in the control group. EEG absolute power decreased in delta, theta, alpha and beta bands in the experimental group. Control children only showed a decrease in relative power in the delta band. All changes observed in the experimental group and not observed in the control group indicate better cognitive performance and the presence of greater EEG maturation in the experimental group, which suggests that changes were due not only to development but also to NFB treatment.


Assuntos
Biorretroalimentação Psicológica/métodos , Eletroencefalografia/métodos , Deficiências da Aprendizagem/diagnóstico , Deficiências da Aprendizagem/terapia , Comportamento , Terapia Comportamental/métodos , Criança , Feminino , Humanos , Masculino , Efeito Placebo , Resultado do Tratamento
9.
Trop Med Int Health ; 2(2): 140-52, 1997 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-9472299

RESUMO

An epidemiologic survey (n = 466) was conducted in an area of subtropical rainforest in north-west Ecuador with the following objectives: (1) to determine the prevalence of cutaneous leishmaniasis (CL), (2) to identify the Leishmania species causing human disease, (3) to investigate the major clinical manifestations of leishmaniasis, (4) to study cellular and humoral immune response indicators associated with disease status and (5) to identify risk factors for CL. Fourteen percent of subjects had parasitologically confirmed CL; 33% had evidence of prior disease. However, 17.2% of subjects with a negative CL clinical history presented with a positive Montenegro skin test (MST), indicating the possibility of subclinical infection. The species isolated from subject lesions were L. guyanensis (63%), L. panamensis (33%), and L. brazilensis (4%). Mean specific anti-Leishmania IgG and IgM OD serum levels were highest in subjects diagnosed with current CL, followed by those with prior CL, and were lowest in healthy subjects, respectively (0.56 +/- 0.27 vs 0.33 +/- 0.2 vs 0.22 +/- 0.14; F-ratio = 74; P < 0.00001) and (665 +/- 270 vs 481 +/- 220 vs 301 +/- 128.5; F-ratio = 37; P < 0.00001). Likewise, subjects with present CL had measurably higher MST reactions (13 +/- 6.7 mm) than those with prior CL (10.9 +/- 7.8 mm) or healthy individuals (2.4 +/- 2.5 mm; F-ratio = 106; P < 0.00001). Serum concentrations of IgG were predicted by lesion number (t = 2.5; P = 0.018), size (t = 3.7; P = 0.0006), and duration (t = 3.5; P = 0.0013). Furthermore, the MST induration size increased as a function of lesion number (t = 3.0; P = 0.005) and size (t = 3.4; P = 0.022). Subject age and sex did not predict serum IgG or IgM concentrations or MST reactions in the 3 disease groups. Although no sex differences were found with respect to clinical characteristics, children < or = 12 years of age were almost 3 times more likely to have CL lesions or scars located on the face and head area compared to adults (OR = 2.75; 95% CI = 1.4-5.6, P = 0.004). The risk factors associated with disease included age under 5 years (AOR = 1.5; 95% CI = 0.48-2.35), male gender in adults (AOR = 2.8; 95% CI = 1.1-7.8), and wood and/or cane exterior house walls (AOR = 1.8; 95% CI = 1.4-2.5). In contrast, electric home lighting was associated with decreased risk (AOR = 0.7; 95% CI = 0.4-2.3). The results suggest that it may be possible to modify a portion of the risk of CL by making changes in the housing environment which may help to reduce the amount of human-vector contact.


Assuntos
Leishmaniose Cutânea/epidemiologia , Adolescente , Adulto , Idoso , Animais , Formação de Anticorpos , Criança , Pré-Escolar , Equador/epidemiologia , Feminino , Humanos , Imunidade Celular , Lactente , Leishmania/classificação , Leishmania/isolamento & purificação , Leishmaniose Cutânea/imunologia , Leishmaniose Cutânea/parasitologia , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Clima Tropical
10.
Neurol Clin ; 8(2): 407-20, 1990 May.
Artigo em Inglês | MEDLINE | ID: mdl-2193219

RESUMO

Disorders of balance and equilibrium are common in multiple sclerosis (MS). This article reviews areas of central nervous system anatomy that may be involved in MS disequilibrium as well as the role of clinical examination, electrophysiologic testing, and magnetic resonance imaging in the diagnosis and assessment of vestibular dysfunction in MS patients. Relevant literature is reviewed and a case history is presented.


Assuntos
Tronco Encefálico/fisiopatologia , Esclerose Múltipla/complicações , Doenças Vestibulares/etiologia , Potenciais Evocados Auditivos , Humanos , Imageamento por Ressonância Magnética , Esclerose Múltipla/fisiopatologia , Doenças Vestibulares/diagnóstico , Doenças Vestibulares/fisiopatologia
11.
J Clin Endocrinol Metab ; 48(1): 123-6, 1979 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-422693

RESUMO

Acute intermittent porphyria (AIP) is a disorder of porphyrin metabolism in which the basic defect is a partial deficiency of uroporphyrinogen I synthase. The clinical disorder is more common in women, and some experience acute attacks before menstrual periods. Oral contraceptives have prevented menstrual-associated attacks in some cases, but exogenous estrogens and progestins are otherwise contraindicated in this disease. Danazol, a new synthetic steroid with weak androgenic activity, was thought to be of potential therapeutic benefit in AIP because of its effect of decreasing gonadotropin secretion without exposure to estrogen or progesterone. The drug was administered at a dosage of 200 mg t.i.d. to two adult females with AIP who were experiencing frequent exacerbations of their disease in association with their menstrual periods. Symptomatic and chemical evidence for exacerbation of porphyria occurred within 10 days of commencing danazol treatment in both patients.


Assuntos
Danazol , Menstruação , Porfirias/fisiopatologia , Pregnadienos , Adulto , Ácido Aminolevulínico/urina , Danazol/uso terapêutico , Feminino , Hemina/uso terapêutico , Humanos , Porfobilinogênio/urina , Porfirias/tratamento farmacológico
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