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1.
Poult Sci ; 103(3): 103437, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38290341

RESUMO

The objective of this study was to evaluate combined effects of corn particle size and feed form on performance, carcass characteristics, nutrient digestibility, and gastrointestinal tract development of broilers from 1 to 39 d of age. A total of 1,800 days old, male Cobb 500 broilers were randomly assigned to 9 dietary treatments with 8 replicate pens (25 birds/pen). The experiment consisted of a factorial arrangement of 3 corn particle sizes (750, 1,150, and 1,550 µm) and 3 feed forms (mash, 3- and 4-mm pellets) provided from 1 to 39 d. Titanium dioxide (TiO2) was added as an indigestible marker (0.5%) during the finisher phase (27-39 d) to determine nutrient digestibility. Feed intake (FI), body weight (BW), and feed conversion ratio (FCR) were determined at 17, 27, and 39 d of age, with FCR adjusted for mortality. On d 40, 10 birds/pen were randomly selected and processed for meat yield determination. Data were analyzed as a 3×3 factorial (particle size x feed form) arrangement of treatments. Broilers fed 3- and 4-mm pellets had increased (P < 0.05) BW, FI, and lower FCR than broilers fed mash diets at 39 d of age. At 39 d of age, broilers fed diets with 750 µm corn particle size had heavier (P < 0.05) BW and increased FI than broilers fed diets with corn particle sizes of 1,150 and 1,550 µm. At 39 d of age FCR was unaffected by corn particle size. Heavier (P < 0.05) carcass and breast weights were observed for broilers fed 3-mm pellets. Broilers fed diets with corn particle size of 750 µm had heavier (P < 0.05) carcass and breast weight than broilers fed diets with 1,550 µm. Digestibility of nutrients was higher (P < 0.05) in pelleted diets, particularly when corn particle size was increased from 750 to 1,550 µm. Breast myopathies such as wooden breast (WB) and spaghetti meat (SM), were greater (P < 0.05) in broilers fed 3-mm pellets compared to mash diets. In conclusion, broilers fed 3- and 4-mm pelleted diets had greater nutrient digestibility and improved broiler performance compared to broilers fed mash diets.


Assuntos
Galinhas , Nutrientes , Animais , Masculino , Tamanho da Partícula , Ingestão de Alimentos , Zea mays , Trato Gastrointestinal
2.
Acta Ortop Mex ; 37(2): 79-84, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37871930

RESUMO

The need for total knee arthroplasty is increasing considerably and one of the goals is to achieve post-surgical coronal alignment. Robotic surgical assistance achieves a functional alignment, which is a hip-knee-ankle angle of 0°. However, it is not possible to provide robotic assisted surgery to all our patients so we must include the full-length hip-to-ankle AP weight-bearing radiograph in preoperative planning to obtain a "safe zone" alignment, which is a post-surgical hip-knee-ankle Angle of 0 ± 3°. How can we achieve a "safe zone" alignment total knee arthroplasty in patients with extra-articular deformity?


La necesidad de artroplastia total de rodilla está aumentando considerablemente y uno de los objetivos es lograr la alineación coronal postquirúrgica. La asistencia quirúrgica robótica consigue una alineación funcional, que es un ángulo cadera-rodilla-tobillo de 0°. Sin embargo, no es posible ofrecer cirugía asistida por robot a todos nuestros pacientes, por lo que debemos incluir la radiografía AP de soporte de peso de cadera a tobillo de cuerpo entero en la planificación preoperatoria para obtener una alineación de "zona segura", que es un ángulo postquirúrgico cadera-rodilla-tobillo de 0 ± 3°. ¿Cómo podemos conseguir una artroplastia total de rodilla con alineación de "zona segura" en pacientes con deformidad extraarticular?


Assuntos
Artroplastia do Joelho , Prótese do Joelho , Osteoartrite do Joelho , Procedimentos Cirúrgicos Robóticos , Humanos , Osteoartrite do Joelho/cirurgia , Articulação do Joelho/cirurgia , Estudos Retrospectivos , Fêmur/cirurgia
3.
Methods Appl Fluoresc ; 11(3)2023 Jun 12.
Artigo em Inglês | MEDLINE | ID: mdl-37257457

RESUMO

This work describes the relationship between the complex of photosystem I and photosystem II in the senescence process of rice leaves observed through changes in the optical response. We studied three varieties of rice plants at different aging times using time-resolved photoluminescence to measure the time decay of the emission, and stationary photoluminescence, to measure the emission wavelength. The spectra obtained with the former technique were fitted with decreasing exponential functions. Two relaxation times were obtained, one ranging between 1.0 and 1.7 ns, and the other, from 5.0 to 10.5 ns. They are associated with the electron's deexcitation of PSI and PSII, respectively, and these decay times increase as the leaf senescence process takes place. The spectra obtained with stationary photoluminescence were fitted with Voigt functions. These spectra exhibit two main peaks around 683 and 730 nm, which could be associated mainly with PSII and PSI emissions, respectively. The PSI de-excitation exhibits higher dispersive processes because chlorophyll-a molecules in it move away from each other, decreasing their concentration. Therefore, it takes longer for electrons to recombine during photosynthesis, as seen in the time-resolve response. Articulating the results of both photoluminescence techniques, the changes in the response of the photosystems of the living rice leaves during senescence are evidenced.


Assuntos
Oryza , Oryza/metabolismo , Fotossíntese/fisiologia , Complexo de Proteína do Fotossistema II/metabolismo , Complexo de Proteína do Fotossistema I/metabolismo , Folhas de Planta
4.
Orbit ; 42(5): 529-535, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36469588

RESUMO

PURPOSE: One of the most devastating complications of facial filler injection is sudden ischemic blindness. However, its mechanisms and predisposing factors are poorly understood. The purpose of this study was to investigate the prevalence of external carotid artery (ECA) to ophthalmic artery (OA) anterograde flow in patients with internal carotid artery (ICA) stenosis and in a control population without carotid disease. METHODS: In this cross-sectional cohort study, two groups of patients who underwent catheter cerebral angiography over a 5-year period were identified: patients with symptomatic ICA stenosis and a control group of patients with refractory epistaxis undergoing embolization. Angiograms were reviewed by an interventional neuroradiologist. The primary outcome measure was the presence of ECA to OA flow, defined as choroidal blush before filling of the circle of Willis. Secondary outcome measures included the percentage and location of ICA stenosis and ECA anastomotic branches involved. RESULTS: The study included 149 patients with ICA stenosis and 69 control patients. ECA to OA flow was more prevalent in patients with ICA stenosis (34.9%) compared to controls (2.9%) (p < .001). Logistic regression demonstrated that for each 10% increase in ICA stenosis over 70%, there was 2.8 times increased risk of ECA to OA flow (p < .001). CONCLUSIONS: ECA to ICA anterograde flow can be demonstrated in approximately 3% of control patients and in over 1/3 of patients with symptomatic carotid stenosis. This provides a plausible pathway for small filler particles to pass with blood flow from the facial to the ophthalmic circulation.


Assuntos
Artéria Carótida Externa , Estenose das Carótidas , Humanos , Artéria Carótida Externa/diagnóstico por imagem , Artéria Carótida Externa/cirurgia , Estenose das Carótidas/diagnóstico por imagem , Estenose das Carótidas/complicações , Artéria Oftálmica/diagnóstico por imagem , Artéria Carótida Interna/diagnóstico por imagem , Artéria Carótida Interna/cirurgia , Constrição Patológica , Estudos Transversais
5.
Front Genet ; 13: 993612, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36313470

RESUMO

Background: Pterin profiles or molecular analyses of hyperphenylalaninemia (HPA) caused by phenylalanine hydroxylase (PAH) deficiency or tetrahydrobiopterin deficiency (BH4D) are not always available in low- or middle-income countries, including Mexico, limiting information regarding the phenotypic and genotypic characteristics of patients exhibiting BH4D. Objective: To report the genotypes underlying BH4D and the clinical presentation in unrelated Mexican HPA pediatric patients with normal PAH genotypes who attended a single metabolic reference center in Mexico. Methods: Automated Sanger sequencing of the PTS, QDPR, and PCBD1 genes of 14 HPA patients was performed. Predicted effects on protein structure caused by missense variants were assessed by in silico protein modeling. Results and discussion: A high prevalence of BH4D was noted in our HPA cohort (9.8%, N = 14/142). Clinically relevant biallelic genotypes were identified in the PTS (N = 7/14 patients), QDPR (N = 6/14 patients), and PCBD1 (N = 1/14 patients) genes. Four novel QDPR variants [c.714dup or p.(Leu239Thrfs*44), c.106-1G>T or p.(?), c.214G>T or p.(Gly72*), and c.187_189dup or p.(Gln63dup)] were identified. In silico protein modeling of six missense variants of PTS [p.(Thr67Met), p.(Glu81Ala), and p.(Tyr113Cys)], QDPR [p.(Cys161Phe) and p.(Pro172Leu)], and PCBD1 [p.(Glu97Lys)] supports their pathogenicity. Progressive neurological symptoms (mainly intellectual and motor impairment and even death in three patients) were noted in all patients with biallelic QDPR genotypes and in 5/7 patients bearing biallelic PTS genotypes. The single homozygous PCBD1 p.(Glu97Lys) patient remains asymptomatic. Conclusion: A higher proportion of BH4D (9.8 vs. 1%-2% worldwide), attributable to a heterogeneous mutational spectrum and wide clinical presentation, was noted in our Mexican HPA cohort, with the PTS-related HPA disorder being the most frequent. Sequencing-based assays could be a reliable approach for diagnosing BH4D in our population.

6.
Med. U.P.B ; 40(1): 55-64, 03/03/2021. tab
Artigo em Espanhol | LILACS, COLNAL | ID: biblio-1177499

RESUMO

Las reacciones adversas a medicamentos son una de las principales causas de muerte en el mundo, producen muchos ingresos hospitalarios y aumentan los costos de atención. Dentro de los medicamentos que más se asocian con estas reacciones están los antibióticos y de estos los más comunes son los betalactámicos, ampliamente utilizados en las instituciones de salud. Las manifestaciones más frecuentes de las reacciones adversas a betalactámicos son alérgicas, dermatológicas, gastrointestinales, renales, hepáticas y neurológicas. Se realiza una revisión general de las reacciones adversas de estos medicamentos, se mencionan los distintos antibióticos betalactámicos con su clasificación y espectro de acción y más precisamente se explican las distintas reacciones adversas por uso de betalactámicos según el sistema comprometido.


Adverse drug reactions are one of the leading causes of death in the world. They are also responsible for an increase in hospital admissions and higher care costs. Among the most associated drugs with these reactions are antibiotics and of these the most common are beta-lactams, which are widely used in health institutions. The most fre-quent manifestations of adverse reactions to beta-lactams are allergic, dermatological, gastrointestinal, renal, hepatic and neurological reactions. A general review of the adverse reactions to these drugs is carried out. Also, the different beta-lactam antibiotics are described along with their classification and spectrum of action, and an accurate explanation of the different adverse reactions due to the use of beta-lactams according to the compromised system is made.


As reações adversas a medicamentos são uma das principais causas de morte no mundo, resultam em muitas admissões hospitalares e aumentam os custos do atendimento. Entre os medicamentos que mais se associam a essas reações estão os antibióticos e, destes, os mais comuns são os beta-lactâmicos, amplamente utilizados em instituições de saúde. As manifestações mais frequentes de reações adversas aos beta-lactâmicos são alérgicas, dermatológicas, gastrointestinais, renais, hepáticas e neurológicas. Faz-se uma revisão geral das reações adversas desses medicamentos, são mencionados os diferentes antibióticos beta-lactâmicos com sua classificação e espectro de ação, e mais precisamente explicam as diferentes reações adversas devidas ao uso de beta-lactâmicos de acordo com o sistema comprometido


Assuntos
Humanos , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos , Preparações Farmacêuticas , Causas de Morte , beta-Lactamas , Antibacterianos
7.
Allergol Immunopathol (Madr) ; 49(1): 101-106, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33528936

RESUMO

BACKGROUND: Propionate inborn errors of metabolism (PIEM), including propionic (PA) and methylmalonic (MMA) acidemias, are inherited metabolic diseases characterized by toxic accumulation of propionic, 3-hydroxypropionic, methylcitric, and methylmalonic organic acids in biological fluids, causing recurrent acute metabolic acidosis events and encephalopathy, which can lead to fatal outcomes if managed inadequately. PIEM patients can develop hematological abnormalities and immunodeficiency, either as part of the initial clinical presentation or as chronic complications. The origin and characteristics of these abnormalities have been studied poorly. Thus, the aim of the present work was to evaluate and describe lymphoid, myeloid, and erythroid cell population profiles in a group of clinically stable PIEM patients. METHODS: This was a retrospective study of 11 nonrelated Mexican PIEM patients. Clinical, biochemical, nutritional, hematological, and lymphocyte subsets were analyzed. RESULTS: Despite being considered clinically stable, 91% of patients had hematological or immunological abnormalities. The absolute lymphocyte subset counts were low in all patients but one, with CD4+ T-cell lymphopenia, being the most common one. Furthermore, of the 11 studied subjects, nine presented with a low CD4/CD8 ratio. Among the observed hematological alterations, bicytopenia was the most common (82%) one, followed by anemia (27%). CONCLUSION: Our results contribute to the landscape of immunological abnormalities observed previously in PIEM patients; these abnormalities can become a life-threatening chronic complications because of the increased risk of opportunistic diseases. These findings allow us to propose the inclusion of monitoring immune biomarkers, such as subsets of lymphocytes in the follow up of PIEM patients.


Assuntos
Erros Inatos do Metabolismo dos Aminoácidos/sangue , Linfócitos B/patologia , Subpopulações de Linfócitos/patologia , Linfócitos T/patologia , Erros Inatos do Metabolismo dos Aminoácidos/imunologia , Antígenos de Diferenciação/metabolismo , Linfócitos B/metabolismo , Biomarcadores/sangue , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Subpopulações de Linfócitos/metabolismo , Masculino , Acidemia Propiônica/sangue , Acidemia Propiônica/imunologia , Estudos Retrospectivos , Linfócitos T/metabolismo
8.
Allergol. immunopatol ; 49(1): 101-106, ene.-feb. 2021. graf, tab
Artigo em Inglês | IBECS | ID: ibc-199232

RESUMO

BACKGROUND: Propionate inborn errors of metabolism (PIEM), including propionic (PA) and methylmalonic (MMA) acidemias, are inherited metabolic diseases characterized by toxic accumulation of propionic, 3-hydroxypropionic, methylcitric, and methylmalonic organic acids in biological fluids, causing recurrent acute metabolic acidosis events and encephalopathy, which can lead to fatal outcomes if managed inadequately. PIEM patients can develop hemato­logical abnormalities and immunodeficiency, either as part of the initial clinical presentation or as chronic complications. The origin and characteristics of these abnormalities have been studied poorly. Thus, the aim of the present work was to evaluate and describe lymphoid, myeloid, and erythroid cell population profiles in a group of clinically stable PIEM patients. METHODS: This was a retrospective study of 11 nonrelated Mexican PIEM patients. Clinical, bio­chemical, nutritional, hematological, and lymphocyte subsets were analyzed. RESULTS: Despite being considered clinically stable, 91% of patients had hematological or immu­nological abnormalities. The absolute lymphocyte subset counts were low in all patients but one, with CD4+ T-cell lymphopenia, being the most common one. Furthermore, of the 11 stud­ied subjects, nine presented with a low CD4/CD8 ratio. Among the observed hematological alterations, bicytopenia was the most common (82%) one, followed by anemia (27%). CONCLUSION: Our results contribute to the landscape of immunological abnormalities observed previously in PIEM patients; these abnormalities can become a life-threatening chronic com­plications because of the increased risk of opportunistic diseases. These findings allow us to propose the inclusion of monitoring immune biomarkers, such as subsets of lymphocytes in the follow up of PIEM patients


No disponible


Assuntos
Humanos , Masculino , Feminino , Lactente , Pré-Escolar , Criança , Erros Inatos do Metabolismo/terapia , Erros Inatos do Metabolismo/diagnóstico , Acidemia Propiônica/diagnóstico , Acidose/complicações , Acidemia Propiônica/terapia , México , Estudos Retrospectivos , Antígenos CD4/imunologia , Antígenos CD8/imunologia , Espectrometria de Massas/métodos , Citometria de Fluxo , Acidose/imunologia
9.
Trials ; 21(1): 711, 2020 Aug 12.
Artigo em Inglês | MEDLINE | ID: mdl-32787910

RESUMO

BACKGROUND: A core outcome set (COS) represents the agreed minimum set of domains and measurement instruments that should be measured and reported in any clinical trial for a given condition. In BMS randomized controlled trials (RCTs), the outcomes identified in the existing literature regarding the efficacy of therapeutic interventions are numerous and diverse. Although the standardized IMMPACT core outcome domains has been developed for measurement of outcomes in chronic pain RCTs, no BMS-specific COS have been adopted and validated. With the evolving landscape of BMS management end points and the development of new therapies, a consensus on a COS for use in future BMS trials is paramount to reduce heterogeneity in outcome reporting. The aim of this study was to reach a consensus for adopting the standardized Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials (IMMPACT) outcome domains, and their tools of assessment, for burning mouth syndrome (BMS) clinical trials and clinical practice. METHODS: A BMS-specific COS will be developed using the method recommended by the Core Outcome Measures in Effective Trials (COMET) initiative (Registration: http://www.comet-initiative.org/studies/details/1357 ). Selection of questionnaire outcome measures was informed by the IMMPACT consensus and previous systematic review of RCTs in BMS conducted by the consortium. An international group of clinicians and researchers will be invited to participate in several rounds of a Delphi survey. A consensus meeting will be held with the objective of ratifying the outcomes for inclusion in the COS. A finalized COS explanatory document will be drafted, including all outcomes and measurements as determined by the Delphi rounds and consensus meeting. DISCUSSION: A COS for the management of BMS will improve the quality of future RCTs, reduce outcome reporting heterogeneity, and facilitate more vigorous data synthesis of management interventions for systematic reviews and meta-analysis. This would ensure enhanced quality evidence for clinical management of the condition.


Assuntos
Síndrome da Ardência Bucal , Projetos de Pesquisa , Síndrome da Ardência Bucal/diagnóstico , Síndrome da Ardência Bucal/terapia , Técnica Delfos , Determinação de Ponto Final , Humanos , Metanálise como Assunto , Avaliação de Resultados em Cuidados de Saúde , Ensaios Clínicos Controlados Aleatórios como Assunto , Inquéritos e Questionários , Revisões Sistemáticas como Assunto , Resultado do Tratamento
10.
BMC Public Health ; 20(1): 162, 2020 Feb 03.
Artigo em Inglês | MEDLINE | ID: mdl-32013918

RESUMO

BACKGROUND: Mortality rates due to coronary heart disease (CHD) have decreased in most countries, but increased in low and middle-income countries. Few studies have analyzed the trends of coronary heart disease mortality in Latin America, specifically the trends in young-adults and the effect of correcting these comparisons for nonspecific causes of death (garbage codes). The objective of this study was to describe and compare standardized, age-specific, and garbage-code corrected mortality trends for coronary heart disease from 1985 to 2015 in Argentina, Colombia, and Mexico. METHODS: Deaths from coronary heart disease were grouped by country, year of registration, sex, and 10-year age bands to calculate age-adjusted and age and sex-specific rates for adults aged ≥25. We corrected for garbage-codes using the methodology proposed by the Global Burden of Disease. Finally, we fitted Joinpoint regression models. RESULTS: In 1985, age-standardized mortality rates per 100,000 population were 136.6 in Argentina, 160.6 in Colombia, and 87.51 in Mexico; by 2015 rates decreased 51% in Argentina and 6.5% in Colombia, yet increased by 61% in Mexico, where an upward trend in mortality was observed in young adults. Garbage-code corrections produced increases in mortality rates, particularly in Argentina with approximately 80 additional deaths per 100,000, 14 in Colombia and 13 in Mexico. CONCLUSIONS: Latin American countries are at different stages of the cardiovascular disease epidemic. Garbage code correction produce large changes in the mortality rates in Argentina, yet smaller in Mexico and Colombia, suggesting garbage code corrections may be needed for specific countries. While coronary heart disease (CHD) mortality is falling in Argentina, modest falls in Colombia and substantial increases in Mexico highlight the need for the region to propose and implement population-wide prevention policies.


Assuntos
Doença das Coronárias/mortalidade , Adulto , Idoso , Argentina/epidemiologia , Colômbia/epidemiologia , Feminino , Humanos , Masculino , México/epidemiologia , Pessoa de Meia-Idade , Fatores de Tempo
11.
BAG, J. basic appl. genet. (Online) ; 30(2): 27-40, Dec. 2019. ilus, tab
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1089066

RESUMO

TP53 or P53 is a tumor suppressor gene known as the "genome guardian", responsible for inducing cell response to DNA damage, by stopping the cell cycle in case of mutation, activating DNA repair enzymes, initiating senescence and activation of apoptosis. Mutations in the gene sequence can cause non-synonymous mutations or errors in the reading frame by insertion, deletion or displacement of nucleotides: e.g., c.358A>G mutation in exon 4 and variants located in exons 9 and 10 of the TD domain. Therefore, in this review, we will see that changes in the reading frame, including the loss of one or two base pairs could prevent accurate transcription or changes in the structure and function of the protein, and could completely impair reparation function. These changes promote self-sufficiency in growth signaling, insensitivity to anti-growth signals, and evasion of apoptosis, resulting in limitless replication and induction of metastatic angiogenesis, generating as a consequence the proliferation of tumor, neoplastic, and lymphoid cells. Taking into account the importance of TP53 in the regulation of the cell cycle, the objective of this review is to update information related to the role of this gene in the development of cancer and the description of genetic variations.


TP53 o P53 es un gen supresor de tumores conocido como el "guardián del genoma", encargado de inducir la respuesta de la célula ante el daño del ADN, deteniendo el ciclo celular en caso de mutación, activando enzimas de reparación del ADN, iniciando el proceso de senescencia celular y activación de la apoptosis. Las mutaciones en la secuencia del gen pueden originar mutaciones no sinónimas o errores en el marco de lectura por la inserción, deleción o desplazamiento de nucleótidos: ejemplo, mutación c.358A>G en el exón 4 y variantes que se albergan en los exones 9 y 10 del dominio TD. Por lo tanto en esta revisión examinaremos cambios en el marco de lectura, incluyendo la pérdida de una o dos pares de bases, que podrían impedir la exacta transcripción o cambiar la estructura y función de la proteína o perjudicar completamente la función de reparación. Tales cambios promueven la auto-suficiencia en la señal de crecimiento, la insensibilidad a señales anticrecimiento y la evasión de la apoptosis, lo que resulta en la replicación ilimitada y la inducción de angiogénesis metastásica, generando como consecuencia la proliferación de células tumorales, neoplásicas y linfoides. Teniendo en cuenta la importancia del TP53 en la regulación del ciclo celular, el objetivo de la presente revisión es actualizar la información relacionada con el papel de este gen en el desarrollo de cáncer y la descripción de las variaciones genéticas.

12.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-31519537

RESUMO

INTRODUCTION: The management of postoperative pain in joint replacement surgery represents a challenge. Therefore, the advent of new strategies in the management of pain such as local infiltration analgesia (LIA) and the adductor canal block, allowed an adequate postoperative pain control and early rehabilitation of the patient in total knee arthroplasty. MATERIALS AND METHODS: A descriptive, observational and longitudinal study of a prospective cohort of patients operated by the group of joint replacements between September 29, 2017 and November 30, 2017 was conducted. They were evaluated with the analog pain scale for postoperative pain at 5 different times (1:Upon leaving recovery; 2:On the first postoperative day; 3:Before initiating in-hospital physical therapy; 4:At the end of physical therapy, and 5:Upon departure from the clinic). RESULTS: Of the 141 patients operated on, 70.9% of the patients were managed with LIA and 29.1% with adductor canal block. There were no differences between groups in postoperative pain assessment during the 5 different times (P≥.45). DISCUSSION: Our results indicate that LIA and the adductor canal blockade demonstrated the same efficacy for the control of postoperative pain and rehabilitation.


Assuntos
Anestesia Local , Artroplastia do Joelho , Bloqueio Nervoso , Manejo da Dor/métodos , Dor Pós-Operatória/terapia , Recuperação de Função Fisiológica , Humanos , Estudos Longitudinais , Pessoa de Meia-Idade , Estudos Prospectivos , Fatores de Tempo
14.
Arch Soc Esp Oftalmol (Engl Ed) ; 94(7): 331-336, 2019 Jul.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-31079987

RESUMO

OBJECTIVE: To propose the Intense Pulsed Light (IPL) therapy as a helpful supplementary treatment in patients with dry eye disease. MATERIAL AND METHODS: Retrospective cross sectional design. Medical records of patients in whom dry eye disease symptoms were not satisfactorily controlled with medical therapy alone and who underwent additional IPL with at least three sessions completed. Data were analyzed before therapy and 3weeks after its completion to asses improvement. Determination of symptoms, through a visual analog scale; tear film stability, through tear Break Up Time (tBUT); measurement of tear secretion, through Schirmer Test; and ocular surface staining with Van Bijsterveld score were evaluated. SPSS software and nonparametric analysis of repeated measures were used. The study was approved by the ethics committee. RESULTS: 50 eyes from 25 subjects were reviewed. There were 9 males (36%) and 16 females (64%), with a median age of 59years (IQR 52-64). The median of the symptoms scale was 8 (IQR 8-9) and 3 (IQR 2-4) before and after the therapy respectively (P<.05). The median of BUT was 4 (IQR 3-5) and 10 (IQR 8-11), Schirmer test was 13 (IQR 12-15) and 15 (IQR 13-20), and Van Bijsterveld score was 3 (RIC 3-4) and 2 (IQR 2-3) before and after the therapy respectively (P<.05, for all measurements). CONCLUSION: IPL treatment has excellent results regarding both: dry eye disease symptoms improvement and in office objective tests such as tBUT, Schirmer test and Van Bijsterveld score; IPL could be considered as an effective adjunct for dry eye disease.


Assuntos
Síndromes do Olho Seco/terapia , Terapia de Luz Pulsada Intensa , Terapia Combinada , Estudos Transversais , Resistência a Medicamentos , Síndromes do Olho Seco/tratamento farmacológico , Síndromes do Olho Seco/etiologia , Feminino , Humanos , Terapia de Luz Pulsada Intensa/métodos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Rosácea/complicações , Índice de Gravidade de Doença , Síndrome de Sjogren/complicações , Resultado do Tratamento
16.
INSPILIP ; 3(1): 1-15, 20190000.
Artigo em Espanhol | LILACS | ID: biblio-1015397

RESUMO

El presente artículo recopila un extracto de las distintas ponencias realizadas por investigadores de diferentes lugares del Ecuador en el marco del Simposio sobre Cáncer Cervical y el virus del papiloma humano ocurrido en el 5° Congresosobre enfermedades infecciosas llevado a cabo en octubre del 2018 en la Pontificia Universidad Católica del Ecuador (Quito). Estas presentaciones presentan un diagnóstico acerca de la situación actual del virus de papiloma humano (VPH) y del cáncer cervical en nuestra región. Estas presentaciones complementan la información presentada en un evento similar realizado hace un par de años en las Jornadas Nacionales de Biología Espol 2016, constituyendo estas memorias en conjunto como uno de los pocos documentos disponibles que recopilan los últimos avances realizados en este campo en el Ecuador en años recientes.


Thisarticle compiles an extract of the different presentations made by researchers from different parts of Ecuador in the framework of the Symposium on Cervical Cancer and the human papillomavirus occurred at the 5th Congress on infectious diseases carried out in October 2018 at the Pontificia Catholic University of Ecuador (Quito). These presentations present a diagnosis about the current situation of human papilloma virus (HPV) and Cervical Cancer in our region. These presentations complement the informationpresented in a similar event held a couple of years ago at the National Conference of Biology Espol2016, constituting these memories together as one of the few documents available that assemble the latest advances made in this field in Ecuador in recent years.


Assuntos
Feminino , Mulheres , Diagnóstico , Proteínas Animais da Dieta , Reprodutibilidade dos Testes , Genótipo
18.
Rev. med. vet. zoot ; 62(3): 18-33, sep.-dic. 2015. ilus, tab
Artigo em Espanhol | LILACS-Express | LILACS | ID: lil-779682

RESUMO

Cinco razas de ganado bovino (Bos taurus) del trópico alto de Nariño fueron caracterizadas usando once loci microsatélites. Se incluyeron las razas Holstein, Jersey, Normando, Pardo suizo y el ganado Criollo. Las frecuencias alélicas fUeron calculadas y usadas para la caracterización de las razas y el estudio de sus relaciones genéticas. La diversidad genética reflejada en el número de alelos por locus (NPA = 10) y la heterocigosidad observada (Ho = 0,7) fue alta, siendo mayor para la raza Criolla. El AMOVA, evidenció una baja diferenciación genética (FST = 0,0663) para la población total, con una pequeña diferenciación entre Criollo y Holstein (0,006), resultado que fue correspondiente con el análisis de agrupamiento bayesiano, que permitió determinar un grado de absorción del núcleo Criollo del 56% por la raza Holstein. La alta diversidad, supone procesos de adaptación a diferentes ambientes y mezcla de razas, facilitando un continuo flujo genético. Esto puede explicarse por la realización de cruces dirigidos al incremento del volumen de producción teniendo como base la raza Holstein, donde la selección intensiva puede conllevar al detrimento de la pureza del ganado criollo e incidir en su capacidad adaptativa.


Five populations of cattle (Bos taurus) from tropical high of Narino were characterized with 11 loci microsatellites. The breeds included were Holstein, Jersey, Normande, Brown Swiss and Creole. The molecular characterization of breeds and study genetic relationships were made with Alleles frequencies. Genetic diversity as the number of alleles per locus (NPA = 10) and observed heterozygosity (Ho = 0.7) were high, being higher for the Creole breed. Analysis of molecular variance (AMOVA), showed low genetic differentiation (FST = 0.0663) for the total population, with a small difference between Creole and Holstein (0.006). This result was similar to the Bayesian clustering analysis, which identified a percentage of absorption of 56% to Creole by the Holstein breed. The high diversity assumes processes of adaptation to different environments and miscegenation, showing a continuous gene flow. The above can be explain by cross-breeding to increase the production volume on the basis of the Holstein breed. Detrimental impacts, due to the intensive selection, might this have on the creole cattle and has influence in their adaptive capacity.

19.
Rev Chil Pediatr ; 86(1): 38-42, 2015.
Artigo em Espanhol | MEDLINE | ID: mdl-26223396

RESUMO

OBJECTIVE: To investigate the association between dental caries and early childhood development in 3-year-olds from Talca, Chile. METHOD: A pilot study with a convenience sample of 3-year-olds from Talca (n = 39) who attend public healthcare centers. Child development was measured by the Psychomotor Development Index (PDI), a screening tool used nationally among pre-school children to assess language development, fine motor skills and coordination areas. Dental caries prevalence was evaluated by decayed, missing, filled teeth (DFMT) and decayed, missing, filled tooth surfaces (DFMS) ceo-d and ceo-s indexes. The children were divided into two groups according to the PDIscore: those with a score of 40 or more were considered developmentally normal (n = 32), and those with a score below 40 were considered as having impaired development (n = 7). RESULTS: The severity of caries (DMFT) was negatively correlated with PDI (r = -0.82), and children with the lowest TEPSI score had the highest DFMT values. The average DMFT in children with normal development was 1.31, and 3.57 for those with impaired development. CONCLUSION: This pilot study indicates that the severity of dental caries is correlated with early childhood development.


Assuntos
Desenvolvimento Infantil/fisiologia , Índice CPO , Cárie Dentária/epidemiologia , Pré-Escolar , Chile/epidemiologia , Feminino , Humanos , Masculino , Projetos Piloto , Prevalência , Índice de Gravidade de Doença
20.
Rev. chil. pediatr ; 86(1): 38-42, feb. 2015. graf, tab
Artigo em Espanhol | LILACS | ID: lil-745608

RESUMO

Objetivo: Investigar la asociación entre caries dental y desarrollo infantil temprano en niños de 3 años de Talca, Chile. Pacientes y Método: Estudio piloto, con una muestra por conveniencia de niños de 3 años de Talca (n = 39) que asisten a centros de salud públicos. El desarrollo infantil se midió utilizando el Test de Desarrollo Psicomotor (TEPSI), instrumento de cribado utilizado a nivel nacional en preescolares para evaluar las áreas de desarrollo de lenguaje, motricidad fina y coordinación. La caries dental se midió a través de los índices ceod y ceos. Los niños se dividieron en dos grupos según la puntuación del TEPSI: aquellos con puntuación de 40 o más fueron considerados con desarrollo normal (n = 32) y aquellos con puntuación inferior a 40, con desarrollo alterado (n = 7). Resultados: La gravedad de la caries (ceod) se correlacionó negativamente con el resultado del TEPSI (r = -0,82), los niños con puntuaciones más bajas de TEPSI obtenían valores más elevados en el ceod. La puntuación promedio en el ceod para los niños con desarrollo normal fue de 1,31, y de 3,57 para los niños con desarrollo alterado. Conclusión: Este estudio piloto indica que la gravedad de la caries dental se correlaciona con el desarrollo infantil temprano.


Objective: To investigate the association between dental caries and early childhood development in 3-year-olds from Talca, Chile. Method: A pilot study with a convenience sample of 3-year-olds from Talca (n = 39) who attend public healthcare centers. Child development was measured by the Psychomotor Development Index (PDI), a screening tool used nationally among pre-school children to assess language development, fine motor skills and coordination areas. Dental caries prevalence was evaluated by decayed, missing, filled teeth (DFMT) and decayed, missing, filled tooth surfaces (DFMS) ceo-d and ceo-s indexes. The children were divided into two groups according to the PDIscore: those with a score of 40 or more were considered developmentally normal (n = 32), and those with a score below 40 were considered as having impaired development (n = 7). Results: The severity of caries (DMFT) was negatively correlated with PDI (r = -0.82), and children with the lowest TEPSI score had the highest DFMT values. The average DMFT in children with normal development was 1.31, and 3.57 for those with impaired development. Conclusion: This pilot study indicates that the severity of dental caries is correlated with early childhood development.


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Desenvolvimento Infantil/fisiologia , Índice CPO , Cárie Dentária/epidemiologia , Índice de Gravidade de Doença , Chile/epidemiologia , Projetos Piloto , Prevalência
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