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1.
Vox Sang ; 112(5): 453-458, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-28516443

RESUMO

BACKGROUND AND OBJECTIVES: To estimate the risk of iron overload in very low birthweight (VLBW) infants who receive more than two red blood cell (RBC) transfusions, in comparison with those who receive two or less during their hospital stay. MATERIALS AND METHODS: Prospective open cohort study in VLBW infants with >2 (exposed) and ≤2 (non-exposed) RBC transfusions. Ferritin, alanine aminotransferase (ALT) and aspartate aminotransferase (AST) were measured at birth and after each RBC transfusion. The incidence of iron overload was determined. Risk factors were analysed using a logistic regression model. RBC transfusion volume correlations with ferritin, ALT and AST were calculated with Spearman's rank correlation coefficient, as well as correlations between ferritin and aminotransferases. RESULTS: A total of 63 patients were enrolled, 18 of which were exposed and 45 non-exposed. Twelve patients developed severe iron overload, eight exposed (44·5%) vs. four (8·8%) non-exposed (RR: 5, 95% CI: 1·7-14·6). Multivariate analysis showed that the number of transfusions increased the risk of iron overload (OR: 2·07, 95% CI: 1·36-2·14) while a higher one-minute Apgar score was associated with a lower risk (OR: 0·56, 95% CI: 0·32-0·99). Severe iron overload mainly occurred with a transfusion volume higher than 120 ml/kg. There was a positive correlation between ferritin and transfusion (r = 0·53; P < 0·001). CONCLUSION: There was a higher risk of iron overload in exposed infants in comparison with non-exposed infants. Severe iron overload in VLBW infants may occur with a total transfusion volume >120 ml/kg.


Assuntos
Anemia Neonatal/terapia , Transfusão de Eritrócitos/efeitos adversos , Sobrecarga de Ferro/etiologia , Anemia Neonatal/sangue , Feminino , Ferritinas/sangue , Humanos , Recém-Nascido , Recém-Nascido Prematuro , Recém-Nascido de muito Baixo Peso , Masculino , Estudos Prospectivos , Retratamento/efeitos adversos , Fatores de Risco , Resultado do Tratamento
2.
Behav Brain Res ; 319: 165-173, 2017 02 15.
Artigo em Inglês | MEDLINE | ID: mdl-27864049

RESUMO

Thyrotropin-releasing hormone (TRH) has anorexigenic and anxiolytic functions when injected intraventricularly. Nucleus accumbens (NAcc) is a possible brain region involved, since it expresses proTRH. TRH from hypothalamic paraventricular nucleus (PVN) has a food intake-regulating role. TRHergic pathways of NAcc and PVN are implicated in anxiety and feeding. Both behaviors depend on cAMP and phosphorylated-cAMP response element binding protein (pCREB) intracellular levels. Intracellular levels of cAMP are controlled by the degrading activity of phosphodiesterases (PDEs). Since TRH transcription is activated by pCREB, a specific inhibitor of PDE7B may regulate TRH-induced effects on anxiety and feeding. We evaluated the effectiveness of an intra-accumbal and intraperitoneal (i.p.) administration of a PDE7 inhibitor (BRL-50481) on rats' anxiety-like behavior and food intake; also on TRH mRNA and protein expression in NAcc and PVN to define its mediating role on the PDE7 inhibitor-induced behavioral changes. Accumbal injection of 4µg/0.3µL of PDE7 inhibitor decreased rats' anxiety. The i.p. injection of 0.2mg/kg of the inhibitor was able to increase the PVN TRH mRNA expression and to decrease feeding but did not change animals' anxiety levels; in contrast, 2mg/kg b.w inhibitor enhanced accumbal TRH mRNA, induced anxiolysis with no change in food intake. PDE7 inhibitor induced anxiolytic and anorexigenic like behavior depending on the dose used. Results supported hypothalamic TRH mediated feeding-reduction effects, and accumbal TRH mediation of inhibitor-induced anxiolysis. Thus, an i.p dose of this inhibitor might be reducing anxiety with no change in feeding, which could be useful for obese patients.


Assuntos
Ansiedade/induzido quimicamente , Nucleotídeo Cíclico Fosfodiesterase do Tipo 7/antagonistas & inibidores , Comportamento Alimentar/efeitos dos fármacos , Nitrocompostos/farmacologia , Núcleo Accumbens/efeitos dos fármacos , Núcleo Hipotalâmico Paraventricular/efeitos dos fármacos , Sulfonamidas/farmacologia , Hormônio Liberador de Tireotropina/metabolismo , Animais , Ansiedade/tratamento farmacológico , AMP Cíclico/metabolismo , DNA Antissenso/farmacologia , Relação Dose-Resposta a Droga , Ingestão de Alimentos/efeitos dos fármacos , Inibidores Enzimáticos/farmacologia , Inibidores Enzimáticos/uso terapêutico , Regulação da Expressão Gênica/efeitos dos fármacos , Iodeto Peroxidase/genética , Iodeto Peroxidase/metabolismo , Masculino , Aprendizagem em Labirinto/efeitos dos fármacos , Nitrocompostos/uso terapêutico , Ratos , Ratos Wistar , Sulfonamidas/uso terapêutico , Hormônio Liberador de Tireotropina/genética , Fatores de Tempo , Iodotironina Desiodinase Tipo II
3.
J Nutr Biochem ; 26(5): 549-55, 2015 May.
Artigo em Inglês | MEDLINE | ID: mdl-25725506

RESUMO

The aim of the present study was to determine the role of the catechol group in the antioxidant and neuroprotective effects of minor components of virgin olive oil in rat brain tissue. Hydroxytyrosol ethyl ether (HT, 2 OH), tyrosol ethyl ether (Ty, 1 OH) and 3,4-di-ortho-methylidene-hydroxytyrosol ethyl ether (MET, no OH) were compared. Oxidative stress was induced with ferrous salts (lipid peroxidation induction), diethylmaleate (depletion of glutathione) and hypoxia-reoxygenation in brain slices. Lipid peroxidation was inhibited in direct proportion to the number of OH groups: HT>Ty>MET. Exposure to HT led to partial recovery of the glutathione system after chemical inhibition or hypoxia-reoxygenation. All three compounds inhibited cell death in hypoxia-reoxygenation experiments (HT≥Ty>MET). Peroxynitrite formation (3-nitrotyrosine) and inflammatory mediators (prostaglandin E2 and interleukin 1ß) were inhibited by all three compounds. In conclusion, the presence of OH groups in the molecule of these phenolic compounds from virgin olive oil is a determinant factor in their antioxidant effect in brain tissue, but this antioxidant effect is not the only explanation for their neuroprotective effect.


Assuntos
Encéfalo/efeitos dos fármacos , Catecóis/farmacologia , Fármacos Neuroprotetores/farmacologia , Azeite de Oliva/química , Animais , Encéfalo/metabolismo , Morte Celular/efeitos dos fármacos , Masculino , Nitrosação , Estresse Oxidativo/efeitos dos fármacos , Ratos , Ratos Wistar
4.
SEMERGEN, Soc. Esp. Med. Rural Gen. (Ed. impr.) ; 38(5): 265-277, jul.-ago. 2012. ilus
Artigo em Espanhol | IBECS | ID: ibc-100816

RESUMO

En los reconocimientos escolares, realizados de forma periódica, detectamos un continuo aumento de la obesidad y del sedentarismo en nuestros escolares; con este trabajo pretendemos contrastar, con datos objetivos, la situación real de la población infantil de nuestro entorno respecto a sus hábitos alimenticios, su actividad física e higiene. Material y métodos. Se entregaron cuestionarios sobre hábitos alimenticios, preferencias en cuanto a la dieta, práctica de ejercicio e higiene dental a 430 escolares de entre 6 y 10 años. Fueron válidos para su estudio 366. Resultados. El 85,8% de los encuestados vivía en el seno de una familia «tradicional»; el 22% tenía familiares con sobrepeso; el 96,7% desayunaba antes de ir al colegio, siendo los lácteos el producto más consumido; la bollería industrial era muy utilizada tanto en el desayuno (7,4%) como en el recreo (16,9%). La comida favorita era la pasta en el 29,8% de los casos, seguida de las patatas, sobre todo fritas (10,4%). Los alimentos que menos gustaban eran las verduras (26,2%) y el pescado (8,2%). El 70% veía diariamente la televisión más de 2 h; el 34% pasaba 2 h o más al día jugando con las videoconsolas o similares, por otra parte, los deberes y el estudio ocupaban más de 2 h diarias al 50% de los alumnos. El 55% de los encuestados consumía chucherías 2 o más veces al día, y comer y ver la televisión de forma simultánea era un hábito casi constante en más del 60%. El 9,29% de los participantes en el estudio no se limpiaba los dientes nunca. Conclusiones. El conocimiento teórico de lo que debe de ser una correcta alimentación parece ser adecuado, pero su puesta en práctica no. La población estudiada tiene hábitos bastante sedentarios, come poca fruta y no le agradan ni las legumbres, ni las verduras, ni el pescado. Todos estos factores disminuyen la protección cardiovascular asociada a su práctica y consumo, y comprobamos que ya están presentes desde la infancia, en nuestra población, lo que sin duda repercutirá en su futuro estado de salud y bienestar, en caso de no modificarse (AU)


In schoolchildren examinations, carried out periodically, we detect a continuous increase in obesity and sedentarism in our schoolchildren. In this study we attempt to compare, with objective data, the real situation of the childhood population in our area, as regards their eating habits, physical activity and hygiene. Material and methods. Questionnaires on eating habits, preferences as regards diet, doing exercise, and dental hygiene, were handed out to 430 schoolchildren between 6 and 10 years-old. A total of 366 were valid for the study. Results. The majority (85.8%) of those surveyed lived within a "traditional" family; 22% had family members who were overweight; 96.7% had breakfast before going to school, with milk products being the most consumed; the cake and pastry industry was well used, both at breakfast (7.4%) and at playtime (16.9%). The favourite food was pasta in 29.8% of cases, followed by potatoes, particularly fried (10.4%). The least liked foods were vegetables (26.2%) and fish (8.2%). Television was watched for more than 2hours by 70%; 34% exceeded 2hours or more per day playing with video consoles or similar. On the other hand, homework and studying took up more than 2hours daily for 50% of pupils. A majority (55%) of those surveyed ate sweets 2 or more time a day, and to eat and watch television at the same time was an almost constant habit in more than 60%. Of the participants in the study, 9.29% never brushed their teeth. Conclusions. The theoretical knowledge of what should be a correct diet seems adequate, but its putting into practice is not. The population studies had fairly sedentary habits, with little fruit and they did not like pulses or vegetables or fish. All these factors decrease the cardiovascular protection associated with its practice and consumption. We have shown that they are already present since childhood in our population, which without a doubt will have repercussions in their future health status and well-being, if it is not changed (AU)


Assuntos
Humanos , Masculino , Feminino , Criança , Atenção Primária à Saúde/métodos , Inquéritos Nutricionais , Sobrepeso/epidemiologia , Dietoterapia/métodos , Dietoterapia , Exercício Físico , Obesidade/epidemiologia , Comportamento Alimentar/fisiologia , Inquéritos e Questionários , Atenção Primária à Saúde/normas , Atenção Primária à Saúde/tendências , Atenção Primária à Saúde , Inquéritos Nutricionais/métodos , Inquéritos Nutricionais/estatística & dados numéricos , Sobrepeso/complicações , Sobrepeso/dietoterapia , Estudos Transversais/métodos , Estudos Transversais
6.
Semergen ; 38(5): 265-77, 2012.
Artigo em Espanhol | MEDLINE | ID: mdl-23544773

RESUMO

UNLABELLED: In schoolchildren examinations, carried out periodically, we detect a continuous increase in obesity and sedentarism in our schoolchildren. In this study we attempt to compare, with objective data, the real situation of the childhood population in our area, as regards their eating habits, physical activity and hygiene. MATERIAL AND METHODS: Questionnaires on eating habits, preferences as regards diet, doing exercise, and dental hygiene, were handed out to 430 schoolchildren between 6 and 10 years-old. A total of 366 were valid for the study. RESULTS: The majority (85.8%) of those surveyed lived within a "traditional" family; 22% had family members who were overweight; 96.7% had breakfast before going to school, with milk products being the most consumed; the cake and pastry industry was well used, both at breakfast (7.4%) and at playtime (16.9%). The favourite food was pasta in 29.8% of cases, followed by potatoes, particularly fried (10.4%). The least liked foods were vegetables (26.2%) and fish (8.2%). Television was watched for more than 2 hours by 70%; 34% exceeded 2 hours or more per day playing with video consoles or similar. On the other hand, homework and studying took up more than 2 hours daily for 50% of pupils. A majority (55%) of those surveyed ate sweets 2 or more time a day, and to eat and watch television at the same time was an almost constant habit in more than 60%. Of the participants in the study, 9.29% never brushed their teeth. CONCLUSIONS: The theoretical knowledge of what should be a correct diet seems adequate, but its putting into practice is not. The population studies had fairly sedentary habits, with little fruit and they did not like pulses or vegetables or fish. All these factors decrease the cardiovascular protection associated with its practice and consumption. We have shown that they are already present since childhood in our population, which without a doubt will have repercussions in their future health status and well-being, if it is not changed.


Assuntos
Dieta , Exercício Físico , Comportamento Alimentar , Inquéritos e Questionários , Criança , Estudos Transversais , Feminino , Humanos , Masculino
7.
Microbiol Res ; 166(7): 578-84, 2011 Oct 20.
Artigo em Inglês | MEDLINE | ID: mdl-21237629

RESUMO

The antimicrobial activity of samples of Northern Argentine propolis (Tucumán, Santiago del Estero and Chaco) against phytopathogenic bacteria was assessed and the most active samples were identified. Minimal inhibitory concentration (MIC) values were determined by agar macrodilution and broth microdilution assays. Strong antibacterial activity was detected against Erwinia carotovora spp carotovora CECT 225, Pseudomonas syringae pvar tomato CECT 126, Pseudomonas corrugata CECT 124 and Xanthomonas campestris pvar vesicatoria CECT 792. The most active propolis extract (Tucumán, T1) was selected to bioguide isolation and identified for antimicrobial compound (2',4'-dihydroxychalcone). The antibacterial chalcone was more active than the propolis ethanolic extract (MIC values of 0.5-1 µg ml(-1) and 9.5-15 µg ml(-1), respectively). Phytotoxicity assays were realized and the propolis extracts did not retard germination of lettuce seeds or the growth of onion roots. Propolis solutions applied as sprays on tomato fruits infected with P. syringae reduced the severity of disease. Application of the Argentine propolis extracts diluted with water may be promising for the management of post harvest diseases of fruits.


Assuntos
Antibacterianos/farmacologia , Chalconas/farmacologia , Pectobacterium carotovorum/efeitos dos fármacos , Doenças das Plantas/microbiologia , Própole/química , Pseudomonas syringae/efeitos dos fármacos , Xanthomonas campestris/efeitos dos fármacos , Antibacterianos/química , Antibacterianos/isolamento & purificação , Argentina , Chalconas/química , Chalconas/isolamento & purificação , Lactuca/efeitos dos fármacos , Lactuca/crescimento & desenvolvimento , Solanum lycopersicum/microbiologia , Testes de Sensibilidade Microbiana , Cebolas/efeitos dos fármacos , Cebolas/crescimento & desenvolvimento , Pectobacterium carotovorum/patogenicidade , Raízes de Plantas/efeitos dos fármacos , Pseudomonas syringae/patogenicidade , Sementes/efeitos dos fármacos , Xanthomonas campestris/patogenicidade
8.
Anesth Analg ; 111(6): 1341-6, 2010 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-21048099

RESUMO

BACKGROUND: In this study, we compared the in vitro pharmacodynamic profile of dexibuprofen, ibuprofen, and flurbiprofen to identify possible differences in antiplatelet activity. METHODS: In whole blood samples from healthy volunteers, we measured platelet aggregation induced by adenosine diphosphate, collagen and arachidonic acid, platelet thromboxane B(2) (TxB(2)), lipopolysaccharide-induced prostaglandin E(2), leukocyte 6-keto-prostaglandin F(1α) (PGF(1α)), and nitric oxide induced by both constitutive and inducible pathways before and after incubation with increasing concentrations of acetylsalicylic acid, dexibuprofen, ibuprofen, or flurbiprofen. The concentration that inhibited (IC(50)) or increased each variable by 50% was calculated. RESULTS: All 3 drugs inhibited platelet aggregation in a dose-dependent manner, TxB(2), prostaglandin E(2), and 6-keto-PGF(1α), and increased calcium-induced nitric oxide production. Dexibuprofen showed greater antiplatelet potency than ibuprofen and flurbiprofen, and its profile was similar to that of aspirin. For example, IC(50) values for arachidonic acid-induced platelet aggregation were 0.85 ± 0.06 µM for dexibuprofen, 14.76 ± 1.22 µM for ibuprofen, 6.39 ± 0.51 µM for flurbiprofen, and 0.38 ± 0.03 µM for aspirin. All drugs inhibited both thromboxane and prostacyclin synthesis, but the IC(50) anti-TxB(2)/IC(50) anti-6-keto-PGF(1α) ratio was 0.21 ± 0.03 for dexibuprofen, 1.05 ± 0.08 for ibuprofen, 0.79 ± 0.11 for flurbiprofen, and 0.46 ± 0.06 for aspirin. All drugs increased calcium-dependent nitric oxide production. CONCLUSIONS: The aryl propionic acid derivative dexibuprofen was the most potent antiplatelet drug, and its pharmacodynamic profile is similar to aspirin.


Assuntos
Plaquetas/efeitos dos fármacos , Flurbiprofeno/farmacologia , Ibuprofeno/análogos & derivados , Inibidores da Agregação Plaquetária/farmacologia , Agregação Plaquetária/efeitos dos fármacos , 6-Cetoprostaglandina F1 alfa/sangue , Adulto , Aspirina/farmacologia , Plaquetas/metabolismo , Dinoprostona/sangue , Relação Dose-Resposta a Droga , Feminino , Humanos , Ibuprofeno/farmacologia , Leucócitos/efeitos dos fármacos , Leucócitos/metabolismo , Masculino , Óxido Nítrico/sangue , Tromboxano B2/sangue
9.
Sanid. mil ; 64(2): 82-86, abr.-jun. 2008. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-113408

RESUMO

Antecedentes y Objetivos: El Conjunto Mínimo Básico de Datos recoge información sobre la actividad hospitalaria. A través de la codificación se traduce la información del episodio clínico a un lenguaje numérico que clasifica cada paciente en un Grupo Relacionado por el Diagnóstico o GRD. En la codificación se emplea el Manual de la Clasificación Internacional de Enfermedades que recoge entre sus procedimientos algunas actividades propias del trabajo independiente que realiza enfermería. Nos propusimos describir el impacto del trabajo de enfermería en el Informe de Alta Médico, a través de los GRDs de episodios codificados, averiguar qué servicios registran mejor la actividad que realizan los profesionales de enfermería y analizar cómo influyen sobre el registro de actividades de enfermería variables como la entidad de afiliación y el motivo del alta. Material y Métodos: Procedimos a la extracción de las actividades de enfermería incluidas en el Manual de Codificación de la Clasificación Internacional de Enfermedades, encontrando 192 actividades propias de enfermería. Se empleó la Base de Datos de la actividad hospitalaria del año 2006 que se remite a la Consejería de Sanidad de la Comunidad Autónoma de Madrid, con 13.544 episodios codificados. Mediante el programa «Estación Clínica» de 3M®, se incluyeron las actividades de enfermería obtenidas, para conocer los GRDs en los que aparecía al menos una de las actividades de enfermería. Resultados y Discusión: Se analizaron y relacionaron los informes que describían al menos una actividad de enfermería con el total de episodios codificados. Se comparó la descripción de actividades de enfermería entre informes de servicios médicos y quirúrgicos. Se analizó la información en función de la entidad de afiliación y del motivo de alta. Se exponen las limitaciones del trabajo y se discuten los resultados obtenidos. Conclusiones: El Informe de Alta Médico es un documento que apenas refleja el trabajo del personal de enfermería en los hospitales. Los Servicios Médicos reflejan en mayor medida que los Servicios Quirúrgicos la actividad que realizan los profesionales de enfermería. La Clasificación Internacional de Enfermedades describe vagamente las actividades propias de enfermería, siendo necesarios estudios de contabilidad analítica que ponderen el peso que aportan las intervenciones de enfermería a los Grupos Relacionados por el Diagnóstico (AU)


Antecedents and Objectives: The Minimum Basic Data Set compiles information on hospital activity. Through its codification the clinical information is translated into a numerical language that classifies each patient into a Diagnosis-Related Group (DRG). This codification is based on the Manual of the International Classification of Diseases (ICD) that includes among its procedures some activities from the independent work carried out by nurses. Our purpose was to describe the impact of the nursing work on the medical discharge report through the DRG,s of codified clinical episodes, find out what departments have a better control of the work performed by the nursing professionals and analyze how variablessuch as health insurance entity and discharge reason influence the logging of nursing activities. Material and Methods: we proceeded to extract the nursing activities included in the Manual of the International Classification of Diseases, finding 192 nursing activities. The database of the hospital activity of 2006 that is sent to the Health Regional Ministry of the Autonomous Community of Madrid, including 13.544 codified episodes, was utilized. The nursing activities so obtained were included in the 3M“ software “Estación Clínica” in order to determine the DRG,s in which at least one nursing activity was identified. Results and Discussion: the reports that described at least one nursing activity were analyzed and correlated to the total of codified reports. The description of nursing activities in medical reports was compared in medical and surgical departments. The information was analyzed in accordance with the health insurance entity and the discharge reason. The limitations of this article are presented and the results discussed. Conclusions: the Medical Discharge Report is a document that hardly reflects the nursing personnel work in the hospitals. The medical departments tend to reflect to a greater extent than the surgical departments the activity of the nursing personnel. The International Classification of Diseases barely describes the nursing activities making necessary analytical accountancy methods in order to have a measure of the share of the nursing activities in the DRG,s (AU)


Assuntos
Humanos , Feminino , Enfermagem Militar/tendências , Cuidados de Enfermagem/organização & administração , Grupos Diagnósticos Relacionados/organização & administração , Codificação Clínica/organização & administração , Alta do Paciente
10.
Rev Esp Enferm Dig ; 99(10): 593-8, 2007 Oct.
Artigo em Espanhol | MEDLINE | ID: mdl-18052663

RESUMO

INTRODUCTION: patients affected by inflammatory bowel disease have a high rate of psychiatric disorders such as depression and anxiety. OBJECTIVE: the main goal of this study was to design, to put into practice, and to validate a protocolized psychological treatment program based on the coping model, and a psycho-educational methodology in which the following intervention modules were included- illness information, coping model, problem solving techniques, relaxation, social skill training, distraction, and cognitive restructuring techniques. All these techniques were adapted to the characteristic features of inflammatory bowel disease. METHOD: the sample included 57 patients with inflammatory bowel disease from the Spanish Crohn s Disease and Ulcerative Colitis Association. The sample was randomly assigned to one of the two experimental groups -33 were assigned to the treatment group, and 24 were assigned to the waiting list control group. RESULTS: the results reflected a significant clinical and statistical improvement in anxiety (p < 0.001) and depression (p < 0.001) variables when compared to the waiting list control group. Likewise, improvement was sustained at 3, 6, and 12 months during follow-up. CONCLUSION: the protocolized psychological treatment program, administered in group sessions, is effective in reducing emotional symptoms arising as a result of inflammatory bowel disease.


Assuntos
Ansiedade/terapia , Terapia Cognitivo-Comportamental , Depressão/terapia , Doenças Inflamatórias Intestinais/complicações , Psicoterapia de Grupo , Ansiedade/etiologia , Protocolos Clínicos , Depressão/etiologia , Humanos
11.
Rev. esp. enferm. dig ; 99(10): 593-598, oct. 2007. tab
Artigo em Es | IBECS | ID: ibc-63283

RESUMO

Introducción: los pacientes con enfermedades inflamatorias intestinalespresentan una mayor tasa de alteraciones psicopatológicasque la población normal, predominantemente ansiedad y depresión.Objetivo: el principal objetivo de este estudio fue diseñar, poneren práctica y validar un programa de tratamiento psicológico protocolizado,basado en el modelo de competencias y con una metodologíapsicoeducativa, en el que se incluyeron los siguientes módulos deintervención: información de la enfermedad, modelo de afrontamiento,solución de problemas, técnicas de relajación, entrenamientoen habilidades sociales, técnicas de distracción y técnicas de reestructuracióncognitiva. Todas estás técnicas fueron adaptadas a laproblemática característica de la enfermedad inflamatoria intestinal.Método: la muestra estuvo constituida por 57 pacientes diagnosticadosde enfermedad inflamatoria intestinal de la Asociaciónde Enfermos de Crohn y Colitis Ulcerosa de España. La muestrase distribuyó aleatoriamente en dos grupos experimentales, 33formaron parte del programa de tratamiento en grupo y 24 fueronasignados al grupo control en lista de espera. Las variablesemocionales medidas fueron: ansiedad y depresión.Resultados: los resultados reflejaron una mejoría clínica y estadísticamentesignificativa en las variables de ansiedad (p <0,001) y depresión (p < 0,001), al compararlo con el grupo controlen lista de espera. Asimismo, esa mejoría se mantiene en losseguimientos realizados a los 3, 6 y 12 meses.Conclusión: el programa de tratamiento psicológico protocolizadoy administrado en grupo resulta eficaz para disminuir la sintomatologíaemocional que puede presentarse como consecuenciadel padecimiento de la enfermedad inflamatoria intestinal


Introduction: patients affected by inflammatory bowel diseasehave a high rate of psychiatric disorders such as depressionand anxiety.Objective: the main goal of this study was to design, to putinto practice, and to validate a protocolized psychological treatmentprogram based on the coping model, and a psycho-educationalmethodology in which the following intervention moduleswere included– illness information, coping model, problem solvingtechniques, relaxation, social skill training, distraction, and cognitiverestructuring techniques. All these techniques were adapted tothe characteristic features of inflammatory bowel disease.Method: the sample included 57 patients with inflammatorybowel disease from the Spanish Crohn's Disease and UlcerativeColitis Association. The sample was randomly assigned to one ofthe two experimental groups –33 were assigned to the treatmentgroup, and 24 were assigned to the waiting list control group.Results: the results reflected a significant clinical and statisticalimprovement in anxiety (p < 0.001) and depression (p <0.001) variables when compared to the waiting list control group.Likewise, improvement was sustained at 3, 6, and 12 monthsduring follow-up.Conclusion: the protocolized psychological treatment program,administered in group sessions, is effective in reducingemotional symptoms arising as a result of inflammatory bowel disease (AU)


Assuntos
Humanos , Terapia Cognitivo-Comportamental/métodos , Doenças Inflamatórias Intestinais/terapia , Doenças Inflamatórias Intestinais/psicologia , Depressão/terapia , Ansiedade/terapia , Resultado do Tratamento , Perfil de Impacto da Doença
12.
J Agric Food Chem ; 53(4): 1166-72, 2005 Feb 23.
Artigo em Inglês | MEDLINE | ID: mdl-15713035

RESUMO

Twenty-five samples of propolis were collected from seven different regions in northern Argentina; ethanolic extracts of propolis were prepared from all samples, and the respective samples were examined for UV absorption spectra, RPHPTLC, RPHPLC, antimicrobial activity, antiradical activity, and total phenolic content. It was found that 16 of the 25 samples showed a phenolic profile similar to that found in samples from southern Brazil and corresponding to poplar-based propolis and that the rest of the samples showed a different profile and higher antimicrobial and antiradical activities.


Assuntos
Própole/química , Própole/farmacologia , Antibacterianos/análise , Argentina , Cromatografia Líquida de Alta Pressão , Etanol , Flavonoides/análise , Radicais Livres/antagonistas & inibidores , Fenóis/análise , Espectrofotometria Ultravioleta
13.
Eur J Pediatr Surg ; 14(3): 155-62, 2004 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-15211404

RESUMO

AIM OF THE STUDY: We present the experimental results of a new technique that makes use of the anal sphincter to achieve urinary continence in individuals with major congenital defects of the urinary sphincter. METHODS: 50 New Zealand White rabbits were assigned to one of 6 groups and a different surgical procedure was carried out for each group under general anaesthesia with isoflurane alone or isoflurane and local anaesthesia. Variables of interest were: number, consistency and morphology of the faeces, number, shape and location of the stains of urine, histological changes and biochemical parameters in blood. RESULTS AND CONCLUSIONS: The best anaesthetic levels were obtained with 2 % isoflurane and local anaesthesia. The surgical procedure demonstrated its usefulness in achieving urinary continence in all rabbits, although an initial self-limited period of incontinence was common. No histologic alterations were detected, but a significant increase in the levels of urea and creatinine in blood was identified, most likely reflecting an obstructive uropathy.


Assuntos
Canal Anal/cirurgia , Incontinência Urinária/cirurgia , Animais , Creatinina/sangue , Masculino , Coelhos , Ureia/sangue
14.
J Org Chem ; 66(23): 7604-14, 2001 Nov 16.
Artigo em Inglês | MEDLINE | ID: mdl-11701011

RESUMO

A practical synthesis of polyhydroxylated 6-oxa-nor-tropanes incorporating the essential structural features of calystegine B(2) from 5-deoxy-5-thioureido and 5-ureido-L-idofuranose precursors is presented. The methodology relies on the ability of pseudoamide-type nitrogen atoms (thiourea, urea, and carbamate) to undergo nucleophilic addition to the masked aldehyde group of the monosaccharide. The generated hemiaminal functionality may further undergo in situ intramolecular glycosidation to give the bicyclic aminoacetal compounds, the whole process being favored by the anomeric effect. A series of derivatives bearing different substituents at nitrogen has been prepared and screened against several glycosidases in comparison with xylonojirimycin-type piperidine analogues. Interestingly, strong and highly specific inhibition of bovine liver beta-glucosidase was observed for 6-oxacalystegine B(2) analogues incorporating aromatic pseudoaglyconic groups. On the basis of these data, a 1-azasugar inhibition mode is proposed for this family of glycomimetics.


Assuntos
Inibidores Enzimáticos/síntese química , Glicosídeo Hidrolases/antagonistas & inibidores , Nortropanos/síntese química , Animais , Ligação Competitiva , Sequência de Carboidratos , Bovinos , Café/enzimologia , Inibidores de Glicosídeo Hidrolases , Fígado/enzimologia , Dados de Sequência Molecular , Nortropanos/farmacologia , Prunus/enzimologia , Saccharomyces cerevisiae/enzimologia , Alcaloides de Solanáceas , Estereoisomerismo , beta-Glucosidase/antagonistas & inibidores
15.
J Ethnopharmacol ; 76(2): 165-70, 2001 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-11390131

RESUMO

Propolis is used in Argentine folk medicine. We have examined its possible protective action against oxidative modification of lipid in unfractionated serum. The kinetics of copper-induced oxidation was continuously monitored by measuring the formation of conjugated dienes, as the increase in the absorbance at 234 nm. According to the kinetics of oxidation, the propolis were classified in three different groups. Group I (CE, CO, BO, MO, BE) inhibited lipid oxidation during the initiation and propagation phases even at low concentrations. Group II (SP, CA, AM) increased the lag-phase for conjugated diene formation. All propolis in groups I and II diminished the maximal rate of diene production and the maximal amount of dienes produced. Group III (PA, RA, FE, VR, TV) had no effect on the lipid oxidation. The extent of lipoprotein oxidation was measured by the thiobarbituric acid reactive substance assay. Generation of malondialdehyde-like substances was inhibited and delayed by the presence of propolis extracts from group I and II. Our results justify the use of propolis (groups I and II) as a source of natural antioxidants.


Assuntos
Antioxidantes/farmacologia , Sangue/efeitos dos fármacos , Própole/farmacologia , Antioxidantes/classificação , Antioxidantes/isolamento & purificação , Argentina , Sangue/metabolismo , Humanos , Cinética , Lipoproteínas LDL/sangue , Medicina Tradicional , Oxirredução/efeitos dos fármacos , Própole/classificação , Própole/isolamento & purificação
16.
J Ethnopharmacol ; 71(1-2): 109-14, 2000 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10904153

RESUMO

Propolis is extensively used in Argentine folk medicine. Alcoholic extracts of propolis from different regions of Argentina were prepared. The extracts were analysed for the determination of total flavonoid content (from 13.3 to 42.6 mg/g of propolis) by using the aluminum nitrate method, UV spectrophotometry and thin layer chromatography. All of them contained high total flavonoid content. It was also observed that all samples of ethanolic extracts of propolis showed free radical-scavenging activity in terms of scavenging of the radical DPPH but the highest activities were found for samples from Tucumán and Santiago del Estero. In all cases with 20 microg/ml of soluble principles, the percentage of DPPH degradation was different (Banda Oeste: 67.5%; Verónica: 45%; Forres: 35%; Saenz Peña: 20% and Juan José Castelli: 55%). These results may justify their use as a source of natural antioxidants.


Assuntos
Sequestradores de Radicais Livres/farmacologia , Picratos , Própole/farmacologia , Argentina , Bepridil/análogos & derivados , Bepridil/química , Compostos de Bifenilo , Cromatografia Líquida , Cromatografia em Camada Fina , Flavonoides/análise , Sequestradores de Radicais Livres/análise , Radicais Livres/química , Indicadores e Reagentes , Própole/análise
17.
J Org Chem ; 65(1): 136-43, 2000 Jan 14.
Artigo em Inglês | MEDLINE | ID: mdl-10813907

RESUMO

A series of aminoketalic castanospermine analogues incorporating a stereoelectronically anchored axial hydroxy group at the pseudoanomeric stereocenter (C-5) have been synthesized to satisfy the need for glucosidase inhibitors that are highly selective for alpha-glucosidases. The polyhydroxylated bicyclic system was built from readily available hexofuranose derivatives through a synthetic scheme that involved (i) the construction of a five-membered cyclic (thio)carbamate or (thio)urea moiety at the nonreducing end and (ii) the intramolecular nucleophilic addition of the heterocyclic thiocarbamic nitrogen atom to the masked aldehyde group of the monosaccharide. A biological screening of the resulting reducing 2-oxa- and 2-azaindolizidines against several glycosidase enzymes is reported.


Assuntos
Inibidores Enzimáticos/síntese química , Glicosídeo Hidrolases/antagonistas & inibidores , Indolizinas/síntese química , Substâncias Redutoras/química , Configuração de Carboidratos , Inibidores Enzimáticos/química , Inibidores Enzimáticos/farmacologia , Estudos de Avaliação como Assunto , Indolizinas/química , Indolizinas/farmacologia , Mimetismo Molecular , Análise Espectral
18.
J Ethnopharmacol ; 68(1-3): 97-102, 1999 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-10624867

RESUMO

Propolis is extensively used in Argentine folk medicine. Alcoholic extracts of propolis from four localities of Amaicha del Valle (El Paraiso, La Banda Este, La Banda Oeste and El Molino), Province of Tucumán and from Cerrillos, Province of Santiago del Estero, Argentina were prepared. All showed antibacterial activity against Gram positive bacteria, the propolis from La Banda Este being the most active (MIC = 7.8 microg/ml) against Streptococcus piogenes, an antibiotic resistant bacterium. Thin layer chromatographic (TLC) separation profiles of propolis from Amaicha del Valle region were similar but differ from the alcoholic extract of the propolis from Cerrillos, another phytogeographical region of Argentina (provincia chaqueña). Bioautographic assays of the TLC profiles showed that several separated compounds of the Amaicha del Valle propolis have antibacterial activity. The difference in composition between Amaicha del Valle and Cerrillos propolis coincides with a different phytogeographical formation.


Assuntos
Antibacterianos/farmacologia , Extratos Vegetais/farmacologia , Própole/química , Argentina , Autorradiografia , Cromatografia em Camada Fina , Avaliação Pré-Clínica de Medicamentos , Resistência Microbiana a Medicamentos/fisiologia , Bactérias Gram-Positivas/efeitos dos fármacos , Medicina Tradicional , Testes de Sensibilidade Microbiana , Solubilidade , Streptococcus pyogenes/efeitos dos fármacos
19.
Rev Med Chil ; 125(8): 922-6, 1997 Aug.
Artigo em Espanhol | MEDLINE | ID: mdl-9567397

RESUMO

We report an eight years old boy presenting with a pyogenic granuloma of the scalp, generalized alopecia, descamative plates in the neck, trunk and limbs and nail involvement. Cultures for fungus of all these lesions disclosed Microspore canis. The patient was treated with oral griseofulvin, miconazole and topical tolnaftate. Five years later and after several incomplete treatments, the patient returns with a fistulous mass of 15 x 8 cm in the dorsal area whose culture revealed Microspore canis. The mass was excised and oral ketoconazole was indicated. After three months of follow up, the patient was lost from control.


Assuntos
Microsporum/isolamento & purificação , Micetoma/microbiologia , Antifúngicos/uso terapêutico , Criança , Humanos , Masculino , Micetoma/tratamento farmacológico , Micetoma/patologia , Onicomicose/microbiologia
20.
Rev Med Chil ; 124(5): 593-6, 1996 May.
Artigo em Espanhol | MEDLINE | ID: mdl-9035513

RESUMO

The most common superficial mycosis caused by Trichosporon beigelii is white piedra. We report a 18 years old male that had in several hairs of the scalp, white-yellowish nodules of 1 mm diameter, agglutinated or forming chains, even forming threads, with a greasy aspect. Trichosporon beigelii was identified in cultures. Oral and topical antimycotics were prescribed and the patient was lost from follow up.


Assuntos
Piedra/microbiologia , Dermatoses do Couro Cabeludo/microbiologia , Trichosporon/isolamento & purificação , Adolescente , Fluconazol/uso terapêutico , Humanos , Itraconazol/uso terapêutico , Cetoconazol/uso terapêutico , Masculino , Piedra/tratamento farmacológico , Dermatoses do Couro Cabeludo/tratamento farmacológico
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