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1.
Artigo em Inglês | MEDLINE | ID: mdl-36890063

RESUMO

INTRODUCTION AND AIMS: An anastomotic leak is one of the most dreaded complications in colorectal surgery because it increases postoperative morbidity and mortality. The aim of the present study was to identify whether indocyanine green fluorescence angiography (ICGFA) reduced the anastomotic dehiscence rate in colorectal surgery. MATERIAL AND METHODS: A retrospective study on patients that underwent colorectal surgery with colonic resection or low anterior resection and primary anastomosis, within the time frame of January 2019 and September 2021, was conducted. The patients were divided into the case group, in which ICGFA was performed for the intraoperative evaluation of blood perfusion at the anastomosis site, and the control group, in which ICGFA was not utilized. RESULTS: A total of 168 medical records were reviewed, resulting in 83 cases and 85 controls. Inadequate perfusion that required changing the surgical site of the anastomosis was identified in 4.8% of the case group (n = 4). A trend toward reducing the leak rate with ICGFA was identified (6% [n = 5] in the cases vs 7.1% in the controls [n = 6] [p = 0.999]). The patients that underwent anastomosis site change due to inadequate perfusion had a 0% leak rate. CONCLUSIONS: ICGFA as a method to evaluate intraoperative blood perfusion showed a trend toward reducing the incidence of anastomotic leak in colorectal surgery.

2.
Cir Pediatr ; 35(2): 94-98, 2022 Apr 01.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-35485759

RESUMO

INTRODUCTION: Page kidney (PK) is a rare condition caused by parenchymal compression due to a subcapsular hematoma. Irreversible damage of the graft may occur if this condition is not recognized and treated properly. CLINICAL CASE: We describe the case of a 16-year-old man with chronic renal failure secondary to corticosteroid-resistant nephrotic syndrome (CRNS) caused by NPHS2 mutations. The patient underwent a 5th fifth living-related KT. The graft was placed intraperitoneally and reperfused well without complications. On the 4th postoperative day his labs demonstrated raising creatinine associated with refractory hypertension, gross hematuria and anemia. Urgent ultrasound revealed a subcapsular hematoma with signs of parenchymal compression. PK phenomenon was suspected and urgent surgical intervention decided. COMMENTS: PK is a rare but an emergence potentially treatable and reversible complication after pediatric KT. Early diagnosis based on clinical suspicion and suggestive imaging are the key points for a favorable outcome.


INTRODUCCION: El riñón de Page (RP) es una enfermedad rara provocada por compresión parenquimatosa debido a un hematoma subcapsular. El injerto puede sufrir daños irreversibles si la enfermedad no se reconoce y se trata de forma adecuada. CASO CLINICO: Describimos el caso de un varón de 16 años con fallo renal crónico secundario a síndrome nefrótico corticorresistente (SNCR) provocado por mutaciones del gen NPHS2. El paciente se somete a un quinto TR de donante vivo. El injerto se coloca en posición intraperitoneal, con una adecuada reperfusión, sin complicaciones. Al cuarto día postoperatorio, sus análisis revelan una subida de la creatinina asociada a hipertensión refractaria, hematuria macroscópica y anemia. La ecografía de urgencia revela hematoma subcapsular con signos de compresión parenquimatosa. Se sospecha RP y se decide intervención quirúrgica de urgencia. COMENTARIOS: El RP es una complicación rara y urgente, aunque a su vez tratable y reversible, tras TR pediátrico. El diagnóstico precoz basado en la sospecha clínica y las imágenes son claves a la hora de conseguir un resultado favorable.


Assuntos
Hipertensão , Falência Renal Crônica , Transplante de Rim , Adolescente , Criança , Feminino , Hematoma/etiologia , Hematoma/cirurgia , Humanos , Hipertensão/etiologia , Rim , Falência Renal Crônica/complicações , Masculino
3.
Cir. pediátr ; 35(2): 1-5, Abril, 2022. ilus
Artigo em Espanhol | IBECS | ID: ibc-203579

RESUMO

Introducción: El riñón de Page (RP) es una enfermedad rara provocada por compresión parenquimatosa debido a un hematoma subcapsular. El injerto puede sufrir daños irreversibles si la enfermedad no se reconoce y se trata de forma adecuada.Caso clínico: Describimos el caso de un varón de 16 años con fallo renal crónico secundario a síndrome nefrótico corticorresistente (SNCR) provocado por mutaciones del gen NPHS2. El paciente se somete a un quinto TR de donante vivo. El injerto se coloca en posición intraperitoneal, con una adecuada reperfusión, sin complicaciones. Alcuarto día postoperatorio, sus análisis revelan una subida de la creatininaasociada a hipertensión refractaria, hematuria macroscópica y anemia.La ecografía de urgencia revela hematoma subcapsular con signos de compresión parenquimatosa. Se sospecha RP y se decide intervenciónquirúrgica de urgencia. Comentarios: El RP es una complicación rara y urgente, aunque a su vez tratable y reversible, tras TR pediátrico. El diagnóstico precoz basado en la sospecha clínica y las imágenes son claves a la hora de conseguir un resultado favorable.


Introduction: Page kidney (PK) is a rare condition caused by parenchymal compression due to a subcapsular hematoma. Irreversible damage of the graft may occur if this condition is not recognized and treated properly.Clinical case: We describe the case of a 16-year-old man withchronic renal failure secondary to corticosteroid-resistant nephroticsyndrome (CRNS) caused by NPHS2 mutations. The patient underwent a 5th fifth living-related KT. The graft was placed intraperitoneallyand reperfused well without complications. On the 4 th postoperativeday his labs demonstrated raising creatinine associated with refractoryhypertension, gross hematuria and anemia. Urgent ultrasound revealeda subcapsular hematoma with signs of parenchymal compression. PKphenomenon was suspected and urgent surgical intervention decided.Comments: PK is a rare but an emergence potentially treatableand reversible complication after pediatric KT. Early diagnosis basedon clinical suspicion and suggestive imaging are the key points for afavorable outcome.


Assuntos
Humanos , Masculino , Adolescente , Transplante de Rim , Rim , Insuficiência Renal Crônica/complicações , Falência Renal Crônica , Cirurgia Geral , Adolescente , Pediatria , Doadores de Tecidos
4.
Rev Gastroenterol Mex (Engl Ed) ; 87(1): 29-34, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-34656502

RESUMO

INTRODUCTION AND AIM: Anastomosis leak occurs in 1-19% of colorrectal surgeries. Our objective was to present the first Mexican case series on colorrectal surgery using indocyanine green fluorescence angiography to evaluate perfusion prior to carrying out the anastomosis. MATERIALS AND METHODS: A retrospective, analytic, descriptive study was conducted. We studied the case records of consecutive patients that underwent colorrectal surgery with indocyanine green angiography performed by the same group of colorrectal surgeons. RESULTS: Twenty-one case records were reviewed. Eleven (52.3%) of the patients were women, mean patient age was 57 years (38-82), and mean body mass index was 25 kg/m2 (17-34). Fifteen (71.4%) patients were diagnosed with malignant disease. Indocyanine green angiography changed our therapeutic decision in three (14.2%) patients. Two colorrectal anastomoses (14.2%) were performed at fewer than 5 cm from the anal verge and 13 (61.9%) were performed at more than 5 cm from the anal verge. Three of the anastomoses were ileocolic (14.2%), two were coloanal (9.5%), and one was ileoanal (4.7%). There were six (28.5%) complications, no cases of anastomotic leak, and no complications associated with the use of indocyanine green. The mortality rate was 0%. CONCLUSION: The present case series is the first on colorrectal surgery conducted in Mexico using indocyanine green fluorescence angiography, with excellent results.


Assuntos
Cirurgia Colorretal , Verde de Indocianina , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Angiofluoresceinografia , Humanos , México , Pessoa de Meia-Idade , Estudos Retrospectivos
5.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-33388212

RESUMO

INTRODUCTION AND AIM: Anastomotic leak occurs in 1-19% of colorrectal surgeries. Our objective was to present the first Mexican case series on colorrectal surgery using indocyanine green fluorescence angiography to evaluate perfusion prior to carrying out the anastomosis. MATERIALS AND METHODS: A retrospective, analytic, descriptive study was conducted. We studied the case records of consecutive patients that underwent colorrectal surgery with indocyanine green angiography performed by the same group of colorrectal surgeons. RESULTS: Twenty-one case records were reviewed. Eleven (52.3%) of the patients were women, mean patient age was 57 years (38-82), and mean body mass index was 25 kg/m2 (17-34). Fifteen (71.4%) patients were diagnosed with malignant disease. Indocyanine green angiography changed our therapeutic decision in three (14.2%) patients. Two colorrectal anastomoses (14.2%) were performed at fewer than 5 cm from the anal verge and 13 (61.9%) were performed at more than 5 cm from the anal verge. Three of the anastomoses were ileocolic (14.2%), two were coloanal (9.5%), and one was ileoanal (4.7%). There were six (28.5%) complications, no cases of anastomotic leak, and no complications associated with the use of indocyanine green. The mortality rate was 0%. CONCLUSION: The present case series is the first on colorrectal surgery conducted in Mexico using indocyanine green fluorescence angiography, with excellent results.

6.
ACS Appl Mater Interfaces ; 11(22): 19751-19762, 2019 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-31074956

RESUMO

Surfaces were prepared with polyelectrolyte derivatives of poly(styrene- alt-maleic anhydride) (PSMA) functionalized with amino acids of different hydropathy indices, with the aim of evaluating the effect of the chemical functionality of polyelectrolytes on SH-SY5Y neuroblastoma cell adhesion. Functionalizing PSMA derivatives with l-glutamine, l-methionine, and l-tyrosine yielded PSMA-Gln, PSMA-Met, and PSMA-Tyr polyelectrolytes, respectively. We first studied the adsorption behavior of PSMA functionalized with amino acids on silicon wafer surfaces modified with 3-aminopropyltriethoxysilane at pH 4.0 and 7.0 and at low and high ionic strengths. The highest rate of polyelectrolyte adsorption was at pH 4.0 and high ionic strength and was higher with the glutamine and tyrosine films. The advance contact angles (θA) of the polyelectrolyte surfaces showed a moderate effect of ionic strength and pH on polyelectrolyte film wettability, with PSMA-Tyr being slightly more hydrophobic. Atomic force microscopy images of the polyelectrolyte surfaces showed two types of morphology: the well-defined globular nanostructure of PSMA-Met and PSMA-Tyr and densely packed nanofibrous-like structure of PSMA-Gln. The highest level of ionic strength caused a slight decrease in the size of the nanostructure that formed the surface domains, which was reflected in the degree of surface roughness. Cell adhesion assays with the polyelectrolyte film showed that SH-SY5Y neuroblastoma cells cultured on PSMA-Met present a well-extended morphology characterized by a stellate shape, with five or more actin-rich thin processes, whereas SH-SY5Y cells that were seeded on PSMA-Gln and PSMA-Tyr have a round morphology, with fewer and shorter processes. These results indicate that it is possible to modulate the surface characteristics of polyelectrolyte films based on their chemical functionality and environmental parameters such as pH and ionic strength in order to evaluate their effect on cell adhesion. Thus, surfaces prepared from polyelectrolytes functionalized with amino acids are an attractive and simple platform for cell adhesion, which can be used in developing biomaterials with modulated surface properties.


Assuntos
Aminoácidos/química , Nanoestruturas/química , Polieletrólitos/química , Polímeros/química , Adesão Celular/efeitos dos fármacos , Linhagem Celular Tumoral , Humanos , Concentração de Íons de Hidrogênio , Maleatos/química , Microscopia Eletrônica de Varredura , Nanoestruturas/ultraestrutura , Polímeros/farmacologia , Poliestirenos/química , Espectroscopia de Infravermelho com Transformada de Fourier , Propriedades de Superfície , Molhabilidade
7.
Epidemiol Mikrobiol Imunol ; 67(1): 24-30, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30157659

RESUMO

Vibrio cholerae (Vc) has been isolated from roots of aquatic plants during epidemic or interepidemic periods. It has been suggested that the lectins from the roots of aquatic plants play a role as reservoirs of Vc. In this paper, we evaluated the activity of lectins from Lemna minor and Eichornia crassipens plants as potential mediators of the Vc strain El Tor (Vct). We found that Lemna minor extract showed high specificity towards blood groups O and B. Eichornia crassipens extract showed high specificity towards blood group A and O. Sugar competition experiments demonstrated that Lemna minor extract showed a high recognition to Neu5Ac (acid N acetyl neuraminic or sialic acid) and GlcNAc (N-acetyl D glucoseamine) in group B; and GlcNAc in group O. Eichornia crassipens, the recognition was that of GalNAc (N-acetyl-D-galactoseamine) and GlcNAc in group O; and Fuc (L-Fucose) and GlcNAc in group A. Lemna minor and Eichornia crassipens protein extracts (p-ext) increased Vct proliferation and protected to the red cells group O against the hemolytic activity of Vct. Both p-exts did not show any statistical significance on agglutination to Vct when compared to the results from phosphate buffer. According to the results, lectins present in roots may be involved in the proliferation and survival of Vct.


Assuntos
Araceae/química , Aderência Bacteriana , Eichhornia/química , Lectinas , Vibrio cholerae , Aderência Bacteriana/fisiologia , Lectinas/metabolismo
8.
Theriogenology ; 119: 220-224, 2018 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-30053723

RESUMO

This study aimed to evaluate the effects of dietary supplementation of ferulic acid (FA) on reproductive tract weight (RTW), ovarian activity and serum concentrations of some metabolites and thyroid hormones of pre-pubertal hairbreed ewe lambs during the natural anestrous season. Twenty Dorper x Pelibuey crossbred ewe lambs (initial body weight = 28.5 ±â€¯0.5 kg and age = 5.0 mo) were fed a basal diet and assigned to two treatments (n = 10) under randomized complete block design: FA supplementation to dosages of 0 (control) or 300 mg of FA/d animal-1. Females were treated with FA during 34 d and then slaughtered to evaluate RTW and ovary. Blood samples were collected at days 1 and 34 to determine serum concentrations of metabolites (i.e. glucose, cholesterol, triglycerides, urea and total protein) and thyroid hormones. Final weight, dry matter intake, and serum concentrations of metabolites (except glucose) and thyroid hormones were unaltered by FA. Compared to control, FA-fed ewe lambs had lower (P = 0.05) serum glucose level but higher (P ≤ 0.05) RTW, ovarian mass, number of larger follicles and corpus luteum (CL). While percentage of ewe lambs with small follicles and number of small follicles per female did not vary, percentage of ewe lambs with large follicles and CL increased (P = 0.02) with FA. In conclusion, FA supplementation improves the reproductive tract development and ovarian activity of pre-pubertal hairbreed ewe lambs during the natural anestrous season. An improvement in functionality of the glucose-insulin system could be related with this benefic effect of FA.


Assuntos
Ácidos Cumáricos/farmacologia , Dieta/veterinária , Maturidade Sexual/efeitos dos fármacos , Ovinos/crescimento & desenvolvimento , Animais , Glicemia/efeitos dos fármacos , Feminino , Folículo Ovariano/efeitos dos fármacos , Distribuição Aleatória , Estações do Ano
9.
Papillomavirus Res ; 4: 39-44, 2017 12.
Artigo em Inglês | MEDLINE | ID: mdl-29179868

RESUMO

OBJECTIVES: Puerto Rico (PR), is the fifth highest jurisdiction of the United States of America (US) with respect to HIV prevalence and the leading in cervical cancer incidence. This cross-sectional study describes the prevalence and correlates of cervical HPV infection among a clinic-based sample of 302 women living with HIV/AIDS in PR. METHODS: Data collection included questionnaires, blood and cervical samples. Multivariable logistic regression models were used to estimate the magnitude of association (adjusted Prevalence odds ratio [aPOR]) between HPV cervical infection and other covariates. RESULTS: Mean age of participants was 40.3 years (± 10.3SD). The prevalence of HPV infection was 50.3%; 41.1% for low-risk types and 29.5% for high-risk types. Having ≥ 10 lifetime sexual partners (aPOR = 2.10, 95% CI:1.02-4.29), an abnormal Pap (aPOR = 3.58, 95% CI:1.93-6.62), active genital warts (aPOR = 3.45, 95% CI:1.60-7.42), and CD4 counts ≤ 200 (aPOR = 4.24, 95% CI: 1.67-10.78) were positively associated with any cervical HPV infection. Similar results were observed for HR HPV infection. CONCLUSIONS: A high burden of HPV co-infection exists among women living with HIV/AIDS in this population. Given the high incidence of HIV in PR and the higher risk of cervical cancer among women living with HIV/AIDS, HPV vaccination should be promoted in this population.


Assuntos
Colo do Útero/virologia , Coinfecção/epidemiologia , Infecções por HIV/epidemiologia , Hispânico ou Latino , Infecções por Papillomavirus/etnologia , Infecções por Papillomavirus/epidemiologia , Adulto , Coinfecção/virologia , Condiloma Acuminado/epidemiologia , Condiloma Acuminado/etiologia , Condiloma Acuminado/virologia , Efeitos Psicossociais da Doença , Estudos Transversais , DNA Viral , Feminino , Infecções por HIV/complicações , Infecções por HIV/virologia , Humanos , Modelos Logísticos , Razão de Chances , Papillomaviridae/genética , Infecções por Papillomavirus/complicações , Infecções por Papillomavirus/virologia , Prevalência , Porto Rico/epidemiologia , Fatores de Risco , Parceiros Sexuais , Inquéritos e Questionários , Neoplasias do Colo do Útero/epidemiologia , Neoplasias do Colo do Útero/etiologia , Neoplasias do Colo do Útero/virologia
11.
Rev. chil. obstet. ginecol. (En línea) ; 82(4): 350-360, oct. 2017. tab, graf
Artigo em Espanhol | LILACS | ID: biblio-899918

RESUMO

ANTECEDENTES: en salud la objeción de conciencia del profesional es posible reconocerla globalmente como la negativa individual y privada para el cumplimiento de un deber jurídico considerado injusto que afecta la conciencia moral de quien objeta. En Chile ha cobrado especial relevancia en la actual discusión sobre la despenalización del aborto en tres causales, emergiendo como uno de los temas centrales. OBJETIVO: el presente artículo describe las principales características observadas en el debate público desde los primeros intentos para restablecer el aborto terapéutico hasta el actual proyecto en tramitación que intenta regular la despenalización del aborto en tres causales. La información fue obtenida a partir de la búsqueda en los principales medios de comunicación, identificando los principales actores, las instituciones y el discurso predominante. RESULTADOS: se identificaron 251 piezas de prensa y 215 actores provenientes en mayor proporción de la Cámara de Diputados, de las Universidades y del Ejecutivo. En el discurso prevalece la referencia a la objeción de conciencia individual e institucional, surgiendo la polémica en torno a su legitimidad y posibles consecuencias. DISCUSIÓN: debe evaluarse con mayor profundidad el fundamento basado en el derecho constitucional a la libertad de conciencia considerando los límites establecidos en un Estado de Derecho democrático y las directrices éticas presentes en la relación clínica. Se plantea la necesidad de regular su ejercicio previendo que no se vulneren derechos fundamentales, en especial de quienes detentan un mayor grado de vulnerabilidad.


BACKGROUND: objection on grounds of conscience by health care professionals is generally recognized as a personal, private refusal to perform a legal duty deemed unjust and deleterious to the objector's moral conscience. Conscientious objection has become a central aspect of the debate on the proposed decriminalization of abortion on three grounds currently underway in Chile. METHODS: this article describes the main constituent elements of the associated public debate, covering from the early efforts to restore therapeutic pregnancy termination through to the draft decriminalization legislation now being discussed in Congress. All data comes from a review of leading media outlets; key participants, institutions and prevailing discourses are identified. RESULTS: the said review encompassed 251 media items and 215 key players affiliated mostly with the Chamber of Deputies, universities, and government. Themes prevailing in associated discourses reference conscientious objection by personal and institutional players, as well as the attendant controversy over its legitimacy and possible consequences. DISCUSSION: this article posits that the constitutional right to freedom of conscience should be scrutinized further with due regard to the limits existing in rule-of-law democracies and to the ethical standards governing doctor-patient relationships. The exercise of conscientious objection privilege needs to be regulated in order to prevent infringement of fundamental rights, especially those of particularly vulnerable segments of the population.


Assuntos
Humanos , Feminino , Gravidez , Pessoal de Saúde/psicologia , Aborto Induzido/legislação & jurisprudência , Aborto Induzido/ética , Consciência , Meios de Comunicação de Massa/estatística & dados numéricos , Chile , Aborto Induzido/psicologia
13.
J Ethnopharmacol ; 194: 749-754, 2016 Dec 24.
Artigo em Inglês | MEDLINE | ID: mdl-27765606

RESUMO

BACKGROUND: Caries is a public health problem, given that it prevails in 60 to 90% of the school-age global population. Multiple factors interact in its etiology, among them dental plaque is necessary to have lactic acid producing microorganisms like Streptococcus from he Mutans group. Existing prevention and treatment measures are not totally effective and generate adverse effects, which is why it is necessary to search for complementary strategies for their management. AIM: The study sought to evaluate the eradication capacity of Streptococcus mutans biofilms and the toxicity on eukaryotic cells of Lippia alba and Cymbopogon citratus essential oils. METHODOLOGY: Essential oils were extracted from plant material through steam distillation and then its chemical composition was determined. The MBEC-high-throughput (MBEC-HTP) (Innovotech, Edmonton, Alberta, Canada) assay used to determine the eradication concentration of S. mutans ATCC 35668 strain biofilms. Cytotoxicity was evaluated on CHO cells through the MTT cell proliferation assay. RESULTS: The major components in both oils were Geraniol and Citral; in L. alba 18.9% and 15.9%, respectively, and in C. citratus 31.3% and 26.7%. The L. alba essential oils presented eradication activity against S. mutans biofilms of 95.8% in 0.01mg/dL concentration and C. citratus essential oils showed said eradication activity of 95.4% at 0.1, 0.01mg/dL concentrations and of 93.1% in the 0.001mg/dL concentration; none of the concentrations of both essential oils showed toxicity on CHO cells during 24h. CONCLUSION: The L. alba and C. citratus essential oils showed eradication activity against S. mutans biofilms and null cytotoxicity, evidencing the need to conduct further studies that can identify their active components and in order to guide a safe use in treating and preventing dental caries.


Assuntos
Biofilmes/efeitos dos fármacos , Cymbopogon/química , Lippia/química , Óleos Voláteis/farmacologia , Óleos de Plantas/farmacologia , Preparações de Plantas/farmacologia , Monoterpenos Acíclicos , Animais , Células CHO , Linhagem Celular , Cricetulus , Cárie Dentária/tratamento farmacológico , Cárie Dentária/microbiologia , Testes de Sensibilidade Microbiana/métodos , Monoterpenos/química , Monoterpenos/farmacologia , Óleos Voláteis/química , Óleos de Plantas/química , Preparações de Plantas/química , Streptococcus mutans/efeitos dos fármacos , Terpenos/química , Terpenos/farmacologia
14.
Clin Exp Obstet Gynecol ; 43(1): 37-42, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27048015

RESUMO

OBJECTIVE: The objective of this study was to determine whether puncturing the uterine wall and the amnion causes uterine contractions that result in fetal abnormalities. MATERIALS AND METHODS: An experimental study was performed using four groups of three female rabbits. Group A received a puncture of the amniotic membranes of one of the uteri on day 15 of gestation followed by group B on day 16, group C on day 17, and group D on day 18. The duration and force of contractions and fetal abnormalities were determined. RESULTS: There were immediate contractions after the puncture, which lasted 20 to 132 seconds with forces that ranged from 309 to 4,411 mg. All of the experimental fetuses exhibited anomalies of the head and extremities, exencephaly, cleft palates, and an absence of eye-lids. CONCLUSION: Injury to the uterine wall and the aniion can immediately cause uterine contractions, which are associated with different types of fetal abnormalities.


Assuntos
Síndrome de Bandas Amnióticas/etiologia , Prenhez , Contração Uterina/fisiologia , Útero/fisiopatologia , Síndrome de Bandas Amnióticas/fisiopatologia , Animais , Modelos Animais de Doenças , Feminino , Gravidez , Coelhos
15.
Rev. chil. reumatol ; 32(1): 21-25, 2016. tab
Artigo em Espanhol | LILACS | ID: biblio-869808

RESUMO

Introducción: El síndrome de Cogan es una entidad poco frecuente, de origen autoinmune.Se caracteriza por queratitis intersticial no sifilítica asociada a síntomasaudiovestibulares similares al síndrome de Ménière. Los primeros síntomas ocularesincluyen enrojecimiento y fotofobia, a los que se puede agregar conjuntivitis o uveítis.Objetivo: Presentar un caso de síndrome de Cogan típico y describir las principalescaracterísticas de la entidad.Caso clínico: Varón, 32 años, sin antecedentes mórbidos. Consulta por cuadro de cuatrodías de evolución caracterizado por dolor ocular e inyección conjuntival. Diagnosticadoen un comienzo con sinusitis y conjuntivitis aguda y se maneja como tal. Alpersistir sintomatología se hospitaliza a la semana evidenciándose fiebre, inyecciónconjuntival bilateral y a los pocos días hipoacusia. Los exámenes de laboratorio destacanleucocitosis, trombocitosis, PCR, VHS e IgA elevadas. Autoanticuerpos y estudiopara VIH y VHC negativos, TAC de cerebro y cavidades paranasales normales. Evaluadopor oftalmología y otorrinolaringología, describiéndose hiperemia conjuntival yquemosis, e hipoacusia neurosensorial de probable origen autoinmune, respectivamente.Evaluado por reumatología, se plantea síndrome de Cogan típico. Se indicaprednisona 1 mg/kg/día, metilprednisolona por dos días y metotrexato semanal, conbuena respuesta. Evoluciona con disminución de cefalea, de compromiso ocular ehipoacusia, afebril, dándose de alta con prednisona y metotrexato. Control al mesdel alta, paciente asintomático, se mantiene tratamiento. Control en oftalmología20 días después, objetivándose leve edema corneal, por lo que se indica tratamientotópico...


Background: Cogan’s syndrome is a rare entity of autoimmune origin. It is characterizedby non-syphilitic interstitial keratitis associated with audiovestibular symptomssimilar to Meniere’s syndrome. Early symptoms include eye redness and photophobia,which can be added conjunctivitis or uveitis.Objective: To report a case of typical Cogan’s syndrome and describe the main featuresof the entity.Case report: Male, 32, no morbid history. Consults for story of 4 days of evolutioncharacterized by eye pain and conjunctival injection. Initially diagnosed with sinusitisand acute conjunctivitis and handled as such. By persisting symptoms is hospitalizeda week later demonstrating fever, bilateral conjunctival injection and in a few dayshearing loss. Laboratory tests include leukocytosis, thrombocytosis, and elevatedPCR, VHS and IgA. Autoantibodies, HIV and HCV study were negative, brain and sinusesCT normal. Reviewed by ophthalmology and otolaryngology, describing conjunctivalhyperemia and chemosis, and sensorineural hearing loss of probable autoimmuneorigin, respectively. Evaluated by rheumatology, typical Cogan’s syndrome arises. It isindicated prednisone 1 mg/kg/day, methylprednisolone for 2 days and weekly methotrexate,with good response. Evolves with decreased in headache, eye commitmentand hearing loss, afebrile, was discharged with prednisone and methotrexate. Controla month after discharge, asymptomatic, treatment is maintained. Control 20 days laterin ophthalmology, objectifying mild corneal edema, so topical treatment indicated...


Assuntos
Humanos , Masculino , Adulto , Síndrome de Cogan/diagnóstico , Síndrome de Cogan/tratamento farmacológico , Glucocorticoides/uso terapêutico , Metotrexato/uso terapêutico , Perda Auditiva/etiologia , Prednisona/uso terapêutico , Ceratite/etiologia , Síndrome de Cogan/complicações
16.
J Anim Sci ; 93(6): 3189-96, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-26115305

RESUMO

The aim of the present study was to evaluate the impact of zilpaterol hydrochloride (ZH; 0 or 10 mg/lamb daily) and soybean oil (SBO; 0 or 6%) supplementation on feedlot performance, carcass traits, and wholesale cut yield of 32 Dorper × Pelibuey ewe lambs (30.55 ± 2. 57 kg of initial BW). Lambs were blocked by BW and randomly assigned to treatments under a randomized complete block design with a 2 × 2 factorial arrangement. After a 34-d feeding period, all ewes were slaughtered. No ZH × SBO interactions were detected (P ≥ 0.11) for the variables evaluated. In the overall feeding period and first 17 d of experiment, feedlot performance was not affected (P ≥ 0.26) by ZH supplementation, but from d 18 to 34, ZH increased (P ≤ 0.03) total gain, ADG, and G:F without affecting DMI (P = 0.58). Also, ZH increased (P ≤ 0.02) HCW, cold carcass weight, dressing percentage, LM area, and leg perimeter. Lung weight as percentage of final BW decreased (P = 0.05) whereas other noncarcass components and wholesale cut yields were not affected (P ≥ 0.06) by ZH supplementation. Inclusion of SBO did not affect (P ≥ 0.08) feedlot performance or wholesale cut yields. The LM pH at 24 h postmortem as well as liver and peritoneum percentages were decreased (P ≤ 0.05) by SBO supplementation, but no other carcass characteristics or noncarcass components were affected (P ≥ 0.08) by SBO. In conclusion, feedlot performance and carcass characteristics were not altered by the interaction of ZH × SBO. However, ZH alone increased the growth of ewes during the last 17 d of the feeding period. Likewise, carcass characteristics of economic importance (i.e., HCW, dressing percentage, LM area, and leg perimeter) increased with ZH supplementation. In general, feedlot performance, carcass traits, and wholesale cut yields were not altered by including 6% of SBO in the finishing diet of ewe lambs.


Assuntos
Ração Animal/análise , Suplementos Nutricionais , Ovinos/fisiologia , Óleo de Soja/farmacologia , Compostos de Trimetilsilil/farmacologia , Adrenérgicos/administração & dosagem , Adrenérgicos/farmacologia , Fenômenos Fisiológicos da Nutrição Animal , Animais , Composição Corporal/fisiologia , Peso Corporal , Dieta/veterinária , Feminino , Fígado , Óleo de Soja/administração & dosagem
17.
J Anim Sci ; 92(12): 5762-8, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25403190

RESUMO

The aim of this study was to evaluate effects of free ferulic acid (FA) supplementation on productive performance, some blood metabolite concentrations, and carcass characteristics of ewe lambs finished in a feedlot. Dorper×Pelibuey ewe lambs (n=20; BW=28.5±0.5 kg; age=5 mo) were individually housed in pens and assigned under a randomized complete block design to the following dietary treatments (n=10): daily feeding without (control) or with 300 mg of FA/animal. The feedlot feeding period lasted 34 d and then all ewe lambs were slaughtered. Free FA did not affect (P≥0.16) BW gain, ADG, DMI, and G:F during the first 17 d, but BW gain (P=0.10) and ADG (P=0.10) tended to decrease for FA from d 17 to 34 and from d 1 to 34 without affecting (P≥0.16) DMI and G:F in ewe lambs. Serum concentrations of glucose, cholesterol, triglyceride, total protein, and urea were not affected (P>0.05) by FA at d 1, 17, and 34 of the feeding period. Carcass characteristics were not affected (P>0.05) by FA. Stomach percentage tended (P=0.08) to decrease and leg yields increased (P=0.02) for FA. Other noncarcass components and wholesale cut yields were not affected (P>0.10) by FA. In conclusion, FA supplementation did not improve productive performance, metabolic status, and carcass characteristics of ewe lambs receiving a feedlot finishing diet.


Assuntos
Ração Animal , Glicemia/metabolismo , Composição Corporal/efeitos dos fármacos , Colesterol/sangue , Ácidos Cumáricos/farmacologia , Suplementos Nutricionais , Ovinos/fisiologia , Animais , Antioxidantes/administração & dosagem , Antioxidantes/farmacologia , Composição Corporal/fisiologia , Peso Corporal/efeitos dos fármacos , Peso Corporal/fisiologia , Ácidos Cumáricos/administração & dosagem , Dieta/veterinária , Feminino , Carne , Proteínas/metabolismo , Ovinos/crescimento & desenvolvimento , Triglicerídeos/sangue , Ureia/sangue
18.
J Dent Res ; 93(12): 1304-12, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25216511

RESUMO

Physiologic bioengineering of the oral, dental, and craniofacial complex requires optimized geometric organizations of fibrous connective tissues. A computer-designed, fiber-guiding scaffold has been developed to promote tooth-supporting periodontal tissue regeneration and functional restoration despite limited printing resolution for the manufacture of submicron-scaled features. Here, we demonstrate the use of directional freeze-casting techniques to control pore directional angulations and create mimicked topographies to alveolar crest, horizontal, oblique, and apical fibers of natural periodontal ligaments. For the differing anatomic positions, the gelatin displayed varying patterns of ice growth, determined via internal pore architectures. Regardless of the freezing coordinates, the longitudinal pore arrangements resulted in submicron-scaled diameters (~50 µm), along with corresponding high biomaterial porosity (~90%). Furthermore, the horizontal + coronal ([Formula: see text]) freezing orientation facilitated the creation of similar structures to major fibers in the periodontal ligament interface. This periodontal tissue-mimicking microenvironment is a potential tissue platform for the generation of naturally oriented ligamentous tissues consistent with periodontal ligament neogenesis.


Assuntos
Ligamento Periodontal/anatomia & histologia , Engenharia Tecidual/métodos , Tecidos Suporte/química , Animais , Materiais Biocompatíveis/química , Bioengenharia/instrumentação , Técnicas de Cultura de Células , Proliferação de Células , Sobrevivência Celular/fisiologia , Tecido Conjuntivo/anatomia & histologia , Cães , Liofilização , Congelamento , Gelatina/química , Regeneração Tecidual Guiada Periodontal/instrumentação , Humanos , Gelo , Imageamento Tridimensional/métodos , Microscopia Eletrônica de Varredura , Modelos Dentários , Ligamento Periodontal/citologia , Porosidade , Desenho de Prótese , Técnicas de Réplica , Estresse Mecânico , Propriedades de Superfície , Termografia/métodos , Engenharia Tecidual/instrumentação , Microtomografia por Raio-X/métodos
20.
J Anim Sci ; 92(3): 1184-92, 2014 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-24496845

RESUMO

Forty Dorper × Pelibuey ram lambs initially weighing 31.7 ± 2.30 kg were stratified by BW and randomly assigned to treatments under a completely randomized design with a 2 × 2 factorial arrangement of treatments to evaluate effects of zilpaterol hydrochloride (ZH; 0 or 10 mg/lamb daily) and soybean oil (SBO; 0 or 6%) on feedlot performance, carcass characteristics, and wholesale cut yield of ram lambs under heat stress conditions. After a 34-d feeding period, all lambs were harvested. Climatic conditions were of moderate heat stress (average temperature 35.7°C) for lambs during the study. Interactions ZH × SBO were not observed (P ≥ 0.11) for any of the variables evaluated. During the first 17 d of experiment, ZH increased (P ≤ 0.05) BW, ADG, and G:F without affecting feed intake (P = 0.40), but from d 18 to 34 and the entire 34-d feeding period, feedlot performance was not affected (P = 0.18) by ZH. Also, ZH decreased KPH, dressing percent, LM area, LM pH at 24 h postmortem, and leg perimeter (P ≤ 0.04). Renal fat (P = 0.03) decreased with ZH while other noncarcass components were not affected (P ≥ 0.06) by ZH supplementation. Leg yield (P = 0.01) and plain loin (P = 0.04) decreased with ZH and yields of other wholesale cuts were not affected (P ≥ 0.10) by ZH. Feedlot performance (P ≥ 0.20) and wholesale cut yield (P ≥ 0.21) were not affected by SBO. Additionally, dressing percentage decreased (P < 0.01) with SBO while other carcass characteristics (P ≥ 0.12) were not affected by SBO. In conclusion, inclusion of both ZH and SBO in feedlot finishing diets did not improve feedlot performance, carcass characteristics, or wholesale cut yield of hair-breed ram lambs under moderate heat stress. Feedlot performance responded only to ZH and only during the first 17 d of the feeding period. In addition, some carcass characteristics of economic importance, such as dressing, LM area, and leg yield, were improved by ZH.


Assuntos
Composição Corporal/efeitos dos fármacos , Temperatura Alta/efeitos adversos , Ovinos/fisiologia , Óleo de Soja/farmacologia , Estresse Fisiológico/efeitos dos fármacos , Compostos de Trimetilsilil/farmacologia , Adrenérgicos/farmacologia , Ração Animal/análise , Fenômenos Fisiológicos da Nutrição Animal , Animais , Dieta/veterinária , Suplementos Nutricionais , Masculino , Ovinos/classificação , Óleo de Soja/administração & dosagem , Estresse Fisiológico/fisiologia
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