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1.
Arch. argent. pediatr ; 122(5): e202310296, oct. 2024. tab, ilus
Artigo em Inglês, Espanhol | LILACS, BINACIS | ID: biblio-1571257

RESUMO

Introducción. El perímetro cefálico (PC) es un indicador del crecimiento cerebral y es necesario contar con referencias de crecimiento que permitan determinar variaciones normales o patológicas. Objetivos. Presentar las primeras referencias argentinas de perímetro cefálico entre el nacimiento y los 19 años, y compararlas con las referencias de Nellhaus, utilizadas en nuestro país hasta la actualidad. Población y métodos. Para la construcción de estas referencias, se combinaron datos de la Encuesta Nacional de Nutrición y Salud 2018 y estudios transversales realizados entre 2004 y 2007 en las provincias de Buenos Aires y La Pampa, que incluyeron 8326 niños, niñas y adolescentes sanos. Las curvas de crecimiento fueron ajustadas con el método LMS. Para evaluar la magnitud de las diferencias entre estas referencias y las de Nellhaus, a diferentes edades, se graficaron los centilos 2, 50 y 98. Resultados. El PC mostró un incremento de tamaño variable con la edad, de mayor magnitud en los primeros años de vida, y un ligero incremento en la pubertad. Los valores del centilo 98 de las referencias argentinas fueron mayores que los de Nellhaus en todas las edades. Los valores del centilo 2 de la referencia nacional fueron menores que los de Nellhaus durante los primeros 2 años de vida, similares entre los 3 y 7 años, y mayores a partir de esta edad. Conclusiones. Las curvas argentinas describen adecuadamente el patrón de crecimiento del PC. Las diferencias halladas con la referencia de Nellhaus pueden atribuirse a cambios seculares.


Introduction. Head circumference (HC) is an indicator of brain growth; growth charts are necessary to determine normal or pathological variations. Objectives. To present the first Argentine HC reference charts between birth and 19 years of age and to compare them with the Nellhaus charts, which have been used in our country to date. Population and methods. These references were developed based on combined data from the National Survey on Nutrition and Health of 2018 and cross-sectional studies conducted between 2004 and 2007 in the provinces of Buenos Aires and La Pampa, which included 8326 healthy children and adolescents. Growth curves were adjusted using the LMS method. To assess the differences between these reference charts and the Nellhaus charts, at different ages, the 2nd, 50th, and 98th percentiles were plotted. Results. HC showed a variable increase in size with age, which was greater in the first years of life, and a slight increase at puberty. The values for the 98th percentile of the Argentine reference charts were higher than those of the Nellhaus charts at all ages. The values for the 2 nd percentile of the national reference were lower than those of the Nellhaus charts during the first 2 years of life, similar between 3 and 7 years of age, and higher after this age. Conclusions. The Argentine curves adequately describe the growth pattern of HC. The differences found with the Nellhaus charts may be attributed to secular changes.


Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Lactente , Pré-Escolar , Criança , Adolescente , Adulto Jovem , Cefalometria , Gráficos de Crescimento , Cabeça/anatomia & histologia , Cabeça/crescimento & desenvolvimento , Argentina , Valores de Referência , Estudos Transversais , Fatores Etários
2.
Curr Osteoporos Rep ; 22(6): 576-589, 2024 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-39356465

RESUMO

PURPOSE OF REVIEW: The impact of nephrolithiasis on skeletal growth and bone health across the life span of kidney stone formers is reviewed. MAIN FINDINGS: Bone disease is an early event among kidney stone formers (SF), with distinct phenotypes according to each age, sex, menopausal status, dietary, hormonal and genetic factors. Nephrolithiasis-associated bone disorder is characterized by reduced bone mineral density (BMD) and histologically discloses low bone formation, high bone resorption and abnormal mineralization. Although hypercalciuria has been presumed to be pathogenic for bone loss in SF, the association of BMD with urinary calcium is not uniform in all studies. Hypocitraturia, metabolic disturbances, cytokines and receptors, growth factors and acid-base status may all influence skeletal outcomes. The potential link of bone disease with vascular calcification and cardiovascular disease among SF is discussed. The unique vulnerability of the younger skeleton to the effects of nephrolithiasis on attainment of peak bone mass and strength is highlighted and the association of bone loss with kidney stone formation early in life indicate the opportunity for intervention to reduce the risk of future bone fractures.

3.
Proc Natl Acad Sci U S A ; 121(42): e2320187121, 2024 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-39382994

RESUMO

Canopy shade enhances the activity of PHYTOCHROME INTERACTING FACTORs (PIFs) to boost auxin synthesis in the cotyledons. Auxin, together with local PIFs and their positive regulator CONSTITUTIVELY PHOTOMORPHOGENIC 1 (COP1), promotes hypocotyl growth to facilitate access to light. Whether shade alters the cellular redox status thereby affecting growth responses, remains unexplored. Here, we show that, under shade, high auxin levels increased reactive oxygen species and nitric oxide accumulation in the hypocotyl of Arabidopsis. This nitroxidative environment favored the promotion of hypocotyl growth by COP1 under shade. We demonstrate that COP1 is S-nitrosylated, particularly under shade. Impairing this redox regulation enhanced COP1 degradation by the proteasome and diminished the capacity of COP1 to interact with target proteins and to promote hypocotyl growth. Disabling this regulation also generated transversal asymmetries in hypocotyl growth, indicating poor coordination among different cells, which resulted in random hypocotyl bending and predictably low ability to compete with neighbors. These findings highlight the significance of redox signaling in the control of diffuse growth during shade avoidance.


Assuntos
Proteínas de Arabidopsis , Arabidopsis , Hipocótilo , Espécies Reativas de Oxigênio , Ubiquitina-Proteína Ligases , Arabidopsis/metabolismo , Arabidopsis/crescimento & desenvolvimento , Arabidopsis/genética , Proteínas de Arabidopsis/metabolismo , Proteínas de Arabidopsis/genética , Espécies Reativas de Oxigênio/metabolismo , Hipocótilo/crescimento & desenvolvimento , Hipocótilo/metabolismo , Ubiquitina-Proteína Ligases/metabolismo , Óxido Nítrico/metabolismo , Ácidos Indolacéticos/metabolismo , Luz , Regulação da Expressão Gênica de Plantas/efeitos da radiação , Oxirredução , Transdução de Sinais
4.
Odontol. sanmarquina (Impr.) ; 27(3): e27685, jul-set. 2024.
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-1572445

RESUMO

La maloclusión clase III esqueletal por hipoplasia maxilar puede provocar la retención de algunas piezas dentales, ocupando los caninos superiores el tercer lugar de los dientes más afectados; por lo que es necesario el trabajo interdisciplinario con otras especialidades odontológicas para su correcto abordaje quirúrgico. Mientras que, para la corrección de la hipoplasia maxilar, el expansor Hyrax es el tratamiento ortopédico más utilizado en pacientes con crecimiento remanente. Se presenta caso clínico de paciente femenina de 14 años, clase III esqueletal por hipoplasia maxilar, biotipo mesofacial, perfil cóncavo, mordida cruzada anterior y posterior unilateral izquierda con canino superior derecho retenido. Los principales objetivos fueron: corregir la mordida cruzada y traccionar el canino retenido a su correcta posición. Al finalizar el tratamiento se eliminó la mordida cruzada y se logró la expansión palatina, incorporando así, el canino retenido en el arco dentario. En conclusión, el correcto diagnóstico, el adecuado plan de tratamiento y la atención temprana de la paciente fueron factores indispensables ya que proporcionaron un pronóstico favorable y un tratamiento conservador, evitando futuras complicaciones y tratamientos invasivos.


Skeletal class III malocclusion due to maxillary hypoplasia can cause the retention of some teeth, with the upper canines occupying the third place of the most affected teeth; therefore, interdisciplinary work with other dental specialties is necessary for its correct surgical approach. Likewise, for the correction of maxillary hypoplasia, the Hyrax expander is the most commonly used orthopedic treatment in patients with remnant growth. We present a clinical case of a 14-year-old female patient, skeletal class III due to maxillary hypoplasia, mesofacial biotype, concave profile, left unilateral anterior and posterior crossbite with retained right upper canine. The main objectives were: to correct the crossbite and pull the retained canine to its correct position. At the end of the treatment, the crossbite was eliminated and palatal expansion was achieved, thus incorporating the canine retained in the dental arch. In conclusion, the correct diagnosis, the adequate treatment plan and the early care of the patient were indispensable factors since they pro-vided a favorable prognosis and conservative treatment, avoiding future complications and invasive treatments.

5.
Vive (El Alto) ; 7(20): 429-437, ago. 2024.
Artigo em Espanhol | LILACS | ID: biblio-1568379

RESUMO

Muchos países toman como estrategia la educación de salud, para incrementar los conocimientos de la población en la prevención de enfermedades, en caso de los niños menores de 5 años quienes son vulnerables a las infecciones respiratorias agudas (IRA), son sus padres a quienes se evalúa el conocimiento en medidas preventivas de las IRA. Objetivo: determinar el nivel de conocimiento de los padres de familia sobre prevención de IRA de un distrito del Perú. Materiales y métodos: Estudio de tipo básico, nivel descriptivo, transversal y prospectivo. Con una muestra de 210 padres de familia, los cuales fueron escogidos por conveniencia. La técnica de recolección de datos fue la encuesta y el instrumento un cuestionario con sus dos dimensiones, la primera dimensión el de medidas preventivas de CRED (Crecimiento y desarrollo) e inmunizaciones, la segunda dimensión sobre medidas preventivas de las condiciones ambientales, mencionado instrumento paso por el proceso de validez y confiabilidad, luego se entregó el consentimiento informado antes de aplicar el instrumento a la muestra en estudio. Resultados: Las edades de los padres de familia en un 71,43% lo conforman de 18 a 33 años, el nivel de conocimiento de los padres de familia sobre prevención de IRA fue considerado alto con 45,24%, en nivel regular con 31,90% y en nivel deficiente con 22,86%. Conclusión: El nivel de conocimiento de los padres de familia de niños menores de 5 años sobre prevención de IRA fue alto en menos del 50%, siendo mayor en la sumatoria de deficiente y regular


Many countries take health education as a strategy to increase the population's knowledge of disease prevention. In the case of children under 5 years of age who are vulnerable to acute respiratory infections (ARI), it is their parents who are evaluates knowledge of preventive measures for ARI. Objective: determine the level of knowledge of parents about ARI prevention in a district of Peru. Materials and methods: Basic type study, descriptive, transversal and prospective level. With a sample of 210 parents, who were chosen by convenience. The data collection technique was the survey and the instrument was a questionnaire with its two dimensions, the first dimension on preventive measures of CRED (Growth and Development) and immunizations, the second dimension on preventive measures of environmental conditions, mentioned instrument step through the validity and reliability process, then informed consent was given before applying the instrument to the study sample. Results: The ages of the parents in 71.43% are between 18 and 33 years old, the level of knowledge of the parents about ARI prevention was considered high with 45.24%, at a regular level with 31.90% and at a deficient level with 22.86%. Conclusion: The level of knowledge of parents of children under 5 years of age about ARI prevention was high at less than 50%, being higher in the sum of deficient and regular.


Assuntos
Pré-Escolar , Infecções Respiratórias , Saúde Pública
6.
Vive (El Alto) ; 7(20)ago. 2024.
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-1570114

RESUMO

Muchos países toman como estrategia la educación de salud, para incrementar los conocimientos de la población en la prevención de enfermedades, en caso de los niños menores de 5 años quienes son vulnerables a las infecciones respiratorias agudas (IRA), son sus padres a quienes se evalúa el conocimiento en medidas preventivas de las IRA. Objetivo: determinar el nivel de conocimiento de los padres de familia sobre prevención de IRA de un distrito del Perú. Materiales y métodos: Estudio de tipo básico, nivel descriptivo, transversal y prospectivo. Con una muestra de 210 padres de familia, los cuales fueron escogidos por conveniencia. La técnica de recolección de datos fue la encuesta y el instrumento un cuestionario con sus dos dimensiones, la primera dimensión el de medidas preventivas de CRED (Crecimiento y desarrollo) e inmunizaciones, la segunda dimensión sobre medidas preventivas de las condiciones ambientales, mencionado instrumento paso por el proceso de validez y confiabilidad, luego se entregó el consentimiento informado antes de aplicar el instrumento a la muestra en estudio. Resultados: Las edades de los padres de familia en un 71,43% lo conforman de 18 a 33 años, el nivel de conocimiento de los padres de familia sobre prevención de IRA fue considerado alto con 45,24%, en nivel regular con 31,90% y en nivel deficiente con 22,86%. Conclusión: El nivel de conocimiento de los padres de familia de niños menores de 5 años sobre prevención de IRA fue alto en menos del 50%, siendo mayor en la sumatoria de deficiente y regular.


Many countries take health education as a strategy to increase the population's knowledge of disease prevention. In the case of children under 5 years of age who are vulnerable to acute respiratory infections (ARI), it is their parents who are evaluates knowledge of preventive measures for ARI. Objective: determine the level of knowledge of parents about ARI prevention in a district of Peru. Materials and methods: Basic type study, descriptive, transversal and prospective level. With a sample of 210 parents, who were chosen by convenience. The data collection technique was the survey and the instrument was a questionnaire with its two dimensions, the first dimension on preventive measures of CRED (Growth and Development) and immunizations, the second dimension on preventive measures of environmental conditions, mentioned instrument step through the validity and reliability process, then informed consent was given before applying the instrument to the study sample. Results: The ages of the parents in 71.43% are between 18 and 33 years old, the level of knowledge of the parents about ARI prevention was considered high with 45.24%, at a regular level with 31.90% and at a deficient level with 22.86%. Conclusion: The level of knowledge of parents of children under 5 years of age about ARI prevention was high at less than 50%, being higher in the sum of deficient and regular.


Muitos países tomam a educação em saúde como estratégia para aumentar o conhecimento da população sobre a prevenção de doenças. No caso de crianças menores de 5 anos vulneráveis às infecções respiratórias agudas (IRA), são os pais que avaliam o conhecimento das medidas preventivas. IRA. Objetivo: determinar o nível de conhecimento dos pais sobre prevenção de IRA em um distrito do Peru. Materiais e métodos: Estudo do tipo básico, nível descritivo, transversal e prospectivo. Com uma amostra de 210 pais, escolhidos por conveniência. A técnica de coleta de dados foi a pesquisa e o instrumento foi um questionário com suas duas dimensões, a primeira dimensão sobre medidas preventivas de CRED (Crescimento e Desenvolvimento) e imunizações, a segunda dimensão sobre medidas preventivas de condições ambientais, mencionada etapa do instrumento através da validade e processo de confiabilidade, foi dado consentimento informado antes da aplicação do instrumento na amostra do estudo. Resultados: A idade dos pais em 71,43% está entre 18 e 33 anos, o nível de conhecimento dos pais sobre prevenção de IRA foi considerado alto com 45,24%, nível regular com 31,90% e nível deficiente com 22,86%. Conclusão: O nível de conhecimento dos pais de crianças menores de 5 anos sobre prevenção de IRA foi elevado, inferior a 50%, sendo maior na soma de deficiente e regular.

7.
Rev. obstet. ginecol. Venezuela ; 84(3): 261-267, Ago. 2024. tab
Artigo em Espanhol | LILACS, LIVECS | ID: biblio-1570296

RESUMO

Objetivo: Evaluar el valor predictivo negativo de la ratio antigénica y conocer su rentabilidad para descartar preeclampsia precoz en pacientes de alto riesgo de desarrollarla, con profilaxis de ácido acetilsalicílico. Métodos: Se realizó un estudio descriptivo transversal que recogió a las gestantes con cribado de preeclampsia precoz de alto riesgo (384 gestantes) en el Hospital Santa Lucía durante el año 2021, para lo que se usó test Elecsys® tabulado a un riesgo mayor a 1/150 en primer trimestre, y que tomaran ácido acetilsalicílico antes de la semana 16, quedando en 368 gestantes vistas en las semanas 20, 26, 31 y 36. Se realizó biometría, ratio angiogénica y doppler. Resultados: La incidencia de preeclampsia precoz en la población fue 4 casos (incidencia 1,08 %). Son significativos por su alto valor predictivo negativo del 100 % de preeclampsia precoz: la ratio angiogénica mayor a 38 en la semana 26 y el doppler de las uterinas en semana 20 y 26. Conclusión: En gestaciones con cribado de alto riesgo de preeclampsia que tomen ácido acetilsalicílico, una ratio angiogénica menor a 38 en la semana 26, además de un doppler uterino normal en semana 20 y 26 permite reducir el seguimiento gestacional(AU)


Objective: Our main objective was to evaluate the negative predictive value of the angiogenic ratio and to know its profitability to rule out early preeclampsia in patients at high risk of early preeclampsia with acetylsalicylic acid prophylaxis. Methods: A cross-sectional descriptive study was carried out that included pregnant women with high-risk early preeclampsia screening (384 pregnant women) at the Santa Lucía Hospital during the year 2021, for which the Elecsys® test tabulated at a risk >1/ was used. 150 in the first trimester, and who take acetylsalicylic acid before week 16, leaving 368 pregnant women seen in weeks 20, 26, 31 and 36, with biometry, angiogenic ratio and Doppler performed. Results: The incidence of early preeclampsia in the population was 4 cases (incidence 1.08%). They are significant due to their high negative predictive value of 100% of early preeclampsia: Angiogenic ratio > 38 in week 26, uterine Doppler in weeks 20 and 26. Conclusion: Pregnancies with high risk screening for preeclampsia who take acid acetylsalicylic acid, an angiogenic ratio < 38 at week 26 in addition to a normal uterine Doppler at weeks 20 and 26 allows for reduced gestational follow-up(AU)


Assuntos
Humanos , Feminino , Gravidez , Pré-Eclâmpsia , Aspirina , Programas de Rastreamento , Valor Preditivo dos Testes , Proteínas Angiogênicas , Placenta , Primeiro Trimestre da Gravidez , Fator de Crescimento Placentário , Antígenos
8.
Front Cell Dev Biol ; 12: 1435708, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39156975

RESUMO

Introduction: Breast cancer (BC) is the leading cause of death among women, primarily due to its potential for metastasis. As BC progresses, the extracellular matrix (ECM) produces more type-I collagen, resulting in increased stiffness. This alteration influences cellular behaviors such as migration, invasion, and metastasis. Specifically, cancer cells undergo changes in gene expression that initially promote an epithelial-to-mesenchymal transition (EMT) and subsequently, a transition from a mesenchymal to an amoeboid (MAT) migration mode. In this way, cancer cells can migrate more easily through the stiffer microenvironment. Despite their importance, understanding MATs remains challenging due to the difficulty of replicating in vitro the conditions for cell migration that are observed in vivo. Methods: To address this challenge, we developed a three-dimensional (3D) growth system that replicates the different matrix properties observed during the progression of a breast tumor. We used this model to study the migration and invasion of the Triple-Negative BC (TNBC) cell line MDA-MB-231, which is particularly subject to metastasis. Results: Our results indicate that denser collagen matrices present a reduction in porosity, collagen fiber size, and collagen fiber orientation, which are associated with the transition of cells to a rounder morphology with bleb-like protrusions. We quantified how this transition is associated with a more persistent migration, an enhanced invasion capacity, and a reduced secretion of matrix metalloproteinases. Discussion: Our findings suggest that the proposed 3D growth conditions (especially those with high collagen concentrations) mimic key features of MATs, providing a new platform to study the physiology of migratory transitions and their role in BC progression.

9.
Glob Chang Biol ; 30(8): e17465, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-39162612

RESUMO

Soil microbial traits and functions play a central role in soil organic carbon (SOC) dynamics. However, at the macroscale (regional to global) it is still unresolved whether (i) specific environmental attributes (e.g., climate, geology, soil types) or (ii) microbial community composition drive key microbial traits and functions directly. To address this knowledge gap, we used 33 grassland topsoils (0-10 cm) from a geoclimatic gradient in Chile. First, we incubated the soils for 1 week in favorable standardized conditions and quantified a wide range of soil microbial traits and functions such as microbial biomass carbon (MBC), enzyme kinetics, microbial respiration, growth rates as well as carbon use efficiency (CUE). Second, we characterized climatic and physicochemical properties as well as bacterial and fungal community composition of the soils. We then applied regression analysis to investigate how strongly the measured microbial traits and functions were linked with the environmental setting versus microbial community composition. We show that environmental attributes (predominantly the amount of soil organic matter) determined patterns of MBC along the gradient, which in turn explained microbial respiration and growth rates. However, respiration and growth normalized for MBC (i.e., specific respiration and growth) were more linked to microbial community composition than environmental attributes. Notably, both specific respiration and growth followed distinct trends and were related to different parts of the microbial community, which in turn resulted in strong effects on microbial CUE. We conclude that even at the macroscale, CUE is the result of physiologically decoupled aspects of microbial metabolism, which in turn is partially determined by microbial community composition. The environmental setting and microbial community composition affect different microbial traits and functions, and therefore both factors need to be considered in the context of macroscale SOC dynamics.


Assuntos
Ciclo do Carbono , Carbono , Microbiota , Microbiologia do Solo , Solo , Chile , Carbono/metabolismo , Carbono/análise , Solo/química , Fungos/fisiologia , Bactérias/metabolismo , Bactérias/classificação , Bactérias/crescimento & desenvolvimento , Biomassa , Pradaria
10.
Animals (Basel) ; 14(15)2024 Aug 02.
Artigo em Inglês | MEDLINE | ID: mdl-39123772

RESUMO

A dynamic model has been developed to simulate aspects of feedlot lamb growth and body composition, including energy and protein requirements, growth rate, composition of gain, and body mass. Model inputs include initial body mass (kg), standard final mass (kg), age (days), and dietary energy concentration (Mcal·kg-1). The model was assessed as a decision support tool using a dataset of 564 individual measures of final body mass and diet energy. The simulations provide graphical and numerical descriptions of nutrient requirements, composition of gain, and estimates of animal performance over time. The model is accurate and precise, with a root mean squared error of 7.79% of the observed final body mass and a coefficient of determination of 0.89 when simulating the same variable. The model can be used as a reliable decision support tool to estimate final body mass and the days on feed required to reach a certain final mass with precision and accuracy. Moreover, the dynamic model can also serve as a learning tool to illustrate practical principles of animal nutrition, nutrient requirement relationships, and body composition changes. This model holds the potential to enhance livestock management practices and assist producers in making informed decisions about feedlot lamb production.

11.
Plants (Basel) ; 13(15)2024 Jul 26.
Artigo em Inglês | MEDLINE | ID: mdl-39124194

RESUMO

Maize (Zea mays L.) is an essential commodity for global food security and the agricultural economy, particularly in regions such as San Martin, Peru. This study investigated the plant growth-promoting characteristics of native rhizobacteria isolated from maize crops in the San Martin region of Peru with the aim of identifying microorganisms with biotechnological potential. Soil and root samples were collected from maize plants in four productive zones in the region: Lamas, El Dorado, Picota, and Bellavista. The potential of twelve bacterial isolates was evaluated through traits, such as biological nitrogen fixation, indole acetic acid (IAA) production, phosphate solubilization, and siderophore production, and a completely randomized design was used for these assays. A completely randomized block design was employed to assess the effects of bacterial strains and nitrogen doses on maize seedlings. The B3, B5, and NSM3 strains, as well as maize seeds of the yellow hard 'Advanta 9139' variety, were used in this experiment. Two of these isolates, B5 and NSM3, exhibited outstanding characteristics as plant growth promoters; these strains were capable of nitrogen fixation, IAA production (35.65 and 26.94 µg mL-1, respectively), phosphate solubilization (233.91 and 193.31 µg mL-1, respectively), and siderophore production (34.05 and 89.19%, respectively). Furthermore, molecular sequencing identified the NSM3 isolate as belonging to Sporosarcina sp. NSM3 OP861656, while the B5 isolate was identified as Peribacillus sp. B5 OP861655. These strains show promising potential for future use as biofertilizers, which could promote more sustainable agricultural practices in the region.

12.
J Med Case Rep ; 18(1): 383, 2024 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-39138498

RESUMO

BACKGROUND: Doege-Potter syndrome is a rare paraneoplastic phenomenon associated with solitary fibrous tumors of the pleura (SFTPs). It is characterized by the presence of severe, sustained, and treatment-refractory hypoglycemia. Hypoglycaemia, which may be the sole symptom at disease onset, is mediated by the secretion of high-molecular-weight insulin-like growth factor (IGF-2). Most tumors exhibit benign behavior, with a 100% survival rate at 5 years. However, 10% of these tumors may display aggressive behavior with local or metastatic recurrence. We present a clinical case of a patient with a benign solitary fibrous tumor of the pleura who presented with symptomatic hypoglycemia and required pulmonary and pleural surgical resection to control the paraneoplastic phenomenon. CASE PRESENTATION: A Hispanic 46-year-old man presented with a 15-day history of transient alterations in consciousness worsened by fasting. The relevant medical history included obstructive sleep apnea treated with continuous positive air pressure (CPAP) and previous smoking. In-hospital studies revealed noninsulinemic hypoglycemia and a benign SFTP. Complete surgical resection was performed while the patient received dextrose fluids and corticosteroids perioperatively for hypoglycemia. Subsequently, the hypoglycemia resolved, and the patient was followed-up without disease recurrence. CONCLUSION: Doege-Potter syndrome is challenging to recognize. However, effective treatment can be achieved with a high survival rate. Raising awareness among healthcare professionals about the recognition of this paraneoplasic syndrome patients will improve diagnostic suspicion, biochemical confirmation, the development of diagnostic and therapeutic guidelines, and the creation of predictive indices for aggressive presentations requiring closer monitoring.


Assuntos
Hipoglicemia , Tumor Fibroso Solitário Pleural , Humanos , Masculino , Pessoa de Meia-Idade , Tumor Fibroso Solitário Pleural/complicações , Tumor Fibroso Solitário Pleural/cirurgia , Tumor Fibroso Solitário Pleural/diagnóstico , Hipoglicemia/etiologia , Síndromes Paraneoplásicas , Resultado do Tratamento
13.
AME Case Rep ; 8: 76, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39091538

RESUMO

Background: Li-Fraumeni syndrome (LFS) is a rare hereditary disorder caused by mutations in the tumor protein p53 (TP53). It causes a predisposition for the development of multiple malignancies, primarily including breast cancers, sarcomas, and central nervous system tumors. There are a few cases reported in the literature of patients with LFS presenting with an epidermal growth factor receptor (EGFR) mutated lung cancer. Still, it has been suggested that there may be an association between the TP53 pathogenic variant and lung cancer with EGFR mutation in somatic cells. Case Description: A 47-year-old non-smoker woman with LFS with a history of multiple tumors, including bilateral breast cancer, pecoma, and sarcoma. In one of her computed tomography, a lesion in the lingula of the lung was detected. It was biopsied, which diagnosed lung adenocarcinoma, and genetic studies detected an EGFR exon 19 deletion. She was treated with a left inferior lobectomy, followed by pemetrexed and cisplatin. Conclusions: The association between TP53 and lung cancer with EGFR mutation has been suggested in case reports. Studies in lung cancer cell lines have shown a link between TP53 mutation and EGFR overexpression. Nonetheless, as more cases are reported, further research is needed to comprehend the interrelation between these two pathologies and the risk posed by LFS to the emergence of EGFR-mutated lung cancer.

14.
Heliyon ; 10(14): e34377, 2024 Jul 30.
Artigo em Inglês | MEDLINE | ID: mdl-39104509

RESUMO

The global market of sweet potato (Ipomoea batatas (L.) Lam.) is continuously growing and, consequently, demands greater productivity from the agricultural sector. The use of biofertilizers facilitates plant growth by making essential nutrients available to crops or providing resistance against different abiotic and biotic factors. The strains Bacillus safensis T052-76 and Bacillus velezensis T149-19 have previously been inoculated in the sweet potato cultivar Ourinho, showing positive effects on plant shoot growth and inhibiting the phytopathogen Plenodomus destruens. To elucidate the effects of these strains on sweet potato growth, four different cultivars of sweet potato were selected: Capivara, IAPAR 69, Rosinha de Verdan and Roxa. The plants were grown in pots in a greenhouse and inoculated with the combined strains according to a randomized block design. A control (without the inoculation of both strains) was also used. A slight positive effect of the inoculation of the two Bacillus strains was observed on the aerial parts of some of the cultivars. An increase in the fresh weight of the sweet potatoes of the inoculated plants was obtained, varying from 2.7 to 11.4 %. The number of sweet potatoes obtained from the inoculated cultivars IAPAR 69 and Roxa increased 15.2 % and 16.7 %, respectively. The rhizosphere soil of each cultivar was further sampled for DNA extraction, and the 16S rRNA gene metabarcoding technique was used to determine how the introduction of these Bacillus strains influenced the rhizosphere bacterial community. The bacterial communities of the four different cultivars were dominated by Actinobacteria, Proteobacteria and Firmicutes. Nonmetric multidimensional scaling (NMDS) revealed that the rhizosphere bacterial communities of plants inoculated with Bacillus strains were more similar to each other than to the bacterial communities of uninoculated plants. This study highlights the contribution of these Bacillus strains to the promotion of sweet potato growth.

15.
Sci Rep ; 14(1): 18360, 2024 08 07.
Artigo em Inglês | MEDLINE | ID: mdl-39112666

RESUMO

Evidence suggests that maternal metabolome may be associated with child health outcomes. We analyzed the association between the maternal metabolome between 28-35 gestational weeks and child growth and development during the first year. A prospective cohort of 98 mother-child dyads was followed at birth, 1, 6, and 12 months. Maternal serum samples were collected for targeted LC-MS/MS analysis, which measured 132 metabolites. The child's growth and development were assessed at each time-point. Z-scores were calculated based on WHO growth standards, and the domains of development were assessed using the Ages and Stages Questionnaires (ASQ-3). Multiple linear mixed-effects models were performed and confounders were identified using a Diagram Acyclic Graph. The Benjamini-Hochberg correction was used for multiple comparison adjustments. We found a positive association between lysophosphatidylcholines (14:0; 16:0; 16:1; 17:0; 18:0; 18:1; 18:2; 20:4) with the z-score of weight-for-age, and lysophosphatidylcholines (14:0; 16:0; 16:1; 18:0) and taurine with the z-score of weight-for-length, and lysophosphatidylcholines (14:0; 16:0; 16:1; 17:0; 18:0; 18:1; 18:2; 20:4) and glycine with the z-score of BMI-for-age. The leucine, methionine, tryptophan, and valine were negatively associated with the fine motor skills domain. We observed an association between maternal metabolome and the growth and child's development throughout the first year.


Assuntos
Desenvolvimento Infantil , Metaboloma , Terceiro Trimestre da Gravidez , Humanos , Feminino , Gravidez , Lactente , Terceiro Trimestre da Gravidez/sangue , Recém-Nascido , Masculino , Estudos Prospectivos , Adulto , Mães
16.
J Pediatr ; 275: 114223, 2024 Aug 02.
Artigo em Inglês | MEDLINE | ID: mdl-39097263

RESUMO

OBJECTIVE: To determine whether it is the magnitude of early postnatal catch-up growth (CUG) in response to fetal growth restriction (FGR) or the FGR itself that negatively impacts cognitive outcome in a model of monochorionic twins discordant for fetal growth. STUDY DESIGN: This analysis is part of the LEMON study, a cohort study including all monochorionic twins with selective FGR aged 3 through 17 years. Growth measurements as documented by our primary care system were collected retrospectively. An age-appropriate neurodevelopmental test was performed generating a full-scale IQ (FSIQ). CUG at 2 years was calculated as (weight [kg] at 2 years-birth weight [kg]). We used a multivariable regression model investigating the association between FSIQ (outcome) and birth weight zscore, gestational age at birth and CUG at 2 years (predictors). Generalized estimating equations accounted for the fact that observations between cotwins are not independent. RESULTS: Median age at follow-up of the 46 included twin pairs was 11 (IQR 8-13) years. Birth weight z score and gestational age at birth were significantly associated with FSIQ, with ß-coefficients of 5.897 (95% CI 3.382-8.411), and 2.589 (95% CI 1.227-3.951), respectively (P < .0001). Adjusted for birth weight z score and gestational age, CUG in the first 2 years after birth was not significantly associated with FSIQ (ß-coefficient 0.108 [95% CI -1.373 to 1.590], P = .886). CONCLUSIONS: Our results, combining detailed growth measurements and neurodevelopmental follow-up in a discordant identical twin model, demonstrate that FGR itself rather than early postnatal CUG has negative consequences for cognitive development.

17.
Bull Environ Contam Toxicol ; 113(2): 28, 2024 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-39141109

RESUMO

The safe management of sewage waste is a current concern due to population growth and waste production. Biosolids, derived from sewage sludge treatment, are globally used as organic fertilizers, aligning with Sustainable Development Goal 6 for resource recycling. However, biosafety concerns arise due to the presence of metals and microplastics in biosolids, potentially impacting soil and water. This study investigated biosolids' use for in vitro cultivation of Bowdichia virgilioides Kunth. Results indicate that while biosolids can replace traditional nutritional media, balancing their concentration is crucial for optimizing plant growth. The WPM (Wood Plat Medium) remains essential for in vitro cultivation, but substituting it with biosolids at concentrations of up to 2 g L- 1 is feasible, providing similar plant development compared to the WPM medium. However, when combined, there is a complex and challenging interaction between biosolids and the culture medium.


Assuntos
Esgotos , Orchidaceae , Fertilizantes , Meios de Cultura/química , Poluentes do Solo , Eliminação de Resíduos Líquidos/métodos
18.
J Phys Condens Matter ; 36(46)2024 Aug 23.
Artigo em Inglês | MEDLINE | ID: mdl-39111342

RESUMO

The final structure and properties of layers grown by epitaxy techniques are determined in the very early stage of the process. This review describes one-dimensional models for epitaxial growth, emphasizing the basic theoretical concepts employed to analyze nucleation and aggregation phenomena in the submonolayer regime. The main findings regarding the evolution of quantities that define the properties of the system, such as monomer and island densities, and the associated island size, gap length, and capture zone distributions are discussed, as well as the analytical tools used to evaluate them. This review provides a concise overview of the most widely used algorithms for simulating growth processes, discusses relevant experimental results, and establishes connections with existing theoretical studies.

19.
Environ Sci Pollut Res Int ; 31(39): 51344-51352, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-39110286

RESUMO

Insect growth regulators (IGRs) have been playing a major role in the effective management of a range of stored product insect pests including species that have developed resistance to major groups of insecticides, such as organophosphates (OPs) and synthetic pyrethroids (SPs). In the present study, we evaluated the efficacy of S-methoprene alone and in combination with piperonyl butoxide (PBO), an adjuvant component of insecticides for synergy, against two strains, Lab-S (susceptible) and Met-R (Methoprene resistant) of an economically important pest species, the lesser grain borer, Rhyzopertha dominica (F.) (Coleoptera: Bostrychidae). Adults of both Lab-S and Met-R strains were exposed to wheat treated with multiple concentrations of S-methoprene ranging from 0.001 to 0.01 and 10 to 60 mg/kg, respectively, alone and in combination with PBO. A variety of concentrations, including 0.27, 0.53, 0.80, and 1.07 g/kg, were evaluated for PBO. Mortality of adults and percent reduction in progeny were assessed after 14 and 65 days of treatment, respectively. As anticipated, the adult mortality rates of both strains were not significantly affected by S-methoprene alone. However, the number of progeny produced confirmed that the Met-R strain exhibited a high level of resistance to S-methoprene alone, with over 50 F1 progeny adults surviving in wheat treated with the maximal rate, 10 mg/kg. In contrast, the toxicity of S-methoprene was increased against the same resistant strain (Met-R), by 0.80 or 1.07 g/kg of PBO in combination treatment, resulting in a significant reduction in progeny numbers (25 adults per container). Although the tested concentrations of S-methoprene and PBO were well above the currently registered rate globally, our results highlight the fact that PBO enhances the toxicity of S-methoprene to some extent, reaffirming that the mode of action of the latter involves the inhibition of mixed-function oxidases (MFOs) and highlights the need for further research into developing potential binary or triplet formulations containing these two active ingredients (AIs).


Assuntos
Besouros , Inseticidas , Metoprene , Butóxido de Piperonila , Animais , Inseticidas/toxicidade , Besouros/efeitos dos fármacos , Triticum , Sinergistas de Praguicidas
20.
Clinics (Sao Paulo) ; 79: 100457, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39096857

RESUMO

OBJECTIVES: This study aimed to explore the correlation between Fibroblast Growth Factor-23 (FGF23) levels and Cerebral Infarction (CI), and to determine whether there is a significant relationship between FGF23 and the occurrence and severity of CI. METHODS: The study categorized Cerebral Infarction (CI) patients into severe and mild stenosis groups based on vertebrobasilar artery stenosis, using Digital Subtraction Angiography (DSA) and Magnetic Resonance Imaging (MRI). The study compared the levels of Fibroblast Growth Factor-23 (FGF23) in the serum of CI patients and healthy controls using a t-test and evaluated the diagnostic effectiveness of serum FGF23 using a Receiver Operating Characteristic (ROC) curve. Additionally, the study analyzed the correlation between FGF23 levels and CI severity after treatment using the National Institute of Health Stroke Scale score. RESULTS: The study found a significant increase in serum Fibroblast Growth Factor-23 (FGF23) levels in patients with Cerebral Infarction (CI) compared to healthy volunteers, (p < 0.001). A higher serum FGF23 level was observed in the severe stenosis group than in the mild stenosis group (p < 0.001). Furthermore, the study showed that a high FGF23 level at admission was significantly related to more severe symptoms of CI as indicated by the National Institute of Health Stroke Scale (NIHSS) score on the 7th day after treatment (p < 0.001). CONCLUSIONS: This study discovered a correlation between Fibroblast Growth Factor-23 (FGF23) levels, vertebrobasilar artery stenosis, and short-term prognosis in patients who had recently experienced acute Cerebral Infarction (CI).


Assuntos
Infarto Cerebral , Fator de Crescimento de Fibroblastos 23 , Fatores de Crescimento de Fibroblastos , Índice de Gravidade de Doença , Insuficiência Vertebrobasilar , Humanos , Insuficiência Vertebrobasilar/sangue , Insuficiência Vertebrobasilar/diagnóstico por imagem , Infarto Cerebral/sangue , Infarto Cerebral/diagnóstico por imagem , Feminino , Masculino , Fatores de Crescimento de Fibroblastos/sangue , Pessoa de Meia-Idade , Idoso , Estudos de Casos e Controles , Imageamento por Ressonância Magnética , Angiografia Digital , Biomarcadores/sangue , Curva ROC , Adulto , Valores de Referência
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