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1.
Nature ; 562(7727): 406-409, 2018 10.
Artículo en Inglés | MEDLINE | ID: mdl-30333580

RESUMEN

The efficiency of generating electricity from heat using concentrated solar power plants (which use mirrors or lenses to concentrate sunlight in order to drive heat engines, usually involving turbines) may be appreciably increased by operating with higher turbine inlet temperatures, but this would require improved heat exchanger materials. By operating turbines with inlet temperatures above 1,023 kelvin using closed-cycle high-pressure supercritical carbon dioxide (sCO2) recompression cycles, instead of using conventional (such as subcritical steam Rankine) cycles with inlet temperatures below 823 kelvin1-3, the relative heat-to-electricity conversion efficiency may be increased by more than 20 per cent. The resulting reduction in the cost of dispatchable electricity from concentrated solar power plants (coupled with thermal energy storage4-6) would be an important step towards direct competition with fossil-fuel-based plants and a large reduction in greenhouse gas emissions7. However, the inlet temperatures of closed-cycle high-pressure sCO2 turbine systems are limited8 by the thermomechanical performance of the compact, metal-alloy-based, printed-circuit-type heat exchangers used to transfer heat to sCO2. Here we present a robust composite of ceramic (zirconium carbide, ZrC) and the refractory metal tungsten (W) for use in printed-circuit-type heat exchangers at temperatures above 1,023 kelvin9. This composite has attractive high-temperature thermal, mechanical and chemical properties and can be processed in a cost-effective manner. We fabricated ZrC/W-based heat exchanger plates with tunable channel patterns by the shape-and-size-preserving chemical conversion of porous tungsten carbide plates. The dense ZrC/W-based composites exhibited failure strengths of over 350 megapascals at 1,073 kelvin, and thermal conductivity values two to three times greater than those of iron- or nickel-based alloys at this temperature. Corrosion resistance to sCO2 at 1,023 kelvin and 20 megapascals was achieved10 by bonding a copper layer to the composite surface and adding 50 parts per million carbon monoxide to sCO2. Techno-economic analyses indicate that ZrC/W-based heat exchangers can strongly outperform nickel-superalloy-based printed-circuit heat exchangers at lower cost.

2.
Philos Trans A Math Phys Eng Sci ; 376(2116)2018 Mar 28.
Artículo en Inglés | MEDLINE | ID: mdl-29459413

RESUMEN

The efficient production of cold antihydrogen atoms in particle traps at CERN's Antiproton Decelerator has opened up the possibility of performing direct measurements of the Earth's gravitational acceleration on purely antimatter bodies. The goal of the AEgIS collaboration is to measure the value of g for antimatter using a pulsed source of cold antihydrogen and a Moiré deflectometer/Talbot-Lau interferometer. The same antihydrogen beam is also very well suited to measuring precisely the ground-state hyperfine splitting of the anti-atom. The antihydrogen formation mechanism chosen by AEgIS is resonant charge exchange between cold antiprotons and Rydberg positronium. A series of technical developments regarding positrons and positronium (Ps formation in a dedicated room-temperature target, spectroscopy of the n=1-3 and n=3-15 transitions in Ps, Ps formation in a target at 10 K inside the 1 T magnetic field of the experiment) as well as antiprotons (high-efficiency trapping of [Formula: see text], radial compression to sub-millimetre radii of mixed [Formula: see text] plasmas in 1 T field, high-efficiency transfer of [Formula: see text] to the antihydrogen production trap using an in-flight launch and recapture procedure) were successfully implemented. Two further critical steps that are germane mainly to charge exchange formation of antihydrogen-cooling of antiprotons and formation of a beam of antihydrogen-are being addressed in parallel. The coming of ELENA will allow, in the very near future, the number of trappable antiprotons to be increased by more than a factor of 50. For the antihydrogen production scheme chosen by AEgIS, this will be reflected in a corresponding increase of produced antihydrogen atoms, leading to a significant reduction of measurement times and providing a path towards high-precision measurements.This article is part of the Theo Murphy meeting issue 'Antiproton physics in the ELENA era'.

3.
Sci Rep ; 13(1): 20240, 2023 Nov 19.
Artículo en Inglés | MEDLINE | ID: mdl-37981654

RESUMEN

Ultraviolet-induced Luminescence (UVL) is the property of some materials of emitting light once illuminated by a source of UV radiation. This feature is characteristic of some mediums and pigments, such as some red lakes, widely used for the realisation of works of art. On the one hand, UVL represents a like strike for a researcher in the cultural heritage field: in fact, UVL allows to characterise the state of conservation of the paintings and, in some cases, to recognize at glance some of the materials used by the artists. On the other hand, the contribution of UVL to the study of the artefacts is almost always limited to qualitative observation, while any speculation about the cause of the luminescence emission relies on the observer's expertise. The aim of this paper is to overcome this paradigm, moving a step toward a more quantitative interpretation of the luminescence signal. The obtained results concern the case study of pictorial materials by Giuseppe Pellizza da Volpedo (1868-1907, Volpedo, AL, Italy) including his iconic masterpiece Quarto Stato (1889-1901), but the method has general validity and can be applied whenever the appropriate experimental conditions occur. Once designed an appropriate set-up, the statistical comparison between the acquisitions performed on Quarto Stato, on a palette belonged to the master, on drafts made by the author himself and on a set of ad hoc prepared samples both with commercial contemporary pigments and prepared with the traditional recipe, shed some light on which materials have been employed by the artist, where they have been applied and support some intriguing speculations on the use of the industrial lakes in the Quarto Stato painting.

4.
Radiat Prot Dosimetry ; 169(1-4): 430-5, 2016 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-27103639

RESUMEN

Silicon photomultipliers (SiPMs) are an enabling solid-state technology for low light sensing, with single photon sensitivity and photon number resolving capability. They feature an extremely high internal gain at the 10(6) level, comparable to photomultiplier tubes (PMTs), with the advantage of low operating voltage (~50 V compared to ~1000 V for PMT) and low energy consumption. The solid-state technology makes SiPMs compact, insensitive to magnetic fields and with an extreme flexibility in the design to cope with different applications. The fast development of the multiplication avalanche opens up the possibility to achieve time resolution at the 30 ps level. Dynamic range is however limited compared to PMT and the dark count rate relatively high, yet today at the level of 50 kHz/mm(2) at room temperature. Interfaced with scintillation material, SiPMs provide a powerful platform for medical imaging applications (in positron emission tomography/computed tomography and in positron emission tomography/magnetic resonance), for X-ray quality control as well as for novel compact radiation protection instruments. This article gives an overview of SiPMs for medical imaging and dosimetry. In addition, a learning and training program targeted to graduate students is described.


Asunto(s)
Amplificadores Electrónicos , Diagnóstico por Imagen/instrumentación , Fotometría/instrumentación , Radiometría , Semiconductores , Transductores , Suministros de Energía Eléctrica , Diseño de Equipo , Análisis de Falla de Equipo , Reproducibilidad de los Resultados , Sensibilidad y Especificidad , Evaluación de la Tecnología Biomédica
5.
Anim Reprod Sci ; 86(1-2): 37-52, 2005 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-15721658

RESUMEN

Three experiments were conducted to: (1) compare the effect of three oestradiol formulations on gonadotrophin release in ovariectomised cows; (2) compare the effects of either oestradiol-17beta (E-17beta) or oestradiol benzoate (EB), given at two doses, on the synchrony of ovarian follicular wave emergence in CIDR-treated beef cattle; and (3) determine the timing of ovulation of the dominant follicle of a synchronised follicular wave following administration of E-17beta or EB 24h after progesterone withdrawal. In Experiment 1, ovariectomised cows (n = 16) received a once-used CIDR on Day 0 (beginning of the experiment) and were allocated randomly to receive 5mg of E-17beta, EB or oestradiol valerate (EV) plus 100mg progesterone i.m. The CIDR inserts were removed on Day 7. There were effects of time, and a treatment-by-time interaction (P < 0.0001) for plasma concentrations of both oestradiol and FSH. Plasma oestradiol concentrations peaked 12h after treatment, with highest (P < 0.01) peak concentrations in cows given E-17beta; estradiol concentrations subsequently returned to baseline by 36 h in E-17beta-treated cows and by 96 h in EB- and EV-treated cows. Plasma FSH concentrations decreased by 12h after oestradiol treatment in all groups (P < 0.0001), reached a nadir at 24h, and increased by 60 h in all groups; plasma FSH reached higher (P < 0.02) concentrations in E-17beta-treated than in EB- or EV-treated cows. In Experiment 2, non-lactating Hereford cows (n = 29) received a new CIDR on Day 0 (beginning of the experiment), and were assigned randomly to receive 1 or 5mg of E-17beta or EB i.m. on Day 1. On Day 8, CIDR were removed and PGF was given. Transrectal ultrasonography was done once daily from 2 days before CIDR insertion to 2 days after CIDR removal, and then twice-daily to ovulation. Although there was no difference among groups in the interval from oestradiol treatment to follicular wave emergence (4.2 +/- 0.3 days; P = 0.5), 5mg of E-17beta resulted in the least variable interval to wave emergence (P < 0.005), compared with the other treatment groups which were not different (P = 0.1). For the interval from CIDR removal to ovulation, there were no differences among groups for either means (P = 0.5) or variances (P = 0.1). In Experiment 3, beef heifers (n = 32) received a once-used CIDR on Day 0 (beginning of the experiment) plus 100mg progesterone i.m. and were assigned randomly to receive 5mg E-17beta or 1mg EB i.m. On Day 7, CIDR were removed and all heifers received PGF. On Day 8 (24h after CIDR removal), each group was subdivided randomly to receive 1mg of either E-17beta or EB i.m. There was no effect of oestradiol formulation on interval from treatment to follicular wave emergence (4.1 +/- 0.2 days; P = 0.7) or on the median interval (76.6h; P = 0.7) or range (72-120 h; P = 0.08) from CIDR removal to ovulation. In summary, oestradiol treatments suppressed FSH in ovariectomised cows, with the duration of suppression dependent on the oestradiol formulation. Both E-17beta and EB effectively synchronised ovarian follicular wave emergence and ovulation in CIDR-treated cattle, and the interval from CIDR removal to ovulation did not differ in heifers given either E-17beta or EB 24h after CIDR removal.


Asunto(s)
Bovinos/fisiología , Estradiol/análogos & derivados , Estradiol/farmacología , Sincronización del Estro/métodos , Hormona Folículo Estimulante/sangre , Folículo Ovárico/efectos de los fármacos , Animales , Estradiol/sangre , Femenino , Hormona Luteinizante/sangre , Folículo Ovárico/fisiología , Ovariectomía/veterinaria , Progesterona/sangre , Distribución Aleatoria
6.
J Neurol ; 232(1): 55-7, 1985.
Artículo en Inglés | MEDLINE | ID: mdl-3998775

RESUMEN

The authors present ten cases of essential tremor, studied before and after administration of clonidine with clinical tests and electrophysiological recordings. Improvement due to the desynchronizing effect of clonidine on tremor was observed in all cases. Possible mechanisms acting on the central and peripheral nervous system are discussed.


Asunto(s)
Clonidina/uso terapéutico , Temblor/tratamiento farmacológico , Anciano , Diazepam/uso terapéutico , Femenino , Escritura Manual , Humanos , Levodopa/uso terapéutico , Masculino , Persona de Mediana Edad , Piribedil/uso terapéutico
7.
J Neurol ; 212(1): 41-5, 1976 Mar 23.
Artículo en Inglés | MEDLINE | ID: mdl-57214

RESUMEN

The authors studied the recruitment of motor units of EDB muscle by long lasting threshold intensity stimulation at 1 c/sec of external popliteal nerve at the ankle in healthy subjects and in myasthenic patients. In the healthy volunteers, at steady intensity of threshold stimuli, maximum number of motor units never exceeded 5--6 electrical increments with a final incremental response of constant amplitude during 60 min of stimulation. In myasthenic patients, both an early exhaustion of threshold motor units and a marked facilitation phenomenon occurred with massive recruitment of incremental responses, while in a small number of cases no changes were observed. These data are discussed in the light of various morphofunctional hypotheses regarding the localization of the myasthenic impairment.


Asunto(s)
Neuronas Motoras/fisiología , Miastenia Gravis/fisiopatología , Edrofonio/farmacología , Estimulación Eléctrica , Electromiografía , Humanos , Músculos/inervación , Músculos/fisiología , Músculos/fisiopatología , Reclutamiento Neurofisiológico
8.
J Neurol ; 220(2): 131-42, 1979 Mar 22.
Artículo en Inglés | MEDLINE | ID: mdl-87497

RESUMEN

In both fast and slow muscles of rats treated with 20--25 diazacholesterol there were qualitative alterations, such as changes of fiber outlines, numerous moth-eaten fibers and rare ring fibers. In addition there were generally larger groups of Type I and intermediate fibers than in normal controls ("type-grouping" tendency) in the preparations for oxidative enzymes in the extensor digitorum longus (EDL) of myotonic animals. Quantitative evaluations of EDL and soleus of myotonic rats revealed moderate hypothrophy of Type I and Type II fibers with an increase in the numbers of Type I and of Type III fibers in the EDL and a significant decrease of the nondominant fibers in the soleus muscle. The data are discussed in the light of a neurally mediated and/or direct action of the drug on the muscle fiber.


Asunto(s)
Músculos/patología , Miotonía/patología , Animales , Azacosterol , Femenino , Mitocondrias Musculares/patología , Músculos/análisis , Miotonía/inducido químicamente , Miotonía/etiología , Enfermedades del Sistema Nervioso Periférico/complicaciones , Ratas , Coloración y Etiquetado
9.
J Neurol ; 216(1): 21-6, 1977 Aug 18.
Artículo en Inglés | MEDLINE | ID: mdl-72789

RESUMEN

A clinical and electrophysiological follow up study of 14 cases of hemopathic patients patients undergoing VCR therapy showed evidence that the drug has a direct action on the motor and sensory axon but not on the propagation velocity. Sensory nerves seem to be affected earlier and more than motor ones. Correlation was good between clinical and electrophysiological findings for both functions. The findings in man correspond with the animal data and therefore lead to the conclusion that VCR polyneuropathy is due to an involvement of the nerve axon.


Asunto(s)
Nervios Periféricos/fisiopatología , Enfermedades del Sistema Nervioso Periférico/inducido químicamente , Vincristina/efectos adversos , Adolescente , Adulto , Anciano , Femenino , Enfermedad de Hodgkin/tratamiento farmacológico , Humanos , Linfoma/tratamiento farmacológico , Masculino , Nervio Mediano/fisiopatología , Persona de Mediana Edad , Neuronas Motoras , Conducción Nerviosa , Neuronas Aferentes , Enfermedades del Sistema Nervioso Periférico/fisiopatología
10.
J Neurol ; 217(2): 123-31, 1977 Dec 13.
Artículo en Inglés | MEDLINE | ID: mdl-75258

RESUMEN

The involvement of peripheral motor and sensory nerve, at least on a subclinical level, is nearly constant event with chronic renal failure. The study of the motor and sensory propagation velocity indicates that a widespread functional lesion of the axon with a peripheral point of attack and secondary demyelination, may be the basic pathogenetic event of uremic polyneuropathy. Prolonged hemodialytic treatment is substantially unable to influence the evolution of uremic polyneuropathy. The electrophysiological follow-up study of the peripheral nerve does not seem to be an index of adequate dialysis.


Asunto(s)
Enfermedades del Sistema Nervioso Periférico/prevención & control , Diálisis Renal , Uremia/terapia , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Conducción Nerviosa , Nervios Periféricos/fisiopatología , Enfermedades del Sistema Nervioso Periférico/etiología , Enfermedades del Sistema Nervioso Periférico/fisiopatología , Tiempo de Reacción , Factores de Tiempo , Uremia/complicaciones
11.
J Neurol ; 245(2): 81-6, 1998 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-9507412

RESUMEN

Nerve conduction velocity distribution (CVD) study is a newly-developed electrodiagnostic method for detecting alterations in the composition of nerve fibres according to their conduction velocity. The presence of subclinical neuropathy was evaluated in 138 diabetic patients by CVD study of four motor nerves (external popliteal and ulnar nerves bilaterally) and two sensory nerves (median nerve bilaterally), and the data obtained were compared with standard electrophysiological parameters in the same nerve segments. CVD studies revealed an altered distribution pattern in 106 of 129 evaluable patients for motor nerves (82%) and in 67 of 115 evaluable patients for sensory nerves (58%), while standard examination gave abnormal findings in 92 of 137 patients (67%) and in 33 of 118 patients (11%), respectively. Of the patients adequately evaluated by both techniques, 21 of 129 patients (16%) revealed altered CVD data unaccompanied by slowing of maximum nerve conduction velocity, and 37 patients of 101 (37%) showed similar findings for sensory nerves. Subclinical alterations of motor and sensory nerve CVD were not significantly related to age or to metabolic control expressed as glycated haemoglobin levels; a significantly longer duration of disease was found in patients with motor and mixed subclinical neuropathy with respect to non-neuropathic patients. The CVD study allowed us to detect subclinical abnormalities of motor and sensory nerve fibres; often this is a more sensitive method than the standard electrodiagnostic study. This method can be very useful as a diagnostic tool and in research in the study of the progression of diabetic neuropathy.


Asunto(s)
Neuropatías Diabéticas/epidemiología , Nervio Mediano/fisiopatología , Fibras Nerviosas/fisiología , Conducción Nerviosa/fisiología , Nervios Periféricos/fisiopatología , Nervio Cubital/fisiopatología , Adolescente , Adulto , Anciano , Diabetes Mellitus Tipo 1/complicaciones , Diabetes Mellitus Tipo 2/complicaciones , Estudios de Evaluación como Asunto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Neuronas Motoras/fisiología , Prevalencia , Pronóstico , Factores de Riesgo
12.
J Neurol Sci ; 24(2): 251-6, 1975 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-1113137

RESUMEN

Evidence is presented to support the neurogenic hypothesis for murine dystrophy. Axonal atrophy, decrease in twitch tensions of individual motor units and loss of motor units suggest that "sick" motor units are present in dystrophic mice and that the "sick" motor units were once functional, but had gradually degenerated, possibly due to a neurotrophic deficiency.


Asunto(s)
Neuronas Motoras , Músculos/inervación , Distrofia Muscular Animal/patología , Potenciales de Acción , Animales , Femenino , Ratones , Neuronas Motoras/ultraestructura , Músculos/fisiopatología , Distrofia Muscular Animal/fisiopatología , Neurofibrillas/ultraestructura
13.
J Neurol Sci ; 24(2): 145-50, 1975 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-163298

RESUMEN

20, 25-Diazacholesterol does not induce myotonia in denervated mammalian skeletal muscle, and cordotomy also renders the muscles resistant to the induction of myotonia. Denervation of muscle already rendered myotonic, has no effect on the intensity of the phenomenon. Finally, tenotomy and posterior rhizotomy leave the myotonic activity in the "deafferentated" muscles unchanged. These findings are discussed in relation to "trophic" influences of the motor pathways on the postsynaptic structures of skeletal muscle.


Asunto(s)
Anticolesterolemiantes , Músculos/inervación , Miotonía/inducido químicamente , Potenciales de Acción , Animales , Electromiografía , Femenino , Neuronas Motoras/fisiología , Desnervación Muscular , Miotonía/fisiopatología , Vías Nerviosas , Ratas , Transmisión Sináptica , Factores de Tiempo
14.
Neurophysiol Clin ; 20(6): 455-62, 1990 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-2092204

RESUMEN

The authors report normative data on the electrical response (EMG response) recorded from the mentoneal muscles by repetitive mechanical stimulation of the thenar eminence surface of the hand in 18 neonates, 1 to 6 days old: the so-called palmomental reflex (PMR) or palm-chin reflex. PMR potentials showed in most cases great variability in amplitude and duration but not in latency, and they were present in all but one of the cases. The PMR was monolateral in one case only. Evoked potentials from the scalp were also recorded after electrical stimulation of the thenar eminence. The afferent branch of the PMR is constituted of impulses originating mainly from median nerve, skin and muscle receptors. Such impulses may reach facial motor nuclei following corticofugal pathways throughout a long-loop circuit.


Asunto(s)
Recién Nacido/fisiología , Reflejo/fisiología , Fenómenos Biomecánicos , Mentón , Electromiografía , Potenciales Evocados/fisiología , Femenino , Mano , Humanos , Masculino
15.
Acta Neurol Belg ; 91(4): 213-22, 1991.
Artículo en Inglés | MEDLINE | ID: mdl-1746243

RESUMEN

Conventional motor (MCV) and sensory conduction velocity (SCV) of the ulnar (UN), peroneal (PN) and median nerves (MN) and the areas of sympathetic sudomotor response (SSR) recorded from the middle finger were measured on both sides in 20 normal and 20 non-insulin-dependent diabetic (NIDD) subjects. Conventional statistical tests (t test, linear correlation coefficient r) and discrimination analysis were applied to the above electrophysiological parameters. To evaluate the capability of the tests to separate NIDD diseased from normal nerves, the results were represented as generalized distances, i.e., difference between mean discriminant normalized combinations adjusted for intra-group variability. The r values were 0.92 (P less than 0.01) for the UN, 0.40 (P greater than 0.05) for the PN, and 0.86 (P less than 0.01) for the MN sensory action potential (SAP) amplitudes. No significant differences were found for normalized latencies. The r values of the SSR areas were 0.62 (P less than 0.01) at the right and 0.77 (P less than 0.01) at the left, homolaterally to the side of stimulation. SR and MCV generalized distances were 1.35 and 1.39, respectively. The discriminating power of SSR, MCV and SCV considered together was higher (2.40) than that of MCV and SCV (1.70). Since motor, sensory and autonomic alterations often did not coexist in NIDD, it was possible to find at least one type of involvement in most of the diabetic subjects.


Asunto(s)
Diabetes Mellitus Tipo 2/fisiopatología , Neuropatías Diabéticas/fisiopatología , Respuesta Galvánica de la Piel , Conducción Nerviosa , Adulto , Potenciales Evocados Somatosensoriales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Neuronas Motoras/fisiología
16.
Theriogenology ; 57(1): 53-72, 2002 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-11775981

RESUMEN

Our expanding knowledge of the control of follicular wave dynamics during the bovine estrous cycle has resulted in renewed enthusiasm for the prospects of precisely controlling the follicular and luteal dynamics and finely controlling the time of ovulation. Follicular wave development can be controlled mechanically by ultrasound-guided follicle ablation or hormonally by treatments with GnRH or estradiol and progestogen/progesterone in combination. Treatment of cattle with GnRH in combination with prostaglandin F2 alpha (PGF) 7 d later and a second GnRH 48 h after PGF (known as Ovsynch) has resulted in acceptable pregnancy rates after fixed-time AI in lactating dairy cows and in recipients in which embryos were transferred without estrus detection. Alternatively, treatments with estradiol and progestogen/progesterone-releasing devices resulted in synchronous emergence of a new follicular wave and, when a second estradiol treatment was given 24 h after device removal, synchronous ovulation and high pregnancy rates to fixed-time AI. Self-appointed embryo transfer (without estrus detection) using estradiol and progesterone treatments have resulted in pregnancy rates comparable with those obtained with recipients transferred 7 d after estrus. Furthermore, estradiol and progesterone treatments combined with PGF and eCG (given 1 d after the expected time of wave emergence) have resulted in high rates of recipients selected for transfer (84.6%) and an overall pregnancy rate of 48.7% (recipients pregnant/recipients treated). Estradiol and progestogen/progesterone treatments have also been widely used for self-appointed superstimulation protocols with equivalent embryo production to that of donor cows superstimulated using the traditional approach beginning 8 to 12 d after estrus. In summary, exogenous control of luteal and follicular development facilitates the application of assisted reproductive technologies in cattle by offering the possibility of planning the superstimulation of donors and synchronization of recipients at a self-appointed time, without the necessity of estrus detection and without sacrificing results.


Asunto(s)
Cruzamiento/métodos , Bovinos/fisiología , Transferencia de Embrión/veterinaria , Folículo Ovárico/fisiología , Reproducción/efectos de los fármacos , Animales , Cuerpo Lúteo/fisiología , Dinoprost/farmacología , Estradiol/farmacología , Estro , Sincronización del Estro , Femenino , Hormona Liberadora de Gonadotropina/farmacología , Inseminación Artificial/veterinaria , Hormona Luteinizante/sangre , Ovulación/efectos de los fármacos , Embarazo , Índice de Embarazo , Progesterona/farmacología , Factores de Tiempo
17.
Minerva Cardioangiol ; 42(11): 535-9, 1994 Nov.
Artículo en Italiano | MEDLINE | ID: mdl-7700544

RESUMEN

Antiphospholipid syndrome is a well-defined clinical and serological entity characterized by venous and arterial thrombosis, recurrent abortion and thrombocytopenia. The immunological feature shows the presence of anticardiolipin antibodies and lupus anticoagulant. Cardiac involvement includes pericardial effusion, myocardial dysfunction, valvular disease, coronary artery occlusion. The literature reports only a few cases of intracardiac thrombosis associated with primary antiphospholipid syndrome. Here we describe a case of a 54 year-old woman with thrombocytopenia and history of recurrent abortions. When she was 51 she presented a left deep iliac venous thrombosis, followed by recurrent pulmonary embolism; a caval filter was placed in the inferior vena cava. Transthoracic and transoesophageal echocardiogram showed 3 masses in the right atrium: the first one was connected with the atrial wall, hyperechogenic and extending to the right ventricle in diastole: th second was connected with the interatrial septum and less echogenic; the third was in connection with septum-tricuspid valve junction and it was floating in the atrium. The immunological feature showed the presence of lupus anticoagulant and antiphospholipid antibodies; the histological examination of the masses, surgically removed, proved they were thrombi coated by endothelial cells. The case reported is very uncommon and offers the opportunity to emphasize the difficulty of diagnostic differentiation of intracardiac masses using echocardiographic imaging: thrombotic masses may present similar characteristics of seat, morphology and echogenicity of other cardiac masses. For these reasons it can be useful to look for antiphospholipid antibodies and lupus anticoagulant in such clinical conditions.


Asunto(s)
Síndrome Antifosfolípido/complicaciones , Cardiopatías/etiología , Trombosis/etiología , Síndrome Antifosfolípido/diagnóstico , Ecocardiografía , Femenino , Atrios Cardíacos , Cardiopatías/diagnóstico , Cardiopatías/cirugía , Humanos , Persona de Mediana Edad , Trombosis/diagnóstico , Trombosis/cirugía
18.
Minerva Cardioangiol ; 45(9): 423-7, 1997 Sep.
Artículo en Italiano | MEDLINE | ID: mdl-9446063

RESUMEN

AIM: The aim of this study was to evaluate the incidence of hypokinetic arrhythmias, bradycardiac (BR) and hypotensive reactions in a population of 775 patients during dobutamine stress test (DST): 281 patients (36.2%, group I) were symptomatic for thoracic pain without any history of coronary artery disease (CAD); 494 patients (63.8%, group II) were evaluated 3-4 weeks after an acute myocardial infarction (AMI) to stratify ischemic risk. None of these patients was receiving coronarodilating therapy. MATERIALS AND METHODS: DST was performed using an infusion of 5, 10, 20, 40 micrograms/kg/min for 5 minutes during the first two stages and for 3 minutes during subsequent stages, and was accompanied by EKG and echocardiographic monitoring. BR was defined as severe when heart rate diminished more than 40 b/min, moderate when the decrease ranged between 20 and 39 b/min, and mild when the decrease was less than 20 b/min. RESULTS: A total of 34 (4.38%) BR were observed, 19 (55%) in group I and 15 (45%) in group II. BR were severe in 12 patients (35.9%), 3 with recent AMI (2 inferior and 1 anterior) and 9 without a history of CAD. Fifteen (45%) presented moderate BR, 8 with recent AMI (6 inferior and 2 anterior); 7 cases were in group I. Mild BR was observed in 7 patients (20%), 2 with recent AMI (1 inferior, 1 anterior), of which 5 were in group I. Episodes of junctional rhythm were also observed in 10 patients (29.4%) and 1 patient (2.9%) presented 2nd degree AV block during DST positive for ischemia. The mean duration of bradycardic episodes was 89.6 seconds (+/- 29.8) and only 3 patients (8.8%) presented significant hypotension. In 13 patients (38.2%) arrhythmia was observed during dobutamine-induced ischemia. In spite of the often severely diminished heart rate, no significant hypotension was evident during the bradycardiac episode in 19 patients (55%). Only one patient (2.9%) showed a decrease of more than 40 mmHg. CONCLUSIONS: In conclusion, we found that the incidence of BR during DST (4.38%) is higher than that reported in the literature; moreover, patients with recent inferior AMI showed a higher incidence of BR compared to patients with AMI in other sites (9 vs 4, p = n.s.). We feel that ischemia alone may not be responsible for hypokinetic arrhythmia during DST, but that dobutamine-induced neurovegetative reflexes may also contribute to the pathophysiological mechanisms underlying the phenomenon.


Asunto(s)
Bradicardia/etiología , Cardiotónicos , Dobutamina , Hipotensión/etiología , Infarto del Miocardio/diagnóstico , Isquemia Miocárdica/inducido químicamente , Adulto , Anciano , Bradicardia/diagnóstico , Dobutamina/efectos adversos , Ecocardiografía , Electrocardiografía , Prueba de Esfuerzo , Femenino , Humanos , Hipotensión/diagnóstico , Masculino , Persona de Mediana Edad , Infarto del Miocardio/fisiopatología
19.
Minerva Cardioangiol ; 42(10): 493-6, 1994 Oct.
Artículo en Italiano | MEDLINE | ID: mdl-7816238

RESUMEN

We describe a case of infective endocarditis in a 33 year old patient, with mitral valve prolapse (MVP), who underwent nine attempts of artificial insemination with semen by donor. Several blood cultures demonstrated the presence of Enterococcus faecalis; the same agent was identified in some vaginal cultures. Despite antibiotic therapy, infective endocarditis was complicated by severe mitral regurgitation, followed by the rupture of a chorda tendinea. The patient underwent cardiac surgery: valvuloplasty of posterior mitral cusp, chordae tendineae in Goretex and anulus reinforcement with autologous pericardium. MVP is the most common heart disease associated with infective endocarditis in non-drug addict patients (32-54%). The review of the literature did not show any other case of infective endocarditis after artificial insemination procedures. Because of the large spread of these procedures, we think antibiotic prophylaxis of infective endocarditis should be considered in patients with MVP.


Asunto(s)
Endocarditis Bacteriana/etiología , Enterococcus faecalis , Infecciones por Bacterias Grampositivas/etiología , Inseminación Artificial Heteróloga/efectos adversos , Adulto , Cuerdas Tendinosas , Endocarditis Bacteriana/complicaciones , Endocarditis Bacteriana/diagnóstico , Femenino , Infecciones por Bacterias Grampositivas/complicaciones , Infecciones por Bacterias Grampositivas/diagnóstico , Rotura Cardíaca/etiología , Humanos , Insuficiencia de la Válvula Mitral/etiología , Prolapso de la Válvula Mitral/complicaciones , Factores de Tiempo , Insuficiencia de la Válvula Tricúspide/etiología
20.
Electromyogr Clin Neurophysiol ; 31(3): 151-6, 1991 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-2049990

RESUMEN

The authors report normative data on the electrical response (EMG response) recorded from the mentoneal muscles by repetitive mechanical stimulation of the palmar and dorsal surface of the hand in 23 normal adults: the palmomental reflex (PMR). An early and late response was observed in 11 cases. The PMR potentials showed great variability in latency, amplitude and duration and were present in about 70% of the subjects in whom the PMR was undetectable by visual inspection. In 3 cases the reflex was also observed contralaterally to the side of stimulation. The afferent branch of the normal PMR is constituted of impulses originating mainly from the median nerve skin and muscle receptors. Such impulses could reach facial motor nuclei either through short-(paucisynaptic) or long-loop (thalamocortical) circuits.


Asunto(s)
Mentón , Músculos Faciales/fisiología , Mano/fisiología , Músculos/fisiología , Estimulación Física , Reflejo/fisiología , Potenciales de Acción/fisiología , Adulto , Electromiografía , Potenciales Evocados/fisiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Presión , Tiempo de Reacción
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