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1.
Nature ; 486(7403): 341-5, 2012 Jun 20.
Artigo em Inglês | MEDLINE | ID: mdl-22722192

RESUMO

The shell structure of atomic nuclei is associated with 'magic numbers' and originates in the nearly independent motion of neutrons and protons in a mean potential generated by all nucleons. During ß(+)-decay, a proton transforms into a neutron in a previously not fully occupied orbital, emitting a positron-neutrino pair with either parallel or antiparallel spins, in a Gamow-Teller or Fermi transition, respectively. The transition probability, or strength, of a Gamow-Teller transition depends sensitively on the underlying shell structure and is usually distributed among many states in the neighbouring nucleus. Here we report measurements of the half-life and decay energy for the decay of (100)Sn, the heaviest doubly magic nucleus with equal numbers of protons and neutrons. In the ß-decay of (100)Sn, a large fraction of the strength is observable because of the large decay energy. We determine the largest Gamow-Teller strength so far measured in allowed nuclear ß-decay, establishing the 'superallowed' nature of this Gamow-Teller transition. The large strength and the low-energy states in the daughter nucleus, (100)In, are well reproduced by modern, large-scale shell model calculations.

2.
J Transl Med ; 13: 235, 2015 Jul 18.
Artigo em Inglês | MEDLINE | ID: mdl-26187646

RESUMO

Inflammation is a key etiologic component in atherogenesis. Previously we demonstrated that adeno-associated virus (AAV) 2/8 gene delivery of Netrin1 inhibited atherosclerosis in the low density lipoprotein receptor knockout mice on high-cholesterol diet (LDLR-KO/HCD). One important finding from this study was that FOXP3 was strongly up-regulated in these Netrin1-treated animals, as FOXP3 is an anti-inflammatory gene, being the master transcription factor of regulatory T cells. These results suggested that the FOXP3 gene might potentially be used, itself, as an agent to limit atherosclerosis. To test this hypothesis AAV2/8 (AAV)/hFOXP3 or AAV/Neo (control) gene therapy virus were tail vein injected into the LDLR-KO/HCD animal model. It was found that hFOXP3 gene delivery was associated with significantly lower HCD-induced atherogenesis, as measured by larger aortic lumen cross sectional area, thinner aortic wall thickness, and lower aortic systolic blood velocity compared with Neo gene-HCD-treated controls. Moreover these measurements taken from the hFOXP3/HCD-treated animals very closely matched those measurements taken from the normal diet (ND) control animals. These data strongly suggest that AAV/hFOXP3 delivery gave a robust anti-atherosclerosis therapeutic effect and further suggest that FOXP3 be examined more stringently as a therapeutic gene for clinical use.


Assuntos
Aterosclerose/terapia , Colesterol na Dieta/sangue , Dependovirus , Fatores de Transcrição Forkhead/genética , Receptores de LDL/genética , Animais , Aorta/diagnóstico por imagem , Aorta/patologia , Aterosclerose/sangue , Aterosclerose/fisiopatologia , Dieta , Terapia Genética/métodos , Humanos , Inflamação/patologia , Masculino , Camundongos , Camundongos Knockout , Linfócitos T Reguladores , Transgenes , Ultrassonografia
3.
J Cell Biol ; 125(3): 607-16, 1994 May.
Artigo em Inglês | MEDLINE | ID: mdl-8175883

RESUMO

We have cloned the gene for Drosophila gelsolin. Two mRNAs are produced from this gene by differential splicing. The protein encoded by the longer mRNA has a signal peptide and its electrophoretic mobility when translated in vitro in the presence of microsomes is higher than when it is translated without microsomes. The protein translated from the shorter mRNA does not show this difference. This indicates that Drosophila like vertebrates has two forms of gelsolin, one secreted, the other cytoplasmic. The mRNA for both is present ubiquitously in the early embryo. Later, the cytoplasmic form is expressed in parts of the gut. The RNA for the secreted form is expressed in the fat body, and the secreted protein is abundant in extracellular fluid (hemolymph). The cytoplasmic form of gelsolin co-localizes with F-actin in the cortex of the cells in the embryo and in larval epithelia. However, during cellularization of the blastoderm it is reduced at the base of the cleavage furrow, a structure similar to the contractile ring in dividing cells.


Assuntos
Gelsolina/metabolismo , Processamento Alternativo , Sequência de Aminoácidos , Animais , Sequência de Bases , Compartimento Celular , Clonagem Molecular , Primers do DNA/química , Drosophila melanogaster/embriologia , Drosophila melanogaster/genética , Drosophila melanogaster/metabolismo , Gelsolina/genética , Genes de Insetos , Humanos , Mitose , Dados de Sequência Molecular
4.
Science ; 197(4304): 671-4, 1977 Aug 12.
Artigo em Inglês | MEDLINE | ID: mdl-877583

RESUMO

Syn-and anti-benzo[a]pyrene diol epoxides elicit a concentration-dependent nicking of superhelical Col E1 DNA in an in vitro reaction monitored by agarose gel electrophoresis and electron microscopy. This strand scission represents less than 1 percent of the DNA modification by diol epoxide. Kinetic analysis implicates the formation of unstable phosphotriesters, hydrolysis of which nick the DNA.


Assuntos
Benzopirenos , DNA Bacteriano , DNA Circular , Éteres Cíclicos , Hidrólise , Cinética , Conformação de Ácido Nucleico/efeitos dos fármacos , Plasmídeos , RNA Viral , Relação Estrutura-Atividade
5.
Eat Weight Disord ; 13(1): 14-21, 2008 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-18319633

RESUMO

Athletes of light-weight sport classes are under a constant strain to control eating and body shape, which can make them prone to develop eating disorders. In the present study, cognitive control of eating (restrained eating) and body dissatisfaction were investigated in male elite athletes of light-weight and heavy-weight classes at different ages. Body dissatisfaction was assessed under hunger and satiety. Adult light-weight rowers had extremely high scores of restrained eating and a more pronounced body dissatisfaction under hunger compared to satiety in contrast to heavy-weight rowers. Juvenile light-weight rowers had a pronounced cognitive control of eating behavior while body dissatisfaction was not affected by weight-class or hunger. The results suggest that extensive participation in a light-weight sport increases the cognitive control of eating behavior but not the disinhibition of cognitive control of eating. High levels of cognitive control of eating in the adult lightweight rowers are accompanied with body dissatisfaction under hunger but not under satiety.


Assuntos
Imagem Corporal , Cognição , Comportamento Alimentar/psicologia , Esportes , Adolescente , Adulto , Análise de Variância , Índice de Massa Corporal , Transtornos da Alimentação e da Ingestão de Alimentos/etiologia , Humanos , Fome , Masculino , Fatores de Risco , Saciação , Autoimagem , Inquéritos e Questionários , Magreza
6.
Transplant Proc ; 49(8): 1947-1955, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-28923653

RESUMO

BACKGROUND: The influence of immunosuppressants on hepatitis C virus (HCV) re-infection after liver transplantation, particularly mammalian target of rapamycin inhibitors, remains unclear. The aim of our study was to analyze the influence of everolimus (EVR) on HCV replication activity in the context of underlying molecular mechanisms, with focus on the pro-myelocytic leukemia protein (PML). METHODS: HCV viral load was recorded in 40 patients with post-transplant HCV re-infection before and 8 weeks after introduction of EVR. An HCV cell culture replicon system for genotype (GT) 1b, GT2b, and GT3a was used to compare the influence of EVR on HCV replication for the respective genotypes in vitro. Fluorescence-activated cell-sorting analysis was used to test for effects on cell proliferation. PML expression was silenced with the use of small hairpin RNA constructs, and PML expression was quantified by means of quantitative real-time polymerase chain reaction. RESULTS: In patients with HCV, the viral load of GT1a and GT1b was hardly affected by EVR, whereas the viral load was reduced in patients with GT2a (P ≤ .0001) or GT3 infection (P ≤ .05). In vitro EVR impairs HCV replication activity of GT2a and GT3a up to 60% (P ≤ .0005), whereas in GT1b cells, HCV replication activity is increased by 50% (P ≤ .005). Replicon cell viability was not impaired. HCV replication activity is impaired in the absence of PML, which can be reversed by overexpression of PML isoforms. Furthermore, in the absence of PML, the effect of EVR on HCV replication activity is nearly abrogated. CONCLUSIONS: The mammalian target of rapamycin inhibitor EVR influences HCV replication via PML. The herein presented results suggest a genotype-dependent benefit for an EVR-based immunosuppressive regimen in patients with GT2a or GT3 re-infection after liver transplantation.


Assuntos
Everolimo/farmacologia , Hepacivirus/efeitos dos fármacos , Hepatite C Crônica/virologia , Imunossupressores/farmacologia , Transplante de Fígado , Sirolimo/antagonistas & inibidores , Serina-Treonina Quinases TOR/antagonistas & inibidores , Replicação Viral/efeitos dos fármacos , Genótipo , Hepacivirus/genética , Hepacivirus/fisiologia , Humanos , Técnicas In Vitro , RNA Viral , Reação em Cadeia da Polimerase em Tempo Real , Carga Viral/efeitos dos fármacos
7.
Biochim Biophys Acta ; 511(2): 251-8, 1978 Aug 04.
Artigo em Inglês | MEDLINE | ID: mdl-307965

RESUMO

Sanguinarine, a benzophenanthridine alkaloid, causes a initial stimulation of frog skin short circuit current Isc when present in the mucosal bathing medium at 10(-4) M. The stimulation is accompanied by an increase in spontaneous potential difference (PD) and increase in D.C. resistance. No effects are seen with sanguinarine in the serosal bathing medium. The initial stimulation is followed by a decrease in Isc and PD, but a continued increase in resistance. In skins whose initial spontaneous PD is high, no initial stimulation in Isc and PD is seen; however, clamping these skins to a lower potential does not alter their initial inhibitory response to sanguinarine. Likewise, clamping the lower potential skins to higher potential does not alter their initial stimulatory response. Sanguinarine seems to be acting on the permeability barriers at the outer surface of the frog skin.


Assuntos
Alcaloides/farmacologia , Potenciais da Membrana/efeitos dos fármacos , Fenantridinas/farmacologia , Animais , Anuros , Benzofenantridinas , Isoquinolinas , Rana pipiens , Pele/efeitos dos fármacos , Fenômenos Fisiológicos da Pele
8.
Biochim Biophys Acta ; 462(2): 403-13, 1977 Nov 17.
Artigo em Inglês | MEDLINE | ID: mdl-588575

RESUMO

Bongkrekic acid and atractyloside, inhibitors of adenine nucleotide translocase, do not inhibit Ca2+ uptake and H+ production by pig heart mitochondria. However, bongkrekic acid, but not atractyloside, inhibits dinitrophenol-induced Ca2+ efflux and H+ uptake. Conversely, ruthenium red blocks Ca2+ uptake and H+ production but does not prevent dinitrophenol-induced Ca2+ efflux and H+ uptake by mitochondria. These results suggest that mitochondrial Ca2+ uptake and release exist as two independent pathways. The efflux of Ca2+ from mitochondria is mediated by a bongkrekic acid sensitive component which is apparently not identical to the ruthenium red sensitive Ca2+ uptake carrier.


Assuntos
Antibacterianos/farmacologia , Atractilosídeo/farmacologia , Ácido Bongcréquico/farmacologia , Cálcio/metabolismo , Dinitrofenóis/farmacologia , Glicosídeos/farmacologia , Mitocôndrias Cardíacas/metabolismo , Difosfato de Adenosina/farmacologia , Trifosfato de Adenosina/farmacologia , Animais , Interações Medicamentosas , Oligomicinas/farmacologia , Consumo de Oxigênio/efeitos dos fármacos , Prótons , Suínos
9.
J Leukoc Biol ; 42(3): 253-62, 1987 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-3040877

RESUMO

Substitution of dietary fatty acids has potential for altering the inflammatory response. The purpose of the present study was to define the metabolites of arachidonic acid (AA) and eicosapentaenoic acid (EPA) secreted by bovine peripheral blood neutrophils and platelets. High performance liquid chromatography was used to characterize cyclooxygenase and lipoxygenase metabolites secreted in response to the calcium ionophore A23187. Cells were prelabelled with 3H-AA or 3H-EPA prior to challenge with the calcium ionophore. Bovine neutrophils secreted leukotriene B4 (LTB4) and 5-hydroxyeicosatetraenoic acid (5-HETE) as the major metabolites of AA, as well as the corresponding leukotriene B5 (LTB5) and 5-hydroxyeicosapentaenoic acid (5-HEPE) metabolites of EPA. Peptidoleukotrienes derived from 3H-AA or 3H-EPA were not detected under these conditions. The major tritiated metabolites secreted from bovine platelets were: thromboxane A2, measured as the stable metabolite thromboxane B2 (TXB2); hydroxyheptadecatrienoic acid (HHT) and 12-HETE derived from 3H-AA; and the omega-3 analogs TXB3 and 12-HEPE, derived from 3H-EPA. Preferred substrate specificities existed amongst the AA- and EPA-derived metabolites for the intermediary enzymes involved in the arachidonic acid cascade. These findings support the hypothesis that substitution of membrane-bound AA by EPA has potential for modulation of the host inflammatory response following cellular phospholipid mobilization.


Assuntos
Ácidos Araquidônicos/metabolismo , Plaquetas/metabolismo , Calcimicina/farmacologia , Ácido Eicosapentaenoico/metabolismo , Neutrófilos/metabolismo , Ácido 12-Hidroxi-5,8,10,14-Eicosatetraenoico , Animais , Ácido Araquidônico , Bovinos , Cromatografia Gasosa-Espectrometria de Massas , Ácidos Hidroxieicosatetraenoicos/metabolismo , Leucotrieno A4 , Leucotrieno B4/metabolismo , Masculino , Trítio
10.
Arch Intern Med ; 139(1): 86-8, 1979 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-760689

RESUMO

Polyuria and polydipsia developed in two cases during amphotericin B therapy for deep mycoses. Neither patient could concentrate his urine in response to water deprivation or exogenous vasopressin. Other causes of vasopressin-resistant nephrogenic diabetes insipidus were not present. Three months after amphotericin B therapy had been discontinued, concentrating ability improved toward normal. A third patient was further observed and demonstrated normal diluting capacity but impaired free-water reabsorption, suggesting a distal tubular defect consistent with nephrogenic diabetes insipidus. Four months after discontinuing therapy, renal concentrating ability was normal. Amphotericin B can induce a reversible form of nephrogenic diabetes insipidus.


Assuntos
Anfotericina B/efeitos adversos , Diabetes Insípido/induzido quimicamente , Capacidade de Concentração Renal/efeitos dos fármacos , Nefropatias/induzido quimicamente , Vasopressinas , Humanos , Masculino , Pessoa de Meia-Idade , Concentração Osmolar , Urina/análise , Privação de Água
11.
Cell Calcium ; 3(3): 227-41, 1982 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-6215983

RESUMO

Recovery of high-energy compounds by ischemic myocardium is believed to be important for its return to normal functioning. While it has been previously shown that oxidative phosphorylation is markedly reduced in mitochondria isolated from ischemic myocardium in the presence of all substrates, alterations in ATPase activity have not been confirmed. This study demonstrates that, although the rate of ATP hydrolysis produced by mitochondria isolated from 2-hr ischemic myocardium does not significantly differ from that produced by non-ischemic mitochondria, the rate produced by 2-hr ischemic, 2 hr reperfused mitochondria is significantly higher. Also, Ca++ content was observed to be higher in reperfused than in non-reperfused ischemic mitochondria. The addition of EDTA, EGTA, or oligomycin to the reperfused ischemic mitochondria resulted in the inhibition of ATPase activity. These results indicate that mitochondrial ATPase in ischemic myocardium is activated by Ca++ ions and that ischemic reperfused myocardium may contain mitochondria with uncontrolled ATPase activity such that high energy phosphate supplies are excessively depleted when the cells are reperfused.


Assuntos
Adenosina Trifosfatases/metabolismo , Doença das Coronárias/enzimologia , Mitocôndrias Cardíacas/enzimologia , Animais , Ácido Edético/farmacologia , Ácido Egtázico/farmacologia , Hidrólise , Fosforilação Oxidativa , Perfusão , Suínos , Tioureia/metabolismo , Fatores de Tempo
12.
J Med Chem ; 40(1): 4-8, 1997 Jan 03.
Artigo em Inglês | MEDLINE | ID: mdl-9016322

RESUMO

Functionalized 2-alkyl derivatives of inosinic acid have been synthesized to serve as reversible as well as irreversible inhibitors of the human type II enzyme inosine monophosphate dehydrogenase. These compounds were designed to react with Cys-331 of the enzyme to form covalent bonds so as to interfere with the normal enzyme mechanism which involves attack of Cys-331 at C-2 of the substrate. Mass spectrometric analysis of the reaction products after enzymatic degradation confirmed the appropriateness of the inhibitor design.


Assuntos
Inibidores Enzimáticos/síntese química , IMP Desidrogenase/antagonistas & inibidores , Cromatografia Líquida de Alta Pressão , Desenho de Fármacos , Humanos , Espectrometria de Massas , NAD/metabolismo
13.
Am J Cardiol ; 53(11): 1703-6, 1984 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-6731316

RESUMO

Digoxin is often used as an antiarrhythmic and inotropic agent. It produces significant neuroexcitatory responses that influence both its therapeutic and toxic effects. Patients receiving digoxin can be separated into 2 groups: those who receive it acutely and those who receive it chronically. The therapeutic and toxic responses to digoxin vary between these groups. The neural tissue distribution of digoxin was compared in dogs after both acute and chronic injections. Acute administration of digitalis in this study was associated with preferential uptake of digoxin into peripheral sympathetic nerves. Chronic administration was associated with continued selective uptake into the central nervous system despite decreasing serum levels. Therefore, acute (experimental or suicidal) or chronic (maintenance) digoxin administration produces different neural responses. The peripheral sympathetic nervous system will be the primary area of interaction with acute digoxin administration and the central nervous system will have a greater involvement with chronic digoxin administration. Our results indicate that the uptake of digoxin into the peripheral nervous system and central nervous system depends upon the duration of digoxin administration. The time course of digoxin accumulation influences both its therapeutic and toxic actions.


Assuntos
Digoxina/metabolismo , Músculos/metabolismo , Miocárdio/metabolismo , Sistema Nervoso/metabolismo , Animais , Encéfalo/metabolismo , Digoxina/administração & dosagem , Cães , Feminino , Masculino , Distribuição Tecidual
14.
Am J Cardiol ; 50(4): 821-8, 1982 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-7124641

RESUMO

Reperfusion of acutely ischemic myocardium may cause profound alterations in left ventricular wall performance and metabolism. This study evaluates regional left ventricular wall thickness, analyzes metabolic and biochemical alterations, and examines tissue hemorrhage during 15, 30, and 120 minutes of myocardial ischemia, each followed by 120 minutes of reperfusion. Reperfusion after 15 minutes of ischemia showed nearly normal ventricular wall thickening and motion, intact metabolic and biochemical function, and no tissue hemorrhage. However, reperfusion after 30 and 120 minutes of ischemia was associated with ventricular wall thickening and failure to resume systolic and diastolic wall motion. Furthermore, adverse metabolic and biochemical alterations and reperfusion zone hemorrhaging increased proportionally with the duration of ischemia. These findings suggest critical myocardial damage occurring between 15 and 30 minutes of ischemia in an animal model without preexisting coronary collateral circulation. The observed metabolic and biochemical changes are consistent with irreversible cell membrane defects, allowing calcium ion accumulation and thus adversely affecting diastolic relaxation and systolic thickening.


Assuntos
Doença das Coronárias/metabolismo , Ventrículos do Coração/fisiopatologia , Perfusão , Trifosfato de Adenosina/metabolismo , Animais , Arteriopatias Oclusivas/etiologia , Cálcio/metabolismo , Doença das Coronárias/diagnóstico , Doença das Coronárias/etiologia , Vasos Coronários/fisiopatologia , Ecocardiografia , Mitocôndrias Cardíacas/metabolismo , Fosforilação Oxidativa , Retículo Sarcoplasmático/metabolismo , Suínos
15.
Am J Cardiol ; 45(6): 1196-200, 1980 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-7377118

RESUMO

Tissue concentrations of tritiated digoxin inthe dog are altered by simultaneous administration of quinidine. Serum levels rise as tissue concentration decreases significantly in all tissue except brain tissue, where an increase of 51 percent is noted over that of the control digitalized state. The digitalis toxicity associated with digoxin-quinidine interaction appears to be associated with rising brain levels of digoxin and falling levels in the myocardium. These findings suggest a neurally mediated form of toxicity with this interaction related to a change in the space of distribution. The question of possible loss of inotropic effect associated with diminished myocardial digoxin concentration requires further study.


Assuntos
Digoxina/metabolismo , Quinidina/metabolismo , Animais , Encéfalo/metabolismo , Glicosídeos Digitálicos/toxicidade , Digoxina/sangue , Cães , Vesícula Biliar/metabolismo , Coração/efeitos dos fármacos , Rim/metabolismo , Fígado/metabolismo , Músculos/efeitos dos fármacos , Quinidina/sangue , Baço/metabolismo
16.
Am J Cardiol ; 36(2): 218-24, 1975 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-1155344

RESUMO

This study examines the effect of 2 hours of reperfusion on transiently ischemic myocardium in pigs. Indexes of myocardial viability measured were mitochondrial function, oxygen extraction, epicardial S-T segment change and distribution of tritiated digoxin. Results were as follows: (1) Mitochondrial function was markedly impaired in the reperfused area after 60 minutes or more of coronary occlusion. The defect would seem to be a block in electron flow near site I, which can be partially bypassed with succinate. (2) An apparent inability of the reperfused myocardium to extract oxygen did not improve with 2 hours of reperfusion. (3) Epicardial S-T segment mapping suggested that necrosis occurred during reperfusion. (4) There was an altered distribution of tritiated digoxin in the reperfused area. The results show that reperfusion for 2 hours did not improve myocardial viability after 60 minutes or more of ischemia.


Assuntos
Circulação Coronária , Doença das Coronárias/metabolismo , Digoxina/metabolismo , Mitocôndrias Musculares/metabolismo , Miocárdio/metabolismo , Consumo de Oxigênio , Trifosfato de Adenosina/metabolismo , Animais , Cães , Eletrocardiografia , Feminino , Sistema de Condução Cardíaco/metabolismo , Masculino , Contração Miocárdica , Miocárdio/ultraestrutura , Fosforilação Oxidativa , Suínos
17.
J Am Geriatr Soc ; 43(3): 245-51, 1995 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-7884111

RESUMO

OBJECTIVE: To determine factors associated with success or failure of oral antibiotic treatment for nursing home-acquired pneumonia (NHAP). DESIGN: Retrospective study of outcomes for all identifiable NHAP cases in 1991. SETTING: The Nursing Home Services Program of St. Paul Ramsey Medical Center and 31 metropolitan St. Paul, Minnesota, community nursing homes. PARTICIPANTS: Nursing home (NH) cohort: 124 patients (mean age 85.2 years) with a new respiratory symptom and new infiltrate on portable chest X-ray for whom oral antibiotics were prescribed. Hospital cohort: 74 NH patients (mean age 84.3 years) admitted to hospital with new X-ray infiltrate and pneumonia diagnosis. Supportive care status patients were excluded. Forty-three physician/nurse practitioner (MD/NP) teams were represented. MEASUREMENTS: Nursing home cohort: Outcomes of hospitalization within 14 days or 30-day mortality. A discriminant model was applied to predict outcome and discriminant rule performance was analyzed. Hospital cohort: 30-day mortality. RESULTS: Of 198 episodes of NH pneumonia, 63% were treated in the facility; 30.6% (38) failed NH treatment. Thirty-day mortality was 13%. There was no examination by the MD or NP for 59% of NH-treated episodes. The hospital cohort had a higher mean pulse (P < .05) but a similar frequency of feeding dependence. Hospital cohort mortality was 17.6%. The NH treatment failure group had significantly higher proportions of pulse > 90/min, temperature > 100.5 degrees F, respirations > 30/min, feeding dependence, and mechanically altered diets. A discriminant model using these factors was significant (P = .002). The NH treatment failure rate was 11% for no factors present, 23% for two or fewer factors, and 59.5% for three or more (likelihood ratio 3.1). Thirty-two percent of the hospital cohort had zero or one factor present and were alive at 30 days. CONCLUSION: The majority of NHAP episodes were treated successfully with oral antibiotics, but 31% failed treatment in the NH. Patients with a mechanically altered diet or requiring feeding assistance by staff had significantly higher failure rates. Feeding dependence and need for a mechanically altered diet as well as abnormal vital signs are associated with oral antibiotic treatment failure. These factors should be considered in treatment decisions for NHAP.


Assuntos
Antibacterianos/uso terapêutico , Infecção Hospitalar/tratamento farmacológico , Casas de Saúde/estatística & dados numéricos , Pneumonia/tratamento farmacológico , Administração Oral , Idoso , Idoso de 80 Anos ou mais , Antibacterianos/administração & dosagem , Infecção Hospitalar/mortalidade , Análise Discriminante , Feminino , Instituição de Longa Permanência para Idosos/estatística & dados numéricos , Hospitalização , Humanos , Masculino , Minnesota/epidemiologia , Pneumonia/mortalidade , Valor Preditivo dos Testes , Estudos Retrospectivos , Fatores de Risco , Falha de Tratamento , Resultado do Tratamento
18.
Arch Ophthalmol ; 116(4): 488-91, 1998 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-9565047

RESUMO

OBJECTIVE: To measure scattered laser energy reaching the posterior pole during transscleral cyclophotocoagulation. METHODS: Transscleral cyclophotocoagulation was performed on 4 cadaver eyes with Nd:YAG noncontact, Nd:YAG contact, and diode contact lasers. Energy was measured with a photodiode through a 7-mm trephined hole in the posterior pole. Average percentage power, average power, and average energy transmission were calculated. American Conference of Governmental Industrial Hygienists (ACGIH) guidelines were used to calculate allowable energy exposures for each laser. RESULTS: All 3 lasers transmitted 3% to 5% of the power to the posterior pole. The average energy transmission was 240 to 260 mJ for all lasers. The contact lasers had an average power transmission of 120 mW. The noncontact Nd:YAG laser, with shorter pulse duration, had an average power transmission of 13,000 mW, significantly greater than that of the other lasers. The ACGIH guidelines for allowable energy exposures were 93 mJ for the noncontact Nd:YAG laser, 1300 mJ for the contact Nd:YAG laser, and 440 mJ for the contact diode laser. CONCLUSIONS: Three percent to 5% of laser power delivered during cyclophotocoagulation reaches the posterior pole. Exposure energies may approach or exceed ACGIH guidelines. The clinical significance of these findings remains to be shown.


Assuntos
Corpo Ciliar/cirurgia , Fotocoagulação a Laser , Retina/efeitos da radiação , Idoso , Humanos , Fotocoagulação a Laser/efeitos adversos , Fotocoagulação a Laser/normas , Concentração Máxima Permitida , Guias de Prática Clínica como Assunto/normas , Lesões por Radiação/etiologia , Espalhamento de Radiação , Esclera , Transtornos da Visão/etiologia
19.
Steroids ; 40(1): 35-51, 1982 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-7157445

RESUMO

Data are presented on the mass spectrometry of intact steroid conjugates. The principal technique used was secondary ion mass spectrometry (SIMS) using a Cs+ ion beam for ionization, although comparable data were obtained by fast atom bombardment (FAB) using a Xeo beam. In both techniques the samples were analyzed in a liquid matrix (glycerol). Positive and negative ion spectra have been obtained, the latter being most useful for steroid sulfate and glucuronide analysis. The negative ion spectra are dominated by a pseudomolecular ion at m/z [M-H]- (M of free acid) and the lack of marked fragmentation permits mixtures of steroids to be resolved in a single spectrum, providing they differ in mass. Preliminary data on the separate analysis of individual components from urine and plasma of patients with assorted disorders of steroid synthesis and metabolism are presented. This technique shows great promise for the clinical analysis of steroid conjugates without the need for enzymic hydrolysis or chromatographic separation of individual steroids.


Assuntos
Esteroides/análise , Glucuronatos/síntese química , Humanos , Espectrometria de Massas/métodos , Esteroides/urina , Sulfatos/síntese química
20.
Syst Appl Microbiol ; 21(3): 442-9, 1998 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-9779609

RESUMO

Ferric iron was produced anaerobically from ferrous iron through the metabolic activity of recently described ferrous iron-oxidizing, nitrate-reducing bacteria. It was identified as poorly crystallized 2-line ferrihydrite with a particle size of 1-2 nm. This biologically produced ferrihydrite was shown to be a suitable electron acceptor for dissimilatory ferric iron-reducing bacteria in freshwater enrichment cultures, and was completely reduced to the ferrous state; no magnetite formation occurred. Geobacter metallireducens was also able to completely reduce the biologically produced ferrihydrite. These results indicate the possibility of an anaerobic, microbial cycling of iron. Using the biologically produced ferric iron, two isolates of obligately anaerobic, dissimilatory ferric iron-reducing bacteria, strains Dfr1 and Dfr2, were obtained from freshwater enrichment cultures. Analysis of 16S rRNA gene sequences revealed an affiliation with the Geobacter cluster within the family Geobacteraceae. The sequence similarity between strains Dfr1 and Dfr2 is 92.5%. The closest relative of strain Dfr1 is Geobacter sulfurreducens with 92.9%, and of strain Dfr2 Geobacter chapelleii with 93.7% sequence similarity. In addition, strains Dfr1 and Dfr2 are both able to grow by dissimilatory reduction of Mn(IV), S degree, and fumarate. Furthermore, strain Dfr2 is able to reduce akaganeite (beta-FeOOH), a more crystallized type of ferric iron oxide.


Assuntos
Compostos Férricos/metabolismo , Ferritinas/metabolismo , Bactérias Anaeróbias Gram-Negativas/isolamento & purificação , Bactérias Anaeróbias Gram-Negativas/metabolismo , Composição de Bases , Análise por Conglomerados , Meios de Cultura , DNA Bacteriano/genética , DNA Ribossômico/genética , Bactérias Anaeróbias Gram-Negativas/classificação , Bactérias Anaeróbias Gram-Negativas/genética , Dados de Sequência Molecular , Oxirredução , Filogenia , RNA Ribossômico 16S/genética , Análise de Sequência de DNA , Microbiologia da Água
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