RESUMO
The frequency of surgical site infections (SSIs) after clean neck surgery is low and antibiotic prophylaxis is not recommended. This retrospective study investigated the effect of perioperative prophylactic antimicrobial therapy on the development of infections. A total of 807 consecutive patients undergoing clean neck surgery were included in the study. Antimicrobial prophylaxis with intravenous cefuroxime was administered in 518 cases. Although patients who received prophylaxis had a lower rate of SSIs than those who did not receive antibiotics, this was not statistically significant (0.4% vs 1.4% respectively, p=0.19). Older age was the only variable associated with the development of SSIs (p=0.014).
Assuntos
Antibioticoprofilaxia/estatística & dados numéricos , Pescoço/cirurgia , Infecção da Ferida Cirúrgica , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Antibacterianos/uso terapêutico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Paratireoidectomia/estatística & dados numéricos , Estudos Retrospectivos , Infecção da Ferida Cirúrgica/tratamento farmacológico , Infecção da Ferida Cirúrgica/epidemiologia , Infecção da Ferida Cirúrgica/prevenção & controle , Tireoidectomia/estatística & dados numéricos , Adulto JovemRESUMO
The Brunsen solubility coefficients for O2 in blood obtained from healthy nonsmoking subjects have been determined at 0, 6, and 12 degrees C for bloods of hemoglobin concentrations 5.6, 10.2, 15.7, and 22.5 g/100 ml. Direct gasometric measurements show that blood has a relative solubility (alphabeta/alphah2o) different for each hemoglobin concentration but constant for any given hemoglobin concentration at the temperatures studied (0.6, and 12 degrees C). For hemoglobin concentrations 5.6, 10.2, 15.7, and 22.5 g/100 ml alphabetao degrees C/alphabeta 12 degrees C rations were 1.36, 1.35, 1.35, and 1.35, respectively. The alpha H20(0 degrees C)/alpha H20(12 degrees C) ratio is 1.34. Consequently, it was possible to construct a table for the Brunsen solubility coefficients for O2 in blood from O to 15 degrees C of different hemoglobulin concentrations. Values from 10 to 15 degrees C published in the Biologal Hanbook, Respiration and Circulation, based on extrapolations from previous direct measurements of temperatures from 18 to 37 degrees C differ only 1% from our present results.
Assuntos
Sangue , Temperatura Baixa , Hemoglobinas/análise , Oxigênio/sangue , Adulto , Humanos , Hipotermia/sangue , Masculino , Matemática , Solubilidade , Tonometria OcularRESUMO
Recent studies indicate that splicing of pre-messenger RNA and export of mRNA are normally coupled in vivo. During splicing, the conserved mRNA export factor Aly is recruited to the spliced mRNA-protein complex (mRNP), which targets the mRNA for export. At present, it is not known how Aly is recruited to the spliced mRNP. Here we show that the conserved DEAD-box helicase UAP56, which functions during spliceosome assembly, interacts directly and highly specifically with Aly. Moreover, UAP56 is present together with Aly in the spliced mRNP. Significantly, excess UAP56 is a potent dominant negative inhibitor of mRNA export. Excess UAP56 also inhibits the recruitment of Aly to the spliced mRNP. Furthermore, a mutation in Aly that blocks its interaction with UAP56 prevents recruitment of Aly to the spliced mRNP. These data suggest that the splicing factor UAP56 functions in coupling the splicing and export machineries by recruiting Aly to the spliced mRNP.