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1.
Allergol Immunopathol (Madr) ; 40(6): 368-73, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22115570

RESUMO

BACKGROUND: Several authors have reported an increase in leukotriene C4 in the premenstrual phase in women with severe premenstrual asthma, indicating that antileukotrienes could be used in treatment. OBJECTIVE: To analyse the role of leukotrienes in premenstrual asthma. METHODS: A questionnaire on respiratory symptoms and peak flow during one complete menstrual cycle was given to women of fertile age to define them as asthmatics who suffered from premenstrual asthma or not. Premenstrual asthma (PMA) was defined as a clinical or functional deterioration (≥20%) in the premenstrual phase compared with the preovulatory phase. Blood samples to measure leukotriene C4 were taken during the preovulatory and premenstrual phases. RESULTS: Blood samples were taken in 62 asthmatic women, 34 of whom (54.3%) presented PMA criteria, all with a premenstrual deterioration of between 20 and 40%. There was no difference in leukotriene C4 levels between the preovulatory and premenstrual phases in the women who suffered from PMA (1.50ng/mL vs. 1.31ng/mL; p=0.32) and those who did not (1.40ng/mL vs. 1.29ng/mL; p=0.62). Neither were there any differences in leukotriene levels between women with or without PMA. The results were similar for each category of asthma severity. CONCLUSIONS: Our data show that leukotriene C4 does not appear to be involved in the pathogenesis of premenstrual asthma, or support the use of anti-leukotrienes in the specific treatment of premenstrual asthma, at least in women with a moderate premenstrual deterioration. No differences appeared in any of the categories of asthma severity.


Assuntos
Asma/diagnóstico , Leucotrieno C4/sangue , Síndrome Pré-Menstrual/diagnóstico , Adolescente , Adulto , Asma/imunologia , Progressão da Doença , Feminino , Humanos , Ciclo Menstrual/imunologia , Pico do Fluxo Expiratório , Síndrome Pré-Menstrual/imunologia , Inquéritos e Questionários , Adulto Jovem
2.
Eur Respir J ; 35(5): 980-6, 2010 May.
Artigo em Inglês | MEDLINE | ID: mdl-19897559

RESUMO

Our aim is to analyse the differences in the prevalence of premenstrual asthma (PMA) according to a set of criteria, the relationship between them and the influence of asthma severity. The answer "Yes" to "Does your asthma get worse before menstruation?" was considered subjective PMA. A daily respiratory symptoms register of fertile asthmatic females was taken during two consecutive menstrual cycles. For the semi-objective diagnosis, an exacerbation of > or =20% was required in the symptoms register. Objective diagnosis was a premenstrual worsening of > or =20% of peak flow. We selected 103 patients. Subjective premenstrual deterioration was perceived in 43.7%. The semi-objective deterioration of symptoms in the first cycle occurred in 44.7%, and in 22.3% in both cycles. A total of 54.3% of females with semi-objective criteria in the first cycle perceived a subjective deterioration of symptoms, versus 35.1% of those without semi-objective criteria (p = 0.05). PMA was present at all levels of asthma severity, with no clear link to the degree of severity. The detection of PMA prevalence, the subjective perception of this deterioration and its presence at all levels of asthma severity lead us to urge research into possible premenstrual deterioration in all fertile asthmatic females.


Assuntos
Asma/epidemiologia , Ciclo Menstrual/fisiologia , Adolescente , Adulto , Distribuição de Qui-Quadrado , Feminino , Humanos , Pessoa de Meia-Idade , Pico do Fluxo Expiratório , Prevalência , Espanha/epidemiologia , Inquéritos e Questionários
3.
Fish Shellfish Immunol ; 26(1): 146-53, 2009 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-19042139

RESUMO

Rodlet cells are an enigmatic cell type described in tissues of both marine and freshwater teleosts. Although their structure is well established, up to date their function remains subject of debate. However, there is consensus among the majority of researchers that rodlet cells play an important role within immune system, and this function is probably related with the release of rodlets due to contractile capability of their fibrous layer. Regulation of the contraction mechanism would require proteins that modulate Ca(++) intracellular concentration to be expressed in rodlet cells. We performed a morphological and immunohistochemical study at light and electron microscopy levels to assess S100 protein immunoreactivity in developing rodlet cells. Immature stages did not exhibit immunoreactive signal; however, immunoreactivity was observed in the fibrous layer of both transitional and mature rodlet cells. The latter stage also showed immunosignal within the rodlets. These findings suggest a clear association between S100 protein expression and rodlet cell development that could be linked to the regulation of rodlet activity and contractile property of their fibrous layer. Furthermore, S100 protein antibody constitutes a novel marker for rodlet cells that could be used in future studies of this particular cell type.


Assuntos
Células Epiteliais/citologia , Células Epiteliais/metabolismo , Células Epiteliais/ultraestrutura , Linguados/crescimento & desenvolvimento , Linguados/metabolismo , Intestinos/citologia , Proteínas S100/metabolismo , Animais , Diferenciação Celular , Sistema Imunitário/citologia , Imuno-Histoquímica , Microscopia Eletrônica de Transmissão , Proteínas S100/imunologia
4.
Vet Parasitol ; 160(1-2): 155-8, 2009 Mar 09.
Artigo em Inglês | MEDLINE | ID: mdl-19046816

RESUMO

Toxoplasmosis is one of the more common parasitic zoonoses world-wide. In this study, an epizootic of toxoplasmosis among captive Bennett's wallabies (Macropus rufogriseus) from different locations is reported. By means of light microscopy, Toxoplasma gondii-like tachyzoites were observed associated to interstitial pneumonia, non-suppurative myocarditis, cholangiohepatitis and severe gastroenteritis. The protozoa stained positively with a T. gondii antibody and ultrastructurally were similar to T. gondii. Strikingly, tachyzoites appeared sometimes in an intranuclear location within granulocyte-like cells. Feral cats or reactivation of a latent infection are discussed as the possible sources of infection. As far as we know, this is the first confirmed report of toxoplasmosis in Bennett's wallabies in Spain and Europe, and may constitute a risk of infection for humans since new alimentary habits are being imposed in our countries.


Assuntos
Macropodidae , Toxoplasmose Animal/epidemiologia , Animais , Animais de Zoológico , Masculino , Espanha/epidemiologia , Toxoplasma/isolamento & purificação , Toxoplasmose Animal/patologia
5.
J Hazard Mater ; 161(2-3): 1347-54, 2009 Jan 30.
Artigo em Inglês | MEDLINE | ID: mdl-18539389

RESUMO

The increasing CO(2) concentration in the Earth's atmosphere, mainly caused by fossil fuel combustion, has led to concerns about global warming. A technology that could possibly contribute to reducing carbon dioxide emissions is the in-situ mineral sequestration (long term geological storage) or the ex-situ mineral sequestration (controlled industrial reactors) of CO(2). In the present study, we propose to use coal combustion fly-ash, an industrial waste that contains about 4.1 wt.% of lime (CaO), to sequester carbon dioxide by aqueous carbonation. The carbonation reaction was carried out in two successive chemical reactions, first, the irreversible hydration of lime. second, the spontaneous carbonation of calcium hydroxide suspension. A significant CaO-CaCO(3) chemical transformation (approximately 82% of carbonation efficiency) was estimated by pressure-mass balance after 2h of reaction at 30 degrees C. In addition, the qualitative comparison of X-ray diffraction spectra for reactants and products revealed a complete CaO-CaCO(3) conversion. The carbonation efficiency of CaO was independent on the initial pressure of CO(2) (10, 20, 30 and 40 bar) and it was not significantly affected by reaction temperature (room temperature "20-25", 30 and 60 degrees C) and by fly-ash dose (50, 100, 150 g). The kinetic data demonstrated that the initial rate of CO(2) transfer was enhanced by carbonation process for our experiments. The precipitate calcium carbonate was characterized by isolated micrometric particles and micrometric agglomerates of calcite (SEM observations). Finally, the geochemical modelling using PHREEQC software indicated that the final solutions (i.e. after reaction) are supersaturated with respect to calcium carbonate (0.7 < or = saturation index < or = 1.1). This experimental study demonstrates that 1 ton of fly-ash could sequester up to 26 kg of CO(2), i.e. 38.18 ton of fly-ash per ton of CO(2) sequestered. This confirms the possibility to use this alkaline residue for CO(2) mitigation.


Assuntos
Dióxido de Carbono/química , Carbono/química , Material Particulado/química , Carbonato de Cálcio/química , Hidróxido de Cálcio/química , Técnicas de Química Analítica/métodos , Cinza de Carvão , Desenho de Equipamento , Cinética , Microscopia Eletrônica de Varredura , Modelos Químicos , Selenito de Sódio/química , Temperatura , Fatores de Tempo , Água/química , Difração de Raios X
6.
Nutr Hosp ; 24(2): 144-51, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-19593483

RESUMO

OBJECTIVES: To assess the relationship between life styles and eating habits with the overweight and obesity prevalence in a Spanish adult population. METHODS: A population-based, cross-sectional study conducted on 2640 subjects older than 15 years, in Cádiz (Spain). Surveys were conducted in subjects' homes to obtain life styles, eating habits, and anthropometric data. Logistic regression has been used to study the association between the life style variables and overweight and obesity. RESULTS: Prevalence of overweight and obesity in Cadiz is 37% and 17%, respectively; higher in males and increases with age. BMI has an inverse relationship with educational level (PR = 2.3, 1.57-2.38). The highest levels of obesity are associated with daily alcohol consumption (PR = 1.39, 1.29-1.50), greater consumption of television,and sedentary pursuit (PR 1.5, 1.07-1.24). A lower prevalence of obesity is observed among those with active physical activity (10.9% vs 21.6%), with differences between sex. Following a slimming diet is more frequent in the obese and in women but dedicate more hours than men to passive activities. In men is greater the consumption of alcohol, high energy foods and snacks. Overweight and obesity is associated with the male sex (OR = 3.35 2.75-4.07), high consumption of alcohol (OR = 1.38 1.03-1.86) and watching television (OR = 1.52 1.11-2.07), and foods likes bread and cereals (OR = 1.47 1.13-1.91). Exercise activities is a protective factor (OR = 0.76 0.63-0.98). CONCLUSIONS: Life styles factors associated with overweight and obesity present different patterns in men and women and is necessary to understand them to identify areas for behavioural intervention in overweight and obesity patients.


Assuntos
Estilo de Vida , Sobrepeso/epidemiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Obesidade/epidemiologia , Prevalência , Espanha/epidemiologia , Adulto Jovem
7.
Environ Pollut ; 250: 127-136, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30991281

RESUMO

In May 2017, a spill from La Zarza pit lake (SW Spain) resulted in the release of approximately 270,000 m3 of extremely acidic waters to the Odiel River. Around 780 × 103 kg of Fe, 170 × 103 kg of Al, 2.15 × 103 kg of As and high amounts of other trace metals and metalloids were spilled. The purpose of this study is to explain the causes, consequences and impacts of the mine spill on the receiving water bodies. To this end, an extensive sampling along the mine site, river and estuary as well as a hydrological model of the pit lake was performed. Around 53 km of the Odiel River's main course, which was already contaminated by acid mine drainage (AMD), were affected. The mine spill resulted in an incremental impact on the Odiel River water quality. Thus, dissolved concentrations of some elements increased in the river up to 450 times; e.g. 435 mg/L of Fe and 0.41 mg/L of As. Due to low pH values (around 2.5), most metals (e.g., Cu, Zn, Mn, Cd) were transported in the dissolved phase to the estuary, exhibiting a conservative behavior and decreasing their concentration only due to dilution. However, dissolved concentrations of Fe, Cr, Pb, Se, Sb, Ti, V and especially As decreased significantly along the river due to Fe precipitation and sorption/coprecipitation processes. At the upper zone of the estuary, a noticeable increment of metal concentrations (up to 77 times) was also recorded. The water balance illustrates the existence of groundwater inputs (at least 16% of total) to the pit lake, due probably to local infiltration of rainwater at the mining zone. The probable existence of an ancient adit connected to the pit lake indicates that potential releases could occur again if adequate prevention measures are not adopted.


Assuntos
Ácidos/análise , Monitoramento Ambiental/métodos , Lagos/química , Metais/análise , Mineração , Rios/química , Poluentes Químicos da Água/análise , Ácidos/toxicidade , Estuários , Ferro/análise , Espanha , Sulfetos/análise , Qualidade da Água
8.
Rev Esp Anestesiol Reanim ; 55(7): 434-7, 2008.
Artigo em Espanhol | MEDLINE | ID: mdl-18853682

RESUMO

Bone echinococcosis affects the spine and pelvis in 60% of cases. Bone lesions may be silent for between 10 and 20 years. The capsules progress aggressively through the medullary canal and replace the trabecular bone without forming cysts, as occurs in the organs, thus making anaplylaxis rare. The combination of chemotherapy and surgery facilitates anesthetic management and reduces the incidence of anaphylactic events and disease recurrence.


Assuntos
Anestesia , Doenças Ósseas Infecciosas/parasitologia , Doenças Ósseas Infecciosas/cirurgia , Equinococose/cirurgia , Ílio , Sacro , Doenças da Coluna Vertebral/parasitologia , Doenças da Coluna Vertebral/cirurgia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
9.
RSC Adv ; 8(24): 13344-13352, 2018 Apr 09.
Artigo em Inglês | MEDLINE | ID: mdl-35542536

RESUMO

Solid acid catalysts based on WO3-SiO2 and WO3-ZrO2-SiO2 were prepared by one-pot non-hydrolytic sol-gel method and tested in the gas phase glycerol dehydration to acrolein. Their structural and textural characteristics were determined by X-ray diffraction (XRD), N2 adsorption, X-ray energy dispersive spectroscopy (XEDS), Fourier transform infrared spectroscopy (FTIR), Raman spectroscopy and X-ray photoelectron spectroscopy (XPS). Their acid characteristics were studied by both temperature programmed desorption of ammonia (NH3-TPD) and FTIR of adsorbed pyridine. Under our operating conditions, all the catalysts were active and selective in the transformation of glycerol to acrolein, which was always the main reaction product. The high selectivity to acrolein is achieved on catalysts presenting a higher proportion of Brønsted acid sites. In addition, the role of oxygen in the feed on catalytic performance of these catalysts is also discussed.

10.
J Environ Radioact ; 189: 227-235, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-29705526

RESUMO

The concentration of meteoric 10Be in estuarine sediment samples has been measured by Spanish Accelerator for Radionuclides Analysis (SARA) at CNA and subsequently used to assess the denudation rate in Guadiana river basin together with the sediment budget method, on both sides of the frontier between Spain and Portugal. The two methods yielded coincident results. The estimation by the 10Be method gave the denudation rate of (0.76 ±â€¯0.10) × 10-2 cm/y. After correcting for an approximate 80% attenuation of the sediment discharge into the ocean, caused by the river dams, the sediment budget method yielded the rate of (0.77 ±â€¯0.17) × 10-2 cm/y.


Assuntos
Berílio/análise , Monitoramento de Radiação , Radioisótopos/análise , Rios/química , Poluentes Radioativos da Água/análise , Sedimentos Geológicos/química , Espanha
11.
Vet Parasitol Reg Stud Reports ; 13: 115-119, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-31014857

RESUMO

Spirocerca lupi Rudolphi 1809 (Nematoda Spirocercidae) has an indirect cycle involving intermediate and paratenic hosts, having domestic or wild canids as the main definitive hosts. The most frequent pathology affecting dogs is a granulomatous tumor-like growth containing adults in the oesophagus and aorta. There are very few references about the presence of nodules in the stomach. There is scant information about the epidemiology of this disease in wild red foxes in meso-Mediterranean areas. In this work we report on the natural infection of wild red foxes by Spirocerca lupi and the damage produced in the stomach wall in an area where contact with other potential definitive hosts (canids) is very rare. From July 2015 to November 2016, 61 red foxes were sampled. 18.03% of the stomach walls examined had nodules containing Spirocerca lupi adults and eggs. The prevalence of infection was similar for young and adult groups (23.81 and 18.18%; χ2 = 0.25; df = 1; P = 0.6171) and it was higher in females than in males (25.81 versus 10.00%, χ2 = 2.58; df = 1; P = 0.1082). The red fox population in the area seems to be well established judging from their age distribution and the fact that they could be captured all year round. It would appear that in the absence of other main definitive host S. lupi population is able to survive just parasitizing red foxes. Pathologic effects of this parasite on red foxes seems to show some differences related to domestic dogs. These results also indicates as predator control programs can maintain suitable host populations with reduced level of infection.


Assuntos
Reservatórios de Doenças/veterinária , Raposas/parasitologia , Infecções por Spirurida/veterinária , Estômago/parasitologia , Animais , Conservação dos Recursos Naturais , Reservatórios de Doenças/parasitologia , Feminino , Masculino , Região do Mediterrâneo/epidemiologia , Espanha/epidemiologia , Infecções por Spirurida/epidemiologia , Estômago/patologia , Thelazioidea/isolamento & purificação
12.
Sci Total Environ ; 373(1): 363-82, 2007 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-17207846

RESUMO

The Tinto and Odiel Rivers are strongly affected by acid mine drainage (AMD) due to the intense sulphide mining developed in their basins over the past 5000 years. In this study the results obtained from a weekly sampling in both rivers, before their mouth in the Ría of Huelva, over three and a half years of control are analysed. In the Tinto River, the concentrations of sulphates, Al, Cd, Co, Li and Zn are double to those of the Odiel as a consequence of lower dilution. However, the concentration of Fe in the Odiel River is 20 times lower, since the precipitation of Fe oxyhydroxysulphates caused by neutralisation processes is more intense. Lower As, Cr, Cu and Pb concentrations are also found in the Odiel River as, to a greater or lesser extent, they are sorbed and/or coprecipitated with Fe. Other elements such as Be, Mn, Ni and Mg show similar values in both systems, which is ascribed to lithological factors. The seasonal evolution of contaminants is typical of rivers affected by AMD, reaching a maximum in autumn due to the dissolution of evaporitic salts precipitated during the summer. Nevertheless, in the Tinto River, Ca, Na and Sr show a strong increase during the summer, probably due to a greater water interaction with marly materials, through which the last reach of the river flows. Barium has a different behaviour from the rest of the metals and its concentration seems to be controlled by the solubility of barite. Iron, As and Pb show different behaviours in both rivers, those for Fe and As possibly linked to the prevalence of different dissolved species of Fe. The different Pb pattern is probably due to the control of Pb solubility by anglesite or other minerals rich in Pb in the Tinto River.


Assuntos
Metais/análise , Rios/química , Poluentes Químicos da Água/análise , Arsênio/análise , Monitoramento Ambiental , Fenômenos Geológicos , Geologia , Concentração de Íons de Hidrogênio , Resíduos Industriais , Mineração , Silício/análise , Espanha , Sulfetos , Enxofre/análise , Movimentos da Água
13.
Mar Pollut Bull ; 121(1-2): 282-291, 2017 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-28622989

RESUMO

Huelva Estuary is a transition zone where REE-rich acidic waters interact with saline-alkaline seawater. This mixing process influences the geochemical and mineralogical characteristics of particulate and dissolved fractions. The Tinto River has >11,000µgL-1 dissolved REE (pH=1.66), whereas seawater only reaches 8.75·10-2µgL-1 dissolved REE (pH=7.87). REE-normalized patterns in "pH<6 solutions" are parallel and show similarities, diminishing their concentration as pH increases. Sequential extraction performed on the generated precipitates of mixed solutions indicates that most REE are associated to the residual phase. In a second order, REE are associated with soluble salts at pH3 and 3.5 whereas in sediments generated at pH4 and 5, they are distributed in salts (1° extraction), poorly crystallized Fe-bearing minerals (schwertmannite, 3° extraction) and well crystallized Fe-bearing minerals (goethite - hematite, 4° extraction). Finally, precipitated REE are highest at pH6 newly formed minerals with a release to solution in higher pH.


Assuntos
Estuários , Metais Terras Raras/análise , Monitoramento Ambiental , Água Doce , Água do Mar , Espanha , Poluentes Químicos da Água
14.
Vet Microbiol ; 113(3-4): 237-42, 2006 Mar 31.
Artigo em Inglês | MEDLINE | ID: mdl-16337347

RESUMO

Previous studies have shown that during acute infection of the porcine trigeminal ganglia (TG), Aujeszky's disease virus (ADV)-infected neurons are protected from apoptosis induced by the virus itself and by cells of the immune system. However, TG neurons productively infected by ADV finally die and are phagocytosed by adjacent cells, a fact that leads us to speculate that the inhibition of neuronal apoptosis by ADV may be temporary rather than absolute. To address this issue we used TG and brain stem from pigs during acute infection by ADV. Infected cells were detected by immunohistochemical staining of viral antigens, whereas apoptotic cells were identified with an anti-active caspase-3 antibody, the TUNEL assay and by transmission electron microscopy. The results obtained in this study support the contention that the inhibition of neuronal apoptosis by ADV is temporary, since activation of caspase-3 could be detected in infected neurons at late stages in infection and because foci of advanced neuronophagia contained neurons exhibiting typical ultrastructural features of apoptosis.


Assuntos
Apoptose , Herpesvirus Suídeo 1/patogenicidade , Neurônios/virologia , Pseudorraiva/virologia , Doenças dos Suínos/virologia , Gânglio Trigeminal/virologia , Doença Aguda , Animais , Caspase 3 , Caspases/metabolismo , Imuno-Histoquímica/veterinária , Marcação In Situ das Extremidades Cortadas/veterinária , Neurônios/citologia , Neurônios/enzimologia , Pseudorraiva/patologia , Suínos , Doenças dos Suínos/patologia , Gânglio Trigeminal/fisiologia , Gânglio Trigeminal/ultraestrutura , Latência Viral
15.
Cochrane Database Syst Rev ; (4): CD004889, 2006 Oct 18.
Artigo em Inglês | MEDLINE | ID: mdl-17054221

RESUMO

BACKGROUND: Refractory ascites (ie, ascites that cannot be mobilized despite sodium restriction and diuretic treatment) occurs in 10 per cent of patients with cirrhosis. It is associated with substantial morbidity and mortality with a one-year survival rate of less than 50 per cent. Few therapeutic options currently exist for the management of refractory ascites. OBJECTIVES: To compare transjugular intrahepatic portosystemic stent-shunts (TIPS) versus paracentesis for the treatment of refractory ascites in patients with cirrhosis. SEARCH STRATEGY: We searched The Cochrane Hepato-Biliary Group Controlled Trials Register (January 2006), the Cochrane Central Register of Controlled Trials in The Cochrane Library (Issue 4, 2005), MEDLINE (1950 to January 2006), EMBASE (1980 to January 2006), CINAHL (1982 to August 2004), and Science Citation Index Expanded (1945 to January 2006). SELECTION CRITERIA: We included randomised clinical trials comparing TIPS and paracentesis with or without volume expanders for cirrhotic patients with refractory ascites. DATA COLLECTION AND ANALYSIS: We evaluated the methodological quality of the randomised clinical trials by the generation of the allocation section, allocation concealment, and follow-up. Two authors independently extracted data from each trial. We contacted trial authors for additional information. Dichotomous outcomes were reported as odds ratio (OR) with 95% confidence interval (CI). MAIN RESULTS: Five randomised clinical trials, including 330 patients, met the inclusion criteria. The majority of trials had adequate allocation concealment, but only one employed blinded outcome assessment. Mortality at 30-days (OR 1.00, 95% CI 0.10 to 10.06, P = 1.0) and 24-months (OR 1.29, 95% CI 0.65 to 2.56, P = 0.5) did not differ significantly between TIPS and paracentesis. Transjugular intrahepatic portosystemic stent-shunts significantly reduced the re-accumulation of ascites at 3-months (OR 0.07, 95% CI 0.03 to 0.18, P < 0.01) and 12-months (OR 0.14, 95% CI 0.06 to 0.28, P < 0.01). Hepatic encephalopathy occurred significantly more often in the TIPS group (OR 2.24, 95% CI 1.39 to 3.6, P < 0.01), but gastrointestinal bleeding, infection, and acute renal failure did not differ significantly between the two groups. AUTHORS' CONCLUSIONS: The meta-analysis supports that TIPS was more effective at removing ascites as compared with paracentesis without a significant difference in mortality, gastrointestinal bleeding, infection, and acute renal failure. However, TIPS patients develop hepatic encephalopathy significantly more often.


Assuntos
Ascite/terapia , Cirrose Hepática/complicações , Paracentese , Derivação Portossistêmica Transjugular Intra-Hepática , Ascite/etiologia , Ascite/mortalidade , Humanos , Paracentese/mortalidade , Derivação Portossistêmica Transjugular Intra-Hepática/mortalidade , Ensaios Clínicos Controlados Aleatórios como Assunto
16.
Sci Total Environ ; 544: 1031-44, 2016 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-26774961

RESUMO

The Iberian Pyrite Belt (SW Iberian Peninsula) has intense mining activity. Currently, its fluvial networks receive extremely acid lixiviate residue discharges that are rich in sulphates and metals in solution (acid mine drainage, AMD) from abandoned mines. In the current study, the sediment and water quality were analysed in three different areas of the Odiel River to assess the risk associated with the metal content and its speciation and bioavailability. Furthermore, sediment contact bioassays were performed using the freshwater clam Corbicula fluminea to determine its adequacy as a biomonitoring tool in relation to theoretical risk indexes and regulatory thresholds. Reburial activity and mortality were used as the toxic responses of clams when exposed to contaminated sediment. The results showed coherence between the water and sediment chemical contamination for most of the metals. The reburial activity was correlated with the metal toxicity, but no clam mortality was registered. The bioaccumulation of the studied metals in the clam did not have a significant correlation with the bioavailable fraction of the metal content in the environment, which could be related to a potential different speciation in this singular environment. The bioaccumulation responses were negative for As, Cd and Zn in highly contaminated environments and were characterized as severe, considerable and low potential environmental risks, respectively. The results show that C. fluminea is a good biomonitor of Cu and Pb.


Assuntos
Corbicula/metabolismo , Monitoramento Ambiental/métodos , Metais/metabolismo , Poluentes Químicos da Água/metabolismo , Animais , Metais/análise , Metais/toxicidade , Mineração , Espanha , Poluentes Químicos da Água/análise , Poluentes Químicos da Água/toxicidade
17.
Sci Total Environ ; 541: 400-411, 2016 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-26410715

RESUMO

Scarcity of waters is the main limiting factor of economic development in most arid and semi-arid regions worldwide. The construction of reservoirs may be an optimal solution to assure water availability if the drainage area shows low disturbances. This is the quandary of mining areas where economic development relies on water accessibility. Water acidification trends were investigated in the Sancho Reservoir (SW Spain) in the last 20 years. The acidity (pH3-5) and high dissolved metal concentrations (e.g., 4.4 mg/L of Al, 2.1mg/L of Mn, 1.9 mg/L of Zn) observed in the Sancho, together with the large volume stored (between 37 and 55 Mm(3)), makes this reservoir an extreme case of surface water pollution worldwide. A progressive acidification has been observed since 2003, as evidenced by decreasing pH values and increasing dissolved metal concentrations, especially noticeable after 2007. The increase in the net acidity in the reservoir originates from the higher input of metals and acidity due to the rebound effect after the mining closure in 2001. This trend was not detected in the river feeding the reservoir due to its great hydrological and hydrochemical variability, typical of the Mediterranean climate. Chemical analysis and absolute dating of sediments identified a progressive enrichment in S and metals (i.e., Fe, Zn Cu, Ni, Co and Cd) in the upper 20 cm, which reinforce the year 2002/03 as the onset of the acidification of the reservoir. The decrease of pH values from 4-5 to 3-4 occurred later than the increase in sulfate and metals due to pH-buffering by Al. The acid mine drainage (AMD) pressure has caused an increment of dissolved Fe and other metals, as well as a change in the pH buffering role, exerted now by Fe. These processes were simulated by PHREEQC, which confirms that the acidification trend will continue, causing pH values to reach 2.5 if AMD pressure persists.

18.
Circulation ; 102(13): 1549-55, 2000 Sep 26.
Artigo em Inglês | MEDLINE | ID: mdl-11004146

RESUMO

BACKGROUND: Adhesion molecules on arterial endothelium have been implicated in spontaneous atherosclerosis and transplant coronary artery disease (CAD). We studied whether elevated serum-soluble intercellular adhesion molecule-1 (sICAM-1) during the immediate posttransplant period was a risk factor for CAD, posttransplant ischemic events, or cardiac graft failure. METHODS AND RESULTS: We initially studied serum sICAM-1 in a subset of 16 cardiac allograft recipients (5.5+/-0.7 samples per patient) to determine a cutoff point that best correlated with presence of arterial and arteriolar endothelial ICAM-1 in matching endomyocardial biopsies. The cutoff value was 308 ng/mL. Subsequently, we prospectively evaluated serum sICAM-1 in serial samples (5.3+/-0.1 per patient) obtained during the first 3 months after transplantation in a validation subset of 130 recipients and correlated early sICAM-1 levels with long-term outcome. Serum sICAM-1 >308 ng/mL correlated significantly with ICAM-1 on arterial and arteriolar endothelium (P:=0.02). Cardiac allograft recipients with serum sICAM-1 >308 ng/mL had 2.67 (95% CI, 1.28 to 5.59, P:=0.009) times greater risk of CAD and 3.63 (95% CI, 1.05 to 12.5, P:=0.04) times greater risk of graft failure. Recipients with sICAM-1 >308 ng/mL also developed more severe CAD (P:=0.009) and more ischemic events (P:=0.03) after transplantation. CONCLUSIONS: Serum sICAM-1 levels can be used to noninvasively assess risk of transplant CAD, posttransplant ischemic events, and cardiac graft failure.


Assuntos
Ponte de Artéria Coronária/efeitos adversos , Doença das Coronárias/sangue , Doença das Coronárias/patologia , Endotélio Vascular/patologia , Rejeição de Enxerto/sangue , Rejeição de Enxerto/patologia , Molécula 1 de Adesão Intercelular/sangue , Isquemia Miocárdica/patologia , Doença das Coronárias/etiologia , Rejeição de Enxerto/etiologia , Humanos , Miocárdio/patologia , Estudos Prospectivos , Fatores de Tempo
19.
J Mol Biol ; 214(1): 105-20, 1990 Jul 05.
Artigo em Inglês | MEDLINE | ID: mdl-1695248

RESUMO

Antibodies to synthetic peptides from the alpha and beta-tubulin sequences were employed to study zones of this protein active in microtubule assembly. In purified calf brain tubulin, six short sequences, selected according to their hydrophilicity and conservation, were found to be accessible to their affinity-purified immunoglobulin G (IgG) antibodies, in a competition radioimmunoassay performed under non-assembly native conditions. This indicated that the six sequences are exposed on the surface of the tubulin alpha beta heterodimer. IgG antibodies to the alpha(430-443) and beta(412-431) sequences perturbed substoichiometrically the assembly of purified tubulin, inducing microtubule bundling and the formation of opened up structures. These positions, which are close to the C termini, were accessible to the anti-peptide antibodies in taxol-induced microtubules, Zn2(+)-induced tubulin sheets, Mg2(+)-induced tubulin rings and in PtK2 cell microtubules. This, together with the comparison of the sizes and gross shapes of the antibody probes and microtubules, suggested that these sequences might be located at the protruding parts of the protofilaments. Antibodies to positions alpha(155-168) did not react with microtubules, while the equivalent zone beta(153-165) was accessible. The alpha(214-226) and beta(241-256) sequences were antigenically occluded in the taxol microtubules, Zn2(+)-induced sheets and Mg2(+)-induced ring arrays, as well as in native microtubules from PtK2 cells, though they became reactive by fixation. This result strongly suggested that these two zones are close to tubulin-tubulin contact sites. A working model is proposed in which the positions alpha(214-226) and beta(241-256) are close to the axial contacts between heterodimers, which lead to protofilament formation, while the positions alpha(241-256) and beta(214-226) are suggested to be related to the alpha-beta binding interface within the heterodimer.


Assuntos
Tubulina (Proteína)/metabolismo , Alcaloides/farmacologia , Sequência de Aminoácidos , Animais , Anticorpos , Células Cultivadas , Epitopos , Imunofluorescência , Magnésio , Microtúbulos/efeitos dos fármacos , Microtúbulos/metabolismo , Microtúbulos/ultraestrutura , Dados de Sequência Molecular , Paclitaxel , Fragmentos de Peptídeos/síntese química , Fragmentos de Peptídeos/imunologia , Peptídeo Hidrolases , Zinco
20.
Eur J Clin Nutr ; 59(3): 459-62, 2005 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-15674311

RESUMO

OBJECTIVE: To describe the personal and family antecedents and clinical characteristics of patients with eating disorders (EDs) in a population of the south of Spain; to analyse the influence of lifestyles, family functioning, socioeconomic status (SES), and psychological characteristics in these processes. DESIGN: A university-based case-control study. SETTING: University Hospital (Andalusia, Spain). SUBJECTS: A total of 120 patients with EDs and 240 controls. INTERVENTIONS: SCOFF, EDI, APGAR family, and SES questionnaires. RESULTS: In all, 67.5% of patients presented anorexia (AN), 15% bulimia (BN), and 17.5% mixed forms. EDs emerged at around 18-20 y (95% CI 17.9-19.8). Factors associated with EDs are psychiatric conditions (depression OR: 4.16, anxiety OR: 4.59), more frequent use of medication (OR: 2.26), dietary fibre (OR: 2.59), and laxatives (OR: 3.47). Toxics consumption, sport activity, SES, and family antecedents of pathology are not associated with EDs. An inverse relationship was found between family functioning and the scores in various subscales of the EDI. CONCLUSIONS: Eating disorders in Andalusia (Spain) are influenced significantly more by psychological, family, and cultural factors than by social factors.


Assuntos
Família , Transtornos da Alimentação e da Ingestão de Alimentos/epidemiologia , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Adolescente , Adulto , Anorexia Nervosa/epidemiologia , Anorexia Nervosa/psicologia , Bulimia/epidemiologia , Bulimia/psicologia , Estudos de Casos e Controles , Feminino , Hospitais Universitários , Humanos , Estilo de Vida , Masculino , Escalas de Graduação Psiquiátrica , Fatores de Risco , Classe Social , Espanha/epidemiologia
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