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1.
Rev. cir. (Impr.) ; 74(4): 354-367, ago. 2022. tab, ilus
Artículo en Español | LILACS | ID: biblio-1407937

RESUMEN

Resumen Introducción: Las lesiones de grandes vasos del tórax por traumatismo torácico (TTLGV) son un grupo heterogéneo de lesiones con alta morbimortalidad que constituyen un 0,3-10% de los hallazgos en el traumatismo torácico (TT). Objetivos: Describir características, tratamientos y variables asociadas a mortalidad en pacientes hospitalizados con TTLGV. Material y Métodos: Estudio analítico-observacional. Período enero-1981 y diciembre-2020. Revisión de protocolos de TT prospectivos y fichas clínicas. Se clasificaron los TTLGV según American Association for the Surgery of Trauma (AAST), se calcularon índices de gravedad del traumatismo: Injury Severity Score (ISS), Revised Trauma Score Triage (RTS-T) y Trauma Injury Severity Score (TRISS). Se realizó análisis univariado y multivariado con cálculo de Odds Ratio (OR) para variables asociadas a mortalidad. Se usó SPSS25®, con pruebas UMann Whitney y chi-cuadrado, según corresponda. Resultados: de un total 4.577 TT, 97 (2,1%) cumplieron criterios de inclusión. Hombres: 81 (91,8%), edad promedio: 32,3 ± 14,8 años. TT penetrante: 65 (67,0%). Lesión de arterias axilo-subclavias en 39 (40,2%) y aorta torácica en 31 (32,0%) fueron las más frecuentes. Fueron AAST 5-6: 39 (40,2%). Tratamiento invasivo: 87 (89,7%), de éstos, en 20 (20,6%) reparación endovascular, 14 (14,4%) de aorta torácica. Cirugía abierta en 67 (69,1%). Mortalidad en 13 (13,4%), fueron variables independientes asociadas a mortalidad el shock al ingreso (OR 6,34) e ISS > 25 (OR 6,03). Conclusión: En nuestra serie, los TTLGV fueron más frecuentemente de vasos axilo-subclavios y aorta torácica. El tratamiento fue principalmente invasivo, siendo la cirugía abierta el más frecuente. Se identificaron variables asociadas a mortalidad.


Background: Thoracic great vessel injuries in thoracic trauma (TTGVI) are a heterogeneous group of injuries with high morbimortality that constituting 0.3-10% of the findings in thoracic trauma (TT). Aim: To describe characteristics, treatments and variables associated with mortality in hospitalized patients with TTGVI. Methods: Observational-analytical study. Period January-1981 and December-2020. Review of prospective TT protocols and clinical records. TTGVI were classified according to American Association for the Surgery of Trauma (AAST), trauma severity index were calculated: Injury Severity Score (ISS), Revised Trauma Score Triage (RTS-T) and Trauma Injury Severity Score (TRISS). Univariate and multi- variate analysis was performed with calculation of Odds Ratio (OR) for variables associated with mortality. SPSS25® was used, with U Mann Whitney and chi-squared tests, as appropriate. Results: From a total of 4.577 TT in the period, 97 (2.1%) met the inclusion criteria. Males: 81 (91.8%), mean age: 32.3 ± 14.8 years. Penetrating TT: 65 (67.0%). Axillary-subclavian artery lesions in 39 (40.2%) and thoracic aorta in 31 (32.0%) were more frequent. AAST 5-6: 39 (40.2%). Invasive treatment: 87 (89.7%), of these, in 20 (20.6%) endovascular repair, 14 (14.4%) of thoracic aorta. Open surgery in 67 (69.1%). Mortality in 13 (13.4%), shock on admission was independently associated with mortality (OR 6.34) and ISS > 25 (OR 6.03). Conclusión: In our series, TTGVI were more frequent in axillary-subclavian vessels and thoracic aorta. Treatment was mainly invasive, with open surgery being the most frequent. Variables associated with mortality were identified.


Asunto(s)
Humanos , Masculino , Femenino , Adolescente , Adulto , Traumatismos Torácicos/diagnóstico , Traumatismos Torácicos/terapia , Cirugía Torácica/métodos , Venas/lesiones , Radiografía Torácica/métodos , Lesiones del Sistema Vascular , Procedimientos Endovasculares
2.
Rev Gastroenterol Mex (Engl Ed) ; 86(4): 328-334, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34518143

RESUMEN

INTRODUCTION AND AIMS: The primary aim was to explore the epidemiologic trend of pediatric inflammatory bowel disease in Latin America, and the secondary aims were to obtain an overview of the diagnostic/therapeutic focus of the members of the LASPGHAN and examine the relation of case frequency to year, during the study period. MATERIALS AND METHODS: Latin American pediatric gastroenterologists participated in an online survey, conducted through the SurveyMonkey platform, that investigated the yearly frequency of new inflammatory bowel disease patients within the time frame of 2005-2016, their disease variety, the gastrointestinal segments affected, and the diagnostic and treatment methods utilized. The correlation of new case frequency with each study year was evaluated. RESULTS: A total of 607 patients were studied. The diagnoses were ulcerative colitis in 475 (78.3%) cases, Crohn's disease in 104 (17.1%), and inflammatory bowel disease D unclassified in 28 (4.6%). The trend in ulcerative colitis was a lineal increase in the frequency of new cases related to each study year, with a significant correlation coefficient. Pancolitis was found in 67.6% of the patients. The diagnostic methods included clinical data, endoscopy, and biopsies in more than 99% of the cases, and imaging studies were indicated selectively. Drug regimens were limited to 5-aminosalicylic acid derivatives, azathioprine, 6-mercaptopurine, infliximab, and adalimumab. CONCLUSIONS: Pediatric inflammatory bowel disease in Latin America appears to have increased during the years included in the study period, with a predominance of moderate or severe ulcerative colitis. That lineal trend suggests the predictive likelihood of a gradual increase in the coming years, with possible epidemiologic and clinical implications.


Asunto(s)
Colitis Ulcerosa , Enfermedad de Crohn , Gastroenterología , Enfermedades Inflamatorias del Intestino , Niño , Colitis Ulcerosa/diagnóstico , Humanos , Enfermedades Inflamatorias del Intestino/diagnóstico , América Latina/epidemiología
3.
Artículo en Inglés, Español | MEDLINE | ID: mdl-33223251

RESUMEN

INTRODUCTION AND OBJECTIVES: The primary aim was to explore the epidemiologic trend of pediatric inflammatory bowel disease in Latin America, and the secondary aims were to obtain an overview of the diagnostic/therapeutic focus of the members of the LASPGHAN and examine the relation of case frequency to year, during the study period. MATERIALS AND METHODS: Latin American pediatric gastroenterologists participated in an online survey, conducted through the SurveyMonkey platform, that investigated the yearly frequency of new inflammatory bowel disease patients within the time frame of 2005 to 2016, their disease variety, the gastrointestinal segments affected, and the diagnostic and treatment methods utilized. The correlation of new case frequency with each study year was evaluated. RESULTS: A total of 607 patients were studied. The diagnoses were ulcerative colitis in 475 (78.3%) cases, Crohn's disease in 104 (17.1%), and inflammatory bowel disease D unclassified in 28 (4.6%). The trend in ulcerative colitis was a lineal increase in the frequency of new cases related to each study year, with a significant correlation coefficient. Pancolitis was found in 67.6% of the patients. The diagnostic methods included clinical data, endoscopy, and biopsies in more than 99% of the cases, and imaging studies were indicated selectively. Drug regimens were limited to 5-aminosalicylic acid derivatives, azathioprine, 6-mercaptopurine, infliximab, and adalimumab. CONCLUSIONS: Pediatric inflammatory bowel disease in Latin America appears to have increased during the years included in the study period, with a predominance of moderate or severe ulcerative colitis. That lineal trend suggests the predictive likelihood of a gradual increase in the coming years, with possible epidemiologic and clinical implications.

4.
Rev. chil. enferm. respir ; Rev. chil. enferm. respir;36(3): 169-175, set. 2020. tab, graf
Artículo en Español | LILACS | ID: biblio-1138551

RESUMEN

INTRODUCCIÓN: La cantidad de pacientes asmáticos que asisten al sistema público de salud es cada vez mayor, no obstante, la tasa de adherencia al tratamiento es muy baja, siendo los adolescentes quienes presentan mayor porcentaje de abandono al tratamiento, inasistencia a sus controles y gran conflicto decisional (CD). El OBJETIVO de este estudio fue evaluar el efecto de la aplicación de consejerías sobre el CD en relación al tratamiento del asma y el nivel de control de su enfermedad. MATERIALES Y MÉTODOS: Estudio pre-experimental que reclutó a 32 niños asmáticos entre 10 a 14 años de edad del policlínico respiratorio infantil del hospital Carlos Van Buren de Valparaíso. Solo 15 niños estuvieron dispuestos a participar en el estudio quienes completaron la totalidad de las sesiones de consejería. Para determinar el grado de CD de su patología, se aplicó la Escala de Conflicto Decisional de Ottawa; y para el nivel del control del asma, se usó la Escala Global Initiative for Asthma (GINA). RESULTADOS: La edad media del grupo de niños fue de 12,06 ± 1,16 años. Finalizada la intervención, el nivel de control de asma se mantuvo y la media del CD disminuyó de 34,05 ± 4,59 a 18,02 ± 3,01 puntos (p < 0,05; t de Student para muestras pareadas). Un 73,3% de los pacientes disminuyó su nivel de conflicto decisional. CONCLUSIÓN: Las consejerías de apoyo decisional demostraron tener efectos positivos en la población estudiada.


INTRODUCTION: The number of asthmatic patients attending the public health system is increasing. However, the rate of adherence to treatment is very low. Adolescents have the largest percentage of abandonment to treatment, lack of control and a great decisional conflict (DC). The OBJECTIVE of this study was to evaluate the effect of the application of counseling on the DC in relation to asthma treatment and the level of control of their disease. MATERIALS AND METHODS: Pre-experimental study that recruited 32 asthmatic children from 10 to 14 years-old, from the children's respiratory outpatients clinic of Carlos Van Buren hospital in Valparaíso, Chile. Only 15 children were willing to participate in the study and completed all of the counseling sessions. To determine the degree of DC of its pathology, the Ottawa Decision Conflict Scale was applied; and for the Asthma Control level, the Global Initiative for Asthma Scale (GINA) was used. RESULTS: Mean children age was 12.06 ± 1.16 years-old. After the intervention, the level of Asthma Control was maintained and the mean of the DC decrease from 34.05 ± 4.59 to 18.02 ± 3.01 points (p < 0.05; paired Student's t-test). 73.3% of the patients lowered their level of decisional conflict. CONCLUSION: The counseling of decision support proved to have positive effects on the population studied.


Asunto(s)
Humanos , Masculino , Femenino , Niño , Adolescente , Asma/psicología , Conflicto Psicológico , Consejo/métodos , Toma de Decisiones , Pacientes Ambulatorios , Participación del Paciente/psicología , Asma/terapia , Cumplimiento y Adherencia al Tratamiento
5.
J Appl Microbiol ; 126(5): 1414-1425, 2019 May.
Artículo en Inglés | MEDLINE | ID: mdl-30729620

RESUMEN

AIMS: A culture medium based on apple bagasse was designed and tested as a substrate for biomass production of conventional and unconventional native wine yeasts. METHODS AND RESULTS: The physicochemical characterization of the apple bagasse was carried out and its potential utility as a constituent of a complete culture medium for the production of yeast biomass was analysed using the experimental statistical designs. Growth parameters of conventional and nonconventional Patagonian wine yeasts were analysed with Placket-Burman designs and response surface methodology, comparing in each assay the apple bagasse substrate with the commonly used substrate for biomass development, cane molasses. Culture media composition was optimized and models were validated. CONCLUSIONS: This study demonstrates that, both from a nutritional and from an economic point of view, apple bagasse constitutes a more advantageous substrate than cane molasses for the propagation of native yeasts from Patagonia. SIGNIFICANCE AND IMPACT OF THE STUDY: We used an alternate carbon-rich material, generously available in our region, originally generated as fruit industrial waste, to transform it into a source of sustainable, economically profitable and environmentally friendly energy resource.


Asunto(s)
Biomasa , Celulosa , Malus , Vino/microbiología , Levaduras , Celulosa/química , Celulosa/metabolismo , Medios de Cultivo/química , Medios de Cultivo/metabolismo , Malus/química , Malus/metabolismo , Melaza , Levaduras/química , Levaduras/metabolismo
6.
Heredity (Edinb) ; 118(6): 568-577, 2017 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-28121308

RESUMEN

Plant populations are seriously threatened by anthropogenic habitat disturbance. In particular, defaunation may disrupt plant-disperser mutualisms, thus reducing levels of seed-mediated gene flow and genetic variation in animal-dispersed plants. This may ultimately limit their adaptive potential and ability to cope with environmental change. Tropical forest remnants are typically deprived of medium to large vertebrates upon which many large-seeded plants rely for accomplishing effective seed dispersal. Our main goal was to examine the potential early genetic consequences of the loss of large vertebrates for large-seeded vertebrate-dispersed plants. We compared the genetic variation in early-stage individuals of the large-seeded palm Syagrus romanzoffiana between continuous protected forest and nearby partially defaunated fragments in the Atlantic Forest of South America. Using nine microsatellites, we found lower allelic richness and stronger fine-scale spatial genetic structure in the disturbed area. In addition, the percentage of dispersed recruits around conspecific adults was lower, although not significantly, in the disturbed area (median values: 0.0 vs 14.4%). On the other hand, no evidence of increased inbreeding or reduced pollen-mediated gene flow (selfing rate and diversity of pollen donors) was found in the disturbed area. Our findings are strongly suggestive of some early genetic consequences resulting from the limitation in contemporary gene flow via seeds, but not pollen, in defaunated areas. Plant-disperser mutualisms involving medium-large frugivores, which are seriously threatened in tropical systems, should therefore be protected to warrant the maintenance of seed-mediated gene flow and genetic diversity in large-seeded plants.


Asunto(s)
Arecaceae/genética , Flujo Génico , Variación Genética , Herbivoria , Dispersión de Semillas , Animales , Argentina , Conservación de los Recursos Naturales , Bosques , Endogamia , Repeticiones de Microsatélite , Árboles/genética , Clima Tropical , Vertebrados
7.
Vaccine ; 34(28): 3303-9, 2016 06 14.
Artículo en Inglés | MEDLINE | ID: mdl-27151884

RESUMEN

For the development of a third generation of pertussis vaccine that could improve the control of the disease, it was proposed that the immune responses induced by the classic whole cell vaccine (wP) or after infection should be used as a reference point. We have recently identified a vaccine candidate based on outer membrane vesicles (OMVs) derived from the disease etiologic agent that have been shown to be safe and protective in mice model of infection. Here we characterized OMVs-mediated immunity and the safety of our new candidate. We also deepen the knowledge of the induced humoral response contribution in pertussis protection. Regarding the safety of the OMVs based vaccine (TdapOMVsBp,) the in vitro whole blood human assay here performed, showed that the low toxicity of OMVs-based vaccine previously detected in mice could be extended to human samples. Stimulation of splenocytes from immunized mice evidenced the presence of IFN-γ and IL-17-producing cells, indicated that OMVs induces both Th1 and Th17 response. Interestingly TdapOMVsBp-raised antibodies such as those induced by wP and commercial acellular vaccines (aP) which contribute to induce protection against Bordetella pertussis infection. As occurs with wP-induced antibodies, the TdapOMVsBp-induced serum antibodies efficiently opsonized B. pertussis. All the data here obtained shows that OMVs based vaccine is able to induce Th1/Th17 and Th2 mixed profile with robust humoral response involved in protection, positioning this candidate among the different possibilities to constitute the third generation of anti-pertussis vaccines.


Asunto(s)
Inmunidad Humoral , Vacuna contra la Tos Ferina/inmunología , Tos Ferina/prevención & control , Animales , Anticuerpos Antibacterianos/sangre , Bordetella pertussis , Células Cultivadas , Femenino , Humanos , Sueros Inmunes/inmunología , Interferón gamma/inmunología , Interleucina-17/inmunología , Interleucina-6/inmunología , Ratones , Ratones Endogámicos BALB C , Fagocitosis , Células RAW 264.7 , Bazo/citología , Bazo/inmunología , Células Th17/inmunología , Vacunas Acelulares/inmunología
9.
Andrologia ; 48(6): 723-6, 2016 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-26707342

RESUMEN

Fatty acids are important in male reproductive function because they are associated with membrane fluidity, acrosome reaction, sperm motility and viability, but limited information exists about the fatty acid profile of ram semen. Our aim was to determine the fatty acid composition in ram spermatozoa and seminal plasma. Sixty ejaculates were obtained from three ram (20 ejaculates/ram) using artificial vagina. Ram spermatozoa (RS) and seminal plasma (SP) were separated using centrifugation, and the fatty acids were analysed by gas chromatography. Total lipids obtained in ram spermatozoa were 1.8% and 1.6% in seminal plasma. Saturated fatty acid (SFA) was proportionally major in SP (66.6%) that RS (49.9%). The highest proportions of SFA corresponded to C4:0 (RS = 16.3% and SP = 28.8%) and C16:0 (RS = 16.3% and PS = 20%). The most important unsaturated fatty acid (UFA) was docosahexaenoic acid (DHA), 44.9% in RS and 31.5% in SP. The profile of fatty acid and their proportions showed differences between spermatozoa and seminal plasma.


Asunto(s)
Ácidos Grasos/metabolismo , Semen/metabolismo , Espermatozoides/metabolismo , Animales , Ácidos Docosahexaenoicos/metabolismo , Masculino , Ovinos
11.
Rehabil. integral (Impr.) ; 9(1): 17-25, jul. 2014. tab, ilus
Artículo en Español | LILACS | ID: lil-774857

RESUMEN

Los pacientes con parálisis cerebral (PC) de tipo hemiparética cursan con alteraciones del equilibrio y la coordinación uni-bipodal, lo que se traduce en una capacidad disminuida para trasladar el centro de gravedad durante las actividades funcionales. Objetivo: Evaluar los efectos en el equilibrio y la coordinación en unipodal y bípedo, post intervención con la plataforma Wii Fit en niños con parálisis cerebral hemiparética pertenecientes al Instituto Teletón Valparaíso, durante junio-diciembre de 2011. Pacientes y Métodos: Ensayo clínico, controlado, randomizado y simple ciego, en 32 pacientes, de 8 a 14 años, con PC tipo hemiparética, compromiso funcional leve o moderado y capacidad cognitiva para seguir instrucciones de mediana complejidad. Se distribuyen aleatoriamente en grupos control, kinésico y wii. Se aplica protocolo de ejercicios de equilibrio, coordinación y transferencias de peso en diferentes planos, de dificultad progresiva por 13 sesiones, durante 30 min, con excepción de grupo control. Se evalúa con pruebas de alcance funcional, equilibrio (Berg Balance Scale), centro de gravedad estático, en posición unipodal y bipodal (Wii Balance Board). Resultados: La intervención con plataforma Wii Fit produjo significancia estadística en la variable Escala de Berg (p < 0,001) lo que no se evidenció en las otras variables estudiadas. Conclusión: La plataforma Wii Fit resultó ser una herramienta que produjo mejoras parciales en ítems funcionales, sin efectos adversos en los pacientes sujetos a este tratamiento.


Introduction: Patients with hemiparetic cerebral palsy (CP) develop equilibrium and unipedal/bipedal alterations, which manifest themselves as a diminished capacity to shift the gravity center during functional activities. Objective: Evaluation of the effect of the use of the Wii Fit platform on equilibrium and coordination, in children with hemiplegic cerebral palsy, patients at Valparaíso’s Teletón Institute, between June and December of 2011. Patients and Methods: A controlled, randomized and simple blind clinical trial, was conducted with 32 hemiparetic CP patients, between 8 and 14 years of age, with mild to moderate functional impairment, and who could follow medium difficulty instructions. They were randomly assigned to control, kinesic and Wii groups. A progressively difficult exercise protocol that included coordination, equilibrium, and different levels of weight transference, was applied during thirteen sessions, except for the control group. Outcomes were assessed with functional Reach test, for equilibrium (Berg Balance Scale), standing gravity center for unipedal and bipedal positions (Wii Balance Board). Results: The Wii Fit Platform intervention showed a statistically significant effect for the Berg Scale (p < 0,001). No other effects were observed. Conclusion: Use of the Wii Fit platform generated partial improvements on functional activity items, without adverse effects for patiens who participated in treatment.


Asunto(s)
Humanos , Adolescente , Niño , Hemiplejía/fisiopatología , Hemiplejía/rehabilitación , Parálisis Cerebral/fisiopatología , Parálisis Cerebral/rehabilitación , Interfaz Usuario-Computador , Método Simple Ciego , Equilibrio Postural , Juegos de Video
12.
J Fish Dis ; 37(10): 877-90, 2014 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-24697556

RESUMEN

The sea louse Caligus rogercresseyi is a major threat to Chilean salmonid farming. Pyrethroids have been used for anticaligus treatments since 2007, but have shown reduced effect, most likely due to resistance development. Pyrethroid resistance is also a known problem in Lepeophtheirus salmonis in the Northern Hemisphere. This study describes the development of deltamethrin resistance in C. rogercresseyi based on bioassays and usage data for pyrethroids in Chilean aquaculture. These results were compared to bioassays from L. salmonis from Norway and to Norwegian usage data. Available deltamethrin bioassay results from 2007 and 2008, as well as bioassays from Norway, were collected and remodelled. Bioassays were performed on field-collected sea lice in region X in Chile in 2012 and 2013. Bioassays from 2007 were performed prior to the introduction of pyrethroids to the Chilean market. Both the results from 2008 and 2012 showed an increased resistance. Increased pyrethroid resistance was also indicated by the increased use of pyrethroids in Chilean aquaculture compared with the production of salmonids. A similar trend was seen in the Norwegian usage data. The bioassay results from Chile from 2012 and 2013 also indicated a difference in the susceptibility to deltamethrin between male and female caligus.


Asunto(s)
Copépodos/efectos de los fármacos , Resistencia a Medicamentos , Peces/parasitología , Nitrilos/farmacología , Piretrinas/farmacología , Animales , Antiparasitarios/farmacología , Bioensayo/veterinaria , Chile , Femenino , Masculino , Noruega
14.
Rev. chil. reumatol ; 30(2): 81-86, 2014. ilus
Artículo en Español | LILACS | ID: lil-776845

RESUMEN

At present there is a renew interest in delineating diagnostic criteria for the Ehlers-Danlos Syndrome type III (EDS-III), condition than even though is not serious, can produce poor quality of life, due to alteration of various organs and the presence of dysautonomia. The fragility of tissues, that causes the symptomatology, can frequently be reflected in some external signs. In this study, some authors have been selected that present facial signs that are characteristic of this syndrome and gives us the opportunity to look in their texts some tracts of this disease, by looking in their autobiographic texts or in their fiction works. This exercise of free association helps us to have a more complete view of their rich and complex personalities and helps us also to appreciate the importance in detecting and preventing the consequences of this disease, that with an adequate management can produce a notable improvement in the quality of life...


Hoy se está produciendo un renovado interés por afinar los criterios diagnósticos del síndrome de hipermovilidad articular (similar al SED-III), condición que, aunque no suele ser grave, puede traducirse en una mala calidad de vida, por trastornos en diversos órganos y la presencia de disautonomía. La debilidad de los tejidos conectivos, causante de la sintomatología, suele reflejarse también en algunos signos externos. En este estudio se seleccionan algunos escritores que presentan signos en el rostro característicos de este síndrome y que nos dan la oportunidad de buscar entre sus textos algunas pistas de esta enfermedad, ya sea en textos autobiográficos o en sus obras de ficción. Este ejercicio de libre asociación nos ayuda a tener una mirada más completa de sus ricas y complejas personalidades, y nos ayuda también a tomar conciencia de la importancia de detectar y prevenir las consecuencias de esta enfermedad, que con manejo adecuado puede traducirse en una mejoría notable de la calidad de vida...


Asunto(s)
Humanos , Inestabilidad de la Articulación/diagnóstico , Inestabilidad de la Articulación/historia , Síndrome de Ehlers-Danlos/diagnóstico , Síndrome de Ehlers-Danlos/historia , Disautonomías Primarias
15.
Rev. chil. reumatol ; 30(1): 20-25, 2014. tab, graf
Artículo en Español | LILACS | ID: lil-776869

RESUMEN

Hypermobility (HM) and Hypermobility Syndrome (HMS) are frequent condition in pediatrics, usually subdiagnosticated and there are no studies published in pediatric Chilean population. Our objective was to determine the prevalence of both conditions in the consult of pediatric rheumatologist at San Juan de Dios`s Hospital and in a school population. Describe also the most frequent clinical manifestations and evaluate the importance of HMS in arthralgia. Metods: The Beighton Score and Brighton Criteria were applied to 172 children from pediatric rheumatology consult, San Juan de Dios`s Hospital which consult with any diagnostic and 25 children of a apparently healthy school population. We analyzed the most frequent characteristic and presence of light blue sclera and easy bruise. Results: The prevalence of HM was 26,4 percent and HMS 25,7 percent from a total of 163 patients. The 46 percent of patients, who consult for arthralgia, had finally hypermobility syndrome. The presence of light blue sclera was found in 34,3 percent of healthy children and 70 percent of unhealthy children, and easy bruise in 37,2 percent and 53 percent respectively. Conclusions: Hypermobility and hypermobility syndrome were found in a considerable number of patients in both groups (hospital and school). Hypermobility syndrome is present in a quite number of hypermobile patients, not necessarily having quite hypermobility, it means, they do not reach 5/9 points in Beighton Score. The results of this investigation confirm that hypermobility syndrome is an important cause of arthralgia (46 percent). Light blue sclera and easy bruise could be considered like a guide for this condition. This publication is the first prevalence study in Chilean pediatric population.


La hiperlaxitud articular (HA), que se caracteriza por rangos articulares aumentados en una persona asintomática, y el Síndrome de Hiperlaxitud Articular (SHA), que es la hiperlaxitud asociada a síntomas, son condiciones frecuentes en Pediatría. Estas condiciones son generalmente subdiagnosticadas y no encontramos estudios publicados en población pediátrica chilena. El objetivo de este trabajo fue determinar la prevalencia de la HA y SHA en la consulta de Reumatología Pediátrica del Hospital San Juan de Dios y en una población escolar. Describir las manifestaciones clínicas más frecuentes y evaluar la importancia de SHA como causa de artralgias. Material y método: Se aplicaron el Score de Beighton (ScB) y Criterio de Brighton (CrB) a un total de 172 niños de la consulta reumatológica pediátrica del Hospital San Juan de Dios, que se controlan por cualquier diagnóstico, y a 25 niños de una población escolar aparentemente sana. Se estudiaron las características más frecuentes y la presencia de escleras celestes y moretones fáciles. Resultados: De los 163 pacientes evaluables (hospital), la prevalencia de HA fue de 26,4 por ciento y de SHA, 25,7 por ciento. De los pacientes que consultaron por artralgias el 46 por ciento fue secundario a SHA. La presencia de escleras celestes se encontró en 34,3 por ciento de los pacientes sanos y 70 por ciento de los pacientes no sanos, y los moretones fáciles, en 37,2 por ciento y 53 por ciento, respectivamente. Conclusiones: Se encontró un considerable número de pacientes con Hiperlaxitud Articular y Síndrome de Hiperlaxitud Articular en ambos grupos (hospital y colegio). Existe un porcentaje alto de pacientes que presentan el Síndrome de Hiperlaxitud Articular sin tener, necesariamente, hiperlaxitud articular importante, es decir, no alcanzan a cumplir 5/9 puntos en el ScB. Se comprueba que el Síndrome de Hiperlaxitud Articular es una causa frecuente de artralgias (46 por ciento). Las escleras celestes y moretones fáciles se...


Asunto(s)
Humanos , Masculino , Femenino , Preescolar , Niño , Adolescente , Inestabilidad de la Articulación/diagnóstico , Inestabilidad de la Articulación/epidemiología , Chile , Prevalencia
16.
J Fish Dis ; 36(3): 221-8, 2013 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-23347203

RESUMEN

Caligus rogercresseyi is the most important parasite affecting Atlantic salmon and rainbow trout farming in sea water in Chile. After the outbreaks of the infectious salmon anaemia recorded in Region X from 2007, the salmon industry has expanded southwards to Region XI, where 60% of Atlantic salmon in Chile is now produced. In parallel with the relocation of salmon production, sea lice infestation has also spread to Region XI, and today C. rogercresseyi is the most serious threat to the salmon-farming industry in this region. The results obtained through a year of monitoring between September 2007 and August 2008 on a farm located in the 'Las Guaitecas Archipelago' in Region XI (44°S; 74°W) showed that treatments with emamectin benzoate and deltamethrin did not give the expected control of Caligus. Failures of the treatments were associated with the loss of sensitivity recorded for C. rogercresseyi to emamectin benzoate in Region X. In addition, a major influence was the lack of delousing coordination measures with the neighbouring farms sharing the same area in that period.


Asunto(s)
Copépodos/fisiología , Enfermedades de los Peces/tratamiento farmacológico , Enfermedades de los Peces/epidemiología , Ivermectina/análogos & derivados , Infestaciones por Piojos/veterinaria , Nitrilos/uso terapéutico , Piretrinas/uso terapéutico , Animales , Chile/epidemiología , Enfermedades de los Peces/prevención & control , Explotaciones Pesqueras , Ivermectina/uso terapéutico , Infestaciones por Piojos/tratamiento farmacológico , Infestaciones por Piojos/epidemiología , Infestaciones por Piojos/prevención & control , Prevalencia , Salmo salar/parasitología
17.
Int. j. odontostomatol. (Print) ; 7(1): 87-92, 2013. ilus, tab
Artículo en Español | LILACS | ID: lil-690485

RESUMEN

El plasma rico en plaquetas es un producto de la centrifugación diferencial de la sangre, logrando una alta concentración de plaquetas (600.000 a 1.500.000 x mm3), que al combinarse con cloruro de calcio comienza su activación, produciendo regeneración celular. Se ocupa actualmente dentro de procedimientos estéticos y quirúrgicos. En implantes dentales posee una efectividad por sobre el 92 por ciento, además disminuye el tiempo para la rehabilitación, reduciendo la reabsorción ósea luego de la exodoncia. El objetivo del presente estudio fue evaluar el efecto del tratamiento con PRP en cirugías de implantes dentales. Se realizó una revisión sistemática cuya metodología consistió en revisar ensayos clínicos aleatorizados del tema. Se buscó en PUBMED, Lylacs, Blackwell y Ebsco, en la biblioteca Cochrane y en literatura gris mediante búsqueda manual. Se consideró los siguientes criterios de selección: mayores de 18 años, candidatos a tratamientos rehabilitadores con implantes dentales, sin alteraciones sistémicas de importancia. La estrategia se resume en los siguientes puntos: Identificación del problema, Identificación de términos de búsqueda, Búsqueda sistemática, Selección de artículos mediante utilización de guías de análisis crítico, Incorporación de la información al REVMAN, Análisis de sensibilidad de los artículos y Meta análisis. Se concluye que la mezcla del plasma rico en plaquetas puede inducir una reacción más fuerte de hueso alrededor del implante.


The platelet rich plasma is a differential centrifugation product of the blood, getting a high concentration of platelets (600.000 to 1.500.000 x mm3), which when combined with calcium chloride begins its activation, resulting in cell regeneration. It is currently in aesthetic and surgical procedures. Dental implant has effectiveness over 92 percent, and decreases the time for rehabilitation, reducing bone resorption after extraction. The objective of this study was to evaluate the effect of treatment with PRP in dental implant surgery. We conducted a systematic review whose methodology was to review randomized clinical trials of the subject. W searched PUBMED, Lylacs, Blackwell and Ebsco, the Cochrane Library and books. We considered the following selection's criteria: over 18 years, candidates for dental implant rehabilitation treatment, without significant systemic changes.The strategy is summarized in the following: Identify the problem, identification of search terms, systematic search, selection of articles by using critical thinking guides, Incorporation of information to REVMAN, Sensitivity analysis of the articles, analysis of bias and Meta analysis. W conclude that the mixture of platelet affluent plasma can induce a stronger reaction of bone around the implant.


Asunto(s)
Humanos , Cicatrización de Heridas/fisiología , Implantación Dental Endoósea/métodos , Plasma Rico en Plaquetas/fisiología , Implantes Dentales
18.
Int. j. morphol ; 30(2): 546-549, jun. 2012. ilus
Artículo en Español | LILACS | ID: lil-651827

RESUMEN

La melatonina es una hormona que regula los ciclos circadianos y muchos de los aspectos reproductivos de los mamíferos y es secretada por la glándula pineal en las horas de ausencia de luz. Esta hormona posee receptores de alta afinidad acoplados a proteínas de tipo G, denominados MT1. Un polimorfismo de la secuencia que codifica para estos receptores estaría involucrado en el control de la reproducción estacional de los ovinos. El propósito de este estudio busca determinar la presencia del polimorfismo del receptor MT1 en la oveja criolla Araucana, un ovino local en el que se ha registrado un corto anestro reproductivo. Para poder realizar este trabajo se utilizó la técnica denominada reacción en cadena de la polimerasa para polimorfismo en el tamaño de los fragmentos de restricción PCR-RFLP, para lo cual, se obtuvieron muestras de ADN genómico de 50 ovejas Araucanas, las cuales fueron digeridas con la endonucleasa de restricción Mnl1. Se logró identificar la presencia del polimorfismo del receptor MT1 en la oveja Araucana. Los genotipos se hallaron en una frecuencia de 68 por ciento para el genotipo +/+, 28 por ciento para el genotipo +/- y4 por ciento para el genotipo -/-. Este alto porcentaje de animales con genotipo +/+ podría explicar el corto anestro reproductivo que presenta esta raza.


Melatonin is a hormone that regulates circadian rhythms and many of the reproductive aspects of mammals and is secreted by the pineal gland during the hours of absence of light. This hormone has high affinity receptors coupled to G-like proteins, termed MT1. A polymorphism of the sequence coding for these receptors was involved in the control of seasonal reproduction in sheep. The purpose of this study was to determine the presence of MT1 receptor polymorphism in Araucana creole sheep, a local breed with a short reproductive anestrus. To carry out this work, we used a technique called polymerase chain reaction-restriction fragment lengh polymorphism PCR-RFLP, for which samples were obtained from genomic DNA of 50 Araucana sheep, which were digested with Mnl1 restriction endonuclease. It was possible to identify the presence of MT1 receptor polymorphism in Araucana sheep. The genotypes were found in a genotype frequency of 68 percent for genotype + / +, 28 percent for genotype + / - y4 percent for genotype - / -. This high percentage of animals with genotype + / + could explain the short reproductive anestrus featuring this breed.


Asunto(s)
Animales , Femenino , Anestro/genética , Polimorfismo Genético , Receptor de Melatonina MT1/genética , Ovinos , Chile , Marcadores Genéticos , Reacción en Cadena de la Polimerasa , Polimorfismo de Longitud del Fragmento de Restricción , Reproducción/genética
19.
Int. j. morphol ; 29(4): 1248-1255, dic. 2011. ilus
Artículo en Inglés | LILACS | ID: lil-626997

RESUMEN

The term Podencos refers to a group of dog breeds from Spain and classification in Group 5 of dog breeds by the Fédération Cynologique Internationale (FCI). The aim of this study was to compare traits morphometric breeds of Podencos; Canario, Ibecenco, Andaluz (small, medium and large) and Orito. Ten morphometric variables were measured in 385 animals (245 females and 140 males), head length, muzzle length, height at withers, rump height, body length, head width, rump width, chest depth, chest girth and the shin circumference. Morphostructural variables were more homogeneous in the Podenco Ibicenco and the Podengo Canario, because for many years there were gradually distinctive trait standards for each breed. The discriminate analysis indicated morphostructural differences between all breeds, as reflected in the significant Mahalanobis distance, and confirmed that the hound Orito may be accepted as a different dog population.


El término Podencos se refiere a un grupo de razas de perros originarios de España y clasificados en el grupo 5 de razas caninas por la Federación Cinológica Internacional (FCI). El objetivo del presente trabajo fue comparar caracteristicas morfométricas de las razas caninas de Podencos; Canario, Ibecenco, Andaluz (pequeño, medio y grande) y Orito. Se midieron diez variables morfométricas en 385 animales (245 hembras y 140 machos); longitud de la cabeza, la longitud hocico, altura a la cruz, alzada a la grupa, la longitud del cuerpo, ancho de la cabeza, ancho de la grupa, la profundidad del pecho, la circunferencia del pecho y la circunferencia de la caña. Las variables morfoestructurales fueron más homogéneas en el Podenco Ibicenco y el Podenco Canario, porque por muchos años fueron fijados gradualmente los rasgos distintivos para los estandares de cada raza. El análisis discriminante manifestó diferencias morfoestructurales entre todas las razas, lo que se refleja en la significativa distancia de Mahalanobis, y confirmó que el podenco Orito puede ser aceptado como una población de perros diferentes.


Asunto(s)
Animales , Masculino , Femenino , Perros , Perros/anatomía & histología , Perros/clasificación , Análisis Discriminante , Caracteres Sexuales , Especificidad de la Especie
20.
Neuroscience ; 189: 12-24, 2011 Aug 25.
Artículo en Inglés | MEDLINE | ID: mdl-21664435

RESUMEN

In contrast with mammals, adult fish brains exhibit an enormous potential to produce new cells. Proliferation zones, however, have been described in only a few species, hindering comparisons among genuses and orders. Here we analyzed brain cell proliferation in annual teleostean fishes Austrolebias (Cyprinodontiform: Rivulidae). Immunocytochemistry against 5-bromo-2'-deoxyuridine (BrdU) was quantitated and mapped 24 h after injection in three species with different phylogenetic positions or habitats. All species had similar brain anatomy and total volume, but olfactory bulbs, torus longitudinalis and cerebellum were of different sizes in different species. Cell proliferation was found throughout the brain. Three-D reconstructions provided evidence for contiguity along the rostro-caudal axis and concentration in the vicinity of the ventricles. Brain regions analyzed exhibited high mitotic activity, and the torus longitudinalis had the highest volume-normalized proliferation index. A. affinis exhibited the highest normalized proliferation indexes in visual regions but the lowest in olfactory bulb. A. reicherti showed an inverse pattern, suggesting that these species have a different hierarchy of sensorial modalities that could be related to phylogeny or habitat. Double immunostaining against BrdU and cell-type specific markers was performed to determine the fate of proliferating cells. A widespread gliogenesis was evidenced. Few cells positive for both BrdU and the neuronal marker HuC/D were found in the brain of the three species, demonstrating neurogenesis in the adult Austrolebias brain. Summarizing, adult members of the three species showed similar brain anatomy and cell proliferation patterns. Among species, volume-normalized proliferation indexes varied in regions involved in different sensory modalities. To our knowledge, this is the first report showing proliferating cells with neuronal markers as earlier as 24 h after BrdU injection.


Asunto(s)
Encéfalo/citología , Proliferación Celular , Ciprinodontiformes/anatomía & histología , Animales , Encéfalo/anatomía & histología , Inmunohistoquímica , Especificidad de la Especie
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