RESUMEN
There is growing evidence indicating that mineralocorticoid receptor (MR) expression influences a wide variety of functions in metabolic and immune response. The present study explored if antagonism of the MR reduces neuroinflammation in the spinal cord of mice with experimental autoimmune encephalomyelitis (EAE). Eplerenone (EPLE) (100 mg/kg dissolved in 30% 2-hydroxypropyl-ß-cyclodextrin) was administered intraperitoneally (i.p.) daily from EAE induction (day 0) until sacrificed on day 17 post-induction. The MR blocker (a) significantly decreased the inflammatory parameters TLR4, MYD88, IL-1ß, and iNOS mRNAs; (b) attenuated HMGB1, NLRP3, TGF-ß mRNAs, microglia, and aquaporin4 immunoreaction without modifying GFAP. Serum IL-1ß was also decreased in the EAE+EPLE group. Moreover, EPLE treatment prevented demyelination and improved clinical signs of EAE mice. Interestingly, MR was decreased and GR remained unchanged in EAE mice while EPLE treatment restored MR expression, suggesting that a dysbalanced MR/GR was associated with the development of neuroinflammation. Our results indicated that MR blockage with EPLE attenuated inflammation-related spinal cord pathology in the EAE mouse model of Multiple Sclerosis, supporting a novel therapeutic approach for immune-related diseases.
Asunto(s)
Encefalomielitis Autoinmune Experimental , Ratones , Animales , Encefalomielitis Autoinmune Experimental/tratamiento farmacológico , Encefalomielitis Autoinmune Experimental/metabolismo , Eplerenona/farmacología , Eplerenona/uso terapéutico , Antagonistas de Receptores de Mineralocorticoides/farmacología , Antagonistas de Receptores de Mineralocorticoides/uso terapéutico , Enfermedades Neuroinflamatorias , Médula Espinal/patología , Ratones Endogámicos C57BLRESUMEN
Resumen Introducción: Las encefalitis inmunomediadas son un desorden neurológico de origen autoinmune. Actual mente es escasa la descripción de las secuelas cognitivas crónicas. El objetivo del presente trabajo fue caracterizar la secuela cognitiva de diferentes tipos de encefalitis inmunomediadas en una cohorte de un centro único de Argentina. Métodos: Estudio prospectivo, observacional, trans versal, de pacientes en seguimiento en un hospital de la Ciudad de Buenos Aires, con diagnóstico de encefalitis inmunomediada probable y definitiva. Se evaluaron variables epidemiológicas, clínicas, paraclínicas y tra tamiento. Se determinó la secuela cognitiva a través de una evaluación neurocognitiva realizada a partir del año de la presentación clínica. Resultados: Fueron incluidos 15 pacientes, todos con resultado disminuido en al menos un test. La memoria fue el dominio más afectado. Aquellos que se encon traban bajo tratamiento inmunosupresor al momento de evaluarse presentaron menores resultados en el aprendizaje seriado (media -2.94; desvío estándar 1.54) versus los que se encontraban sin tratamiento (media -1.18; desvío estándar 1.40; p = 0.05) y en la prueba de reconocimiento (media -10.34; desvío estándar 8.02) ver sus sin tratamiento (media -1.39; desvío estándar 2.21; p = 0.003). Los pacientes con estatus epiléptico tuvieron resultados deficitarios en la prueba de reconocimiento (media -7.2; desvío estándar 7.91) en comparación a los que no lo tenían (media -1.47; desvío estándar 2.34; p = 0.05). Conclusión: Nuestros resultados demuestran que, a pesar del curso monofásico de la enfermedad, todos los pacientes presentan daño cognitivo persistente más allá del año del inicio del cuadro. Estudios prospectivos de mayor envergadura serían necesarios para confirmar nuestros hallazgos.
Abstract Introduction: Autoimmune encephalitis represents a group of immune-mediated neurological disorders. At present, the description of the chronic cognitive sequela is scarce. The objective of this study was to characterize the cognitive after effects of different types of autoimmune encephalitis in a cohort from a single center in Argentina. Methods: Prospective, observational, cross-sectional study of patients under follow-up at a hospital in Buenos Aires city, with a diagnosis of probable and definitive immune-mediated encephalitis. Epidemiological, clini cal, paraclinical and treatment related variables were evaluated. Cognitive sequela was determined through a neurocognitive evaluation performed at least a year after the clinical presentation. Results: Fifteen patients were included. All had di minished results in at least one test. Memory was the most affected domain. Patients who were under im munosuppressive treatment at the time of evaluation presented lower results in serial learning (mean -2.94; standard deviation 1.54) versus those who weren't under treatment (mean -1.18; standard deviation 1.40; p = 0.05). The same pattern was observed on the recognition test of treatment group (mean -10.34; standard deviation 8.02) versus treatment-free group (mean -1.39; standard deviation 2.21; p =0.003). Patients with status epilepticus had poorer results in the recognition test (mean -7.2; standard deviation 7.91) compared to those without it (mean -1.47; standard deviation 2.34; p = 0.05). Conclusion: Our results show that, despite the mo nophasic course of this disease, all patients had persis tent cognitive damage beyond the year of onset. Larger prospective studies are required to confirm our findings.
RESUMEN
INTRODUCTION: Autoimmune encephalitis represents a group of immune-mediated neurological disorders. At present, the description of the chronic cognitive sequela is scarce. The objective of this study was to characterize the cognitive after effects of different types of autoimmune encephalitis in a cohort from a single center in Argentina. METHODS: Prospective, observational, cross-sectional study of patients under follow-up at a hospital in Buenos Aires city, with a diagnosis of probable and definitive immune-mediated encephalitis. Epidemiological, clinical, paraclinical and treatment related variables were evaluated. Cognitive sequela was determined through a neurocognitive evaluation performed at least a year after the clinical presentation. RESULTS: Fifteen patients were included. All had diminished results in at least one test. Memory was the most affected domain. Patients who were under immunosuppressive treatment at the time of evaluation presented lower results in serial learning (mean -2.94; standard deviation 1.54) versus those who weren't under treatment (mean -1.18; standard deviation 1.40; p = 0.05). The same pattern was observed on the recognition test of treatment group (mean -10.34; standard deviation 8.02) versus treatment-free group (mean -1.39; standard deviation 2.21; p =0.003). Patients with status epilepticus had poorer results in the recognition test (mean -7.2; standard deviation 7.91) compared to those without it (mean -1.47; standard deviation 2.34; p = 0.05). CONCLUSION: Our results show that, despite the monophasic course of this disease, all patients had persistent cognitive damage beyond the year of onset. Larger prospective studies are required to confirm our findings.
Introducción: Las encefalitis inmunomediadas son un desorden neurológico de origen autoinmune. Actualmente es escasa la descripción de las secuelas cognitivas crónicas. El objetivo del presente trabajo fue caracterizar la secuela cognitiva de diferentes tipos de encefalitis inmunomediadas en una cohorte de un centro único de Argentina. Métodos: Estudio prospectivo, observacional, transversal, de pacientes en seguimiento en un hospital de la Ciudad de Buenos Aires, con diagnóstico de encefalitis inmunomediada probable y definitiva. Se evaluaron variables epidemiológicas, clínicas, paraclínicas y tratamiento. Se determinó la secuela cognitiva a través de una evaluación neurocognitiva realizada a partir del año de la presentación clínica. Resultados: Fueron incluidos 15 pacientes, todos con resultado disminuido en al menos un test. La memoria fue el dominio más afectado. Aquellos que se encontraban bajo tratamiento inmunosupresor al momento de evaluarse presentaron menores resultados en el aprendizaje seriado (media -2.94; desvío estándar 1.54) versus los que se encontraban sin tratamiento (media -1.18; desvío estándar 1.40; p = 0.05) y en la prueba de reconocimiento (media -10.34; desvío estándar 8.02) versus sin tratamiento (media -1.39; desvío estándar 2.21; p = 0.003). Los pacientes con estatus epiléptico tuvieron resultados deficitarios en la prueba de reconocimiento (media -7.2; desvío estándar 7.91) en comparación a los que no lo tenían (media -1.47; desvío estándar 2.34; p = 0.05). Conclusión: Nuestros resultados demuestran que, a pesar del curso monofásico de la enfermedad, todos los pacientes presentan daño cognitivo persistente más allá del año del inicio del cuadro. Estudios prospectivos de mayor envergadura serían necesarios para confirmar nuestros hallazgos.
Asunto(s)
Encefalitis Antirreceptor N-Metil-D-Aspartato , Enfermedades Autoinmunes del Sistema Nervioso , Encefalitis , Humanos , Argentina/epidemiología , Cognición , Estudios Transversales , Progresión de la Enfermedad , Estudios ProspectivosRESUMEN
Necrotizing fasciitis is a life-threatening infection. Early diagnosis and treatment are essential. Reconstruction techniques and rehabilitation protocols have been poorly described. The objective of this work is to describe the results of timely treatment for limb preservation and early rehabilitation in a case of massive necrotizing fasciitis of the lower limbs. We present a case of necrotizing fasciitis in the lower limbs, treated surgically with a negative aspiration system, muscle flaps, and skin graft. We describe his rehabilitation protocol and the results at one year of follow-up.
La fascitis necrotizante es una infección potencialmente letal. Es esencial un diagnóstico y tratamiento temprano. Las técnicas de reconstrucción y los protocolos de rehabilitación han sido escasamente descritos. El objetivo de este trabajo es describir los resultados del tratamiento oportuno para la conservación de miembros y la rehabilitación temprana en un caso de fascitis necrotizante masiva de miembros inferiores. Presentamos un caso de fascitis necrotizante en miembros inferiores, tratado quirúrgicamente mediante sistema de aspiración negativa, colgajos musculares e injerto cutáneo. Describimos su protocolo de rehabilitación y los resultados al año de seguimiento.
Asunto(s)
Fascitis Necrotizante , Desbridamiento , Fascitis Necrotizante/cirugía , Humanos , Extremidad Inferior/cirugía , PielRESUMEN
Resumen: Las fracturas de calcáneo son las más frecuentes del tarso (3.5% de todas las fracturas). Afectan a adultos jóvenes, siendo más frecuentes en hombres (5.9:1). Por otro lado, las lesiones ligamentarias asociadas a fractura de calcáneo no son muy frecuentes. Presentamos un caso de un paciente de 39 años que sufrió entorsis de tobillo. Mostraba inestabilidad en flexión plantar e inversión. Radiografías mostraron una fractura de calcáneo. Durante la cirugía se evidenció una lesión completa del complejo ligamentario lateral. Se realizó la reducción y osteosíntesis asociada a la reconstrucción ligamentaria. Ante fracturas de calcáneo es importante corroborar la estabilidad del tobillo. La falta de diagnóstico en este tipo de lesiones puede generar inestabilidades crónicas.
Abstract: Calcaneal fractures are the most frequent of the tarsus (3.5% of all fractures). Young adults are mainly affected, being more frequent in men (5.9:1). On the other hand, ligament injuries associated with fracture of the calcaneus are very infrequent. We describe a case of a 39 year old patient who suffered ankle trauma. He presented instability in plantar flexion and inversion. A fracture of the calcaneus was diagnosed. During surgery, a complete lesion of the lateral ligament complex was found. The reduction and osteosynthesis associated with ligament reconstruction was performed. We consider important to confirm the stability of the ankle after a calcaneus fracture. Lack of diagnosis in this type of injuries can evolve into chronic instability.
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Ante esta situación de la pandemia por el COVID-19, los odontólogos tienen un papel importante para detectar y apoyar en el diagnóstico temprano, dado que se están reportando efectos que esta infección ocasiona en la cavidad oral y que se relacionan con el inicio de este proceso infeccioso. Estos efectos se pueden relacionar con la presencia del virus SARS-CoV-2 o con las formas de los tratamientos que se le brinda al paciente, que van en desmedro de la salud oral de los pacientes. El objetivo de esta revisión es informar sobre las repercusiones que se pueden dar en la cavidad oral por la infección con COVID-19.
Faced with this situation of the COVID- 19 pandemic, dentists play an important role in detecting and supporting early diagnosis, since effects that this infection causes in the oral cavity and that are related to the onset are being reported. of this infectious process. These effects can be related to the presence of the SARS-CoV-2 virus or to the forms of treatments that are given to the patient, which are detrimental to the oral health of patients. The objective of this review is to inform about the repercussions that can occur in the oral cavity due to infection with COVID-19.
Asunto(s)
Humanos , Caries Dental/patología , COVID-19/complicaciones , Saliva/virología , Control de Infecciones , Servicios de Salud Dental , OdontologíaRESUMEN
Calcaneal fractures are the most frequent of the tarsus (3.5% of all fractures). Young adults are mainly affected, being more frequent in men (5.9:1). On the other hand, ligament injuries associated with fracture of the calcaneus are very infrequent. We describe a case of a 39 year old patient who suffered ankle trauma. He presented instability in plantar flexion and inversion. A fracture of the calcaneus was diagnosed. During surgery, a complete lesion of the lateral ligament complex was found. The reduction and osteosynthesis associated with ligament reconstruction was performed. We consider important to confirm the stability of the ankle after a calcaneus fracture. Lack of diagnosis in this type of injuries can evolve into chronic instability.
Las fracturas de calcáneo son las más frecuentes del tarso (3.5% de todas las fracturas). Afectan a adultos jóvenes, siendo más frecuentes en hombres (5.9:1). Por otro lado, las lesiones ligamentarias asociadas a fractura de calcáneo no son muy frecuentes. Presentamos un caso de un paciente de 39 años que sufrió entorsis de tobillo. Mostraba inestabilidad en flexión plantar e inversión. Radiografías mostraron una fractura de calcáneo. Durante la cirugía se evidenció una lesión completa del complejo ligamentario lateral. Se realizó la reducción y osteosíntesis asociada a la reconstrucción ligamentaria. Ante fracturas de calcáneo es importante corroborar la estabilidad del tobillo. La falta de diagnóstico en este tipo de lesiones puede generar inestabilidades crónicas.
Asunto(s)
Traumatismos del Tobillo , Calcáneo , Fracturas Óseas , Fracturas Intraarticulares , Ligamentos Laterales del Tobillo , Adulto , Tobillo , Traumatismos del Tobillo/complicaciones , Traumatismos del Tobillo/cirugía , Articulación del Tobillo/cirugía , Calcáneo/lesiones , Fijación Interna de Fracturas , Fracturas Óseas/complicaciones , Fracturas Óseas/cirugía , Humanos , Ligamentos Laterales del Tobillo/lesiones , Ligamentos Laterales del Tobillo/cirugía , Masculino , Resultado del Tratamiento , Adulto JovenRESUMEN
RESUMEN: El 11 de marzo del 2020, la OMS reconoció al COVID-19 como pandemia mundial. El coronavirus (COVID-19) ha desafiado a los sistemas de salud y demanda una rápida reacción de respuesta, ante el aumento de infectados. El ámbito del trabajo odontológico, está sujeto a un riesgo significativo de contaminación cruzada y difusión de esta enfermedad, siendo muy importante las estrictas medidas de protección. El objetivo de esta revisión es informar sobre las medidas que se deben realizar durante los tratamientos dentro del consultorio dental para prevenir la propagación del COVID-19.
ABSTRACT: On March 11, 2020, the WHO recognized COVID-19 as a global pandemic. The coronavirus (COVID-19) has challenged health systems and demands a quick response reaction, due to the increase in infected people. The field of dental work is subject to a significant risk of cross contamination and spread of this disease, with strict protection measures being very important. The aim of this review is to inform about the measures that must be carried out during treatments in the dental office to prevent the spread of COVID-19.
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Humanos , Neumonía Viral/prevención & control , Atención Odontológica , Control de Infecciones/métodos , Infecciones por Coronavirus/prevención & control , Pandemias , Betacoronavirus , Neumonía Viral/transmisión , Infecciones por Coronavirus/transmisión , Consultorios Odontológicos/normasRESUMEN
PURPOSE: To analyse the impact of prolonged mandatory lockdown due to COVID-19 on hip fracture epidemiology. METHODS: Retrospective case-control study of 160 hip fractures operated upon between December 2019 and May 2020. Based on the date of declaration of national lockdown, the cohort was separated into two groups: 'pre-COVID time' (PCT), including 86 patients, and 'COVID time' (CT), consisting of 74 patients. All CT patients tested negative for SARS-CoV-2. Patients were stratified based on demographic characteristics. Outcome measures were 30-day complications, readmissions and mortality. A logistic regression model was run to evaluate factors associated with mortality. RESULTS: Age, female/male ratio, body mass index and American Society of Anaesthesia score were similar between both groups (p > 0.05). CT patients had a higher percentage of Charlson ≥ 5 and Rockwood Frailty Index ≥ 5 scores (p < 0.05) as well as lower UCLA and Instrumental Activities of Daily Living scores (p < 0.05). This translated into a higher hemiarthroplasty/total hip arthroplasty ratio during CT (p = 0.04). Thromboembolic disease was higher during CT (p = 0.02). Readmissions (all negative for SARS-CoV-2) were similar between both groups (p = 0.34). Eight (10.8%) casualties were detected in the CT group, whereas no deaths were seen in the control group. Logistic regression showed that frailer (p = 0.006, OR 10.46, 95%CI 8.95-16.1), less active (p = 0.018, OR 2.45, 95%CI 1.45-2.72) and those with a thromboembolic event (p = 0.005, OR 30, 95%CI 11-42) had a higher risk of mortality. CONCLUSION: Despite testing negative for SARS-CoV-2, CT patients were less active and frailer than PCT patients, depicting an epidemiological shift that was associated with higher mortality rate.
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Betacoronavirus , Infecciones por Coronavirus , Fracturas de Cadera/epidemiología , Pandemias , Neumonía Viral , Actividades Cotidianas , Artroplastia de Reemplazo de Cadera , COVID-19 , Estudios de Casos y Controles , Estudios de Cohortes , Femenino , Hemiartroplastia , Fracturas de Cadera/cirugía , Humanos , Masculino , Estudios Retrospectivos , SARS-CoV-2RESUMEN
Technologies and techniques of location and navigation are advancing, allowing greater precision in locating people in complex and challenging conditions. These advances have attracted growing interest from the scientific community in using indoor positioning systems (IPSs) with a higher degree of precision and fast delivery time, for groups of people such as the visually impaired, to some extent improving their quality of life. Much research brings together various works that deal with the physical and logical approaches of IPSs to give the reader a more general view of the models. These surveys, however, need to be continuously revisited to update the literature on the features described. This paper presents an expansion of the range of technologies and methodologies for assisting the visually impaired in previous works, providing readers and researchers with a more recent version of what was done and the advantages and disadvantages of each approach to guide reviews and discussions about these topics. Finally, we discuss a series of considerations and future trends for the construction of indoor navigation and location systems for the visually impaired.
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Calidad de Vida , Dispositivos de Autoayuda , Trastornos de la Visión , HumanosRESUMEN
Objetivou-se com este trabalho avaliar a diversidade genética do gene HSP-70.1 e associar os polimorfismos encontrados com a performance de vacas leiteiras das raças Holandesa, Girolando (5/8H-G) e Sindi criadas em região do semiárido brasileiro. Os polimorfismos foram identificados e avaliados pela técnica de PCR-RFLP, usando-se a enzima de restrição EcoRII. Avaliou-se a variabilidade genética por meio do índice de diversidade padrão e da análise de variância molecular (AMOVA). Os polimorfismos identificados foram avaliados sobre as características de produção de leite. Foram identificados sete alelos, os quais demonstraram que houve polimorfismo para a região gênica analisada, e alguns alelos foram compartilhados entre os rebanhos. As raças bovinas Holandesa e Sindi foram similares geneticamente para o gene analisado. A AMOVA demonstrou que há variação genética entre os rebanhos e dentro deles, com a maior parte da variação ocorrendo dentro dos rebanhos para todos os grupos avaliados. Houve efeito dos alelos identificados sobre a produção de leite dos rebanhos das raças Holandesa (P<0,0001) e Girolando (P<0,0117). O gene HSP-70.1 foi polimórfico na população de bovinos leiteiros estudada, sendo, portanto, um marcador molecular promissor para avaliar a produção de leite de raças criadas em região semiárida.(AU)
The objective of this work was to evaluate the genetic diversity of the HSP-70.1 gene and to associate the polymorphisms found with the performance of Holstein, Girolando (5/8H-G) and Sindi dairy cows raised in region of the Brazilian semiarid. Polymorphisms were identified and evaluated using the PCR-RFLP technique using the EcoRII restriction enzyme. Genetic variability was evaluated using the standard diversity index and molecular variance analysis (AMOVA). The identified polymorphisms were evaluated on the characteristics of milk production. They were identified from the seven alleles, demonstrating that there was polymorphism for the analyzed gene region and some alleles were shared among the herds. The Holstein and Sindi bovine breeds were genetically like the analyzed gene. AMOVA demonstrated that there is genetic variation between and within the herds, with most of the variation occurring within the herds for all groups evaluated. There was effect of the alleles identified on the production of milk herds of Holstein and (P<0.0001) Girolando (P<0.0117) breeds. The HSP-70.1 gene was polymorphic in the population of dairy cattle studied, and therefore a promising molecular marker to evaluate milk production of breeds created in semiarid regions.(AU)
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Animales , Bovinos , Proteínas HSP70 de Choque Térmico/análisis , Proteínas HSP70 de Choque Térmico/genética , Trastornos de Estrés por Calor/veterinaria , Reacción en Cadena de la Polimerasa/veterinaria , Análisis de Varianza , Zona Semiárida , TermotoleranciaRESUMEN
Introducción: La instalación inmediata del implante posterior a la extracción dental se está convirtiendo en un procedimiento de rutina debido a la reducción del tiempo de tratamiento y a la preservación de las estructuras anatómicas remanentes. Sin embargo, en muchos casos esta técnica involucra dientes afectados con procesos infecciosos. Hasta ahora, no se ha descrito a ciencia cierta el grado de éxito o fracaso del implante inmediato en alvéolos infectados, ni se ha establecido un protocolo para el manejo de este tipo de casos. Objetivo: Realizar una revisión bibliográfica actualizada, para determinar qué consideraciones se deben tener para instalar un implante inmediato en alvéolos con procesos infecciosos. Conclusión: Es posible obtener las ventajas de la instalación inmediata del implante en alvéolos infectados mediante la aplicación de un adecuado manejo clínico, donde se considere un adecuado tratamiento antibiótico, acompañado de un correcto curetaje alveolar, respetar la cadena de asepsia y antisepsia, posición subcrestal del implante y obtener siempre una buena estabilidad primaria del implante (AU)
Introduction: The immediate placement of the implant after dental extraction is a procedure that every time is becoming a routine procedure due to the reduction of the treatment time and the preservation of the remaining anatomical structures. However, in many cases, this technique involves affected teeth with infectious processes. Until now, the degree of success or failure of the immediate implant in infected alveoli has not been described for sure; nor has a protocol been established for the management of these types of cases. Objective: Carry out an updated bibliographic review, to determine what considerations must be taken to install an immediate implant in alveoli with infectious processes. Conclusion: Is possible obtain the advantages of the immediate installation of the implant in infected alveoli through the application of adequate clinical management, where appropriate antibiotic treatment is considered, accompanied by proper alveolar curettage, respect the aseptic and antiseptic chain, implant subcrestal position and always obtain a good primary stability of the implant (AU)
Asunto(s)
Humanos , Extracción Dental , Alveolo Dental , Carga Inmediata del Implante Dental , Infección Focal Dental/terapia , Clorhexidina/uso terapéutico , Regeneración Tisular Dirigida , Rayos Láser , Antibacterianos/uso terapéuticoRESUMEN
Objetivou-se com este trabalho avaliar a diversidade genética do gene HSP-70.1 e associar os polimorfismos encontrados com a performance de vacas leiteiras das raças Holandesa, Girolando (5/8H-G) e Sindi criadas em região do semiárido brasileiro. Os polimorfismos foram identificados e avaliados pela técnica de PCR-RFLP, usando-se a enzima de restrição EcoRII. Avaliou-se a variabilidade genética por meio do índice de diversidade padrão e da análise de variância molecular (AMOVA). Os polimorfismos identificados foram avaliados sobre as características de produção de leite. Foram identificados sete alelos, os quais demonstraram que houve polimorfismo para a região gênica analisada, e alguns alelos foram compartilhados entre os rebanhos. As raças bovinas Holandesa e Sindi foram similares geneticamente para o gene analisado. A AMOVA demonstrou que há variação genética entre os rebanhos e dentro deles, com a maior parte da variação ocorrendo dentro dos rebanhos para todos os grupos avaliados. Houve efeito dos alelos identificados sobre a produção de leite dos rebanhos das raças Holandesa (P<0,0001) e Girolando (P<0,0117). O gene HSP-70.1 foi polimórfico na população de bovinos leiteiros estudada, sendo, portanto, um marcador molecular promissor para avaliar a produção de leite de raças criadas em região semiárida.(AU)
The objective of this work was to evaluate the genetic diversity of the HSP-70.1 gene and to associate the polymorphisms found with the performance of Holstein, Girolando (5/8H-G) and Sindi dairy cows raised in region of the Brazilian semiarid. Polymorphisms were identified and evaluated using the PCR-RFLP technique using the EcoRII restriction enzyme. Genetic variability was evaluated using the standard diversity index and molecular variance analysis (AMOVA). The identified polymorphisms were evaluated on the characteristics of milk production. They were identified from the seven alleles, demonstrating that there was polymorphism for the analyzed gene region and some alleles were shared among the herds. The Holstein and Sindi bovine breeds were genetically like the analyzed gene. AMOVA demonstrated that there is genetic variation between and within the herds, with most of the variation occurring within the herds for all groups evaluated. There was effect of the alleles identified on the production of milk herds of Holstein and (P<0.0001) Girolando (P<0.0117) breeds. The HSP-70.1 gene was polymorphic in the population of dairy cattle studied, and therefore a promising molecular marker to evaluate milk production of breeds created in semiarid regions.(AU)
Asunto(s)
Animales , Bovinos , Proteínas HSP70 de Choque Térmico/análisis , Proteínas HSP70 de Choque Térmico/genética , Trastornos de Estrés por Calor/veterinaria , Reacción en Cadena de la Polimerasa/veterinaria , Análisis de Varianza , Zona Semiárida , TermotoleranciaRESUMEN
Gluteal compartment syndrome (GCS) is extremely rare when compared to compartment syndrome in other anatomical regions, such as the forearm or the lower leg. It usually occurs in drug users following prolonged immobilization due to loss of consciousness. Another possible cause is trauma, which is rare and has only few reports in the literature. Physical examination may show tense and swollen buttocks and severe pain caused by passive range of motion. We present the case of a 70-year-old man who developed GCS after prolonged anterior-posterior pelvis compression. The physical examination revealed swelling, scrotal hematoma, and left ankle extension weakness. An unstable pelvic ring injury was diagnosed and the patient was taken to surgery. Measurement of the intracompartmental pressure was measured in the operating room, thereby confirming the diagnosis. Emergent fasciotomy was performed to decompress the three affected compartments. Trauma surgeons must be aware of the possibility of gluteal compartment syndrome in patients who have an acute pelvic trauma with buttock swelling and excessive pain of the gluteal region. Any delay in diagnosis or treatment can be devastating, causing permanent disability, irreversible loss of gluteal muscles, sciatic nerve palsy, kidney failure, or even death.
RESUMEN
This study was conducted at the Agronomic Institute of Pernambuco IPA, Experimental Station of São Bento do Una located at latitude -8º3135 S, longitude -36 2735 W and altitude 629m, Pernambuco Brazil with the objective of evaluating the incidence of reproductive disorders in Holstein cows raised in semi-arid conditions. Holstein cows (n=478) kept in semi-intensive system, in reproductive age, ranging from 24 to 108 months, lactating or non-lactating were evaluated. Females were subjected to monitoring of cyclic ty and gynecological examination every 30 days. Reproductive disorders were analyzed in the period of January 2013 to December 2014, being observed the influence season (rainy and dry) on the occurrence of most common reproductive pathology. Data was submitted to ANOVA, Scott-Knott Test and t-Student Test 5%. The results showed a higher incidence (p<0.05) of retained placenta (31.75%) and clinical endometritis (30.66%), and also registered 10.95% of abortion. Significant effect (p<0.05) of weather station was registered on the occurrence of retained placenta being 55.2% in the rainy season and 44.8% in the dry season. No difference was registered for clinical endometritis. It is concluded that the retention of placenta and clinical endometritis are reproductive disorders of higher incidence, as well as the placenta retention in Holstein cows raised in semi-arid conditions is influenced by the weather station.(AU)
O estudo foi realizado na Estação Experimental de São Bento do Una (EESBU), pertencente ao Instituto Agronômico de Pernambuco IPA, localizada a latitude -8º3135 S, longitude -362735 W e altitude 629m, Pernambuco, Brasil. O objetivo deste estudo foi avaliar a incidência de distúrbios reprodutivos em vacas Holandesas criadas em condições de semiárido. Foram avaliadas fêmeas da raça Holandesa (n=478) em idade reprodutiva, lactantes e não lactantes e com idade variando de 24 a 108 meses, mantidas em sistema semi-intensivo de criação. As fêmeas foram submetidas ao acompanhamento da ciclicidade e exame ginecológico a cada 30 dias. Foram avaliados os dados da ocorrência de distúrbios reprodutivos no período de 2010 a 2014. Sendo também avaliada a influência da estação climática (chuvosa e seca) sobre a ocorrência das patologias reprodutivas de maior incidência. Os dados foram submetidos a ANOVA, ao teste de Scott-Knott e ao teste t a 5%. Quanto aos resultados evidenciou-se maior incidência (p<0,05) de retenção de placenta (31,75%) e endometrite clínica (30,66%), sendo ainda registrado 10,95% de aborto. Houve influência (p<0,05) da estação climática sobre ocorrência de retenção de placenta, sendo registrados 55,2% na estação chuvosa e 44,8% durante a seca. Porém, não sendo registrada diferença para endometrite clínica em ambas estações chuvosa e seca. Portanto, conclui-se que a retenção de placenta e a endometrite clínica são os distúrbios reprodutivos de maior incidência, bem como, que a retenção de placenta em vacas da raça Holandesa criadas em condições de semiárido sofre influência da estação climática.(AU)
Asunto(s)
Animales , Femenino , Bovinos , Fenómenos Fisiológicos Reproductivos , Fenómenos Fisiológicos Reproductivos , Estación Climatológica , Estación Seca , Estación Lluviosa , Zona Semiárida , Retención de la Placenta/veterinaria , Endometritis/veterinaria , Aborto VeterinarioRESUMEN
This study was conducted at the Agronomic Institute of Pernambuco IPA, Experimental Station of São Bento do Una located at latitude -8º3135 S, longitude -36 2735 W and altitude 629m, Pernambuco Brazil with the objective of evaluating the incidence of reproductive disorders in Holstein cows raised in semi-arid conditions. Holstein cows (n=478) kept in semi-intensive system, in reproductive age, ranging from 24 to 108 months, lactating or non-lactating were evaluated. Females were subjected to monitoring of cyclic ty and gynecological examination every 30 days. Reproductive disorders were analyzed in the period of January 2013 to December 2014, being observed the influence season (rainy and dry) on the occurrence of most common reproductive pathology. Data was submitted to ANOVA, Scott-Knott Test and t-Student Test 5%. The results showed a higher incidence (p<0.05) of retained placenta (31.75%) and clinical endometritis (30.66%), and also registered 10.95% of abortion. Significant effect (p<0.05) of weather station was registered on the occurrence of retained placenta being 55.2% in the rainy season and 44.8% in the dry season. No difference was registered for clinical endometritis. It is concluded that the retention of placenta and clinical endometritis are reproductive disorders of higher incidence, as well as the placenta retention in Holstein cows raised in semi-arid conditions is influenced by the weather station.
O estudo foi realizado na Estação Experimental de São Bento do Una (EESBU), pertencente ao Instituto Agronômico de Pernambuco IPA, localizada a latitude -8º3135 S, longitude -362735 W e altitude 629m, Pernambuco, Brasil. O objetivo deste estudo foi avaliar a incidência de distúrbios reprodutivos em vacas Holandesas criadas em condições de semiárido. Foram avaliadas fêmeas da raça Holandesa (n=478) em idade reprodutiva, lactantes e não lactantes e com idade variando de 24 a 108 meses, mantidas em sistema semi-intensivo de criação. As fêmeas foram submetidas ao acompanhamento da ciclicidade e exame ginecológico a cada 30 dias. Foram avaliados os dados da ocorrência de distúrbios reprodutivos no período de 2010 a 2014. Sendo também avaliada a influência da estação climática (chuvosa e seca) sobre a ocorrência das patologias reprodutivas de maior incidência. Os dados foram submetidos a ANOVA, ao teste de Scott-Knott e ao teste t a 5%. Quanto aos resultados evidenciou-se maior incidência (p<0,05) de retenção de placenta (31,75%) e endometrite clínica (30,66%), sendo ainda registrado 10,95% de aborto. Houve influência (p<0,05) da estação climática sobre ocorrência de retenção de placenta, sendo registrados 55,2% na estação chuvosa e 44,8% durante a seca. Porém, não sendo registrada diferença para endometrite clínica em ambas estações chuvosa e seca. Portanto, conclui-se que a retenção de placenta e a endometrite clínica são os distúrbios reprodutivos de maior incidência, bem como, que a retenção de placenta em vacas da raça Holandesa criadas em condições de semiárido sofre influência da estação climática.
Asunto(s)
Femenino , Animales , Bovinos , Estación Lluviosa , Estación Climatológica , Estación Seca , Fenómenos Fisiológicos Reproductivos , Zona Semiárida , Aborto Veterinario , Endometritis/veterinaria , Retención de la Placenta/veterinariaRESUMEN
Se efectuó un estudio de la violencia escolar (bullying) en colegios nacionales de primaria en Ayacucho, Cusco, Junín y Lima Este. Objetivo: Conocer la incidencia, respuesta de los compañeros de clase, padres, maestros y amigos al enterarse de la agresión. Material y métodos: Estudio transversal en una muestra de 916 escolares. Se usó un cuestionario validado con 30 item. En el análisis estadístico se usaron métodos bivariados y de regresión logística. Resultados: La incidencia de bullying fue de 47 por ciento. El 34 por ciento de los agredidos no comunican a nadie la agresión. A un 65 por ciento de compañeros no les interesa defender a las víctimas. Alrededor del 25 po ciento de maestros y padres de familiar no reaccionan ni protegen a las víctimas permitiendo que este proceso continué. Conclusiones: Se recomienda diseñar instrumentos para estudios de profundidad y favorecer la comunicación de las víctimas para romper la "Ley del Silencio".
We did a study about bullying in primary national schools from Ayacucho, Cusco, Junín and East Lima. Objetive: To know the incidence, the behavior of classmates, parents teachers and friends when they had the information about this violence. Material and methods: Cross sectional in a sample of 916 scholars. We used a validated questionnaire with 30 items, and did bivariate and logistic regression statistical analysis. Results: The incidence was 47 per cent , 334 per cent of victims never comunicate the aggresion. The 65 per cent of classmates are nor interested in protect the victims. Around 25 per cent of teachers and parents don't react, neither protect the victims and this kind of violence continue going on. Conclusions: We recommend design instruments to do deep studies and promote the comunication of the victims to destroy the "Silence Law".
Asunto(s)
Humanos , Masculino , Niño , Estudiantes , Violencia , Estudios Transversales , PerúRESUMEN
The aim of this study was to determine the period of genital tubercle (GT) migration using ultrasonography in Morada Nova sheep foetuses (n = 117) from natural mating (NM) and frozen embryo transfer (ET) to determine the window when foetal sexing can be determined. The examinations were performed using transrectal ultrasonography with a dual-frequency linear transducer (6.0 and 8.0 MHz) from day 30-54 of pregnancy at 48-h intervals. The period of GT migration of foetuses produced by NM varied from 36 to 46 days of pregnancy, resulting in an average of 39.5 +/- 2.9 days. For foetuses derived from ET, GT migration varied from 42 to 52 days of pregnancy with an average of 48.5 +/- 3.3 days, being possible the GT of foetuses from ET start to migrate 96 h later even if they are of the same gender. Migration of the GT occurred earlier (p < 0.05) in foetuses produced by NM and sexing accuracy for triplet pregnancies (77.8%) was significantly inferior (p < 0.05) to single (100%) and twin (92.9%) pregnancies for foetuses derived by NM. The results allow one to conclude that foetal sexing can be done from the 50th day onwards in foetuses produced by NM and from the 55th day onwards in foetuses derived from ET, and that multiple pregnancies compromise the sexing accuracy by ultrasonography.
Asunto(s)
Análisis para Determinación del Sexo/veterinaria , Ovinos/embriología , Ultrasonografía Prenatal/veterinaria , Animales , Transferencia de Embrión/veterinaria , Femenino , Tamaño de la Camada , Embarazo , Análisis para Determinación del Sexo/métodos , Factores de Tiempo , Ultrasonografía Prenatal/métodosRESUMEN
The objective of the present study was to evaluate the superovulatory response and ova/embryo recovery from Nelore donors following treatment with a controlled internal drug releasing device and estradiol benzoate (CIDR-B program) at different stages of the estrous cycle. The control group (TI; n=40) received a standard superovulation protocol with females of this group being between days 9 and 12 of the estrous cycle (estrus = day 0). The donors that received a CIDR-B program containing 1.9 g progesterone and an intramuscular injection of estradiol benzoate (2 mg) were at day 0 (TII; n=30), between days 2 and 6 (TIII; n=30), days 7 and 12 (TIV; n=30), days 13 and 16 (TV; n=30) and days 17 and 20 (TVI; n=30) of the estrous cycle. Superovulation was induced with 400 IU of p-FSH, divided into eight decreasing doses (80/80; 60/60; 40/40; 20/20) at intervals of 12h. The donors received PGF2alpha (Cloprostenol) 48 h after beginning the treatment and CIDRs were removed 12h later. Artificial inseminations (AI) were performed 12 and 22 h after the initiation of estrus and embryos were collected 7 days after AI. The mean numbers (+/-S.E.M.) of total ova and embryos, viable (transferable) and degenerated embryos were 14.2+/-11.3, 7.4+/-6.9 and 3.2+/-3.5 (TI), 13.3+/-10.4, 7.1+/-6.2 and 3.3+/-4.3 (TII), 13.5+/-7.0, 8.1+/-6.7 and 2.3+/-3.0 (TIII), 17.4+/-9.9, 9.4+/-6.9 and 4.0+/-4.4 (TIV), 16.9+/-8.8, 9.8+/-8.1 and 2.7+/-2.5 (TV) and 13.0+/-7.8, 7.2+/-6.9 and 2.3+/-2.5 (TVI), with no significant differences (P>/=0.05) among groups. Pregnancy rates of 67.1% (TI; n=86/128), 60.8% (TII; n=59/97), 62.5% (TIII; n=73/115), 64.1% (TIV; n=84/131), 72.3% (TV; n=81/112) and 60.6% (TVI; n=63/104) were obtained with embryos transferred from these collections and did not differ significantly (P>/=0.05) among groups. The results of the present study allow us to conclude that a combination of steroid hormones may be used prior to superovulation in Nelore donors, at any stage of the estrous cycle without affecting the efficiency of embryo transfer programs.
Asunto(s)
Bovinos , Estradiol/análogos & derivados , Estradiol/administración & dosificación , Ciclo Estral , Progesterona/administración & dosificación , Superovulación , Administración Intravaginal , Animales , Recuento de Células , Transferencia de Embrión/veterinaria , Embrión de Mamíferos/fisiología , Femenino , Inyecciones Intramusculares , Inseminación Artificial/veterinaria , Óvulo , Embarazo , Recolección de Tejidos y Órganos/veterinariaRESUMEN
The objective of the present study was to determine the efficiency of different protocols in inducing and synchronizing the estrus cycle of Saanen goats by using new or reused synchro-mate-B (SMB) and controlled internal drug release (CIDR) in combination with either equine chorionic gonadotrophin (eCG) or cloprostenol. Female goats (n=120) were divided at random into six groups of 20 animals each. In the T1-SMB group, the females were injected intramuscularly (i.m.) with 2.5mg estradiol valerate+1.5mg norgestomet and received a subcutaneous ear implant containing 2.0mg of norgestomet for 9 days. On the day of implant removal, the animals received 100IU of eCG and 0.05mg of cloprostenol. In the T2-SMB group, the animals were identically treated, except that the ear implant they received had been previously used in cattle. In the T3-SMB group, the treatment was identical to that for T1-SMB, but eCG was not administered. In the T1-CIDR group, the animals were treated for 9 days with an intravaginal device inpregnated with 0.3g of progesterone and injected i.m. with 100IU of eCG and 0.05mg of cloprostenol on the day of implant removal. The animals of the T2-CIDR group were treated like those of the T1-CIDR group, except that the intravaginal implant they received had been previously used in goats. The animals of the T3-CIDR group were treated like those of the T1-CIDR group, but did not receive eCG. The percentages of estrus and fertility were 100/80% (T1-SMB), 90/80% (T2-SMB), 75/75% (T3-SMB), 100/95% (T1-CIDR), 100/100% (T2-CIDR) and 70/65% (T3-CIDR), respectively, with the results for both parameters being lower (P=0.05) in the T3-SMB and T3-CIDR groups. It is concluded that auricular implants or intravaginal devices may be reused, at last one more time, because they are efficient for inducing and synchronizing estrus in cyclic dairy goats.