Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 9 de 9
Filtrar
Más filtros











Intervalo de año de publicación
1.
Clin Rheumatol ; 42(8): 2091-2095, 2023 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-37081184

RESUMEN

INTRODUCTION: Hemophagocytic lymphohistiocytosis (HLH) is a well-recognized complication of systemic lupus erythematosus (SLE). This study aims to characterize HLH with and without SLE in the US adult inpatient population. METHODS: We performed a retrospective study of HLH with and without SLE from the 2016-2019 National Inpatient Sample (NIS) database. We described the demographic characteristics of HLH with and without SLE. Multivariable analysis was performed to calculate odds ratios (OR) for in-hospital death. RESULTS: A total of 8690 hospitalizations had HLH. Of those 605 (7%) had SLE, and 8085 (93%) did not have SLE. Relative to the non-SLE group, the SLE group was younger, had more females, less whites, more African Americans, more Hispanics, and more Asian/Pacific Islanders. Over 60% of HLH with or without SLE had a concurrent infection. Sixty (9.9%) of HLH hospitalizations with SLE died compared to 1735 (21.5%) of those without SLE. Among HLH hospitalizations, multivariable analysis showed that age (OR 1.02; 95% C.I. 1.016-1.031), Charlson Comorbidity Index (OR 1.15; 95% C.I. 1.091-1.213), infections (OR 3.35; 95% C.I. 2.467-4.557), and leukemia/lymphoma (OR 1.46; 95% C.I. 1.112-1.905) had higher odds of in-hospital death. SLE did not increase the odds of death. CONCLUSIONS: Inpatients with both HLH and SLE were younger, had a higher proportion of racial/ethnic minorities, and were predominately female. One out of every 10 hospitalizations for HLH ended in death but SLE itself was not an independent risk factor for death. Concurrent infection was the variable most associated with HLH death. Key Points • HLH and SLE group were younger and had higher proportions of female and racial/ethnic minorities. • SLE was not an independent risk factor for death in HLH patients.


Asunto(s)
Lupus Eritematoso Sistémico , Linfohistiocitosis Hemofagocítica , Adulto , Humanos , Femenino , Linfohistiocitosis Hemofagocítica/complicaciones , Linfohistiocitosis Hemofagocítica/epidemiología , Estudios Retrospectivos , Mortalidad Hospitalaria , Lupus Eritematoso Sistémico/complicaciones , Lupus Eritematoso Sistémico/epidemiología , Hospitalización
2.
Autoimmun Rev ; 21(8): 103122, 2022 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-35667621

RESUMEN

After the discovery of ocular immune privilege, exhaustive research has been performed, and advances have been made in the field of ocular immunology. Currently, it is clear that local and systemic pathways are involved in maintaining a well-preserved environment to guarantee normal vision. The development of autoimmunity in the eye is still a subject of research; however, it has been suggested that microglial cells could act as a gateway for initiating autoimmunity. Moreover, based on the fact that ocular involvement in systemic autoimmune diseases is well described, we aimed to collect and describe ocular diseases with a proposed primary autoimmune pathogenic mechanism. It should be noted that the autoimmune classification in several entities is a topic of discussion among authors.


Asunto(s)
Enfermedades Autoinmunes , Oftalmopatías , Autoinmunidad , Ojo/patología , Humanos , Privilegio Inmunológico , Tolerancia Inmunológica , Inmunoterapia
3.
Clin Rheumatol ; 41(8): 2467-2473, 2022 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-35411414

RESUMEN

INTRODUCTION: Primary angiitis of the central nervous system (PACNS) and reversible cerebral vasoconstriction syndrome (RCVS) are two rare syndromes that affect the cerebral vasculature. Both conditions have been shown to cause severe neurologic complications. Distinguishing these two conditions in clinical practice is often challenging. Here, we compare the clinical features and outcomes of RCVS and PACNS hospitalizations against the general adult inpatient population. MATERIALS AND METHODS: We conducted a retrospective review of hospitalizations with a diagnosis of PACNS or RCVS from 2016 to 2018 in the National Inpatient Sample (NIS) database. Multivariate analysis was performed to calculate adjusted odds ratios (ORadj) for hospital outcomes. RESULTS: In the NIS, 3305 hospitalizations had a diagnosis of RCVS and 6035 hospitalizations had a diagnosis of PACNS. RCVS hospitalizations had a significantly greater association with cerebral aneurysms (ORadj 23.80), hemiplegia/hemiparesis following subarachnoid hemorrhage (SAH) (ORadj 324.09), ischemic stroke (ORadj 7.59), and nontraumatic SAH (ORadj 253.61). PACNS hospitalizations had a significantly greater association with hemiplegia/hemiparesis following cerebrovascular accident (CVA) (ORadj 6.16), ischemic stroke (ORadj 11.55), nontraumatic SAH (ORadj 7.29), seizure (ORadj 2.49), and in-hospital mortality (ORadj 2.85). CONCLUSIONS: We performed an analysis of the NIS to better understand RCVS and PACNS hospitalizations. Severe neurologic events including CVA and SAH were elevated in both, but SAH and related hemiplegia/hemiparesis were extremely common among RCVS hospitalizations. In-hospital mortality was elevated in PACNS but not RCVS. This information can be used to help clinicians better understand, distinguish, and diagnose these conditions. Key Points • Despite clear description of RCVS and PACNS in the medical literature, there remains a scarcity of national population-based studies comparing these two entities against the general adult inpatient population. • This study aims to fill knowledge gaps in this area. • Here, we compare the clinical features and outcomes of RCVS and PACNS hospitalizations against the general adult inpatient population.


Asunto(s)
Trastornos Cerebrovasculares , Accidente Cerebrovascular Isquémico , Accidente Cerebrovascular , Vasculitis del Sistema Nervioso Central , Vasoespasmo Intracraneal , Adulto , Trastornos Cerebrovasculares/complicaciones , Diagnóstico Diferencial , Hemiplejía/complicaciones , Hemiplejía/diagnóstico , Humanos , Pacientes Internos , Paresia/complicaciones , Paresia/diagnóstico , Accidente Cerebrovascular/complicaciones , Vasculitis del Sistema Nervioso Central/complicaciones , Vasculitis del Sistema Nervioso Central/diagnóstico , Vasoconstricción , Vasoespasmo Intracraneal/complicaciones , Vasoespasmo Intracraneal/diagnóstico , Vasoespasmo Intracraneal/epidemiología
4.
Zookeys ; 1028: 135-159, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33889049

RESUMEN

Thirteen species of Neotropical bats of the genus Micronycteris are currently recognized and are allocated to four subgenera Leuconycteris, Micronycteris, Schizonycteris, and Xenonectes. Despite that, the presence of polyphyletic clades in molecular phylogenies suggests that its diversity is underestimated. Additionally, the incorrect identification of some genetic sequences, the incorrect assignation of available valid names, and restricted geographic sampling have biased the identification of independently evolutionary lineages within Micronycteris. In this study, several unknown genealogical lineages in the genus are identified and an updated phylogenetic hypothesis is proposed using mitochondrial and nuclear DNA fragments. The phylogenetic analyses congruently showed all individuals in four well-supported subgenera, but M. schmidtorum was revealed as the sister taxon of M. brosseti in the subgenus Leuconycteris. Twenty-seven different genealogical lineages were identified. These included eight confirmed species: M. brosseti, M. buriri, M. giovanniae, M. matses, M. schmidtorum, M. simmonsae, M. tresamici, and M. yatesi. Nineteen either allopatric or parapatric candidate species were also confirmed, two within the M. hirsuta complex, nine within the M. megalotis complex, seven within the M. minuta complex, and one corresponding to "M. sp.". These results revealed an extensive undescribed diversity within each subgenus of Micronycteris. Nevertheless, the evolutionary processes associated with the specific radiations are poorly understood. This is just the beginning of the assessment of the taxonomy and systematics of Micronycteris, which requires additional integrative taxonomical approaches for its advance.

5.
Acta biol. colomb ; 25(3): 322-332, sep.-dic. 2020. tab, graf
Artículo en Español | LILACS-Express | LILACS | ID: biblio-1149012

RESUMEN

RESUMEN La Serranía de La Lindosa es una formación geomorfológica que presenta heterogeneidad en sus coberturas vegetales. Esta zona se encuentra en una situación contradictoria debido a que presenta una elevada biodiversidad, sin embargo, es uno de los actuales focos de deforestación más grandes de Colombia. A pesar de que se espera una alta diversidad de murciélagos en La Lindosa existe poca información publicada sobre este grupo. Este trabajo presenta los resultados de inventarios de murciélagos realizados durante cinco años en la Serranía de la Lindosa. Se compara la diversidad (riqueza, composición y estructura) de los ensamblajes de murciélagos en dos tipos principales de cobertura vegetal, los bosques húmedos y las sabanas casmófitas. Los inventarios recogen información de 735 murciélagos capturados, correspondientes a 46 especies. De estas, 14 especies se encontraron solamente en sabanas casmófitas, 11 en bosques húmedos y 19 en los dos tipos de vegetación. De esta manera, se evidencia una alta complementariedad en la composición de especies de murciélagos entre los dos tipos de vegetación. Adicionalmente, la estructura de los ensamblajes de murciélagos varió entre los dos ambientes. La abundancia entre las especies es más homogénea en las sabanas casmófitas con un mayor número de especies raras comparado con los bosques húmedos. En general, la alta diversidad de murciélagos de la Serranía de La Lindosa puede estar relacionada con la heterogeneidad en la vegetación, la presencia de diferentes tipos de cuevas, y la historia evolutiva de las especies de murciélagos asociados a la Región Guayana.


ABSTRACT The Serranía La Lindosa is a geomorphological formation with land cover heterogeneity. This area faces a contradictory situation because it has high biodiversity and provides several ecosystem services, and yet it is one of the current largest deforestation sites in Colombia. Bats is a taxonomic group with high expected diversity in La Lindosa, but there is little published information about this group. This paper presents the results of bat inventories carried out during five years in the Lindosa mountain range. Additionally, diversity is compared in terms of species richness, composition, and structure of bat assemblies in two main types ofvegetation cover evident in the area, which are humid forests and casmophytic savannas. Inventories collected information on 735 captured bats, corresponding to 46 species. Of these, 14 species were found only in casmophytic savannas, 11 in humid forests, and 19 in both types of vegetation. Thus, there is high complementarity in bat species composition between the two vegetation types. Additionally, the structure of bat assemblies varied between the two environments, with a proportional distribution of species abundance more homogeneous in casmophytic savannas than in forests. Besides, a higher number of rare species was found in casmophytic savannas. In general, the high diversity of bats of the Serranía de La Lindosa could be associated with vegetation heterogeneity, presence of different cave types and evolutionary history of bat species associated with the Guayana Region.

6.
Acta biol. colomb ; 24(2): 379-390, May-ago. 2019. tab, graf
Artículo en Español | LILACS-Express | LILACS | ID: biblio-1010866

RESUMEN

RESUMEN Los perros son una problemática importante para la conservación en las diferentes áreas protegidas al poder actuar como competidores, predadores y/o trasmisores de enfermedades a la fauna silvestre. Las reservas privadas por su reducido tamaño y por estar comúnmente rodeadas de zonas rurales desde las cuales pueden entrar los perros son particularmente vulnerables a esta amenaza, lo cual causa un problema para el manejo de estas áreas de conservación. En este estudio se analiza la variación de la abundancia al interior del área conjunta de dos zonas de conservación privadas contiguas, en el municipio de Tabio-Cundinamarca. Se utilizaron los siguientes métodos para la toma de datos: 1) fototrampeo 2) recorridos por la red de caminos de ambas zonas de conservación para la búsqueda activa de rastros o perros individuales, y 3) encuestas a los dueños de perros de la zona rural circundante al área de conservación. Se encontró que la abundancia relativa de los perros en las reservas varió a lo largo de un gradiente de presencia humana y no estuvo relacionada con el tipo de cobertura vegetal. La mayor abundancia de perros estuvo entre >100 a 200 m al interior de las reservas medidos desde el límite de las mismas. Se demostró que los perros que ingresan a las reservas provienen de los hogares rurales localizados en la zona circundante a las reservas.


ABSTRACT Dogs are an important problem for conservation in different protected areas as they act as competitors, predators and / or transmitters of diseases to wildlife. Private reserves, because of their small size and because they are commonly surrounded by rural areas from which dogs can enter are particularly vulnerable to this threat, which causes a problem for management of these protected areas. This study analyzes dog abundance variation within the joint area of two contiguous private protected areas, in the municipality of Tabio-Cundinamarca. The following methods were used for data collection: 1) camera trapping, 2) active search for dog tracks or individual dogs along the road network of both conservation zones, and 3) interviews to dog owners in rural homes surrounding the conservation area. It was found that dog relative abundance in the reserves varied along of a gradient of human presence and it was not related to cover type. The highest dog abundance was found between >100 to 200 m inside the reserves measured from the limit of them. It was shown that dogs entering the reserves come from rural homes located in the surrounding area the reserves.

7.
Rev. biol. trop ; 65(4): 1569-1581, Oct.-Dec. 2017. tab, graf
Artículo en Español | LILACS-Express | LILACS | ID: biblio-897643

RESUMEN

Resumen La expansión del cultivo de palma de aceite ha ocasionado cambios drásticos en los hábitats naturales y modificado la estructura de la vegetación, reduciendo el hábitat disponible para las especies de aves nativas. Se estudiaron las aves asociadas a lotes de palma de aceite de diferentes clases de alturas en el piedemonte de la Orinoquia colombiana, entre agosto 2013 y febrero 2014. Las clases de altura fueron tres: pequeña hasta seis metros, mediana hasta 10 metros y grande hasta15 metros, en cada lote se censaron las aves mediante transectos lineales y se comparó la composición, riqueza, abundancia y describió la estructura de grupos tróficos. Registramos 468 individuos de 44 especies y 23 familias. Gymnomystax mexicanus, Crotophaga ani y Milvago chimachima fueron las especies más abundantes, las dos primeras representan el 4.5 % de las especies abundantes, el 25 % tuvo abundancias intermedias y el 70.4 % fueron especies raras en el área del cultivo. En términos de la abundancia proporcional de especies de aves, las palmas grandes y medianas fueron más parecidas. La comunidad de aves encontrada en parcelas de palma grande tuvo mayor diversidad y uniformidad (2.63 y 0.8907, respectivamente), mientras que en las palmas pequeñas hubo mayor dominancia y abundancia de individuos (0.1825 y 252, respectivamente). En todo el cultivo predominaron aves insectívoras y carnívoras, las cuales tuvieron mayor afinidad por palmas pequeñas y grandes. La palma de aceite puede funcionar como un hábitat favorable para un bajo número de especies de amplia distribución y la altura no parece ser una variable que beneficie de manera significativa la composición, riqueza y abundancia de las especies de aves asociadas a la plantación.


Abstract The expansion of oil palm plantations has caused drastic changes in natural ecosystems and modifications in the vegetation structure, reducing available habitat for native bird species. We studied birds associated with oil palm plantations plots of different palm size classes, in the foothills of the Colombian Orinoquia region, from August 2013 and February 2014. The palm size clases were three: small up to 6 m height; medium up to 10 m; and large up to 15 m; in each plot we counted birds through line transects, and compared their bird composition, richness, and abundance, and described trophic group structure. We recorded a total of 468 individuals, belonging to 44 bird species and 23 families. Gymnomystax mexicanus, Crotophaga ani and Milvago chimachima were the most abundant species, the first tow representing 4.5 % of the abundant species; 25 % had intermediate abundances and 70.4 % were rare in the plantations area. In terms of the abundance of bird species, medium and large palms plots were more similar. Bird community found in plots with large palms had the highest diversity and uniformity (2.63 and 0.8907, respectively), while in those of small palms it was a greater dominance and abundance of individual birds (0.1825 and 252, each one). For the entire plantation, insectivorous and carnivorous birds predominated, and had greater association with small and large palms. Oil palm stands serve as suitable habitats for a small number of widespread bird species, and the height does not seem to be an important factor, that may meaningfully benefit the composition, richness and abundance of bird species associated with the plantations.

8.
Acta biol. colomb ; 21(1): 151-166, Jan.-Apr. 2016. ilus, tab
Artículo en Español | LILACS | ID: lil-769042

RESUMEN

La cacería de subsistencia ha sido una actividad de vital importancia para las comunidades indígenas como fuente de proteína y venta. Se caracterizó la cacería de subsistencia realizada por comunidades de las etnias Piaroa y Curripaco presentes en la Reserva de Biosfera el Tuparro, por medio de registros de caza durante nueve meses de estudio. Se encontró que no hay diferencias significativas en cuanto a especies y número de individuos cazados entre las dos etnias, siendo Artiodactyla y Rodentia los órdenes con mayor aporte respecto al número de individuos, biomasa y riqueza de especies, lo cual fue similar a otros estudios realizados en el Neotrópico. Los Piaroa cazan más frecuentemente cuando los estudiantes llegan de la ciudad al resguardo, mientras que los Curripaco lo hacen para las reuniones evangélicas. El arte de caza más usado por las comunidades de las dos etnias fue la escopeta. Las etnias estudiadas tienen sus zonas de caza en la Reserva de Biósfera El Tuparro, y en ellas, los Curripaco están aprovechando directamente los recursos de su zona núcleo del Parque Nacional Natural El Tuparro.


Subsistence hunting has been an activity of vital importance to indigenous communities as a source of protein and sale. We characterized subsistence hunting by Curripaco and Piaroa ethnic groups present in the Tuparro Biosphere Reserve, through hunting records over nine months of study. We found no significant differences in species and number of individuals hunted by the two ethnic groups. The orders Rodentia and Artiodactyla contributed the most in terms of number of individuals, biomass and species richness, which was similar to studies to the Neotropics. The Piaroa hunt more frequently when students return to the community lands from the city, while the Curripaco do so for religious gatherings. The hunting method used most often by both ethnic groups was the shotgun. The hunting areas used by ethnic groups are within the RBT, and the Curripaco are utilizing the resources of the Tuparro Natural National Park, the core area.

9.
Acta biol. colomb ; 20(2): 193-202, mayo-ago. 2015. ilus, tab
Artículo en Español | LILACS | ID: lil-743856

RESUMEN

A pesar de los cambios antrópicos en los Andes colombianos, todavía se encuentran relictos de ecosistemas nativos con valor para la conservación, siendo los únicos remanentes de hábitat para vida silvestre en áreas cercanas a grandes ciudades. Presentamos resultados de una investigación realizada en la Reserva privada Passiflora (cerca de Bogotá), que buscó examinar la diversidad de la comunidad de mamíferos no voladores. Combinando diferentes métodos encontramos 17 especies, pertenecientes a siete órdenes, que sugieren que ésta es una comunidad compleja a pesar de la intervención antrópica en la zona. Destacamos la presencia de especies raras o endémicas como Olallamys albicauda, Cuniculus taczanowskii y Leopardus tigrinus. Nuestro estudio indica que pese a la transformación de los Andes colombianos, es posible encontrar elementos representativos de su mastofauna incluso en pequeñas reservas privadas, añadiendo valor a estas iniciativas particulares que complementan las iniciativas nacionales de conservación de la biodiversidad.


Despite the anthropic changes in the Colombian Andes, there are still several relicts of native ecosystems with conservation value, which are the only habitat remnants for wildlife in areas near large cities. We present results of a research conducted at the Passiflora private Reserve (near Bogota) which aimed to evaluate the diversity of the community of non-flying mammals. Combining diverse methods, we found 17 mammal species, belonging to seven orders, suggesting a complex mammal community despite the human intervention in the area. Besides, we highlight the presence of rare or endemic species such as Olallamys albicauda, Cuniculus taczanowskii and Leopardus tigrinus. We conclude that despite the transformation of the Andes, it is still possible to find representative elements of Andean mammal fauna, even in private small reserves, adding value to these particular initiatives, which complement the government conservation efforts.

SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA