RESUMEN
Abstract Lake Laguna Santa Elena, a freshwater body, located in mid-south of Chile, is an environmental asset used as a water resource by the agricultural and touristic sector and is the habitat for a wide variety of endemic avifauna. The objective of this study was to assign a monetary value to this lacustrine body, using the methodology of AMUVAM (Multicriteria Analysis of Environmental Active Values). The information was collected through the application of surveys to a panel of experts involved in the use of the environmental resource. The result obtained with the AMUVAM method corresponds to the US $ 17,780,686, a figure that represents an estimated value of the TEV (Total Economic Value) of the environmental asset. This study, a pioneer in the Region, will support decision making, allowing an adequate management of this critical water resource.
Resumo A Laguna Santa Elena, um corpo de água doce localizado no centro-sul do Chile, é um ativo ambiental usado como recurso hídrico pelos setores agrícola e turístico e é o habitat de uma ampla variedade de avifauna endêmica. O objetivo deste estudo foi atribuir um valor monetário a esse corpo lacustre, utilizando a metodologia da AMUVAM (Análise Multicritério de Valores Ambientais Ativos). As informações foram coletadas por meio da aplicação de pesquisas a um painel de especialistas envolvidos no uso do recurso ambiental. O resultado obtido com o método AMUVAM corresponde a US$ 17.780.686, que representam um valor estimado do valor econômico total (VT) do ativo ambiental. Este estudo, pioneiro na região, apoiará a tomada de decisões, permitindo um gerenciamento adequado desse recurso hídrico crítico.
Asunto(s)
Lagos , Ecosistema , Chile , Conservación de los Recursos Naturales , AgriculturaRESUMEN
Lake Laguna Santa Elena, a freshwater body, located in mid-south of Chile, is an environmental asset used as a water resource by the agricultural and touristic sector and is the habitat for a wide variety of endemic avifauna. The objective of this study was to assign a monetary value to this lacustrine body, using the methodology of AMUVAM (Multicriteria Analysis of Environmental Active Values). The information was collected through the application of surveys to a panel of experts involved in the use of the environmental resource. The result obtained with the AMUVAM method corresponds to the US $ 17,780,686, a figure that represents an estimated value of the TEV (Total Economic Value) of the environmental asset. This study, a pioneer in the Region, will support decision making, allowing an adequate management of this critical water resource.
Asunto(s)
Ecosistema , Lagos , Agricultura , Chile , Conservación de los Recursos NaturalesRESUMEN
Lake Laguna Santa Elena, a freshwater body, located in mid-south of Chile, is an environmental asset used as a water resource by the agricultural and touristic sector and is the habitat for a wide variety of endemic avifauna. The objective of this study was to assign a monetary value to this lacustrine body, using the methodology of AMUVAM (Multicriteria Analysis of Environmental Active Values). The information was collected through the application of surveys to a panel of experts involved in the use of the environmental resource. The result obtained with the AMUVAM method corresponds to the US $ 17,780,686, a figure that represents an estimated value of the TEV (Total Economic Value) of the environmental asset. This study, a pioneer in the Region, will support decision making, allowing an adequate management of this critical water resource.(AU)
A Laguna Santa Elena, um corpo de água doce localizado no centro-sul do Chile, é um ativo ambiental usado como recurso hídrico pelos setores agrícola e turístico e é o habitat de uma ampla variedade de avifauna endêmica. O objetivo deste estudo foi atribuir um valor monetário a esse corpo lacustre, utilizando a metodologia da AMUVAM (Análise Multicritério de Valores Ambientais Ativos). As informações foram coletadas por meio da aplicação de pesquisas a um painel de especialistas envolvidos no uso do recurso ambiental. O resultado obtido com o método AMUVAM corresponde a US$ 17.780.686, que representam um valor estimado do valor econômico total (VT) do ativo ambiental. Este estudo, pioneiro na região, apoiará a tomada de decisões, permitindo um gerenciamento adequado desse recurso hídrico crítico.(AU)
Asunto(s)
Animales , Estatus Económico , Ecosistema , Recursos NaturalesRESUMEN
Abstract Lake Laguna Santa Elena, a freshwater body, located in mid-south of Chile, is an environmental asset used as a water resource by the agricultural and touristic sector and is the habitat for a wide variety of endemic avifauna. The objective of this study was to assign a monetary value to this lacustrine body, using the methodology of AMUVAM (Multicriteria Analysis of Environmental Active Values). The information was collected through the application of surveys to a panel of experts involved in the use of the environmental resource. The result obtained with the AMUVAM method corresponds to the US $ 17,780,686, a figure that represents an estimated value of the TEV (Total Economic Value) of the environmental asset. This study, a pioneer in the Region, will support decision making, allowing an adequate management of this critical water resource.
Resumo A Laguna Santa Elena, um corpo de água doce localizado no centro-sul do Chile, é um ativo ambiental usado como recurso hídrico pelos setores agrícola e turístico e é o habitat de uma ampla variedade de avifauna endêmica. O objetivo deste estudo foi atribuir um valor monetário a esse corpo lacustre, utilizando a metodologia da AMUVAM (Análise Multicritério de Valores Ambientais Ativos). As informações foram coletadas por meio da aplicação de pesquisas a um painel de especialistas envolvidos no uso do recurso ambiental. O resultado obtido com o método AMUVAM corresponde a US$ 17.780.686, que representam um valor estimado do valor econômico total (VT) do ativo ambiental. Este estudo, pioneiro na região, apoiará a tomada de decisões, permitindo um gerenciamento adequado desse recurso hídrico crítico.
RESUMEN
Abstract Lake Laguna Santa Elena, a freshwater body, located in mid-south of Chile, is an environmental asset used as a water resource by the agricultural and touristic sector and is the habitat for a wide variety of endemic avifauna. The objective of this study was to assign a monetary value to this lacustrine body, using the methodology of AMUVAM (Multicriteria Analysis of Environmental Active Values). The information was collected through the application of surveys to a panel of experts involved in the use of the environmental resource. The result obtained with the AMUVAM method corresponds to the US $ 17,780,686, a figure that represents an estimated value of the TEV (Total Economic Value) of the environmental asset. This study, a pioneer in the Region, will support decision making, allowing an adequate management of this critical water resource.
Resumo A Laguna Santa Elena, um corpo de água doce localizado no centro-sul do Chile, é um ativo ambiental usado como recurso hídrico pelos setores agrícola e turístico e é o habitat de uma ampla variedade de avifauna endêmica. O objetivo deste estudo foi atribuir um valor monetário a esse corpo lacustre, utilizando a metodologia da AMUVAM (Análise Multicritério de Valores Ambientais Ativos). As informações foram coletadas por meio da aplicação de pesquisas a um painel de especialistas envolvidos no uso do recurso ambiental. O resultado obtido com o método AMUVAM corresponde a US$ 17.780.686, que representam um valor estimado do valor econômico total (VT) do ativo ambiental. Este estudo, pioneiro na região, apoiará a tomada de decisões, permitindo um gerenciamento adequado desse recurso hídrico crítico.
RESUMEN
Anestrous and lactating Bos taurus by Bos indicus crossbred cows with minimum body condition were studied to determine the efficacy of GnRH+PGF 2alpha combinations for induction of estrus and/or ovulation on pregnancy rate during the months of the year when temperatures are greater. On day 0 (start of treatment), cows were assigned randomly to either treatment or control groups. Treated cows (n = 74) received i.m. 200 microg of GnRH on day 0 and 150 microg of PGF 2alpha 7 days later (day 7). On day 7, treated cows were equally distributed to each of three protocols: (1) Select Synch (n = 25), artificial insemination (AI) 12 h after exhibiting estrus from day 7 (PGF 2alpha injection) until day 12; (2) Ovsynch (n = 24), 200 microg of GnRH at 48 h after PGF 2alpha (day 9) + timed-AI (TAI) 16-20 h later; (3) CO-Synch (n = 25), 200 microg of GnRH + TAI at 48 h after PGF 2alpha (day 9). Control cows (n = 25) received no treatment + AI 12 h after exhibiting estrus from days 0 to 12. Detection of estrus was performed daily during the early morning and evening hours from days 0 to 7 in all the cows, and from days 7 to 12 in the cows treated with Select Synch and in the control group, with the aid of a sterilized bull. Palpation per rectum and transrectal ultrasonography were used on days -30, -20, -10 and 0 to confirm anestrus (absence of CL and no signs of estrus at each evaluation) but with ovarian follicles > or = 10 mm on day 0. Pregnancy rate was 0% for Select Synch, 21% for Ovsynch and 28% for CO-Synch (P < 0.05). In conclusion, the Ovsynch and CO-Synch protocols resulted in greater pregnancy rates compared with the Select Synch protocol in Bos taurus/Bos indicus cows with minimum body condition that were anestrous and lactating during the summer months in a tropical environment.
Asunto(s)
Bovinos/fisiología , Dinoprost/administración & dosificación , Sincronización del Estro/métodos , Hormona Liberadora de Gonadotropina/administración & dosificación , Anestro/fisiología , Animales , Cruzamientos Genéticos , Femenino , Inseminación Artificial/veterinaria , Lactancia , Modelos Logísticos , Masculino , México , Embarazo , Índice de Embarazo , Clima TropicalRESUMEN
Prolonged postpartum anestrus is a main factor limiting reproductive efficiency in cattle, particularly in Bos indicus and Bos taurus/Bos indicus cows from tropical regions, because it prevents achievement of a 12 month calving interval. During anestrus, ovulation does not occur despite ovarian follicular development, because growing follicles do not mature. Although many factors affect postpartum anestrus, nutrition and suckling are the major factors influencing the resumption of postpartum ovarian cycles, as they affect hypothalamic, pituitary and ovarian activity and thus inhibit follicular development. Under-nutrition contributes to prolonged postpartum anestrus, particularly among cows dependent upon forages to meet their feed requirements and it apparently interacts with genetic, environmental or management factors to influence the duration of anestrus. The nutritional status or balance of an animal is evaluated through body condition score (BCS), as it reflects the body energy reserves available for metabolism, growth, lactation and activity. There is a converse relationship between energy balance and time to resumption of postpartum ovarian activity; inadequate nutrient intake results in loss of weight and BCS and finally cessation of estrous cycles. Suckling interferes with hypothalamic release of GnRH, provoking a marked suppression in pulsatile LH release, resulting in extended postpartum anestrus. The effects of suckling on regulation of tonic LH release are determined by the ability of the cow to identify a calf as her own or as unrelated. Vision and olfaction play critical roles in the development of the maternal-offspring bond, allowing the cow to identify her own calf, and abolition of both senses attenuates the negative effects of suckling on LH secretion. Thus, the maternal-offspring bond is essential for prolonged postpartum suckling-induced anovulation, and the suppressive influence of suckling is independent of neurosensory pathways within the teat or udder.
Asunto(s)
Anestro/fisiología , Animales Lactantes , Composición Corporal , Lactancia , Periodo Posparto , Reproducción , Alimentación Animal , Fenómenos Fisiológicos Nutricionales de los Animales , Animales , Bovinos , Metabolismo Energético , Femenino , Hormona Luteinizante/metabolismo , Ovulación , Embarazo , Factores de Tiempo , Pérdida de PesoRESUMEN
Induction of ovulation for timed artificial insemination (TAI) with the Ovsynch protocol was evaluated in 49 anoestrous and lactating Bos taurus x Bos indicus cows. Palpation per rectum and transrectal ultrasonography were used on Days -30, -20, -10 and 0 (start of treatment) to confirm anoestrus but with the presence of follicles > or = 10 mm, and every other day during treatment to determine ovarian activity. Cows were randomly assigned to: (1) Ovsynch (n = 24; Day 0, 200 microg GnRH; Day 7, 150 microg PGF2alpha; Day 9, 200 microg GnRH + TAI 16 to 20 h later) and (2) control (n = 25; no treatment). Rates of ovulation for the first GnRH injection, detection of a corpus luteum (CL) at PGF2alpha injection, pregnancy and induction of cyclicity were greater (P < 0.05) with Ovsynch. There was no effect of body condition score (P > 0.05). In conclusion, the Ovsynch protocol was not effective in obtaining acceptable pregnancy rate for TAI, but it was effective for induction of cyclicity in anoestrous and lactating Bos taurus x Bos indicus cows under tropical conditions.
Asunto(s)
Bovinos/fisiología , Cloprostenol/uso terapéutico , Cruzamientos Genéticos , Hormona Liberadora de Gonadotropina/uso terapéutico , Inducción de la Ovulación/veterinaria , Animales , Bovinos/genética , Estro/efectos de los fármacos , Femenino , Inseminación Artificial/métodos , Inseminación Artificial/veterinaria , Lactancia , Inducción de la Ovulación/métodos , Embarazo , Reproducción/efectos de los fármacos , Reproducción/fisiologíaRESUMEN
In this study we report the cloning and sequencing of a cDNA for cholesterol side chain cleavage cytochrome P450scc from Syrian hamster adrenal glands. Isolation of P450scc mRNA was carried out with degenerate primer PCR together with 5' and 3' RACE protocol. The full-length cDNA comprises an open reading frame of 1563 bp encoding a polypeptide of 520 amino acid residues. The predicted protein sequence exhibits well-preserved heme- and steroid-binding domains and shares 89% amino acid sequence identity with rat and mouse enzymes. Transient transfection of HEK-293 cells with the cloned cDNA leads to the formation of pregnenolone from 25-hydroxycholesterol. Northern blot analysis showed expression of mRNAs for P450scc in the major steroidogenic tissues, namely, the adrenal cortex, testis, and ovary. In addition, tissue distribution analysis using the coupled reaction of RT-PCR and Southern blotting revealed that the mRNA of the enzyme is also expressed in various nonendocrine tissues, including the epididymis, Harderian gland, and lungs. The relative abundance of specific transcripts at these novel sites suggests that P450scc could potentially play an important role in regulating local steroid hormone synthesis.
Asunto(s)
Glándulas Suprarrenales/enzimología , Enzima de Desdoblamiento de la Cadena Lateral del Colesterol/genética , Clonación Molecular , ADN Complementario/genética , Expresión Génica , Secuencia de Aminoácidos , Animales , Secuencia de Bases , Northern Blotting , Southern Blotting , Línea Celular , Enzima de Desdoblamiento de la Cadena Lateral del Colesterol/química , Cricetinae , Embrión de Mamíferos , Humanos , Riñón , Mesocricetus/genética , Datos de Secuencia Molecular , Sistemas de Lectura Abierta , Reacción en Cadena de la Polimerasa , ARN Mensajero/análisis , ARN Mensajero/aislamiento & purificación , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , TransfecciónRESUMEN
The effect of estrogen administered with norgestomet implants in the expression of behavioral estrous of Zebu cattle was studied in a herd of 18 cycling Brahman cows, in two trials. In the first and second trials, six different cows were treated with progestagen on successive days. In addition, in the first trial, estrogen injection was applied with the treatment. With the purpose of enhancing mounting behavior in treated and/or non-treated animals, on the third day of each trial, three other cows with an active CL were injected with 25 mg of PGF2alpha. All animals were examined three times a week by rectal ultrasound, and a blood sample was also taken for progesterone analysis. Sexual activity was monitored by a closed-circuit TV from 1500 to 0600 h. Direct observation was carried out from 0900 to 1200 h. A total of 15 cows displayed 36 mounting periods (11 with ovulation). Twenty-five annovulatory estrous periods were observed, 77% supported by large follicles. More cows (66% vs. 16%) showed mounting activity when estradiol valerate was used as part of the progestagen treatment (P=.03). Ovulation rate in response to the effect of norgestomet implant was 16%, independent of treatment. It is concluded that estrogen administered with norgestomet implants increases the expression of behavioral estrous in Bos indicus cattle but does not improve ovulation rate.
Asunto(s)
Estradiol/farmacología , Estrógenos/farmacología , Estro/efectos de los fármacos , Pregnenodionas/farmacología , Conducta Sexual Animal/efectos de los fármacos , Animales , Bovinos , Combinación de Medicamentos , Estradiol/análogos & derivados , Femenino , Folículo Ovárico/diagnóstico por imagen , Folículo Ovárico/efectos de los fármacos , Ovulación/efectos de los fármacos , Ovulación/fisiología , Embarazo , Progesterona/sangre , UltrasonografíaRESUMEN
BACKGROUND: The incidence of cytomegalovirus infection or reactivation is 8 times more frequent in transplant recipients than in the general population. AIM: To evaluate the prevalence and usefulness of different diagnostic techniques for cytomegalovirus infection in renal transplant recipients. PATIENTS AND METHODS: Twenty nine renal transplant recipients were followed for at least five months. Cytomegalovirus infection was assessed by the presence of serum antibodies against the virus using ELISA and viral detection in urine and lymphocytes, using classical viral isolation, shell vial assay, and detection of viral genome by polymerase chain reaction. RESULTS: Prior to transplantation, 23 of 27 patients had IgG type anti cytomegalovirus antibodies. In 40%, IgM type antibodies were detected in some moment of the follow up. Three of these corresponded to seroconversion. Cytomegalovirus was detected in urine in 41% of patients and it was not detected in lymphocytes. Shell vial assay detected the virus in 5 of 13 urine samples and in 1 of 7 lymphocyte samples. Polymerase chain reaction was positive in 12 of the 29 patients. In six patients, an acute rejection was postulated and there was no relation of rejection episodes with viral detection. In two patients, a disease caused by cytomegalovirus was postulated. One of these patients had a seroconversion during follow up. CONCLUSIONS: The prevalence of positive serum indices of cytomegalovirus infection was similar to that reported in the general population. However, the frequency of reactivation and viral disease was lower than that reported elsewhere. The techniques used in this study can be useful to confirm the suspicion of cytomegalovirus disease. However they do not predict the occurrence or evolution of the disease caused by the virus nor viral reactivation in renal transplant recipients.
Asunto(s)
Infecciones por Citomegalovirus/diagnóstico , Trasplante de Riñón/inmunología , Infecciones Oportunistas/diagnóstico , Adolescente , Adulto , Anticuerpos Antivirales/sangre , Niño , Infecciones por Citomegalovirus/epidemiología , Femenino , Estudios de Seguimiento , Humanos , Inmunoglobulina M/sangre , Incidencia , Masculino , Persona de Mediana Edad , Prevalencia , Estudios ProspectivosRESUMEN
Bethesda system is useful in the citologic diagnosis of premalign diseases of cervix. It was determined the correlation between citologic report using Bethesda system and combined colposcopic index (CCI) or Reid, to diagnose premalign diseases of cervix by histologic diagnostic of punch biopsy by colposcopy. A total of 118 patients come to the colposcopy clinic having smear anormal citology to cervical intraepithelial neoplasia (CIN), only o associated to HPV. It was taken to all of them a new cervical smear, colposcopy and punch biopsy. We analized the findings for citology with Bethesda system and colpospic with CCI of Reid, using histologic diagnosis of punch biopsy by colposcopy. Diagnosis correlation between Bethesda system and the punch biopsy by colposcopy was 98.5% for 82 patients with low grade squamous intraepithelial lesions with a concordance of 100% for HPV and 97% for CNI I (p < 0.05). In the other hand 92% from 36 patients classified as high grade squamous intraepithelial lesions with a concordance of 84% to CIN II and 100% to CIN III (p < .05) Sensibility of 93%, especifidad and positive predictive value of 96% and negative predictive value of 98%. We conclude correlation between citologic report with Bethesda system and the Combined Colposcopic Index of Reid which are effective to diagnose premalign disease of cervix.
Asunto(s)
Biopsia/métodos , Enfermedades del Cuello del Útero/diagnóstico , Neoplasias del Cuello Uterino/diagnóstico , Biopsia/instrumentación , Cuello del Útero/patología , Colposcopía , Diagnóstico Diferencial , Femenino , Humanos , Enfermedades del Cuello del Útero/patología , Neoplasias del Cuello Uterino/patologíaRESUMEN
Although an association between microbial invasion of amniotic cavity and preterm birth has been extensively demonstrated, there is conflicting evidence regarding the benefits of antibiotic therapy in patients with preterm labor and intact membranes. We attempted to assess the efficacy of amoxicillin and erythromycin on pregnancy outcome in those patients. A randomized, double-blinded, placebo-controlled trial was designed and implemented. A total of 196 patients with singleton pregnancies and preterm labor with intact membranes (22-36 weeks) were randomly allocated to receive either antibiotics or placebo, plus adjunctive parenteral tocolysis, and 173 patients (antibiotics group n = 83 vs. placebo group n = 90) completed the treatment. The overall prevalence of microbial invasion of the amniotic cavity was 5.2% (9/173). No significant difference between both groups was found in maternal outcomes, including duration of randomization-to-delivery interval, frequency of preterm delivery, and frequency of clinical chorioamnionitis and endometritis. Rate of cesarean section was significantly higher in the placebo group (28% vs. 12%). Regarding neonatal outcome, no significant difference was detected between both groups in neonatal death, respiratory distress syndrome, proven sepsis, and birthweight. Suspected sepsis was significantly more frequent in the placebo group (6/90 vs. 0/78). The results of this trial indicate that amoxicillin and erythromycin do not prolong pregnancy in patients with preterm labor and intact membranes. A significant reduction in the rate of cesarean section was observed in patients receiving antibiotics. A significant reduction in the rate of neonatal suspected sepsis was also demonstrated.
Asunto(s)
Antibacterianos/uso terapéutico , Trabajo de Parto Prematuro/tratamiento farmacológico , Tocólisis , Adulto , Amoxicilina/administración & dosificación , Amoxicilina/uso terapéutico , Antibacterianos/administración & dosificación , Método Doble Ciego , Quimioterapia Combinada , Eritromicina/administración & dosificación , Eritromicina/uso terapéutico , Membranas Extraembrionarias , Femenino , Fenoterol/uso terapéutico , Humanos , Embarazo , Resultado del Embarazo , Ritodrina/uso terapéutico , Tocolíticos/uso terapéuticoRESUMEN
OBJECTIVE: Our purpose was to determine the effectiveness of 5-fluorouracil (5-FU) in the treatment of vaginal intraepithelial neoplasia (VaIN) in a Mexican population. MATERIALS AND METHODS: The study was performed in 30 patients with a mean age of 54 years and previous diagnoses from reviewed records and histopathology slides selected from a group of 65 patients with VaIN from 1980 to 1997. Patients received intravaginal treatment with 5-FU, 1.5 g once weekly for 10 weeks, and all patients were followed up for a 1-year minimum. Papanicolaou smear and colposcopy were performed, as was biopsy when indicated. RESULTS: Twenty-eight (93%) patients with VaIN had prior or concurrent anogenital squamous neoplasia, including 5 with invasive cervical carcinoma and 23 with cervical intraepithelial neoplasia. In 23 of 30 treated patients (77%), VaIN went into remission after a single treatment; in 3, (10%), it went into remission after two treatments; 3 (10%) had recurrent VaIN 3; and in 1 (3%), it progressed to invasive vaginal cancer. The treatment was well tolerated. CONCLUSIONS: We conclude that 5-FU is an option choice for VaIN treatment. It is effective, with minimal side effects. Its use should be confined to treating extensive or multifocal high-grade VaIN.
RESUMEN
The aim of this study was to search infections that trigger reactive arthritis. Eighty-six patients with seronegative arthritis (SNA) were studied; 32 had reactive arthritis, 21 ankylosing spondylitis, 7 psoriatic arthritis and 26 undifferentiated seronegative oligoarthritis. As controls, 70 patients with connective tissue diseases (CTD) and 55 healthy volunteers (HV) were studied. Serological evidence for infection with Chlamydia trachomatis was studied with micro immunofluorescence, looking for L2 and BED serotypes and serological evidence for Yersinia infection, using a commercial kit. Stool cultures were done in seven patients with recent diarrhea, and endourethral or endocervical cultures in 35 individuals. Serotypes L2 or BED were positive in 23 of 83 patients with SNA, 3 of 39 patients with CTD and 4 of 55 HV (p < 0.03). IgG class antibodies against L2 were detected in 17% of SNA patients, 2.6% of CTD patients and 5.4% of HV (p < 0.05). IgM class antibodies were detected in 6 SNA patients, 0 CTD patients and 2 HV (NS). Twelve of 35 cultures were positive for Chlamydia. As a whole 30% of SNA patients has serological or bacteriological evidence for Chlamydia infection. Serology for Yersinia was positive in 39 of 81 SNA patients, 1 of 54 CTD patients and 3 of 51 HV (p < 0.01). Rates of infections were similar among male, female, HLA B27 positive and HLA negative subjects. It is concluded that SNA patients have a high prevalence of infections by Chlamydia trachomatis or Yersinia enterocolitica.
Asunto(s)
Artritis Reactiva/etiología , Infecciones por Chlamydia/complicaciones , Enfermedades Reumáticas/complicaciones , Espondilitis Anquilosante/complicaciones , Infecciones por Ureaplasma/complicaciones , Yersiniosis/complicaciones , Adolescente , Adulto , Anciano , Anticuerpos Antibacterianos/sangre , Artritis Reactiva/inmunología , Infecciones por Chlamydia/diagnóstico , Infecciones por Chlamydia/inmunología , Enfermedades del Tejido Conjuntivo/etiología , Enfermedades del Tejido Conjuntivo/inmunología , Estudios Transversales , Femenino , Antígeno HLA-B27/sangre , Humanos , Inmunoglobulina G/sangre , Inmunoglobulina M/sangre , Masculino , Persona de Mediana Edad , Pruebas Serológicas , Espondilitis Anquilosante/diagnóstico , Infecciones por Ureaplasma/diagnóstico , Infecciones por Ureaplasma/inmunología , Yersiniosis/diagnóstico , Yersiniosis/inmunologíaRESUMEN
A critical step in any epidemiologic research concerning nosocomial infections is the precise identification of the responsible pathogen. The present work utilized a molecular approach -plasmids identification, restriction length polymorphism DNA analysis, and random amplified polymorphic DNA- for the characterization of 6 nosocomial outbreaks due to 52 strains of methicillin-resistant Staphylococcus aureus (MRSA). In these episodes, the clinic-epidemiologic and phenotypic analysis (antibiotype) pointed to a nosocomial infection. Through molecular analysis it was possible to establish, in a very precise way, clonality due to MRSA strains in 2 of the studied outbreaks; the same type of analysis allowed to eliminate a MRSA clonal origin in the remainder 4 episodes. The antibiogram was not an useful analytic tool due to its poor discriminatory power. Also, through a PCR procedure, it was possible to identify the presence of the gen mecA in every of the 52 MRSA strains studied.
Asunto(s)
Infección Hospitalaria/microbiología , Resistencia a la Meticilina/genética , Infecciones Estafilocócicas/microbiología , Staphylococcus aureus/genética , Secuencia de Bases , Niño , Enzimas de Restricción del ADN , Femenino , Humanos , Técnicas In Vitro , Masculino , Pruebas de Sensibilidad Microbiana/métodos , Datos de Secuencia Molecular , Plásmidos , Staphylococcus aureus/efectos de los fármacosAsunto(s)
Complicaciones Infecciosas del Embarazo , Vaginosis Bacteriana , Antibacterianos/uso terapéutico , Corioamnionitis/complicaciones , Clindamicina/uso terapéutico , Endometritis/complicaciones , Femenino , Humanos , Metronidazol/uso terapéutico , Trabajo de Parto Prematuro/complicaciones , Embarazo , Complicaciones Infecciosas del Embarazo/tratamiento farmacológico , Recurrencia , Factores de Riesgo , Salpingitis/complicaciones , Displasia del Cuello del Útero/complicaciones , Vaginosis Bacteriana/complicaciones , Vaginosis Bacteriana/tratamiento farmacológico , Vaginosis Bacteriana/transmisiónRESUMEN
The infection caused by Mycobacterium tuberculosis is highly prevalent in our country and is considered an emergent pathology in developed countries. The amplification of specific gene segments with diagnostics purposes is an alternative to identify fastidious and slow growing infective agents, being Mycobacterium tuberculosis one of them. Two polymerase chain reactions (PCR) directed to the amplification of a 294bp gene segment encoding a portion of a 65KD heat shock protein and 317 bp gene segment of a repetitive DNA segment (IS 6110) of Mycobacterium tuberculosis, have a sensibility of 80 to 91.3% and a specificity of 83.9 to 100% when used in the identification of Mycobacterium tuberculosis in 2 group of clinical samples, both compared to Koch's culture and or Ziehl-Neelsen stain. The diagnostic procedure is particularly useful in diagnosis of tuberculosis of extrapulmonary origin.
Asunto(s)
Genes Bacterianos/genética , Mycobacterium tuberculosis/genética , Tuberculosis/diagnóstico , Secuencia de Bases , Humanos , Datos de Secuencia Molecular , Técnicas de Amplificación de Ácido Nucleico , Reacción en Cadena de la Polimerasa , Sensibilidad y EspecificidadRESUMEN
The microbiology of twenty-nine asymptomatic infertile women was evaluated prospectively. Samples were taken from the cervix and the endosalpinx during laparoscopy. Cultures for aerobes, anaerobes, Neisseria gonorrhoeae, Mycoplasma, Ureaplasma urealyticum and Chlamydia trachomatis were performed. No association was found between the presence of germs in the abdomen or cervix and tubal abnormalities. History of previous IUD use was associated with tubal disease.