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BACKGROUND: Classic aniridia is a highly penetrant autosomal dominant disorder characterised by congenital absence of the iris, foveal hypoplasia, optic disc anomalies and progressive opacification of the cornea. >90% of cases of classic aniridia are caused by heterozygous, loss-of-function variants affecting the PAX6 locus. METHODS: Short-read whole genome sequencing was performed on 51 (39 affected) individuals from 37 different families who had screened negative for mutations in the PAX6 coding region. RESULTS: Likely causative mutations were identified in 22 out of 37 (59%) families. In 19 out of 22 families, the causative genomic changes have an interpretable deleterious impact on the PAX6 locus. Of these 19 families, 1 has a novel heterozygous PAX6 frameshift variant missed on previous screens, 4 have single nucleotide variants (SNVs) (one novel) affecting essential splice sites of PAX6 5' non-coding exons and 2 have deep intronic SNV (one novel) resulting in gain of a donor splice site. In 12 out of 19, the causative variants are large-scale structural variants; 5 have partial or whole gene deletions of PAX6, 3 have deletions encompassing critical PAX6 cis-regulatory elements, 2 have balanced inversions with disruptive breakpoints within the PAX6 locus and 2 have complex rearrangements disrupting PAX6. The remaining 3 of 22 families have deletions encompassing FOXC1 (a known cause of atypical aniridia). Seven of the causative variants occurred de novo and one cosegregated with familial aniridia. We were unable to establish inheritance status in the remaining probands. No plausibly causative SNVs were identified in PAX6 cis-regulatory elements. CONCLUSION: Whole genome sequencing proves to be an effective diagnostic test in most individuals with previously unexplained aniridia.
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Aniridia , Anomalías del Ojo , Humanos , Factor de Transcripción PAX6/genética , Aniridia/genética , Mutación/genética , Anomalías del Ojo/genética , Exones , Proteínas de Homeodominio/genética , Proteínas del Ojo/genética , LinajeRESUMEN
Mitral regurgitation is the second-most frequent valvular heart disease in Europe and it is associated with high morbidity and mortality. Recognition of MR should encourage the assessment of its etiology, severity, and mechanism in order to determine the best therapeutic approach. Mitral valve surgery constitutes the first-line therapy; however, transcatheter procedures have emerged as an alternative option to treat inoperable and high-risk surgical patients. In patients with suitable anatomy, the transcatheter edge-to-edge mitral leaflet repair is the most frequently applied procedure. In non-reparable patients, transcatheter mitral valve replacement (TMVR) has appeared as a promising intervention. Thus, currently TMVR represents a new treatment option for inoperable or high-risk patients with degenerated or failed bioprosthetic valves (valve-in-valve); failed repairs, (valve-in-ring); inoperable or high-risk patients with native mitral valve anatomy, or those with severe annular calcifications, or valve-in-mitral annular calcification. The patient selection requires multimodality imaging pre-procedural planning to select the best approach and device, study the anatomical landing zone and assess the risk of left ventricular outflow tract obstruction. In the present review, we aimed to highlight the main considerations for TMVR planning from an imaging perspective; before, during, and after TMVR.
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The effect of cooking on the concentrations of phenolic compounds and antioxidant activities in 33 colored-fleshed potatoes genotypes was evaluated. The phenolic profiles, concentrations, and antioxidant activity were evaluated with a liquid chromatography diode array detector coupled to a mass spectrometer with an electrospray ionization interface (HPLC-DAD-ESI-MS/MS). Eleven anthocyanins were detected; in the case of red-fleshed genotypes, these were mainly acyl-glycosides derivatives of pelargonidin, whereas, in purple-fleshed genotypes, acyl-glycosides derivatives of petunidin were the most important. In the case of the purple-fleshed genotypes, the most important compound was petunidin-3-coumaroylrutinoside-5-glucoside. Concentrations of total anthocyanins varied between 1.21 g kg-1 in fresh and 1.05 g kg-1 in cooked potato and the decreases due to cooking ranged between 3% and 59%. The genotypes that showed the highest levels of total phenols also presented the highest levels of antioxidant activity. These results are of relevance because they suggest anthocyanins are important contributors to the antioxidant activity of these potato genotypes, which is significant even after the drastic process of cooking.
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Antioxidantes/farmacología , Cromanos/antagonistas & inhibidores , Color , Fenoles/farmacología , Extractos Vegetales/farmacología , Solanum tuberosum/química , Antioxidantes/química , Antioxidantes/aislamiento & purificación , Chile , Cromatografía Líquida de Alta Presión , Culinaria , Fenoles/química , Fenoles/aislamiento & purificación , Extractos Vegetales/química , Extractos Vegetales/aislamiento & purificación , Análisis de Componente PrincipalRESUMEN
INTRODUCTION: The COVID-19 pandemic has changed health systems across the world, both in general hospitals and in oncology institutes or centres.For cancer specialists, particularly breast cancer (BC), the COVID-19 pandemic represents a combination of challenges since the hospital resources and staff have become more limited; this has obliged oncology specialists to seek a consensus and establish which patients with BC require more urgent attention and which patients can wait until there is a better control of this pandemic. The health system in Latin America has some special characteristics; in some of the countries, there are shortages which limit access to several specialities (surgery, clinical oncology and radiotherapy) in some regions. OBJECTIVE: After a systematic review of the most recent literature regarding the management of BC during the COVID-19 pandemic, the main objective is to understand the position of the different Latin American Societies of Mastology in terms of available alternatives for the treatment of BC. METHODS: After carrying out a comprehensive and exhaustive search of the most recent guides on the management of BC during the COVID-19 pandemic, the board members of the Latin American Federation of Mastology invited, via email, different specialists, all experts in BC care, to complete an anonymous survey online.The survey was distributed between 30 and 10 May 2020. The survey included 27 questions on four topics: demographic information, consultations, imaging and treatment of BC.The questionnaire was sent and then distributed to various health specialists including breast surgeons, clinical oncologists, radiation oncologists and radiologists via the Presidents of the different Latin American Societies of Mastology in 18 countries. The results are summarised as tallies based on the number of responses to each question. RESULTS: A total of 499 responses were received. The majority of the respondents were males (275 (55.11%)); 290 participants were over 45 years (58.11%).The questionnaire presented those surveyed with three possible answers (agree, disagree and neither agree nor disagree). The results reflect that there was consensus in the majority of situations presented. Only seven questions revealed disagreement among those responding. The results are presented as recommendations. CONCLUSION: The management of patients with BC presents unique challenges during the current world health situation produced by COVID-19 pandemic. Breast care specialists (surgical oncologists, breast care clinicians, clinical oncologists, radiation oncologists and radiologists) from 18 countries in Central and South America submitted through their responses and recommendations for the treatment of BC during the COVID-19 pandemic.
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Background Bleeding is frequent in patients with atrial fibrillation (AF) treated with oral anticoagulant therapy, and may be the first manifestation of underlying cancer. We sought to investigate to what extent bleeding represents the unmasking of an occult cancer in patients with AF treated with oral anticoagulants. Methods and Results Using data from CardioCHUVI-AF (Retrospective Observational Registry of Patients With Atrial Fibrillation From Vigo's Health Area), 8753 patients with AF aged ≥75 years with a diagnosis of AF between 2014 and 2017 were analyzed. Of them, 2171 (24.8%) experienced any clinically relevant bleeding, and 479 (5.5%) were diagnosed with cancer during a follow-up of 3 years. Among 2171 patients who experienced bleeding, 198 (9.1%) were subsequently diagnosed with cancer. Patients with bleeding have a 3-fold higher hazard of being subsequently diagnosed with new cancer compared with those without bleeding (4.7 versus 1.4 per 100 patient-years; adjusted hazard ratio [HR], 3.2 [95% CI, 2.6-3.9]). Gastrointestinal bleeding was associated with a 13-fold higher hazard of new gastrointestinal cancer diagnosis (HR, 13.4; 95% CI, 9.1-19.8); genitourinary bleeding was associated with an 18-fold higher hazard of new genitourinary cancer diagnosis (HR, 18.1; 95% CI, 12.5-26.2); and bronchopulmonary bleeding was associated with a 15-fold higher hazard of new bronchopulmonary cancer diagnosis (HR, 15.8; 95% CI, 6.0-41.3). For other bleeding (nongastrointestinal, nongenitourinary, nonbronchopulmonary), the HR for cancer was 2.3 (95% CI, 1.5-3.6). Conclusions In patients with AF treated with oral anticoagulant therapy, any gastrointestinal, genitourinary, or bronchopulmonary bleeding was associated with higher rates of new cancer diagnosis. These bleeding events should prompt investigation for cancers at those sites.
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Anticoagulantes/uso terapéutico , Fibrilación Atrial/complicaciones , Hemorragia/epidemiología , Neoplasias/diagnóstico , Neoplasias/epidemiología , Anciano , Anciano de 80 o más Años , Estudios de Cohortes , Femenino , Hemorragia/diagnóstico , Humanos , Incidencia , Masculino , España , Factores de TiempoRESUMEN
BACKGROUND: Malnutrition is associated with poor prognosis in a wide range of illnesses. However, its prognostic impact in patients with acute coronary syndrome (ACS) is not well known. OBJECTIVES: This study sought to report the prevalence, clinical associations, and prognostic consequences of malnutrition in patients with ACS. METHODS: In this study, the Controlling Nutritional Status (CONUT) score, the Nutritional Risk Index (NRI), and the Prognostic Nutritional Index (PNI) was applied to 5,062 consecutive patients with ACS. The relationships between malnutrition risk and all-cause mortality and major cardiovascular events (MACEs) (cardiovascular mortality, reinfarction, or ischemic stroke) were examined. RESULTS: According to the CONUT score, NRI, and PNI, 11.2%, 39.5%, and 8.9% patients were moderately or severely malnourished, respectively; 71.8% were at least mildly malnourished by at least 1 score. Although worse scores were most strongly related to lower body mass index, between 8.4% and 36.7% of patients with a body mass index of ≥25 kg/m2 were moderately or severely malnourished, depending on the nutritional index used. During a median follow-up of 3.6 years (interquartile range: 1.3 to 5.3 years), 830 (16.4%) patients died, and 1,048 (20.7%) had MACEs. Compared with good nutritional status, malnutrition was associated with significantly increased risk for all-cause death (adjusted hazard ratio for moderate and severe degrees of malnutrition, respectively: 2.02 [95% confidence interval (CI): 1.65 to 2.49] and 3.65 [95% CI: 2.41 to 5.51] for the CONUT score, 1.40 [95% CI: 1.17 to 1.68] and 2.87 [95% CI: 2.17 to 3.79] for the NRI, and 1.71 [95% CI: 1.37 to 2.15] and 1.95 [95% CI: 1.55 to 2.45] for the PNI score; p values <0.001 for all nutritional indexes). Similar results were found for the CONUT score and PNI regarding MACEs. All risk scores improve the predictive ability of the GRACE (Global Registry of Acute Coronary Events) risk score for both all-cause mortality and MACEs. CONCLUSIONS: Malnutrition is common among patients with ACS and is strongly associated with increased mortality and cardiovascular events. Clinical trials are needed to prospectively evaluate the efficacy of nutritional interventions on outcomes in patients with ACS.
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Síndrome Coronario Agudo , Enfermedades Cardiovasculares , Desnutrición , Medición de Riesgo , Síndrome Coronario Agudo/complicaciones , Síndrome Coronario Agudo/diagnóstico , Síndrome Coronario Agudo/mortalidad , Anciano , Índice de Masa Corporal , Enfermedades Cardiovasculares/diagnóstico , Enfermedades Cardiovasculares/etiología , Enfermedades Cardiovasculares/mortalidad , Causas de Muerte , Femenino , Evaluación Geriátrica/métodos , Factores de Riesgo de Enfermedad Cardiaca , Humanos , Masculino , Desnutrición/diagnóstico , Desnutrición/epidemiología , Persona de Mediana Edad , Mortalidad , Evaluación Nutricional , Estado Nutricional , Prevalencia , Estudios Retrospectivos , Medición de Riesgo/métodos , Medición de Riesgo/estadística & datos numéricos , España/epidemiologíaRESUMEN
BACKGROUND: The main methods used to increase the yield and quality of strawberry fruit produced in acidic soils with low P availability include root colonization by arbuscular mycorrhizal (AM) fungi and adjusting the type of P supplementation by means of traditional (TF) or organic (OF) fertilization, and adjusting nutrient doses. In this study, the antioxidant properties of strawberry fruit were evaluated under different treatments of fertilization (TF or OF) and different doses of P supplied at planting (0, 50 or 100% of the agronomic recommendation) and in the presence or absence of AM fungus as a bioinoculant. RESULTS: Fruits without fertilization treatments and with TF presented with higher anthocyanin concentrations. In general, higher values were obtained without AM colonization. However, spectrophotometric tests showed the highest activity and concentration in the AM-inoculated treatments. It is likely that phenolic compounds other than anthocyanins are present in the extracts. These other compounds could not be identified by the method used but could be detected by the Folin-Ciocalteu method. CONCLUSION: This study provides information that allows for improvements in strawberry fruit quality by agronomic management, with a potential beneficial effect on the health of consumers. © 2018 Society of Chemical Industry.
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Inoculantes Agrícolas/fisiología , Fertilizantes/análisis , Fragaria/microbiología , Frutas/química , Micorrizas/fisiología , Antocianinas/análisis , Antocianinas/metabolismo , Antioxidantes/análisis , Antioxidantes/metabolismo , Fragaria/química , Fragaria/crecimiento & desarrollo , Fragaria/metabolismo , Frutas/crecimiento & desarrollo , Frutas/metabolismo , Nitrógeno/análisis , Nitrógeno/metabolismo , Fenoles/análisis , Fenoles/metabolismo , Fosfatos/análisis , Fosfatos/metabolismo , Raíces de Plantas/crecimiento & desarrollo , Raíces de Plantas/metabolismo , Raíces de Plantas/microbiologíaRESUMEN
Phenolic composition of potatoes (Solanum tuberosum) with colored flesh has been previously reported, highlighting their anthocyanin composition. However, there is less information available about the profiles and concentrations of hydroxycinnamic acid derivatives (HCADs) in these potatoes. In pigmented potatoes from Southern Chile, three HCADs have been detected, corresponding to the trans isomers of 3-, 4- and 5-caffeoylquinic acid. It is remarkable that after frying, the HCAD concentrations increased 493% compared to those of fresh potatoes. The same tendency has been observed for total phenols and antioxidant activity of the chips. The results obtained are relevant in relation to the classification of pigmented potatoes as functional foods not only due to their anthocyanin content but also due to their higher content of HCADs, especially since their concentration increases considerably after frying, thus contributing to their antioxidant activity and potential beneficial effects for human health compared with uncolored genotypes.
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Ácidos Cumáricos/química , Manipulación de Alimentos/métodos , Solanum tuberosum/química , Antocianinas/análisis , Antocianinas/química , Antioxidantes/análisis , Antioxidantes/química , Chile , Humanos , FenolesRESUMEN
The title mononuclear CoII complex, [Co(C5H7N6)2(C14H8O5)2(H2O)2]·2H2O, has been synthesized and its crystal structure determined by X-ray diffraction. The complex crystallizes in the triclinic space group P-1, with one formula unit per cell (Z = 1 and Z' = 1/2). It consists of a mononuclear unit with the CoII ion on an inversion centre coordinated by two 2,6-diamino-7H-purin-1-ium cations, two 4,4'-oxydibenzoate anions (in a nonbridging κO-monodentate coordination mode, which is less common for the anion in its CoII complexes) and two water molecules, defining an octahedral environment around the metal atom. There is a rich assortment of nonbonding interactions, among which a strong N+-H...O- bridge, with a short N...O distance of 2.5272â (18)â Å, stands out, with the H atom ostensibly displaced away from its expected position at the donor side, towards the acceptor. The complex molecules assemble into a three-dimensional hydrogen-bonded network. A variable-temperature magnetic study between 2 and 300â K reveals an orbital contribution to the magnetic moment and a weak antiferromagnetic interaction between CoII centres as the temperature decreases. The model leads to the following values: A (crystal field strength) = 1.81, λ (spin-orbit coupling) = -59.9â cm-1, g (Landé factor) = 2.58 and zJ (exchange coupling) = -0.5â cm-1.
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The highest shellfishery catch in Galicia (NW Spain) has traditionally been cockle Cerastoderma edule. The shellfish bed located in Lombos do Ulla (Ría de Arousa) used to be among those with the highest cockle production; however, cockle mortality rate increased sharply in this bed in April 2012, reaching 100% in May 2012. Salinity and temperature were discounted as potential causes of the mortality. Marteiliosis, which was first detected in February 2012 and reached 100% prevalence in April 2012, was identified as the most probable cause. Marteiliosis had never been detected in Galician cockles, but extensive surveillance of the Galician coast in May to July 2012 detected marteiliosis in most cockle beds of the Ría de Arousa, whereas it was not found in other rías; 2 mo later, the cockle catch in the Ría de Arousa became negligible. Examination of the aetiological agent of marteiliosis with light and transmission electron microscopy supported its assignation to the genus Marteilia; morphological features showed similarity, but not complete identity, with the recently described species M. cochillia Carrasco et al., 2013. Regarding its molecular characterisation, a consensus sequence of 4433 bp containing a partial sequence of the intergenic spacer region, the complete 18S rRNA gene and a partial sequence of the first internal transcribed spacer region was obtained. The obtained sequences were compared with those available for Marteilia spp. and other Paramyxida. Molecular data support that this parasite corresponds to the species M. cochillia, and a PCR assay was designed for its specific diagnosis. The association of huge cockle mortality with M. cochillia infection urges extreme caution to avoid spreading this disease.
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Cardiidae/parasitología , Eucariontes/fisiología , Explotaciones Pesqueras , Animales , Océano Atlántico , Cardiidae/ultraestructura , Clonación Molecular , ADN/genética , ADN Intergénico , Eucariontes/genética , Eucariontes/ultraestructura , Genómica , Interacciones Huésped-Parásitos , Filogenia , Reacción en Cadena de la Polimerasa , Dinámica Poblacional , España , Factores de TiempoRESUMEN
Comparar efectividad del polietilenglicol y manitol en la preparación intestinal mediante escala de Boston, pacientes de la consulta externa de gastroenterología, tercer trimestre, 2012. Estudio prospectivo, transversal, experimental. Muestra de 100 pacientes aleatorizados en dos grupos: polietilenglicol y manitol, 50 en cada uno. A todos se les instauró dieta líquida el día previo al estudio e indicación para la ingesta de la solución a evaluar. Se realizó colonoscopia con evaluación endoscópica según escala de Boston. La tolerancia a la preparación fue considerada fácil por 88% en el grupo polietilenglicol vs 100% del grupo manitol (p=0,041). El 98% del grupo manitol consideró que este medicamento tenía sabor agradable en comparación con polietilenglicol (78%) (p=0,002). El efecto adverso más frecuente en ambos grupos fue la náusea. El polietilenglicol alcanzó exploraciones completas con restos en un 82% colon derecho, 56% colon transverso y 72% colon izquierdo, mientras que con manitol prevaleció la exploración completa sin restos en 66%, 90% y 68% respectivamente (p<0,05). La puntuación global de la escala de Boston con polietilenglicol y manitol fue 6 vs 8 (p<0,05). Manitol resultó ser más efectivo que polietilenglicol para la preparación del colon en su totalidad y por segmentos
To compare the effectiveness of polyethyleneglycol and mannitol bowel preparation by Boston scale, in patients from the outpatient gastroenterology in the third quarter of 2012. Prospective, cross, experimental with a sample of 100 patients randomized to group polyethyleneglycol and mannitol group, 50 in each. All were introduced liquid diet the day before the test with the appropriate indication for the intake of the solution to evaluate and colonoscopy was performed endoscopic evaluation scale as Boston. Tolerance was considered easy preparation by 88% in polyethyleneglycol group vs 100% mannitol group (p=0.041). 98% mannitol group had considered that this medicine palatable compared with polyethyleneglycol (78%) (p=0.002). The most common adverse event in both groups was nausea. Polyethyleneglycol reached full scans with remains at 82% right colon, transverse colon 56% and 72% left colon, whereas mannitol prevailed without full exploration remains at 66%, 90% and 68% respectively (p<0,05). The overall rating scale was polyethyleneglycol Boston 6 vs 8 in the mannitol group (p<0,05). Mannitol was more effective for the preparation of polyethyleneglycol entire colon and segments
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Femenino , Colonoscopía/métodos , Exámenes Médicos/métodos , Manitol , Métodos Analíticos de la Preparación de la Muestra/métodos , GastroenterologíaRESUMEN
Poly[[tetraaquadi-µ4-citrato-tetrakis(2,6-diaminopurine)tetracobalt(II)] 6.35-hydrate], {[Co4(C6H4O7)2(C5H6N6)4(H2O)4]·6.35H2O}n, presents three different types of Co(II) cations in the asymmetric unit, two of them lying on symmetry elements (one on an inversion centre and the other on a twofold axis). The main fragment is further composed of one fully deprotonated citrate (cit) tetraanion, two 2,6-diaminopurine (dap) molecules and two aqua ligands. The structure is completed by a mixture of fully occupied and disordered solvent water molecules. The two independent dap ligands are neutral and the cit tetraanion provides for charge balance, compensating the 4+ cationic charge. There are two well defined coordination geometries in the structure. The simplest is mononuclear, with the Co(II) cation arranged in a regular centrosymmetric octahedral array, coordinated by two aqua ligands, two dap ligands and two O atoms from the ß-carboxylate groups of the bridging cit tetraanions. The second, more complex, group is trinuclear, bisected by a twofold axis, with the metal centres coordinated by two cit tetraanions through their α- and ß-carboxylate and α-hydroxy groups, and by two dap ligands bridging through one of their pyridine and one of their imidazole N atoms. The resulting coordination geometry around each metal centre is distorted octahedral. Both groups are linked alternately to each other, defining parallel chains along [201], laterally interleaved and well connected via hydrogen bonding to form a strongly coupled three-dimensional network. The compound presents a novel µ4-κ(5)O:O,O':O',O'',O''':O'''' mode of coordination of the cit tetraanion.
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El hepatocarcinoma es la neoplasia primaria hepática más frecuente con una incidencia creciente en todo el mundo cuyo pronóstico está ligado con el diagnóstico temprano. Determinar la frecuencia del hepatocarcinoma en pacientes del Servicio de Gastroenterología del Hospital Militar "Dr. Carlos Arvelo" durante el período 2006-2011. Trabajo retrospectivo y descriptivo. Se recolectaron historias médicas de 39 pacientes con ese diagnóstico. Los rasgos demográficos fueron similares a los descritos en Occidente: predominio hombres (71,79%), edad promedio entre 60 y 69 años (35,8%). La primera causa fue por hepatitis C (35,89%), seguida por el alcohol (25,64%) y hepatitis B (15,38%). Para estadificación se usaron los criterios Barcelona Clinic Liver Cancer, siendo al momento del diagnóstico el estadio D el más frecuente (68,57%). El 28,20% recibió tratamiento. Sorafenib fue lo más utilizado, (7 pacientes) dado que ingresaban al Hospital en estadio terminal limitando las opciones terapéuticas. El 12,8% de los pacientes estaban vivos al momento de realizar el estudio. El hepatocarcinoma es un tumor raro en nuestro medio. Frecuentemente produce pocos síntomas, manifestándose como descompensación de la función hepática en pacientes con cirrosis por lo que debe intensificarse la pesquisa, para lograr diagnóstico temprano y mejorar el pronóstico
Hepatocellular carcinoma is the most common primary neoplasm liver with an increasing incidence worldwide whose prognosis is linked to early diagnosis. To determine the frequency of hepatocellular carcinoma in patients from the Gastroenterology Service of the Military Hospital "Dr. Carlos Arvelo" during the period 2006-2011. Retrospective and descriptive. Were collected from medical records of 39 patients with that diagnosis. The demographic features were similar to those described in the West: predominantly men (71.79%), average age between 60 and 69 (35.8%). The first cause was hepatitis C (35.89%), followed by alcohol (25.64%) and hepatitis B (15.38%). For staging criteria were used Barcelona Clinic Liver Cancer, being at the time of diagnosis, stage D the most common (68.57%). The 28.20% received treatment. Sorafenib was the most used, (7 patients) admitted to the hospital since end-stage limiting therapeutic options. 12.8% of patients were alive at the time of the study. Hepatocellular carcinoma is a rare tumor in our environment. Often produces few symptoms, manifesting as decompensation of liver function in patients with cirrhosis and should be intensified screening to achieve early diagnosis and improve prognosis
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Femenino , Hepatitis/complicaciones , Neoplasias Hepáticas/diagnóstico , Neoplasias Hepáticas/etiología , Neoplasias Hepáticas/patología , Gastroenterología , HepatopatíasRESUMEN
Lactobacillus reuteri LPB P01-001 was isolated from the gastrointestinal tract of wild swine and was characterised by biochemical testing and sequencing of gene 16S rRNA. A simple and low-cost culture medium based on cane sugar (2.5% p/v) and yeast extract (1% p/v) was used in the production of this probiotic. The fermentative conditions were a) pH control at 6.5 and b) no pH control; both were set at 37°C in a 12 L slightly stirred tank bioreactor. Fermentation parameters such as the specific growth rate, productivity and yield of biomass, lactic and acetic acid levels were determined. L. reuteri LPB P01-001 behaves as an aciduric bacteria because it grows better in a low pH medium without pH control. However, the lactic acid production yield was practically half (9.22 g.L-1) of that obtained under a constant pH of 6.5, which reached 30.5 g.L-1 after 28 hours of fermentation. The acetic acid production was also higher under pH-controlled fermentation, reaching 10.09 g.L-1 after 28 hours of fermentation. These parameters may raise the interest of those committed to the efficient production of a probiotic agent for swine.
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Ácido Láctico/análisis , Ácido Láctico/metabolismo , Crecimiento Bacteriano , Biomasa , Reactores Biológicos , Tracto Gastrointestinal , Limosilactobacillus reuteri/aislamiento & purificación , Limosilactobacillus reuteri/metabolismo , Probióticos , Métodos , Estándares de Referencia , Porcinos , MétodosRESUMEN
Herbal mate (Ilex paraguariensis A.St.-Hil.) leaves are traditionally used for their stimulant, antioxidant, antimicrobial, and diuretic activity, presenting as principal components polyphenolic compounds. The aim of this work was to develop an innovative, non-dairy, functional, probiotic, fermented beverage using herbal mate extract as a natural ingredient which would also be hypocholesterolemic and hepatoprotective. Among different strains used, Lactobacillus acidophilus was selected as the best for fermentation. The addition of honey positively affected the development of L. acidophilus and the formulated beverage maintained microbial stability during shelf life. Key ingredients in the extract included xanthines, polyphenols and other antioxidants with potential health benefits for the consumer. Caffeine levels and antioxidant activity were also studied. Acceptable levels of caffeine and large antioxidant capacity were observed for the formulation when compared to other antioxidant beverages. An advantage of this product is the compliance to organic claims, while providing caffeine, other phyto-stimulants and antioxidant compounds without the addition of synthetic components or preservatives in the formulation. Sensorial analysis demonstrated that the beverage had good consumer acceptance in comparison to two other similar commercial beverages. Therefore, this beverage could be used as a new, non-dairy vehicle for probiotic consumption, especially by vegetarians and lactose intolerant consumers. It is expected that such a product will have good market potential in an era of functional foods.
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Bebidas/análisis , Ilex paraguariensis/química , Extractos Vegetales/química , Antioxidantes/química , Cafeína/análisis , Cromatografía Líquida de Alta Presión , Suplementos Dietéticos , Fermentación , Concentración de Iones de Hidrógeno , Ilex paraguariensis/metabolismo , Lactobacillus acidophilus/crecimiento & desarrollo , Hojas de la Planta/química , Hojas de la Planta/metabolismo , Polifenoles/química , Probióticos , Xantinas/químicaRESUMEN
Lactobacillus reuteri LPB P01-001 was isolated from the gastrointestinal tract of wild swine and was characterised by biochemical testing and sequencing of gene 16S rRNA. A simple and low-cost culture medium based on cane sugar (2.5% p/v) and yeast extract (1% p/v) was used in the production of this probiotic. The fermentative conditions were a) pH control at 6.5 and b) no pH control; both were set at 37°C in a 12 L slightly stirred tank bioreactor. Fermentation parameters such as the specific growth rate, productivity and yield of biomass, lactic and acetic acid levels were determined. L. reuteri LPB P01-001 behaves as an aciduric bacteria because it grows better in a low pH medium without pH control. However, the lactic acid production yield was practically half (9.22 g.L(-1)) of that obtained under a constant pH of 6.5, which reached 30.5 g.L(-1) after 28 hours of fermentation. The acetic acid production was also higher under pH-controlled fermentation, reaching 10.09 g.L(-1)after 28 hours of fermentation. These parameters may raise the interest of those committed to the efficient production of a probiotic agent for swine.
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A study from cows with mastitis was performed and Staphylococcus aureus was the predominant pathogen in 46.4 percent among 153 studied strains from 276 milk samples of infected cows. Antibiotic resistance of 71 S. aureus isolates was determined in order to search resistant strains to antibiotics of clinical interest, as well as to determine their degree of multi-resistance. It was found that 60 percent of the S. aureus strains presented resistance to β-lactams, but none to oxacillin, teicoplamin or vancomycin. On the other hand, with the aim of reducing the use of current antibiotics and their associated resistance, a new formulation was introduced. The antimicrobial compounds (P22-P32), demonstrated to be effective in 55 percent of the 76 mastitis cases studied. The use of P22-P32 reduced the number of somatic cell to less than 300,000 SCC/mL-1 in 75.2 percent of milk samples analyzed, normalizing the milk quality, fat and lactose levels and increasing the volume of production in 10.1 percent.
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The extraction of phytase produced by solid-state fermentation of citrus peel was studied employing a multistage leaching process. It was observed that the extracts containing EDTA retained over 90 percent of phytase activity at room temperature after 24 h after the leaching. A fractional design 2² (with 4 replicates at the central point) was carried out for testing the pH and agitation as process independent factors. Only the interaction between the pH and agitation showed a significant influence. These factors were optimized with a central composite design. Agitation at 300 rpm and pH at 5.0 were the best conditions to extract the enzyme from solid matrix. The modeling of the process indicated that diffusivity of the enzyme in the solvent was the controlling mechanism. The corresponding kinetic constant and saturation concentration in this process were 0.89 min-1 and 4.0 IU/mL, respectively. The multistage process indicated that after two steps, it was possible to recover 85 percent of total enzyme produced.
A extração de fitases produzidas por fermentação em estado sólido de polpa cítrica foi estudada utilizando um processo de extração sólido-líquido em varias etapas. A adição de EDTA permite manter durante 24 horas a temperatura ambiente 90 por cento da atividade inicial do caldo com a enzima extraída. Um planejamento fatorial 2², com 4 replicas no ponto central, foi desenvolvido para testar os valores de ph e agitação convenientes para a extração das enzimas. A interação entre ambos os fatores foi estadisticamente significativa. A atividade da enzima foi otimizada nos valores onde o pH (5.0) e a agitação (350 rpm) resultaram ser as melhores condições para extrair a enzima da matriz sólida. O ajuste do modelo matemático obtido mostra que é possível considerar a difusividade como o mecanismo que controla o processo de transferência de massa. A constante cinética que descreve este processo e a concentração de saturação foram 0.039 min-1 e 4.01 IU/mL respectivamente. A extração em varias etapas mostrou que nas duas primeiras etapas é possível recuperar 85 por cento da fitase produzida.
RESUMEN
Introducción: la resección de la lesión con márgenes libres de tumor es el objetivo de la cirugía conservadora del cáncer mamario. Si hay tumor en el margen quirúrgico la tasa derecurrencia será más alta. Objetivos: se evalúa la experiencia del Centro de Diagnóstico Mamario (CENDIMA) de laAsociación Española Primera de Socorros Mutuos en cuanto a la cirugía conservadora del cáncer mamario guiada por marcador metálico. Se estudia la amplitud de los márgenesquirúrgicos y se analizan los factores que se asocian con la obtención de márgenes positivos. Material y método: se analizan todos los casos de cáncer mamario subclínico tratados concirugía conservadora guiada por marcador metálico desde enero de 2007 a diciembre de 2009 (147 casos).Resultados: los márgenes fueron positivos (en contacto con la lesión o con una amplitud de hasta 1 mm) en 39 casos (26%) y negativos (con una amplitud de 2 mm o mayor) en 108 casos (74%). El tamaño promedio de la lesión fue mayor en los casos con márgenes positivos (15,6 mm contra 11,4 mm). En la población con márgenes positivos se observó mayor frecuencia de un componente ductal in situ (82% contra 42%), y mayor frecuencia de microcalcificaciones en la imagenmamográfica (51% contra 14%). Se realizó la reexcisión por márgenes insuficientes en 42 casos (29%) y se encontró tumor residual en 21 de estos casos (50%). Conclusión: el perfil de la lesión con mayor probabilidad de que los márgenes quirúrgicos sean positivos luego de la cirugía conservadora guiada por marcador metálico es el siguiente: lesión mayor de 10 mm, con un componente ductal in situ en su histología y con microcalcificaciones en la imagen.
Introduction: lesion resection with tumor free margins is the objective in breast cancer. If there is a tumor in thesurgical margin the rates of recurrence will be higher. Objectives: to evaluate the experience at the Centro deDiagnóstico Mamario (CENDIMA û Breast Diagnosis Center) of the Asociación Española Primera de SocorrosMutuos, in terms of conservative surgery of breast cancer guided by metal markers. The surgical margins width and the factors associated with the positive margins are studied.Method: we analysed all cases of subclinical breast cancer treated with conservative surgery guided by metalmarkers from January 2007 through December 2009 (147 cases). Results: margins were positive (in contact with the lesion or nearest margin width was up to 1mm) in 39 cases (26%) and negative (width was 22 mm or larger) in 108 cases (74%). Average lesion size was greater the positive margincases (15,6 mm compared to 11,4 mm).An in-situ ductal component was more frequently observed among the positive margins population (82% comparesto 42%), and microcalcifications were more frequent in mammographic images (51% compared to 14%). Re-excisiondue to insufficient margins was performed in 42 cases (29%) and residual tumors were found in 21 of these cases (50%). Conclusion: the profile of the lesion that is more likelyto evidence positive surgical margins after a conservative surgery guided by a metal marker is the following: lesiongreater than 10 mm, with an in-situ component in its histology and microcalcification observed in the image.
Introdução: a resecção da lesão com margens sem tumor é o objetivo da cirurgia conservadora de câncer de mama. A presença de tumor na margem cirúrgica faz com que a taxa de reincidência seja mais alta. Objetivos: avaliar a experiência do Centro de Diagnóstico Mamário (CENDIMA) da Asociación Española Primera de Socorros Mutuos nas cirurgias conservadoras de câncer de mama guiadas por fio metálico. Faz-se o estudoda dimensão das margens cirúrgicas e analisam-se os fatores associados à obtenção de margens positivas. Material e método: faz-se uma análise de todos oscasos de câncer de mama subclínico tratados com cirurgia conservadora guiada por fio metálico no período janeiro de 2007 a dezembro de 2009 (147 casos). Resultados: as margens foram positivas (em contato com a lesão ou com até 1 mm de dimensão) em 39 casos (26%) e negativos (com 22 mm ou mais de extensão) em 108 casos (74%). O tamanho médio da lesão era maior nos casos com margens positivas (15,6 mm contra 11,4 mm). Na população com margens positivas observou-se uma maior freqüência de um componente ductal in situ (82%contra 42%), e maior freqüência de microcalcificações nas imagens mamográficas (51% contra 14%). Em 42 casos (29%) fez-se uma reextirpação por margens insuficientes eem 21 destes casos havia tumor residual (50%). Conclusão: o perfil da lesão com maior probabilidade de ter margens cirúrgicas positivas depois de uma cirurgia guiada por fio metálico é: lesão com mais de 10 mm, comcomponente ductal in situ na histologia e com microcalcificações na imagenologia.
Asunto(s)
Neoplasias de la Mama/cirugía , Neoplasias de la Mama/patología , Técnicas de Diagnóstico QuirúrgicoRESUMEN
This work presents a statistical model of survival analysis for three pathogenic bacterial strains (Escherichia coli, Listeria monocytogenes and Staphylococcus aureus), when treated with neutralized and non-neutralized filtered supernatants broth from cultures of Lactobacillus acidhophilus, Lactobacillus rhamnosus and Lactobacillus sake. Survival analysis is a method employed to determine the period of time from an initial stage up to the occurrence of a particular event of interest, as death or a particular culture growth failure. In order to evaluate the potential efficacy of the ahead mentioned lactic acid bacteria when used as bioprotective starters in foods, experimental data were statistically treated and expressed by simple representative curves. Following the methodology of Cox and Kaplan-Meier, it was possible to make the selection of the best bioprotective lactic starter, as a predictive tool for evaluation of shelf life and prevention of eventual risks in fresh sausages and other similar food products.
Este trabalho apresenta um modelo estatístico de análise de sobrevivência para três bactérias patogénicas (Escherichia coli, Listeria monocytogenes e Staphylococcus aureus), quando tratados com sobrenadantes filtrados neutralizado e não neutralizado provenientes de culturas de Lactobacillus acidhophilus, Lactobacillus rhamnosus e Lactobacillus sake. A Análise de sobrevivência é um método utilizado para determinar o período de tempo a partir de uma fase inicial até a ocorrência de um determinado evento de interesse, como a morte ou a inibição de uma particular cultura, a fim de avaliar a eficácia potencial das referidas bactérias lácticas quando usadas como bioproteção em alimentos. Os dados experimentais foram tratados estatisticamente, seguindo a metodologia de Cox e Kaplan-Meier e foi possível fazer a seleção dos melhores fermentos láticos bioprotectivos, como uma ferramenta para avaliação preditiva, vida de prateleira e prevenção de eventuais riscos em Lingüiças frescas e outros produtos alimentares.