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TITLE: Sindrome comisural de Wernekink secundario a un ictus de la union mesencefalo-protuberancial.
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Ataxia Cerebelosa/etiología , Trastornos del Lenguaje/etiología , Mesencéfalo/irrigación sanguínea , Trastornos de la Motilidad Ocular/etiología , Puente/irrigación sanguínea , Accidente Cerebrovascular/complicaciones , Femenino , Humanos , Persona de Mediana Edad , SíndromeRESUMEN
Resumen Introducción: La estimulación magnética transcraneal (EMT) es una opción potencial de tratamiento para la sintomatología de trastorno del espectro autista. Objetivos: Determinar la eficacia de la EMT en modalidad theta-burst intermitente (ETBi) sobre la corteza pre frontal dorso lateral izquierda (CDLPF) en el manejo de comportamientos patológicos asociados con TEA. Pacientes y Métodos: Paciente masculino de 10 años de edad diagnosticado con TEA con (ADOS) Autistic Diagnostic Observation Schedule, presenta una historia familiar de una hermana menor con TEA. Tanto el estudio de Resonancia Magnética encéfalo (IRM) y IRM funcional (IRMf) con paradigma emocionales se efectuaron antes del tratamiento de ETBi, inmediatamente después de tratamiento ETBi, y después de 6 meses de tratamiento con ETBi. Resultados: La prueba de ATEC reporto mejoría en las escalas de comunicación, cognición, social y comportamiento, 83%,81%,72% y 52% respectivamente. La puntuación total mejoro un 66% inmediatamente después de tratamiento y 55% en un periodo de 6 meses. La IRMf revelo la activación de la corteza frontal, parietal y occipital antes del tratamiento con ETBi y persistiendo la mejoría por 6 meses. Conclusión: ETBi una técnica de neuromodulación no invasiva bien tolerado que requiere un tiempo de administración menor que el tratamiento estándar.
Abstract Background: Transcranial magnetic stimulation (TMS) is a potential treatment option for autism spectrum disorder (ASD) symptomatology. Objectives: To determine the efficacy of the TMS intermittent theta-burst stimulation (iTBS) protocol over the left dorsolateral prefrontal cortex (DLPFC) in the management of pathological behaviors associated with ASD. Patient/Methods: A 10-year-old male diagnosed with ASD by the Autism Diagnostic Observation Schedule (ADOS) presented with a family history of ASD with a younger sister diagnosed with the same disorder. Both magnetic resonance imaging (MRI) and functional MRI (fMRI) scans for emotional paradigms were performed before the iTBS treatment, immediately after the iTBS treatment, and after 6 months of iTBS treatment. Results: The ATEC reports revealed improvement in communication, cognition, sociability, and behavior scales by 83%, 81%, 72%, and 52%, respectively. The overall score improved by 66% immediately after the treatment and by 55% lasting over a 6-month period. The fMRI revealed the activation of the frontal, parietal, and occipital cortex before iTBS treatment, and a better integration and activation of the frontal, temporal, and occipital cortex after iTBS treatment and persisted after 6 months. Conclusions: iTBS is a well-tolerated, non-invasive neuromodulation technique that requires relatively less administration than the standard treatment.
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The aims of this work were to characterize the sorption and evaluate the inhibitory effect of octylphenol ethoxylate Triton X-100 (OPEOTx) on methanogenic and denitrifying sludges. According to Langmuir isotherm, maximums OPEOTx sorption values on methanogenic and denitrifying sludges were 60.70â¯mg (gVSS)-1 and 87.47â¯mg (gVSS)-1 respectively. The specific removal rate of chemical oxygen demand (rCOD) and the accumulated volume biogas (VBG) were used to evaluate the OPEOTx inhibitory effect on sludges. Experimental inhibition data were fitted to the models of non-competitive inhibition and modified Gompertz. Methanogenic sludges reached higher levels inhibition in the rCOD and biogas production potential Pmax (84.0 and 88.5%) comparing with denitrifying sludges (24.3 and 21.9%). Furthermore, in all OPEOTx concentrations, carbohydrates-proteins quotient value of the extracellular polymeric substances for the denitrifying sludges remained below respect to the same quotient in methanogenic sludges. The above contributes in part to explain the greater sorption capacity of the denitrifying sludges by OPEOTx and their granules resistance to be damaged by OPEOTx amphiphilic nature. The study gives insights to understand OPEOs interactions and their effects on methanogenic and denitrifying granular sludges.
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Fenoles , Aguas del Alcantarillado , Reactores Biológicos , OctoxinolRESUMEN
In a 12-month longitudinal study, a cohort of Mexican HIV+/AIDS patients was checked several times for Entamoeba infection, with the parasites identified, as E. histolytica or E. dispar, using PCR. The polymorphic region of the parasites' chitinase genes was investigated by PCR, with the variation in amplicon sizes being used as a measure of the genetic variation among the isolates. The patients found infected with Entamoeba at the start of the study displayed varied patterns of infection clearance and re-infection. The analysis of the polymorphisms in the chitinase gene revealed seven polymorphic patterns in the E. histolytica isolates investigated and three in the E. dispar isolates. Many of the patients were each re-infected with Entamoeba at least once during the 12 months of follow-up. As seen in a previous study in Mexico, none of the E. histolytica-infected patients developed any clinical symptoms of invasive amoebiasis during the follow-up period. The results highlight the complexity of the host-parasite relationship in human amoebiasis.
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Infecciones Oportunistas Relacionadas con el SIDA/epidemiología , Entamoeba/fisiología , Entamebiasis/epidemiología , Infecciones por VIH/parasitología , Infecciones Oportunistas Relacionadas con el SIDA/parasitología , Adulto , Anciano , Animales , Quitinasas/genética , Entamoeba/enzimología , Entamoeba/genética , Entamebiasis/genética , Femenino , Infecciones por VIH/epidemiología , Seropositividad para VIH , VIH-1 , Interacciones Huésped-Parásitos , Humanos , Estudios Longitudinales , Masculino , México/epidemiología , Persona de Mediana Edad , Reacción en Cadena de la Polimerasa/métodos , Prevalencia , Estadística como AsuntoRESUMEN
Eighty-two-day-old male Wistar rats were selected to study the pattern of craniofacial growth following resection of the zygomatic arches. Rats were divided into three groups: group I (n = 14), the control group; group II (n = 15), with unilateral resection of the zygomatic arch; and group III (n = 8), with bilateral resection. Direct dry skull and cephalometric measurements show increased facial projection and decreased transverse facial width on the side of the resected arch. If the results are extrapolated to the growth pattern of patients with the Treacher Collins syndrome, we can conclude that the zygomatic arch acts as a "moderator" in the morphologic development of the face.
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Desarrollo Maxilofacial , Cigoma/cirugía , Animales , Animales Recién Nacidos , Masculino , Disostosis Mandibulofacial , Ratas , Ratas WistarRESUMEN
Hypoalbuminemia has been recently informed by us as a risk factor in aminoglycoside nephrotoxicity. Since amikacin has a low serum binding capacity to albumin, the present study was designed to determine if the higher risk of amikacin nephrotoxicity in patients with hypoalbuminemia was due to low serum albumin per se or to malnutrition. One-hundred and thirteen ward patients who received endovenous amikacin for greater than 36 hours were studied prospectively. All were evaluated for the following factors: age, sex, diagnosis, serum creatinine, serum albumin, and nutritional status. They were followed with serum creatinine twice a week until cessation of therapy. Amikacin pharmacokinetics was studied in 11 subjects: 6 patients had a serum albumin less than 3.0 g/dL and 5 greater than 3.0 g/dL, but there were no differences in age, sex, weight, diagnosis, arterial pressure and nutritional status. The overall incidence of toxicity was 11%. In patients with serum albumin less than 3.0 g/dL it was 17.3% and in those greater than 3.0 g/dL it was 2.2%, p less than 0.05. There was no difference in the nutritional status between toxicity and non-toxicity groups. In the pharmacokinetic study, the peak levels obtained one hour after amikacin administration were higher in patients with serum albumin less than 3.0 g/dL than in those with normal serum albumin (12.7 +/- 1.6 vs 9.0 +/- 1.2, p less than 0.002). In conclusion hypoalbuminemia is a risk factor in aminoglycoside nephrotoxicity regardless of the nutritional status.