RESUMO
Introducción: En Chile, el Cáncer colorrectal (CC) abarca el 11,5% de todas las neoplasias malignas. La cirugía es la piedra angular del tratamiento del cáncer de colon, y en pacientes en etapa III, la quimioterapia adyuvante forma parte del tratamiento estándar. Materiales y Métodos: Estudio descriptivo retrospectivo transversal, de centro único, de pacientes con cáncer de colon en estadio III patológico. Objetivo principal de este estudio es conocer si, en pacientes con cáncer de colon etapa III, la quimioterapia adyuvante se entrega de manera oportuna. Resultados: En el período comprendido entre abril de 2016 y abril de 2021 se operaron 35 pacientes con cáncer de colon en estadio III patológico. Se realizó quimioterapia adyuvante en un 80%, y en siete pacientes durante las primeras ocho semanas poscirugía. La dehiscencia de anastomosis ocurrió en un 11,4%, aumentando la mediana de hospitalización en 2,2 veces. Discusión: En nuestro estudio, la adyuvancia en cáncer de colon etapa III se administró a un alto porcentaje de los pacientes (80%), pero observamos un retraso importante, ya que sólo en un 25% se inició el tratamiento durante las primeras 8 semanas poscirugía, lo cual puede ser explicado por múltiples factores, siendo la dehiscencia de anastomosis un punto importante a considerar. Conclusión: En estadio III de CC la adyuvancia puede verse retrasada por múltiples factores, lo que puede repercutir en la sobrevida de los pacientes, por lo tanto, conocer las causas de este retraso podría ayudar a instaurar nuevas estrategias, como la neoadyuvancia, para mejorar los resultados oncológicos.
Introduction: In Chile, colorectal cancer covers 11.5% of all malignant neoplasms. Surgery is the cor- nerstone of colon cancer treatment and in stage III patients adjuvant chemotherapy is part of standard treatment. Materials and Methods: A descriptive, retrospective, cross-sectional study, single center, of patients with pathological stage III colon cancer. Main objective of this study is to know if in patients with stage III colon cancer adjuvant chemotherapy is delivered in a timely manner. Results: Between April 2016 and April 2021, 35 patients with pathological stage III colon cancer were operated on. Adjuvant chemotherapy was performed in 80%, and in seven patient during the first eight weeks after surgery. Anastomotic dehiscence occurred in 11.4%, the median hospitalization increased by 2.2 times. Discussion: In this study, adjuvant stage III colon cancer was administered to a high percentage of patients (80%), but we observed a significant delay, since only 25% began treatment during the first 8 weeks post-surgery, which can be explained by multiple factors, with anastomotic dehiscence being an important point to consider. Conclusion: In stage III CC, adjuvant treatment can be delayed by multiple factors, which may affect patient survival; therefore, knowing the causes of this delay could help to establish new strategies, such as neoadjuvant therapy, to improve oncological results.
Assuntos
Humanos , Masculino , Feminino , Quimioterapia Adjuvante , Neoplasias do Colo/tratamento farmacológico , Período Pós-Operatório , Resultado do Tratamento , Neoplasias do Colo/complicaçõesRESUMO
AIM: To determine the percentages of (CD19 + CD24 + CD38+, CD19 + CD24 + CD27+, CD19 + IL-10+)-Breg cells, IL-17 single and IL-17+/IFN-γ double producers T cells and IFN-γ+ T cells, in normal-glycemic individuals, prediabetes and T2DM patients, and to analyze the association of Breg cells with metabolic parameters of T2DM. METHODS: percentages of Breg cells, IL-17+ and IL-17 + IFN-γ+ T cells, IFN-γ+ T cells and IL-10 were determined by flow cytometry. IL-6 levels were evaluated by ELISA assay. RESULTS: increased IL-6 levels, IL-17+ and IL-17 + IFN-γ+ T cells and a diminution of IL-10 levels and CD19 + IL-10+ cells in T2DM patients were observed. We found that CD19 + CD24 + CD27+ cells and CD19 + CD24 + CD38+ cells were increased in T2DM patients. The percentages of CD19 + CD24 + CD38+ cells were associated with HOMA-B, TyG index, HDL and cholesterol values. In normal-glycemic individuals, CD19 + CD24 + CD27+ cells were inversely associated to triglycerides and TyG index. In prediabetes patients, CD19 + CD24 + CD38+ cells were inversely related with cholesterol and LDL. Finally, CD19 + CD24 + CD38+ cells were inversely related with HDL values in T2DM patients. CONCLUSION: Our results suggest that increased percentages of IL-17 single and IL-17/IFN-γ double producers T cells in T2DM patients may be a consequence of the initial CD19 + IL-10+ cells reduction. Furthermore, dyslipidemia could play an important role in percentages and activity of B regulatory cells.
Assuntos
Linfócitos B Reguladores/metabolismo , Diabetes Mellitus Tipo 2/metabolismo , Inflamação/metabolismo , Estado Pré-Diabético/metabolismo , Adulto , Feminino , Humanos , MasculinoRESUMO
BACKGROUND: Carbapenemase-producing Enterobacteriaceae (CPE) has become a significant problem in terms of public health and clinical outcome. OBJECTIVE: To assess the epidemiology, treatment and mortality in patients with infection due to CPE. MATERIAL AND METHODS: A retrospective analysis of 163 patients with CPE infection was carried out in a university hospital from July 2013 to October 2015. RESULTS: A total of 163 patients were included over the study period. Klebsiella pneumoniae was isolated in 95.1% of cases, and most of carbapenemases belonged to the OXA-48 group (93.0%). Acquisition was nosocomial in 124 cases (77.0%), healthcare-associated in 30 (18.6%), and 7 cases (4.3%) were community-acquired. The most frequent infections identified in this study were urinary tract (48.4%) and respiratory (19.5%) infections. Approximately half of the patients received antibiotic monotherapy. The 30-day mortality rate was 23.3%. Multivariate analysis revealed that the presence of septic shock at diagnosis (OR 4.2; IC 95% 1.5-11) was independently associated with an increase in death during the first month, unable to identify association with inappropriate antibiotic treatment. DISCUSSION: Further studies are needed to clarify whether antibiotic treatment of EPC infections should be combined or if monotherapy might be sufficient in mild infections.
Assuntos
Enterobacteriáceas Resistentes a Carbapenêmicos , Infecções por Enterobacteriaceae , Antibacterianos , Proteínas de Bactérias , Humanos , Klebsiella pneumoniae , Estudos Retrospectivos , beta-LactamasesRESUMO
Resumen Introducción: Las enterobacterias productoras de carbapenemasas (EPC) suponen un reto para la salud pública y la práctica clínica. Objetivo: Analizar la epidemiología, el tratamiento y la mortalidad en pacientes infectados por EPC. Material y Métodos: Análisis retrospectivo de 163 pacientes infectados por EPC en un hospital universitario desde julio de 2013 a octubre de 2015. Resultados: Klebsiella pneumoniae fue aislada en 95,1% de los casos, y la mayoría de las carbapenemasas pertenecían al grupo OXA-48 (93%). La adquisición fue nosocomial en 124 casos (77%), asociada a cuidados sanitarios en 30 (18,6%), y 7 (4,3%) fueron de adquisición comunitaria. Las infecciones más frecuentes fueron las del tracto urinario (48,4%) y las respiratorias (19,5%). Aproximadamente, la mitad de los pacientes recibieron monoterapia antimicrobiana. La tasa de mortalidad a los 30 días fue de 23,3%. El análisis multivariante identificó que la presencia de shock séptico al diagnóstico (OR 4,2; IC 95% 1,5-11) estaba asociada de manera independiente con mayor mortalidad en el primer mes, sin lograr identificar asociación con el tratamiento antimicrobiano inapropiado. Discusión: Son necesarios más estudios para aclarar si el tratamiento antimicrobiano de las infecciones por EPC debe ser combinado o si podría ser suficiente la monoterapia en infecciones leves.
Abstract Background: Carbapenemase-producing Enterobacteriaceae (CPE) has become a significant problem in terms of public health and clinical outcome. Objective: To assess the epidemiology, treatment and mortality in patients with infection due to CPE. Material and Methods: A retrospective analysis of 163 patients with CPE infection was carried out in a university hospital from July 2013 to October 2015. Results: A total of 163 patients were included over the study period. Klebsiella pneumoniae was isolated in 95.1% of cases, and most of carbapenemases belonged to the OXA-48 group (93.0%). Acquisition was nosocomial in 124 cases (77.0%), healthcare-associated in 30 (18.6%), and 7 cases (4.3%) were community-acquired. The most frequent infections identified in this study were urinary tract (48.4%) and respiratory (19.5%) infections. Approximately half of the patients received antibiotic monotherapy. The 30-day mortality rate was 23.3%. Multivariate analysis revealed that the presence of septic shock at diagnosis (OR 4.2; IC 95% 1.5-11) was independently associated with an increase in death during the first month, unable to identify association with inappropriate antibiotic treatment. Discussion: Further studies are needed to clarify whether antibiotic treatment of EPC infections should be combined or if monotherapy might be sufficient in mild infections.
Assuntos
Humanos , Infecções por Enterobacteriaceae , Enterobacteriáceas Resistentes a Carbapenêmicos , Proteínas de Bactérias , beta-Lactamases , Estudos Retrospectivos , Klebsiella pneumoniae , AntibacterianosAssuntos
Anestesiologistas/estatística & dados numéricos , Deficiência de Vitamina D/epidemiologia , Vitamina D/análogos & derivados , Adulto , Chile/epidemiologia , Feminino , Humanos , Hiperparatireoidismo/epidemiologia , Hiperparatireoidismo/etiologia , Internato e Residência , Masculino , Pessoa de Meia-Idade , Prevalência , Estações do Ano , Luz Solar , Inquéritos e QuestionáriosRESUMO
Brevipalpus phoenicis s.l. is an economically important vector of the Citrus leprosis virus-C (CiLV-C), one of the most severe diseases attacking citrus orchards worldwide. Effective control strategies for this mite should be designed based on basic information including its population structure, and particularly the factors that influence its dynamics. We sampled sweet orange orchards extensively in eight locations in Brazil and 12 in Mexico. Population genetic structure and genetic variation between both countries, among locations and among sampling sites within locations were evaluated by analysing nucleotide sequence data from fragments of the mitochondrial cytochrome oxidase subunit I (COI). In both countries, B. yothersi was the most common species and was found in almost all locations. Individuals from B. papayensis were found in two locations in Brazil. Brevipalpus yothersi populations collected in Brazil were more genetically diverse (14 haplotypes) than Mexican populations (four haplotypes). Although geographical origin had a low but significant effect (ca. 25%) on the population structure, the greatest effect was from the within location comparison (37.02 %). Potential factors driving our results were discussed.
Assuntos
Citrus/virologia , Variação Genética , Insetos Vetores/genética , Ácaros/genética , Doenças das Plantas/virologia , Animais , Brasil , Haplótipos , México , Ácaros/virologiaRESUMO
Normal hypothalamic-pituitary-adrenal (HPA) axis activity leading to the rhythmic and episodic release of adrenal glucocorticoids (GCs) is essential for body homeostasis and survival during stress. Acting through specific intracellular receptors in the brain and periphery, GCs regulate behaviour, as well as metabolic, cardiovascular, immune and neuroendocrine activities. By contrast to chronic elevated levels, circadian and acute stress-induced increases in GCs are necessary for hippocampal neuronal survival and memory acquisition and consolidation, as a result of the inhibition of apoptosis, the facilitation of glutamatergic neurotransmission and the formation of excitatory synapses, and the induction of immediate early genes and dendritic spine formation. In addition to metabolic actions leading to increased energy availability, GCs have profound effects on feeding behaviour, mainly via the modulation of orexigenic and anorixegenic neuropeptides. Evidence is also emerging that, in addition to the recognised immune suppressive actions of GCs by counteracting adrenergic pro-inflammatory actions, circadian elevations have priming effects in the immune system, potentiating acute defensive responses. In addition, negative-feedback by GCs involves multiple mechanisms leading to limited HPA axis activation and prevention of the deleterious effects of excessive GC production. Adequate GC secretion to meet body demands is tightly regulated by a complex neural circuitry controlling hypothalamic corticotrophin-releasing hormone (CRH) and vasopressin secretion, which are the main regulators of pituitary adrenocorticotrophic hormone (ACTH). Rapid feedback mechanisms, likely involving nongenomic actions of GCs, mediate the immediate inhibition of hypothalamic CRH and ACTH secretion, whereas intermediate and delayed mechanisms mediated by genomic actions involve the modulation of limbic circuitry and peripheral metabolic messengers. Consistent with their key adaptive roles, HPA axis components are evolutionarily conserved, being present in the earliest vertebrates. An understanding of these basic mechanisms may lead to novel approaches for the development of diagnostic and therapeutic tools for disorders related to stress and alterations of GC secretion.
Assuntos
Glucocorticoides/fisiologia , Sistema Hipotálamo-Hipofisário/fisiologia , Sistemas Neurossecretores/fisiologia , Sistema Hipófise-Suprarrenal/fisiologia , Estresse Fisiológico/fisiologia , Animais , Encéfalo/fisiologia , Ingestão de Alimentos/fisiologia , Retroalimentação Fisiológica/fisiologia , Mediadores da Inflamação/fisiologia , Modelos Biológicos , Plasticidade Neuronal/fisiologia , Receptores de Glucocorticoides/fisiologia , Receptores de Mineralocorticoides/fisiologiaRESUMO
El aspergilo es un hongo ubicuo. Las localizaciones de infección primaria más comunes son el tracto respiratorio y los senos paranasales. La afectación intracraneal es rara y conlleva una alta mortalidad. Ocurre mayoritariamente por extensión hematógena desde el pulmón, pero en pacientes inmunocompetentes, la extensión directa desde los senos paranasales es más común. Describimos el caso de una mujer de 25 años originaria de India que se presentó en el servicio de urgencia de nuestro centro hospitalario con cefalea frontal crónica y progresiva. Los hallazgos en los estudios de imágenes sugirieron el diagnóstico de sinusitis fúngica con extensión intracraneal, siendo el patógeno más frecuente el aspergilo. El diagnóstico fue confirmado anátomo-patológicamente. Revisamos los hallazgos radiológicos típicos que deben ayudar al diagnóstico precoz de esta entidad, rara, pero potencialmente mortal.
Aspergillus is a ubiquitous fungus. The most common primary sites of infection are the respiratory tract and sinuses. Intracranial infection is rare and implies a high mortality. It occurs mainly by hematogenous extension from the lung, but in immunocompetent patients, direct extension from the sinuses is more common. We describe the case of a 25 year old woman from India who consulted in the emergency room of our hospital with chronic and progressive frontal headache. The findings in imaging studies suggested the diagnosis of fungal sinusitis with intracranial extension, being the most common pathogen of Aspergillus. The diagnosis was anatomically-pathologically confirmed. We review the typical radiological findings which should help in the early diagnosis of this rare but potentially fatal disease.
Assuntos
Humanos , Adulto , Feminino , Doenças dos Seios Paranasais/complicações , Doenças dos Seios Paranasais/microbiologia , Neuroaspergilose/etiologia , Neuroaspergilose , Diagnóstico Diferencial , Granuloma , Imageamento por Ressonância Magnética , Imunocompetência , Neuroaspergilose/terapia , Tomografia Computadorizada por Raios XRESUMO
We studied the abundance of Brevipalpus spp. in citrus orchards in the Mexican states of Yucatan, Quintana Roo and Campeche. Mites were collected from 100 trees containing a mixture of citrus species where sweet orange was always the main species. Eight collections were made at each location from February 2010 to February 2011. Mites from the genus Brevipalpus were separated from other mites surveyed and their abundance and relationships with the different citrus species were quantified throughout the collection period. A subsample of 25% of the total Brevipalpus mites collected were identified to species level and the interaction of mite species and citrus species were described. Brevipalpus spp. were present on all collection dates and their relative abundance was similar on all citrus species studies. The smallest number of mites collected was during the rainy season. Brevipalpus phoenicis (Geijskes) and Brevipalpus californicus (Banks) were the only two species present and they were found in all locations except Campeche, where only B. phoenicis was present. Yucatan and Campeche are at greater risk of leprosis virus transmission than Quintana Roo because the main vector, B. phoenicis, was more abundant than B. californicus. The implications of our results for the design of more accurate sampling and control methods for Brevipalpus spp. are discussed.
Assuntos
Citrus/parasitologia , Ácaros/classificação , Ácaros/fisiologia , Animais , México , Microscopia Eletrônica de Varredura , Ácaros/anatomia & histologia , Densidade DemográficaRESUMO
AIMS: To evaluate different entomopathogenic fungal isolates against the cactus weevil Metamasius spinolae under laboratory and field conditions, and select an isolate to be used as a tool in the management of this insect pest. METHODS AND RESULTS: Four experiments were carried out. The effect of temperature on the in vitro growth of eight isolates of entomopathogenic fungi (two Metarhizium anisopliae and six Beauveria bassiana) was assessed. The susceptibility of adult M. spinolae to the same isolates was evaluated. Using three selected isolates, the interaction between susceptibility and sex of the insect was studied. Finally, a field experiment was carried out to evaluate infection of adult M. spinolae by the same three isolates under natural abiotic conditions. Overall, growth rate was greatest at 25°C for all the isolates. In vitro growth of M. anisopliae was greater than B. bassiana. Mortality of adult M. spinolae was greater when inoculated with B. bassiana compared with isolates of M. anisopliae. Susceptibility had no interaction with the sex of the insect. The proportion of insects succumbing to infection was smaller when incubated under field conditions than when incubated under laboratory conditions. CONCLUSIONS: The experiments described here showed a complex interaction between entomopathogenic fungi and M. spinolae, and these data allows us to select isolate Bb107 as a first step towards its use in the management of this pest insect. SIGNIFICANCE AND IMPACT OF THE STUDY: Our results showed that entomopathogenic fungi can be used for the control of M. spinolae, which may help reduce the use of chemical insecticides and, therefore, the exposure of Opuntia ficus-indica producers to pesticides.
Assuntos
Beauveria/patogenicidade , Cactaceae/parasitologia , Metarhizium/patogenicidade , Controle Biológico de Vetores/métodos , Gorgulhos/microbiologia , Animais , Beauveria/crescimento & desenvolvimento , Feminino , Masculino , Metarhizium/crescimento & desenvolvimento , TemperaturaRESUMO
By means of the comet assay we demonstrated a strong effect by hydrogen peroxide (HP) and no damage by grapefruit juice (GJ) in human lymphocytes. Cells exposed to HP and treated with three concentrations of GJ (10-90 min) showed an increase of DNA damage by HP over the control level, and a decrease of such damage by GJ. With the comet assay plus formamidopyrimidine-DNA-glycosylase we found the strongest increase of DNA damage by HP over the control level, and the strongest reduction of such damage by GJ. By applying the comet/FISH method we determined 98% of the p53 gene signals in the comet head of control cells along the experiment (10-90 min), in contrast with about 90% signals in the comet tail of cells exposed to HP. Cells treated with both agents showed a significant, concentration/time dependent return of p53 signals to the head, suggesting enhancement of the gene repair. Finally, with the annexin V assay we found an increase in apoptosis and necrosis by HP, and no effect by GJ; when GJ was added to HP treated cells no modification was observed in regard to apoptosis, although a decrease of necrosis was observed.
Assuntos
Bebidas , Citrus paradisi , Dano ao DNA/efeitos dos fármacos , Peróxido de Hidrogênio/toxicidade , Linfócitos/efeitos dos fármacos , Adulto , Anexina A5 , Reparo do DNA , Relação Dose-Resposta a Droga , Feminino , Humanos , Adulto JovemRESUMO
A revision of fish specimens previously identified as Heptapterus mustelinus from the endorheic Río Salí Basin, Tucumán, Argentina, reveals that they present several morphological differences from that species. This paper describes Heptapterus qenqo sp. nov. from the Río Salí Basin. The new species is diagnosed by a combination of the following characters: presence of small serrae on the anterior proximal margin of the first pectoral-fin ray; anal-fin rays iv-v, 11-13 (15-17 total anal-fin rays); adipose-fin base 40·9-47·4% standard length; small eyes (7·4-14·2% head length); adipose-fin confluent to caudal fin and maxillary barbel not reaching pectoral-fin base in adults, and reaching or scarcely surpassing the first pectoral-fin ray in small juveniles.
Assuntos
Peixes-Gato/classificação , Animais , Argentina , Biometria , Peixes-Gato/anatomia & histologia , Ecossistema , Pigmentação , Especificidade da Espécie , Terminologia como AssuntoRESUMO
Esta investigación parte y suma sus resultados a una base de datos de estudios sobre el perfil positivo y negativo del adolescente rural en cada una de las áreas evaluadas, establecidas en la macro investigación Adolescencia Prevenida Rural que lleva a cabo como área de estudio la Cátedra de Psicología Experimental I y II de la UCA desde 2001.En este caso el objetivo general es describir y comparar el perfil sociopsicológico del adolescente paraguayo rural de la Zona de Chaco (Villa Hayes-Cerrito) y sus variantes en relación al sexo y edad, mediante la utilización del Inventario Autodescriptivo. La muestra seleccionada estuvo compuesta por n=89 participantes de ambos sexos siendo la misma no probabilística, intencionada y autoseleccionada. Las variables comparadas de las áreas del Inventario Autodescriptivo evalúan los factores de riesgo presentes en las mismas y del Perfil sociodemográfico. El diseño empleado es de tipo transversal, descriptivo-exploratorio-comparativo.Los resultados concluyen que el perfil sociopsicológico del Adolescente rural presenta factores de riesgo tanto en varones y mujeres, lo cual se debe probablemente a sus características sociodemográficas e individuales.
Assuntos
História Antiga , Adolescente , Desenvolvimento do Adolescente , Fatores de Risco , ParaguaiRESUMO
BACKGROUND: Chagas disease, transmitted domestically by triatomine bugs, is the most important vector-borne disease in Latin America. The association between triatomine infestation and housing characteristics was investigated based on a standardized survey in 41 971 houses in 15 Departments in Colombia. METHODS: Multivariate logistic regression was used to test for associations of two highly correlated infestation measures of infestation (householders reporting having seen triatomines inside the house, and sending triatomines to the survey team), with 15 household-level risk factors. Risks were measured relative to a reference category of houses with up to three inhabitants, area up to 50 m(2), unplastered adobe walls, thatch roof and no outbuildings or domestic animals. RESULTS: The probability of seeing triatomines was highest for households with over seven inhabitants (OR = 1.24, 95% CI 1.11-1.39), overhead storage space (OR = 1.16, 95% CI 1.03-1.32), grain shed (OR = 1.25, 95% CI 1.02-1.52), cats (OR = 1.27, 95% CI 1.14-1.42) and pigs (OR = 1.16, 95% CI 1.03-1.30). Lowest risks were in houses with wooden walls (OR = 0.46, 95% CI 0.34-0.61), fully plastered walls (OR = 0.78, 95% CI 0.68-0.88), roofs made of tiles (OR = 0.51, 95% CI 0.33-0.78) and flagstone floors (OR = 0.57, 95% CI 0.42-0.76). Results for householders returning triatomines support this set of risk factors, but with wider confidence intervals. CONCLUSIONS: Surveillance of a few easily assessed household characteristics provides an accurate, rapid assessment of house-level variation in risk. Measured effect sizes for specific structural characteristics could be used to maximize the cost-effectiveness of programmes to reduce vector infestation and interrupt Chagas disease transmission by improving house quality.
Assuntos
Doença de Chagas/transmissão , Habitação , Insetos Vetores , Rhodnius , Animais , Animais Domésticos , Doença de Chagas/prevenção & controle , Colômbia , Ectoparasitoses , Inquéritos Epidemiológicos , Abrigo para Animais , Humanos , Análise Multivariada , Razão de Chances , Probabilidade , Medição de Risco/métodos , Fatores de RiscoRESUMO
The phlebotomine sandfly fauna of traditional (shaded) and intensified (unshaded) coffee plantations in Colombia was sampled by a variety of methods and the species composition and density under the two systems compared. Twenty species of Lutzomyia sandflies (Diptera: Psychodidae: Phlebotominae) were collected, of which eight were found only in the 'Coffee Axis' ('Eje Cafetero') of the departments of Caldas, Risaralda and Quindio, six were exclusive to the department of Norte de Santander and six occurred in both regions. Four species were collected only in traditional plantations and two exclusively in intensified ones. At least 13 species occurred in both plantation types. Fifteen species are opportunistic man-biters and eight are suspected vectors of leishmaniasis caused by Le. braziliensis, Le. panamensis or Le. mexicana. Seven species were collected inside houses and may be involved in intradomiciliary transmission of Leishmania. The dominant species in Norte de Santander was Lu. spinicrassa, which made up 93.8% of all the sandflies collected in this department. This species was absent from the Eje Cafetero and a number of others among the 15 recorded there might be responsible for Leishmania transmission in this region, including Lu. trapidoi, Lu. yuilli, Lu. gomezi, L. hartmanni and Lu. ovallesi. Sandfly population densities were significantly higher in traditional plantations than in intensified ones. Residents of traditional plantations were able to describe sandflies in significantly more detail than those of intensified plantations, based on seven basic characteristics related to the appearance and biting behaviour of the insects.
Assuntos
Agricultura/métodos , Insetos Vetores/classificação , Leishmania/crescimento & desenvolvimento , Leishmaniose/epidemiologia , Psychodidae/classificação , Adolescente , Adulto , Idoso , Animais , Criança , Café , Colômbia/epidemiologia , Feminino , Humanos , Insetos Vetores/crescimento & desenvolvimento , Insetos Vetores/parasitologia , Leishmaniose/transmissão , Masculino , Pessoa de Meia-Idade , Filogenia , Psychodidae/crescimento & desenvolvimento , Psychodidae/parasitologia , Fatores de RiscoRESUMO
The temporal progress of malformation (MM) of mango (Mangifera indica) was studied from 1993 to 1995 with three management technologies applied to commercial plantations in North Guerrero, Mexico. Management influenced shoot production and thus determined the dynamics of epidemics. Environmental factors also affected disease incidence, particularly through an apparent effect on inoculum dispersal. In general, integrated management (IM), consisting of pruning, acaricide, and fungicide sprays, resulted in slower rates of epidemic development, lower levels of initial and final disease, and lesser areas under the disease progress curves. In the first cycle, IM increased yield per tree by 51% in relation to high technology (HT) and 74% in relation to lower traditional technology (LT), representing a benefit-cost rate of 2.8 and 3.3, respectively. Change of malformation incidence was correlated positively with the number of macroconidia of Fusarium sp. trapped in the canopy (r = 0.90, P = 0.0001) and wind speed (r = 0.83, P = 0.0001); both variables lagged over a 4-month period. The greatest change in malformation occurred during the main vegetative flush, which occurred 3 to 6 months after picking the fruit (May). The accumulated proportion of diseased shoots was correlated with the following variables measured over a 1-week period: average maximum daily temperature (r = -0.68, P = 0. 01), average temperature per hour (r = -0.59, P = 0.04), average number of hours with relative humidity ≥60% (r = -0.82, P = 0.001), and wind speed (r = 0.94, P = 0.0001). In general, the greatest spore density was found during the rainy season, with a morning periodicity showing the highest correlation with wind speed (r = 0.812, P = 0.0001). F. subglutinans was isolated consistently from diseased (86%) and asymptomatic (5%) vegetative and flowering shoots.
RESUMO
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.
Assuntos
Biópsia/métodos , Doenças do Colo do Útero/diagnóstico , Neoplasias do Colo do Útero/diagnóstico , Biópsia/instrumentação , Colo do Útero/patologia , Colposcopia , Diagnóstico Diferencial , Feminino , Humanos , Doenças do Colo do Útero/patologia , Neoplasias do Colo do Útero/patologiaRESUMO
Se realizó un experimento en pollos de engorda mediante un diseño completamente al azar, se evaluó el índice de conversión, ganancia diaria de peso, índice de productividad, mortalidad, viabilidad y coeficiente de variación de los pesos corporales, también se midieron los tarsos y la pigmentación de machos y hembras en 1440 pollos de engorda mixtos, estirpe Peterson x Avian Farm, criados en piso en una caseta de ambiente natural con aislamiento de poliuretano, a 2470 msnm y una temperatura promedio de 14ºC. Se emplearon dos tratamientos (A y B), los cuales consistieron en 2 diferentes alturas del borde de comedero en relación con el piso. En el tratamiento A, se mantuvo una altura del borde del comedero a nivel del promedio del borde inferior del ala de las aves. En el tratamiento B la altura del borde del comedero, permaneció a nivel del promedio del dorso de las aves, en ambos tratamientos se ajustó la altura semanalmente. Se utilizaron 6 repericiones por tratamiento. Los resultados obtenidos para los tratamientos A y B a los 56 días de edad, fueron los siguientes: Peso promedio 2.792 kg + 0.-342 y de 2.730 kg + 0.341. No se encontró diferencia significativa entre tratamientos (P > 0.05). En los parámetros productivos, conversión alimentaria, índice de productividad, mortalidad y eficiencia alimentaria, no hubo diferencia estadística significativa entre tratamientos: sin embargo, el tratamiento A tuvo 7 por ciento más de animales por encima del peso promedio respecto del tratamiento B debido a una menor variabilidad
Assuntos
Animais , Aumento de Peso , Galinhas , Utensílios de Alimentação e Culinária , Tornozelo , Ração Animal , Pigmentação , Produção de AlimentosRESUMO
A 57 years old female suffered from recurrent attacks of ventricular tachycardia including one episode of torsade de pointes, she had hypothyroidism with myxedema secondary to Sheehan Syndrome, following thyroid replacement therapy the tachyarrhythmia did not relapse and there was no need to give specific antiarrhythmic therapy.
Assuntos
Mixedema/complicações , Torsades de Pointes/etiologia , Feminino , Humanos , Pessoa de Meia-Idade , Mixedema/terapia , Torsades de Pointes/terapiaRESUMO
OBJECTIVE: To determine whether insulin-like growth factor (IGF-I) and its receptors are expressed by human corpus luteum (CL) and to establish the effect of IGF-I on E2 biosynthesis in human luteal cell cultures. DESIGN: Middle corpora lutea were obtained from women undergoing surgical sterilization. The tissue was frozen for binding and in situ studies or dispersed for cell cultures. SETTING: Procedures were performed at the San Borja-Arriarán Hospital, National Health Service, and Institute of Maternal and Child Research, Faculty of Medicine, University of Chile. PATIENTS: Twelve patients aged 30 to 40 years requesting surgical sterilization in our institution. The laparotomy was scheduled 6 to 8 days after ovulation. MAIN OUTCOME MEASURES: Expression of IGF-I and IGF-I receptor messenger RNAs (mRNAs) by in situ hybridization. Concentration of IGF-I receptor and binding characteristics. Production of E2 by luteal cells. RESULTS: The binding of IGF-I was detected in middle human CL membranes. In addition, this tissue expressed the mRNAs of IGF-I and its receptor. In culture, IGF-I caused a progressive increase on E2 production. CONCLUSION: These data suggest that the IGF-I system is present in middle human CL. The topographic distribution of IGF-I and its receptors and the ability of IGF-I to stimulate E2 secretion strongly suggest that IGF-I has a role as a paracrine or autocrine regulator of the human luteal function.