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1.
Nanoscale ; 16(26): 12599-12610, 2024 Jul 04.
Artigo em Inglês | MEDLINE | ID: mdl-38869491

RESUMO

In this study, the transport of salt with moderate solubility through bioinspired solid-state nanochannels was comprehensively investigated. For this purpose, bullet-shaped channels were fabricated and exposed to KClO4, a monovalent salt with moderate solubility. These channels displayed the typical rectifying behavior characteristic of asymmetrical channels but with one remarkable difference, the iontronic output exhibited a negative incremental resistance phenomenon of high gating efficiency when the transmembrane voltage in the open state was increased enough, giving rise to an inactivated state characterized by a low and stable ion current. The behavior is attributed to salt precipitation inside the channel and remarkably, it is not observed in other geometries such as cylindrical or cigar-shaped channels. Considering the central role of the surface in precipitation formation, the influence of several parameters such as electrolyte concentration, pH, and channel size was studied. Under optimized conditions, this system can alternate among three different conductance states (closed, open, and inactivated) and exhibits gating ratios higher than 20. Beyond its potential application in fields related to electronics or sensing, this study provides valuable insight into the fundamental principles behind ion rectifying behavior in solid-state channels and highlights the implications of surface phenomena at the nanoscale.

2.
Immunogenetics ; 75(2): 81-89, 2023 04.
Artigo em Inglês | MEDLINE | ID: mdl-36229691

RESUMO

Merkel cell carcinoma (MCC) is a rare aggressive neuroendocrine cutaneous carcinoma with a high mortality rate. The MCC etiology is not fully understood. Merkel cell-associated polyomavirus (MCPyV) was found in MCC patients, indicating a risk factor for the tumor. Caucasian, elderly, and immunocompromised individuals are more likely to develop this tumor. HLA-G consists of a non-classical class I (Ib) HLA molecule with an immunoregulatory function and was associated with tumor escape in different types of tumors, nonetheless, never been studied in MCC. The purpose of this study was to evaluate the HLA-G expression and also to detect the MCPyV in MCC patients and correlate it with the clinical course of the disease. Forty-five MCC patients were included in a retrospective study. Formalin-fixed paraffin-embedded cutaneous skin biopsies were used by immunohistochemistry and RT-PCR to verify the HLA-G expression and MCPyV infection. HLA-G expression was found in 7 (15.6%), while the presence of MCPyV was detected in 28 (62.2%) of the studied patients. No significant association was found between HLA-G expression and MCPyV infection (p = 0.250). The presence of MCPyV was associated with areas of low sunlight exposure (p = 0.042) and the HLA-G expression with progression to death (p = 0.038). HLA-G expression was detected in MCC patients, as well as the MCPyV presence was confirmed. These markers could represent factors with a possible impact on patient survival; however, further studies with a greater number of patients are needed, to better elucidate the possible role in disease progression.


Assuntos
Carcinoma de Célula de Merkel , Poliomavírus das Células de Merkel , Infecções por Polyomavirus , Neoplasias Cutâneas , Humanos , Idoso , Carcinoma de Célula de Merkel/genética , Carcinoma de Célula de Merkel/patologia , Poliomavírus das Células de Merkel/genética , Antígenos HLA-G , Neoplasias Cutâneas/genética , Estudos Retrospectivos , Infecções por Polyomavirus/complicações , Infecções por Polyomavirus/genética
3.
J Insect Sci ; 22(3)2022 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-35596588

RESUMO

The expansion of Integrated Pest Management (IPM), including biological control, has had several positive consequences for the agricultural environment and participants in the production chain. To enable successful operation and applications of biological control, production of insects used for rearing natural enemies (parasitoids and predators) must be optimized to reduce time and costs and improve production both qualitatively and quantitatively. The present study evaluated the effect of wheat varieties, the main component of artificial diets for Ephestia kuehniella, on the reproductive performance and biological parameters of this flour moth, which is used for mass production of Trichogramma spp. (Hymenoptera: Trichogrammatidae) and other parasitoids and predators. Four varieties of wheat were compared: BRS 327, BRS Marcante, BRS Parrudo, and KBR, with and without the addition of corn E. kuehniella reared on 97% BRS 327 wheat flour + 3% nutritional yeast had the best biological parameters and substitution of corn for about half of the wheat increased the number of eggs per female.


Assuntos
Himenópteros , Mariposas , Animais , Dieta , Feminino , Farinha , Humanos , Óvulo , Triticum , Zea mays
4.
s.l; s.n; 2022. 9 p. ilus, tab, graf.
Não convencional em Inglês | Sec. Est. Saúde SP, SESSP-ILSLPROD, Sec. Est. Saúde SP, SESSP-ILSLACERVO, Sec. Est. Saúde SP | ID: biblio-1402287

RESUMO

Merkel cell carcinoma (MCC) is a rare aggressive neuroendocrine cutaneous carcinoma with a high mortality rate. The MCC etiology is not fully understood. Merkel cell-associated polyomavirus (MCPyV) was found in MCC patients, indicating a risk factor for the tumor. Caucasian, elderly, and immunocompromised individuals are more likely to develop this tumor. HLA-G consists of a non-classical class I (Ib) HLA molecule with an immunoregulatory function and was associated with tumor escape in different types of tumors, nonetheless, never been studied in MCC. The purpose of this study was to evaluate the HLA-G expression and also to detect the MCPyV in MCC patients and correlate it with the clinical course of the disease. Forty-five MCC patients were included in a retrospective study. Formalin-fixed paraffin-embedded cutaneous skin biopsies were used by immunohistochemistry and RT-PCR to verify the HLA-G expression and MCPyV infection. HLA-G expression was found in 7 (15.6%), while the presence of MCPyV was detected in 28 (62.2%) of the studied patients. No significant association was found between HLA-G expression and MCPyV infection (p = 0.250). The presence of MCPyV was associated with areas of low sunlight exposure (p = 0.042) and the HLA-G expression with progression to death (p = 0.038). HLA-G expression was detected in MCC patients, as well as the MCPyV presence was confirmed. These markers could represent factors with a possible impact on patient survival; however, further studies with a greater number of patients are needed, to better elucidate the possible role in disease progression.


Assuntos
Carcinoma de Célula de Merkel , Antígenos HLA-G
5.
Rev. med. vet. zoot ; 63(2): 135-146, mayo-ago. 2016. ilus
Artigo em Espanhol | LILACS | ID: biblio-961223

RESUMO

Los tumores mamarios son poco frecuente en equinos; Se han reportado prevalencias entre 0,11% y 2%, en plantas de beneficio; en Colombia no hay estudios que determinen la prevalencia de este tipo de enfermedad. Se presenta un caso clínico de una yegua de raza criollo colombiano con signos de depresión, tos, dificultad respiratoria y aumento de tamaño de la glándula mamaria con dolor. Debido a la severidad de los signos respiratorios se tomó la decisión de aplicar la eutanasia. En la necropsia se encontraron múltiples masas irregulares dentro de la cavidad torácica, nódulos firmes en los pulmones y la glándula mamaria de consistencia dura al corte. Según los hallazgos histopatológicos, el diagnóstico definitivo determinó un carcinoma de glándula mamaria tipo simple, papilar, grado III con metástasis pulmonar extensa. Este artículo es el primer reporte de una yegua criolla colombiana con diagnóstico de carcinoma mamario, metástasis pulmonar, la descripción de su presentación clínica y el respectivo diagnóstico histopatológico.


Breast cancer rarely occurs in horses. A prevalence that fluctuates from 0.11% to about 0.2% have been found in slaughter houses. Nevertheless, in Colombia there are not studies that have determined this disease prevalence yet. This article describes clinical sings and progress of a Colombian Criollo mare which was depressed with cough, respiratory distress, swollen and painful udder. Due to the unfavorable clinical progress the owner decides to euthanize the mare, on postmortem examination was found several irregular masses in thoracic cavity, multiple firm nodes disseminated in the lungs, and a mammary gland swollen and hard to cut. Microscopic examination reveal a mammary gland simple papillary carcinoma grade III with extensive lung metastasis. To the authors knowledge this is the first report on a breast carcinoma with pulmonary metastasis diagnosis made on this breed, its clinical presentation and histopathological diagnosis.

6.
Neotrop Entomol ; 44(3): 279-85, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-26013273

RESUMO

Aegorhinus nodipennis (Hope) (Coleoptera: Curculionidae) is an important native pest in fruit crops that is mainly found in European hazelnut fields in the south of Chile. We investigated the behavioral response of A. nodipennis to volatile compounds released from the essential oil of Achillea millefolium and its main constituent using olfactometric bioassays. Gas chromatographic and mass spectral analysis of the A. millefolium essential oil revealed the presence of 11 compounds. Monoterpene ß-thujone (96.2%) was the main component of the oil. Other compounds identified were α-thujone, 1,8-cineole, p-cymene, and 4-terpineol, all with percentages below 1%. Both A. millefolium essential oil and thujone exhibited a repellent activity against this insect at the higher doses tested (285.7 ng/cm(2)), demonstrating their potential as repellents for this species.


Assuntos
Achillea , Repelentes de Insetos/farmacologia , Óleos Voláteis/farmacologia , Gorgulhos/efeitos dos fármacos , Animais , Chile , Óleos Voláteis/metabolismo , Gorgulhos/metabolismo
7.
Science ; 348(6231): 226-9, 2015 Apr 10.
Artigo em Inglês | MEDLINE | ID: mdl-25859042

RESUMO

Uranium-lead geochronology in detrital zircons and provenance analyses in eight boreholes and two surface stratigraphic sections in the northern Andes provide insight into the time of closure of the Central American Seaway. The timing of this closure has been correlated with Plio-Pleistocene global oceanographic, atmospheric, and biotic events. We found that a uniquely Panamanian Eocene detrital zircon fingerprint is pronounced in middle Miocene fluvial and shallow marine strata cropping out in the northern Andes but is absent in underlying lower Miocene and Oligocene strata. We contend that this fingerprint demonstrates a fluvial connection, and therefore the absence of an intervening seaway, between the Panama arc and South America in middle Miocene times; the Central American Seaway had vanished by that time.

8.
J Hand Surg Eur Vol ; 40(4): 374-8, 2015 May.
Artigo em Inglês | MEDLINE | ID: mdl-24436361

RESUMO

A retrospective, comparative cohort study was performed of metacarpophalangeal or proximal interphalangeal joint arthrodesis with either tension band (n = 28) or compression (Acutrak Mini) screw (n = 29) methods. We compared rate of union, healing time, complications, and re-operation rate. Union was achieved in 26/28 (92.8%) of the tension band group (9.4 weeks) and 24/28 (85.7%) of the compression screw group (9.8 weeks). Only 28 patients in the screw group were assessed for union as one patient in the screw group sustained a fracture at the time of insertion and was converted to tension band fixation. The complication rate was 8/28 (28.6%) in the tension band group and 8/29 (27.6%) in the compression screw group. Re-operation rate was 9/28 (32.1%) in the tension band group and 1/29 (3.6%) in the compression screw group. Our findings indicate that bone healing, healing time, and complications are similar in both groups. The tension band technique had a significantly higher re-operation rate (hardware removal), but was the technique for salvage following failure of the screw technique.


Assuntos
Artrodese/instrumentação , Articulações dos Dedos/cirurgia , Articulação Metacarpofalângica/cirurgia , Adulto , Parafusos Ósseos , Fios Ortopédicos , Feminino , Humanos , Masculino , Estudos Retrospectivos
9.
Neotrop Entomol ; 43(3): 245-51, 2014 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-27193620

RESUMO

Cinara cupressi (Buckton) is an important aphid pest of the Cupressaceae family, originally reported in Chile in 2003. Since then, it has spread over 4,000 km, contributing to conservation issues, mostly associated with native and urban trees of the Cupressaceae. In the present work, the morphometric variation of C. cupressi was examined to determine if the species present in Chile corresponds to a specific entity, and to identify variations among specimens from different localities in the study area. Colonies were collected from urban trees from northern, central, and southern Chile. Morphometric data for 14 characters in aphids from 63 localities in all the distribution ranges were measured and analyzed by multivariate analysis. Results showed that the species present in Chile corresponds to C. cupressi like a single specific entity, showing no morphological variation across the regions sampled. Our data will be discussed within the context of correct taxonomic identification for the implementation of effective biological control strategies.


Assuntos
Afídeos/anatomia & histologia , Árvores , Adaptação Fisiológica , Animais , Chile , Cidades , Cupressus , Controle Biológico de Vetores
10.
Neotrop Entomol ; 43(3): 260-5, 2014 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-27193622

RESUMO

Considering that sensilla constitute important functional elements of sensory systems in insects, the aim of this study was to determine the type and distribution of sensilla in the antennae of Hylamorpha elegans Burmeister examined by scanning electron microscopy. Hylamorpha elegans antennae are lamellate and consist of the scape, pedicel, and flagellum. The antennal club of this beetle consists of three terminal plates: proximal, middle, and distal lamellae. Four types of sensilla were observed in the lamellae from both sexes: sensilla trichoidea, chaetica, coeloconica, and placodea. Antennal length was larger in males than in females, and significant sexual variation in the number of sensilla placodea and sensilla coeloconica was observed.


Assuntos
Antenas de Artrópodes , Besouros/anatomia & histologia , Animais , Feminino , Masculino , Microscopia Eletrônica de Varredura , Sensilas
11.
Biodegradation ; 24(5): 711-20, 2013 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-23386245

RESUMO

The effect of the terpenes α-pinene, eucalyptol, and limonene, individually and as mixtures, on atrazine (ATZ) biodegradation and on biological activity in a biobed biomixture was evaluated. Additionally, terpenes emitted from the biomixture were captured using solid-phase microextraction. Terpenes added individually at relatively low concentrations (50 µg kg(-1)) significantly enhanced ATZ degradation and biological activity during the first incubation days. No significant effect on ATZ degradation was found from adding the terpene mixture, and, interestingly, an inhibitory effect on phenoloxidase activity was found during the first 20 days of incubation when mixed terpenes were present at 100 µg kg(-1). Capturing terpenes demonstrated that during the first hour of incubation a significant fraction of the terpenes was volatilized. These results are the first to demonstrate the feasibility of using terpenes to enhance the degradation of a pesticide. However, successive applications of terpenes or the addition of materials that slowly release terpenes could sustain the ATZ degradation enhancement.


Assuntos
Atrazina/metabolismo , Reatores Biológicos/microbiologia , Compostos Orgânicos Voláteis/metabolismo , Biodegradação Ambiental , Cromatografia Líquida de Alta Pressão , Fluoresceínas/metabolismo , Meia-Vida , Hidrólise , Monofenol Mono-Oxigenase/metabolismo , Terpenos , Volatilização
12.
Cienc. enferm ; 18(2): 31-39, ago. 2012.
Artigo em Espanhol | LILACS | ID: lil-657649

RESUMO

El tratamiento oportuno de los trastornos depresivos es considerado una prioridad sanitaria. Un obstáculo en el logro de este propósito es la baja adherencia o el abandono del tratamiento que realizan algunos consultantes. El objetivo de esta investigación fue comprender la percepción de personas que desertaron de su tratamiento en atención primaria respecto de los factores que motivaron ese abandono. Investigación de orientación cualitativa. Las participantes fueron mujeres entre 18 y 65 años, diagnosticadas de depresión, que ingresaron y abandonaron el Programa Nacional de Diagnóstico y Tratamiento de Depresión en el primer semestre del año 2008 y año 2009 en dos centros de salud familiar de la Octava Región, Chile. Se realizaron 15 entrevistas en profundidad semiestructuradas. las que fueron codifcadas y analizadas a través del método de comparación constante. Las principales razones de abandono del tratamiento se concentraron en la existencia de obstáculos en el acceso o continuidad de la atención y en aspectos relacionados con una percepción negativa del tratamiento recibido, especialmente del farmacológico, pero también del psicológico. Se observó en las consultantes que su implicación en el tratamiento era baja debido a desconocimiento del diagnóstico recibido o una discordancia entre el tratamiento recibido respecto a sus expectativas y creencias. Estos resultados indican que los profesionales de la enfermería podrían tener un rol clave en favorecer la permanencia de los consultantes en el tratamiento al poner una mayor consideración de las expectativas, creencias y necesidades de los propios consultantes.


Early treatment of depressive disorders is considered a health priority. One obstacle in achieving this purpose is the low adherence or abandonment of treatment performed by some consultants. The aim of this research is to understand the perception of people who deserted their treatment in primary care settings on the factors that led to the abandonment. The research uses an inductive strategy and qualitative approach as methodological basis. Participants were women aged 18 to 65 years, diagnosed with depression, who entered and left the National Program for Diagnosis and Treatment of Depression in the first half of 2008 and 2009 in two family care centers at the 8th Region, Chile. A total of 15 in-depth interviews were conducted and thereafter analyzed using the constant comparison method. The reasons for the abandonment referred to obstacles in the access and lack of continuity in the treatment, as well as factors related to negative perception of the treatment not only the pharmacological but also the psychological one. It was observed that consultants´ involvement in treatment was low due to scarce knowledge of their diagnosis received or a discrepancy between the treatment received regarding their expectations and beliefs. These results indicate that nurses could play a key role in improving the adherence to the treatment by considering patients’ expectations, beliefs and needs.


Assuntos
Humanos , Feminino , Depressão , Mulheres/psicologia , Cooperação do Paciente , Pacientes Desistentes do Tratamento , Atenção Primária à Saúde , Serviços de Saúde Comunitária , Entrevistas como Assunto , Percepção , Pesquisa Qualitativa
13.
Rev Med Chil ; 140(3): 287-94, 2012 Mar.
Artigo em Espanhol | MEDLINE | ID: mdl-22689107

RESUMO

BACKGROUND: Type 2 diabetes mellitus is the main cause of chronic kidney disease in developed countries. AIM: To study the prevalence of chronic kidney disease among adults with diabetes mellitus attended at a public primary health care clinic in southern Chile. MATERIAL AND METHODS: One hundred patients with type 2 diabetes mellitus, aged more than 15 years participated in this cross sectional study. Chronic kidney disease was defined as the presence of a urine albumin/creatinine ratio over 30 mg/g or an estimated glomerular filtration rate of less than 60 mL/min/1,73 m², detected in at least two opportunities, separated at least by three months. RESULTS: Thirty four percent of participants had chronic kidney disease (17% stage 1 or 2 and 17% stage 3). Thirty percent of participants had an abnormal urinary albumin/creatinine ratio. Halfof the patients with an estimated glomerular filtration rate below 60 mL/min/1,73 m², had a normal urinary albumin/creatinine ratio. CONCLUSIONS: The rates of chronic kidney disease in this group of diabetic patients are very similar to those reported elsewhere.


Assuntos
Diabetes Mellitus Tipo 2/complicações , Nefropatias Diabéticas/epidemiologia , Insuficiência Renal Crônica/epidemiologia , Adolescente , Adulto , Idoso , Albuminúria/epidemiologia , Chile/epidemiologia , Creatinina/urina , Estudos Transversais , Diabetes Mellitus Tipo 2/epidemiologia , Nefropatias Diabéticas/complicações , Feminino , Taxa de Filtração Glomerular , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Atenção Primária à Saúde , Insuficiência Renal Crônica/classificação , Insuficiência Renal Crônica/etiologia , Fatores de Risco , Fatores Socioeconômicos , Adulto Jovem
14.
Rev. méd. Chile ; 140(3): 287-294, mar. 2012. ilus, tab
Artigo em Espanhol | LILACS | ID: lil-627640

RESUMO

Background: Type 2 diabetes mellitus is the main cause of chronic kidney disease in developed countries. Aim: To study the prevalence of chronic kidney disease among adults with diabetes mellitus attended at a public primary health care clinic in southern Chile. Material and Methods: One hundred patients with type 2 diabetes mellitus, aged more than 15 years participated in this cross sectional study. Chronic kidney disease was defined as the presence of a urine albumin/creatinine ratio over 30 mg/g or an estimated glomerular filtration rate of less than 60 mL/min/1,73 m², detected in at least two opportunities, separated at least by three months. Results: Thirty four percent of participants had chronic kidney disease (17% stage 1 or 2 and 17% stage 3). Thirty percent of participants had an abnormal urinary albumin/creatinine ratio. Halfof the patients with an estimated glomerular filtration rate below 60 mL/min/1,73 m², had a normal urinary albumin/creatinine ratio. Conclusions: The rates of chronic kidney disease in this group of diabetic patients are very similar to those reported elsewhere.


Assuntos
Adolescente , Adulto , Idoso , Feminino , Humanos , Pessoa de Meia-Idade , Adulto Jovem , /complicações , Nefropatias Diabéticas/epidemiologia , Insuficiência Renal Crônica/epidemiologia , Albuminúria/epidemiologia , Chile/epidemiologia , Creatinina/urina , Estudos Transversais , /epidemiologia , Nefropatias Diabéticas/complicações , Taxa de Filtração Glomerular , Prevalência , Atenção Primária à Saúde , Insuficiência Renal Crônica/classificação , Insuficiência Renal Crônica/etiologia , Fatores de Risco , Fatores Socioeconômicos
15.
Arch. venez. farmacol. ter ; 30(1): 1-13, 2011. tab
Artigo em Espanhol | LILACS | ID: lil-699593

RESUMO

El Consenso Venezolano de Enfermedad por Reflujo Gastroesófágico (ERGE) se realizó con el objeto de proveer guías para mejorar la identificación, el diagnóstico y el tratamiento de este trastorno en el país. Los coordinadores establecieron las líneas de consenso, basado en una revisión sistemática de la literatura médica de los últimos 15 años a partir de 1995. Participaron 55 miembros con el aval de sus respectivas cátedras y sociedades locales de gastroenterología. Éstos revisaron y presentaron los temas con sus niveles de evidencia y grados de recomendación para discutirlos y votarlos en una reunión plenaria. Tras un informe final de los miembros, los coordinadores prepararon las declaraciones finales. El consenso concluyó que la enfermedad por reflujo gastroesofágico tiene una prevalencia estimada del 11,54% en Venezuela, a predominio del sexo femenino (Grado B). El diagnóstico es fundamentalmente clínico, basado en la presencia de síntomas típicos y/o atípicos, e incluso síntomas de alarma que sugieren alguna complicación (Grado B). La endoscopia es importante en la investigación de la presencia de esofagitis de reflujo y laringitis de reflujo (Grado B). Las otras pruebas diagnósticas como lo son la pHmetría esofágica de 24 horas con o sin impedancia intraluminal multicanal son importantes en los pacientes que no tienen esofagitis, tienen síntomas atípicos o cuando hay falla en la respuesta al tratamiento médico (Grado B). La radiología, manometría esofágica y el ultrasonido endoscópico no están indicados en el diagnóstico de la ERGE (Grado B). El objetivo del tratamiento es reducir la exposición ácida en el esófago y con esto: aliviar los síntomas, cicatrizar las lesiones en la mucosa esofágica, prevenir la recurrencia y las complicaciones. Los inhibidores de bomba de protones deberían ser la primera opción en el tratamiento en el síndrome de ERGE y en la esofagitis por reflujo tanto en la fase aguda como durante el mantenimiento...


The Venezuelan Gastroesophageal Reflux Disease (GERD) Consensus was carried out in order to provide guidelines to improve the identification, diagnosis and treatment of this illness in Venezuela.  The coordinators established the consensuslines, based on a systematic revision of the medical literature of the last 15 years starting from 1995. 55 physicians participated with the support of their respective medical schools and local societies. They revised and presented the topics with their respective evidence levels and recommendation grades to discuss and vote them in a plenary meeting. After a final report of the members, the coordinators prepared the definitive declarations. The consensus concluded that GERD prevalence in Venezuela is 11,54%, higher in women than men (Grade B). The diagnosis is mainly clinical, based on the presence of typical and/or atypical symptoms and alarm symptoms that may suggest the presence of complications (Grade B). Endoscopy is important when reflux esophagitis and laryngitis are present (Grade B). Other diagnostic tests as ambulatory 24 hours pH monitoring with or without multichannel intraluminal impedance are important in patients without esophagitis, with atypical symptoms or when there is flaw in the answer to the medical treatment (Grade B). Radiology, esophageal manometry and endoscopic ultrasonography are not indicated in the diagnosis of GERD (Grade B). The objective of the treatment is to reduce the presence of acid in the esophagus and consequently: alleviate the symptoms and heal lesions in the esophagus mucosa to prevent recurrence and complications. Proton pump inhibitors should be the first option drug in the treatment of GERD syndrome andin esophagitis during the acute and the maintenance phase using standard or half dose (Grade A). So far, pokinetics are drugs with a limited use in GERD patients; they stimulate the esophagus/gastric motility...


Assuntos
Humanos , Inibidores da Bomba de Prótons , Refluxo Gastroesofágico/cirurgia , Refluxo Gastroesofágico/diagnóstico , Refluxo Gastroesofágico/terapia , Educação Médica , Faculdades de Medicina
16.
Vaccine ; 26(39): 4991-7, 2008 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-18675868

RESUMO

Leishmune is the industrialized version of the FML-saponin vaccine which has been shown to develop 92-95% protection in vaccinated dogs and 76-80% vaccine efficacy against field canine visceral leishmaniasis (CVL) in Brazil. Leishmune has been proven to be safe and tolerable and a transmission-blocking vaccine which renders vaccinated dogs non-infectious to sand fly vectors. In the present investigation, 550 healthy seronegative dogs of endemic and epidemic areas of Brazil were monitored for Leishmune-induced immunogenicity during a 2-year trial. Another group of 588 untreated exposed dogs was also studied in parallel. Both groups were seronegative on day 0. The strong immunogenicity induced by Leishmune vaccine was demonstrated by the 98% of FML-seroconversion, increase in absorbencies, the 82.7% DTH positive reactions and increase in skin test size diameters, the average increase in CD8+ total lymphocytes population in blood (27.1%), expected for QS21 saponin-containing vaccine, the sustained proportions of CD4+ T cells, and the average increased proportions of CD21+ B lymphocytes (42.3%). The Leishmune-induced protection against CVL is demonstrated by the results: 98.8% asymptomatic dogs (at the end of first year) and 99% healthy survivors (at the end of the second year) among vaccinated dogs, compared to the 79.4% asymptomatic and 61% survivor dogs (p<0.001) monitored in the untreated exposed cohort. In spite of the low vaccine coverage, it was possible to detect a 66.1% (p<0.005) reduction in Belo Horizonte and an 80.2% (p<0.005) reduction in Araçatuba of the incidence of CVL among vaccinated dogs, when compared to the global incidence of CVL of each town, respectively. Our preliminary results support the potential use of Leishmune to prevent CVL epidemics.


Assuntos
Doenças do Cão/imunologia , Leishmania donovani/imunologia , Vacinas contra Leishmaniose/imunologia , Leishmaniose Visceral/veterinária , Adjuvantes Imunológicos/farmacologia , Animais , Antígenos de Protozoários/imunologia , Brasil , Doenças do Cão/parasitologia , Doenças do Cão/prevenção & controle , Cães , Citometria de Fluxo , Hipersensibilidade Tardia/imunologia , Hipersensibilidade Tardia/parasitologia , Leishmaniose Visceral/imunologia , Leishmaniose Visceral/prevenção & controle , Leucócitos Mononucleares/imunologia , Leucócitos Mononucleares/parasitologia , Saponinas/imunologia , Saponinas/farmacologia
17.
Rev. chil. obstet. ginecol ; 73(4): 268-272, 2008. ilus
Artigo em Espanhol | LILACS | ID: lil-519002

RESUMO

La sirenomelia es una patología muy rara, siendo su incidencia aproximadamente de 1 cada 60.000 nacidos vivos, en la que los miembros inferiores se encuentran fusionados. El trastorno en el desarrollo del blastema caudal axil posterior sería en la tercera semana y probablemente debido a una alteración del desarrollo vascular. Es frecuente la asociación con malformaciones cardiovasculares, gastrointestinales, respiratorias y alteraciones del tubo neural. Se reporta un caso de una recién nacida con sirenomelia cuya madre fue una primigesta de 23 años, con antecedentes de epilepsia en tratamiento con fenitoína sódica durante dos años. En el seguimiento ecográfico se determinó la malformación como sirenomelia tipo Vil con presencia de riñón poliquístico bilateral, cardiopatía congénita, mielomeningocele, además de oligoamnios severo. Fallece al nacer. Se observó un cariotipo en mosaico de tres líneas celulares: 46,XX,i(18)(q10)[9]/46,XX,-18,+mar[12]/46,XX[4]. Existe asociación entre el uso de terapia anticonvulsivante y el riesgo de malformaciones congénitas. Sin embargo, la literatura no establece una asociación entre este tipo de medicamentos y alteraciones cromosómicas, no pudiéndose establecer una relación causal. Consideramos importante reportar la coexistencia de esta alteración y el fenotipo sirenomélico.


Sirenomelia is a very rare pathology, being its incidence approximately of 1 each 60,000 live born, in that the inferior members are fused. The upheaval in the development of axil caudal blastema would be in the third week and probably due to an alteration of the vascular development. They are frequent associated cardiovascular, gastrointestinals, and respiratory malformations and alterations of the neural tube. A case of sirenomelia in a patient of 23 years old is reported, with antecedent of epilepsy in phenitoyn treatment during two years. In the echographic pursuit the malformation was determined as sirenomelia type Vil with presence of bilateral poliquistic kidney, congenital cardiopathy, mielomeningocele, and severe oligoamnios. The infant die at born. Kariotype displayed a mosaic of three cellular lines: 46,XX,i(18)(q10)[9]/46,XX,-18,+mar[12]/46,XX[4]. An association established between the use of the anticonvulsivant therapy and the risk of congenital malformations exists. Nevertheless, literature does not establish an association between this type of drugs and chromosomic alterations, not being able to establish a causal relation. It is important, even so, to report the coexistence of this alteration and the sirenomelic phenotype.


Assuntos
Humanos , Feminino , Recém-Nascido , Aberrações Cromossômicas , Ectromelia/genética , Mosaicismo , Anormalidades Múltiplas/genética , Isocromossomos
18.
Rev. chil. pediatr ; 78(4): 363-368, ago. 2007. ilus, tab
Artigo em Espanhol | LILACS | ID: lil-477403

RESUMO

Background: The chromosomic alterations prevalence is about 1 percent at birth; therefore, cytogenetics is an important tool for the Neonatology and Pediatrics Units at all health centers. Objective: Evaluate cytogenetics studies performed at the Pathology Unit in the Hospital of Antofagasta between 1997 and 2006. Method: Evaluation of 534 chromosome analysis results in peripherial blood lymphocytes obtained from patients belonging to the Neonatology and Pediatrics Units from Hospital Regional of Antofagasta. The sample included newborn, infants, pre-scholars and scholars with Down Syndrome, congenital malformations, dysmorphic syndromes and other genetic alterations. An optical microscope and international nomenclature (ISCN) were used; chromosome analysis included 35 or more mitosis per case. Results: 22,50 percent (n = 120) of exams showed chromosome alterations: 76,67 percent of these cases were numerical alterations and 23,33 percent corresponded to structural alterations. Conclusions: In the studied population, the cytogenetics study is an important tool together with clinical aspects, especially regarding genetic counsil.


La prevalencia estimativa de las alteraciones cromosómicas en el nacimiento es de alrededor de 1 por ciento, por esta razón es que la citogenética se ha transformado en una herramienta importante para el equipo de Neonatología y Pediatría de cualquier servicio hospitalario. Objetivo: Evaluar los estudios citogénicos realizados en el servicio de Anatomía Patológica de Hospital de Antofagasta entre los años 1997 y 2006. Paciente y Métodos: Se evaluaron 534 análisis cromosómicos en linfocitos de sangre periférica obtenidos en el Hospital de Antofagasta, de los Servicios de Pediatría y Neonatología. La muestra incluyó a recién nacidos lactantes, preescolares y escolares con síndrome de Down, malformaciones congénitas, síndrome dismórfico, ambigüedad genital, genopatías en estudio y otras. Se usó un microscopio óptico y el análisis cromosómico incluyó un mínimo de 35 mitosis por caso, se utilizó la nomenclatura internacional ISCN. Resultados: Un 22,50 por ciento (n = 120) de los exámenes mostraron alteraciones cromosómicas, de estos casos un 76,67 por ciento fueron alteraciones numéricas y 23,33 por ciento correspondieron a alteraciones estructurales. Conclusión: El estudio citogénico ha resultado de gran importancia como complemento de la clínica, y especialmente en relación al consejo genético, en la población estudiada.


Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Lactente , Pré-Escolar , Criança , Análise Citogenética/métodos , Linfócitos/sangue , Transtornos Cromossômicos/genética , Transtornos Cromossômicos/sangue , Marcadores Genéticos , Mitose/genética , Trissomia/genética
19.
Vaccine ; 25(12): 2180-6, 2007 Mar 08.
Artigo em Inglês | MEDLINE | ID: mdl-17239495

RESUMO

A group of 600 healthy and asymptomatic dogs from Brazilian canine visceral leishmaniasis endemic areas was vaccinated with three sc doses of Leishmune which is the industrialized formulation of the FML-saponin, recently licensed for commercialization in Brazil, which previously showed 76-80% vaccine efficacy against canine visceral leishmaniasis. Safety evaluation was performed for 14 days after each vaccine injection and disclosed transient reactions of local pain (40.87%), anorexia (20.48%), apathy (24.17%), local swelling reactions (15.90%), vomit (2.4%) and diarrhoea (1.5%). All effects showed significantly correlating declines, from the first to the third dose (p<0.0001). Most of the noticed reactions of pain (73%), anorexia (79%) and local swelling (84.7%) were mild. No significant differences between puppies and adults dogs were found in the number of adverse reactions. Adult dogs developed however, 94.5% of the small swelling reactions (<3 cm), and indicating that they are more resistant to the inflammatory response promoted by the saponins. No dead by anaphylaxis occurred, and only two dogs (0.1%) showed allergic reactions (facial oedema and itching) after the third dose. Transient alopecia on injection site occurred in only five poodles (0.28%) with total recovery and no need of treatment. All the mild adverse events in response to Leishmune injection were transient and disappeared before the injection of the following vaccine dose, confirming the tolerability of the vaccine. The Leishmune preparation was less haemolytic (HD(50)=180 microg/ml) than expected for a QS21 saponin-containing vaccine, indicating that its formulation with the FML antigen diminished the potential in vitro toxicity.


Assuntos
Doenças do Cão/imunologia , Leishmania donovani/imunologia , Leishmaniose Visceral/veterinária , Vacinas Protozoárias/imunologia , Animais , Brasil , Doenças do Cão/parasitologia , Doenças do Cão/prevenção & controle , Cães , Edema/induzido quimicamente , Leishmaniose Visceral/imunologia , Leishmaniose Visceral/prevenção & controle , Vacinas Protozoárias/administração & dosagem , Vacinas Protozoárias/efeitos adversos , Prurido/induzido quimicamente , Fatores de Tempo , Resultado do Tratamento
20.
Cienc. enferm ; 12(1): 61-72, jun. 2006. tab, graf
Artigo em Espanhol | LILACS | ID: lil-432721

RESUMO

Este trabajo tiene como objetivo determinar el efecto de un taller vivencial de orientación humanista en el nivel de auto-actualización de los adolescentes que cursan enseñanza media. Para ello se utiliza un diseño experimental clásico de pre-test y post-test con grupo control. La muestra es no probabilística y se toma en dos colegios de nivel socioeconómico bajo de la Octava Región, Chile, con alumnos que cursan tercero y cuarto de la enseñanza media cuyas edades fluctúan entre 17 y 19 años, a quienes se les realizará una medición con el instrumento Personal Orientation Inventory (P.O.I.) validado para la población chilena. De acuerdo a los resultados obtenidos, se demuestra que es posible aumentar el nivel de auto-actualización en los adolescentes que participaron en el taller vivencial, siendo estadísticamente significativo (p< 0.05) en 8 de 12 dimensiones que son autonomía, vivir existencial, sensibilidad organísmica, auto-aprecio, auto-aceptación, naturaleza constructiva del hombre, sinergia y capacidad de contacto íntimo, por lo que el taller vivencial de orientación humanista es una modalidad eficaz y recomendable para favorecer un desarrollo integral de los adolescentes.


Assuntos
Humanos , Adolescente , Adolescente , Comportamento do Adolescente , Desenvolvimento do Adolescente , Saúde do Adolescente , Chile , Papel do Profissional de Enfermagem
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