RESUMO
Resumen: El plasma rico en plaquetas (PRP) es un producto sanguíneo autólogo que contiene factores de crecimiento y proteínas y se ha utilizado en todo el entorno clínico para la reparación de tejidos. La fuerte evidencia en la literatura de ciencias básicas ha permitido la investigación clínica que involucra PRP para pacientes con enfermedad del disco y dolor lumbar. La enfermedad degenerativa del disco (DDD) se ha establecido como un importante contribuyente a la causa del dolor lumbar: aproximadamente el 40% de los pacientes menores de 30 años y el 90% de los pacientes mayores de 50 años que tienen dolor lumbar también muestran hallazgos de imágenes de resonancia magnética (IRM) que son consistentes con cambios degenerativos dentro de los discos intervertebrales. La medicina regenerativa intradiscal se ha estudiado principalmente en pacientes con dolor lumbar crónico intratable. Objetivo: conocer la evidencia disponible sobre la eficacia del PRP en hernias de disco lumbar. Al conocer la evidencia científica disponible del PRP como tratamiento de hernia discal lumbar se podrá desarrollar un proyecto de investigación, lo cual sustentará las bases teóricas para realizar esta terapia en la población mexicana. Se realizó búsqueda en base de datos PUBMED, ClinicalKey (Elsevier), Medscape, Science Direct, Google Scholar. Conclusiones: aunque varias investigaciones han arrojado resultados prometedores con respecto a la inyección intradiscal de PRP los tamaños de muestra pequeños y los procedimientos de preparación de injertos no estandarizados obstaculizaron estos esfuerzos de investigación.
Abstract: Platelet-rich plasma (PRP) is an autologous blood product containing growth factors and proteins, widely employed in the clinical setting for tissue repair. Robust evidence in basic science literature has facilitated clinical research involving PRP for patients with disc disease and lumbar pain. Degenerative disc disease (DDD) has been identified as a significant contributor to lower back pain, with approximately 40% of patients under 30 and 90% of those over 50 experiencing lumbar pain showing MRI findings consistent with degenerative changes in intervertebral discs. Regenerative medicine within the disc has primarily been studied in patients with chronic, untreatable lumbar pain. Objective: to understand the available evidence regarding the efficacy of PRP in lumbar disc herniation. By understanding the scientific evidence supporting PRP as a lumbar disc herniation treatment, a research project can be developed, providing the theoretical foundation for implementing this therapy in the Mexican population. A search was conducted using PUBMED, ClinicalKey (Elsevier), Medscape, Science Direct, and Google Scholar databases. Conclusions: despite promising results in several studies on intradiscal PRP injection, small sample sizes and non-standardized graft preparation procedures have hindered these research efforts.
RESUMO
Platelet-rich plasma (PRP) is an autologous blood product containing growth factors and proteins, widely employed in the clinical setting for tissue repair. Robust evidence in basic science literature has facilitated clinical research involving PRP for patients with disc disease and lumbar pain. Degenerative disc disease (DDD) has been identified as a significant contributor to lower back pain, with approximately 40% of patients under 30 and 90% of those over 50 experiencing lumbar pain showing MRI findings consistent with degenerative changes in intervertebral discs. Regenerative medicine within the disc has primarily been studied in patients with chronic, untreatable lumbar pain. Objective: to understand the available evidence regarding the efficacy of PRP in lumbar disc herniation. By understanding the scientific evidence supporting PRP as a lumbar disc herniation treatment, a research project can be developed, providing the theoretical foundation for implementing this therapy in the Mexican population. A search was conducted using PUBMED, ClinicalKey (Elsevier), Medscape, Science Direct, and Google Scholar databases. Conclusions: despite promising results in several studies on intradiscal PRP injection, small sample sizes and non-standardized graft preparation procedures have hindered these research efforts.
El plasma rico en plaquetas (PRP) es un producto sanguíneo autólogo que contiene factores de crecimiento y proteínas y se ha utilizado en todo el entorno clínico para la reparación de tejidos. La fuerte evidencia en la literatura de ciencias básicas ha permitido la investigación clínica que involucra PRP para pacientes con enfermedad del disco y dolor lumbar. La enfermedad degenerativa del disco (DDD) se ha establecido como un importante contribuyente a la causa del dolor lumbar: aproximadamente el 40% de los pacientes menores de 30 años y el 90% de los pacientes mayores de 50 años que tienen dolor lumbar también muestran hallazgos de imágenes de resonancia magnética (IRM) que son consistentes con cambios degenerativos dentro de los discos intervertebrales. La medicina regenerativa intradiscal se ha estudiado principalmente en pacientes con dolor lumbar crónico intratable. Objetivo: conocer la evidencia disponible sobre la eficacia del PRP en hernias de disco lumbar. Al conocer la evidencia científica disponible del PRP como tratamiento de hernia discal lumbar se podrá desarrollar un proyecto de investigación, lo cual sustentará las bases teóricas para realizar esta terapia en la población mexicana. Se realizó búsqueda en base de datos PUBMED, ClinicalKey (Elsevier), Medscape, Science Direct, Google Scholar. Conclusiones: aunque varias investigaciones han arrojado resultados prometedores con respecto a la inyección intradiscal de PRP los tamaños de muestra pequeños y los procedimientos de preparación de injertos no estandarizados obstaculizaron estos esfuerzos de investigación.
Assuntos
Degeneração do Disco Intervertebral , Deslocamento do Disco Intervertebral , Disco Intervertebral , Dor Lombar , Plasma Rico em Plaquetas , Humanos , Deslocamento do Disco Intervertebral/terapia , Degeneração do Disco Intervertebral/terapia , Disco Intervertebral/metabolismo , Dor Lombar/terapia , Plasma Rico em Plaquetas/metabolismo , Vértebras LombaresRESUMO
The objective of this study was to evaluate the effect of the seasons (Summer and Autumn), on live weight, body condition, mass motility, percentage of live spermatozoa, and sperm-cell concentration of Creole roosters (Gallus domesticus) from Mexico. Semen from 35-week-old Creole roosters was collected weekly during 10 weeks in Summer and Autumn, through the dorso-abdominal massage technique. Roosters were individually kept under a constant photoperiod (16 hours light:8 hours dark). The average live weight was 4.5% higher (p<0.05) in Autumn (2.78 kg) than in Summer (2.66 kg), therefore this variable increased with age (r = 0.85, p<0.05). Category 2 of body condition occurred (p<0.05) with higher probability than the others (0, 1 and 3), being practically the same (p>0.05) in Autumn (99.96%) and in Summer (99.81%). On average (and in weeks 1 and 3-10), the percentage of live spermatozoa was higher in Summer than in Autumn. Accordingly, the percentage of live spermatozoa decreased with age (r = -0.82, p<0.05). However, on average, sperm-cell concentration did not change between seasons (p>0.05). In conclusion, Mexican Creole roosters showed higher percentage of live spermatozoa in Summer than in Autumn. Therefore, it is advisable to select these animals of about 2.7 kg and reproduce them in Summer.(AU)
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Animais , Masculino , Sêmen/química , Galinhas/fisiologia , Análise do Sêmen/veterinária , Estações do Ano , Composição Corporal , Fenômenos Físicos , MéxicoRESUMO
Resumen Objetivo: Describir la epidemiología de la tuberculosis infantil en el Departamento de Caldas (2016-2018). Materiales y métodos: Estudio observacional-descriptivo. Resultados: se registraron 41 casos (4%, 41/1.029). La incidencia fue 2,96/100.000 (2016), 6,31/100.000 (2017) y 4,34 /100.000 (2018). La mediana de edad fue 10 años (RI 2-16). El sexo femenino aporto 53,66%, predominó el estrato socioeconómico bajo (90,24%, 37/41), Manizales aportó la mayor carga de casos (43,9%, 18/41). La TB pulmonar se presentó en 39,02% de los casos de tuberculosis infantil. 68,29% (28/41) reportaron haber tenido síntomas alrededor de 15 días de evolución. 70,73% (29/41) presentarón tos con expectoración y 65,85% (27/41) reportaron astenia o disnea. La PPD se midió en 65,85% de la población (27/41) siendo positiva (> 10 mm) en 62,96% (17/27). El diagnóstico radiológico se realizó en 56,1% (23/41). Se reportaron 10 casos de TB extrapulmonar, la presentación más frecuente fue ganglionar (7/10). Se presentaron dos casos fatales. Discusión: La tuberculosis infantil en Caldas refleja la naturaleza de la enfermedad, afectándose principalmente niñas con vulnerabilidades sociales. El síntoma más común es tos húmeda con expectoración, similar a otros estudios desarrollados en Colombia. No se cuenta con una herramienta diagnostica con rendimiento suficiente, por lo que este sigue siendo un desafío clínico.
Abstract Objective: To describe the epidemiology of childhood TB in the Department of Caldas (2016-2018). Materials and methods: Observational-descriptive study. Results: 41 cases were registered (4%, 41 / 1,029). The incidence was 2.96 / 100,000 (2016), 6.31 / 100,000 (2017) and 4.34 / 100,000 (2018). The median age was 10 years (IR 2-16). The female sex contributed 53.66%, the low socioeconomic status predominated (90.24%, 37/41). Manizales contributed the highest case load (43.9%, 18/41). Pulmonary TB occurred in 39.02% of childhood TB cases. 68.29% (28/41) reported having symptoms around 15 days of evolution. 70.73% (29/41) presented cough with expectoration and 65.85% (27/41) reported asthenia or dyspnea. PPD was measured in 65.85% of the population (27/41), being positive (> 10 mm) in 62.96% (17/27). The radiological diagnosis was made in 56.1% (23/41). 10 cases of extrapulmonary TB were reported, the most frequent presentation was lymph node TB (7/10). Two fatal cases occurred. Discussion: Childhood tuberculosis in Caldas reflects the nature of the disease, mainly affecting girls with social vulnerabilities. The most common symptom is wet cough with expectoration, similar to other studies developed in Colombia. There is not a diagnostic tool with sufficient performance, so this remains a clinical challenge.
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The objective was to evaluate the antioxidant capacity, glucose and insulin concentration and reproductive performance of ewes supplemented with orange residue prior to insemination. Fifty-five multiparous ewes were divided into two corrals, and 15 unbred ewes were kept individually to measure feed consumption. Two integral diets were administered; T0: control treatment and T1: with 20% of dry matter of orange residue. Ten days after the start of supplementation, the ewes were synchronized. Supplementation was finalized prior to artificial insemination, then, a blood sample was taken to measure the antioxidant capacity and glucose and insulin concentration. An analysis of variance was made to evaluate the effect of treatment on the antioxidant capacity, glucose and insulin; and to analyze the response to estrus, percentage of gestation and prolificity a ji squared test was performed. Of 9 antioxidant compounds found in the orange residue, hesperidin (7.44%), chlorogenic acid (0.50%) and protocatechuic acid had the highest concentration. Feed intake, estrus response, percentage of gestation, antioxidant capacity, and glucose and insulin concentration were not affected by the treatment. It is concluded that inclusion of 20% of orange residue in the diet prior to insemination in ewes is possible.(AU)
O objetivo deste estudo foi avaliar a capacidade antioxidante, a concentração de glicose e insulina e o comportamento reprodutivo de ovelhas suplementadas com resíduo de laranja antes da inseminação. Cinquenta e cinco ovelhas multíparas foram divididas em dois currais e 15 ovelhas sem raça foram mantidas individualmente para se medir o consumo de ração. Duas dietas integrais foram administradas; T0: tratamento controle e T1: dieta com 20% de resíduo de laranja seco. Dias após o início da suplementação, as ovelhas foram sincronizadas. A suplementação foi finalizada antes da inseminação artificial e, em seguida, foi coletada uma amostra de sangue para medir a capacidade antioxidante e a concentração de glicose e insulina. Uma análise de variância foi feita para avaliar o efeito do tratamento sobre a capacidade antioxidante, a glicose e a insulina, e um teste do ji quadrado foi realizado para analisar a resposta ao estro, a porcentagem de gestação e de prolificidade. Dos nove compostos antioxidantes encontrados no resíduo laranja, a hesperidina (7,44%), o ácido clorogênico (0,50%) e o ácido protocatecuico foram os de maior concentração. O consumo alimentar, a resposta ao estro, a porcentagem de gestação, a capacidade antioxidante, a concentração de glicose e a insulina não foram afetados pelo tratamento. Conclui-se que é possível a inclusão de 20% de resíduos de laranja na dieta antes da inseminação em ovelhas.(AU)
Assuntos
Animais , Feminino , Glicemia/análise , Ovinos/fisiologia , Citrus sinensis/metabolismo , Sincronização do Estro/métodos , Insulinas/análise , Antioxidantes/análise , Inseminação Artificial/veterinária , Resíduos de AlimentosRESUMO
Two assays were conducted to study the Tithonia diversifolia (Td) plant: (1) chemical analysis and in vitro dry matter digestibility (IVDMD) of plant parts and (2) productive performance of lambs fed a traditional diet or a Td diet (30% of Td plus 70% of the traditional diet). The plant parts studied were leaves (L), leaves and petioles (LP); and leaves, petioles and stems (LPS). Feed intake, weight gain and feed conversion were registered weekly during five weeks of experimentation. The L showed higher (P<0.05) crude protein content (26.7%) than LP and LPS (25.5 and 19.7%, respectively). Crude fiber (11.2%), neutral detergent fiber (45.4%), cellulose (16.9%) and hemicellulose (33.5%) were lower in L than in LP (12.5, 46.7, 18.0 and 35.7%, respectively) and LPS (22.6, 59.2, 27.0 and 43.5%, respectively). The L and LP showed the highest IVDMD (89.2 and 88.2%, respectively vs. 77.2% of LPS). The Td diet resulted in greater feed intake and weight gain and lower feed conversion than the traditional diet. Therefore, Tithonia diversifolia is a forage plant of good quality for lambs which does not affect the productive performance.(AU)
Dois ensaios foram realizados para estudar a planta de Tithonia diversifolia (Td): (1) análise química e digestibilidade in vitro da matéria seca (DIVMS) de partes de plantas e (2) desempenho produtivo de cordeiros alimentados com dieta tradicional ou dieta Td (30% de Td mais 70% da dieta tradicional). As partes vegetais estudadas foram folhas (L), folhas e pecíolos (LP); folhas, pecíolos e caules (LPS). O consumo de ração, o ganho de peso e a conversão alimentar foram registrados semanalmente, durante cinco semanas de experimentação. O L apresentou maior (P<0,05) conteúdo de proteína bruta (26,7%) que o LP e o LPS (25,5 e 19,7%, respectivamente). Fibra bruta (11,2%), fibra em detergente neutro (45,4%), celulose (16,9%) e hemicelulose (33,5%) foram menores em L do que em LP (12,5, 46,7, 18,0 e 35,7%, respectivamente) e LPS (22,6, 59,2, 27,0 e 43,5%, respectivamente). O L e o LP apresentaram o maior DIVMS (89,2 e 88,2%, respectivamente vs. 77,2% do LPS). A dieta Td resultou em maior consumo de ração e maior ganho de peso e menor conversão alimentar que a dieta tradicional. Portanto, Tithonia diversifolia é uma planta forrageira de boa qualidade para cordeiros que não afeta o desempenho produtivo.(AU)
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Animais , Ovinos/crescimento & desenvolvimento , Aumento de Peso , Tithonia , Ração Animal/análiseRESUMO
BACKGROUND: There is a lack of uniform criteria for the diagnosis and management of tuberculosis (TB) in children in Cali, Colombia. Addressing TB in children is a challenge in this setting, under both programmatic and research conditions. OBJECTIVES: To facilitate the diagnostic assessment of TB in a paediatric cohort of TB household contacts. METHODS: A diagnostic and management algorithm (DMA) was used to assess children exposed to adult TB cases, according to clinical and epidemiological findings and under programmatic conditions. On the basis of diagnostic tests, cases were classified as TB exposure, TB infection, suspected TB, possible TB or confirmed TB and then submitted to a management plan. This was a prospective pilot study nested within a national cohort study of the transmission dynamics of Mycobacterium tuberculosis, undertaken in Colombia during 2005-2008. RESULTS: During 24 months of follow-up, 54 of 217 children met the criteria for assessment by DMA, 18 of whom (33%) were considered to be TB incident cases (new TB cases among household contacts). The main clinical findings were failure to thrive and cough lasting >21 days. Only one case was smear-positive and culture-confirmed TB. TB treatment was given to 16 children and they demonstrated clinical and radiographic resolution at follow-up. Conducting the study under programmatic conditions demonstrated barriers to accessing competent radiological evaluation, correct interpretation of the tuberculin skin test, and proper specimen collection. CONCLUSION: Structured assessment using DMA facilitated the detection of incident TB cases. The study identified potential barriers to addressing childhood TB in Cali.
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Antituberculosos/uso terapêutico , Atenção à Saúde/organização & administração , Saúde da Família , Mycobacterium tuberculosis/isolamento & purificação , Tuberculose Pulmonar/diagnóstico , Tuberculose Pulmonar/tratamento farmacológico , Adolescente , Adulto , Criança , Pré-Escolar , Estudos de Coortes , Colômbia , Humanos , Recém-Nascido , Estudos Prospectivos , Tuberculose Pulmonar/transmissãoRESUMO
The objective was to determine whether refractoriness to short and long days were involved in the end and onset of the breeding season, respectively, in goats adapted to subtropical latitudes. Ovariectomized does given a subcutaneous implant constantly releasing estradiol-l7 ß (OVX+E) were used in two experiments. Plasma LH concentrations were determined twice weekly. In Experiment 1, the control group remained in an open-shed pen (natural day length and ambient temperature). Two experimental groups were placed in light-proof buildings (with natural temperature variations). One group was exposed to natural simulated increasing days (winter to spring), whereas the other was exposed to a winter solstice photoperiod (10 h of light) from December 21 to April 28. In Experiment 2, the control group remained under natural day length and ambient temperature. One experimental group was exposed to natural simulated decreasing days (summer to autumn), whereas the other group was exposed to a summer solstice photoperiod (14 h of light) from June 21 to October 20. In Experiment 1, the breeding season was not prolonged in does maintained in the winter solstice day length. Mean dates of decrease in LH secretion (end of the breeding season) did not differ significantly between does exposed to natural (February 3 ± 5 d) or natural simulated photoperiod (January 26 ± 14 d) and those exposed to constant short days of winter solstice (February 4 ± 10 d). In Experiment 2, the onset of the breeding season was not delayed in does maintained in the summer solstice day length. Mean dates of increase in LH secretion (onset of the breeding season) did not differ significantly between does exposed to natural (September 7 ± 8 d) or natural simulated photoperiod (September 18 ± 10 d) and those exposed to constant long days photoperiod of summer solstice (September 24 ± 4 d). In goats adapted to a subtropical environment, we concluded that: 1) the end of breeding season was due to refractoriness to short days, and not the inhibitory effect of increasing day length; and 2) the onset of the breeding season was due to refractoriness to long days, and not a stimulatory effect of decreasing day length.
Assuntos
Cabras/fisiologia , Fotoperíodo , Reprodução , Estações do Ano , Animais , Cruzamento , Meio Ambiente , Estradiol/farmacologia , Hormônio Luteinizante/sangue , Refratometria , Clima TropicalRESUMO
El impacto del estado nutricional prenatal, especialmente lo concerniente al peso de nacimiento (PN) y sus efectos tanto en el corto, mediano o largo plazo, sobre el estado nutricional y el desarrollo cognitivo del niño y, sobre la ocupación desempeñada en la vida adulta, ha sido una problemática de interés para diversos investigadores; al respecto, algunos autores encuentran una asociación positiva y significativa entre estas variables, mientras que otros no encuentran ninguna relación. Es así como se ha descrito que niños con PN insuficiente, bajo o, extremadamente bajo, además del deterioro temprano del estado nutricional, presentarían en el corto plazo, un mayor riesgo de daño en la maduración cerebral, retraso del desarrollo cognitivo y menores circunferencias craneanas, lo que implicaría menor volumen encefálico y bajo rendimiento intelectual. En el corto y mediano plazo, esta situación perjudicaría el proceso enseñanza-aprendizaje en la etapa escolar, mientras que en el largo plazo, esto condicionaría la ocupación a desempeñar en la vida adulta. Actualmente, el cuerpo de conocimientos pone de manifiesto que los hallazgos relativos a estas asociaciones no son concluyentes, existiendo gran controversia en estas materias. Este artículo de revisión tiene el propósito de analizar la evidencia existente hasta este momento, con el objeto de incentivar la investigación en estos aspectos que son de gran relevancia para el desarrollo del niño y su vida futura.
The impact of prenatal nutritional status, assessed through birth weight (BW) and their effects in the short, medium and long-term on nutritional status, cognitive development and job status in the adult life, has been a problem of interest for several researchers; as regards, some of these report a positive and significant association between these variables and others do not find any relation. Children with insufficient, low or very low BW despite the early more deteriorate nutritional status should present higher risk for brain maturation, failure cognitive development and lowered head circumference which implies both lowered brain volume and intellectual development. In the short and medium-term, this situation damages the learning process at school-age, while in the long-term this might condition the quality of jobs. At present, the body of knowledge pinpoints that findings related to these associations is not conclusive verifying a great controversy in these matters. This review article has the purpose of analyzing the current evidence, in order to stimulate research about to these aspects which are relevant for child development and their future life.
Assuntos
Humanos , Recém-Nascido , Peso ao Nascer , Deficiências da Aprendizagem , Manifestações Neurocomportamentais , Estado Nutricional , Transtornos Globais do Desenvolvimento Infantil/prevenção & controleRESUMO
The impact of prenatal nutritional status, assessed through birth weight (BW) and their effects in the short, medium and long-term on nutritional status, cognitive development and job status in the adult life, has been a problem of interest for several researchers; as regards, some of these report a positive and significant association between these variables and others do not find any relation. Children with insufficient, low or very low BW despite the early more deteriorate nutritional status should present higher risk for brain maturation, failure cognitive development and lowered head circumference which implies both lowered brain volume and intellectual development. In the short and medium-term, this situation damages the learning process at school-age, while in the long-term this might condition the quality of jobs. At present, the body of knowledge pinpoints that findings related to these associations is not conclusive verifying a great controversy in these matters. This review article has the purpose of analyzing the current evidence, in order to stimulate research about to these aspects which are relevant for child development and their future life.
Assuntos
Peso ao Nascer/fisiologia , Desenvolvimento Infantil/fisiologia , Cognição/fisiologia , Inteligência/fisiologia , Estado Nutricional/fisiologia , Adulto , Humanos , Recém-NascidoRESUMO
A homogeneous fluorescence-polarization assay (FPA) was used for the serological diagnosis of bovine brucellosis in México. The assay uses O-polysaccharide prepared from Brucella abortus lipoplysaccharide (20-30 kDa) conjugated with fluorescein isothiocyanate as a tracer. To measure the fluorescence polarization, a FPM-1 fluorescence-polarization analyzer was used with the procedure described by Nielsen et al. (1996b). A cut-off value of 90 millipolarization (mP) units was used for testing 560 bovine sera from different areas of México. (305 positive sera and 255 negative sera according to the complement fixation test; CFT.) Some were tested with the Rose Bengal plate (RB) test (n = 490) and some with the rivanol-agglutination (RIV) test (n = 190). Sensitivities were 98.3%, 99.3% and 99.0%, and specificities were 68.8%, 55.4% and 96.9%, respectively, for RB, RIV and FPA. The FPA gave a kappa coefficient of agreement with respect to CFT of 0.96, while RB and RIV (relative to the CFT) gave coefficients of 0.70 and 0.61, respectively. Finally, ROC analysis suggested a cut-off value which agreed with the one recommended in the test procedure. We concluded that FPA is a suitable test to be used instead of the CFT in Mexican conditions.
Assuntos
Brucelose Bovina/diagnóstico , Doenças dos Bovinos/diagnóstico , Imunoensaio de Fluorescência por Polarização/veterinária , Animais , Brucella abortus , Bovinos , Imunoensaio de Fluorescência por Polarização/métodos , Lipopolissacarídeos/análise , México , Valores de Referência , Testes Sorológicos/métodosRESUMO
A Western blot assay for identification of 26 kDa and/or 8 kDa antigens in a crude saline extract (CSE) of Taenia solium metacestodes, previously developed for human cysticercosis, was evaluated for use with pigs. The test population used for assay standardisation consisted of 45 cysticercotic pigs (5 pigs positive by necropsy and 40 selected by tongue palpation and LL-Gp immunoblot but not confirmed by necropsy), 48 pigs with heterologous infections and 40 negative controls from endemic and non-endemic areas. The test detected 93% of the cysticercotic group and was 100% specific. In a field study this antigen preparation was compared by immunoblot with antibody recognition for Gp13-50 antigens in a lentil-lectin semi-purified glycoprotein extract of T. solium (LL-Gp). The seroprevalence to CSE antigen was slightly lower (26/75) when compared to LL-Gp (29/75) and this represented a non-significant difference. The CSE Western blot assay was used to assess seroprevalence of T. solium cysticercosis in pig populations in the state of Yucatan, Mexico. A total of 1099 pigs sampled at random from 25 villages revealed a seroprevalence of 23% (253/1099). Seroprevalence in intensively reared, farmed pigs was 2% (7/228). In comparison with farmed pigs, the seroprevalence was 33% (172/513) in free-roaming backyard pigs (OR=13.86, CI=4.0747.22, p<10(-6)) and 25% (74/98) in semi-confined backyard pigs (OR=14.03, CI=5.60-35.16, p<10(-6)). There was no significant difference in seroprevalence by sex (p=0.23). Seroprevalence decreased with age (chi(2)-test for linear trend=7.803, p<0.006). Results of this study demonstrate that the CSE Western blot can be applied for reliable immunodiagnosis of T. solium cysticercosis in pigs. Furthermore, variation in pig husbandry in Yucatan indicated significantly higher exposure to cysticercosis in free-roaming backyard pigs compared to intensively reared animals from the same area.
Assuntos
Western Blotting/veterinária , Cisticercose/veterinária , Doenças dos Suínos/epidemiologia , Fatores Etários , Criação de Animais Domésticos , Animais , Anticorpos Anti-Helmínticos/sangue , Antígenos de Helmintos/imunologia , Cisticercose/diagnóstico , Cisticercose/epidemiologia , Cysticercus/imunologia , Eletroforese em Gel de Poliacrilamida/veterinária , Feminino , Humanos , Masculino , México/epidemiologia , Palpação/veterinária , Reprodutibilidade dos Testes , Fatores de Risco , População Rural , Sensibilidade e Especificidade , Estudos Soroepidemiológicos , Fatores Sexuais , Suínos , Doenças dos Suínos/diagnóstico , Doenças dos Suínos/imunologiaRESUMO
Results of 12 late synovectomies in juvenile rheumatoid arthritis (JRA) (6 knees, 5 wrists, 1 hip), have been evaluated. Synovectomies we performed in 5 patients with 7 to 11 years of evolution and with advanced joint lesions at the X-rays. Pain and inflammation disappeared in all synovectomized joints, but one year later the range of motion was slightly decreased in most of them. In the operated hip, the extent of motions decreased at first, but 6 years later it worked better than the opposite. It is concluded that synovectomy in JRA is useful, even with advanced joint lesions. For best results, present day criteria is to perform synovectomy early in the course of the disease.