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1.
Zookeys ; 1175: 223-284, 2023.
Article in English | MEDLINE | ID: mdl-37636527

ABSTRACT

Colombia is a biodiverse country with 1,486 protected areas covering almost 50 million hectares, yet little is known about the biodiversity they harbor, particularly in terms of harvestmen (Arachnida: Opiliones). This study provides a comprehensive updated summary of the armored harvestmen (Laniatores) species found in Colombia with a list of 173 nominal species, focusing on the Laniatores fauna found in protected areas and its diversity is detailed and analyzed. Maps with all records associated with ecoregions and protected areas in Colombia are presented. Additionally, three new Laniatores species are described here: Phalangodusandresisp. nov. from the department of Cundinamarca, and Ventrifurcaphallainasp. nov. and Ampycellafortunatasp. nov. from the department of Valle del Cauca; and a new family assignment is proposed for Paraphalangodus Roewer, 1915, placing it in the family Nomoclastidae. Information available on Laniatores in the National System of Protected Areas is still scarce and promoting strategies to facilitate the regulatory procedures for collecting specimens in these areas and increasing investment in basic science projects, are suggested to improve the understanding and study of the Laniatores fauna and other invertebrates in Colombia. Finally, a chronicle and timeline set of figures of species of Laniatores from Colombia, described by various authors during three periods, is given.

2.
Animals (Basel) ; 12(23)2022 Dec 06.
Article in English | MEDLINE | ID: mdl-36496959

ABSTRACT

Understanding the interspecific morphological variability of Caquetaia kraussii (Perciformes: Cichlidae) between different localities in its distribution range is becoming essential, as this species constitutes a valuable resource for the economy and subsistence of the local human communities where it is endemic in Colombia and Venezuela. In order to develop efficient farming and handling plans for this species, a deep understanding of the factors and mechanisms generating morphological variability is crucial. This study analyzes the morphological variability of C. kraussii by using geometric morphometrics in four localities distributed between the Dique and North channels, which are part of the Bolívar department in Colombia. Likewise, the effect of environmental variables such as temperature (T°), dissolved oxygen (OD) and pH on morphological variability was analyzed using a partial least squares approach. The results show that environmental stress has an influence on ~10% of the body shape of C. kraussii, whereas ~90% of the body shape is not directly influenced by environmental parameters, suggesting an effect from stress related to sexual dimorphism. Similarly, the analyses show shape variation among localities, mainly between populations of lotic environments and those of lentic environments. This morphological disparity seems to be subject to environmental and sexual stresses in the different localities.

3.
Zootaxa ; 4619(1): zootaxa.4619.1.8, 2019 Jun 18.
Article in English | MEDLINE | ID: mdl-31716320

ABSTRACT

A new species of the armored spider genus Caraimatta Lehtinen, 1981 from Colombian Tropical dry forest fragments is described and illustrated: Caraimatta brescoviti sp. nov. (based on male and female) from Bolivar and Sucre departments, representing the first record of the genus from Colombia. Additionally, photographs of Monoblemma muchmorei Shear, 1978 (other tetrablemmid species previously recorded from the country) are given. A map with the known distribution and an identification key for males and females of the Caraimatta species are also included.


Subject(s)
Spiders , Animal Distribution , Animals , Colombia , Female , Forests , Male
4.
Arch. Soc. Esp. Oftalmol ; 94(7): 337-342, jul. 2019. tab
Article in Spanish | IBECS | ID: ibc-185188

ABSTRACT

Objetivo: La medición de la osmolaridad lagrimal en pacientes con ojo seco ha sido cuestionada debido a su alta variabilidad. El entendimiento del origen de dicha variabilidad ayudaría a la interpretación clínica de los valores obtenidos. Esta investigación evalúa la medición de la variabilidad lagrimal en la práctica clínica. Material y métodos: Veinte pacientes con ojo seco y 20 controles fueron evaluados. Fueron realizadas 3 mediciones consecutivas de osmolaridad a intervalos de 5min. La variabilidad fue definida como la diferencia entre las mediciones más extremas obtenidas en cada ojo. Se utilizaron técnicas de aprendizaje de máquinas para evaluar la capacidad discriminadora de la osmolaridad lagrimal. Resultados: La osmolaridad promedio en el grupo control y ojo seco fueron 295,1 ± 7,3 mOsm/L y 300,6 ± 11,2 mOsm/L, respectivamente (p = 0,004). La variabilidad de la osmolaridad lagrimal fue 7,5 ± 3,6 mOsm/L en el grupo control y 16,7 ± 11,9 mOsm/L en los pacientes con ojo seco (p < 0,001). Basado en la osmolaridad, un clasificador logístico obtuvo un 85% de precisión. Conclusiones: La osmolaridad promedio y la variabilidad fueron significativamente más altas en pacientes con ojo seco. Por otra parte, las técnicas de aprendizaje de máquina demostraron buena precisión para clasificar a los pacientes. Por tanto, la alta variabilidad parece ser característica propia de la enfermedad de ojo seco


Objective: Because of high variability, tear film osmolarity measures have been questioned in dry eye assessment. Understanding the origin of such variability would aid data interpretation. This study aims to evaluate osmolarity variability in a clinical setting. Material and methods: Twenty dry eyes and 20 control patients were evaluated. Three consecutive osmolarity measurements per eye at 5min intervals were obtained. Variability was represented by the difference between both extreme readings per eye. Machine learning techniques were used to quantify discrimination capacity of tear osmolarity for dry eye. Results: Mean osmolarities in the control and dry eye groups were 295.1 ± 7.3 mOsm/L and 300.6 ± 11.2 mOsm/L, respectively (P=.004). Osmolarity variabilities were 7.5 ± 3.6 mOsm/L and 16.7 ± 11.9 mOsm/L, for the control and dry eye groups, respectively (P < .001). Based on osmolarity, a logistic classifier showed an 85% classification accuracy. Conclusions: In the clinical setting, both mean osmolarity and osmolarity variability in the dry eye group were significantly higher than in the control group. Machine learning techniques showed good classification accuracy. It is concluded that higher variability of tear osmolarity is a dry eye feature


Subject(s)
Humans , Male , Female , Adolescent , Young Adult , Adult , Dry Eye Syndromes/diagnosis , Machine Learning , Tears/chemistry , Biological Variation, Population , Dry Eye Syndromes/metabolism , Osmolar Concentration
5.
Int J Biol Macromol ; 136: 785-795, 2019 Sep 01.
Article in English | MEDLINE | ID: mdl-31189087

ABSTRACT

Prebiotic effects of Agave salmiana fructans at five different doses were evaluated by the growth of Bifidobacterium, Lactobacillus, and Clostridium strains and SCFA production in the cecum and proximal colon of healthy Wistar rats. Mucosal integrity, bacterial proliferation, and inflammatory response were also examined. Growth of Bifidobacterium and Lactobacillus strains was improved by 12.5% doses of fructans in both cecum and proximal colon tissues, and a significant decrease of Clostridium (P < 0.05) was observed. Increases in mucosal thickness, proliferation, and cell adhesion were mainly observed in the cecum. High concentration of butyric acid and total SCFA were contained in the 12.5% doses. This study provides direct evidence of the prebiotic effects of Agave salmiana fructans, demonstrating that a diet supplemented with a 12.5% dose of fructans promotes major growth of probiotic bacteria and could be used as a potential prebiotic ingredient under the conditions used in this study. Taken together, these results further indicate the significance of Agave salmiana fructans as a prebiotic ingredient in the regulation and prevention of gastrointestinal diseases, as well as for the design of functional foods.


Subject(s)
Agave/chemistry , Cecum/drug effects , Colon/drug effects , Fructans/pharmacology , Prebiotics , Animals , Cecum/metabolism , Cecum/microbiology , Colon/metabolism , Colon/microbiology , Dietary Supplements , Fatty Acids, Volatile/biosynthesis , Gram-Positive Bacteria/drug effects , Gram-Positive Bacteria/growth & development , Inflammation/metabolism , Inflammation/microbiology , Intestinal Mucosa/drug effects , Intestinal Mucosa/metabolism , Intestinal Mucosa/microbiology , Rats , Rats, Wistar
6.
Arch Soc Esp Oftalmol (Engl Ed) ; 94(7): 337-342, 2019 Jul.
Article in English, Spanish | MEDLINE | ID: mdl-31122680

ABSTRACT

OBJECTIVE: Because of high variability, tear film osmolarity measures have been questioned in dry eye assessment. Understanding the origin of such variability would aid data interpretation. This study aims to evaluate osmolarity variability in a clinical setting. MATERIAL AND METHODS: Twenty dry eyes and 20 control patients were evaluated. Three consecutive osmolarity measurements per eye at 5min intervals were obtained. Variability was represented by the difference between both extreme readings per eye. Machine learning techniques were used to quantify discrimination capacity of tear osmolarity for dry eye. RESULTS: Mean osmolarities in the control and dry eye groups were 295.1±7.3mOsm/L and 300.6±11.2mOsm/L, respectively (P=.004). Osmolarity variabilities were 7.5±3.6mOsm/L and 16.7±11.9mOsm/L, for the control and dry eye groups, respectively (P<.001). Based on osmolarity, a logistic classifier showed an 85% classification accuracy. CONCLUSIONS: In the clinical setting, both mean osmolarity and osmolarity variability in the dry eye group were significantly higher than in the control group. Machine learning techniques showed good classification accuracy. It is concluded that higher variability of tear osmolarity is a dry eye feature.


Subject(s)
Dry Eye Syndromes/diagnosis , Machine Learning , Tears/chemistry , Adolescent , Adult , Biological Variation, Individual , Dry Eye Syndromes/metabolism , Female , Humans , Male , Middle Aged , Osmolar Concentration , Young Adult
7.
Zootaxa ; 4500(1): 91-103, 2018 Oct 15.
Article in English | MEDLINE | ID: mdl-30486079

ABSTRACT

Herein, we describe a new schizomid species from the genus Piaroa Villarreal, Giuponni Tourinho, 2008, Piaroa turbacoensis sp. nov., based on individuals collected in the Botanical Garden "Guillermo Piñeres", Turbaco, Bolivar, Colombian Caribbean region. Piaroa turbacoensis is the sixth species of the genus to be found in Colombia, and the tenth to be found with regards to the genus as a whole. This species is the first Colombian species to be recorded in a Dry Tropical Forest biome. Piaroa turbacoensis is easily distinguishable by the presence of spermathecae lateral lobes with massive circular stalk bases, and male pedipalp with ventroectal truncate process over the femur and ventroectal depression over the patella. Here, we provide an updated distribution map of the genus and comments about the natural history of the new species.


Subject(s)
Arachnida , Scorpions , Animal Distribution , Animals , Caribbean Region , Colombia , Male
8.
Int J Biol Macromol ; 108: 1300-1309, 2018 Mar.
Article in English | MEDLINE | ID: mdl-29138000

ABSTRACT

A prospective completely randomized experimental study was conducted using 48 animals to evaluate the physiometabolic effects of Agave salmiana fructans as a dietary supplement in healthy Wistar rats. Five fructans concentrations from 5 to 20% (w/w) and one control were used in the rats' diet and were divided into six groups (n=8 rats/group). The treatments were carried out for 35days, during which glucose, cholesterol, triglycerides, body-weight gain, food intake, fecal excretion, organ weights, renal and hepatic functions and a histological analysis of the cecum were evaluated. Glucose, cholesterol, triglycerides, renal and hepatic functions were not significantly affected by any treatment. Body-weight gain and food intake were lower in the rat groups fed fructans than in the control group. Increased fecal excretion (p<0.05) was observed only in animals fed 12.5 and 20% fructans. Mice supplemented with fructans exhibited increased weight and length (p<0.05) in the cecum and colon. A histological analysis of the cecum showed cellular proliferation with a dose of 12.5% and membrane lysis at doses of 15 and 20%. In conclusion, the inclusion of 12.5% of Agave salmiana fructans in the animals' diets exerts beneficial physiometabolic effects after the seventh treatment day.


Subject(s)
Agave/chemistry , Fructans/pharmacology , Metabolism/drug effects , Physiological Phenomena/drug effects , Animals , Blood Glucose/metabolism , Body Weight/drug effects , Cecum/anatomy & histology , Cecum/chemistry , Cecum/drug effects , Cholesterol/blood , Colon/anatomy & histology , Colon/chemistry , Colon/drug effects , Dietary Supplements/analysis , Drinking/drug effects , Feces/chemistry , Hydrogen-Ion Concentration , Kidney/drug effects , Kidney/physiology , Liver/drug effects , Liver/physiology , Male , Organ Size/drug effects , Rats , Rats, Wistar , Triglycerides/blood
9.
J Neuroendocrinol ; 29(4)2017 04.
Article in English | MEDLINE | ID: mdl-28235136

ABSTRACT

The lateral septum (LS), a brain structure implicated in addictive behaviours, regulates the activation of dopaminergic neurones in the ventral tegmental area. Vasopressinergic projections from the extended amygdala to the LS, which are sexually dimorphic, could be responsible for the vulnerability to addiction in a sex-dependent manner. The present study aimed to investigate the modulatory effects of amphetamine (AMPH) on the expression of vasopressin (AVP) in the vasopressinergic extra-hypothalamic system in sensitised male and female rats. Adult male and female Sprague-Dawley rats underwent an AMPH-locomotor sensitisation protocol. Acute AMPH increased AVP mRNA expression in the medial amygdala (MeA), whereas AMPH-induced sensitisation increased AVP mRNA expression in the bed nucleus of the stria terminalis (BNST) only in females. Interestingly, the increase in AVP expression in BNST was higher in oestrus females compared to dioestrus females and acute AMPH resulted in a decrease in AVP levels in the LS, only in males. Thus, there are complex and region-specific interactions between AMPH and the extra-hypothalamic vasopressinergic system in the brain, underlying possible alterations in different behaviours caused by acute and chronic AMPH exposure.


Subject(s)
Amphetamine/administration & dosage , Arginine Vasopressin/metabolism , Corticomedial Nuclear Complex/metabolism , Septal Nuclei/metabolism , Sex Characteristics , Animals , Behavior, Animal/drug effects , Estrus , Female , Locomotion/drug effects , Male , Rats, Sprague-Dawley
10.
Animal ; 7(3): 455-62, 2013 Mar.
Article in English | MEDLINE | ID: mdl-23121725

ABSTRACT

When embryos are cultured individually or in small groups, blastocyst yield efficiency and quality are usually reduced. The aim of this work was to investigate the effect of supplementation of the embryo culture medium (CM) with several growth factors (GFs) on embryo development and apoptosis rate when a reduced number of embryos were in vitro cultured. Two experimental studies (ES) were carried out. In ES 1, five treatments were tested to study the effect of GF on embryo development: Control (∼30 to 50 embryos cultured in 500 µl of CM); Control 5 (Five embryos cultured in 50 µl microdrops of CM), without addition of GF in either of the two control groups; epidermal GF (EGF); IGF-I; and transforming GF-α (TGF-α) (Five embryos were cultured in 50 µl microdrops of CM with 10 ng/ml EGF, 10 ng/ml IGF-I or 10 ng/ml TGF-α, respectively). In ES 2, following the results obtained in ES 1, four different treatments were tested to study their effect on embryo development and quality (number of cells per blastocyst and apoptotic rate): Control; Control 5; EGF, all three similar to ES 1; EGF + IGF-I group (five embryos cultured in 50 µl microdrops of CM with 10 ng/ml EGF and 10 ng/ml IGF-I). In both ESs, it was observed that a higher proportion of embryos cultured in larger groups achieved blastocyst stage than embryos cultured in reduced groups (22.6% v. 14.0%, 12.6% and 5.3% for Control v. Control 5, IGF-I, TGF-α groups in ES 1, and 24.9% v. 17.1% and 19.0% for Control v. Control 5 and EGF in ES 2, respectively; P < 0.05), with the exception of embryos cultured in medium supplemented with EGF (18.5%) or with EGF + IGF-I (23.5%), in ES 1 and ES 2, respectively. With regard to blastocyst quality, embryos cultured in reduced groups and supplemented with EGF, alone or combined with IGF-I, presented lower apoptosis rates than embryos cultured in reduced groups without GF supplementation (11.6% and 10.5% v. 21.9% for EGF, EGF + IGF-I and Control 5 groups, respectively; P < 0.05). The experimental group did not affect the total number of cells per blastocyst. In conclusion, this study showed that supplementation of the CM with EGF and IGF could partially avoid the deleterious effect of in vitro culture of small groups of bovine embryos, increasing blastocyst rates and decreasing apoptosis rates of these blastocysts.


Subject(s)
Cattle/embryology , Culture Media/analysis , Embryo Culture Techniques/veterinary , Embryonic Development/drug effects , Intercellular Signaling Peptides and Proteins/pharmacology , Animals , Apoptosis/drug effects , Dairying/methods , Embryo Culture Techniques/methods , Epidermal Growth Factor , Fertilization in Vitro/methods , Fertilization in Vitro/veterinary , In Situ Nick-End Labeling/veterinary , Microscopy, Fluorescence/veterinary , Somatomedins , Transforming Growth Factors
11.
Rev Argent Microbiol ; 40(3): 173-9, 2008.
Article in Spanish | MEDLINE | ID: mdl-19024508

ABSTRACT

Resistance phenotypes characterized by minimum inhibitory concentration, disk diffusion and beta-lactamase production were determined in 434 isolates from patients attending the Sexually Transmitted Disease Service at Dr. José Maria Cullen Hospital in Santa Fe, Argentina. Susceptibility tests to penicillin, tetracycline, ciprofloxacin, espectinomycin, azithromycin and ceftriaxone were performed. Pulsed-field gel electrophoresis was conducted made to on three ciprofloxacin-resistant isolates. Epidemiologically speaking, three interesting events should be highlighted: during 1997, plasmid-mediated high level tetracycline-resistant strains were observed (33.3%); from 2002 to 2004 a significant increase of plasmid-mediated penicillin-resistant strains was registered (9.7% to 34.8%); and in the year 2000 the first two quinolone-resistant strains emerged in the province. In our hospital, the first azithromycin-resistant isolate emerged in 2004. We therefore emphasize the importance of the Clinical Microbiology Laboratory in order to provide information for the empiric treatment of this infection.


Subject(s)
Anti-Bacterial Agents/pharmacology , Neisseria gonorrhoeae/drug effects , Argentina , Drug Resistance, Bacterial , Hospitals , Humans , Microbial Sensitivity Tests , Neisseria gonorrhoeae/isolation & purification , Time Factors
12.
Rev. argent. microbiol ; 40(3): 173-179, jul.-sep. 2008. graf, tab
Article in Spanish | LILACS | ID: lil-634598

ABSTRACT

Se determinaron los fenotipos de resistencia caracterizados por la concentración inhibitoria mínima, la difusión con discos y la producción de β-lactamasa de 434 aislamientos de Neisseria gonorrhoeae obtenidos de pacientes atendidos en el Servicio de Enfermedades de Transmisión Sexual del Hospital Dr. José María Cullen, Santa Fe, Argentina. Se realizaron pruebas de sensibilidad a los siguientes antimicrobianos: penicilina, tetraciclina, ciprofloxacina, espectinomicina, azitromicina y ceftriaxona. A tres aislamientos resistentes a ciprofloxacina se les realizó electroforesis de campo pulsado. Se destacaron tres situaciones epidemiológicas de interés: en el año 1997, alta incidencia de aislamientos con resistencia plasmídica a tetraciclina (33,3%); en el período 2002-2004, un aumento significativo de la resistencia plasmídica a penicilina (9,7% a 34,8%); y en el año 2000, la emergencia de dos de los tres primeros aislamientos con resistencia a quinolonas del país. El primer aislamiento resistente a azitromicina en nuestro hospital emerge en el 2004. Este trabajo jerarquiza el rol del Laboratorio de Microbiología Clínica en la orientación del tratamiento empírico de la gonorrea.


Resistance phenotypes characterized by minimum inhibitory concentration, disk diffusion and β-lactamase production were determined in 434 isolates from patients attending the Sexually Transmitted Disease Service at Dr. José María Cullen Hospital in Santa Fe, Argentina. Susceptibility tests to penicillin, tetracycline, ciprofloxacin, espectinomycin, azithromycin and ceftriaxone were performed. Pulsed-field gel electrophoresis was conducted made to on three ciprofloxacin-resistant isolates. Epidemiologically speaking, three interesting events should be highlighted: during 1997, plasmid-mediated high level tetracycline-resistant strains were observed (33.3%); from 2002 to 2004 a significant increase of plasmid-mediated penicillin-resistant strains was registered (9.7% to 34.8%); and in the year 2000 the first two quinolone-resistant strains emerged in the province. In our hospital, the first azithromycin-resistant isolate emerged in 2004. We therefore emphasize the importance of the Clinical Microbiology Laboratory in order to provide information for the empiric treatment of this infection.


Subject(s)
Humans , Anti-Bacterial Agents/pharmacology , Neisseria gonorrhoeae/drug effects , Argentina , Drug Resistance, Bacterial , Hospitals , Microbial Sensitivity Tests , Neisseria gonorrhoeae/isolation & purification , Time Factors
13.
J Eur Acad Dermatol Venereol ; 21(3): 334-9, 2007 Mar.
Article in English | MEDLINE | ID: mdl-17309454

ABSTRACT

BACKGROUND: The mechanism of the action of methotrexate (MTX) in the treatment of psoriasis has not been completely elucidated. OBJECTIVE: To assess the effect of MTX on the expression of intercellular adhesion molecule-1 (ICAM-1), vascular cell adhesion molecule-1 (VCAM-1), E-selectin, activation molecule CD69 and T-cell phenotype in skin specimens from patients with psoriasis. METHODS: We performed an immunohistochemical analysis of the expression of T-cell phenotype and cell adhesion/activation molecules in skin biopsies from patients with psoriasis treated with a fixed dose of MTX (12.5 mg/week). To determine data on the epidermal/dermal T-cell infiltration we carried out a manual quantification. RESULTS: Skin samples prior to therapy showed a moderate to severe inflammatory infiltrate, mainly due to T lymphocytes with a helper/inducer (CD4) phenotype. Most of these cells also expressed ICAM-1 and VCAM-1. Blood vessels showed expression of E-selectin and VCAM-1, and keratinocytes were positive for ICAM-1 staining. The cell infiltrate was reduced after therapy, as well as the expression of cell adhesion molecules. However, we also noted the persistence of the T lymphocyte phenotype CD8(+), expressing the CD69 activation molecule, after the MTX treatment. CONCLUSIONS: MTX downregulates the expression of some adhesion molecules, a phenomenon that may contribute to its anti-inflammatory therapeutic effect in psoriasis. The infiltrating T cells post-treatment have an activated cytotoxic phenotype, which may suggest a pathogenic role in the continuation and/or recurrence of psoriasis.


Subject(s)
Antigens, CD/biosynthesis , Antigens, Differentiation, T-Lymphocyte/biosynthesis , Cell Adhesion Molecules/biosynthesis , Dermatologic Agents/pharmacology , Methotrexate/pharmacology , Psoriasis/drug therapy , Psoriasis/metabolism , Adult , Biopsy , Down-Regulation , Female , Humans , Immunohistochemistry , Lectins, C-Type , Male , Middle Aged , Phenotype
14.
Rev Argent Microbiol ; 38(3): 152-4, 2006.
Article in Spanish | MEDLINE | ID: mdl-17152216

ABSTRACT

Detection of methicillin-resistant Staphylococcus aureus (MRSA) isolates represents a serious problem to low and media level microbiology labs. In this work cefoxitin (FOX) and cefotaxime (CTX) screen plates (AS) (8-16 microg/ml) with and without 4% of NaCl were evaluated to detect MRSA. Sensitivity, specificity, positive and negative predictive values were determined. The AS oxacillin and the agglutination test MRSA-Screen Latex for the detection of PLP2a were used as reference methods for the evaluation of the different studied screening plates. The 100% (94 strains) PLP2a positive were detected as MRSA with FOX (8 microg/ml), and CTX (8 microg/ml with 4% NaCl) AS. The advantage of FOX AS (8 microg/ml) is that it does not need the addition of NaCl, and CTX AS (8 microg/ml with 4% NaCl) is that cefotaxime is an antimicrobial easily accessible in our country.


Subject(s)
Anti-Bacterial Agents/pharmacology , Cefotaxime/pharmacology , Cefoxitin/pharmacology , Methicillin Resistance , Staphylococcus aureus/drug effects , Humans , Microbial Sensitivity Tests
15.
Pharmacoeconomics ; 22 Suppl 3: 1-12, 2004.
Article in English | MEDLINE | ID: mdl-15669149

ABSTRACT

OBJECTIVE: To evaluate prescribing patterns of lipid-lowering drugs used in management of patients at risk of coronary heart disease (CHD) in usual clinical practice in Spain and to assess low-density lipoprotein cholesterol (LDL-C) goal attainment among CHD and CHD equivalent patients (< 100 mg/dL) and non-CHD patients with two or more risk factors (< 130 mg/dL) who were prescribed lipid-lowering drugs. METHODS: Cohort study with retrospective chart review at 23 primary care centres and 16 lipid treatment centres across Spain (59% primary care; 41% outpatient lipid centres). Physicians consecutively identified eligible patients. Adults (aged > or = 18 years) with CHD/CHD equivalent or two or more major risk factors prior to first prescription of lipid-lowering drugs were eligible. Medical records were reviewed by physicians to collect patient characteristics, baseline and follow-up laboratory values and lipid-lowering drug treatment data. RESULTS: 619 patients (45.5% CHD and CHD equivalent patients and 54.5% non-CHD with two or more major risk factors) were included in the study with an average study follow-up of 3.6 years. Mean age was 60.1 years (SD 10.2), and 47.8% were female. Mean baseline LDL-C was 178 mg/dL (SD 45.0) for the CHD/CHD equivalent patients and 191 mg/dL (SD 56.95) for patients with two or more risk factors. Statins were the initial lipid-lowering drugs in 90.2% of patients; 52.5% of patients were initiated on low-dose (simvastatin 10mg or lower potency) statins. Overall 20.2% of CHD/CHD equivalent and 31.4% of patients with two or more risk factors attained LDL-C goal during the study period; of patients not attaining goal, 28.7% required an additional LDL-C reduction of > 30% to attain goal. In a logistic regression model for goal attainment, CHD/CHD equivalent patients (odds ratio [OR] 0.47; 95% confidence interval [CI] 0.31, 0.72) and patients with baseline LDL-C > 190 mg/dL (OR 0.53; 95% CI 0.35, 0.80) were least likely to reach cholesterol goal when compared with patients having baseline LDL-C > 100 mg/dL and < 130 mg/dL. CONCLUSION: Only 12.9% of patients attained LDL-C goal on their initial lipid-lowering drugs, and an additional 13.4% achieved goal after a change in their lipid-lowering therapy, resulting in 73.7% of patients not attaining goal after at least 3 years of follow-up, after initiation of lipid-lowering therapy. Patients who would gain the most from aggressive lipid lowering (CHD patients and patients with high baseline LDL-C) were least likely to achieve goal. More effective lipid management is needed to help these patients lower their cholesterol to goal levels or even lower.


Subject(s)
Cholesterol, LDL/blood , Hyperlipidemias/drug therapy , Hypolipidemic Agents/therapeutic use , Cholesterol, HDL/blood , Cohort Studies , Dose-Response Relationship, Drug , Female , Humans , Hyperlipidemias/epidemiology , Hypolipidemic Agents/administration & dosage , Logistic Models , Male , Medicine/statistics & numerical data , Middle Aged , Practice Guidelines as Topic , Practice Patterns, Physicians' , Primary Health Care/statistics & numerical data , Risk Factors , Spain/epidemiology , Specialization , Time Factors
16.
Acta Gastroenterol Latinoam ; 31(2): 65-9, 2001 May.
Article in Spanish | MEDLINE | ID: mdl-11471320

ABSTRACT

Argentina and Uruguay are countries with high mortality rates for colorectal cancer. In the Province of Santa Fe, colorectal cancer ranks as third when considering cancer as the cause of death. The aim in this study was to compare the mortality rates for colorectal cancer in the Province for a 10 year period. The mortality rates for 1985-1987 and 1995-1997 were 17.2% an 19.1% respectively. There was no significant difference with the mortality rates during that decade our study encompasses.


Subject(s)
Colonic Neoplasms/mortality , Aged , Aged, 80 and over , Argentina/epidemiology , Female , Humans , Incidence , Male , Middle Aged , Sex Distribution
17.
Z Naturforsch C J Biosci ; 56(11-12): 1091-4, 2001.
Article in English | MEDLINE | ID: mdl-11837662

ABSTRACT

A phytochemical study of two plant species, Viscum cruciatum Sieber and Crataegus monogyna Jacq., was completed to investigate the influence of the parasite Viscum cruciatum on the host Crataegus monogyna. The study was carried out with two samples and consisted of hexane extracts of the Viscum cruciatum parasitizing on Crataegus monogyna and C monogyna. In these samples ursolic acid, beta-sitosterol and a triterpene fraction were found that contained mainly butyrospermol (3beta-lanost 8, 24-dien, 3-ol), 24-methylene-24-dihydrolanosterol (24-methylene-5alpha-lanost-8-en-3beta-ol), cycloartenol (9beta, 19-cyclo-5alpha, 9beta-lanost-24-en-3beta-ol), beta-amyrin (olean-12-en-3beta-ol) and several aliphatic alcohols identified as the C18 to C30 members of the 1-alkanol homologous series. beta-Amyrin acetate was only isolated from Viscum cruciatum and was not found in Crataegus monogyna.


Subject(s)
Rosales/chemistry , Rosales/physiology , Viscum/physiology , Alcohols/chemistry , Alcohols/isolation & purification , Alcohols/pharmacology , Hexanes , Plant Diseases , Sitosterols/isolation & purification , Sitosterols/pharmacology , Triterpenes/isolation & purification , Triterpenes/pharmacology , Viscum/chemistry , Ursolic Acid
18.
Acta gastroenterol. latinoam ; 31(2): 65-9, 2001. tab
Article in Spanish | LILACS | ID: lil-288642

ABSTRACT

Argentina y Uruguay son países con altos índices de mortalidad por cáncer de colon. En la Provincia deSanta Fé, el cáncer de colon ocupa el tercer lugar como causa de muerte debido a enfermedades neoplásicas. El objetivo del presente trabajo fue comparar las tasas de mortalidad debidas al cáncer de colon en nuestra Provincia en el transcurso de 10 años. Se determinó una tasa de mortalidad de un 17,2 por ciento y 19,1 por ciento para los períodos 1985-1987 y 1995-1997 respectivemente. No hubo diferencias estadisticamente significativas en las tasas de mortalidad luego de transcurrido una década.


Subject(s)
Humans , Male , Female , Middle Aged , Colonic Neoplasms/mortality , Aged, 80 and over , Argentina/epidemiology , Incidence
19.
Acta gastroenterol. latinoam ; 31(2): 65-9, 2001 May.
Article in Spanish | BINACIS | ID: bin-39508

ABSTRACT

Argentina and Uruguay are countries with high mortality rates for colorectal cancer. In the Province of Santa Fe, colorectal cancer ranks as third when considering cancer as the cause of death. The aim in this study was to compare the mortality rates for colorectal cancer in the Province for a 10 year period. The mortality rates for 1985-1987 and 1995-1997 were 17.2


an 19.1


respectively. There was no significant difference with the mortality rates during that decade our study encompasses.

20.
Acta gastroenterol. latinoam ; 31(2): 65-9, 2001. tab
Article in Spanish | BINACIS | ID: bin-10158

ABSTRACT

Argentina y Uruguay son países con altos índices de mortalidad por cáncer de colon. En la Provincia deSanta Fé, el cáncer de colon ocupa el tercer lugar como causa de muerte debido a enfermedades neoplásicas. El objetivo del presente trabajo fue comparar las tasas de mortalidad debidas al cáncer de colon en nuestra Provincia en el transcurso de 10 años. Se determinó una tasa de mortalidad de un 17,2 por ciento y 19,1 por ciento para los períodos 1985-1987 y 1995-1997 respectivemente. No hubo diferencias estadisticamente significativas en las tasas de mortalidad luego de transcurrido una década. (Au)


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Colonic Neoplasms/mortality , Incidence , Aged, 80 and over , Argentina/epidemiology
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