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1.
J Phys Condens Matter ; 36(28)2024 Apr 12.
Article in English | MEDLINE | ID: mdl-38537283

ABSTRACT

Electrical resistivity experiments show superconductivity atTc=1.1K in a high-quality single crystal of trigonalγ-PtBi2, with an enhanced critical magnetic fieldµ0Hc2(0)≳1.5Tesla and a low critical current-densityJc(0)≈40 A cm-2atH = 0. BothTcandHc2(0)are the highest reported values for stoichiometric bulk samples at ambient pressure. We found a weakHc2anisotropy withΓ=Hc2ab/Hc2c<1, which is unusual among superconductors. Under a magnetic field, the superconducting transition becomes broader and asymmetric. Along with the low critical currents, this observation suggests an inhomogeneous superconducting state. In fact, no trace of superconductivity is observed through field-cooling-zero-field-cooling magnetization experiments.

2.
Sci Rep ; 14(1): 2444, 2024 01 30.
Article in English | MEDLINE | ID: mdl-38286795

ABSTRACT

The Peruvian amazon is very diverse in native forestry species, the Guazuma crinita "Bolaina" being one of the most planted species in the country; however, little or no information about soil requirements and nutrient demands is known. The objective of this work was to assess the general conditions of soil fertility, biomass and macro- and micronutrient amounts in high-productivity Guazuma crinita plantations. Fields of high yielding Bolaina of different ages (1-10 years) were sampled in two regions. Soil and plant samples were collected in each field and biometric measurements of fresh weight, diameter at breast height and height were performed. For soil and plant analysis, both macro- (N, P, K, Ca, Mg, S) and micronutrients (B, Cu, Fe, Mn, Zn) were determined. Finally, allometric equations were constructed for biometric and nutrient amounts. This study is the first to assess and model macro- and micronutrient amounts in the productive cycle in this species, which grows in fertile soils. In the case of biometric equations, the logarithmic and logistic models performed better. For nutrient amounts, this species followed a pattern of Ca > N > K > P > S > Mg for macronutrients and Fe > B > Mn > Zn > Cu for micronutrients. The best prediction models for nutrients were the square root and logistic models.


Subject(s)
Trace Elements , Trees , Soil , Trace Elements/analysis , Micronutrients , Nutrients , Biometry
3.
Rev. otorrinolaringol. cir. cabeza cuello ; 82(3): 333-337, sept. 2022. ilus
Article in Spanish | LILACS | ID: biblio-1409942

ABSTRACT

Resumen Durante la cirugía endoscópica nasosinusal, la sección inadvertida y retracción hacia la órbita de la arteria etmoidal anterior (AEA) es el mecanismo habitual del hematoma orbitario (HO); éste se manifiesta con proptosis, dolor y déficit visual potencialmente irreversible. El déficit visual es secundario a isquemia del nervio óptico por aumento de la presión intraocular, siendo suficientes treinta minutos para que ocurra daño visual permanente. Por sus secuelas el tratamiento del HO debe ser rápido y agresivo. Presentamos el caso de un varón de 72 años con diagnóstico de rinosinusitis crónica con pólipos nasales refractaria a tratamiento médico que se sometió a cirugía endoscópica nasal y que desarrolló en el posoperatorio inmediato con un HO. Se manejó precozmente con cantotomía-cantolisis, descompresión orbitaria medial endoscópica y control vascular de la AEA. El paciente evoluciona favorablemente, sin déficit visual. En este artículo se discutirán el diagnóstico y manejo oportunos del hematoma orbitario iatrogénico.


Abstract During endoscopic sinonasal surgery, inadvertent section of the anterior ethmoidal artery (AEA) with retraction into the orbit is the usual mechanism of orbital hematoma (OH), leading to proptosis, pain, and potentially irreversible visual loss. Thirty minutes is sufficient for retinal ischemia and permanent visual loss. The explanation for blindness is due to increased intraorbital pressure. The treatment of iatrogenic HO must be quick and aggressive, because if it is not managed in time, it can cause a permanent visual deficit. We present the case of a 72-year-old man with a diagnosis of chronic rhinosinusitis with nasal polyps refractory to medical treatment who underwent nasal endoscopic surgery, evolving in the immediate postoperative period with an HO, requiring canthotomy - cantolysis and early surgical reintervention for endoscopic medial orbital decompression and vascular control of AEA. The patient evolves favorably, without visual deficit. This article will discuss the timely diagnosis and management of iatrogenic orbital hematoma.


Subject(s)
Humans , Male , Aged , Orbital Diseases/etiology , Nasal Polyps/surgery , Endoscopy/adverse effects , Hematoma/etiology , Endoscopy/methods , Hemorrhage/etiology
4.
Article in Spanish | LILACS | ID: biblio-1411799

ABSTRACT

La posible relación entre apneas durante la infancia temprana y Síndrome de Muerte Súbita del Lactante (SMSL) nunca ha sido demostrada, existiendo evidencias de que ambas condiciones podrían no estar relacionadas. La Academia Americana de Pediatría (AAP) define ALTE (Acute Life Threatening Event), como un evento brusco e inesperado que incluye manifestaciones de apnea junto con cambios de coloración cutánea y de tono muscular, donde el observador cree que el niño ha muerto. La AAP ha propuesto recientemente la sustitución del término ALTE por Brief Resolved Unexplained Events (BRUE). El nuevo concepto permite categorizar eventos breves, resueltos e inexplicados, para optimizar mejor el recurso en salud, a través de objetivar el evento y entregando estrategias de manejo categorizando el riesgo. Objetivo: Describir las características clínicas y letalidad de los pacientes menores de 12 meses que consultan por BRUE en un hospital de referencia. Materiales y métodos: Estudio transversal descriptivo con revisión de ficha de 46 pacientes de la Unidad de Lactantes y Nutrición del Hospital Dr. Luis Calvo Mackenna, con diagnóstico de BRUE, entre enero a diciembre de 2017. Resultados: Del total de pacientes con BRUE, 45% fueron hombres y 55% mujeres. La edad promedio fue de 1,37 + 0,51 meses. En 70% se demostró una etiología, de estas 31% con enfermedad por reflujo gastroesofágico (ERGE), siendo ésta la causa más frecuente seguida de un 19% con infecciones respiratorias agudas (IRA) y 9% causas neurológicas. En el 30% fueron causas idiopáticas. Conclusión: En nuestro estudio las causas más frecuentes de BRUE fueron ERGE e infecciones respiratorias. Durante el período de estudio ningún paciente estudiado falleció, por lo que no encontramos relación entre apneas del lactante y síndrome de muerte súbita.


The possible relationship between apneas during early childhood and Sudden Infant Death Syndrome (SIDS) has never been demonstrated, and there is evidence that the two conditions may not be related. The American Academy of Pediatrics (AAP) defines ALTE (Acute Life Threatening Event), as an abrupt and unexpected event that includes manifestations of apnea along with changes in skin color and muscle tone, where the observer believes that the child has died. The AAP has recently proposed replacing the term ALTE with Brief Resolved Unexplained Events (BRUE). The new concept makes it possible to categorize brief, resolved and unexplained events, to better optimize the health resource, through objectifying the event and delivering management strategies by categorizing the risk. Objective: To describe the clinical characteristics and lethality of patients younger than 12 months who consult for BRUE in a referral hospital. Materials and methods: Descriptive cross-sectional study with revision of the file of 46 patients from the Infant and Nutrition Unit of the Dr. Luis Calvo Mackenna Hospital, with a diagnosis of BRUE, between January and December 2017. Results: Of the total number of patients with BRUE, 45% were men and 55% women. The average age was 1.37 + 0.51 months. An etiology was demonstrated in 70%, of these 31% with gastroesophageal reflux disease (GERD), this being the most frequent cause, followed by 19% with acute respiratory infections (ARI) and 9% with neurological causes. In 30% they were idiopathic causes. Conclusion: In our study, the most frequent causes of BRUE were GERD and respiratory infections. During the study period, no patient studied died, so we found no relationship between apnea in the infant and sudden death syndrome.


Subject(s)
Humans , Male , Female , Infant, Newborn , Infant , Brief, Resolved, Unexplained Event/diagnosis , Brief, Resolved, Unexplained Event/mortality , Respiratory Tract Infections/complications , Gastroesophageal Reflux/complications , Chile , Cross-Sectional Studies , Risk Factors , Death, Sudden , Age and Sex Distribution , Brief, Resolved, Unexplained Event/etiology , Hospitals, Pediatric
5.
Mater Sci Eng C Mater Biol Appl ; 118: 111438, 2021 Jan.
Article in English | MEDLINE | ID: mdl-33255031

ABSTRACT

Photofunctionalization mediated by ultraviolet (UV) light seems to be a promising approach to improve the physico-chemical characteristics and the biological response of titanium (Ti) dental implants. Seeing that photofunctionalization is able to remove carbon from the surface, besides to promote reactions on the titanium dioxide (TiO2) layer, coating the Ti with a stable TiO2 film could potentialize the UV effect. Thus, here we determined the impact of UV-photofunctionalized mixed-phase (anatase and rutile) TiO2 films on the physico-chemical properties of Ti substrate and cell biology. Mixed-phase TiO2 films were grown by radiofrequency magnetron sputtering on commercially pure titanium (cpTi) discs, and samples were divided as follow: cpTi (negative control), TiO2 (positive control), cpTi UV, TiO2 UV (experimental). Photofunctionalization was performed using UVA (360 nm - 40 W) and UVC (250 nm - 40 W) lamps for 48 h. Surfaces were analyzed in terms of morphology, topography, chemical composition, crystalline phase, wettability and surface free energy. Pre-osteoblastic cells (MC3T3E1) were used to assess cell morphology and adhesion, metabolism, mineralization potential and cytokine secretion (IFN-γ, TNF-α, IL-4, IL-6 and IL-17). TiO2-coated surfaces exhibited granular surface morphology and greater roughness. Photofunctionalization increased wettability (p < 0.05) and surface free energy (p < 0.001) on both surface conditions. TiO2-treated groups featured normal cell morphology and spreading, and greater cellular metabolic activity at 2 and 4 days (p < 0.05), whereas UV-photofunctionalized surfaces enhanced cell metabolism, cell adhered area, and calcium deposition (day 14) (p < 0.05). In general, assessed proteins were found slightly affected by either UV or TiO2 treatments. Altogether, our findings suggest that UV-photofunctionalized TiO2 surface has the potential to improve pre-osteoblastic cell differentiation and the ability of cells to form mineral nodules by modifying Ti physico-chemical properties towards a more stable context. UV-modified surfaces modulate the secretion of key inflammatory markers.


Subject(s)
Cytokines , Osteoblasts , 3T3-L1 Cells , Animals , Cell Communication , Mice , Surface Properties , Titanium/pharmacology , Ultraviolet Rays
6.
Rev Gastroenterol Mex (Engl Ed) ; 85(1): 32-41, 2020.
Article in English, Spanish | MEDLINE | ID: mdl-31171390

ABSTRACT

INTRODUCTION AND AIM: Gastric cancer is one of the most frequent neoplasias in Peru and worldwide, with surgery as the only potentially curative or palliative treatment. Laparoscopic gastrectomy is the most frequent alternative surgical technique utilized, but one of its main drawbacks is the technical difficulty involved in perigastric lymphadenectomy. The aim of the present study was to evaluate the clinical and surgical characteristics, postoperative complications, and survival rate in patients with advanced gastric cancer that underwent open gastrectomy or laparoscopic gastrectomy at the Hospital Nacional P.N.P "Luis N. Sáenz" in Lima, Peru, within the time frame of 2005 to 2014. MATERIALS AND METHODS: An analytic, longitudinal, retrospective cohort study was conducted on 482 patients that underwent surgery for gastric cancer, within the time frame of January 2005 to December 2014. The clinical, epidemiologic, and postoperative characteristics were evaluated, and a survival analysis was carried out. RESULTS: Of the 475 patients included in the study, 236 underwent open gastrectomy and 239 had laparoscopic gastrectomy. Median follow-up time was 61.9 months in the open surgery group and 46.7 months in the laparoscopy group. There were fewer postoperative complications in the laparoscopy group and no statistically significant difference between the two groups in relation to the survival analysis. CONCLUSIONS: In our study, laparoscopic gastrectomy resulted in fewer postoperative complications, compared with the open procedure, but did not modify overall survival during the follow-up period.


Subject(s)
Adenocarcinoma/surgery , Gastrectomy/methods , Laparoscopy , Stomach Neoplasms/surgery , Adenocarcinoma/mortality , Adenocarcinoma/pathology , Adult , Aged , Female , Follow-Up Studies , Humans , Lymph Node Excision/methods , Male , Middle Aged , Neoplasm Staging , Postoperative Complications/epidemiology , Retrospective Studies , Stomach Neoplasms/mortality , Stomach Neoplasms/pathology , Survival Analysis , Treatment Outcome
7.
Bone ; 112: 97-106, 2018 07.
Article in English | MEDLINE | ID: mdl-29680264

ABSTRACT

INTRODUCTION: Aminocaproic acid is approved as an anti-fibrinolytic for use in joint replacement and spinal fusion surgeries to limit perioperative blood loss. Previous animal studies have demonstrated a pro-osteogenic effect of aminocaproic acid in spine fusion models. Here, we tested if aminocaproic acid enhances appendicular bone healing and we sought to uncover the effect of aminocaproic acid on osteoprogenitor cells (OPCs) during bone regeneration. METHODS: We employed a well-established murine femur fracture model in adult C57BL/6J mice after receiving two peri-operative injections of aminocaproic acid. Routine histological assays, biomechanical testing and micro-CT analyses were utilized to assess callus volume, and strength, progenitor cell proliferation, differentiation, and remodeling in vivo. Two disparate ectopic transplantation models were used to study the effect of the growth factor milieu within the early fracture hematoma on osteoprogenitor cell fate decisions. RESULTS: Aminocaproic acid treated femur fractures healed with a significantly smaller cartilaginous callus, and this effect was also observed in the ectopic transplantation assays. We hypothesized that aminocaproic acid treatment resulted in a stabilization of the early fracture hematoma, leading to a change in the growth factor milieu created by the early hematoma. Gene and protein expression analysis confirmed that aminocaproic acid treatment resulted in an increase in Wnt and BMP signaling and a decrease in TGF-ß-signaling, resulting in a shift from chondrogenic to osteogenic differentiation in this model of endochondral bone formation. CONCLUSION: These experiments demonstrate for the first time that inhibition of the plasminogen activator during fracture healing using aminocaproic acid leads to a change in cell fate decision of periosteal osteoprogenitor cells, with a predominance of osteogenic differentiation, resulting in a larger and stronger bony callus. These findings may offer a promising new use of aminocaproic acid, which is already FDA-approved and offers a very safe risk profile.


Subject(s)
Chondrogenesis , Femoral Fractures/pathology , Fracture Healing , Osteogenesis , Periosteum/pathology , Plasminogen Activators/antagonists & inhibitors , Aminocaproic Acid/pharmacology , Animals , Biomechanical Phenomena/drug effects , Blood Coagulation/drug effects , Bony Callus/pathology , Cellular Microenvironment/drug effects , Chondrogenesis/drug effects , Femoral Fractures/blood , Femoral Fractures/diagnostic imaging , Fracture Healing/drug effects , Hematoma/pathology , Male , Mice, Inbred C57BL , Osteogenesis/drug effects , Periosteum/diagnostic imaging , Periosteum/drug effects , Periosteum/physiopathology , Plasminogen Activators/metabolism , Signal Transduction/drug effects , X-Ray Microtomography
8.
Horiz. méd. (Impresa) ; 18(3): 6-11, 2018. tab
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1012239

ABSTRACT

Objetivo: Reportar si existen diferencias hematológicas y bioquímicas entre los pacientes con y sin diabetes mellitus tipo 2 (DM2) bajo tratamiento de hemodiálisis (HD). Materiales y métodos: Estudio observacional de cohorte retrospectiva de pacientes atendidos por el Programa de Salud renal en el Centro de Prevención de Enfermedad Renal S.A.C (CENPER) de Lima, Perú. Se compararon los parámetros hematológicos y bioquímicos de 3 pacientes con DM2 y 3 pacientes sin DM2 sometidos a HD. Resultados: Se encontraron diferencias significativas (p<0,05) en el porcentaje de linfocitos, el cociente linfocito/ monocito (LMR), la concentración de hemoglobina y hematocrito (menor en pacientes diabéticos), en el porcentaje de monocitos y en el cociente neutrófilo/ linfocitos (NLR) (mayor en pacientes diabéticos). En los parámetros bioquímicos solo se encontró diferencia significativa en la transaminasa TGO que está más elevada en pacientes diabéticos comparados con pacientes no diabéticos (p<0.005). Conclusiones: Diabetes es un factor importante asociado con inflamación, anemia, linfopenia y monocitosis en pacientes sometidos a HD. LMR fue el marcador más potente de inflamación en esta serie de pacientes. Estudios a mayor escala son requeridos para corroborar esta evidencia.


Objective: To report if there are hematologic and biochemical differences among patients with and without type 2 diabetes mellitus (T2DM) undergoing hemodialysis (HD). Materials and methods: An observational, retrospective, cohort study of patients treated in the Renal Health Program at the Centro de Prevención de Enfermedad Renal S.A.C. (CENPER) in Lima, Peru. The hematologic and biochemical parameters of 3 patients with T2DM and 3 patients without T2DM undergoing HD were compared. Results: Significant differences (p < 0.05) were found in the lymphocyte percentage, lymphocyte/monocyte ratio (LMR), hemoglobin and hematocrit concentration (lower in diabetic patients), monocyte percentage, and neutrophil/ lymphocyte ratio (NLR) (higher in diabetic patients). In the biochemical parameters, the only significant difference was found in the glutamic-oxaloacetic transaminase (GOT) value, which was higher in the diabetic patients compared with the non-diabetic patients (p < 0.005). Conclusions: Diabetes is an important factor linked to inflammation, anemia, lymphopenia and monocytosis in patients undergoing HD. The LMR was the most powerful marker of inflammation in this patient series. Larger-scale studies are required to verify this evidence.

9.
J Phys Condens Matter ; 28(34): 346003, 2016 09 01.
Article in English | MEDLINE | ID: mdl-27357448

ABSTRACT

We report a detailed study of the magnetic properties of CeCo0.85Fe0.15Si under high magnetic fields (up to 16 Tesla) measuring different physical properties such as specific heat, magnetization, electrical resistivity, thermal expansion and magnetostriction. CeCo0.85Fe0.15Si becomes antiferromagnetic at [Formula: see text] K. However, a broad tail (onset at [Formula: see text] K) in the specific heat precedes that second order transition. This tail is also observed in the temperature derivative of the resistivity. However, it is particularly noticeable in the thermal expansion coefficient where it takes the form of a large bump centered at T X . A high magnetic field practically washes out that tail in the resistivity. But surprisingly, the bump in the thermal expansion coefficient becomes a well pronounced peak fully split from the magnetic transition at T N . Concurrently, the magnetoresistance also switches from negative to positive above T N . The magnetostriction is considerable and irreversible at low temperature ([Formula: see text] at 2 K) when the magnetic interactions dominate. A broad jump in the field dependence of the magnetostriction observed at low T may be the signature of a weak ongoing metamagnetic transition. Taking altogether the results indicate the importance of the lattice effects on the development of the magnetic order in these alloys.

10.
Braz J Med Biol Res ; 49(6): e5115, 2016.
Article in English | MEDLINE | ID: mdl-27191604

ABSTRACT

We used biotinylated dextran amine (BDA) to anterogradely label individual axons projecting from primary somatosensory cortex (S1) to four different cortical areas in rats. A major goal was to determine whether axon terminals in these target areas shared morphometric similarities based on the shape of individual terminal arbors and the density of two bouton types: en passant (Bp) and terminaux (Bt). Evidence from tridimensional reconstructions of isolated axon terminal fragments (n=111) did support a degree of morphological heterogeneity establishing two broad groups of axon terminals. Morphological parameters associated with the complexity of terminal arbors and the proportion of beaded Bp vs stalked Bt were found to differ significantly in these two groups following a discriminant function statistical analysis across axon fragments. Interestingly, both groups occurred in all four target areas, possibly consistent with a commonality of presynaptic processing of tactile information. These findings lay the ground for additional work aiming to investigate synaptic function at the single bouton level and see how this might be associated with emerging properties in postsynaptic targets.


Subject(s)
Nerve Net/anatomy & histology , Presynaptic Terminals , Somatosensory Cortex/anatomy & histology , Anatomy, Cross-Sectional , Animals , Biotin/analogs & derivatives , Dextrans , Fluorescent Dyes , Male , Nerve Net/physiology , Neural Pathways/anatomy & histology , Neural Pathways/physiology , Photomicrography , Presynaptic Terminals/physiology , Rats, Wistar , Reference Values , Somatosensory Cortex/physiology
11.
Braz. j. med. biol. res ; 49(6): e5115, 2016. tab, graf
Article in English | LILACS | ID: lil-781415

ABSTRACT

We used biotinylated dextran amine (BDA) to anterogradely label individual axons projecting from primary somatosensory cortex (S1) to four different cortical areas in rats. A major goal was to determine whether axon terminals in these target areas shared morphometric similarities based on the shape of individual terminal arbors and the density of two bouton types: en passant (Bp) and terminaux (Bt). Evidence from tridimensional reconstructions of isolated axon terminal fragments (n=111) did support a degree of morphological heterogeneity establishing two broad groups of axon terminals. Morphological parameters associated with the complexity of terminal arbors and the proportion of beaded Bp vs stalked Bt were found to differ significantly in these two groups following a discriminant function statistical analysis across axon fragments. Interestingly, both groups occurred in all four target areas, possibly consistent with a commonality of presynaptic processing of tactile information. These findings lay the ground for additional work aiming to investigate synaptic function at the single bouton level and see how this might be associated with emerging properties in postsynaptic targets.


Subject(s)
Animals , Male , Nerve Net/anatomy & histology , Presynaptic Terminals , Somatosensory Cortex/anatomy & histology , Anatomy, Cross-Sectional , Biotin/analogs & derivatives , Dextrans , Fluorescent Dyes , Nerve Net/physiology , Neural Pathways/anatomy & histology , Neural Pathways/physiology , Photomicrography , Presynaptic Terminals/physiology , Rats, Wistar , Reference Values , Somatosensory Cortex/physiology
12.
Int Endod J ; 48(5): 451-9, 2015 May.
Article in English | MEDLINE | ID: mdl-24923365

ABSTRACT

AIM: To characterize an experimental gutta-percha and niobium phosphate glass composite (GNB) applied with a thermoplastic technique to the root canals without sealer in a moist environment and to evaluate its micropush-out bond strength to root canal wall dentine. METHODOLOGY: The root canals of sixty human mandibular pre-molars were prepared using rotary NiTi instruments and irrigation with sodium hypochlorite and EDTA. The teeth were then randomly divided into three groups according to the root filling material used: AH plus sealer and gutta-percha (AH), EndoSequence BC gutta-percha without sealer (GBC), and GNB without sealer. The root canals were filled with a single cone using warm vertical condensation. Push-out bond strengths associated with the filling materials in slices from middle root thirds was determined 30 days after root filling. The failure mode was analyzed with SEM. Analysis using EDX and SEM-EDS was carried out to verify the composition and distribution of the particles of the tested materials. Data were statistically analyzed by one-way anova and Tukey's test (P < 0.05). RESULTS: AH and GNB groups had bond strengths of 2.83 ± 0.64 MPa and 2.68 ± 0.84 MPa, respectively, with no significant difference between them (P > 0.05). The GBC group had the lowest mean bond strength (1.34 ± 0.42 MPa), which was significantly different compared with the other groups (P < 0.05). Cohesive failures prevailed in the AH group, whereas failures were mixed in the GBC and GNB groups. The SEM-EDS analysis on the surface and in the bulk of GBC revealed only a superficial coating of bioceramic particles. Glass particles were detected both on the surface and in the bulk of GNB. CONCLUSIONS: The experimental root filling composite (GNB) had an ability to adhere to root canal wall dentine equal to the current gold standard root filling with gutta-percha and sealer (AH Plus).


Subject(s)
Calcium Phosphates/chemistry , Epoxy Resins/chemistry , Glass/chemistry , Gutta-Percha/chemistry , Niobium/chemistry , Oxides/chemistry , Phosphates/chemistry , Root Canal Filling Materials/chemistry , Silicates/chemistry , Bicuspid/surgery , Dental Stress Analysis , Drug Combinations , Humans , In Vitro Techniques , Materials Testing , Microscopy, Electron, Scanning , Spectrometry, X-Ray Emission
15.
J Hum Hypertens ; 28(1): 62-7, 2014 Jan.
Article in English | MEDLINE | ID: mdl-23677131

ABSTRACT

Part of the efficacy of statins in the prevention of cardiovascular events can be attributed to their blood pressure-lowering effect, but clinical trials primarily designed to investigate this effect are scarce. In a double-blind parallel placebo-controlled clinical trial with ambulatory blood pressure (ABP) monitoring, 79 hypertensive patients were randomly assigned to 40 mg of simvastatin (n=40) or placebo (n=39) taken in the morning for 2 months. Between-group deltas of ABP change, adjusted for the corresponding baseline BP, were 2.8 mm Hg (95% CI: 0.4-5.1; P=0.02) for 24-h diastolic blood pressure (DBP), 4.2 mm Hg (95% CI: 0.1-8.4; P=0.04) for daytime systolic BP and 3.1 mm Hg (95% CI: 0.4-5.9; P=0.02) for daytime DBP. There was no effect on nighttime BP. There was an interaction between baseline cholesterol levels and treatment effect, which was restricted to patients with cholesterol above the median of the whole sample. There was no significant change in office BP. In conclusion, simvastatin lowers ABP in patients with hypertension, particularly in the presence of higher levels of cholesterol. This effect may contribute to the beneficial effects of statins in the prevention of cardiovascular disease.


Subject(s)
Blood Pressure Monitoring, Ambulatory , Hydroxymethylglutaryl-CoA Reductase Inhibitors/therapeutic use , Hypertension/drug therapy , Simvastatin/therapeutic use , Brazil , Double-Blind Method , Female , Humans , Male , Middle Aged , Placebos , Treatment Outcome
16.
J Dent Res ; 92(10): 925-31, 2013 Oct.
Article in English | MEDLINE | ID: mdl-23958763

ABSTRACT

UNLABELLED: Enoxacin inhibits binding between the B-subunit of vacuolar H(+)-ATPase (V-ATPase) and microfilaments, and also between osteoclast formation and bone resorption in vitro. We hypothesized that a bisphosphonate derivative of enoxacin, bis-enoxacin (BE), which was previously studied as a bone-directed antibiotic, might have similar activities. BE shared a number of characteristics with enoxacin: It blocked binding between the recombinant B-subunit and microfilaments and inhibited osteoclastogenesis in cell culture with IC50s of about 10 µM in each case. BE did not alter the relative expression levels of various osteoclast-specific proteins. Even though tartrate-resistant acid phosphatase 5b was expressed, proteolytic activation of the latent pro-enzyme was inhibited. However, unlike enoxacin, BE stimulated caspase-3 activity. BE bound to bone slices and inhibited bone resorption by osteoclasts on BE-coated bone slices in cell culture. BE reduced the amount of orthodontic tooth movement achieved in rats after 28 days. Analysis of these data suggests that BE is a novel anti-resorptive molecule that is active both in vitro and in vivo and may have clinical uses. ABBREVIATIONS: BE, bis-enoxacin; V-ATPase, vacuolar H(+)-ATPase; TRAP, tartrate-resistant acid phosphatase; αMEM D10, minimal essential media, alpha modification with 10% fetal bovine serum; SDS-PAGE, sodium dodecyl sulfate-polyacrylamide gel electrophoresis; RANKL, receptor activator of nuclear factor kappa B-ligand; NFATc1, nuclear factor of activated T-cells; ADAM, a disintegrin and metalloprotease domain; OTM, orthodontic tooth movement.


Subject(s)
Alveolar Bone Loss/prevention & control , Enoxacin/pharmacology , Nucleic Acid Synthesis Inhibitors/pharmacology , Osteoclasts/drug effects , Tooth Movement Techniques , Actin Cytoskeleton/metabolism , Animals , Apoptosis , Caspase 3/metabolism , Cattle , Cells, Cultured , Diphosphonates/pharmacology , Male , Protein Binding/drug effects , Rats , Rats, Sprague-Dawley , Vacuolar Proton-Translocating ATPases/antagonists & inhibitors
17.
Braz J Med Biol Res ; 46(2): 164-70, 2013 Feb.
Article in English | MEDLINE | ID: mdl-23558932

ABSTRACT

Myosin Va functions as a processive, actin-based motor molecule highly enriched in the nervous system, which transports and/or tethers organelles, vesicles, and mRNA and protein translation machinery. Mutation of myosin Va leads to Griscelli disease that is associated with severe neurological deficits and a short life span. Despite playing a critical role in development, the expression of myosin Va in the central nervous system throughout the human life span has not been reported. To address this issue, the cerebellar expression of myosin Va from newborns to elderly humans was studied by immunohistochemistry using an affinity-purified anti-myosin Va antibody. Myosin Va was expressed at all ages from the 10th postnatal day to the 98 th year of life, in molecular, Purkinje and granular cerebellar layers. Cerebellar myosin Va expression did not differ essentially in localization or intensity from childhood to old age, except during the postnatal developmental period. Structures resembling granules and climbing fibers in Purkinje cells were deeply stained. In dentate neurons, long processes were deeply stained by anti-myosin Va, as were punctate nuclear structures. During the first postnatal year, myosin Va was differentially expressed in the external granular layer (EGL). In the EGL, proliferating prospective granule cells were not stained by anti-myosin Va antibody. In contrast, premigratory granule cells in the EGL stained moderately. Granule cells exhibiting a migratory profile in the molecular layer were also moderately stained. In conclusion, neuronal myosin Va is developmentally regulated, and appears to be required for cerebellar function from early postnatal life to senescence.


Subject(s)
Cerebellum/metabolism , Myosin Type V/metabolism , Adolescent , Adult , Age Factors , Aged , Aged, 80 and over , Cadaver , Child , Child, Preschool , Electrophoresis, Agar Gel , Female , Humans , Immunoblotting , Immunohistochemistry , Infant , Infant, Newborn , Male , Young Adult
18.
Braz. j. med. biol. res ; 46(2): 164-170, 01/fev. 2013. tab, graf
Article in English | LILACS | ID: lil-668777

ABSTRACT

Myosin Va functions as a processive, actin-based motor molecule highly enriched in the nervous system, which transports and/or tethers organelles, vesicles, and mRNA and protein translation machinery. Mutation of myosin Va leads to Griscelli disease that is associated with severe neurological deficits and a short life span. Despite playing a critical role in development, the expression of myosin Va in the central nervous system throughout the human life span has not been reported. To address this issue, the cerebellar expression of myosin Va from newborns to elderly humans was studied by immunohistochemistry using an affinity-purified anti-myosin Va antibody. Myosin Va was expressed at all ages from the 10th postnatal day to the 98th year of life, in molecular, Purkinje and granular cerebellar layers. Cerebellar myosin Va expression did not differ essentially in localization or intensity from childhood to old age, except during the postnatal developmental period. Structures resembling granules and climbing fibers in Purkinje cells were deeply stained. In dentate neurons, long processes were deeply stained by anti-myosin Va, as were punctate nuclear structures. During the first postnatal year, myosin Va was differentially expressed in the external granular layer (EGL). In the EGL, proliferating prospective granule cells were not stained by anti-myosin Va antibody. In contrast, premigratory granule cells in the EGL stained moderately. Granule cells exhibiting a migratory profile in the molecular layer were also moderately stained. In conclusion, neuronal myosin Va is developmentally regulated, and appears to be required for cerebellar function from early postnatal life to senescence.


Subject(s)
Adolescent , Adult , Aged , Aged, 80 and over , Child , Child, Preschool , Female , Humans , Infant , Infant, Newborn , Male , Young Adult , Cerebellum/metabolism , Myosin Type V/metabolism , Age Factors , Cadaver , Electrophoresis, Agar Gel , Immunoblotting , Immunohistochemistry
19.
Eur J Histochem ; 56(2): e24, 2012 May 25.
Article in English | MEDLINE | ID: mdl-22688305

ABSTRACT

The replacement of the calcified cartilage by bone tissue during the endochondral ossification of the mandibular condyle is dependent of the resorbing activity of osteoclats. After partial resorption, calcified cartilage septa are covered by a primary bone matrix secreted by osteoblasts. Osteoadherin (OSAD) is a small proteoglycan present in bone matrix but absent in cartilage during the endochondral ossification. The aim of this study was to analyze the effect of alendronate, a drug known to inhibit bone resorption by osteoclasts, on the endochondral ossification of the mandibular condyle of young rats, by evaluating the distribution of osteoclasts and the presence of OSAD in the bone matrix deposited. Wistar newborn rats (n=45) received daily injections of alendronate (n=27) or sterile saline solution as control (n=18) from the day of birth until the ages of 4, 14 and 30 days. At the days mentioned, the mandibular condyles were collected and processed for transmission electron microscopy analysis. Specimens were also submitted to tartrate resistant acid phosphatase (TRAP) histochemistry and ultrastructural immunodetection of OSAD. Alendronate treatment did not impede the recruitment and fusion of osteoclasts at the ossification zone during condyle growth, but they presented inactivated phenotype. The trabeculae at the ossification area consisted of cartilage matrix covered by a layer of primary bone matrix that was immunopositive to OSAD at all time points studied. Apparently, alendronate impeded the removal of calcified cartilage and maturation of bone trabeculae in the mandibular ramus, while in controls they occurred normally. These findings highlight for giving attention to the potential side-effects of bisphosphonates administered to young patients once it may represent a risk of disturbing maxillofacial development.


Subject(s)
Alendronate/pharmacology , Bone Density Conservation Agents/pharmacology , Calcification, Physiologic/drug effects , Mandibular Condyle/growth & development , Animals , Cartilage/cytology , Cartilage/growth & development , Cartilage/metabolism , Extracellular Matrix/metabolism , Extracellular Matrix Proteins/metabolism , Female , Male , Mandibular Condyle/cytology , Mandibular Condyle/metabolism , Osteoblasts/cytology , Osteoblasts/metabolism , Osteoclasts/cytology , Osteoclasts/metabolism , Proteoglycans/metabolism , Rats , Rats, Wistar
20.
Rev. chil. pediatr ; 83(2): 146-153, abr. 2012. tab
Article in Spanish | LILACS | ID: lil-639750

ABSTRACT

Objective: This study examined family satisfaction with the education they received in the Strong Families Workshop, whose purpose is risk behavior prevention in adolescents aged 10 to 14. Patients and Method: This was a descriptive, cross-sectional study involving 100 families (parents or guardians and adolescents) from five high schools in the Metropolitan Region of Santiago, Chile. The workshop consisted of seven sessions for parents, adolescents and families. An instrument was used on participants at 6 months post intervention. It included aspects relating to the structure, process and results of the workshop. Results: 100 percent of the families attended the complete workshop. The degree of satisfaction with the family sessions in both groups was greater than 90 percent, and greater than 80 percent with respect to the schedule, frequency, quality of videos, written program material, teacher quality and content completion achievements. Conclusions: There is great interest on the part of parents and adolescents to jointly participate in family strengthening workshops. This may justify the implementation of such at the school level, considering the role of educators as promoters of health and the family as a protective factor in healthy adolescent development.


Objetivo: Este trabajo estudió la satisfacción en familias con la educación recibida en el Taller Familias Fuertes, cuyo propósito es la prevención de conductas de riesgo en adolescentes de 10 a 14 años. Pacientes y Método: Estudio descriptivo, transversal, en 100 familias (padres o tutores y adolescentes) de cinco colegios de la Región Metropolitana de Santiago de Chile. El taller, constó de siete sesiones para padres, adolescentes y familia. Se aplicó un instrumento a los participantes a los 6 meses post intervención, que consideró aspectos de la estructura, proceso y resultados del taller. Resultados: El 100 por ciento de las familias asistió a la totalidad del taller. El grado de satisfacción en ambos grupos con la sesiones en familia fue mayor al 90 por ciento y mayor al 80 por ciento respecto del horario, frecuencia, vídeos, material escrito del programa, calidad docente y logros del cumplimiento de los contenidos. Conclusiones: Existe un gran interés de padres y adolescentes en participar en forma conjunta en talleres de fortalecimiento familiar, por lo tanto se justifica ampliar su implementación a nivel escolar considerando el rol de los educadores como agentes promotores de la salud y a la familia como un factor protector del desarrollo sano del adolescente.


Subject(s)
Humans , Male , Female , Adolescent , Adolescent Behavior , Family Relations , Health Education , Risk Reduction Behavior , Consumer Behavior , Chile , Cross-Sectional Studies , Health Promotion , Parents , Patient Satisfaction , Program Evaluation
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