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1.
J Equine Vet Sci ; 134: 105030, 2024 Mar.
Article in English | MEDLINE | ID: mdl-38342358

ABSTRACT

Cutaneous pythiosis is a life-threatening infectious disease. Low-level laser therapy (LLLT) and ozone (O3) have been used individually in the treatment of infected wounds. The goals of the study were a) to characterize the antimicrobial action of the photo-ozone therapy (LLLT-O3) against equine Pythium insidiosum, and b) to assess the cytotoxic potential of the LLLT-O3 in keratinocytes. Specimens of pathogen were isolated from 10 horses. After culturing, 120 hyphae plugs were distributed among four groups (n=30 hyphae plugs/group): LLLT (laser irradiation for 160 sec;), O3 (exposition to O3 for 15 min;), LLLT-O3 (LLLT and O3 treatments in sequence) and control (untreated plugs). The hyphae growth was measured during the first 14 days post-treatment. Where there was an absence of hyphae growth, the plug was recultured for an additional 7 days. The cytotoxic potential of the treatments against HaCaT keratinocytes was assessed by colorimetric assays. The LLLT-O3 and O3 treatments inactivated, respectively, 92.3% (28/30) and 30% (9/30) of the samples. No growth was detected after 7 days reculture of inactivated hyphae plugs on new media. Hyphae growth was visualized in 100% of the control and LLLT hyphae plugs. The viability of HaCaT cells was not affected by the isolated treatments (LLLT and O3), while the LLLT-O3 showed slight cytotoxic effect (20%) when compared to the control group (P<0.05). Photo-ozone therapy inactivated equine P. insidiosum hyphae with minimal cytotoxicity in skin cells in vitro.


Subject(s)
Horse Diseases , Pythiosis , Pythium , Animals , Horses , Pythiosis/drug therapy , Horse Diseases/drug therapy
2.
Braz J Med Biol Res ; 55: e12116, 2022.
Article in English | MEDLINE | ID: mdl-35976270

ABSTRACT

Cisplatin is an effective antineoplastic agent, but its use is limited by its nephrotoxicity caused by the oxidative stress in tubular epithelium of nephrons. On the other hand, regular exercise provides beneficial adaptations in different tissues and organs. As with many drugs, dosing is extremely important to get the beneficial effects of exercise. Thus, we aimed to investigate the influence of exercise intensity and frequency on cisplatin-induced (20 mg/kg) renal damage in mice. Forty male Swiss mice were divided into five experimental groups (n=8 per group): 1) sedentary; 2) low-intensity forced swimming, three times per week; 3) high-intensity forced swimming, three times per week; 4) low-intensity forced swimming, five times per week; and 5) high-intensity forced swimming, five times per week. Body composition, renal structure, functional indicators (plasma urea), lipid peroxidation, antioxidant enzyme activity, expression of genes related to antioxidant defense, and inflammatory and apoptotic pathways were evaluated. Comparisons considered exercise intensity and frequency. High lipid peroxidation was observed in the sedentary group compared with trained mice, regardless of exercise intensity and frequency. Groups that trained three times per week showed more benefits, as reduced tubular necrosis, plasma urea, expression of CASP3 and Rela (NFkB subunit-p65) genes, and increased total glutathione peroxidase activity. No significant difference in Nfe2l2 (Nrf2) gene expression was observed between groups. Eight weeks of regular exercise training promoted nephroprotection against cisplatin-mediated oxidative injury. Exercise frequency was critical for nephroprotection.


Subject(s)
Antioxidants , Cisplatin , Animals , Antioxidants/pharmacology , Cisplatin/toxicity , Lipid Peroxidation , Male , Mice , Oxidative Stress , Swimming , Urea
3.
Braz. j. med. biol. res ; 55: e12116, 2022. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1394127

ABSTRACT

Cisplatin is an effective antineoplastic agent, but its use is limited by its nephrotoxicity caused by the oxidative stress in tubular epithelium of nephrons. On the other hand, regular exercise provides beneficial adaptations in different tissues and organs. As with many drugs, dosing is extremely important to get the beneficial effects of exercise. Thus, we aimed to investigate the influence of exercise intensity and frequency on cisplatin-induced (20 mg/kg) renal damage in mice. Forty male Swiss mice were divided into five experimental groups (n=8 per group): 1) sedentary; 2) low-intensity forced swimming, three times per week; 3) high-intensity forced swimming, three times per week; 4) low-intensity forced swimming, five times per week; and 5) high-intensity forced swimming, five times per week. Body composition, renal structure, functional indicators (plasma urea), lipid peroxidation, antioxidant enzyme activity, expression of genes related to antioxidant defense, and inflammatory and apoptotic pathways were evaluated. Comparisons considered exercise intensity and frequency. High lipid peroxidation was observed in the sedentary group compared with trained mice, regardless of exercise intensity and frequency. Groups that trained three times per week showed more benefits, as reduced tubular necrosis, plasma urea, expression of CASP3 and Rela (NFkB subunit-p65) genes, and increased total glutathione peroxidase activity. No significant difference in Nfe2l2 (Nrf2) gene expression was observed between groups. Eight weeks of regular exercise training promoted nephroprotection against cisplatin-mediated oxidative injury. Exercise frequency was critical for nephroprotection.

4.
Hand Surg Rehabil ; 40(5): 682-686, 2021 10.
Article in English | MEDLINE | ID: mdl-34004370

ABSTRACT

An anatomical variant of flexor digitorum superficialis brevis is an uncommon condition that may be a pitfall in diagnosing carpal tunnel syndrome, involving palpable mass and even characteristic symptoms. We present an unusual case of bilateral symptomatic carpal tunnel syndrome related to the presence of a flexor digitorum superficialis brevis muscle of the little finger, and a critical review of the literature.


Subject(s)
Carpal Tunnel Syndrome , Carpal Tunnel Syndrome/etiology , Carpal Tunnel Syndrome/surgery , Fingers , Forearm , Hand , Humans , Muscle, Skeletal
5.
Hand Surg Rehabil ; 40(2): 202-204, 2021 04.
Article in English | MEDLINE | ID: mdl-33309794

ABSTRACT

This study describes a case of flexor pollicis longus rupture resulting from long-term scaphoid nonunion advanced collapse. The tendon rupture mechanism was attrition due to sharp bone protuberances from the scaphoid in the carpal tunnel. Although this extremely rare complication has already been reported in the literature, our study is original in showing that proximal row carpectomy with consequent wrist shortening allowed primary tendon repair without transferring the flexor digitorum superficialis tendon of the ring finger or grafting the palmaris longus tendon, which besides using two-level suturing, interposes a non-vascularized tissue.


Subject(s)
Orthopedic Procedures , Scaphoid Bone , Tendon Injuries , Humans , Rupture/surgery , Scaphoid Bone/surgery , Tendon Injuries/etiology , Tendon Injuries/surgery , Tendons
6.
Phys Rev Lett ; 125(10): 104301, 2020 Sep 04.
Article in English | MEDLINE | ID: mdl-32955320

ABSTRACT

In a bearing state, touching spheres (disks in two dimensions) roll on each other without slip. Here we frustrate a system of touching spheres by imposing two different bearing states on opposite sides and search for the configurations of lowest energy dissipation. If the dissipation between contacts of spheres is viscous (with random damping constants), the angular momentum continuously changes from one bearing state to the other. For Coulomb friction (with random friction coefficients) in two dimensions, a sharp line separates the two bearing states and we show that this line corresponds to the minimum cut. Astonishingly, however, in three dimensions intermediate bearing domains that are not synchronized with either side are energetically more favorable than the minimum-cut surface. Instead of a sharp cut, the steady state displays a fragmented structure. This novel type of state of minimum dissipation is characterized by a spanning network of slipless contacts that reaches every sphere. Such a situation becomes possible because in three dimensions bearing states have four degrees of freedom.

7.
Theriogenology ; 158: 188-195, 2020 Dec.
Article in English | MEDLINE | ID: mdl-32961354

ABSTRACT

Our objectives were to investigate potential changes in the size of steroidogenic large luteal cells (LLC) during partial luteolysis induced by a sub-dose of cloprostenol in early diestrus and to determine transcriptional variations in genes involved in corpus luteum (CL) functions. Cows were subjected to an Ovsynch protocol, with the time of the second GnRH treatment defined as Day 0 (D0). On D6, cows were randomly allocated into three treatments: Control (2 mL saline, im; n = 10), 2XPGF (two doses of 500 µg of cloprostenol, im, 2 h apart; n = 8) or 1/6PGF (single dose of 83.3 µg of cloprostenol, im; n = 10). Before treatments and every 8 h during the 48-h experimental period, blood samples were collected and CL volumes measured. Furthermore, two CL biopsies were obtained at 24 and 40 h post-treatment. The 1/6PGF treatment caused partial luteolysis, characterized by sudden decreases in plasma progesterone (P4) concentrations, luteal volume and LLC size, followed by increases (to pretreatment values) in P4 and luteal volume at 24 and 40 h post-treatment, respectively. However, at the end of the study, P4, luteal volume and LLC size were all significantly smaller than in Control cows. Temporally associated with these phenotypes, there was a lower mRNA abundance of VEGFA at 24 and 40 h, and ABCA1 at 24 h (P < 0.05). In conclusion, a sudden reduction in CL size during partial luteolysis induced by a sub-dose of PGF2α analog on day 6 of the estrous cycle was attributed to a reduction in LLC size, although these changes did not account for the entire phenomenon. In addition to its involvement in reducing CL size, decreased VEGFA mRNA abundance impaired CL development, resulting in a smaller luteal gland and lower plasma P4 concentrations compared to Control cows.


Subject(s)
Luteal Cells , Luteolysis , Animals , Cattle , Corpus Luteum , Diestrus , Dinoprost , Female , Progesterone
8.
Arq. bras. med. vet. zootec. (Online) ; 72(4): 1329-1338, July-Aug. 2020. tab, graf
Article in English | LILACS, VETINDEX | ID: biblio-1131492

ABSTRACT

The aim of this work was to measure HMGB1, TNF-alpha, and IL-8 in bronchoalveolar lavage (BAL), serum and TLR2 and TLR4mRNA expression in lung tissue of rabbits with two grades of acute lung injury (ALI). The animals were randomly assigned to groups with severe (S) and mild/moderate (MM) ALI, induced with warm saline, and a control group. HMGB1, TNF-alpha, IL-8, TLR2mRNA and TLR4mRNA were measured after ALI induction. The results showed increased levels of IL-8, TNF-alpha, HMGB1 and TLR4mRNA in the ALI groups. HMGB1, IL-8 and TNF-alpha concentrations in BAL were higher in S compared MM. Increased TLR4mRNA was observed in S and MM versus control. The results suggest an early participation of HMGB1 in ALI together with IL-8 and TNF-alpha and association with severity. TLR4 has early expression and role in ALI pathophysiology but is not associated with severity.(AU)


O objetivo deste trabalho é determinar os níveis de HMGB1, TNF-alfa e IL-8 no lavado broncoalveolar (BAL), bem como quantificar a expressão sérica de TLR2 e TLR4 mRNA em tecido pulmonar de coelhos com dois graus de lesão pulmonar aguda (LPA). Os animais foram distribuídos aleatoriamente em grupos com LPA grave (S) e leve / moderada (MM), induzidas com solução salina morna, e um grupo controle. HMGB1, TNF-alfa, IL-8, TLR2mRNA e TLR4mRNA foram medidos após a indução de LPA e quatro horas de ventilação mecânica. Os resultados mostraram níveis aumentados de IL-8, TNF-alfa, HMGB1 e TLR4mRNA nos grupos com LPA. As concentrações de HMGB1, IL-8 e TNF-alfa no LBA foram maiores no S comparado ao MM. Aumento de TLR4mRNA foi observado em S e MM versus controle. Os resultados sugerem uma participação precoce da HMGB1 na LPA em conjunto com IL-8 e TNF-alfa e associação com a gravidade da LPA. O TLR4 foi expresso na ALI e possivelmente possui papel precoce na fisiopatologia da LPA, mas sem associação com a gravidade.(AU)


Subject(s)
Animals , Rabbits , Cytokines , HMGB1 Protein , Acute Lung Injury , RNA, Messenger , Interleukin-8 , Tumor Necrosis Factor-alpha , Toll-Like Receptor 2 , Toll-Like Receptor 4
9.
Diagn Microbiol Infect Dis ; 96(3): 114870, 2020 Mar.
Article in English | MEDLINE | ID: mdl-31955953

ABSTRACT

Continuous hemodialysis system monitoring is necessary to prevent microorganism growth and health problems. This study evaluates single- and dual-species biofilm formation in microtiter plates by using dialysis solutions under aerobiosis or 5% CO2 atmosphere. Escherichia coli, Pseudomonas aeruginosa, Staphylococcus epidermidis, Candida parapsilosis sensu lato, and Mycobacterium smegmatis produce single-species biofilms in all dialysis solutions in both oxygenation conditions. Dual-species biofilm cultures grown at 5% CO2 atmosphere and in dialysate containing glucose reveal that M. smegmatis benefits from its association with C. parapsilosis. The dialysate and its constituent solutions support the growth of all the mono-species and the inter-kingdom mycobacterial/yeast biofilms in both aerobiosis and microaerophilic conditions.


Subject(s)
Bacteria/growth & development , Biofilms/growth & development , Dialysis Solutions/analysis , Fungi/growth & development , Mycobacterium/growth & development , Aerobiosis , Humans , Renal Dialysis/adverse effects
10.
Behav Brain Res ; 377: 112231, 2020 01 13.
Article in English | MEDLINE | ID: mdl-31526770

ABSTRACT

The endocannabinoid system is capable of modulating multiple physiological brain functions including learning and memory. Moreover, there is evidence that the processes of acquisition and consolidation have distinct biological basis. We used the cannabinoid agonist WIN 55,212-2 (WIN-2) to investigate whether chronic CB1 activation affects acquisition and consolidation differently by evaluating gene expression in the hippocampus (HIP) and prefrontal cortex (PFC). Swiss mice were treated with WIN-2 (2 mg/kg) and submitted to the Morris water maze to evaluate different aspects of memory. We observed short-term memory impairment in acquisition of the spatial task while consolidation remained unchanged. In the PFC, animals that received WIN-2 prior to the task exhibited increased expression of the 2-AG synthesis enzyme diacylglycerol lipase and decreased levels of the degradation enzyme monoacylglycerol lipase, while mice that were treated after the task for the evaluation of consolidation exhibited the opposite profile. With respect to genes related to AEA metabolism, no correlation between the molecular and behavioral data could be established. In this sense, the cognitive impairment in the acquisition promoted by WIN-2 treatment may be related to a possible increase in the concentration of 2-AG in the PFC. Overall, this study confirms the relevance of the endocannabinoid system in the modulation of cognitive processes. A better understanding of the mechanisms underlying endocannabinoids roles in cognition could provide guidance for the development of treatments to reduce the cognitive deficits caused by drug abuse.


Subject(s)
Benzoxazines/pharmacology , Cannabinoid Receptor Agonists/pharmacology , Cognitive Dysfunction/chemically induced , Endocannabinoids/metabolism , Gene Expression Regulation/drug effects , Hippocampus/drug effects , Memory Consolidation/drug effects , Memory, Short-Term/drug effects , Morpholines/pharmacology , Naphthalenes/pharmacology , Prefrontal Cortex/drug effects , Spatial Learning/drug effects , Transcription, Genetic/drug effects , Animals , Cognitive Dysfunction/metabolism , Hippocampus/metabolism , Male , Mice , Prefrontal Cortex/metabolism
11.
J Pediatr Urol ; 15(5): 557.e1-557.e8, 2019 Oct.
Article in English | MEDLINE | ID: mdl-31358433

ABSTRACT

BACKGROUND: There are no reports comparing testicular volume between normal fetuses, fetuses with prune-belly syndrome (PBS), and fetuses with anencephaly. The study hypothesis was that PBS and especially anencephaly alter the testicular volume during the human fetal period. AIM: The objective of the study was to compare the testicular growth in fetuses with anencephaly, with PBS, and without anomalies. STUDY DESIGN: This is a morphometric study of human fetuses. Seventy testes from fetuses without anomalies aged 11-22 weeks post-conception (WPC), 30 testes from fetuses with anencephaly aged 13-19 WPC, and eight testes from fetuses with PBS aged 13-16 WPC were studied. Testicular length, width, and thickness were evaluated with the aid of computer programs (Image Pro and ImageJ) (Figure). The fetal testicular volume was calculated using the ellipsoid formula: Testicular volume (TV) = [length × thickness × width] × 0.523. The Shapiro-Wilk test was used to ascertain the normality of the data and to compare quantitative data between normal fetuses vs. fetuses with anencephaly, while the Kruskal-Wallis test was used to assess gender and laterality differences. Simple linear correlations (LCs) were calculated for testicular volume according to fetal age, weight, and crown-rump length. RESULTS: All 108 testes studied were abdominal. The right (p = 0.0310) and left (0.0470) testicular volumes were significantly smaller in fetuses with anencephaly than those in the control group. The linear regression analysis indicated that the right and the left testis volume in the control group (right: r2 = 0.6665; left: r2 = 0.6707) and PBS group (right: r2 = 0.9937; left: r2 = 0.9757) increased with fetal age (p < 0.0001). This analysis also indicated that the testicular volume in fetuses with anencephaly did not increase with fetal age (right: r2 = 009816; left: r2 = 0.07643). DISCUSSION: This article is the first to report testicular volume correlations with fetal parameters in fetuses with anencephalic and fetuses with PBS. Significant alterations were observed in testicular growth in the anencephalic group compared with the control group, and it was also observed that the bilateral cryptorchidism in PBS does not alter the testicular development and growth during the fetal period. The unequal WPC distribution between fetuses with PBS, fetuses with anencephaly, and controls and the small sample size are limitations of this study. Further studies should be performed to confirm this study's findings. CONCLUSIONS: Testicular growth is slower and does not show significant correlations with fetal parameters in fetuses with anencephalic. Significant differences in testicular development in fetuses with PBS was not observed.


Subject(s)
Fetus/diagnostic imaging , Prune Belly Syndrome/diagnosis , Testis/embryology , Gestational Age , Humans , Male , Organ Size , Prune Belly Syndrome/embryology , Testis/growth & development
13.
Brain Struct Funct ; 223(5): 2055-2071, 2018 Jun.
Article in English | MEDLINE | ID: mdl-29480413

ABSTRACT

Acrobatic exercise is considered a complex motor activity and may promote motor learning and neuroplasticity. The objective of this systematic review was to verify possible plastic brain changes induced by acrobatic exercise in non-lesioned rat and mouse through the analysis of experimental studies. Manual and electronic searches were conducted in MEDLINE, EMBASE and ISI Web of Science databases, without restriction to language or publication date. Synaptogenesis and neurogenesis were selected as the primary outcomes. To evaluate the risk of bias of individual studies, we used the Systematic Review Centre for Laboratory Animal Experimentation (SYRCLE) RoB tool. We found 1780 studies, from which 18 fulfilled the inclusion criteria in this review. Seventeen studies evaluated the cerebellum, six the motor cortex, five the striatum and two evaluated the hippocampus. The results showed that acrobatic exercise promotes plastic changes in brain areas of rats, and such changes are dependent of training frequency and duration. However, studies were heterogeneous regarding the proteins analyzed and the training protocols, which made it difficult to compare and determine ideal acrobatic exercise parameters for neuroplasticity. Concerning the methodological quality of studies, most of them presented high risk of bias with absence of relevant study design information. New research with detailing training protocols and analysis might contribute to clarify the role of acrobatic exercise in neuroplasticity and how it could be used in translational research.


Subject(s)
Brain/cytology , Brain/physiology , Neuronal Plasticity/physiology , Physical Conditioning, Animal/methods , Animals
14.
Ann Dent Oral Disord ; 2(1)2018 Jun.
Article in English | MEDLINE | ID: mdl-30854515

ABSTRACT

Two ionic dimethacrylates (IDMA1 and IDMA2) intended for utilization in multifunctional, antibacterial and remineralizing dental resins and composites were synthesized by nucleophilic substitution reactions. Crude IDMAs were purified by multi-step extraction from ethanol-diethyl ether-hexane solvent system. Their structures were validated by nuclear magnetic resonance and mass spectrometry. As evidenced by the water contact angle measurements ((63.2-65.5)0), IDMAs did not affect the wettability of urethane dimethacrylate (UDMA)- based copolymers (average contact angle ((60.8±5.1)0).The attained degrees of vinyl conversion increased from 88.1% (no-IDMA control) up to 93.0% (IDMA2 series). Flexural strength (FS) of copolymers was reduced from 94.8 MPa (control) to (68.9-71.8) MPa (IDMA counterparts) independent of monomer type and/or its concentration. This reduction in FS should not disqualify IDMAs from consideration as viable antibacterial agents in multifunctional restoratives. Tested at concentrations exceeding the expected leachability of unreacted monomers from cured copolymers and/or composites, IDMAs had no deleterious effect on viability and/or metabolic activity of fibroblasts. The remineralization potential of amorphous calcium phosphate IDMA/UDMA composites was confirmed by calcium and phosphate ion release kinetic experiments. Results of this study warrant in-depth biological, physicochemical, mechanical and antibacterial assessments of IDMA resins and composites to identify prototype(s) suitable for clinical testing.

16.
Genet Mol Res ; 16(3)2017 Aug 17.
Article in English | MEDLINE | ID: mdl-28829891

ABSTRACT

With the imminence of global climate changes that affect the temperature and the rainfall uniformity, it is growing the concern about the adaptation of crops to the water deficit. Thus, the objective of this study was to evaluate alterations in physiological and enzymatic mechanisms during the germination process of sesame seeds under different water availability. To simulate the water restriction we used PEG6000, a high molecular weight molecule that does not penetrate the seed structure but allows different osmotic potentials. The treatments were -0.1, -0.2, and -0.3 MPa, and the control. Germination, first-count germination, germination velocity index, and length and dry mass of the hypocotyl and radicle were performed. The seeds were weighed before and after treatments every 3 h. After each weighing, 100 seeds were taken for analysis of the enzymes alcohol dehydrogenase (ADH), malate dehydrogenase, esterase, catalase (CAT), superoxide dismutase (SOD), isocitrate lyase (ICL), and glutamate dehydrogenase (GTDH). The statistical design was completely randomized with five replications. PEG6000 prolonged ADH activity during the beginning of germination, maintaining the anaerobic metabolism for longer. Subsequently, their activity was reduced, as well as ICL, favoring the deterioration of the seeds that take the time to germinate. Behavior was evidenced by the appearance of SOD, CAT, and GTDH isoforms after 24 h of imbibition when water restriction was imposed. Therefore, the PEG600 is efficient in simulating water deficit conditions in future scenarios of climate change, offering impotent information regarding the germination behavior of the plants under these conditions.


Subject(s)
Osmotic Pressure , Seeds/enzymology , Sesamum/enzymology , Alcohol Dehydrogenase/metabolism , Catalase/metabolism , Esterases/metabolism , Germination , Glutamate Dehydrogenase/metabolism , Isocitrate Lyase/metabolism , Malate Dehydrogenase/metabolism , Plant Proteins/metabolism , Seeds/growth & development , Seeds/metabolism , Sesamum/growth & development , Sesamum/metabolism , Superoxide Dismutase/metabolism
17.
Homo ; 68(4): 298-315, 2017 Aug.
Article in English | MEDLINE | ID: mdl-28838744

ABSTRACT

Tunisia is a country of great interest for human population genetics due to its strategic geographic position and rich human settlement history. These factors significantly contributed to the genetic makeup of present-day Tunisians harbouring components of diverse geographic origins. Here, we investigated the genetic structure of Tunisians by performing a mitochondrial DNA (mtDNA) comparison of 15 Tunisian population groups, in order to explore their complex genetic landscape. All Tunisian data were also analysed against 40 worldwide populations. Statistical results (Tajima's D and Fu's FS tests) suggested recent population expansion for the majority of studied populations, as well as showed (AMOVA test) that all populations were significantly different from each other, which is evidence of population structure even if it is not guided by geographic and ethnic effects. Gene flow analysis revealed the assignment of Tunisians to multiple ancestries, which agrees with their genetic heterogeneity. The resulting picture for the mtDNA pool confirms the evidence of a recent expansion of the Tunisian population and is in accordance with a mosaic structure, composed by North African, Middle Easterner, European and Sub-Saharan lineages, resulting from a complex settlement history.


Subject(s)
DNA, Mitochondrial/genetics , Ethnicity/genetics , Gene Flow , Genetics, Population , Haplotypes , Humans , Phylogeny , Population Growth , Tunisia
18.
Rev. esp. anestesiol. reanim ; 64(4): 233-236, abr. 2017. ilus
Article in Spanish | IBECS | ID: ibc-160998

ABSTRACT

Neonates and small infants with syndromes characterized by the presence of craniofacial abnormalities may represent great challenges regarding the management of the airway. We describe the case of a 9-day-old neonate with Treacher Collins syndrome, in which a laryngeal mask was essential to improve the airway obstruction, ventilate the patient and serve as an airway conduit for a fiberoptic intubation. By presenting this case, we intend to show that in neonates with Treacher Collins syndrome, in whom difficulties ventilation and intubation are expected, a thoughtful airway management planning is mandatory (AU)


Los recién nacidos y los lactantes pequeños con síndromes caracterizados por la presencia de anomalías craneofaciales pueden representar grandes desafíos en el manejo de la vía aérea. Describimos el caso de un recién nacido de 9 días de edad con síndrome de Treacher Collins, en el que una mascarilla laríngea fue esencial para mejorar la obstrucción de la vía aérea, ventilar al paciente y servir como guía para una intubación con fibrobroncoscopio. Con la presentación de este caso se muestra cómo en los recién nacidos con síndrome de Treacher Collins, donde se prevé una ventilación y una intubación difíciles, es obligatoria una planificación cuidadosa del manejo de las vías aéreas (AU)


Subject(s)
Humans , Male , Infant, Newborn , Mandibulofacial Dysostosis/complications , Mandibulofacial Dysostosis/drug therapy , Mandibulofacial Dysostosis/surgery , Airway Management/instrumentation , Airway Management , Bronchoscopes , Masks , Intubation, Intratracheal/instrumentation , Intubation, Intratracheal
19.
Rev Esp Anestesiol Reanim ; 64(4): 233-236, 2017 Apr.
Article in English, Spanish | MEDLINE | ID: mdl-28094032

ABSTRACT

Neonates and small infants with syndromes characterized by the presence of craniofacial abnormalities may represent great challenges regarding the management of the airway. We describe the case of a 9-day-old neonate with Treacher Collins syndrome, in which a laryngeal mask was essential to improve the airway obstruction, ventilate the patient and serve as an airway conduit for a fiberoptic intubation. By presenting this case, we intend to show that in neonates with Treacher Collins syndrome, in whom difficulties ventilation and intubation are expected, a thoughtful airway management planning is mandatory.


Subject(s)
Airway Obstruction/etiology , Airway Obstruction/therapy , Laryngeal Masks , Mandibulofacial Dysostosis/complications , Humans , Infant, Newborn , Male
20.
Phys Rev E ; 96(5-1): 052123, 2017 Nov.
Article in English | MEDLINE | ID: mdl-29347749

ABSTRACT

We investigate the properties of a two-state sandpile model subjected to a confining potential in two dimensions. From the microdynamical description, we derive a diffusion equation, and find a stationary solution for the case of a parabolic confining potential. By studying the systems at different confining conditions, we observe two scale-invariant regimes. At a given confining potential strength, the cluster size distribution takes the form of a power law. This regime corresponds to the situation in which the density at the center of the system approaches the critical percolation threshold. The analysis of the fractal dimension of the largest cluster frontier provides evidence that this regime is reminiscent of gradient percolation. By increasing further the confining potential, most of the particles coalesce in a giant cluster, and we observe a regime where the jump size distribution takes the form of a power law. The onset of this second regime is signaled by a maximum in the fluctuation of energy.

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