Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 44
Filter
1.
Rev. med. vet. zoot ; 67(1): 60-71, ene.-abr. 2020. tab, graf
Article in Spanish | LILACS, COLNAL | ID: biblio-1127013

ABSTRACT

RESUMEN El objetivo de la presente investigación fue evaluar la calidad higiénico-sanitaria de dos sistemas de ordeño en fincas bovinas del municipio Maturín estado Monagas (Venezuela). El ensayo tuvo una duración de seis semanas, se calculó la eficiencia higiénica (%EH) de las instalaciones, el personal, la rutina de ordeño, la limpieza-desinfección y el almacenamiento-transporte de dos unidades de producción. Adicionalmente, se determinó la población de bacterias aerobias mesófilas (BAM) que se cuantificaron en un experimento en bloques al azar, con arreglo factorial de los tratamientos (2x2) donde el factor A, correspondió al sistema de ordeño manual y mecánico y el factor B, a la aplicación y omisión de secado de los pezones de cada animal previo al ordeño. La variable se examinó por análisis de varianza y sus valores promedios comparados por Tukey al 5% de probabilidad. El %EH de las fincas evaluadas fue de 66,66% para la finca 2 y de 54,84% para la finca 1, considerados no satisfactorios. Los resultados obtenidos para la variable BAM indican que el factor sistema de ordeño mostró diferencia altamente significativa (p ≤ 0,01); el sistema manual presentó el menor conteo con 5,24 Log10 UFC/ mL; mientras que para el factor condición de secado se constató diferencia significativa (p ≤ 0,05), ya que la aplicación de secado presentó la menor población de bacterias aerobias mesófilas con 5,25 Log10 UFC/mL. Las medidas higiénicas y sanitarias implementadas en la rutina de ordeño influyeron directamente en la calidad de la leche cruda.


ABSTRACT The objective of the present investigation, was to evaluate the 'Hygienic-Sanitary Quality of two Milking Systems in Bovine Farms' in Vuelta Larga Sector, Maturín City, Monagas State (Venezuela). The trial lasted six weeks, in which the Hygienic Efficiency (% EH) of the facilities, the workers, the milking routine, the cleaning and disinfection measures and the storage and transport of both milking systems, were calculated. Furthermore, the population of Mesophilic Aerobic Bacteria (BAM) was determined ; The data were processed following a distribution in random blocks with factorial arrangement (2x2) whose factor A represented the milking system: manual and mechanical, and the factor B was the application and omission of manual drying of teats for each animal prior to milking. The percentage of Hygienic Efficiency (% EH) of the farms evaluated was not satisfactory, corresponding to 66.66% in the farm 2 and 54.84% in the farm 1. The variable was examined by analysis of variance and its mean values compared by Tukey test at 5% of probability. Factor A achieved a highly significant difference (p ≤0.01), with the manual system obtaining the lowest count with 5.24 Log10 CFU / mL. In factor B significant difference was found (p≤0.05), the drying application decreased the BAM population with 5.25 Log10 CFU / mL. The Hygienic and Sanitary measures implemented in the milking routine directly influence the quality of raw milk.


Subject(s)
Animals , Cattle , Bacteria, Aerobic , Sterilization , Sanitary Profiles , Milk , Good Manipulation Practices , Nipple Aspirate Fluid , Microbiology , Bacteria , Cattle , Diagnosis , Efficiency , Nipples
2.
Mar Pollut Bull ; 146: 201-205, 2019 Sep.
Article in English | MEDLINE | ID: mdl-31426147

ABSTRACT

In 2018, the Mexican Caribbean coast received a massive influx of pelagic Sargassum spp. that accumulated and decayed on beaches producing organic decomposition products that made the water turbid and brown. Between May and September of the same year there were several reports of mass mortality of marine biota in this area. From these reports we estimate that organisms belonging to 78 faunal species died as result of this event, with demersal neritic fish and Crustacea being the most affected groups. The cause of mortality appears to be the combined effect of high ammonium and hydrogen sulfide concentrations, together with hypoxic conditions. If massive arrival of pelagic Sargassum spp. continues and algae is left to decay on the beach in large volumes then deterioration in water quality could affect coral reefs close to shore. Furthermore, barriers placed in lagoons to intercept the Sargassum spp. before it reaches the beach could impact reef fauna if the algae is left to die and sink on site.


Subject(s)
Crustacea , Fishes , Sargassum/physiology , Seawater/chemistry , Ammonium Compounds/analysis , Animals , Aquatic Organisms , Caribbean Region , Hydrogen Sulfide/analysis , Mexico , Mortality , Seawater/analysis , Water Quality
3.
Rev Argent Microbiol ; 41(1): 20-6, 2009.
Article in Spanish | MEDLINE | ID: mdl-19391520

ABSTRACT

To assess the value of using whole blood samples for the molecular diagnosis of histoplasmosis, we applied an in-house DNA extraction method and a nested PCR targeting a 210 bp specific segment of the Histoplasma capsulatum HcP100 gene. A whole blood volume of 2.5-3 milliliters was centrifuged and the cellular pellet was treated with Trichoderma harzianum lyticase and proteinase K prior to applying a conventional phenol DNA extraction. This procedure allowed complete cell lysis, high DNA yield and specific amplification. The PCR detection limit was 0.25-1 yeast cells/ml of blood sample. The method was assessed on 31 blood samples from 19 patients with microbiological diagnosis of histoplasmosis, 30 healthy persons and 21 patients with other mycoses or mycobacterial diseases. Positive results were obtained in samples from 17/19 patients with histoplasmosis (14/15 immunocompromised and 3/4 without known immunological disorder). Blood samples from the 30 healthy controls and 20 patients with other conditions proved negative; the only false positive result was obtained from a patient with Mycobacterium avium-intracellulare infection. With 89% sensitivity and 98% specificity, this molecular method for detection of the agent in blood shows promising for the rapid diagnosis of human histoplasmosis.


Subject(s)
Fungemia/diagnosis , Histoplasmosis/diagnosis , Polymerase Chain Reaction/methods , Adult , Aged , Argentina/epidemiology , Child , Comorbidity , DNA, Fungal/isolation & purification , Endemic Diseases , False Positive Reactions , Female , Fungemia/epidemiology , HIV Infections/epidemiology , Histoplasma/genetics , Histoplasma/isolation & purification , Histoplasmosis/blood , Histoplasmosis/epidemiology , Humans , Immunocompromised Host , Male , Middle Aged , Mycobacterium avium-intracellulare Infection/blood , Mycobacterium avium-intracellulare Infection/epidemiology , Postoperative Complications/epidemiology , Postoperative Complications/microbiology , Retrospective Studies , Sensitivity and Specificity , Young Adult
4.
Rev. argent. microbiol ; 41(1): 20-26, ene.-mar. 2009. ilus, tab
Article in Spanish | LILACS | ID: lil-634611

ABSTRACT

Se evaluó el uso de sangre entera para el diagnóstico molecular de histoplasmosis utilizando un método artesanal de extracción de ADN fúngico y una PCR anidada que amplifica una porción del gen HcP100 específica de Histoplasma capsulatum. La sangre entera se trató con liticasa, enzima lisante de Trichoderma harzianum y proteinasa K, seguido de una extracción fenólica. Este tratamiento permitió una lisis completa de las células, mostró buen rendimiento en la obtención de ADN y posibilitó la detección de la banda de 210 pb específica de H. capsulatum en la PCR anidada. El límite de detección fue de 0,25-1 levaduras/ml de sangre. El método se evaluó en 31 muestras de sangre de 19 pacientes con diagnóstico microbiológico de histoplasmosis, en 21 muestras de pacientes con otras micosis o infecciones por micobacterias y en 30 controles sanos. La PCR fue positiva en sangre para 17/19 pacientes con histoplasmosis (14/15 inmunocomprometidos y 3/4 sin inmunocompromiso aparente). Las muestras de sangre de los 30 controles sanos y de 20 pacientes con otras patologías fueron negativas, sólo hubo un falso positivo correspondiente a un paciente con infección por Mycobacterium avium-intracellulare. El método presentó 89% de sensibilidad y 96% de especificidad para el diagnóstico de histoplasmosis en sangre entera.


To assess the value of using whole blood samples for the molecular diagnosis of histoplasmosis, we applied an in-house DNA extraction method and a nested PCR targeting a 210 bp specific segment of the Histoplasma capsulatum HcP100 gene. A whole blood volume of 2.5-3 milliliters was centrifuged and the cellular pellet was treated with Trichoderma harzianum lyticase and proteinase K prior to applying a conventional phenol DNA extraction. This procedure allowed complete cell lysis, high DNA yield and specific amplification. The PCR detection limit was 0.25-1 yeast cells/ml of blood sample. The method was assessed on 31 blood samples from 19 patients with microbiological diagnosis of histoplasmosis, 30 healthy persons and 21 patients with other mycoses or mycobacterial diseases. Positive results were obtained in samples from 17/19 patients with histoplasmosis (14/15 immunocompromised and 3/4 without known immunological disorder). Blood samples from the 30 healthy controls and 20 patients with other conditions proved negative; the only false positive result was obtained from a patient with Mycobacterium avium-intracellulare infection. With 89% sensitivity and 98% specificity, this molecular method for detection of the agent in blood shows promising for the rapid diagnosis of human histoplasmosis.


Subject(s)
Adult , Aged , Child , Female , Humans , Male , Middle Aged , Young Adult , Fungemia/diagnosis , Histoplasmosis/diagnosis , Polymerase Chain Reaction/methods , Argentina/epidemiology , Comorbidity , DNA, Fungal/isolation & purification , Endemic Diseases , False Positive Reactions , Fungemia/epidemiology , HIV Infections/epidemiology , Histoplasma/genetics , Histoplasma/isolation & purification , Histoplasmosis/blood , Histoplasmosis/epidemiology , Immunocompromised Host , Mycobacterium avium-intracellulare Infection/blood , Mycobacterium avium-intracellulare Infection/epidemiology , Postoperative Complications/epidemiology , Postoperative Complications/microbiology , Retrospective Studies , Sensitivity and Specificity
7.
Rev Argent Microbiol ; 38(2): 79-83, 2006.
Article in Spanish | MEDLINE | ID: mdl-17037255

ABSTRACT

For the first time in Argentina, we describe a strain of Histoplasma capsulatum var. capsulatum with an aberrant morphology that was isolated from a single patient with AIDS. Mycelial phase cultures on agar Sabouraud at 25-28 degrees C showed white, glabrous, umbilicated and centrally radiated colonies. Unusual microscopic findings were the absence of typical conidia, the presence of terminal/intercalary chlamydoconidia with a diameter of 4 pm and of thickened hyphae. Fungal identification was confirmed by the detection of bands H and M species specific antigens in mycelial culture supernatants and reversion to the typical yeast phase on agar brain-heart-cysteine at 37 degrees C. The genomic DNA profile obtained by RAPD-PCR with primers 1281-1283 coincided with the predominant profile of H. capsulatum among isolates from Argentine patients.


Subject(s)
AIDS-Related Opportunistic Infections/microbiology , Histoplasma/isolation & purification , Histoplasmosis/microbiology , Argentina , DNA, Fungal/analysis , Histoplasma/cytology , Humans , Random Amplified Polymorphic DNA Technique
8.
Rev Argent Microbiol ; 37(1): 46-56, 2005.
Article in Spanish | MEDLINE | ID: mdl-15991479

ABSTRACT

We report the first isolation of Histoplasma capsulatum var. capsulatum from a male bat Eumops bonariensis captured in Buenos Aires city in 2003. The pathogen was recovered from spleen and liver specimens, and was identified by its phenotypic characteristics. PCR with primers 1283, (GTG)5, (GACA)4 and M13 was used to compare both bat isolates with 17 human isolates, 12 from patients residing in Buenos Aires city, and 5 from other countries of the Americas. The profiles obtained with the four primers showed that both bat isolates were identical to each other and closer to Buenos Aires patients than to the other isolates (similarity percentage: 91-100% and 55-97%, respectively). The high genetic relationship between bat isolates and those from patients living in Buenos Aires suggests a common source of infection. This is the first record of E. bonariensis infected with H. capsulatum in the world, and the first isolation of the fungus in the Argentinean Chiroptera population. In the same way as these wild mammals act as reservoir and spread the fungus in the natural environment, infection in urban bats could well be associated with the increase in histoplasmosis clinical cases among immunosuppressed hosts in Buenos Aires city.


Subject(s)
Chiroptera/microbiology , Histoplasma/isolation & purification , Americas , Animals , Argentina/epidemiology , Chiroptera/classification , DNA, Fungal/genetics , Disease Reservoirs , Histoplasma/genetics , Histoplasmosis/epidemiology , Histoplasmosis/microbiology , Histoplasmosis/transmission , Humans , Immunocompromised Host , Liver/microbiology , Male , Opportunistic Infections/epidemiology , Opportunistic Infections/microbiology , Opportunistic Infections/transmission , Species Specificity , Spleen/microbiology , Urban Health
9.
Rev. argent. microbiol ; 37(1): 46-56, ene.-mar. 2005. ilus, tab
Article in Spanish | LILACS | ID: lil-634488

ABSTRACT

Se comunica el primer aislamiento de Histoplasma capsulatum var. capsulatum de un murciélago macho de la especie Eumops bonariensis, capturado en la ciudad de Buenos Aires en 2003. Los aislamientos fueron recuperados de bazo e hígado e identificados fenotípicamente. Se los comparó por PCR, con 17 aislamientos clínicos, 12 de pacientes residentes en la ciudad de Buenos Aires y cinco de otros países de América, usando los iniciadores 1283, (GTG)5, (GACA)4 y M13. Con los cuatro iniciadores, los perfiles de los aislamientos de murciélago resultaron idénticos entre sí y más relacionados a los de pacientes de Buenos Aires que a los de otros países (porcentaje de similitud: 91-100% y 55-87%, respectivamente). La alta relación genética entre los aislamientos obtenidos del murciélago y de los humanos residentes en Buenos Aires sugiere una fuente común de infección. Este es el primer registro de E. bonariensis infectado con H. capsulatum en el mundo, y el primer aislamiento del hongo en la población de quirópteros de la Argentina. Así como estos mamíferos actúan como reservorio y dispersan el hongo en la naturaleza, la infección en murciélagos urbanos podría asociarse al elevado número de casos de histoplasmosis entre pacientes inmunodeprimidos en la ciudad de Buenos Aires.


We report the first isolation of Histoplasma capsulatum var. capsulatum from a male bat Eumops bonariensis captured in Buenos Aires city in 2003. The pathogen was recovered from spleen and liver specimens, and was identified by its phenotypic characteristics. PCR with primers 1283, (GTG)5, (GACA)4 and M13 was used to compare both bat isolates with 17 human isolates, 12 from patients residing in Buenos Aires city, and 5 from other countries of the Americas. The profiles obtained with the four primers showed that both bat isolates were identical to each other and closer to Buenos Aires patients than to the other isolates (similarity percentage: 91-100% and 55-97%, respectively). The high genetic relationship between bat isolates and those from patients living in Buenos Aires suggests a common source of infection. This is the first record of E. bonariensis infected with H. capsulatum in the world, and the first isolation of the fungus in the Argentinean Chiroptera population. In the same way as these wild mammals act as reservoir and spread the fungus in the natural environment, infection in urban bats could well be associated with the increase in histoplasmosis clinical cases among immunosuppressed hosts in Buenos Aires city.


Subject(s)
Animals , Humans , Male , Chiroptera/microbiology , Histoplasma/isolation & purification , Americas , Argentina/epidemiology , Chiroptera/classification , Disease Reservoirs , DNA, Fungal/genetics , Histoplasma/genetics , Histoplasmosis/epidemiology , Histoplasmosis/microbiology , Histoplasmosis/transmission , Immunocompromised Host , Liver/microbiology , Opportunistic Infections/epidemiology , Opportunistic Infections/microbiology , Opportunistic Infections/transmission , Species Specificity , Spleen/microbiology , Urban Health
10.
Rev. argent. microbiol ; 37(1): 46-56, 2005 Jan-Mar.
Article in Spanish | BINACIS | ID: bin-38421

ABSTRACT

We report the first isolation of Histoplasma capsulatum var. capsulatum from a male bat Eumops bonariensis captured in Buenos Aires city in 2003. The pathogen was recovered from spleen and liver specimens, and was identified by its phenotypic characteristics. PCR with primers 1283, (GTG)5, (GACA)4 and M13 was used to compare both bat isolates with 17 human isolates, 12 from patients residing in Buenos Aires city, and 5 from other countries of the Americas. The profiles obtained with the four primers showed that both bat isolates were identical to each other and closer to Buenos Aires patients than to the other isolates (similarity percentage: 91-100


and 55-97


, respectively). The high genetic relationship between bat isolates and those from patients living in Buenos Aires suggests a common source of infection. This is the first record of E. bonariensis infected with H. capsulatum in the world, and the first isolation of the fungus in the Argentinean Chiroptera population. In the same way as these wild mammals act as reservoir and spread the fungus in the natural environment, infection in urban bats could well be associated with the increase in histoplasmosis clinical cases among immunosuppressed hosts in Buenos Aires city.

11.
Rev Argent Microbiol ; 36(2): 68-74, 2004.
Article in Spanish | MEDLINE | ID: mdl-15470864

ABSTRACT

In order to contribute to the knowledge of the relative frequency of chronic fungal diseases and assess the performance of diagnostic laboratories in Argentina, a multicenter study was performed with the participation of 25 medical centers located in 12 different provinces and Buenos Aires City. Between 04-01-2000 and 03-30-2001, 965 serum specimens from patients clinically suspected of having histoplasmosis (HP), paracoccidioidomycosis (PCM), coccidioidomycosis (CM) or aspergilosis were analyzed. Agar immunodiffusion tests (IDD) were done locally. All positive and 35% of negative sera were retested in the reference center. Results of laboratories of origin showed 98.8% concordance with those of reference center. Antibodies against any of the etiological agents were detected in 120 specimens from 98 patients. Endemic mycoses (HP, PCM and CM) were diagnosed in 70 patients (71.4%) and aspergilosis in 28 (28.6%). The frequencies of the different mycoses in decreasing order were PCM 47 patients (47.9%), aspergilosis 28 patients (28.6%), HP 13 patients (13.3%) and CM 10 patients (10.2%). The study was carried out on a voluntary basis and some areas of the country were not represented. However, the frequencies were in range with the expected rates in the population under study.


Subject(s)
Endemic Diseases , Mycoses/epidemiology , Argentina/epidemiology , Aspergillosis, Allergic Bronchopulmonary/diagnosis , Aspergillosis, Allergic Bronchopulmonary/epidemiology , Coccidioidomycosis/diagnosis , Coccidioidomycosis/epidemiology , Histoplasmosis/diagnosis , Histoplasmosis/epidemiology , Humans , Immunodiffusion , Mycoses/diagnosis , Paracoccidioidomycosis/diagnosis , Paracoccidioidomycosis/epidemiology , Seroepidemiologic Studies
12.
Rev. argent. microbiol ; 36(2): 68-74, abr.-jun. 2004. tab
Article in Spanish | LILACS | ID: lil-634462

ABSTRACT

Se realizó entre 01-04-2000 y 30-03-2001, un estudio de corte transversal, para conocer la frecuencia relativa de las enfermedades por hongos dimorfos y Aspergillus spp. en la República Argentina y evaluar la certeza en el diagnóstico de los laboratorios de diferentes áreas geográficas. Participaron 25 centros de salud provenientes de 12 provincias y de la Ciudad Autónoma de Buenos Aires. Fueron analizados en el laboratorio de origen 965 sueros de pacientes con sospecha clínica de histoplasmosis (HP), paracoccidioidomicosis (PCM), coccidioidomicosis (CM) y aspergilosis. Todos los sueros positivos y el 35% de los negativos fueron reevaluados en el laboratorio de referencia por inmunodifusión doble en agar. La concordancia entre los resultados obtenidos en los centros de origen y el de referencia fue de 98,8%. Se detectaron anticuerpos específicos en 120 sueros correspondientes a 98 pacientes. El 71,4% (70 casos) de los diagnósticos correspondió a micosis endémicas (HP, PCM y CM) y el resto a aspergilosis. PCM fue diagnosticada en 47,9% (47 casos), aspergilosis en 28,6% (28 casos), HP en13,3% (13 casos) y CM en 10,2% (10 casos). La participación en este estudio fue voluntaria y no todos los centros del país estaban representados, sin embargo, las frecuencias de enfermedades fúngicas fueron las esperadas y coincidentes con estudios previos realizados a nivel nacional.


In order to contribute to the knowledge of the relative frequency of chronic fungal diseases and assess the performance of diagnostic laboratories in Argentina, a multicenter study was performed with the participation of 25 medical centers located in 12 different provinces and Buenos Aires City. Between 04-01-2000 and 03-30-2001, 965 serum specimens from patients clinically suspected of having histoplasmosis (HP), paracoccidioidomycosis (PCM), coccidioidomycosis (CM) or aspergilosis were analyzed. Agar immunodiffusion tests (IDD) were done locally. All positive and 35% of negative sera were retested in the reference center. Results of laboratories of origin showed 98.8% concordance with those of reference center. Antibodies against any of the etiological agents were detected in 120 specimens from 98 patients. Endemic mycoses (HP, PCM and CM) were diagnosed in 70 patients (71.4%) and aspergilosis in 28 (28.6%). The frequencies of the different mycoses in decreasing order were PCM 47 patients (47.9%), aspergilosis 28 patients (28.6%), HP 13 patients (13.3%) and CM 10 patients (10.2%). The study was carried out on a voluntary basis and some areas of the country were not represented. However, the frequencies were in range with the expected rates in the population under study.


Subject(s)
Humans , Endemic Diseases , Mycoses/epidemiology , Argentina/epidemiology , Aspergillosis, Allergic Bronchopulmonary/diagnosis , Aspergillosis, Allergic Bronchopulmonary/epidemiology , Coccidioidomycosis/diagnosis , Coccidioidomycosis/epidemiology , Histoplasmosis/diagnosis , Histoplasmosis/epidemiology , Immunodiffusion , Mycoses/diagnosis , Paracoccidioidomycosis/diagnosis , Paracoccidioidomycosis/epidemiology , Seroepidemiologic Studies
13.
Rev. argent. microbiol ; 36(2): 68-74, 2004 Apr-Jun.
Article in Spanish | BINACIS | ID: bin-38617

ABSTRACT

In order to contribute to the knowledge of the relative frequency of chronic fungal diseases and assess the performance of diagnostic laboratories in Argentina, a multicenter study was performed with the participation of 25 medical centers located in 12 different provinces and Buenos Aires City. Between 04-01-2000 and 03-30-2001, 965 serum specimens from patients clinically suspected of having histoplasmosis (HP), paracoccidioidomycosis (PCM), coccidioidomycosis (CM) or aspergilosis were analyzed. Agar immunodiffusion tests (IDD) were done locally. All positive and 35


of negative sera were retested in the reference center. Results of laboratories of origin showed 98.8


concordance with those of reference center. Antibodies against any of the etiological agents were detected in 120 specimens from 98 patients. Endemic mycoses (HP, PCM and CM) were diagnosed in 70 patients (71.4


) and aspergilosis in 28 (28.6


). The frequencies of the different mycoses in decreasing order were PCM 47 patients (47.9


), aspergilosis 28 patients (28.6


), HP 13 patients (13.3


) and CM 10 patients (10.2


). The study was carried out on a voluntary basis and some areas of the country were not represented. However, the frequencies were in range with the expected rates in the population under study.

14.
Hipertensión (Madr., Ed. impr.) ; 19(4): 172-180, mayo 2002. tab
Article in Es | IBECS | ID: ibc-14913

ABSTRACT

El conocimiento de los factores determinantes de progresión hacia la hipertensión arterial establecida es fundamental a fin de identificar el grupo de alto riesgo y poder aplicar medidas de prevención primaria de la hipertensión arterial. La historia familiar de hipertensión arterial, los niveles basales de presión arterial, el peso basal y su incremento a lo largo del tiempo y la raza negra son factores bien conocidos que predicen el desarrollo de hipertensión arterial. Los resultados de diversos estudios prospectivos han confirmado el papel de la hiperreactividad cardiovascular como predictor independiente de desarrollo de hipertensión arterial futura establecida, si bien los resultados no son uniformes, siendo algunos estudios negativos. Queda menos clara la confirmación de la llamada hipótesis según la cual la hiperreactividad cardiovascular desempeñaría un papel en el desarrollo de la hipertensión arterial, aunque sí existe alguna evidencia sobre el desarrollo de alguna de sus complicaciones, como la hipertrofia ventricular izquierda. Es por ello que es necesario seguir esta línea de investigación mediante estudios bien diseñados y utilización de pruebas de estrés estandarizadas, y sobre todo con un protocolo de aplicación bien definido, ya que existen numerosos factores ambientales y emocionales que influyen de forma notable en la respuesta presora a las pruebas de estrés, y si no se controlan hacen difícil la interpretación y comparación de resultados entre distintos estudios. (AU)


Subject(s)
Adult , Female , Male , Middle Aged , Humans , Blood Pressure/physiology , Hypertension/diagnosis , Risk Factors , Cardiovascular Diseases/complications , Stress, Physiological/complications , Stress, Physiological/diagnosis , Stress, Physiological/physiopathology , Prospective Studies , Environmental Hazards , Stroke Volume/physiology , Regression Analysis , Clinical Diagnosis , Diagnosis, Differential
15.
Ann Clin Biochem ; 38(Pt 6): 671-5, 2001 Nov.
Article in English | MEDLINE | ID: mdl-11732649

ABSTRACT

We aimed to compare the classic Light's criteria with different testing strategies in an effort to improve the accuracy of pleural fluid (PF) categorization. Thirty-two patients with transudates and 140 with exudates on the basis of their clinical diagnosis were entered into the study. We examined the discriminative properties of 10 analytes in the identification of PF, both singly and in combination with an 'or' rule, to see which was best in distinguishing a transudate from an exudate. A combination of PF lactate dehydrogenase (LD) > 307 U/L (two-thirds of the upper limit of the serum LD reference range) with either PF cholesterol > 1.55 mmol/L or PF to serum protein ratio > 0.5 had a diagnostic accuracy similar to that of Light's criteria. We suggest the use of PF LD and cholesterol in combination as an alternative method for distinguishing pleural transudates from exudates. This test combination avoids the need for venepuncture and the simultaneous collection of a blood sample.


Subject(s)
Exudates and Transudates/chemistry , Pleural Effusion/chemistry , Pleural Effusion/diagnosis , Adult , Aged , Aged, 80 and over , Cholesterol/analysis , Clinical Chemistry Tests , Diagnosis, Differential , Female , Humans , L-Lactate Dehydrogenase/analysis , Male , Middle Aged , Prospective Studies , Proteins/analysis
18.
Recent Results Cancer Res ; 158: 204-7, 2001.
Article in English | MEDLINE | ID: mdl-11092048

ABSTRACT

As melanoma cells are present in the circulation of many patients with this cancer, decreases in their number could provide an early indication of therapy effectiveness. To evaluate this possibility, we examined the effect of treatment with a melanoma vaccine on the number of melanoma cells present in the circulation. PCR was used to detect melanoma cells that expressed the melanoma-associated antigens MART-1, MAGE-3, tyrosinase and/or gp100 in 91 patients with melanoma. Melanoma cells that expressed one or more of these markers were present more often in advanced disease, i.e. in 80% of patients with advanced stage IV compared to in less than one-third of patients with less advanced disease. We then measured circulating melanoma cells in a subset of 43 of these patients who were treated with a polyvalent, shed antigen, melanoma vaccine. The vaccine contains multiple melanoma-associated antigens including MART-1, MAGE-3, tyrosinase and gp100. Immunizations were given intradermally q2-3 weeks x4 and then monthly x3. Prior to vaccine treatment, circulating melanoma cells were detected in 14 (32%) patients. Following 4 and 7 months of vaccine treatment, melanoma cells that expressed any of these markers were present in only nine (21%) and three (7%) of patients, respectively. Thus, vaccine therapy was associated with clearance of melanoma cells from the circulation in 78% of initially positive patients. As the number of these cells declined steadily with increasing length of therapy, it is unlikely that this was due to a random change in their number. Rather it suggests that the decline was a result of the therapy. These observations suggest that the presence of melanoma cells in the circulation is related to the extent of the melanoma, and that their disappearance may provide an early marker of the efficacy of therapy. However, the practical utility of assaying circulating tumor cells as a guide to the effectiveness of therapy or of prognosis will need to be confirmed by correlations with clinical outcome.


Subject(s)
Cancer Vaccines/therapeutic use , Melanoma/pathology , Neoplasm Proteins/analysis , Neoplastic Cells, Circulating/pathology , Skin Neoplasms/pathology , Biomarkers, Tumor/analysis , Humans , Melanoma/chemistry , Melanoma/therapy , Neoplastic Cells, Circulating/chemistry , Skin Neoplasms/chemistry , Skin Neoplasms/therapy
19.
Int J Tuberc Lung Dis ; 4(10): 975-9, 2000 Oct.
Article in English | MEDLINE | ID: mdl-11055766

ABSTRACT

OBJECTIVE: As soluble interleukin-2 receptor (sIL-2R) is a marker of T-lymphocyte activation, we sought to determine whether its measurement in pleural fluid is diagnostically useful in tuberculous pleurisy. DESIGN: We compared the concentrations of sIL-2R in pleural samples of 23 patients with tuberculous pleurisy and 109 patients with non-tuberculous effusions (34 malignant, 34 parapneumonic, 27 transudates and 14 miscellaneous). sIL-2R was measured by a commercial ELISA test and its performance was evaluated using receiver operating characteristic (ROC) analysis. RESULTS: The mean values of pleural sIL-2R were 9179 U/mL in patients with tuberculous pleurisy vs 3664 U/mL in patients with malignancy, 2603 U/mL in patients with parapneumonic effusions, 1016 U/mL in patients with transudates, and 1906 U/mL in patients with miscellaneous diseases (P < 0.0001). A ROC curve identified the best cut-off at 4700 U/mL, yielding measures for sensitivity (0.91), specificity (0.94) and accuracy (0.94). CONCLUSIONS: The results of this pilot study suggest that pleural sIL-2R appears to be clinically useful for differentiating between tuberculous and non-tuberculous pleural effusions.


Subject(s)
Pleural Effusion/microbiology , Receptors, Interleukin-2/analysis , Tuberculosis, Pleural/diagnosis , Adolescent , Adult , Aged , Aged, 80 and over , Biomarkers/analysis , Diagnosis, Differential , Enzyme-Linked Immunosorbent Assay , Female , Humans , Male , Middle Aged , Pilot Projects , Sensitivity and Specificity , Tuberculosis, Pleural/microbiology
20.
Rev Argent Microbiol ; 32(3): 116-22, 2000.
Article in Spanish | MEDLINE | ID: mdl-11008702

ABSTRACT

We analyzed the in vitro infection process by P. brasiliensis and the effect of extracellular factor(s) produced on monolayers of mammalian Vero cell lines. The yeast phase of four strains was studied: B339 (avirulent or slightly virulent), U, (intermediate virulence), 93745 and 63265 (both highly virulent). Strains of intermediate and high virulence had higher adherence at first contact (about 16%). Strain B339 had a slower adherence at first contact (8%) than the others during the same period. The production of extracellular proteases, soluble extracellular factor(s) and extracellular antigen gP43 showed no correlation with the in vitro physiopathogenicity of the analyzed strains. We demonstrate that the Vero model presented in this paper is a suitable system to study infection and virulence in vitro. We are currently assessing its usefulness as a tool for the analysis of the interaction between pathogen, host and antifungal agents.


Subject(s)
Antigens, Fungal , Mycology/methods , Paracoccidioides/physiology , Animals , Chlorocebus aethiops , Culture Media , Fungal Proteins/biosynthesis , Glycoproteins/biosynthesis , Oligosaccharides/biosynthesis , Paracoccidioides/classification , Paracoccidioides/growth & development , Paracoccidioides/pathogenicity , Species Specificity , Vero Cells/microbiology , Virulence
SELECTION OF CITATIONS
SEARCH DETAIL
...