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1.
J Forensic Sci ; 68(6): 2138-2152, 2023 Nov.
Article in English | MEDLINE | ID: mdl-37568257

ABSTRACT

Detection of illicit drugs in the environment, particularly in soils, often suggests the present or past location of a clandestine production center for these substances. Thus, development of efficient methods for the analysis and detection of these chemicals is of paramount importance in the field of chemical forensics. In this work, a method involving the extraction and retrospective confirmation of fentanyl, acetylfentanyl, thiofentanyl, and acetylthiofentanyl using trichloroethoxycarbonylation chemistry in a high clay-content soil is presented. The soil was spiked separately with each fentanyl at two concentrations (1 and 10 µg/g) and their extraction accomplished using ethyl acetate and aqueous NH4 OH (pH ~ 11.4) with extraction recoveries ranging from ~56% to 82% for the high-concentration (10 µg/g) samples while ranging from ~68% to 83% for the low-concentration (1 µg/g) samples. After their extraction, residues containing each fentanyl were reacted with 2,2,2-trichloroethoxycarbonyl chloride (Troc-Cl) to generate two unique and predictable products from each opioid that can be used to retrospectively confirm their presence and identity using EI-GC-MS. The method's limit of detection (MDL/LOD) for Troc-norfentanyl and Troc-noracetylfentanyl were estimated to be 29.4 and 31.8 ng/mL in the organic extracts. In addition, the method's limit of quantitation for Troc-norfentanyl and Troc-noracetylfentanyl were determined to be 88.2 and 95.5 ng/mL, respectively. Collectively, the results presented herein strengthen the use of chloroformate chemistry as an additional chemical tool to confirm the presence of these highly toxic and lethal substances in the environment.


Subject(s)
Electrons , Soil , Gas Chromatography-Mass Spectrometry/methods , Clay , Retrospective Studies , Fentanyl/analysis
2.
Cureus ; 15(6): e40136, 2023 Jun.
Article in English | MEDLINE | ID: mdl-37425577

ABSTRACT

This article discusses acral melanoma, a rare subtype of melanoma often presented at the later stages of the disease and is, thus, associated with poor survival rates, especially in patients with a lower socioeconomic status. Surgical resection is the primary treatment option for localized acral melanoma, while amputation is often necessary for tumors on the digits or the midfoot. Lymphadenectomy may be necessary for patients with regional lymph node involvement; however, the therapeutic role of dissection remains controversial. Here, we present the case of a 68-year-old man with acral melanoma who underwent a Lisfranc amputation and endoscopic groin lymph node dissection for ganglionic metastasis. In Ecuador, this is the first reported case of endoscopic groin lymphadenectomy for regional lymph node metastasis secondary to acral melanoma. The discussion explores the role of sentinel lymph node biopsy and the completion of lymph node dissection in managing regional lymph nodes in melanoma patients. This case study aims to contribute to the growing knowledge on acral melanoma, assess the need for better patient care, and analyze the role of minimally invasive techniques for inguinal lymph node dissections.

3.
Sci Data ; 10(1): 208, 2023 04 14.
Article in English | MEDLINE | ID: mdl-37059722

ABSTRACT

Brain metastasis (BM) is one of the main complications of many cancers, and the most frequent malignancy of the central nervous system. Imaging studies of BMs are routinely used for diagnosis of disease, treatment planning and follow-up. Artificial Intelligence (AI) has great potential to provide automated tools to assist in the management of disease. However, AI methods require large datasets for training and validation, and to date there have been just one publicly available imaging dataset of 156 BMs. This paper publishes 637 high-resolution imaging studies of 75 patients harboring 260 BM lesions, and their respective clinical data. It also includes semi-automatic segmentations of 593 BMs, including pre- and post-treatment T1-weighted cases, and a set of morphological and radiomic features for the cases segmented. This data-sharing initiative is expected to enable research into and performance evaluation of automatic BM detection, lesion segmentation, disease status evaluation and treatment planning methods for BMs, as well as the development and validation of predictive and prognostic tools with clinical applicability.


Subject(s)
Artificial Intelligence , Brain Neoplasms , Humans , Brain Neoplasms/diagnostic imaging , Brain Neoplasms/secondary , Central Nervous System , Magnetic Resonance Imaging/methods , Prognosis
4.
Sci Rep ; 12(1): 21299, 2022 12 09.
Article in English | MEDLINE | ID: mdl-36494565

ABSTRACT

The use of benzyl trichloroacetimidates for the benzylation of phosphonic acid nerve agent markers under neutral, basic, and slightly acidic conditions is presented. The benzyl-derived phosphonic acids were detected and analyzed by Electron Ionization Gas Chromatography-Mass Spectrometry (EI-GC-MS). The phosphonic acids used in this work included ethyl-, cyclohexyl- and pinacolyl methylphosphonic acid, first pass hydrolysis products from the nerve agents ethyl N-2-diisopropylaminoethyl methylphosphonothiolate (VX), cyclosarin (GF) and soman (GD) respectively. Optimization of reaction parameters for the benzylation included reaction time and solvent, temperature and the effect of the absence or presence of catalytic acid. The optimized conditions for the derivatization of the phosphonic acids specifically for their benzylation, included neutral as well as catalytic acid (< 5 mol%) and benzyl 2,2,2-trichloroacetimidate in excess coupled to heating the mixture to 60 °C in acetonitrile for 4 h. While the neutral conditions for the method proved to be efficient for the preparation of the p-methoxybenzyl esters of the phosphonic acids, the acid-catalyzed process appeared to provide much lower yields of the products relative to its benzyl counterpart. The method's efficiency was tested in the successful derivatization and identification of pinacolyl methylphosphonic acid (PMPA) as its benzyl ester when present at a concentration of ~ 5 µg/g in a soil matrix featured in the Organisation for the Prohibition of Chemical Weapons (OPCW) 44th proficiency test (PT). Additionally, the protocol was used in the detection and identification of PMPA when spiked at ~ 10 µg/mL concentration in a fatty acid-rich liquid matrix featured during the 38th OPCW-PT. The benzyl derivative of PMPA was partially corroborated with the instrument's internal NIST spectral library and the OPCW central analytical database (OCAD v.21_2019) but unambiguously identified through comparison with a synthesized authentic standard. The method's MDL (LOD) values for the benzyl and the p-methoxybenzyl pinacolyl methylphosphonic acids were determined to be 35 and 63 ng/mL respectively, while the method's Limit of Quantitation (LOQ) was determined to be 104 and 189 ng/mL respectively in the OPCW-PT soil matrix evaluated.


Subject(s)
Chemical Warfare Agents , Nerve Agents , Nerve Agents/analysis , Gas Chromatography-Mass Spectrometry/methods , Phosphorous Acids/chemistry , Electrons , Soil/chemistry , Chemical Warfare Agents/analysis
5.
J Med Food ; 23(3): 297-304, 2020 Mar.
Article in English | MEDLINE | ID: mdl-31747348

ABSTRACT

Excess of visceral adipose tissue (VAT) characteristic of obesity leads to a proinflammatory state disrupting the insulin signaling pathway, triggering insulin resistance (IR) and inflammation, the main processes contributing to obesity comorbidities. Ursolic acid (UA), a pentacyclic triterpenoid occurring in a variety of plant foods, exhibits anti-inflammatory properties. The aim of this study was to evaluate UA effects on IR, hyperinsulinemia, and inflammation in experimental diet-induced obesity. Forty male Wistar rats were randomly assigned to eight groups (n = 5). One group was used for time 0. Three groups were labeled as OBE (control): receiving high-fat diet (HFD; fat content 45.24% of energy) during 3, 6, or 9 weeks; three groups UA-PREV: exposed to simultaneous HFD and UA during 3, 6, or 9 weeks to evaluate UA preventive effects; one group UA-REV: receiving HFD for 6 weeks, followed by simultaneous HFD and UA for three additional weeks to analyze UA reversal effects. Measurements were performed after 3, 6, or 9 weeks of treatment. Adiposity was calculated by weighing VAT after sacrifice. Serum markers were quantified through colorimetric and enzyme-linked immunosorbent assay methods. VAT adipokines RNAm expression was evaluated by quantitative reverse transcriptase-polymerase chain reaction. Data were analyzed by Kruskal-Wallis and Mann-Whitney U tests. UA significantly decreased adiposity, IR, hyperinsulinemia, triacylglycerides, and cholesterol levels, and also VAT mRNA expression of MCP-1 (monocyte chemoattractant protein-1), IL (interleukin)-1ß and IL-6, concomitantly increasing adiponectin levels. UA metabolic effects demonstrated in this study support its potential therapeutic utility to improve IR, hyperinsulinemia, and inflammation observed in obesity and diabetes.


Subject(s)
Adipokines/genetics , Hyperinsulinism/drug therapy , Insulin Resistance , Obesity/drug therapy , Triterpenes/administration & dosage , Adipokines/metabolism , Animals , Chemokine CCL2/genetics , Chemokine CCL2/metabolism , Diet, High-Fat/adverse effects , Humans , Hyperinsulinism/etiology , Hyperinsulinism/genetics , Hyperinsulinism/metabolism , Interleukin-1beta/genetics , Interleukin-1beta/metabolism , Interleukin-6/genetics , Interleukin-6/metabolism , Male , Obesity/etiology , Obesity/genetics , Obesity/metabolism , Rats , Rats, Wistar , Ursolic Acid
6.
Nanoscale Adv ; 1(8): 2953-2964, 2019 Aug 06.
Article in English | MEDLINE | ID: mdl-36133620

ABSTRACT

Herein, we report a facile method for the synthesis of platinum nanoparticles (PtNPs) about 2.25 nm in size by heating a solution of chloroplatinic acid and sodium rhodizonate. The PtNPs were synthesized in about 5 min. The PtNPs were supported on macroporous cellulose fibers that were obtained from Kimwipe paper (KWP). The cellulose fiber-supported PtNPs (PtNPs@KWP) exhibited excellent catalytic activity towards the reduction of organic pollutants [e.g. methyl orange (MO)] in the presence of hydrogen (H2) gas and formic acid (FA). FA and H2 gas were utilized as clean and alternative reducing agents. The reduction of MO was performed in two different types of water matrices viz. deionized water (DIW) and simulated fresh drinking water (FDW). In both water matrices, the FA mediated reduction of MO was found to be faster than the H2 gas-bubbled one. The PtNPs@KWP demonstrated excellent cycling stability without leaching the PtNPs or platinum ions into the solution for at least five cycles.

7.
Rev. bras. farmacogn ; 28(6): 716-723, Nov.-Dec. 2018. tab, graf
Article in English | LILACS | ID: biblio-977739

ABSTRACT

ABSTRACT Recently, lupin seed (Lupinus albus L., Fabaceae) products have emerged as a functional food due to their nutritional and health benefits. Numerous reports have demonstrated the hypoglycemic effects of lupin's gamma conglutin protein; nonetheless, its mechanism of action remains elusive. To understand the role of this protein on glucose metabolism, we evaluated the effect of administering L. albus' gamma conglutin on Slc2a2, Gck, and Pdx-1 gene expression as well as GLUT2 protein tissue levels in streptozotocin-induced diabetic rats. While consuming their regular diet, animals received a daily gamma conglutin dose (120 mg/kg per body weight) for seven consecutive days. Serum glucose levels were measured at the beginning and at the end of the experimental period. At the end of the trial, we quantified gene expression in pancreatic and hepatic tissues as well as GLUT2 immunopositivity in Langerhans islets. Gamma conglutin administration lowered serum glucose concentration by 17.7%, slightly increased Slc2a2 and Pdx-1 mRNA levels in pancreas, up-regulated Slc2a2 expression in the liver, but it had no effect on hepatic Gck expression. After gamma conglutin administration, GLUT2 immunopositivity in Langerhans islets of diabetic animals resembled that of healthy rats. In conclusion, our results indicate that gamma conglutin up-regulates Slc2a2 gene expression in liver and normalizes GLUT2 protein content in pancreas of streptozotocin-induced rats.

8.
Iran J Basic Med Sci ; 21(5): 489-494, 2018 May.
Article in English | MEDLINE | ID: mdl-29922429

ABSTRACT

OBJECTIVES: The mitogenic effect of the analogous insulin glargine is currently under debate since several clinical studies have raised the possibility that insulin glargine treatment has a carcinogenic potential in different tissues. This study aimed to evaluate the Igf-1r, Insr, and Igf-1 gene expression in colon and liver of streptozotocin-induced diabetic rats in response to insulin glargine, neutral protamine Hagedorn (NPH) insulin, and metformin treatments. MATERIALS AND METHODS: Male Wistar rats were induced during one week with streptozotocin to develop Type 2 Diabetes (T2D) and then randomly distributed into four groups. T2D rats included in the first group received insulin glargine, the second group received NPH insulin, the third group received metformin; finally, untreated T2D rats were included as the control group. All groups were treated for seven days; after the treatment, tissue samples of liver and colon were obtained. Quantitative PCR (qPCR) was performed to analyze the Igf-1r, Insr and Igf-1 gene expression in each tissue sample. RESULTS: The liver tissue showed overexpression of the Insr and Igf-1r genes (P>0.001) in rats treated with insulin glargine in comparison with the control group. Similar results were observed for the Insr gene (P>0.011) in colonic tissue of rats treated with insulin glargine. CONCLUSION: These observations demonstrate that insulin glargine promote an excess of insulin and IGF-1 receptors in STZ-induced diabetic rats, which could overstimulate the mitogenic signaling pathways.

9.
Plant Foods Hum Nutr ; 72(2): 134-140, 2017 Jun.
Article in English | MEDLINE | ID: mdl-28101822

ABSTRACT

Lupinus albus seeds contain conglutin gamma (Cγ) protein, which exerts a hypoglycemic effect and positively modifies proteins involved in glucose homeostasis. Cγ could potentially be used to manage patients with impaired glucose metabolism, but there remains a need to evaluate its effects on hepatic glucose production. The present study aimed to analyze G6pc, Fbp1, and Pck1 gene expressions in two experimental animal models of impaired glucose metabolism. We also evaluated hepatic and renal tissue integrity following Cγ treatment. To generate an insulin resistance model, male Wistar rats were provided 30% sucrose solution ad libitum for 20 weeks. To generate a type 2 diabetes model (STZ), five-day-old rats were intraperitoneally injected with streptozotocin (150 mg/kg). Each animal model was randomized into three subgroups that received the following oral treatments daily for one week: 0.9% w/v NaCl (vehicle; IR-Ctrl and STZ-Ctrl); metformin 300 mg/kg (IR-Met and STZ-Met); and Cγ 150 mg/kg (IR-Cγ and STZ-Cγ). Biochemical parameters were assessed pre- and post-treatment using colorimetric or enzymatic methods. We also performed histological analysis of hepatic and renal tissue. G6pc, Fbp1, and Pck1 gene expressions were quantified using real-time PCR. No histological changes were observed in any group. Post-treatment G6pc gene expression was decreased in the IR-Cγ and STZ-Cγ groups. Post-treatment Fbp1 and Pck1 gene expressions were reduced in the IR-Cγ group but increased in STZ-Cγ animals. Overall, these findings suggest that Cγ is involved in reducing hepatic glucose production, mainly through G6pc inhibition in impaired glucose metabolism disorders.


Subject(s)
Diabetes Mellitus, Experimental/drug therapy , Hypoglycemic Agents/administration & dosage , Lupinus/chemistry , Plant Proteins/administration & dosage , Animals , Blood Glucose/drug effects , DNA-Binding Proteins/drug effects , DNA-Binding Proteins/metabolism , Diabetes Mellitus, Experimental/chemically induced , Diabetes Mellitus, Type 2/drug therapy , Disease Models, Animal , Gene Expression/drug effects , Glucose-6-Phosphatase/drug effects , Glucose-6-Phosphatase/metabolism , Insulin/metabolism , Insulin Resistance , Intracellular Signaling Peptides and Proteins/drug effects , Intracellular Signaling Peptides and Proteins/metabolism , Kidney/drug effects , Liver/drug effects , Male , Phosphoenolpyruvate Carboxykinase (GTP)/drug effects , Phosphoenolpyruvate Carboxykinase (GTP)/metabolism , Rats , Rats, Wistar , Seeds/chemistry , Streptozocin/adverse effects
10.
Plant Foods Hum Nutr ; 69(3): 241-7, 2014 Sep.
Article in English | MEDLINE | ID: mdl-24894193

ABSTRACT

Several studies support the health-promoting benefits of lupins, particularly lupin proteins. It has been demonstrated that Lupinus albus gamma conglutin (Cγ) protein lowered blood glucose levels; thus, Cγ showed promise as a new anti-diabetic compound for type 2 diabetes (T2D) treatment. The aim of this study was to evaluate the effect of Cγ on Ins-1 gene expression and on pancreatic insulin content in streptozotocin-mediated diabetic rats. Cγ was isolated from Lupinus albus seeds. Its identification was confirmed with polyacrylamide gel electrophoresis under native and denaturing conditions. We used streptozotocin (STZ) to induce T2D on the 5th day of life of newborn male Wistar rats (n5-STZ). After 20 weeks post-induction, these animals (glycemia > 200 mg/dL) were randomly assigned to three groups that received the following one-week treatments: vehicle, 0.90% w/v NaCl (n5 STZ-Ctrl); glibenclamide, 10 mg/kg (n5 STZ-Glib); or Cγ, 120 mg/kg (n5 STZ-Cγ). Glucose and insulin levels were measured before and after treatment. Ins-1 gene expression was quantified using real time polymerase chain reaction and the pancreatic insulin content was evaluated with immunohistochemistry. Post-treatment, the n5 STZ-Cγ and n5 STZ-Glib groups showed reductions in glucose, increments in serum insulin, and increases in Ins-1 gene expression and beta cell insulin content compared to the n5 STZ-Ctrl group. The results showed that Cγ had beneficial effects on Ins-1 gene expression and pancreatic insulin content. These biological effects of Cγ strengthen its promising potential as a nutraceutical and/or new agent for controlling hyperglycemia.


Subject(s)
Gene Expression , Hypoglycemic Agents/administration & dosage , Insulin/genetics , Lupinus/chemistry , Pancreas/metabolism , Plant Proteins/administration & dosage , Animals , Blood Glucose/metabolism , Diabetes Mellitus, Experimental/chemically induced , Diabetes Mellitus, Experimental/drug therapy , Diabetes Mellitus, Type 2/drug therapy , Glyburide/administration & dosage , Insulin/metabolism , Insulin-Secreting Cells , Male , Plant Extracts/administration & dosage , Rats , Rats, Wistar , Streptozocin
11.
Biol Res ; 46(3): 281-8, 2013.
Article in English | MEDLINE | ID: mdl-24346076

ABSTRACT

OBJECTIVE: The high global incidence of type 2 diabetes has challenged researchers to establish animal models that resemble the chronic stage observed in type 2 diabetes patients. One such model is induced by neonatal streptozotocin (n-STZ) administration to rat pups at 0, 2, or 5 days after birth. In this study, we assessed lns-1 gene expression and tissue insulin levels as well as serum concentration of glucose and insulin, insulin resistance, and histological changes of the islets of Langerhans in n5-STZ rats after 20-weeks post-induction. METHODS: Wistar rat pups were randomly distributed into a control group and a streptozotocin-induced group. Experimental induction involved a single intraperitoneal injection of streptozotocin (150 mg/kg) into neonates at five days after birth. RESULTS: At 20 weeks post-induction, streptozotocin-induced rats exhibited increased serum glucose levels, reduced serum insulin levels, impaired glucose metabolism and insulin resistance compared to control rats. Histologically, streptozotocin-induced rats exhibited atrophic islets, vacuolization, and significantly fewer insulin-positive cells. lns-1 gene expression was significantly decreased in n5-STZ rats in comparison to the control group. CONCLUSION: Our findings support that the n5-STZ model 20 weeks post-induction represents an appropriate experimental tool to study T2D and to evaluate novel therapeutic agents and targets that involve insulin gene expression and secretion, as well as complications caused by chronic diabetes.


Subject(s)
Diabetes Mellitus, Experimental/metabolism , Gene Expression Regulation , Insulin/genetics , Islets of Langerhans/metabolism , Animals , Animals, Newborn , Diabetes Mellitus, Experimental/chemically induced , Disease Models, Animal , Female , Immunohistochemistry , Insulin/metabolism , Insulin Resistance , Random Allocation , Rats , Rats, Wistar , Streptozocin , Time Factors
12.
Biol. Res ; 46(3): 281-288, 2013. ilus, graf, tab
Article in English | LILACS | ID: lil-692195

ABSTRACT

Objective: The high global incidence of type 2 diabetes has challenged researchers to establish animal models that resemble the chronic stage observed in type 2 diabetes patients. One such model is induced by neonatal streptozotocin (n-STZ) administration to rat pups at 0, 2, or 5 days after birth. In this study, we assessed lns-1 gene expression and tissue insulin levels as well as serum concentration of glucose and insulin, insulin resistance, and histological changes of the islets of Langerhans in n5-STZ rats after 20-weeks post-induction. Methods: Wistar rat pups were randomly distributed into a control group and a streptozotocin-induced group. Experimental induction involved a single intraperitoneal injection of streptozotocin (150 mg/kg) into neonates at five days after birth. Results: At 20 weeks post-induction, streptozotocin-induced rats exhibited increased serum glucose levels, reduced serum insulin levels, impaired glucose metabolism and insulin resistance compared to control rats. Histologically, streptozotocin-induced rats exhibited atrophic islets, vacuolization, and significantly fewer insulin-positive cells. lns-1 gene expression was significantly decreased in n5-STZ rats in comparison to the control group. Conclusion: Our findings support that the n5-STZ model 20 weeks post-induction represents an appropriate experimental tool to study T2D and to evaluate novel therapeutic agents and targets that involve insulin gene expression and secretion, as well as complications caused by chronic diabetes.


Subject(s)
Animals , Female , Rats , Diabetes Mellitus, Experimental/metabolism , Gene Expression Regulation , Insulin/genetics , Islets of Langerhans/metabolism , Animals, Newborn , Disease Models, Animal , Diabetes Mellitus, Experimental/chemically induced , Immunohistochemistry , Insulin Resistance , Insulin/metabolism , Random Allocation , Rats, Wistar , Streptozocin , Time Factors
13.
Exp Ther Med ; 3(4): 603-607, 2012 Apr.
Article in English | MEDLINE | ID: mdl-22969936

ABSTRACT

The altered expression of the prolactin receptor (PRLR) has been associated with the development of various types of cancer, particularly breast, prostate and endometrial cancer. However, in laryngeal tumors, the expression of PRLR has not yet been documented. The aim of this study was to determine the expression and localization of PRLR in laryngeal cancer (LC) in comparison with recurrent respiratory papillomatosis (RRP). PRLR expression was analyzed in 48 paraffin-embedded tissues (18 RRP and 30 laryngeal cancer tissues) by immunoperoxidase staining. Furthermore, PRLR expression was evaluated in ten samples from each group by Western blot analysis and quantitative real-time PCR. PRLR was observed in all laryngeal tumors at different intensities. PRLR overexpression was significantly associated (P<0.005) with LC. The staining pattern was homogeneous, mainly cytoplasmic, and confined to the tumor area. We found increased expression of different isoforms in LC in comparison with RRP. Our results suggest a possible role of PRL/PRLR in the development of LC. PRLR may be useful as a target for further investigations in laryngeal tissues.

14.
Medisan ; 13(4)jul.-ago. 2009. ilus
Article in Spanish | LILACS | ID: lil-548076

ABSTRACT

La organización y el aprovechamiento de la jornada laboral son elementos importantes y necesarios para realizar cualquier actividad, igual sucede en el desarrollo de proyectos de colaboración y cooperación internacional. Teniendo en cuenta la complejidad de esta tarea y la necesidad de tramitarla en el menor tiempo posible para lograr su negociación, en este artículo se expone, mediante un esquema simple, una guía de verificación del diseño de la idea o proyecto.


The organization and use of the working day are important and necessary elements to do any activity as it happens with the development of international collaboration and cooperation projects. Taking into account the complexity of this task and the necessity of processing it as soon as possible in order to achieve its negotiation, a guide of verification of the idea or project design is stated in this article by means of a simple outline.


Subject(s)
Humans , Information Technologies and Communication Projects , Organizational Culture , Projects
15.
Medisan ; 13(4)jul-ago. 2009. ilus
Article in Spanish | CUMED | ID: cum-41015

ABSTRACT

La organización y el aprovechamiento de la jornada laboral son elementos importantes y necesarios para realizar cualquier actividad, igual sucede en el desarrollo de proyectos de colaboración y cooperación internacional. Teniendo en cuenta la complejidad de esta tarea y la necesidad de tramitarla en el menor tiempo posible para lograr su negociación, en este artículo se expone, mediante un esquema simple, una guía de verificación del diseño de la idea o proyecto(AU)


The organization and use of the working day are important and necessary elements to do any activity as it happens with the development of international collaboration and cooperation projects. Taking into account the complexity of this task and the necessity of processing it as soon as possible in order to achieve its negotiation, a guide of verification of the idea or project design is stated in this article by means of a simple outline(AU)


Subject(s)
Humans , Projects , Information Technologies and Communication Projects , Organizational Culture
16.
Int J Parasitol ; 32(2): 207-15, 2002 Feb.
Article in English | MEDLINE | ID: mdl-11812498

ABSTRACT

Verapamil has been shown to attenuate the extent of myocardial injury in murine models of chronic Trypanosoma cruzi infection. Infected mice treated with verapamil have significantly lower myocardial expression of inducible nitric oxide synthase and cytokines and substantially less inflammatory infiltrate and myocyte necrosis at necropsy. In the present study, we examined the cardiac structural and functional correlates of verapamil treatment in CD1 mice infected with the Brazil strain of T. cruzi using serial transthoracic echocardiography. There were four groups: uninfected- untreated control, uninfected-verapamil-treated, infected-untreated control, and infected-verapamil-treated. Verapamil was given in drinking water (1 gm/l) continuously from the day of infection for a total of 120 days. Mice were evaluated at baseline, 40 and 150 days p.i. Mice in the untreated-infected group compared with the mice in the infected-verapamil-treated group showed thinning of the left ventricular wall (0.84 +/- 0.02-vs-0.92 +/- 0.04, P<0.05 mm), increase in the left ventricular end-diastolic diameter (3.27 +/- 0.15-vs-2.74 +/- 0.05 mm, P<0.05) and reduction in percent fractional shortening (37 +/- 2-vs-53 +/- 4%, P<0.05). No differences in these parameters were noted among mice in the uninfected-untreated and uninfected-verapamil-treated groups. Furthermore, right ventricular dilation was more severe in mice from the infected-untreated group as compared with those in the infected- verapamil-treated group (visual grade 1.9 +/- 0.4-vs-1.0 +/- 0.2, P<0.05). At necropsy, the extent of myocardial injury, as determined histologically, was significantly greater in the infected-untreated mice. These data provide cardiac structural and functional correlates for the previously observed cardioprotective effects of verapamil in chronic chagasic cardiomyopathy.


Subject(s)
Calcium Channel Blockers/pharmacology , Cardiotonic Agents/pharmacology , Chagas Disease/drug therapy , Myocardium/pathology , Trypanosoma cruzi/metabolism , Ventricular Function/drug effects , Verapamil/pharmacology , Animals , Calcium Channel Blockers/therapeutic use , Cardiotonic Agents/therapeutic use , Chagas Disease/diagnostic imaging , Chagas Disease/pathology , Chagas Disease/physiopathology , Collagen/analysis , Collagen/biosynthesis , Disease Models, Animal , Echocardiography , Histocytochemistry , Male , Mice , Trypanosoma cruzi/drug effects , Verapamil/therapeutic use
17.
Rev cienc méd habana ; 4(1): 22-32, dic. 1991. tab
Article in Spanish | CUMED | ID: cum-43433

ABSTRACT

Se estudiaron 88 pacientes diagnosticados con infarto agudo del miocardio, ingresados en la Unidad de Cuidados Intensivos del Hospital General Docente Aleida Fernández Chardiet, en Guines, durante los primeros 18 meses de creado este servicio, a partir de enero de 1984. Se realizaron, en cada caso, electrocardiograma y pruebas que fundamentaron el adignóstico. Se encontró que el electrocardiograma lógico de mayor interés y el factor de riesgo más importante fue la hipertensión arterial. las complicaciones más frecuentes fueron las arritmias ventriculares; la localización de mayor porcentaje estuvo representada por el infarto de cara inferior y el síntoma predominante fue el dolor precordial. Hubo un 15,9 por ciento de letalidad en el total estudiado (AU)


Subject(s)
Myocardial Infarction , Critical Care
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