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1.
Front Genet ; 15: 1425531, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39040996

RESUMEN

Introduction: Integrating genetic data into conservation management decisions is a challenging task that requires strong partnerships between researchers and managers. Conservation in Latin America is of crucial relevance worldwide given the high biodiversity levels and the presence of hotspots in this region. Methods: We conducted a survey across Latin America to identify gaps and opportunities between genetic researchers and conservation managers. We aimed to better understand conservation managers' points of view and how genetic research could help conservation practitioners to achieve their goals, by implementing genetic assessments that could effectively inform conservation practices. We distributed an online survey via four regional collaborating organizations and 32 focal points based in 20 Latin American countries. The target respondents were conservation managers of species or areas in Latin America. Results: We collected a total of 468 answered questionnaires from 21 Latin American countries. Most respondents (44%) were from an academic or research institution while non-academics were mainly from non-governmental institutions (30%) and government agencies (25%). Most respondents (65%) have performed or used genetic assessments in their managed area or species, either alone, in partnership, contracting someone else or using published results. For the majority of this group, the genetic results were relevant to their conservation management goals, helping to inform management decisions. Respondents that had not performed genetic assessments (35%) were mainly from the non-academic group, and their main barriers were limited access to funds, genetic lab facilities, and trained personnel to design studies and conduct lab work. Discussion: From the findings, we describe the current situation and provide a general diagnosis of the conservation-genetics gap in Latin America. We describe the gender gap, academic-practitioner co-development of conservation questions and projects, and the nationality and residency of Latin American conservation managers in relation to the countries where they work. We discuss opportunities to co-create research questions and co-develop studies based on conservation practitioners' needs. We offer recommendations for overcoming barriers to integrate genetic information into conservation actions, and advance agendas that fit the needs and realities of the highly heterogeneous, biodiverse and challenging Latin American region.

2.
Microbiol Resour Announc ; 13(3): e0086123, 2024 Mar 12.
Artículo en Inglés | MEDLINE | ID: mdl-38294215

RESUMEN

We report the draft genomes of four Kluyveromyces marxianus isolates obtained from the elaboration process of henequen (Agave fourcroydes) mezcal, a Mexican alcoholic beverage. The average nucleotide identity analysis revealed that isolates derived from agave plants are distinct from those from other environments, including agave fermentations.

4.
Plants (Basel) ; 11(22)2022 Nov 16.
Artículo en Inglés | MEDLINE | ID: mdl-36432865

RESUMEN

In the present study, the nematicidal and acaricidal activity of three Enterobacter endophytic strains isolated from Mimosa pudica nodules was evaluated. The percentages of mortality of Enterobacter NOD4 against Panagrellus redivivus was 81.2%, and against Nacobbus aberrans 70.1%, Enterobacter NOD8 72.4% and 62.5%, and Enterobacter NOD10 64.8% and 58.7%, respectively. While against the Tyrophagus putrescentiae mite, the mortality percentages were 68.2% due to Enterobacter NOD4, 64.3% due to Enterobacter NOD8 and 77.8% due to Enterobacter NOD10. On the other hand, the ability of the three Enterobacter strains to produce indole acetic acid and phosphate solubilization, characteristics related to plant growth-promoting bacteria, was detected. Bioinformatic analysis of the genomes showed the presence of genes related to IAA production, phosphate solubilization, and nitrogen fixation. Phylogenetic analyzes of the recA gene, phylogenomics, and average nucleotide identity (ANI) allowed us to identify the strain Enterobacter NOD8 related to E. mori and Enterobacter NOD10 as E. asburiae, while Enterobacter NOD4 was identified as a possible new species of this species. The plant growth-promoting, acaricidal and nematicidal activity of the three Enterobacter strains makes them a potential agent to include in biocontrol alternatives and as growth-promoting bacteria in crops of agricultural interest.

5.
Arch Microbiol ; 204(1): 73, 2021 Dec 24.
Artículo en Inglés | MEDLINE | ID: mdl-34951665

RESUMEN

Accurate recognition of the closely related species Klebsiella pneumoniae, Klebsiella quasipneumoniae and Klebsiella variicola by phenotypic, biochemical and automated tests is notoriously unreliable in hospitals' diagnostic laboratories. A comparative genomics approach was conducted for the correct differentiation of the main bacterial species in the K. pneumoniae complex. Analysis of the deduced proteomes of 87 unique genomes of the Klebsiella in public databases, was used for the identification of unique protein family members. This allowed the design of a multiplex-PCR assay for the correct differentiation of these three species from different origins. This system allowed us to determine the prevalence of K. pneumoniae, K. quasipneumoniae and K. variicola among a collection of 552 clinical isolates. Of these, 87.3% (482/552) isolates corresponded to K. pneumoniae, 6.7% (33/552) to K. quasipneumoniae and 5.9% (33/552) to K. variicola. The multiplex-PCR results showed a 100% accuracy for the correct identification of the three species evaluated, which was validated with rpoB phylogenetic sequence analysis.


Asunto(s)
Infecciones por Klebsiella , Klebsiella pneumoniae , Humanos , Klebsiella/genética , Klebsiella pneumoniae/genética , Reacción en Cadena de la Polimerasa Multiplex , Filogenia
6.
Microorganisms ; 9(12)2021 Dec 16.
Artículo en Inglés | MEDLINE | ID: mdl-34946197

RESUMEN

Among people with HIV, histoplasmosis represents an important cause of mortality. Previous studies provided estimates of the disease incidence. Here, we compared those estimates with the results obtained from a screening program implemented in Guatemala, which included histoplasmosis detection for people with HIV. To compare the results of this program with previous estimations, a literature search was performed and reports concerning histoplasmosis incidence were analyzed. The screening program enrolled 6366 patients. The overall histoplasmosis incidence in the screening program was 7.4%, which was almost double that estimated in previous studies. From 2017 to 2019, the screening program showed an upward trend in histoplasmosis cases from 6.5% to 8.8%. Histoplasmosis overall mortality among those who were newly HIV diagnosed showed a decrease at 180 days from 32.8% in 2017 to 21.2% in 2019. The screening approach using rapid diagnostic assays detects histoplasmosis cases more quickly, allowing a specific treatment to be administered, which decreases the mortality of the disease. Therefore, the use of these new techniques, especially in endemic areas of histoplasmosis, must be implemented.

7.
PeerJ ; 9: e12010, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34692242

RESUMEN

Latitudinal diversity gradients (LDG) and their explanatory factors are among the most challenging topics in macroecology and biogeography. Despite of its apparent generality, a growing body of evidence shows that 'anomalous' LDG (i.e., inverse or hump-shaped trends) are common among marine organisms along the Southeastern Pacific (SEP) coast. Here, we evaluate the shape of the LDG of marine benthic polychaetes and its underlying causes using a dataset of 643 species inhabiting the continental shelf (<200 m depth), using latitudinal bands with a spatial resolution of 0.5°, along the SEP (3-56° S). The explanatory value of six oceanographic (Sea Surface Temperature (SST), SST range, salinity, salinity range, primary productivity and shelf area), and one macroecological proxy (median latitudinal range of species) were assessed using a random forest model. The taxonomic structure was used to estimate the degree of niche conservatism of predictor variables and to estimate latitudinal trends in phylogenetic diversity, based on three indices (phylogenetic richness (PDSES), mean pairwise distance (MPDSES), and variation of pairwise distances (VPD)). The LDG exhibits a hump-shaped trend, with a maximum peak of species richness at ca. 42° S, declining towards northern and southern areas of SEP. The latitudinal pattern was also evident in local samples controlled by sampling effort. The random forest model had a high accuracy (pseudo-r2 = 0.95) and showed that the LDG could be explained by four variables (median latitudinal range, SST, salinity, and SST range), yet the functional relationship between species richness and these predictors was variable. A significant degree of phylogenetic conservatism was detected for the median latitudinal range and SST. PDSES increased toward the southern region, whereas VPD showed the opposite trend, both statistically significant. MPDSES has the same trend as PDSES, but it is not significant. Our results reinforce the idea that the south Chile fjord area, particularly the Chiloé region, was likely the evolutionary source of new species of marine polychaetes along SEP, creating a hotspot of diversity. Therefore, in the same way as the canonical LDG shows a decline in diversity while moving away from the tropics; on this case the decline occurs while moving away from Chiloé Island. These results, coupled with a strong phylogenetic signal of the main predictor variables suggest that processes operating mainly at evolutionary timescales govern the LDG.

8.
SN Comput Sci ; 2(5): 405, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34396152

RESUMEN

Optimal control for infectious diseases has received increasing attention over the past few decades. In general, a combination of cost state variables and control effort have been applied as cost indices. Many important results have been reported. Nevertheless, it seems that the interpretation of the optimal control law for an epidemic system has received less attention. In this paper, we have applied Pontryagin's maximum principle to develop an optimal control law to minimize the number of infected individuals and the vaccination rate. We have adopted the compartmental model SIR to test our technique. We have shown that the proposed control law can give some insights to develop a control strategy in a model-free scenario. Numerical examples show a reduction of 50% in the number of infected individuals when compared with constant vaccination. There is not always a prior knowledge of the number of susceptible, infected, and recovered individuals required to formulate and solve the optimal control problem. In a model-free scenario, a strategy based on the analytic function is proposed, where prior knowledge of the scenario is not necessary. This insight can also be useful after the development of a vaccine to COVID-19, since it shows that a fast and general cover of vaccine worldwide can minimize the number of infected, and consequently the number of deaths. The considered approach is capable of eradicating the disease faster than a constant vaccination control method.

9.
Microbiol Resour Announc ; 10(26): e0032921, 2021 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-34197204

RESUMEN

Klebsiella variicola F2R9 was isolated from banana root, and its sequence has been deposited as ATCC BAA-830. It corresponds to sequence type 11 (ST11) and KL16 and contains no identifiable plasmids. The genome showed few antimicrobial resistance and virulence genes and several plant association genes. The strain showed susceptibility to most antimicrobials and avirulent behavior.

10.
Microorganisms ; 9(5)2021 May 17.
Artículo en Inglés | MEDLINE | ID: mdl-34067853

RESUMEN

The study aimed to evaluate the metabolism and resistance to the gastrointestinal tract conditions of Bacillus pumilus UAMX (BP-UAMX) isolated from overweight individuals using genomic tools. Specifically, we assessed its ability to metabolize various carbon sources, its resistance to low pH exposure, and its growth in the presence of bile salts. The genomic and bioinformatic analyses included the prediction of gene and protein metabolic functions, a pan-genome and phylogenomic analysis. BP-UAMX survived at pH 3, while bile salts (0.2-0.3% w/v) increased its growth rate. Moreover, it showed the ability to metabolize simple and complex carbon sources (glucose, starch, carboxymethyl-cellulose, inulin, and tributyrin), showing a differentiated electrophoretic profile. Genome was assembled into a single contig, with a high percentage of genes and proteins associated with the metabolism of amino acids, carbohydrates, and lipids. Antibiotic resistance genes were detected, but only one beta-Lactam resistance protein related to the inhibition of peptidoglycan biosynthesis was identified. The pan-genome of BP-UAMX is still open with phylogenetic similarities with other Bacillus of human origin. Therefore, BP-UAMX seems to be adapted to the intestinal environment, with physiological and genomic analyses demonstrating the ability to metabolize complex carbon sources, the strain has an open pan-genome with continuous evolution and adaptation.

11.
Future Microbiol ; 15: 1123-1129, 2020 08.
Artículo en Inglés | MEDLINE | ID: mdl-32954844

RESUMEN

Background: Antibiotic-dependent pathogenic bacteria are sporadically isolated from patients that received prolonged antibiotic treatments. Evolution of antibiotics dependence and its clinical implications are scarcely studied. Materials & methods: A linezolid-dependent Staphylococcus aureus strain was isolated from a cystic fibrosis patient. A draft genome sequence was obtained and searched for known antibiotics resistance determinants and virulence factors. Results: The genome was assembled into 79 contigs for a total of 2.83 Mbp. This strain is a sequence type 5 methicillin-resistant Staphylococcus aureus with a type I SCCmec cassette also conserving the Panton-Valentine leukocidin. The G2576T substitution, conferring linezolid resistance, was harbored by all five copies of the 23S rRNA. Conclusion: The linezolid-dependent strain is related to a strain circulating in Latin America that acquired a mutation conferring linezolid resistance.


Asunto(s)
Antibacterianos/farmacología , Fibrosis Quística/microbiología , Genoma Bacteriano , Linezolid/farmacología , Infecciones Estafilocócicas/microbiología , Staphylococcus aureus/genética , Staphylococcus aureus/aislamiento & purificación , Niño , Femenino , Humanos , Pruebas de Sensibilidad Microbiana , Staphylococcus aureus/efectos de los fármacos
12.
AIDS ; 34(11): 1625-1632, 2020 09 01.
Artículo en Inglés | MEDLINE | ID: mdl-32694415

RESUMEN

OBJECTIVES: We evaluated the comparative performance of different assays used in a Diagnostic Laboratory Hub that linked 13 HIV healthcare facilities for the diagnosis of tuberculosis (TB), histoplasmosis, and cryptococcosis, and describing its functions in Guatemala compared with other National Reference Laboratories. METHODS: The following diagnostic techniques were analyzed in 24 months (2017-2018) in a cohort of patients with HIV: smear microscopy, mycobacterial and fungal cultures, isolator blood culture, PCR assays, and antigen detection tests. RESULTS: A total of 4245 patients were included, 716 (16.2%) had an opportunistic infection: 249 (34.7%) TB, 40 (5.6%) nontuberculous mycobacteria, 227 (31.7%) histoplasmosis, 138 (19.3%) cryptococcosis, and 62 (8.6%) had multiple opportunistic infections. Two hundred sixty-three [92.6%; 95% confidence interval (CI), 89-95.1] of TB cases were diagnosed by PCR. Urine antigen assay detected 94% (95% CI, 89-96) of the disseminated histoplasmosis cases. A lateral flow assay to detect cryptococcal antigen diagnosed 97% (95% CI, 93.3-98.7%) of the cryptococcal cases. In 85 patients (51.5%) with a cerobrospinal fluid sample, cryptococcal meningitis was diagnosed in 55 (64.7%), of which 18 (32.7%) were only detected by cryptococcal antigen. CONCLUSION: Validated commercial antigen tests, as used in this program, should be the new gold standard for histoplasmosis and cryptococcosis diagnosis. In their absence, 35% of disseminated histoplasmosis and 32.7% of cryptococcal meningitis cases would have been missed. Patients with multiple opportunistic infections were frequently diagnosed and strategies should be designed to screen patients irrespective of their clinical presentation. In low resource settings, Diagnostic Laboratory Hubs can deliver quality diagnostics services in record time at affordable prices.


Asunto(s)
Infecciones Oportunistas Relacionadas con el SIDA/diagnóstico , Criptococosis/diagnóstico , Infecciones por VIH/complicaciones , Histoplasmosis/diagnóstico , Pruebas Inmunológicas/métodos , Laboratorios/normas , Tuberculosis/diagnóstico , Infecciones Oportunistas Relacionadas con el SIDA/epidemiología , Adolescente , Adulto , Anciano , Antígenos Fúngicos/sangre , Cryptococcus/inmunología , Humanos , Persona de Mediana Edad , Sensibilidad y Especificidad , Adulto Joven
13.
Phys Rev E ; 101(3-1): 032207, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-32289930

RESUMEN

Phase coherence is an important measure in nonlinear science. Whereas there is no generally accepted definition for phase and therefore for phase coherence, many works associate this feature with topological aspects of the systems, such as having a well-defined rotating center. Given the relevance of this concept for synchronization problems, one aim of this paper is to argue by means of a couple of counterexamples that phase coherence is not related to the topology of the attractor. A second aim is to introduce a phase-coherence measure based on recurrence plots, for which probabilities of recurrences for two different trajectories are similar for a phase-coherent system and dissimilar for non-phase-coherent systems. The measure does not require a phase variable defined a priori.

14.
Front Microbiol ; 11: 579612, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33391198

RESUMEN

Hypermucoviscosity (hmv) is a capsule-associated phenotype usually linked with hypervirulent Klebsiella pneumoniae strains. The key components of this phenotype are the RmpADC proteins contained in non-transmissible plasmids identified and studied in K. pneumoniae. Klebsiella variicola is closely related to K. pneumoniae and recently has been identified as an emergent human pathogen. K. variicola normally contains plasmids, some of them carrying antibiotic resistance and virulence genes. Previously, we described a K. variicola clinical isolate showing an hmv-like phenotype that harbors a 343-kb pKV8917 plasmid. Here, we investigated whether pKV8917 plasmid carried by K. variicola 8917 is linked with the hmv-like phenotype and its contribution to virulence. We found that curing the 343-kb pKV8917 plasmid caused the loss of hmv, a reduction in capsular polysaccharide (P < 0.001) and virulence. In addition, pKV8917 was successfully transferred to Escherichia coli and K. variicola strains via conjugation. Notably, when pKV8917 was transferred to K. variicola, the transconjugants displayed an hmv-like phenotype, and capsule production and virulence increased; these phenotypes were not observed in the E. coli transconjugants. These data suggest that the pKV8917 plasmid carries novel hmv and capsule determinants. Whole-plasmid sequencing and analysis revealed that pKV8917 does not contain rmpADC/rmpA2 genes; thus, an alternative mechanism was searched. The 343-kb plasmid contains an IncFIB backbone and shares a region of ∼150 kb with a 99% identity and 49% coverage with a virulence plasmid from hypervirulent K. variicola and multidrug-resistant K. pneumoniae. The pKV8917-unique region harbors a cellulose biosynthesis cluster (bcs), fructose- and sucrose-specific (fru/scr) phosphotransferase systems, and the transcriptional regulators araC and iclR, respectively, involved in membrane permeability. The hmv-like phenotype has been identified more frequently, and recent evidence supports the existence of rmpADC/rmpA2-independent hmv-like pathways in this bacterial genus.

15.
Rev. ecuat. neurol ; Rev. ecuat. neurol;28(3): 59-67, sep.-dic. 2019. tab, graf
Artículo en Español | LILACS-Express | LILACS | ID: biblio-1058475

RESUMEN

Resumen Antecedentes: La epilepsia constituye la tercera causa más común de trastorno neurológico que se reporta, secundario tan solo a eventos cerebrovasculares y enfermedad de Alzheimer. Se ha determinado que aproximadamente entre el 70% al 80% de los cuadros convulsivos son controlados exitosamente con monoterapia, aproximadamente el 10-15% con terapia combinada mientras que cerca del 10% no son controlados con terapia farmacológica solamente. Objetivo: El presente documento constituye una revisión bibliográfica que pretende exponer las alternativas en el abordaje actual de cuadros de epilepsia. No pretende hacer de guía terapéutica senso estricto, sino dotar al médico tratante de herramientas que simplifiquen la selección del fármaco apropiado de acorde a su criterio, circunstancias y realidad clínica. Metodología: Se recurrió a motores de búsqueda médicos, artículos y resúmenes, al igual que a guías publicadas por la ILAE con el objetivo de recolectar datos pertinentes e interpretar estos hallazgos. Conclusión: Mediante esta revisión se logró exponer criterios clásicos e innovadores abarcando la extensión del conocimiento actual respecto al abordaje farmacológico de la epilepsia.


Abstract Background: Epilepsy represents the third most common reported neurologic disorder, surpassed only by cerebrovascular accidents and Alzheimer's disease. Iyt is believed that around 70% to 80% of all convulsive disorders can be successfully controlled with monotherapy alone and an additional 10% to 15% with combination therapy. Around 10% of cases never achieve remission through pharmacological therapy alone. Objectives: Through this comprehensive review of the literature describing the current available pharmacologic therapies for the management of epilepsy and their recognized indications, the authors intend to provide an educational tool that could assist the general practitioner to make decisions when selecting a suitable treatment strategy according to a specific clinical scenario (and as guided by their own professional judgment, circumstances and clinical reality)-. Methods: We used a wide variety of medical search engines, articles and abstracts for the purpose of data collection and interpretation. Conclusions: Through this review the authors managed to present all current and innovative approaches regarding the pharmacologic management of epilepsy encompassing the scope of current knowledge.

16.
Sci Rep ; 9(1): 10610, 2019 07 23.
Artículo en Inglés | MEDLINE | ID: mdl-31337792

RESUMEN

Klebsiella variicola is considered an emerging pathogen in humans and has been described in different environments. K. variicola belongs to Klebsiella pneumoniae complex, which has expanded the taxonomic classification and hindered epidemiological and evolutionary studies. The present work describes the molecular epidemiology of K. variicola based on MultiLocus Sequence Typing (MLST) developed for this purpose. In total, 226 genomes obtained from public data bases and 28 isolates were evaluated, which were mainly obtained from humans, followed by plants, various animals, the environment and insects. A total 166 distinct sequence types (STs) were identified, with 39 STs comprising at least two isolates. The molecular epidemiology of K. variicola showed a global distribution for some STs was observed, and in some cases, isolates obtained from different sources belong to the same ST. Several examples of isolates corresponding to kingdom-crossing bacteria from plants to humans were identified, establishing this as a possible route of transmission. goeBURST analysis identified Clonal Complex 1 (CC1) as the clone with the greatest distribution. Whole-genome sequencing of K. variicola isolates revealed extended-spectrum ß-lactamase- and carbapenemase-producing strains with an increase in pathogenicity. MLST of K. variicola is a strong molecular epidemiological tool that allows following the evolution of this bacterial species obtained from different environments.


Asunto(s)
Infecciones por Klebsiella/epidemiología , Klebsiella/genética , Genoma Bacteriano/genética , Humanos , Epidemiología Molecular , Tipificación de Secuencias Multilocus , Filogenia
17.
Chaos ; 29(3): 033118, 2019 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-30927843

RESUMEN

In a network of high-dimensionality, it is not feasible to measure every single node. Thus, an important goal is to define the optimal choice of sensor nodes that provides a reliable state reconstruction of the network system state-space. This is an observability problem. In this paper, we propose a particle filtering (PF) framework as a way to assess observability properties of a dynamical network, where each node is composed of an individual dynamical system. The PF framework is applied to two benchmarks, networks of Kuramoto and Rössler oscillators, to investigate how the interplay between dynamics and topology impacts the network observability. Based on the numerical results, we conjecture that, when the network nodal dynamics are heterogeneous, better observability is conveyed for sets of sensor nodes that share some dynamical affinity to its neighbourhood. Moreover, we also investigate how the choice of an internal measured variable of a multidimensional sensor node affects the PF performance. The PF framework effectiveness as an observability measure is compared with a well-consolidated nonlinear observability metric for a small network case and some chaotic system benchmarks.

18.
Med. interna Méx ; 35(2): 208-214, mar.-abr. 2019. tab
Artículo en Español | LILACS-Express | LILACS | ID: biblio-1135168

RESUMEN

Resumen ANTECEDENTES: La edad es un factor pronóstico en los pacientes con infarto agudo de miocardio. OBJETIVO: Establecer las características y pronóstico de los adultos mayores con tratamiento de reperfusión mecánica. MATERIAL Y MÉTODO: Análisis retrospectivo en que se incluyeron pacientes en el programa Código infarto en los que se instauró tratamiento de reperfusión de enero de 2016 a diciembre de 2017. RESULTADOS: Se incluyeron 1025 pacientes; 15.3% eran mayores de 75 años. El intervalo de edad fue de 33 a 92 años. La mortalidad aumentó de forma exponencial a mayor edad (3.4% de los pacientes ≤ 54 años, 6.1% en los de 55 a 64 años, 9.2% en los de 65 a 75 años y 15.9% en los ≥ 75 años, p < 0.001). En los pacientes mayores de 75 años, la angioplastia primaria fue el método de reperfusión preferido (77.7%), sin encontrar en este grupo de pacientes aumento en el evento vascular cerebral de origen isquémico o hemorrágico. Los mayores de 75 años que padecieron choque cardiogénico tuvieron mortalidad mucho mayor comparada con los más jóvenes (17.6, 28, 33 vs 56%, respectivamente; p < 0.001). CONCLUSIONES: A pesar de los diferentes tratamientos de reperfusión, la mortalidad sigue siendo más elevada en los adultos de edad avanzada, principalmente por múltiples comorbilidades y tasa más alta de disfunción ventricular.


Abstract BACKGROUND: Age is an important prognostic factor in patients with acute myocardial infarction. OBJECTIVE: To establish the characteristics and prognosis of older adults treated with mechanical reperfusion treatment. MATERIAL AND METHOD: A retrospective analysis including patients in the program code myocardial reperfusion treatment was carried out from January 2016 to December 2017. RESULTS: There were included 1025 patients; 15.3% older than 75 years. The age range was of 33 to 92 years. The mortality rate was increasing exponentially with higher age (3.4% in patients ≤ 54 years, 6.1% in the group of 55 to 64 years, 9.2% in the group of 65 to 75 years and 15.9% in ≥ 75 years, p < 0.001). In patients older than 75 years, primary angioplasty was the preferred method of reperfusion (77.7%), without finding in this group of patients an increase in the ischemic or hemorrhagic cerebral vascular event. Patients older than 75 years who develop cardiogenic shock had a much higher mortality compared with the younger (17.6%, 28%, 33% vs 56%, respectively; p < 0.001). CONCLUSIONS: Despite the different treatments of reperfusion, mortality remains higher in older adults, mainly by multiple comorbidities and a higher rate of ventricular dysfunction.

19.
Clin Pharmacol Drug Dev ; 8(3): 404-410, 2019 04.
Artículo en Inglés | MEDLINE | ID: mdl-29947474

RESUMEN

An orally disintegrating film formulation of sildenafil 50 mg (CL Pharm Co, Ltd) was used in this study and compared to the market-available product film coated tablets (Viagra® , Pfizer, Mexico). The objective was to compare the pharmacokinetic properties of these products after a single-dose administration to 47 healthy male volunteers (aged 19-48 years) in a randomized, open-label, 2-way crossover study. Each subject received a single oral dose of 50 mg of sildenafil test or reference product administered under fasting conditions at each of the 2 study periods according to a crossover design. There was a 3-day washout period between drug administrations. Blood samples for pharmacokinetic analysis were collected predose and at different times postdosing. The maximum plasma concentration and area under the curve from administration to last observed concentration time of test and reference products were compared. Pharmacokinetic parameters shown to be within the confidence interval 80% to 125% for log-transformed data and Shuirmann and Anderson Hauck tests showed a high probability that area under the curve values for the test product were within 80% to 125% (P < .05). Adverse events occurred at similar rates for the 2 formulations (8 for each product), headache being the most prevalent. The results suggest that the 2 sildenafil formulations, orally disintegrating films and film-coated tablets, are similar in terms of bioavailability, making the test product a good alternative to treat erectile dysfunction and improving dosing convenience.


Asunto(s)
Mucosa Bucal/metabolismo , Inhibidores de Fosfodiesterasa 5/farmacocinética , Citrato de Sildenafil/farmacocinética , Administración Oral , Adulto , Área Bajo la Curva , Disponibilidad Biológica , Estudios Cruzados , Liberación de Fármacos , Humanos , Masculino , México , Persona de Mediana Edad , Inhibidores de Fosfodiesterasa 5/administración & dosificación , Inhibidores de Fosfodiesterasa 5/sangre , Inhibidores de Fosfodiesterasa 5/química , Citrato de Sildenafil/administración & dosificación , Citrato de Sildenafil/sangre , Citrato de Sildenafil/química , Comprimidos , Equivalencia Terapéutica , Adulto Joven
20.
PLoS One ; 13(10): e0206180, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30379892

RESUMEN

Classical definitions of observability classify a system as either being observable or not. Observability has been recognized as an important feature to study complex networks, and as for dynamical systems the focus has been on determining conditions for a network to be observable. About twenty years ago continuous measures of observability for nonlinear dynamical systems started to be used. In this paper various aspects of observability that are established for dynamical systems will be investigated in the context of networks. In particular it will be discussed in which ways simple networks can be ranked in terms of observability using continuous measures of such a property. Also it is pointed out that the analysis of the network topology is typically not sufficient for observability purposes, since both the dynamics and the coupling of such nodes play a vital role. Some of the main ideas are illustrated by means of numerical simulations.


Asunto(s)
Redes Neurales de la Computación , Dinámicas no Lineales , Algoritmos , Modelos Teóricos , Observación
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