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1.
Artículo en Inglés | MEDLINE | ID: mdl-39260799

RESUMEN

OBJECTIVE: Ablation therapy is employed in low-risk differentiated thyroid cancer (DTC) cases to facilitate patient monitoring by reducing thyroglobulin (Tg) levels to measurable levels below after surgery by eliminating residual thyroid tissue. However, there is still uncertainty about the minimum activity dose required for effective ablation. Opting for low-dose [131I]-NaI for ablation offers several advantages for both patients and healthcare services. Particularly in this tumor group with a high life expectancy (approximately 90-95 % at 10 years), [131I]-NaI treatment should not pose a risk to the patient's post-treatment life and should not compromise their quality of life. However, there is a need for a well-defined identification of factors predicting successful ablation. METHODS: Clinical data, laboratory findings, and imaging tests of 287 patients with low-dose 1110 MBq (30 mCi) [131I]-NaI ablation therapy for DTC were retrospectively reviewed. Post-ablation imaging and laboratory findings categorized ablation success/failure. The successful ablation group was determined according to the excellent response criteria outlined in ATA criteria. Relationships between clinical, pathological findings, biochemical common variables, and treatment failure were analyzed. RESULTS: An excellent response was achieved in 77% of the entire group according to ATA criteria post-ablation. Male gender and high Tg levels on the day of ablation (Tg cut-off: 10 ng/mL and 5.35 ng/mL) were associated with unsuccessful ablation. CONCLUSIONS: Our results indicate that a 1110MBq (30mCi) ablation dose is sufficient to achieve an excellent response in most low-risk DTC cases 6-12 months later. When selecting the dose for ablation, besides the histological markers mentioned in guidelines and age, we observed that stimulated Tg values and gender may be important in predicting ablation success.

2.
Rev. esp. med. nucl. imagen mol. (Ed. impr.) ; 39(1): 9-13, ene.-feb. 2020. ilus, tab, graf
Artículo en Español | IBECS | ID: ibc-195940

RESUMEN

OBJETIVO: El propósito del presente estudio es determinar el valor pronóstico de los parámetros metabólicos relacionados con los tumores primarios detectados en los exámenes por tomografía por emisión de positrones/tomografía computarizada (PET/TC) del pretratamiento flúor-18 2-fluoro-2-desoxi-D-glucosa (18F FDG) de pacientes a los que se les ha diagnosticado cáncer pulmonar de células pequeñas (SCLC, por sus siglas en inglés). MATERIALES Y MÉTODOS: En este estudio retrospectivo se inscribieron 63 pacientes con un diagnóstico histopatológicamente confirmado de SCLC a los que se les aplicó un escáner PET/TC con 18F FDG en la línea basal. Se registraron la etapa de la enfermedad, la edad en su diagnóstico, el sexo, el nivel de albúmina y el valor máximo de captación estándar (SUVmax), SUVmean, el volumen de tumor metabólico (MTV) y los valores de glucólisis total de la lesión) relacionados con el tumor primario en el escáner PET de línea basal y se evaluó la relación de estos factores con la supervivencia libre de progresión (PFS) y la supervivencia global (OS). RESULTADOS: El estudio incluyó un total de 63 pacientes (10 mujeres, 53 hombres, con una edad media de 64,8 y un rango de edad de 43-82 años), 22 de los cuales tenía enfermedad limitada (LD) y 41 tenía enfermedad extendida (ED). Los OS y PFS fueron significativamente mayores en pacientes con LD que en pacientes con ED (15+/-2,9 ante 10+/-0,9 meses, p = 0,002 para OS; 10+/- 0,7 ante 6+/-0,6 meses, p = 0,014 para PFS). Sin embargo, no se identificó una relación estadísticamente significativa entre el sexo, el nivel de albúmina, la edad y los niveles SUVmax, SUVmean, MTV y TLG relacionados con el tumor primario y PFS u OS. CONCLUSIÓN: El presente estudio descubrió que los parámetros PET del pretratamiento no tenían valor predictivo para el PFS y OS en pacientes con SCLC


OBJECTIVE: The aim in the present study is to determine the prognostic value of metabolic parameters related to the primary tumors detected in pretreatment Fluorine-18 2-fluoro-2-Deoxy-D-glucose (18F FDG) positron emission tomography/computerized tomography (PET/CT) scans of patients diagnosed with small-cell lung cancer (SCLC). MATERIAL AND METHODS: Enrolled in this retrospective study were 63 patients with a histopathologically confirmed diagnosis of SCLC who underwent an 18F FDG PET/CT scan at baseline. Disease stage, age at diagnosis, gender, albumin level and maximum standardized uptake value (SUVmax), SUVmean, metabolic tumor volume (MTV) and total lesion glycolysis (TLG) values related to the primary tumor at the baseline PET scan were recorded, and the relationship of these factors with progression-free survival (PFS) and overall survival (OS) was evaluated. RESULTS: The study included a total of 63 patients (10 female, 53 male, mean age of 64.8 and age range of 43-82 years), 22 of which had limited disease (LD) and 41 had extensive disease (ED). The OS and PFS were significantly higher in patients with LD than in patients with ED (15+/-2.9 vs. 10+/-0.9 months, p = 0.002 for OS; 10+/- 0.7 vs 6+/-0.6 months, p = 0.014 for PFS). However, no statistically significant relationship was identified between gender, albumin level, age and SUVmax, SUVmean, MTV, TLG values related to the primary tumor and PFS or OS. CONCLUSION: The present study found that pretreatment PET parameters were of not predictive value for PFS and OS in patients with SCLC


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Fluorodesoxiglucosa F18 , Neoplasias Pulmonares/diagnóstico por imagen , Neoplasias Pulmonares/mortalidad , Tomografía Computarizada por Rayos X , Radiofármacos , Carcinoma Pulmonar de Células Pequeñas/diagnóstico por imagen , Carcinoma Pulmonar de Células Pequeñas/mortalidad , Factores de Edad , Fluorodesoxiglucosa F18/farmacocinética , Glucólisis , Neoplasias Pulmonares/metabolismo , Neoplasias Pulmonares/patología , Tomografía de Emisión de Positrones , Pronóstico , Supervivencia sin Progresión , Radiofármacos/farmacocinética , Estudios Retrospectivos , Factores Sexuales , Carcinoma Pulmonar de Células Pequeñas/metabolismo , Carcinoma Pulmonar de Células Pequeñas/patología
3.
Artículo en Inglés, Español | MEDLINE | ID: mdl-31865009

RESUMEN

OBJECTIVE: The aim in the present study is to determine the prognostic value of metabolic parameters related to the primary tumors detected in pretreatment Fluorine-18 2-fluoro-2-Deoxy-D-glucose (18F FDG) positron emission tomography/computerized tomography (PET/CT) scans of patients diagnosed with small-cell lung cancer (SCLC). MATERIAL AND METHODS: Enrolled in this retrospective study were 63 patients with a histopathologically confirmed diagnosis of SCLC who underwent an 18F FDG PET/CT scan at baseline. Disease stage, age at diagnosis, gender, albumin level and maximum standardized uptake value (SUVmax), SUVmean, metabolic tumor volume (MTV) and total lesion glycolysis (TLG) values related to the primary tumor at the baseline PET scan were recorded, and the relationship of these factors with progression-free survival (PFS) and overall survival (OS) was evaluated. RESULTS: The study included a total of 63 patients (10 female, 53 male, mean age of 64.8 and age range of 43-82 years), 22 of which had limited disease (LD) and 41 had extensive disease (ED). The OS and PFS were significantly higher in patients with LD than in patients with ED (15±2.9 vs. 10±0.9 months, p = 0.002 for OS; 10± 0.7 vs 6±0.6 months, p = 0.014 for PFS). However, no statistically significant relationship was identified between gender, albumin level, age and SUVmax, SUVmean, MTV, TLG values related to the primary tumor and PFS or OS. CONCLUSION: The present study found that pretreatment PET parameters were of not predictive value for PFS and OS in patients with SCLC.


Asunto(s)
Fluorodesoxiglucosa F18 , Neoplasias Pulmonares/diagnóstico por imagen , Neoplasias Pulmonares/mortalidad , Tomografía Computarizada por Tomografía de Emisión de Positrones , Radiofármacos , Carcinoma Pulmonar de Células Pequeñas/diagnóstico por imagen , Carcinoma Pulmonar de Células Pequeñas/mortalidad , Adulto , Factores de Edad , Anciano , Anciano de 80 o más Años , Femenino , Fluorodesoxiglucosa F18/farmacocinética , Glucólisis , Humanos , Neoplasias Pulmonares/metabolismo , Neoplasias Pulmonares/patología , Masculino , Persona de Mediana Edad , Pronóstico , Supervivencia sin Progresión , Radiofármacos/farmacocinética , Estudios Retrospectivos , Factores Sexuales , Carcinoma Pulmonar de Células Pequeñas/metabolismo , Carcinoma Pulmonar de Células Pequeñas/patología
4.
Transplant Proc ; 51(7): 2339-2342, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31402251

RESUMEN

PURPOSE: In comparison to cyclosporine (CsA), tacrolimus (Tac) seems to be more diabetogenic in renal transplant recipients, and post-transplant diabetes mellitus is more common in patients using Tac, especially during the first year after transplantation. However, at maintenance doses, there are no comparative data of insulin resistance (IR) in patients using Tac or CsA. The purpose of this study was to investigate the IR indexes in patients on maintenance doses of CsA or Tac. METHODS: Forty-five nondiabetic and nonobese renal transplant recipients participated in the study (M:F, 30:15; age, 36 ± 9 years); 27 patients were on CsA, and 18 were on Tac. All had stable graft function, were transplanted at least 6 months previously, and were receiving maintenance doses of steroids (5.0 mg/d), azathioprine or mycophenolate mofetil, and calcineurin inhibitors (CsA [2.14 ± 0.46 mg/kg/d] or Tac [0.06 ± 0.03 mg/kg/d]). IR was evaluated by the homeostasis model assessment (HOMA) index and composite body insulin sensitivity index. RESULTS: We did not determine any significant difference in the HOMA and composite body insulin sensitivity index levels among patients using CsA or Tac (1.5 ± 1.3 vs 1.5 ± 1.1, P > .05, and 9.9 ± 5.8 vs 14.6 ± 11.7, P > .05, respectively). There was a significant correlation between creatinine and HOMA values. CONCLUSION: There was no difference in IR indexes in renal transplant recipients receiving maintenance doses of either CsA or Tac.


Asunto(s)
Ciclosporina/efectos adversos , Diabetes Mellitus/epidemiología , Inmunosupresores/efectos adversos , Resistencia a la Insulina , Trasplante de Riñón , Tacrolimus/efectos adversos , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Receptores de Trasplantes , Trasplante Homólogo
5.
Eur Rev Med Pharmacol Sci ; 16(7): 878-83, 2012 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-22953635

RESUMEN

AIM: The aim of this study was to investigate the annual rate of glomerular filtration rate (GFR) decline and associated risk factors with this decline in diabetic nephropathy patients. PATIENTS AND METHODS: A total of 122 type 2 diabetes mellitus (DM) patients (66F, mean follow up time 39 +/- 19 months, mean age 56 +/- 10 years, mean duration of diabetes diagnosis 12.1 +/- 9.5 years) between 2003 and 2010 were evaluated retrospectively. Socio-demographic characteristics and blood pressure data, laboratory parameters, HbAlc, daily urine protein excretion both of the first and last visits of all patients were recorded. Patients were separated into three groups according to rate of GFR decline. Group 1 (n:35), group 2 (n:42) and group 3 (n:45) consisted of patients < 1 ml/dk/1.73 m2, 1-5 ml/dk/1.73 m2 and > 5 ml/dk/1.73 m2 annual rate of GFR decline respectively. Demographics, laboratory data and their treatments were compared in all three groups and were investigated factors that may influence the rate of GFR decline. RESULTS: The annual rate of GFR decline was 1.4 +/- 2.3 ml/sec, -2.9 +/- 1.0 ml/sec and -11.9 +/- 9.1 ml/sec in group 1, 2 and 3 respectively. Daily urine protein excretion was 0.9 +/- 1.3, 1.2 +/- 1.5 and 5.2 +/- 5.5 g in groups respectively, was found significantly higher in group 3 (p < 0.001). Serum albumin level was significantly lower in group 3 (p < 0.001). We found positive correlation between annual rate of GFR decline and last visit systolic blood pressure (SBP), daily proteinuria and parathormone levels (r: 0.339, 0.447 and 0.289 p < 0.001, < 0.001 and 0.02 respectively) and negative correlation between GFR decline and deltaSBP (delta systolic blood pressure), pretreatment albumin, calcium and hemoglobin levels (r: -0.409, -0.526, -0.233 and -0.467, p < 0.001, < 0.001, < 0.001 and 0.016 respectively). CONCLUSIONS: Proteinuria, hypoalbuminemia, anemia, and a change in SBP were found most effective in annual rate of GFR decline in patients with diabetic nephropathy. The early detection of these factors may slow the progression of nephropathy.


Asunto(s)
Diabetes Mellitus Tipo 2/complicaciones , Nefropatías Diabéticas/etiología , Adulto , Anciano , Análisis de Varianza , Anemia/sangre , Anemia/complicaciones , Biomarcadores/sangre , Presión Sanguínea , Diabetes Mellitus Tipo 2/sangre , Diabetes Mellitus Tipo 2/fisiopatología , Nefropatías Diabéticas/sangre , Nefropatías Diabéticas/diagnóstico , Nefropatías Diabéticas/fisiopatología , Progresión de la Enfermedad , Femenino , Tasa de Filtración Glomerular , Hemoglobinas/metabolismo , Humanos , Hipoalbuminemia/sangre , Hipoalbuminemia/complicaciones , Riñón/fisiopatología , Masculino , Persona de Mediana Edad , Hormona Paratiroidea/sangre , Proteinuria/etiología , Estudios Retrospectivos , Medición de Riesgo , Factores de Riesgo , Albúmina Sérica/metabolismo , Factores de Tiempo , Turquía
6.
J Dairy Sci ; 93(11): 5010-9, 2010 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-20965315

RESUMEN

The objective of this research was to determine the effect of drainage pH on physicochemical, biochemical, microbiological and sensory properties of Mozzarella cheese made from buffalo milk during refrigerated storage. Four vats of cheese were made at 4 different whey drainage pH (6.2, 5.9, 5.6, and 5.2). Lower drainage pH caused higher pH 4.4-soluble N and pH 4.4-soluble N:total N. Interaction of drainage pH at d 1 and 30 of storage on all soluble nitrogen fractions was significant. Degradation of caseins in samples made at a drainage pH of 6.2 was lower than that of other cheese samples. The decreasing whey drainage pH significantly increased counts of thermophilic and mesophilic lactobacilli of the samples during refrigerated storage. No coliforms or Escherichia coli were detected in the cheeses. The average sensory property scores of all cheese samples were very close, and, as expected, storage time had a negative effect on all sensory scores.


Asunto(s)
Queso/análisis , Queso/microbiología , Manipulación de Alimentos/métodos , Conservación de Alimentos/métodos , Proteínas de la Leche/química , Leche/química , Animales , Búfalos , Caseínas/metabolismo , Microbiología de Alimentos , Concentración de Iones de Hidrógeno , Lactobacillus/crecimiento & desarrollo , Gusto , Factores de Tiempo , Proteína de Suero de Leche
7.
Tech Coloproctol ; 10(3): 208-14, 2006 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-16969615

RESUMEN

BACKGROUND: Leakage from colonic anastomoses leads to mortality and morbidity. Fibrin adhesives can be used to increase the strength of the anastomosis. In this study, we evaluated the early effects of fibrin sealant and hyaluronic acid-carboxymethylcellulose on colonic anastomosis in rats. METHODS: Anastomoses were made in the descending colon of 38 female Wistar-Albino rats, in three groups: control group (n = 12), group 1 treated with hyaluronic acid-carboxymethylcellulose (n = 16), and group 2 treated with fibrin sealant (n = 10). After 72 hours, adhesion scores, bursting pressure, rupture strength and histopathologic healing scores were evaluated. RESULTS: Due to postoperative mortality, we evaluated 10, 10 and 9 rats in the control group and in groups 1 and 2, respectively. Of these, we excluded 4, 5 and 4 rats that had macroperforations at autopsy. In the remaining rats, bursting pressure (123.2 +/- 14.8 mmHg) and rupture strength (400 +/- 16 mg) in the fibrin sealant group were significantly greater than in the two other groups ( CONTROL: 68.0 +/- 10.6 p = 0.006 and 325 +/- 52 p = 0.009; Group 1: 74.0 +/- 9.8 p = 0.03, 330 +/- 27 p = 0.016). However, we did not observe any significant difference between adhesion scores (2.5 +/- 0.6, 2.0 +/- 0.7, 2.0 +/- 0.7, p = 0.343). CONCLUSIONS: In this experimental study, fibrin sealant increased bursting pressure and rupture strength of colonic anastomoses while hyaluronic acid-carboxymethylcellulose had no effects in rats, but both of them showed no effect on adhesion scores. In order to use fibrin sealant to decrease the rate of early leakages from colonic anastomoses, further studies have to be performed.


Asunto(s)
Colon/cirugía , Adhesivo de Tejido de Fibrina/uso terapéutico , Adhesivos Tisulares/uso terapéutico , Anastomosis Quirúrgica , Animales , Carboximetilcelulosa de Sodio/uso terapéutico , Femenino , Ácido Hialurónico/uso terapéutico , Presión , Ratas , Ratas Wistar , Adherencias Tisulares/etiología
8.
J Environ Biol ; 27(3): 485-9, 2006 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-17402238

RESUMEN

The experiment was undertaken to test the efficiency of inoculation of vesicular-arbuscular mycorrhizal (VAM) fungi on the seedling growth of three Pistacia species used as rootstocks. The stratified Pistacia seeds were inoculated with VAM fungi. The highest rate of inoculated roots was 96.7% in P. khinjuck seedlings with G. clarum and G. etunicatum, 83.3% in P. vera seedlings with G. caledonium and 73.3% in P. terebinthus seedlings with G. caledonium. Mycorrhizal inoculations improved seedling height only in P. terebinthus. Certain mycorrhizal inoculations increased the leaf N, but not P and K contents. Seedlings inoculated with G. caledonium had higher reducing sugar contents. It was concluded that pre-inoculated Pistacia seedlings could have a better growth in the harsh field conditions.


Asunto(s)
Micorrizas/fisiología , Pistacia/microbiología , Pistacia/crecimiento & desarrollo , Especificidad de la Especie
9.
Hum Exp Toxicol ; 24(7): 369-75, 2005 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-16119251

RESUMEN

The objective of this study was to evaluate the effects of an adenosine A1 agonist, phenylisopropyl adenosine (PIA), on metamidophos poisoning compared to specific antidotes. Rats were poisoned with metamidophos (30 mg/kg, oral) and observed for 24 hours. One group received sodium chloride (1 mL/kg) and four experimental groups received atropine (5 mg/kg), pralidoxime (PAM, 20 mg/kg), atropine/PAM (5/20 mg/kg) or PIA (1 mg/kg) intraperitoneally. Atropine reduced salivation and prevented respiratory distress when compared to sodium chloride-treated rats. Treatment with PAM did not cause any suppression of cholinergic signs. Atropine and PAM combination prevented salivation, convulsion and respiratory distress. PIA delayed initial time of the salivation, convulsion and time to death. However, PIA was found ineffective against the metamidophos-induced cholinergic symptoms and mortality. All treatments, except PIA, lead to survival of these animals. Acetylcholinesterase (AChE) activity was not normalized by PIA or PAM. PIA prevented metamidophos-induced diaphragmatic muscle necrosis as much as PAM. In conclusion, a single dose of PIA was unable to protect the rats from metamidophos toxicity. Further studies are needed involving a combination of PAM and/or atropine with repeated doses of PIA to clarify the efficacy of adenosine agonists in OP poisoning.


Asunto(s)
Agonistas del Receptor de Adenosina A1 , Antídotos/farmacología , Insecticidas/envenenamiento , Compuestos Organotiofosforados/envenenamiento , Fenilisopropiladenosina/farmacología , Animales , Antídotos/administración & dosificación , Atropina/administración & dosificación , Reactivadores de la Colinesterasa/administración & dosificación , Colinesterasas/sangre , Colinesterasas/metabolismo , Diafragma/efectos de los fármacos , Diafragma/patología , Interacciones Farmacológicas , Masculino , Modelos Animales , Antagonistas Muscarínicos/administración & dosificación , Fenilisopropiladenosina/administración & dosificación , Intoxicación/sangre , Intoxicación/mortalidad , Compuestos de Pralidoxima/administración & dosificación , Ratas , Ratas Wistar , Respiración/efectos de los fármacos , Salivación/efectos de los fármacos , Tasa de Supervivencia , Factores de Tiempo
10.
Hum Reprod ; 20(1): 175-9, 2005 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-15513975

RESUMEN

BACKGROUND: The aim of this study was to evaluate the effects of metformin and acarbose on insulin resistance, hormone profiles and ovulation rates in patients with clomiphene citrate-resistant polycystic ovary syndrome (PCOS). METHODS: Thirty clomiphene citrate-resistant patients were selected randomly and divided into two groups. Group I was treated with 100 mg/day clomiphene citrate and 300 mg/day acarbose 100 mg/day orally, for 3 months. Group II was treated with clomiphene citrate 100 mg/day and metformin 1700 mg/day orally, for 3 months. Serum fasting insulin and glucose, FSH, LH, estradiol, progesterone, prolactin and total testosterone levels plus body mass index (BMI) were measured before and after treatment. Follicle growth was followed by transvaginal ultrasonography. RESULTS: LH:FSH ratio and total testosterone concentrations decreased (P<0.05) and ovulation rates increased in both groups. Reduction in weight and BMI was only significant in the acarbose group. CONCLUSIONS: Both treatment modalities were effective in the treatment of insulin resistance and improving ovulation rates. Increase in the number of eumenorrhoeic and normoinsulinaemic cases and decrease in the number of insulin-resistant cases were significant in both groups (P<0.05). Ovulation rate was greater in the metformin group in the second month of therapy (P<0.05). Acarbose was found to be a safe and effective agent that could be used in cases with clomiphene-resistant PCOS.


Asunto(s)
Acarbosa/farmacología , Metformina/farmacología , Ovulación/efectos de los fármacos , Síndrome del Ovario Poliquístico/tratamiento farmacológico , Adulto , Glucemia/metabolismo , Clomifeno/farmacología , Resistencia a Medicamentos , Femenino , Hormona Folículo Estimulante/sangre , Humanos , Hipoglucemiantes/farmacología , Insulina/sangre , Resistencia a la Insulina , Hormona Luteinizante/sangre , Inducción de la Ovulación/métodos , Síndrome del Ovario Poliquístico/sangre , Síndrome del Ovario Poliquístico/fisiopatología , Testosterona/sangre
11.
Methods Find Exp Clin Pharmacol ; 24(4): 209-12, 2002 May.
Artículo en Inglés | MEDLINE | ID: mdl-12092007

RESUMEN

Age- and gender-related changes in malondialdehyde (MDA) levels, superoxide dismutase (SOD) and catalase (CAT) activities in rat livers exposed to different doses of whole-body gamma-ray radiation were determined. In addition, the effects of exogenous glutathione (GSH) against radiation injury in rat livers were investigated. We found that MDA levels have an age-associated increment and an increasing radiation dose-related elevation, although they decrease slightly in the 4 Gy group. The MDA levels in old rats were lower in males than in females, while those of young rats did not change. There were no observed age-related changes in SOD activities, although male rats had higher SOD activity than females. Female rats had the highest CAT activities in the 4 Gy group, while male rats had the highest CAT activities in the 6 Gy group. CAT activities in the 8 Gy group were lower than those of the 2 Gy group for each gender and age. While MDA levels were decreased and CAT activities increased by GSH, SOD activities remained unchanged. The results indicate that gamma-ray radiation affects gender- and age-dependent MDA levels, SOD and CAT activities. Administration of GSH appears to be a useful approach to reduce radiation injury by reducing MDA levels and increasing CAT activities.


Asunto(s)
Envejecimiento/metabolismo , Catalasa/metabolismo , Rayos gamma/efectos adversos , Glutatión/uso terapéutico , Hígado/efectos de los fármacos , Malondialdehído/metabolismo , Traumatismos por Radiación/prevención & control , Superóxido Dismutasa/metabolismo , Animales , Femenino , Hígado/enzimología , Hígado/metabolismo , Masculino , Ratas , Ratas Sprague-Dawley , Factores Sexuales
12.
J Clin Virol ; 21(3): 229-37, 2001 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-11397659

RESUMEN

Worldside viral hepatitis is still recognized as a major problem particularly in developing countries. During the past two decades there has been important progress in the field of viral hepatitis; the adaptation of molecular biology techniques to viral hepatitis has proven to be of great utility in the diagnosis of 'classical' hepatitis viruses, in monitoring during treatment, and also in learning more about the 'new' viruses. Here, the progress and pitfalls of serologic and molecular diagnosis techniques for viral hepatitis, unusual profiles and benefits of quantitative DNA/RNA tests will be discussed.


Asunto(s)
Hepatitis B/diagnóstico , Hepatitis B/sangre , Hepatitis B/tratamiento farmacológico , Hepatitis B/inmunología , Virus de la Hepatitis B/genética , Virus de la Hepatitis B/inmunología , Humanos
13.
J Endocrinol Invest ; 18(11): 823-6, 1995 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-8778152

RESUMEN

Synacthen test has been widely used as a screening test for evaluation of adrenal cortisol reserve. We investigated whether depot Synacthen test can be used in place of short Synacthen test in the evaluation of cortisol reserve of the adrenal gland. The study included 20 healthy volunteers of both sexes. We examined plasma cortisol response 30, 60, 90, and 120 min after administration of plain Synacthen, 250 micrograms, iv (Group 1), and depot Synacthen, 1000 micrograms, im (Group 2). Peak cortisol values were statistically similar between the groups. The increment in cortisol levels following Synacthen was also similar between the groups. A plasma cortisol value above 550 or 600 nmol/L was achieved in both groups during the test of 90 or 120 minutes duration, respectively. We think that depot Synacthen test, im 1000 micrograms, may be used in place of plain Synacthen, iv 250 micrograms, for evaluation of adrenal cortisol reserve.


Asunto(s)
Glándulas Suprarrenales/metabolismo , Cosintropina , Hidrocortisona/metabolismo , Adulto , Cosintropina/administración & dosificación , Preparaciones de Acción Retardada , Femenino , Humanos , Hidrocortisona/sangre , Inyecciones Intravenosas , Masculino , Persona de Mediana Edad , Valores de Referencia
14.
J Hosp Infect ; 30(2): 149-54, 1995 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-7673688

RESUMEN

An investigation, using a prospective cohort study, was performed to estimate the prolongation of hospital stay caused by nosocomial infections in surgical patients. An evaluation of the one-to-one matching method, as a model for similar studies was also undertaken. Between 1992 and 1994, 225 of 1482 surgical patients (15%) developed infection. Of these, 223 evaluable patients were compared with 1256 uninfected cases, in an unmatched analysis. In a further analysis, 151 infected cases were matched one-to-one with uninfected controls, and other factors such as age, length of preoperative stay, presence of malignancy or diabetes and presence of foley catheters or drains, were evaluated. Patients with infection were hospitalized for 10.6 days longer than the matched controls. In the unmatched analysis, infected patients appear to remain in hospital for a further 17 days. The difference in the prolongation of stay between matched and unmatched groups indicates the importance of matching as an essential model for such studies. In cases where matching cannot be performed, the median can be a good alternative measure to the arithmetic mean.


Asunto(s)
Infección Hospitalaria/epidemiología , Tiempo de Internación/estadística & datos numéricos , Complicaciones Posoperatorias/epidemiología , Estudios de Cohortes , Infección Hospitalaria/diagnóstico , Humanos , Complicaciones Posoperatorias/diagnóstico , Estudios Prospectivos , Factores de Tiempo , Turquía/epidemiología
15.
Int J Neurosci ; 72(1-2): 79-87, 1993 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-8225801

RESUMEN

The relation of the degree of left-hand preference to pattern reversal visual evoked potentials (VEPs) from right and left brain was studied in male left-handers. The degree of the left-hand preference was assessed by the Waterloo Handedness Questionnaire. Visual stimuli consisted of black and white checkerboard patterns generated on a TV screen. VEPs were simultaneously recorded from occipital leads of the right and left hemispheres. The degree of left-hand preference was found to be inversely and significantly related to size of VEPs only from left brain, not from right brain. That is, the conduction time, amplitude, duration, and area of N1-P1 waves linearly decreased as the degree of left-hand preference increased. These results were in accord with the testosterone hypothesis of cerebral lateralization, but not compatible with the right shift theory of handedness. It was concluded that visuomotor control by the left brain would be the main biological correlate of left-hand preference with regard to sensorimotor and cognitive functions.


Asunto(s)
Dominancia Cerebral/fisiología , Potenciales Evocados Visuales/fisiología , Lateralidad Funcional/fisiología , Adolescente , Adulto , Humanos , Masculino , Reconocimiento Visual de Modelos/fisiología , Estimulación Luminosa
16.
Int J Neurosci ; 71(1-4): 21-8, 1993.
Artículo en Inglés | MEDLINE | ID: mdl-8407147

RESUMEN

The relationships among nonverbal intelligence, hand speed, and serum testosterone level were studied in male left-handers ranging in age from 17 to 19 years. Hand speed was measured by a peg moving task. To assess the differences between nonverbal IQs. Cattell's Culture Fair Intelligence Test was used. There was a direct correlation between IQ and testosterone. IQ increased linearly with right-hand speed, which was directly related to testosterone. There was no significant correlation between IQ and left-hand speed, which was not significantly correlated with testosterone. IQ decreased with left- minus right-hand speed, which also decreased with testosterone. It was suggested that nonverbal spatial reasoning ability may be directly associated with the efficiency of left brain, which is favored by testosterone in male left-handers. It was also concluded that the left to right asymmetry in hand speed may depend on efficiency of the right brain in left-handed males.


Asunto(s)
Lateralidad Funcional , Inteligencia , Desempeño Psicomotor , Testosterona/sangre , Adolescente , Adulto , Mano , Humanos , Masculino , Percepción Espacial
17.
Int J Neurosci ; 71(1-4): 189-200, 1993.
Artículo en Inglés | MEDLINE | ID: mdl-8407145

RESUMEN

The relationships between latencies of visual evoked potentials (VEPs) and nonverbal intelligence test scores (IQs from Cattell's Culture Fair Intelligence Test) and correlations between serum testosterone level and VEP latencies were studied to examine the neural speed hypothesis of intelligence and its hormonal mechanisms in left-handed male subjects (Geschwind Scores). In accordance with the speed theory of intelligence, N1 and P1 latencies (and amplitudes) were found to be inversely related to IQ. However, this was true only for the right brain; the left brain did not contribute to this relationship. There was an inverse relationship between serum testosterone level and P1 latency; left minus right N1 latency, depending on N1 latency from right brain, linearly increased with testosterone. It was concluded that nonverbal intelligence largely depends on speed of information processing only by the right brain, not by the left brain in left-handed male subjects. This may have been created by testosterone in these subjects. Inconsistencies in the IQ literature concerning the speed hypothesis of intelligence may be explained by differences in cerebral lateralization.


Asunto(s)
Encéfalo/fisiología , Potenciales Evocados Visuales/fisiología , Lateralidad Funcional , Inteligencia , Testosterona/sangre , Adolescente , Adulto , Humanos , Pruebas de Inteligencia , Masculino , Estimulación Luminosa , Factores de Tiempo
18.
Int J Neurosci ; 65(1-4): 11-7, 1992.
Artículo en Inglés | MEDLINE | ID: mdl-1341672

RESUMEN

The relation of intermanual difference in hand skill to cerebral lateralization was studied in right-handed male and female subjects. Hand preference was assessed by the Edinburgh Handedness Inventory. Hand skill was measured by the peg moving task. In subjects with familial sinistrality (FS+), the mean right hand peg moving times (PMTs) were found to be significantly and negatively linearly correlated with the mean left minus right (L - R) hand PMTs in females (no correlation in males). Contrarily, there was a direct relationship between the mean L - R hand PMTs and the mean left hand PMTs in FS+ males (no correlation in FS+ females). Similar results were obtained with the FS- subjects. The correlations were modified by eye and foot preferences. The overall results suggested that generally the right brain in males and the left brain in females are of importance in determining the intermanual difference in hand skill; an insufficient right brain (a slower left hand) in males and a sufficient left brain (a faster right hand) in females would create a more asymmetrical organization in skill between hands.


Asunto(s)
Dominancia Cerebral , Lateralidad Funcional , Desempeño Psicomotor , Tiempo de Reacción , Adulto , Femenino , Humanos , Masculino , Destreza Motora , Pruebas Neuropsicológicas , Factores Sexuales
19.
Int J Neurosci ; 64(1-4): 213-6, 1992.
Artículo en Inglés | MEDLINE | ID: mdl-1342041

RESUMEN

It was confirmed that there is a direct relationship between serum testosterone level and nonverbal intelligence (Cattel's Culture Fair Intelligence Test) only in right-handed male subjects without familial sinistrality (FS-), with right eye preference. There was no significant correlation between these variables in young women and young men with mixed eye preference. It was concluded that testosterone would be an important factor which affects cognitive development in men.


Asunto(s)
Inteligencia , Testosterona/sangre , Adolescente , Adulto , Femenino , Lateralidad Funcional , Humanos , Masculino , Fenómenos Fisiológicos Oculares , Caracteres Sexuales , Turquía
20.
J Comput Assist Tomogr ; 12(5): 903-4, 1988.
Artículo en Inglés | MEDLINE | ID: mdl-3170861

RESUMEN

A series of cranial images obtained at three magnetic field strengths in a volunteer on a fast ramp magnetic resonance system is presented. This study was undertaken in the space of 5 h.


Asunto(s)
Imagen por Resonancia Magnética/instrumentación , Encéfalo/anatomía & histología , Humanos , Imagen por Resonancia Magnética/métodos
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