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1.
Front Cardiovasc Med ; 11: 1407566, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39027003

RESUMEN

Reverse left ventricular (LV) remodeling after aortic valve replacement (AVR), in patients with aortic stenosis, is well-documented as an important prognostic factor. With this systematic review and meta-analysis, we aimed to characterize the response of the unloaded LV after AVR. We searched on MEDLINE/PubMed and Web of Science for studies reporting echocardiographic findings before and at least 1 month after AVR for the treatment of aortic stenosis. In total, 1,836 studies were identified and 1,098 were screened for inclusion. The main factors of interest were structural and dynamic measures of the LV and aortic valve. We performed a random-effects meta-analysis to compute standardized mean differences (SMD) between follow-up and baseline values for each outcome. Twenty-seven studies met the eligibility criteria, yielding 11,751 patients. AVR resulted in reduced mean aortic gradient (SMD: - 38.23 mmHg, 95% CI: - 39.88 to - 36.58 , I 2 = 92 % ), LV mass (SMD: - 37.24 g, 95% CI: - 49.31 to - 25.18 , I 2 = 96 % ), end-diastolic LV diameter (SMD: - 1.78 mm, 95% CI: - 2.80 to - 0.76 , I 2 = 96 % ), end-diastolic LV volume (SMD: - 1.6 ml, 95% CI: - 6.68 to 3.51, I 2 = 91 % ), increased effective aortic valve area (SMD: 1.10 cm2, 95% CI: 1.01 to 1.20, I 2 = 98 % ), and LV ejection fraction (SMD: 2.35%, 95% CI: 1.31 to 3.40%, I 2 = 94.1 % ). Our results characterize the extent to which reverse remodeling is expected to occur after AVR. Notably, in our study, reverse remodeling was documented as soon as 1 month after AVR.

2.
Gastroenterol Hepatol Bed Bench ; 15(1): 93-98, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35611253

RESUMEN

Stage IV colorectal cancer treatment includes targeted therapy depending on RAS status. During disease progression, loss or gain of RAS mutations could happen, supporting the hypothesis of the evolutionary pressure of therapy. Circulating tumor DNA (ctDNA) are nucleic acids released to the bloodstream by the tumor during its development and may be detected by liquid biopsy. The Idylla© Biocartis, a fully automated real-time-PCR-based molecular diagnostic system, was used in a patient with metastatic colorectal cancer with a NRAS mutation in progression after several therapeutic lines. The ctDNA mutational analysis was performed and revealed the absence of mutations in the KRAS, NRAS, and BRAF genes. The patient started the third line of palliative chemotherapy with irinotecan + cetuximab and achieved a partial response for the first time. The authors describe a case in which liquid biopsy determined the higher progression-free survival achieved.

3.
J Dairy Sci ; 105(3): 2439-2452, 2022 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-35033343

RESUMEN

Bias in dairy genetic evaluations, when it exists, has to be understood and properly addressed. The origin of biases is not always clear. We analyzed 40 yr of records from the Lacaune dairy sheep breeding program to evaluate the extent of bias, assess possible corrections, and emit hypotheses on its origin. The data set included 7 traits (milk yield, fat and protein contents, somatic cell score, teat angle, udder cleft, and udder depth) with records from 600,000 to 5 million depending on the trait, ∼1,900,000 animals, and ∼5,900 genotyped elite artificial insemination rams. For the ∼8% animals with missing sire, we fit 25 unknown parent groups. We used the linear regression method to compare "partial" and "whole" predictions of young rams before and after progeny testing, with 7 cut-off points, and we obtained estimates of their bias, (over)dispersion, and accuracy in early proofs. We tried (1) several scenarios as follows: multiple or single trait, the "official" (routine) evaluation, which is a mixture of both single and multiple trait, and "deletion" of data before 1990; and (2) several models as follows: BLUP and single-step genomic (SSG)BLUP with fixed unknown parent groups or metafounders, where, for metafounders, their relationship matrix gamma was estimated using either a model for inbreeding trend, or base allele frequencies estimated by peeling. The estimate of gamma obtained by modeling the inbreeding trend resulted in an estimated increase of inbreeding, based on markers, faster than the pedigree-based one. The estimated genetic trends were similar for most models and scenarios across all traits, but were shrunken when gamma was estimated by peeling. This was due to shrinking of the estimates of metafounders in the latter case. Across scenarios, all traits showed bias, generally as an overestimate of genetic trend for milk yield and an underestimate for the other traits. As for the slope, it showed overdispersion of estimated breeding values for all traits. Using multiple-trait models slightly reduced the overestimate of genetic trend and the overdispersion, as did including genomic information (i.e., SSGBLUP) when the gamma matrix was estimated by the model for inbreeding trend. However, only deletion of historical data before 1990 resulted in elimination of both kind of biases. The SSGBLUP resulted in more accurate early proofs than BLUP for all traits. We considered that a snowball effect of small errors in each genetic evaluation, combined with selection, may have resulted in biased evaluations. Improving statistical methods reduced some bias but not all, and a simple solution for this data set was to remove historical records.


Asunto(s)
Genoma , Oveja Doméstica , Animales , Sesgo , Genotipo , Masculino , Modelos Genéticos , Linaje , Fenotipo , Ovinos/genética , Oveja Doméstica/genética
4.
Braz J Med Biol Res ; 54(9): e10700, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34076141

RESUMEN

It was previously demonstrated that the methanol fraction of Sideroxylon obtusifolium (MFSOL) promoted anti-inflammatory and healing activity in excisional wounds. Thus, the present work investigated the healing effects of MFSOL on human keratinocyte cells (HaCaT) and experimental burn model injuries. HaCaT cells were used to study MFSOL's effect on cell migration and proliferation rates. Female Swiss mice were subjected to a second-degree superficial burn protocol and divided into four treatment groups: Vehicle, 1.0% silver sulfadiazine, and 0.5 or 1.0% MFSOL Cream (CrMFSOL). Samples were collected to quantify the inflammatory mediators, and histological analyses were performed after 3, 7, and 14 days. The results showed that MFSOL (50 µg/mL) stimulated HaCaT cells by increasing proliferation and migration rates. Moreover, 0.5% CrMFSOL attenuated myeloperoxidase (MPO) activity and also stimulated the release of interleukin (IL)-1ß and IL-10 after 3 days of treatment. CrMFSOL (0.5%) also enhanced wound contraction, promoted improvement of tissue remodeling, and increased collagen production after 7 days and VEGF release after 14 days. Therefore, MFSOL stimulated human keratinocyte (HaCaT) cells and improved wound healing via modulation of inflammatory mediators of burn injuries.


Asunto(s)
Quemaduras , Sapotaceae , Quemaduras/tratamiento farmacológico , Femenino , Humanos , Queratinocitos , Metanol , Hojas de la Planta , Prolina , Cicatrización de Heridas
5.
Int J Oral Maxillofac Surg ; 50(6): 801-807, 2021 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-33280990

RESUMEN

The aim of this prospective study was to compare horizontal bone augmentation in the anterior maxilla associated with two types of tenting screw used in the screw tent-pole technique. Ten patients with a premaxilla width deficiency underwent grafting with protein-free xenograft bone. A split-mouth design was used, with sides allocated randomly to receive standard and wide-head tenting screws. Implants were installed after 9 months. Patients underwent clinical, cone beam computed tomography (CBCT), and histomorphometric evaluations. The buccal aspect of the ridge was classified as flat or concave in shape. Clinical measurements showed width augmentation of 1.05mm, 2.45mm, and 2.70mm for standard screws and 1.50mm, 3.10mm, and 3.45mm for wide-head screws, at the ridge, 5mm, and 10mm, respectively. CBCT showed width augmentation of 0.74mm, 3.88mm, and 4.72mm for standard screws and 0.91mm, 4.05mm, and 4.37mm for wide-head screws, at the crest, 5mm, and 10mm, respectively. Histomorphometric analysis showed 30.99% ± 26.43% vital bone tissue, 11.32% ± 9.68% graft residue, and 57.66% ± 21.85% connective tissue for standard screws and 32.64% ± 20.28%, 9.73% ± 5.82%, and 57.61% ± 20.15%, respectively, for wide-head screws. Flat alveolar ridges showed the lowest percentage of vital bone. New bone formation seems to be optimized on concave ridges. There was no statistically significant difference in bone gain results between standard and wide-head tenting screws.


Asunto(s)
Aumento de la Cresta Alveolar , Maxilar , Tornillos Óseos , Trasplante Óseo , Implantación Dental Endoósea , Humanos , Maxilar/diagnóstico por imagen , Maxilar/cirugía , Estudios Prospectivos
6.
O.F.I.L ; 31(2): 161-165, 2021. tab, graf
Artículo en Español | IBECS | ID: ibc-222570

RESUMEN

Estudio descriptivo de errores de medicación en el Tecnológico de Monterrey, Hospital San José Tec Salud, Escuela de Medicina y Ciencias de la Salud.Objetivo: Describir las intervenciones farmacéuticas que contribuyen a tener una tasa de error de medicación por debajo de los estándares internacionales.Material y métodos: Se consideró como error de medicación cualquier fallo en el proceso de medicación. Se revisaron prescripciones por el método de reporte de incidentes en expedientes de pacientes de 0-17 añosA de los últimos 12 meses (2017-2018).Resultados: Se detectaron 776 errores de 6.119 prescripciones (2,47%). El error más común fue aquel relacionado con la dosificación (60,3%). No se reportaron errores que resultaran en daño letal al paciente. El grupo terapéutico con mayor incidencia de errores fue el de los antibióticos seguido de los analgésicos.Conclusión: La intervención multidisciplinaria con el farmacéutico en el proceso de medicación permite una detección oportuna de errores que impacta la seguridad del paciente. (AU)


Descriptive and retrospective study of medical errors at, San Jose Monterrey Hospital School of medicine and Health science.Objective: To describe pharmaceutical interventions in order to keep a low incidence of medical errors.Material and methods: Medical error was defined as any unintended error in medication. We present a 12 Month (2017-2018) retrospective study using incident reports.Results: We identified 776 medication errors over a total of 6,119 reviewed prescriptions. (2.4%) The most frequent errors in prescription were dosage associated (60.3%). No lethal outcomes were reported. The most common group of medication errors were antibiotics followed by analgesics.Conclusion: Involving pharmacists in checking drug prescriptions has been the main factor for detecting and improving pediatric dosages leading to an important improvement in patient safety. (AU)


Asunto(s)
Humanos , Recién Nacido , Lactante , Preescolar , Niño , Adolescente , Prescripciones , Errores de Medicación/estadística & datos numéricos , Pediatría , Farmacias , Farmacéuticos , Epidemiología Descriptiva , México
7.
Braz. j. med. biol. res ; 54(9): e10700, 2021. tab, graf
Artículo en Inglés | LILACS | ID: biblio-1249336

RESUMEN

It was previously demonstrated that the methanol fraction of Sideroxylon obtusifolium (MFSOL) promoted anti-inflammatory and healing activity in excisional wounds. Thus, the present work investigated the healing effects of MFSOL on human keratinocyte cells (HaCaT) and experimental burn model injuries. HaCaT cells were used to study MFSOL's effect on cell migration and proliferation rates. Female Swiss mice were subjected to a second-degree superficial burn protocol and divided into four treatment groups: Vehicle, 1.0% silver sulfadiazine, and 0.5 or 1.0% MFSOL Cream (CrMFSOL). Samples were collected to quantify the inflammatory mediators, and histological analyses were performed after 3, 7, and 14 days. The results showed that MFSOL (50 μg/mL) stimulated HaCaT cells by increasing proliferation and migration rates. Moreover, 0.5% CrMFSOL attenuated myeloperoxidase (MPO) activity and also stimulated the release of interleukin (IL)-1β and IL-10 after 3 days of treatment. CrMFSOL (0.5%) also enhanced wound contraction, promoted improvement of tissue remodeling, and increased collagen production after 7 days and VEGF release after 14 days. Therefore, MFSOL stimulated human keratinocyte (HaCaT) cells and improved wound healing via modulation of inflammatory mediators of burn injuries.


Asunto(s)
Humanos , Femenino , Quemaduras/tratamiento farmacológico , Sapotaceae , Prolina , Queratinocitos , Hojas de la Planta , Metanol
8.
Data Brief ; 29: 105291, 2020 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-32140509

RESUMEN

This paper provides additional negative data regarding the paper Evaluation of thermal properties of thin films by IR radiometry using a comprehensive set of Zr-O-N thin films [1]. In that paper, a matrix of samples was prepared to evaluate the so-called Extremum method for the analysis of Infrared (IR) radiometry data. Such matrix was composed by 3 types of films with 4 different thickness in 3 types of substrates, totalizing 36 samples in total. The data of this paper can be divided into three separate categories: i) lack of adhesion of the films deposited on Teflon, simultaneously to the films deposited on other substrates. ii) Improvement of the signal and signal-to-noise ratio on samples that did not present an extremum (minimum or maximum) using the initial (more conventional) way of measurement. iii) It is also presented a failed fitting of the IR radiometry data created with entangled material parameters. All this data is relevant for researchers devoted to measurement of thermal properties of thin films by IR radiometry that employ the two layer model and Extremum Method.

9.
J Dairy Sci ; 103(1): 529-544, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31704008

RESUMEN

Bias in genetic evaluations has been a constant concern in animal genetics. The interest in this topic has increased in the last years, since many studies have detected overestimation (bias) in estimated breeding values (EBV). Detecting the existence of bias, and the realized accuracy of predictions, is therefore of importance, yet this is difficult when studying small data sets or breeds. In this study, we tested by simulation the recently presented method Linear Regression (LR) for estimation of bias, slope, and accuracy of pedigree EBV. The LR method computes statistics by comparing EBV from a data set containing old, partial information with EBV from a data set containing all information (old and new, a whole data set) for the same individuals. The method proposes an estimator for bias (Δpˆ), an estimator of slope (bpˆ), and 3 estimators related to accuracies: the ratio between accuracies [Formula: see text] the reliability of the partial data set (accp2ˆ), and the ratio of reliabilities (ρp,w2ˆ). We simulated a dairy scheme for low (0.10) and moderate (0.30) heritabilities. In both cases, we checked the behavior of the estimators for 3 scenarios: (1) when the evaluation model is the same as the model used to simulate the data; (2) when the evaluation model uses an incorrect heritability; and (3) when the data includes an environmental trend. For scenarios in which the evaluation model was correct, the LR method was capable of correctly estimating bias, slope, and accuracies, with better performance for higher heritability [i.e., corr(bp,bpˆ) was 0.45 for h2 = 0.10 and 0.59 for h2 = 0.30]. In cases of the use of incorrect heritabilities in the evaluation model, the bias was correctly estimated in direction but not in magnitude. In the same way, the magnitudes of bias and of slope were underestimated in scenarios with environmental trends in data, except for cases in which contemporary groups were random and greatly shrunken. In general, accuracies were well estimated in all scenarios. The LR method is capable of checking bias and accuracy in all cases, if the evaluation model is reasonably correct or robust, and its estimations are more precise with more information (e.g., high heritability). If the model uses an incorrect heritability or a hidden trend exists in the data, it is still possible to estimate the direction and existence of bias and slope but not always their magnitudes.


Asunto(s)
Cruzamiento , Bovinos , Modelos Lineales , Modelos Genéticos , Animales , Sesgo , Simulación por Computador , Industria Lechera , Femenino , Masculino , Linaje , Análisis de Regresión , Reproducibilidad de los Resultados
10.
Ann Biomed Eng ; 47(4): 1153-1164, 2019 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-30710185

RESUMEN

This study analyzes the effects of the Rapha® system, which employs red light therapy (RLT) and a natural latex biomembrane in the healing of neuropathic ulcers associated with the diabetic foot. We conducted a randomized, controlled, blinded clinical trial with 15 participants that were divided into three groups (GI, GII and GIII): (i) Rapha® system application by the participant and a health professional at home, with clinical status evaluation every 2 weeks at the hospital (GI); (ii) standard protocol used in Brazil, performed by a health professional at the hospital (GII; control); and (iii) the Rapha® system applied by the participant at home and clinical status evaluation every 2 weeks at the hospital (GIII). We used image processing techniques on photographic recordings of the lesions, and several statistical tests were used to analyze the data, allowing for the comparison of the average results for all groups. The average healing rates of GI, GII, and GIII were 77.0, 51.4, and 80%, respectively. The granulation tissue evaluation indicated a higher efficacy in the tissue repair of lesions treated with the Rapha® system. In conclusion, the Rapha® system proved to be an effective healing system, even when self-applied at the patient's home.


Asunto(s)
Vendajes , Pie Diabético/terapia , Látex , Membranas Artificiales , Fototerapia , Cicatrización de Heridas , Anciano , Pie Diabético/patología , Pie Diabético/fisiopatología , Femenino , Humanos , Masculino , Persona de Mediana Edad
11.
Meat Sci ; 145: 202-208, 2018 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-29982074

RESUMEN

Improving meat production traits has increased its importance in sheep breeding. We report novel associations of SNP present in genes related to lipid metabolism and growth with several carcass traits in purebred Texel lambs. Expected progeny differences (EPD) predictions from 461 animals from the Central Progeny Testing of Texel breed in Uruguay were used for the association analysis. Live weights at different stages, ultrasound and post-mortem traits were analyzed. Markers in several genes were associated with growth, carcass and meat quality traits. Among others: PPARGC1A with valuable cuts weight, hot carcass weight and carcass fatness; DGAT1 with live weights, fat thickness, rib-eye area and shoulder weight; CAST with birth weight and fat thickness; GHR with birth weight and carcass fatness, and GHRHR with live weights and fat thickness. Genotypic effects ranged from 0.035 to 0.923 (DGAT1 vs. weaning weight) units of phenotypic SD. Most of the associations described are novel in sheep breeding, deserving further analyses.


Asunto(s)
Tejido Adiposo , Peso Corporal , Cruzamiento , Fenotipo , Polimorfismo de Nucleótido Simple , Carne Roja/análisis , Oveja Doméstica/genética , Animales , Peso al Nacer , Cruzamientos Genéticos , Genotipo , Humanos , Metabolismo de los Lípidos/genética , Uruguay
12.
J Dev Orig Health Dis ; 8(2): 216-225, 2017 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-27931267

RESUMEN

The present study investigated the impact of a western diet during gestation and lactation on the anthropometry, serum biochemical, blood pressure and cardiovascular autonomic control on the offspring. Male Wistar rats were divided into two groups according to their mother's diet received: control group (C: 18% calories of lipids) and westernized group (W: 32% calories of lipids). After weaning both groups received standard diet. On the 60th day of life, blood samples were collected for the analysis of fasting glucose and lipidogram. Cardiovascular parameters were measured on the same period. Autonomic nervous system modulation was evaluated by spectrum analysis of heart rate (HR) and systolic arterial pressure (SAP). The W increased glycemia (123±2 v. 155±2 mg/dl), low-density lipoprotein (15±1 v. 31±2 mg/dl), triglycerides (49±1 v. 85±2 mg/dl), total cholesterol (75±2 v. 86±2 mg/dl), and decreased high-density lipoprotein (50±4 v. 38±3 mg/dl), as well as increased body mass (209±4 v. 229±6 g) than C. Furthermore, the W showed higher SAP (130±4 v. 157±2 mmHg), HR (357±10 v. 428±14 bpm), sympathetic modulation to vessels (2.3±0.56 v. 6±0.84 mmHg2) and LF/HF ratio (0.15±0.01 v. 0.7±0.2) than C. These findings suggest that a western diet during pregnancy and lactation leads to overweight associated with autonomic misbalance and hypertension in adulthood.


Asunto(s)
Dieta Occidental/efectos adversos , Fenómenos Fisiologicos Nutricionales Maternos , Disautonomías Primarias/inducido químicamente , Disautonomías Primarias/patología , Animales , Presión Sanguínea/efectos de los fármacos , Femenino , Masculino , Embarazo , Ratas , Ratas Wistar
13.
Hernia ; 21(5): 817-818, 2017 10.
Artículo en Inglés | MEDLINE | ID: mdl-27853863
14.
Braz J Biol ; 76(1): 205-8, 2016 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-26909637

RESUMEN

The objective of this study was to evaluate the frequency of C242T polymorphism on the aromatase gene and the allelic and genotypic frequency of these variants in sheep belonging to four breed groups. Blood samples were collected from 187 animals of four breed groups: Dorper, Santa Inês, Texel and White Dorper, originated from herds in the region of Maringá/PR, Brazil. The genomic DNA was extracted using alkaline extraction, with subsequent amplification of the fragments via PCR with specific primer. The samples resulting from amplification were subjected to digestion process using the Dpn II restriction enzyme and to polyacrylamide gel electrophoresis 10.0% and stained with silver nitrate. Three distinct genotypes were observed: homozygous (CC), heterozygous (CT) and homozygous for no cut (TT). The resulting data were analyzed using the POPGENE software with 5% significance. Genotypic frequencies among the breed groups were: Texel (CC - 0.426; CT - 0.511; TT - 0.064), Dorper (CC - 0.073; CT - 0.732; TT - 0.439), White Dorper (CC - 0.021; CT - 0.255; TT - 0.723) and Santa Inês (CC - 0.115; CT - 0.462; TT - 0.423).


Asunto(s)
Aromatasa/genética , Frecuencia de los Genes , Polimorfismo Genético , Ovinos/genética , Animales , Aromatasa/metabolismo , Genotipo , Ovinos/metabolismo
15.
Braz. j. biol ; 76(1): 205-208, Feb. 2016. tab, graf
Artículo en Inglés | LILACS | ID: lil-774521

RESUMEN

Abstract The objective of this study was to evaluate the frequency of C242T polymorphism on the aromatase gene and the allelic and genotypic frequency of these variants in sheep belonging to four breed groups. Blood samples were collected from 187 animals of four breed groups: Dorper, Santa Inês, Texel and White Dorper, originated from herds in the region of Maringá/PR, Brazil. The genomic DNA was extracted using alkaline extraction, with subsequent amplification of the fragments via PCR with specific primer. The samples resulting from amplification were subjected to digestion process using the Dpn II restriction enzyme and to polyacrylamide gel electrophoresis 10.0% and stained with silver nitrate. Three distinct genotypes were observed: homozygous (CC), heterozygous (CT) and homozygous for no cut (TT). The resulting data were analyzed using the POPGENE software with 5% significance. Genotypic frequencies among the breed groups were: Texel (CC - 0.426; CT - 0.511; TT - 0.064), Dorper (CC - 0.073; CT - 0.732; TT - 0.439), White Dorper (CC - 0.021; CT - 0.255; TT - 0.723) and Santa Inês (CC - 0.115; CT - 0.462; TT - 0.423).


Resumo O objetivo deste trabalho foi avaliar as frequências alélicas e genotípicas do polimorfismo do C242T no gene da aromatase em ovinos pertencentes a quatro grupos raciais. Foram coletadas amostras de sangue de 187 animais de quatro grupos raciais: Dorper, Santa Inês, Texel e White Dorper, provenientes de rebanhos da região de Maringá, PR - BR. O DNA genômico foi extraído utilizando o método de extração alcalina, com posterior amplificação dos fragmentos via PCR com primer específico. As amostras resultantes da amplificação foram submetidas ao processo de digestão com auxilio da enzima restrição Dpn II e submetido à eletroforese em gel de poliacrilamida de 10,0% e corado nitrato de prata. Foram observados três genótipos distintos: Homozigoto (CC), heterozigoto (CT) e homozigoto para não corte (TT). Os dados resultantes foram analisados utilizando o software POPGENE com significância de 5%. As frequências genotípicas entre os grupos raciais foram: Texel (CC - 0,426; CT - 0,511; TT - 0,064), Dorper (CC - 0,073; CT - 0,732; TT - 0,439), White Dorper (CC - 0,021; CT - 0,255; TT - 0,723) e Santa Inês (CC - 0,115; CT - 0,462; TT - 0,423).


Asunto(s)
Animales , Aromatasa/genética , Frecuencia de los Genes , Polimorfismo Genético , Ovinos/genética , Aromatasa/metabolismo , Genotipo , Ovinos/metabolismo
16.
Eur J Trauma Emerg Surg ; 42(2): 207-11, 2016 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-26038042

RESUMEN

INTRODUCTION: Secondary abdominal compartment syndrome (ACS) can occur in trauma patients without abdominal injuries. Surgical management of patients presenting with secondary ACS after isolated traumatic lower extremity vascular injury (LEVI) continues to evolve, and associated outcomes remain unknown. METHODS: From January 2006 to September 2011, 191 adult trauma patients presented to the Ryder Trauma Center, an urban level I trauma center in Miami, Florida with traumatic LEVIs. Among them 10 (5.2 %) patients were diagnosed with secondary ACS. Variables collected included age, gender, mechanism of injury, and clinical status at presentation. Surgical data included vessel injury, technical aspects of repair, associated complications, and outcomes. RESULTS: Mean age was 37.4 ± 18.0 years (range 16-66 years), and the majority of patients were males (8 patients, 80 %). There were 7 (70 %) penetrating injuries (5 gunshot wounds and 2 stab wounds), and 3 blunt injuries with mean Injury Severity Score (ISS) 21.9 ± 14.3 (range 9-50). Surgical management of LEVIs included ligation (4 patients, 40 %), primary repair (1 patient, 10 %), reverse saphenous vein graft (2 patients, 20 %), and PTFE interposition grafting (3 patients, 30 %). The overall mortality rate in this series was 60 %. CONCLUSIONS: The association between secondary ACS and lower extremity vascular injuries carries high morbidity and mortality rates. Further research efforts should focus at identifying parameters to accurately determine resuscitation goals, and therefore, prevent such a devastating condition.


Asunto(s)
Hipertensión Intraabdominal , Extremidad Inferior , Lesiones del Sistema Vascular , Adulto , Femenino , Florida/epidemiología , Humanos , Puntaje de Gravedad del Traumatismo , Hipertensión Intraabdominal/diagnóstico , Hipertensión Intraabdominal/etiología , Hipertensión Intraabdominal/mortalidad , Hipertensión Intraabdominal/prevención & control , Extremidad Inferior/irrigación sanguínea , Extremidad Inferior/lesiones , Masculino , Persona de Mediana Edad , Evaluación de Procesos y Resultados en Atención de Salud , Estudios Retrospectivos , Centros Traumatológicos/estadística & datos numéricos , Procedimientos Quirúrgicos Vasculares/métodos , Lesiones del Sistema Vascular/complicaciones , Lesiones del Sistema Vascular/diagnóstico , Lesiones del Sistema Vascular/cirugía , Heridas Penetrantes/complicaciones , Heridas Penetrantes/diagnóstico , Heridas Penetrantes/cirugía
17.
Nanoscale ; 7(43): 18036-43, 2015 Nov 21.
Artículo en Inglés | MEDLINE | ID: mdl-26486874

RESUMEN

Nanodiamonds (NDs), multiwalled carbon nanotubes (MWCNTs) and gold nanorods (NRs) can be functionalized to promote gene delivery to hard-to-transfect cells with higher transfection efficiency than cationic lipids, and inducing less cell death.


Asunto(s)
Nanoestructuras/química , Transfección/métodos , Animales , Línea Celular , Ratones , Nanoestructuras/ultraestructura
18.
Redox Biol ; 5: 114-123, 2015 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-25912167

RESUMEN

Blood flow assessment employing Doppler techniques is a useful procedure in pregnancy evaluation, as it may predict pregnancy disorders coursing with increased uterine vascular impedance, as pre-eclampsia. While the local causes are unknown, emphasis has been put on reactive oxygen species (ROS) excessive production. As NADPH oxidase (NOX) is a ROS generator, it is hypothesized that combining Doppler assessment with NOX activity might provide useful knowledge on placental bed disorders underlying mechanisms. A prospective longitudinal study was performed in 19 normal course, singleton pregnancies. Fetal aortic isthmus (AoI) and maternal uterine arteries (UtA) pulsatility index (PI) were recorded at two time points: 20-22 and 40-41 weeks, just before elective Cesarean section. In addition, placenta and placental bed biopsies were performed immediately after fetal extraction. NOX activity was evaluated using a dihydroethidium-based fluorescence method and associations to PI values were studied with Spearman correlations. A clustering of pregnancies coursing with higher and lower PI values was shown, which correlated strongly with placental bed NOX activity, but less consistently with placental tissue. The study provides evidence favoring that placental bed NOX activity parallels UtA PI enhancement and suggests that an excess in oxidation underlies the development of pregnancy disorders coursing with enhanced UtA impedance.


Asunto(s)
NADPH Oxidasas/metabolismo , Superóxidos/metabolismo , Adulto , Impedancia Eléctrica , Femenino , Edad Gestacional , Humanos , Estudios Longitudinales , Intercambio Materno-Fetal , Estrés Oxidativo , Placenta/patología , Embarazo , Estudios Prospectivos , Ultrasonografía Prenatal , Arteria Uterina/metabolismo
19.
Sci Rep ; 5: 8786, 2015 Mar 05.
Artículo en Inglés | MEDLINE | ID: mdl-25739463

RESUMEN

The aim of this study was to construct reference ranges for the uterine artery (UtA) mean pulsatility (PI) and resistance (RI) indices from 1-8 weeks postpartum. A prospective, cross-sectional, and observational study was performed with 320 healthy women from week 1 through week 8 postpartum. UtAs were examined transvaginally using colour and pulsed Doppler imaging, and the means of the right and left values of the PI and RI, as well as the presence or absence of a bilateral protodiastolic notch, were recorded. The 5(th), 50(th) and 95(th) reference percentile curves for the UtA-PI and UtA-RI were derived using regression models. The adjusted reference intervals uncovered a convergence trend at the week 8 time-point, although impedance was lower at the week 1 time-point in multiparous women compared with primiparous women. The notching prevalence was 22.5% (9/40) at week 1 and 95.0% (38/40) at week 8. The study revealed consistent evidence of a progressive increase of postpartum uterine impedance and provided new average UtA-PI and UtA-RI reference charts for weeks 1 through 8. Multiparity does not change the trend but does impart a lower rate of increase, likely as a consequence of previous vascular structural and functional differences.


Asunto(s)
Periodo Posparto/fisiología , Arteria Uterina/fisiología , Adolescente , Adulto , Femenino , Humanos , Flujo Pulsátil , Factores de Riesgo , Factores de Tiempo , Ultrasonografía , Arteria Uterina/diagnóstico por imagen , Resistencia Vascular , Adulto Joven
20.
Arq. bras. med. vet. zootec ; 67(1): 290-298, 2/2015. tab
Artículo en Portugués | LILACS | ID: lil-741118

RESUMEN

Foram utilizadas 24 cordeiras do grupo genético Pantaneiro, abatidas com 2,0; 3,0 e 4,0 mm de espessura de gordura, avaliadas por ultrassonografia no Longissimus dorsi. Avaliaram-se características quantitativas de carcaça, do lombo e índice de musculosidade da perna. As cordeiras receberam ração completa misturada calculada para ganho de peso diário de 0,300 kg. Foram realizadas avaliações por ultrassonografia (entre a 12ª e a 13ª costela) e pesagens a cada 14 dias, sendo que os abates ocorriam à medida que as cordeiras atingiam a espessura de gordura pré-determinada: 2,0; 3,0 e 4,0mm. Não houve efeito para rendimento verdadeiro da carcaça, rendimento comercial da carcaça e índice de compacidade da perna. Foi observado maior rendimento do lombo para cordeiras abatidas com 4,0mm de espessura de gordura subcutânea. As espessuras de gordura subcutânea não influenciaram a área de olho de lombo, porém animais com 4,0 mm apresentaram maiores medidas. Foram observadas diferenças nas proporções de músculo, osso e gordura da perna entre as espessuras de gordura subcutânea avaliadas. A musculosidade da perna não foi influenciada com o aumento da espessura da gordura subcutânea. Com base neste estudo e também com as exigências do mercado consumidor, recomenda-se o abate de animais com aproximadamente 3,00 mm de gordura.


Twenty-four female lambs, all from the Pantaneiro genetic group, slaughtered with 2.0; 3.0 and 4.0 mm of subcutaneous fat thickness measured by ultrasound in Longissimus dorsi, were used. We evaluated quantitative carcass traits, loin and leg muscularity. The lambs were fed with total ration calculated for daily weight gain of 0.3 kg. Ultrasound evaluations (between the 12th and the 13th ribs) and weightings were carried out each 14 days; the slaughter occurred as the lambs reached the predetermined fat thickness: 2.0, 3.0 and 4.0 mm regardless of body weight. There was no effect for real income carcass, commercial carcass yield and index of leg compactness. Higher yield of loin for lambs slaughtered at 4.0 mm fat thickness was observed. The thickness of subcutaneous fat did not affect loin eye area, but animals with 4.0 mm had higher measures. There were differences in the proportions of muscle, bone and fat leg between subcutaneous fat thicknesses measured. The leg musculature was not influenced by increasing the thickness of subcutaneous fat. Based on this study and also with the requirements of the consumer market, it is recommended that the slaughter of animals occur with approximately 3.00 mm fat.


Asunto(s)
Animales , Ovinos/anatomía & histología , Grasas/análisis
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