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1.
Cranio ; 38(4): 233-239, 2020 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-30198398

RESUMEN

OBJECTIVE: To determine whether PostureScreen® Mobile app is a useful, simple tool that is accessible for dentists to evaluate the correlation between malocclusion and posture. METHODS: Twenty-nine subjects underwent static and dynamic dental occlusion examinations and a postural exam with PostureScreen® Mobile app, a photographic method. The subjects were divided into groups depending on their static and dynamic occlusion features. The postural parameters were then compared between these groups. RESULTS: Statistically significant differences (p < 0.05) for some postural parameters were obtained for Angle Class 1 vs. 2 and 3 and for the passive interference group and active premature contacts group during left lateral movement. There were no statistically significant differences regarding protrusion and right lateral movement. DISCUSSION: Dental occlusion anomalies and posture pathological modifications can be inter-related. PostureScreen® Mobile app might represent a useful tool in the early diagnosis of dental occlusion pathology.


Asunto(s)
Maloclusión , Aplicaciones Móviles , Odontólogos , Humanos , Fotograbar , Postura
2.
Crit Care ; 14(6): R203, 2010.
Artículo en Inglés | MEDLINE | ID: mdl-21062445

RESUMEN

INTRODUCTION: The immune responses in patients with novel A(H1N1) virus infection (nvA(H1N1)) are incompletely characterized. We investigated the profile of Th1 and Th17 mediators and interferon-inducible protein-10 (IP-10) in groups with severe and mild nvA(H1N1) disease and correlated them with clinical aspects. METHODS: Thirty-two patients hospitalized with confirmed nvA(H1N1) infection were enrolled in the study: 21 patients with nvA(H1N1)-acute respiratory distress syndrome (ARDS) and 11 patients with mild disease. One group of 20 patients with bacterial sepsis-ARDS and another group of 15 healthy volunteers were added to compare their cytokine levels with pandemic influenza groups. In the nvA(H1N1)-ARDS group, the serum cytokine samples were obtained on admission and 3 days later. The clinical aspects were recorded prospectively. RESULTS: In the nvA(H1N1)-ARDS group, obesity and lymphocytopenia were more common and IP-10, interleukin (IL)-12, IL-15, tumor necrosis factor (TNF)α, IL-6, IL-8 and IL-9 were significantly increased versus control. When comparing mild with severe nvA(H1N1) groups, IL-6, IL-8, IL-15 and TNFα were significantly higher in the severe group. In nonsurvivors versus survivors, IL-6 and IL-15 were increased on admission and remained higher 3 days later. A positive correlation of IL-6, IL-8 and IL-15 levels with C-reactive protein and with > 5-day interval between symptom onset and admission, and a negative correlation with the PaO(2):FiO(2) ratio, were found in nvA(H1N1) groups. In obese patients with influenza disease, a significant increased level of IL-8 was found. When comparing viral ARDS with bacterial ARDS, the level of IL-8, IL-17 and TNFα was significantly higher in bacterial ARDS and IL-12 was increased only in viral ARDS. CONCLUSIONS: In our critically ill patients with novel influenza A(H1N1) virus infection, the hallmarks of the severity of disease were IL-6, IL-15, IL-8 and TNFα. These cytokines, except TNFα, had a positive correlation with the admission delay and C-reactive protein, and a negative correlation with the PaO(2):FiO(2) ratio. Obese patients with nvA(H1N1) disease have a significant level of IL-8. There are significant differences in the level of cytokines when comparing viral ARDS with bacterial ARDS.


Asunto(s)
Citocinas/biosíntesis , Subtipo H1N1 del Virus de la Influenza A/inmunología , Gripe Humana/inmunología , Índice de Severidad de la Enfermedad , Adolescente , Adulto , Anciano , Citocinas/sangre , Femenino , Humanos , Gripe Humana/sangre , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Adulto Joven
3.
Anesth Analg ; 109(1): 137-40, 2009 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-19535703

RESUMEN

Refractory shock from anaphylaxis can occur after induction of general anesthesia. We report two cases of fatal cardiac arrest with increased blood tryptase and immunoglobulin E values after succinylcholine administration. Tryptase and immunoglobulin E assays may help to identify anaphylactic reactions when cardiac arrest occurs at induction of anesthesia.


Asunto(s)
Anafilaxia/inducido químicamente , Paro Cardíaco/inducido químicamente , Succinilcolina/efectos adversos , Anciano , Anafilaxia/complicaciones , Anafilaxia/diagnóstico , Resultado Fatal , Femenino , Paro Cardíaco/complicaciones , Paro Cardíaco/diagnóstico , Humanos , Masculino , Persona de Mediana Edad
4.
Eur J Anaesthesiol ; 26(9): 752-8, 2009 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-19384234

RESUMEN

BACKGROUND AND OBJECTIVE: Catheter-related bloodstream infections are one of the main complications affecting patients in intensive care units. This prospective, randomized, unblinded, controlled study investigated colonization and infection rates of standard central venous catheters in comparison with the rates for silver-integrated catheters in the intensive care unit. METHODS: Complete data were evaluated for 272 catheters inserted into 230 patients (141 standard and 131 silver-integrated central venous catheters). Patient and catheter characteristics were documented for all patients. Positive catheters were detected by semi-quantitative and quantitative microbiologic techniques. Peripheral blood cultures were obtained at the time of catheter removal. RESULTS: There was no significant difference in the colonization rates and the colonization per 1000 catheter days between the standard and silver-integrated catheters. Using the Kaplan-Meier curves (long-rank test), there was a significant difference in the incidence of colonization and infections over time between standard and silver-integrated catheters (P<0.01 and P<0.05, respectively). Whereas standard catheters were first colonized 3 days after the insertion, silver-integrated catheters were first colonized 5 days after insertion. CONCLUSION: Silver-integrated central venous catheters did not prevent catheter colonization and infections in critically ill patients, but there might be a significant difference in the incidence of colonization and infections over time between standard polyurethane and silver-integrated catheters.


Asunto(s)
Infecciones Relacionadas con Catéteres/microbiología , Cateterismo Venoso Central/instrumentación , Enfermedad Crítica , APACHE , Cateterismo Venoso Central/efectos adversos , Femenino , Humanos , Unidades de Cuidados Intensivos , Tiempo de Internación , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Análisis de Regresión , Factores de Tiempo , Resultado del Tratamiento
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