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1.
Braz J Biol ; 83: e277515, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38422270

RESUMEN

The consumption of products with high nutritional value and antioxidant capacity has increased notably in recent years. Due to health problems such as triglycerides and cardiovascular problems, its use is becoming reduced. So that, chia (Salvia hispánica) and sachatomate (Cyphomandra betacea) have gained interest as an alternative to develop nutraceutical products, compared to conventional products. The objective of the study was to determine the effect of the partial substitution of mango (Mangifera indica) and ground chia (Salvia hispánica) on the antioxidant capacity in the elaboration of nectar based on Sachatomate. The physicochemical characteristics were determined where sample 11 complies with the established parameters: 13.4° Brix, pH 4.323, 0.354 of C6-H8-O7 and viscosity 3967.3 mPas, according to the NTP 203.110 standard. Regarding the antioxidant capacity, sample 12 was the most optimal, according to the DPPH method, it has been determined 104.3 micromoles Trolox equivalents; according to the ABTS method, it was determined with an antioxidant content of 187.4 micromoles Trolox equivalents. Regarding the proximal chemical evaluation, sample 12 was determined to be the most suitable with a moisture percentage of 87.45%, ash 0.32%, crude fiber 0.09%, fat 0.10%, protein 0.45% and carbohydrates 11.59%. Concluding that substituting sachatomate and ground chia significantly influences the antioxidant capacity, increasing to 104.3 and 187.4 micromoles Trolox equivalents, determined by both methods, indicates that nectar consumption can be used to improve the health of consumers.


Asunto(s)
Antioxidantes , Mangifera , Antioxidantes/química , Néctar de las Plantas , Suplementos Dietéticos , Semillas
2.
Food Res Int ; 136: 109307, 2020 10.
Artículo en Inglés | MEDLINE | ID: mdl-32846517

RESUMEN

Preservation of food through fermentation is an ancient practice that, besides extending produce shelf-life, has represented a significant source of nutrients and health-promoting compounds in the human diet throughout history. Traditional fermented beverages are an essential element of the cultural and culinary heritage of many countries. In Mexico, several indigenous fermented beverages have been consumed since prehispanic times, and are still used for ceremonial purposes. The production of these beverages is generally from fruits, plants, maize, and maize dough, which are utilized as a substrate by microorganisms during spontaneous fermentation. This review compiles information from the most relevant studies concerning Mexican fermented beverages. These have generally focused on three principal aspects: (1) the identification and isolation of the endogenous microorganisms involved in the fermentation process, including the addition of specific molds, yeasts, and bacteria under controlled conditions aiming to standardize the fermentation process, (2) an exploration of the functionality of the microorganisms and the subproducts generated during their metabolic process, and (3) an analysis of the nutritional value of the fermented beverages. Hence, this review aims at contributing to the dissemination of biotechnological knowledge of Mexican fermented beverages, towards the identification and advancement of alternative research pathways.


Asunto(s)
Alimentos Fermentados/análisis , Alimentos Funcionales/análisis , Valor Nutritivo , Antibacterianos/análisis , Antifúngicos/análisis , Alimentos Fermentados/microbiología , Manipulación de Alimentos/métodos , Conservación de Alimentos/métodos , Humanos , México , Probióticos/análisis , Zea mays
3.
Neuropharmacology ; 99: 15-27, 2015 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-26165920

RESUMEN

Methylphenidate (MPH, Ritalin©) is widely used in the treatment of Attention Deficit Hyperactivity Disorder and recently as a drug of abuse. Although the effect of MPH has been studied in brain regions such as striatum and prefrontal cortex (PFC), the hippocampus has received relatively little attention. It is known that MPH increases the TBS-dependent Long Term Potentiation (LTP) in the CA1 area. However, the cellular and molecular mechanisms involved in this process are still unknown. Using field potential recordings and western blot analysis in rat hippocampal slices of young rats, we found that acute application of MPH enhances LTP in CA3-CA1 synapses in a dose-dependent manner with an EC50 of 73.44±6.32 nM. Using specific antagonists and paired-pulse facilitation protocols, we observed that the MPH-dependent increase of LTP involves not only ß-adrenergic receptors activation but also post-synaptic D1/D5 dopamine receptors. The inhibition of PKA with PKI, suppressed the facilitation of LTP induced by MPH consistent with an involvement of the adenyl cyclase-cAMP-PKA dependent cascade downstream of the activation of D1/D5 receptors. In addition, samples of CA1 areas taken from slices potentiated with MPH presented an increase in the phosphorylation of the Ser845 residue of the GluA1 subunit of AMPA receptors compared to control slices. This effect was reverted by SCH23390, antagonist of D1/D5 receptors, and PKI. Moreover, we found an increase of surface-associated functional AMPA receptors. We propose that MPH increases TBS-dependent LTP in CA3-CA1 synapses through a polysynaptic mechanism involving activation of ß-adrenergic and D1/D5 dopaminergic receptors and promoting the trafficking and insertion of functional AMPA receptors to the plasma membrane.


Asunto(s)
Región CA1 Hipocampal/efectos de los fármacos , Región CA1 Hipocampal/fisiología , Estimulantes del Sistema Nervioso Central/farmacología , Potenciación a Largo Plazo/efectos de los fármacos , Potenciación a Largo Plazo/fisiología , Metilfenidato/farmacología , Animales , Transporte Biológico Activo/efectos de los fármacos , Membrana Celular/efectos de los fármacos , AMP Cíclico/metabolismo , Proteínas Quinasas Dependientes de AMP Cíclico/antagonistas & inhibidores , Proteínas Quinasas Dependientes de AMP Cíclico/metabolismo , Relación Dosis-Respuesta a Droga , Potenciales Postsinápticos Excitadores/efectos de los fármacos , Potenciales Postsinápticos Excitadores/fisiología , Técnicas de Placa-Clamp , Fosforilación/efectos de los fármacos , Ratas Sprague-Dawley , Receptores AMPA/metabolismo , Receptores Adrenérgicos beta/metabolismo , Receptores de Dopamina D1/metabolismo , Receptores de Dopamina D5/metabolismo , Transducción de Señal/efectos de los fármacos , Técnicas de Cultivo de Tejidos
4.
Eur Neuropsychopharmacol ; 22(8): 584-95, 2012 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-22209363

RESUMEN

3,4-Methylenedioxymethamphetamine (MDMA, ecstasy) is a drug of abuse that induces learning and memory deficit. However, there are no experimental data that correlate the behavioral evidence with models of synaptic plasticity such as long-term potentiation (LTP) or long-term depression (LTD). Using field potential recordings in rat hippocampal slices of young rats, we found that acute application of MDMA enhances LTP in CA3-CA1 synapses without affecting LTD. Using specific antagonists and paired-pulse facilitation protocols we observed that the MDMA-dependent increase of LTP involves presynaptic 5-HT2 serotonin receptors and postsynaptic D1/D5 dopamine receptors. In addition, the inhibition of PKA suppresses the MDMA-dependent increase in LTP, suggesting that dopamine receptor agonism activates cAMP-dependent intracellular pathways. We propose that MDMA exerts its LTP-altering effect involving a polysynaptic interaction between serotonergic and dopaminergic systems in hippocampal synapses. Our results are compatible with the view that the alterations in hippocampal LTP could be responsible for MDMA-dependent cognitive deficits observed in humans and animals.


Asunto(s)
Hipocampo/efectos de los fármacos , Potenciación a Largo Plazo/efectos de los fármacos , N-Metil-3,4-metilenodioxianfetamina/farmacología , Neuronas/efectos de los fármacos , Receptores Dopaminérgicos/metabolismo , Receptores de Serotonina 5-HT2/metabolismo , Serotoninérgicos/farmacología , Animales , Proteínas Quinasas Dependientes de AMP Cíclico/antagonistas & inhibidores , Proteínas Quinasas Dependientes de AMP Cíclico/química , Antagonistas de Dopamina/farmacología , Activación Enzimática/efectos de los fármacos , Potenciales Evocados/efectos de los fármacos , Alucinógenos/farmacología , Hipocampo/enzimología , Hipocampo/metabolismo , Técnicas In Vitro , Proteínas del Tejido Nervioso/agonistas , Proteínas del Tejido Nervioso/antagonistas & inhibidores , Proteínas del Tejido Nervioso/metabolismo , Neuronas/enzimología , Neuronas/metabolismo , Terminales Presinápticos/efectos de los fármacos , Terminales Presinápticos/enzimología , Terminales Presinápticos/metabolismo , Inhibidores de Proteínas Quinasas/farmacología , Ratas , Ratas Sprague-Dawley , Receptores de Dopamina D1/antagonistas & inhibidores , Receptores de Dopamina D1/metabolismo , Receptores de Dopamina D5/antagonistas & inhibidores , Receptores de Dopamina D5/metabolismo , Antagonistas del Receptor de Serotonina 5-HT2/farmacología , Transmisión Sináptica/efectos de los fármacos
5.
J Anim Breed Genet ; 125(5): 311-9, 2008 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-18803786

RESUMEN

No national breeding programme for llamas is in place in Bolivia. Initiatives for genetic improvement are rarely found and are usually carried out by NGOs working in rural development or improvement of livestock production or research stations. Farmers in the Province of Ayopaya in the District of Cochabamba have formed a breeders' organization with the aim of improving fibre production. In this study, a detailed outline of a breeding programme with a focus on organizational and technical details is described. Facing constraints like illiteracy of farmers, bad infrastructure and lack of finances, a simple breeding programme is set up. The breeding goal is a higher fleece weight while keeping the fleece quality at the current high level. Greasy fleece weight and fibre diameter are identified as main selection criteria. Mass selection of males is carried out. Selected males are either exchanged between farmers and used in the herds or are kept during the mating season in a central mating station owned by the breeders' organization. Model calculations were carried out with the program zplan, which is based on a deterministic approach. zplan evaluates the genetic and economic efficiency of breeding strategies considering one cycle of selection. Scenarios with only intra-herd use, using only the central mating station or combinations of those were compared in terms of expected genetic gain and expected increase of inbreeding. Fastest genetic progress is achieved when the males are kept in a central mating station as the selection intensity is on a high level. Rates of inbreeding vary between 0.08 and 0.32% per generation.


Asunto(s)
Cruzamiento/métodos , Camélidos del Nuevo Mundo/genética , Selección Genética , Agricultura/métodos , Animales , Bolivia , Cruzamiento/normas , Femenino , Estado de Salud , Humanos , Masculino , Densidad de Población
8.
J Membr Biol ; 207(3): 151-60, 2005 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-16550486

RESUMEN

We report that Drosophila retinal photoreceptors express inwardly rectifying chloride channels that seem to be orthologous to mammalian ClC-2 inward rectifier channels. We measured inwardly rectifying Cl(-) currents in photoreceptor plasma membranes: Hyperpolarization under whole-cell tight-seal voltage clamp induced inward Cl(-) currents; and hyperpolarization of voltage-clamped inside-out patches excised from plasma membrane induced Cl(-) currents that have a unitary channel conductance of approximately 3.7 pS. The channel was inhibited by 1 mM: Zn(2+) and by 1 mM: 9-anthracene, but was insensitive to DIDS. Its anion permeability sequence is Cl(-) = SCN(-)> Br(-)>> I(-), characteristic of ClC-2 channels. Exogenous polyunsaturated fatty acid, linolenic acid, enhanced or activated the inward rectifier Cl(-) currents in both whole-cell and excised patch-clamp recordings. Using RT-PCR, we found expression in Drosophila retina of a ClC-2 gene orthologous to mammalian ClC-2 channels. Antibodies to rat ClC-2 channels labeled Drosophila photoreceptor plasma membranes and synaptic regions. Our results provide evidence that the inward rectification in Drosophila retinal photoreceptors is mediated by ClC-2-like channels in the non-transducing (extra-rhabdomeral) plasma membrane, and that this inward rectification can be modulated by polyunsaturated fatty acid.


Asunto(s)
Membrana Celular/fisiología , Canales de Cloruro/metabolismo , Drosophila/fisiología , Activación del Canal Iónico/fisiología , Potenciales de la Membrana/fisiología , Células Fotorreceptoras de Invertebrados/fisiología , Animales , Células Cultivadas , Conductividad Eléctrica , Retina/fisiología
9.
Rev Med Liege ; 59(10): 552-4, 2004 Oct.
Artículo en Francés | MEDLINE | ID: mdl-15623073

RESUMEN

Fascioliasis is an hepato-biliary distomatosis which may exceptionally manifest itself in the skin. We report a case presenting as nodules localized on the trunk. Lesions cleared under praziquantel treatment.


Asunto(s)
Fascioliasis/diagnóstico , Enfermedades Cutáneas Parasitarias/diagnóstico , Adulto , Femenino , Humanos
10.
Alcohol Clin Exp Res ; 24(5): 605-10, 2000 May.
Artículo en Inglés | MEDLINE | ID: mdl-10832901

RESUMEN

BACKGROUND: Liver damage is more prevalent among obese alcoholics, and cytochrome P-4502E1(CYP2E1) induction is involved in its pathogenesis. OBJECTIVES: The study was undertaken to assess microsomal function, in alcoholic and nonalcoholic male subjects with different body compositions, through pharmacokinetics of chlorzoxazone (CLZ). We also intended to study the relationship between CLZ hydroxylation and urinary levels of 8-hydroxydiguanosine, and between CLZ levels and liver histology. METHODS: Serial measurements of CLZ serum concentration, after a 750 mg dose, were performed in 17 alcoholics (9 normal weight and 8 obese) and 21 nonalcoholic subjects (10 normal weight and 11 obese). Concentration of 6-hydroxy-chlorzoxazone (6-OH-CLZ) was determined at the second hour. Anthropometry, clinical laboratory tests, and urinary 8-hydroxydiguanosine concentrations were measured. Liver biopsies were performed in alcoholics. RESULTS: Five biopsies revealed severe lesions, one in normal-weight and four in obese patients (p = NS). Area under the curve (AUC) of CLZ was higher in normal-weight controls compared with the rest of the groups (ANOVA p = 0.001). This parameter correlated negatively with adiposity in nonalcoholic subjects and did not correlate with liver histology. 6-OH-CLZ/CLZ ratio was lower in normal-weight controls, compared with obese subjects and normal-weight alcoholics (p = 0.02). Both alcoholism and obesity were included as predictors of CLZ AUC in a multiple regression analysis. The two-factor ANOVA showed an additive effect of centripetal body fat distribution and alcoholism. Urinary 8-hydroxydiguanosine levels were extremely variable. CONCLUSIONS: Centripetal adiposity and alcoholism are associated with induction of CYP2E1. This may explain the higher prevalence of liver damage among obese alcoholics and also nonalcoholic steatohepatitis.


Asunto(s)
Alcoholismo/enzimología , Clorzoxazona/farmacocinética , Citocromo P-450 CYP2E1/metabolismo , Relajantes Musculares Centrales/farmacocinética , Obesidad/enzimología , Adulto , Análisis de Varianza , Clorzoxazona/sangre , Humanos , Cirrosis Hepática Alcohólica/metabolismo , Masculino , Microsomas Hepáticos/metabolismo , Persona de Mediana Edad , Relajantes Musculares Centrales/sangre
11.
Biol Res ; 31(1): 17-32, 1998.
Artículo en Inglés | MEDLINE | ID: mdl-10347744

RESUMEN

Calcium channel activity is crucial for many fundamental physiological processes ranging from the heart beat to synaptic transmission. The channel-forming protein, of about 2000 amino acids, comprises four domains internally homologous to each other. Voltage-dependent Ca2+ channels are the most selective ion channels known. Under physiological conditions, they prefer Ca2+ over Na+ by a ratio of about 1000:1. To explain at the same time the exquisite ion selectivity and the large Ca2+ ion turnover rate of Ca2+ channels (approximately 3 x 10(6) ions/s), two kind models have been proposed. In one, the conduction pathway possesses two high-affinity binding sites. When two Ca2+ ions are bound to each site, the mutual repulsion between them speeds the exit rate for the ions, causing greater ion permeation through the pore. The second model hypothesizes the existence of a single site having a charged structure able to attract multiple, interacting ions, simultaneously. Recent studies that combine mutagenesis and electrophysiology show that the high-affinity binding site is formed by a ring of glutamate residues located in the pore forming region of the Ca2+ channel. As proposed in the second class of models, the results suggest that four glutamate residues, one glutamate donated by each repeat, combine to form a single high-affinity site. In this review the different conduction models for Ca2+ channels are discussed and confronted with structural data.


Asunto(s)
Canales de Calcio/metabolismo , Calcio/metabolismo , Sitios de Unión , Transporte Iónico
12.
Rev Med Chil ; 123(6): 687-93, 1995 Jun.
Artículo en Español | MEDLINE | ID: mdl-8525220

RESUMEN

Several associations between alleles of the major histocompatibility system and alcoholic liver disease have been described. However, these are weak and change from one population to another. The aim of this work was to search for a possible genetic risk factor for alcoholic liver disease among Chilean alcoholics. We studied blood groups, serum proteins and HLA antigens in 39 alcoholic cirrhotics, 104 asymptomatic alcoholics and 44 non alcoholic controls. Asymptomatic alcoholics were also subjected to a percutaneous liver biopsy that showed moderate to severe histological liver damage in 46 subjects (44%). No differences in the studied genetic markers, were found among the four groups. It is concluded that this study does not confirm previously reported associations between genetic markers and alcoholic liver disease.


Asunto(s)
Alcoholismo/genética , Cirrosis Hepática Alcohólica/genética , Complejo Mayor de Histocompatibilidad/genética , Adulto , Estudios de Casos y Controles , Chile , Frecuencia de los Genes , Antígenos HLA/sangre , Antígenos HLA/clasificación , Humanos , Hígado/patología , Cirrosis Hepática Alcohólica/inmunología , Persona de Mediana Edad , Factores de Riesgo
13.
J Am Coll Nutr ; 14(1): 99-104, 1995 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-7706618

RESUMEN

OBJECTIVE: This study was designed to measure the effect of chronic alcohol intake on leucine turnover in outpatients with stable alcoholic liver cirrhosis. METHODS: Protein turnover rate was measured using L [1-14C] leucine in ten outpatients with proven alcoholic cirrhosis and in five healthy controls. After the performance of the turnover, the patients were divided in two groups depending on the evidence of alcohol ingestion in the previous month. RESULTS: Non-abstinent patients had a significantly higher leucine flux and non-oxidative disposal (73.8 +/- 25.4 and 65.9 +/- 21.6) than abstinent cirrhotic patients (48.9 +/- 9.5 and 43.7 +/- 9.0) and normal controls 37.3 +/- 8.9 and 31.1 +/- 7.6 mumol/m2/min (p < 0.01). Leucine oxidation and serum leucine levels were similar in the three groups. CONCLUSION: Alcohol intake in alcoholic cirrhotic patients has a catabolic effect that could be associated with the nutritional imbalances observed in alcoholic liver disease.


Asunto(s)
Etanol/administración & dosificación , Cirrosis Hepática Alcohólica/metabolismo , Proteínas/metabolismo , Adulto , Humanos , Cinética , Leucina/sangre , Leucina/metabolismo , Persona de Mediana Edad , Oxidación-Reducción
14.
Proc Biol Sci ; 257(1350): 235-42, 1994 Sep 22.
Artículo en Inglés | MEDLINE | ID: mdl-7991632

RESUMEN

Odorant responses of isolated olfactory neurons from the toad Caudiverbera caudiverbera were monitored by using patch-clamp techniques. Depending on the stimulus, the same neuron responded with an increase or a decrease in action potential firing. Odorants that activate the cAMP cascade in olfactory cilia increased electrical activity, caused membrane depolarization, and triggered inward currents. In contrast, odorants that do not activate the cAMP cascade inhibited electrical activity, produced membrane hyperpolarization, and activated outward currents in a dose-dependent fashion. Such currents were carried by K+ and blocked by tetraethylammonium. Similar currents were recorded from Xenopus laevis. Our results suggest that this K+ current is responsible for odorant-induced inhibition of action potential firing in olfactory neurons.


Asunto(s)
Odorantes , Neuronas Receptoras Olfatorias/fisiología , Canales de Potasio/fisiología , Monoterpenos Acíclicos , Animales , Anuros , Relación Dosis-Respuesta a Droga , Estimulación Eléctrica , Etilaminas/farmacología , Hemiterpenos , Técnicas In Vitro , Potenciales de la Membrana/efectos de los fármacos , Nitrilos/farmacología , Ácidos Pentanoicos/farmacología , Canales de Potasio/efectos de los fármacos , Pirazinas/farmacología , Terpenos/farmacología , Xenopus laevis
15.
Rev Chil Obstet Ginecol ; 59(5): 383-6; discussion 386-7, 1994.
Artículo en Español | MEDLINE | ID: mdl-7569155

RESUMEN

A clinical case of a woman 25 year old with Laennec's cirrhosis at 18th, week of gestation was admitted in our hospital. In the 30th week a cesarean section was performed, resulting a healthy infant. The infrequency relationship between pregnancy and cirrhosis is discussed an a review of the literature is presented.


Asunto(s)
Cirrosis Hepática Alcohólica/complicaciones , Complicaciones del Embarazo , Adulto , Femenino , Humanos , Recién Nacido , Trabajo de Parto Prematuro/etiología , Embarazo , Complicaciones del Embarazo/sangre
16.
Rev Med Chil ; 121(4): 369-78, 1993 Apr.
Artículo en Español | MEDLINE | ID: mdl-7903815

RESUMEN

Looking for a noninvasive method to predict liver histologic alterations in alcoholic patients without clinical signs of liver failure, we studied 187 chronic alcoholics recently abstinent, divided in 2 series. In the model series (n = 94) several clinical variables and results of common laboratory tests were confronted to the findings of liver biopsies. These were classified in 3 groups: 1. Normal liver; 2. Moderate alterations; 3. Marked alterations, including alcoholic hepatitis and cirrhosis. Multivariate methods used were logistic regression analysis and a classification and regression tree (CART). Both methods entered gamma-glutamyltransferase (GGT), aspartate-aminotransferase (AST), weight and age as significant and independent variables. Univariate analysis with GGT and AST at different cutoffs were also performed. To predict the presence of any kind of damage (Groups 2 and 3), CART and AST > 30 IU showed the higher sensitivity, specificity and correct prediction, both in the model and validation series. For prediction of marked liver damage, a score based on logistic regression and GGT > 110 IU had the higher efficiencies. It is concluded that GGT and AST are good markers of alcoholic liver damage and that, using sample cutoffs, histologic diagnosis can be correctly predicted in 80% of recently abstinent asymptomatic alcoholics.


Asunto(s)
Alcoholismo/complicaciones , Hepatopatías Alcohólicas/patología , Hígado/patología , Adulto , Aspartato Aminotransferasas/sangre , Humanos , Masculino , Persona de Mediana Edad , Pronóstico , Análisis de Regresión , Sensibilidad y Especificidad , gamma-Glutamiltransferasa/sangre
17.
JPEN J Parenter Enteral Nutr ; 17(2): 119-24, 1993.
Artículo en Inglés | MEDLINE | ID: mdl-8455312

RESUMEN

A controlled trial on nutrition supplementation in ambulatory patients with decompensated alcoholic liver disease was carried out during 1 year. Fifty-one patients were studied; 26 were assigned to an experimental group receiving a daily supplement of 1000 kcal and 34 g of proteins given as a casein-based enteral nutrition product and 25 to a control group receiving one placebo capsule. Patients were examined in a special clinic once a month or more if required. Sixty-eight percent of patients admitted to alcohol ingestion or had alcohol in urine samples on at least one occasion. Dietary recalls showed a significantly higher protein and caloric intake in case patients subjects (p < .0001). Nine patients died during the study, three case patients and six control patients (p = NS). The frequency of hospitalizations was significantly less in the experimental group. This difference was attributed to a reduction in severe infections. Mid-arm circumference, serum albumin concentration, and hand grip strength improved earlier in case patients, although both groups had a significant improvement in these parameters. Bilirubin and aspartate aminotransferase decreased and prothrombin time increased significantly in both groups during the study period, without differences between groups. It is concluded that nutrition support decreases nutrition-associated complications in patients with alcoholic liver disease.


Asunto(s)
Nutrición Enteral , Cirrosis Hepática Alcohólica/terapia , Adulto , Atención Ambulatoria , Femenino , Humanos , Masculino , Persona de Mediana Edad , Factores de Tiempo
18.
Rev Med Chil ; 120(12): 1370-5, 1992 Dec.
Artículo en Español | MEDLINE | ID: mdl-1343377

RESUMEN

A controlled trial on the use of Silymarin in patients with alcoholic liver disease was performed. Seventy two patients were admitted to the trial and randomly assigned to an experimental or controls group. Experimentals received 280 mg/day of Silymarin and controls an equal number of placebo tablets. Three patients on placebo and nine on Silymarin were lost from control (p = 0.035), remaining in control 34 patients receiving placebo and 25 patients receiving the drug. Both groups did not differ in their initial laboratory assessment and were followed up for an average of 15 months. Ten patients died during the follow up (5 in placebo and 5 in Silymarin); life table analysis did not show significant differences in mortality. Patients who died had lower serum albumin and prothrombin time and higher total bilirubin, alkaline phosphatases and CCLI on the initial clinical and laboratory assessment. Final laboratory values and their changes in those who survived did not differ between Silymarin and placebo. Twenty two patients on placebo (65%) and 14 on Silymarin (58%) recognized alcohol ingestion or had a positive urine sample analysis for alcohol during follow up. Those who abstained from alcohol had a significant fall in gamma glutamyl transferase during follow up. No other significant differences were observed between these two groups. It is concluded that in this trial, Silymarin did not change the evolution or mortality of alcoholic liver disease.


Asunto(s)
Hepatopatías Alcohólicas/tratamiento farmacológico , Silimarina/uso terapéutico , Método Doble Ciego , Femenino , Humanos , Hepatopatías Alcohólicas/sangre , Hepatopatías Alcohólicas/mortalidad , Pruebas de Función Hepática , Masculino , Persona de Mediana Edad , Cooperación del Paciente , Silimarina/efectos adversos , Templanza , Resultado del Tratamiento
19.
Mycoses ; 34(11-12): 493-7, 1991.
Artículo en Inglés | MEDLINE | ID: mdl-1824420

RESUMEN

Three cases of paracoccidioidomycosis observed in 1990-1991 in Quillabamba, Peru, and its surroundings are described. The climate and the living conditions of the inhabitants favour paracoccidioidomycosis. It can be assumed that a majority of cases could not be identified, because the symptoms are disguised as other tropical diseases. The application of ketoconazole to the patients showed different results, from optimal to scarce, while temporary remission of the disease was obtained with itraconazole. The best therapy for paracoccidioidomycosis appears to be the application of amphotericin B plus sulphamidics.


Asunto(s)
Paracoccidioidomicosis/microbiología , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Paracoccidioidomicosis/tratamiento farmacológico , Perú
20.
Rev Med Chil ; 118(10): 1161-2, 1990 Oct.
Artículo en Español | MEDLINE | ID: mdl-2152637

Asunto(s)
Investigación , Humanos
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