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1.
Blood Purif ; 51(1): 87-90, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-33853066

RESUMO

We present the case of a patient with subarachnoid hemorrhage (SAH) secondary to a ruptured cerebral aneurysm and a refractory shock with high doses of vasopressors without a proven source of infection. This patient received therapy with high-volume hemofiltration plus adsorption, resolving the hemodynamic deterioration and with good neurological evolution. Our clinical case proposes that extracorporeal therapies may have a feasibility role in the management of complications of SAH.


Assuntos
Hemofiltração , Hemorragia Subaracnóidea/terapia , Hemofiltração/instrumentação , Humanos , Interleucina-6/sangue , Aneurisma Intracraniano/sangue , Aneurisma Intracraniano/complicações , Aneurisma Intracraniano/terapia , Masculino , Pessoa de Meia-Idade , Hemorragia Subaracnóidea/sangue , Hemorragia Subaracnóidea/complicações
2.
Blood Purif ; 50(4-5): 575-577, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33264786

RESUMO

We present the case of a patient who suffered from acute respiratory distress syndrome caused by pneumonia associated with COVID-19 and cytokine release syndrome. This patient received a high-volume hemofiltration plus adsorption, solving the hemodynamic deterioration, pulmonary infiltrates, and gas exchange. Our clinical case proposes that the extracorporeal therapies can have a role in the management of severe COVID-19.


Assuntos
COVID-19/terapia , Estado Terminal/terapia , Síndrome da Liberação de Citocina/prevenção & controle , Hemofiltração , Hemoperfusão , SARS-CoV-2 , Injúria Renal Aguda/etiologia , Corticosteroides/uso terapêutico , Antivirais/uso terapêutico , COVID-19/complicações , COVID-19/diagnóstico por imagem , Terapia Combinada , Síndrome da Liberação de Citocina/etiologia , Citocinas/sangue , Progressão da Doença , Quimioterapia Combinada , Hemoperfusão/métodos , Humanos , Hiperpotassemia/etiologia , Masculino , Pessoa de Meia-Idade , Respiração Artificial , Síndrome do Desconforto Respiratório/diagnóstico por imagem , Síndrome do Desconforto Respiratório/etiologia , Síndrome do Desconforto Respiratório/terapia , Vasoconstritores/uso terapêutico , Tratamento Farmacológico da COVID-19
3.
Hum Nat ; 30(3): 247-271, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31313088

RESUMO

In response to recent work on the nature of human aggression, and to shed light on the proximate, as opposed to ultimate, causes of tribal warfare, we present a record of events leading to a fatal Waorani raid on a family from another tribe, followed by a detailed first-person observation of the behavior of the raiders as they prepared themselves for war, and upon their return. We contrast this attack with other Waorani aggressions and speculate on evidence regarding their hormonal underpinnings. On-the-ground ethnographic observations are examined in light of the neuroendocrinological literature. The evidence suggests a chain of causality in launching lethal violence, beginning with a perceived injury, culminating in a massacre, and terminating in rejoicing. Although no blood or saliva samples were taken at the time of this raid, the behaviors were consistent with a deliberate initiation of the hormonal cascade characterizing the "fight-or-flight" response, along with other hormonal changes. We conclude with observations on the stratified interrelationships of the cognitive, social, emotional, and neuroendocrinological causes of aggression leading to coalitional male homicide.


Assuntos
Agressão/fisiologia , Homicídio , Indígenas Sul-Americanos , Sistema Nervoso Simpático/metabolismo , Violência , Guerra , Adulto , Antropologia Cultural , Equador , Homicídio/etnologia , Humanos , Indígenas Sul-Americanos/etnologia , Masculino , Violência/etnologia , Guerra/etnologia
4.
J Ethnopharmacol ; 171: 171-83, 2015 Aug 02.
Artigo em Inglês | MEDLINE | ID: mdl-26027755

RESUMO

ETHNOPHARMACOLOGICAL RELEVANCE: Cultures throughout the world give plants to their dogs in order to improve hunting success. These practices are best developed in lowland Ecuador and Peru. There is no experimental evidence for the efficacy of these practices nor critical reviews that consider possible pharmacological effects on dogs based on the chemistry of the ethnoverterinary plants. AIM: This review has three specific aims: (1) determine what plants the Ecuadorian Shuar and Quichua give to dogs to improve their hunting abilities, (2) determine what plants other cultures give to dogs for the same purpose, and (3) assess the possible pharmacological basis for the use of these plants, particularly the psychoactive ones. METHODS: We gathered Shuar (Province of Morona-Santiago) and Quichua (Napo and Orellano Provinces) data from our previous publications and field notes. All specimens were vouchered and deposited in QCNE with duplicates sent to NY and MO. Data presented from other cultures derived from published studies on ethnoveterinary medicine. Species names were updated, when necessary, and family assignments follow APG III (Angiosperm Phylogeny Group, 2009. An update of the Angiosperm Phylogeny Group classification for the orders and families of flowering plants: APG III. Bot. J. Linn. Soc. 161, 105-121). Chemical data were found using PubMed and SciFinder. RESULTS: The Shuar and Quichua of Ecuador use at least 22 species for ethnoveterinary purposes, including all but one of their principal hallucinogens. Literature surveys identified 43 species used in other cultures to improve hunting ability. No published studies have examined the pharmacological active of these plant species in dogs. We, thus, combined phytochemical data with the ethnobotanical reports of each plant and then classified each species into a likely pharmacological category: depuratives/deodorant, olfactory sensitizer, ophthalmic, or psychoactive. CONCLUSIONS: The use of psychoactive substances to improve a dog׳s hunting ability seems counterintuitive, yet its prevalence suggests that it is both adaptive and that it has an underlying pharmacological explanation. We hypothesize that hallucinogenic plants alter perception in hunting dogs by diminishing extraneous signals and by enhancing sensory perception (most likely olfaction) that is directly involved in the detection and capture of game. If this is true, plant substances also might enhance the ability of dogs to detect explosives, drugs, human remains, or other targets for which they are valued.


Assuntos
Plantas Medicinais , Comportamento Predatório/efeitos dos fármacos , Psicotrópicos/farmacologia , Animais , Cães , Medicina Tradicional
5.
Quito; ECOCIENCIA; 1998. 40 p. ilus.
Monografia em Espanhol | LILACS | ID: lil-354467

RESUMO

Un tigrÝsimo.- Los tigres visitaban las casa.- El encuentro de Doña Juana y el tigre.- La Tunda en Playa de Oro.- La Tunda.- ­Pascuala, Pascuala!- Dos dÝas, Segunda, Elio y la Tunda.- ­Mujer, levanta a cocinar!- Guineos para rescatar


Assuntos
Características Culturais , Zona Rural , Equador , População
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