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1.
J Eur Acad Dermatol Venereol ; 38(1): 124-135, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-37669864

RESUMO

BACKGROUND: In vivo reflectance confocal microscopy (RCM) enables the study of architectural and cytological aspects in horizontal sections, which closely correlate with histologic features. However, traditional histopathological vertical sections cannot totally reproduce the image of the in vivo RCM horizontal section. OBJECTIVE: To evaluate the concordance between in vivo RCM and histopathologic transverse sections for melanocytic lesions, basal cell carcinoma and seborrheic keratoses. METHODS: Prospectively collected benign melanocytic and non-melanocytic tumours diagnosed by dermoscopy were evaluated for common RCM features and compared to histopathology in horizontal sections with haematoxylin and eosin staining. RESULTS: A total of 44 skin tumours including 19 melanocytic lesions (nine compound, five junctional and five intradermal nevi), 12 basal cell carcinomas and 13 seborrheic keratoses were collected in the Department of Dermatology of Hospital Clinic of Barcelona. The RCM features that had statistically significant agreement with the histopathological horizontal sections were the preserved and visible honeycomb pattern, well defined DEJ, small bright particles, dermal nests, tumour islands and dark silhouettes, clefting, collagen bundles, thickened collagen bundles and cytologic atypia. CONCLUSIONS: Histopathology evaluation of horizontal sections of skin tumours can be correlated with main RCM findings. The results of this study have improved the understanding and interpretation of RCM features in relation to skin tumours, thus reinforcing the utility of RCM as a diagnostic tool.


Assuntos
Carcinoma Basocelular , Ceratose Seborreica , Melanoma , Nevo Pigmentado , Neoplasias Cutâneas , Humanos , Melanoma/patologia , Ceratose Seborreica/diagnóstico por imagem , Nevo Pigmentado/patologia , Dermoscopia/métodos , Microscopia Confocal/métodos , Neoplasias Cutâneas/patologia , Carcinoma Basocelular/diagnóstico por imagem , Colágeno
2.
Rhinology ; 60(5): 347-356, 2022 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-36184882

RESUMO

BACKGROUND: Sinonasal mucosal melanoma is an aggressive malignancy with a 5-year survival rate ranging from 20% to 39%. Despite the evolving surgical and radiotherapy techniques, and introduction of immune-checkpoint inhibitor therapy, overall survival rates remain poor. METHODOLOGY: A retrospective cohort study was conducted at the Hospital Clinic de Barcelona and the Hospital de la Santa Creu i Sant Pau between 1984 and 2020; primary outcome measures were 3 and 5-year melanoma-specific survival (MSS). Kaplan-Meier survival analysis and Cox proportional hazards model were performed to identify predictors of survival. RESULTS: Fifty patients were included, the mean age was 70.4, MSS at 3 and 5 years was 51.2%, and 29.5%, respectively. The median follow-up was 39.6 months during which 46% presented locoregional recurrence and 36%, metastasis. The univariate and multivariate analyses found as survival predictors the N category, the treatment received, the surgical margins and the mitotic index. CONCLUSIONS: We found an overall 5-year MSS of 29.5%. Those patients with intention-to-cure (stages III and IVa) treated by surgery that were N0 at diagnosis, with < 10 mitoses per HPF showed a 5-year MSS rate of 74.1%. More studies will be needed to adequately define the patients' profiles that will benefit from a better survival outcome.


Assuntos
Melanoma , Neoplasias dos Seios Paranasais , Idoso , Intervalo Livre de Doença , Humanos , Inibidores de Checkpoint Imunológico , Melanoma/cirurgia , Recidiva Local de Neoplasia/patologia , Neoplasias dos Seios Paranasais/patologia , Neoplasias dos Seios Paranasais/cirurgia , Prognóstico , Estudos Retrospectivos , Taxa de Sobrevida
3.
FEMS Microbiol Ecol ; 97(12)2021 12 17.
Artigo em Inglês | MEDLINE | ID: mdl-34792119

RESUMO

A European transect was established, ranging from Sweden to the Azores, to determine the relative influence of geographic factors and agricultural small-scale management on the grassland soil microbiome. Within each of five countries (factor 'Country'), which maximized a range of geographic factors, two differing growth condition regions (factor 'GCR') were selected: a favorable region with conditions allowing for high plant biomass production and a contrasting less favorable region with a markedly lower potential. Within each region, grasslands of contrasting management intensities (factor 'MI') were defined: intensive and extensive, from which soil samples were collected. Across the transect, 'MI' was a strong differentiator of fungal community structure, having a comparable effect to continental scale geographic factors ('Country'). 'MI' was also a highly significant driver of bacterial community structure, but 'Country' was clearly the stronger driver. For both, 'GCR' was the weakest driver. Also at the regional level, strong effects of MI occurred on various measures of the soil microbiome (i.e. OTU richness, management-associated indicator OTUs), though the effects were largely regional-specific. Our results illustrate the decisive influence of grassland MI on soil microbial community structure, over both regional and continental scales, and, thus, highlight the importance of preserving rare extensive grasslands.


Assuntos
Micobioma , Solo , Pradaria , Plantas , Microbiologia do Solo
5.
Sci Total Environ ; 741: 140363, 2020 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-32615429

RESUMO

Wildfires are a major problem in Mediterranean forest ecosystems, affecting the same area year after year. Their severity is increasing, partly due to climate change and hence, every now and then, virulent fires of high severity spread ravage this region. The aim of this study was to evaluate the influence of fire regime (recurrence, severity) in soil microbial community structure analyzing the phospholipid fatty acid (PLFA) and the microbial functional diversity assessing the level physiological profiling technique (CLPP). Samples of a soil affected by a high severities wildfire and a soil affected by a low severity experimental fire were heated under laboratory conditions at different temperatures to simulate different fire severity. To simulate fire recurrence, the heating treatment was repeated after one month of incubation. The fire severity was estimated as the amount of heat supplied to samples by degree-hour methodology. A marked impact of fire regime on soil microorganisms was detected; the microbial community response varied depending on previous history of fire and the magnitude of changes in PLFA pattern and CLPP, was related to the amount of heat supplied to the samples. Wildfires had a greater impact on microbial community structure than subsequent soil heating in the laboratory. The total biomass and the biomass of specific groups of microorganisms decreased notably as a consequence of wildfire and minor changes were detected due to the experimental fire and soil heating under laboratory conditions. The results clearly showed the usefulness of PLFA pattern to study the effect of fire regimes and associated direct and indirect changes in soil microorganisms and in soil quality. The data also indicated that the degree-hour methodology rather than maximum temperature is adequate to simulate fire severity and evaluate the impact of thermal shock on soil ecosystems.


Assuntos
Incêndios , Microbiota , Incêndios Florestais , Ecossistema , Florestas , Solo
6.
J Am Mosq Control Assoc ; 36(1): 16-21, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-32497478

RESUMO

Commercial aerosolized insecticides can be implemented as a community-based approach to targeted indoor residual spraying against Aedes aegypti, but their efficacy on pyrethroid-resistant mosquitoes has not yet been evaluated. Two commercial aerosolized products (H24 Poder Fulminante Ultra Eficaz®, carbamate, and Baygon Ultra Verde®, pyrethroid) were sprayed on common indoor surfaces e.g., cement, plywood, and cloth, and tested for their residual efficacy on susceptible and field-derived pyrethroid-resistant Ae. aegypti strains using the WHO cone bioassays. Overall, ≥80% 24-h mortality was observed for both products for at least 4 wk regardless of the mosquito strain or surface type used. H24 Poder Fulminante Ultra Eficaz showed the highest residual potency, sustaining >80% mortality for 7-wk posttreatment regardless of mosquito strain and surface type. For Baygon Ultra Verde, the mean mortality of female Ae. aegypti remained >80% for a shorter period (4-6 wk). Nonpyrethroid commercial aerosolized formulations can provide a lasting residual effect indoors compatible with the need for rapid and lasting mosquito control during outbreaks and may be suitable for community-based targeted indoor residual spraying.


Assuntos
Aedes , Carbamatos , Inseticidas , Controle de Mosquitos , Piretrinas , Animais , Feminino , México , Resíduos de Praguicidas
7.
Br J Dermatol ; 182(1): 138-146, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31016712

RESUMO

BACKGROUND: Women have a better melanoma prognosis, and fairer skin/hair colour. The presence of inherited MC1R variants has been associated with a better melanoma prognosis, but its interaction with sex is unknown. OBJECTIVES: To evaluate the relationship between germline MC1R status and survival, and determine any association with sex. METHODS: This was a cohort study including 1341 patients with melanoma from the Melanoma Unit of the Hospital Clinic of Barcelona, between January 1996 and April 2018. We examined known sex-related prognosis factors as they relate to features of melanoma and evaluated the sex-specific role of MC1R in overall and melanoma-specific survival. Hazard ratios (HRs) were calculated using univariate and multivariate Cox logistic regression. RESULTS: Men showed lower overall survival than women (P < 0·001) and the presence of inherited MC1R variants was not associated with better survival in our cohort. However, in women the presence of MC1R variants was associated with better overall survival in the multivariate analysis [HR 0·57, 95% confidence interval (CI) 0·38-0·85; P = 0·006] but not in men [HR 1·26, 95% CI 0·89-1·79; P = 0·185 (P-value for interaction 0·004)]. Analysis performed for melanoma-specific survival showed the same level of significance. CONCLUSIONS: Inherited MC1R variants are associated with improved overall survival in women with melanoma but not in men. Intrinsic sex-dependent features can modify the role of specific genes in melanoma prognosis. We believe that survival studies of patients with melanoma should include analysis by sex and MC1R genotype. What's already known about this topic? Inherited MC1R variants have been associated with a better melanoma prognosis, but their interaction with sex is unknown. What does this study add? MC1R variants are related to better overall survival and melanoma-specific survival in women but not in men. What is the translational message? These differences between the sexes could imply future changes in melanoma follow-up and treatment strategies. This provides a basis for understanding the interaction between sex-related genes and germline variants in cancer.


Assuntos
Melanoma , Neoplasias Cutâneas , Estudos de Coortes , Feminino , Predisposição Genética para Doença , Genótipo , Humanos , Masculino , Melanoma/genética , Receptor Tipo 1 de Melanocortina/genética , Neoplasias Cutâneas/genética
8.
Br J Dermatol ; 182(2): 382-389, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31102256

RESUMO

BACKGROUND: The p.V600E mutation in the BRAF protein is the most frequent mutation in cutaneous melanoma and is a recurrent alteration found in common benign naevi. Analysis of the cell-free BRAF c.1799T>A, p.V600E mutation (cfBRAFV 600E ) in plasma has emerged as a biomarker for monitoring prognosis and treatment response in patients with melanoma. OBJECTIVES: To quantify cfBRAFV 600E levels in plasma from patients with melanoma and from patients without melanoma undergoing regular follow-up of their melanocytic lesions, in order to assess the clinical significance of the test. METHODS: We quantified cfBRAFV 600E by droplet digital polymerase chain reaction in plasma from 146 patients without melanoma undergoing continuous dermatological screening, from 26 stage III and seven stage IV patients with BRAF-mutant melanoma, and from 32 patients with melanoma who were free of disease for 3 or more years. RESULTS: Among disease-free patients and individuals without melanoma, 52% presented a high naevus count (> 50) and 49% had clinically atypical naevi. cfBRAFV 600E was detected in 71% of patients with stage IV melanoma and 15% with stage III, and in 1·4% of individuals without melanoma. No cfBRAFV 600E mutation was detected in disease-free patients with melanoma. Individuals without melanoma had lower cfBRAFV 600E levels than patients with melanoma. We established a variant allelic frequency of 0·26% or 5 copies mL-1 of cfBRAFV 600E as the optimal cutoff value for identifying patients with melanoma with > 99% specificity. CONCLUSIONS: This study suggests that naevus-related factors do not influence the detection of cfBRAFV 600E in individuals without melanoma, and supports the clinical diagnostic value of plasma cfBRAFV 600E quantification in patients with melanoma. What's already known about this topic? The analysis of the BRAF c.1799T>A (p.V600E) mutation in cell-free (cf)DNA has emerged as a potential biomarker for monitoring prognosis and treatment response in patients with metastatic BRAFV600E melanoma. The BRAFV600E alteration is a common genetic alteration found in benign proliferations such as melanocytic naevi. No information exists about the impact of the number of common acquired naevi or the presence of clinically atypical naevi in cfBRAFV600E detection in an individual. What does this study add? The cfBRAFV600E mutation is detected in plasma from a reduced number of individuals without melanoma undergoing continuous dermatological follow-up. A high number of naevi or the presence of clinically atypical naevi are factors that do not influence cfBRAFV600E detection in an individual. Both total cfBRAF concentration and cfBRAFV600E frequency are effective biomarkers in patients with advanced melanoma but not in patients at early stages or with micrometastases. What is the translational message? Detection of cfBRAFV600E in an individual is not influenced by naevus-related factors. cfBRAFV600E is a robust and reliable biomarker that can be used in dermatological surveillance programmes.


Assuntos
Melanoma , Nevo Pigmentado , Proteínas Proto-Oncogênicas B-raf , Neoplasias Cutâneas , Humanos , Melanoma/diagnóstico , Melanoma/genética , Mutação/genética , Nevo Pigmentado/genética , Reação em Cadeia da Polimerase , Proteínas Proto-Oncogênicas B-raf/análise , Proteínas Proto-Oncogênicas B-raf/genética , Neoplasias Cutâneas/diagnóstico , Neoplasias Cutâneas/genética
9.
Br J Dermatol ; 180(5): 1190-1197, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-29876940

RESUMO

BACKGROUND: Many follow-up guidelines for patients with high-risk melanoma include expensive imaging studies, serum biomarkers and regular visits to the dermatologist, with little attention to cost-effectiveness. OBJECTIVES: To establish the cost-effectiveness of chest-abdomen-pelvis computed tomography (CT) and brain magnetic resonance imaging (MRI) in a follow-up protocol for patients at high risk of relapse. METHODS: This was a prospective single-centre cohort study of 290 patients with clinicopathological American Joint Committee on Cancer (AJCC) stage IIB, IIC and III melanoma. Patients had a body CT scan and brain MRI every 6 months and were withdrawn from the study after completing a 5-year follow-up or when metastases were detected. A cost-effectiveness analysis for each follow-up radiological procedure was performed. RESULTS: Patients underwent 1805 body CT scans and 1683 brain MRIs. Seventy-six metastases (26·2%) were identified by CT or MRI. CT scan was cost-effective in the first 4 years (cost-effectiveness ratio €4710·70-€14 437·10/patient with metastasis); brain MRI was cost-effective during the first year (cost-effectiveness ratio €14 090·60/patient with metastasis). Limitations included lack of survival analysis and comparisons with willingness-to-pay thresholds. CONCLUSIONS: Six-monthly CT scan of the chest, abdomen and pelvis is a cost-effective technique for the early detection of metastases in the first 4 years of follow-up in patients with AJCC stage IIC and III melanoma, and in the first 3 years in patients with AJCC stage IIB melanoma. In addition, brain MRI has been shown to be cost-effective only in the first year of follow-up in patients with AJCC stage IIC and III melanoma.


Assuntos
Assistência ao Convalescente/economia , Neoplasias Encefálicas/diagnóstico por imagem , Melanoma/diagnóstico por imagem , Recidiva Local de Neoplasia/diagnóstico por imagem , Neoplasias Cutâneas/diagnóstico por imagem , Assistência ao Convalescente/métodos , Assistência ao Convalescente/normas , Idoso , Neoplasias Encefálicas/secundário , Análise Custo-Benefício , Feminino , Humanos , Imageamento por Ressonância Magnética/economia , Imageamento por Ressonância Magnética/normas , Masculino , Melanoma/economia , Melanoma/secundário , Melanoma/cirurgia , Pessoa de Meia-Idade , Recidiva Local de Neoplasia/economia , Estadiamento de Neoplasias , Guias de Prática Clínica como Assunto , Estudos Prospectivos , Neoplasias Cutâneas/patologia , Neoplasias Cutâneas/cirurgia , Fatores de Tempo , Tomografia Computadorizada por Raios X/economia , Tomografia Computadorizada por Raios X/normas
10.
J Eur Acad Dermatol Venereol ; 33(1): 84-92, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-29920797

RESUMO

BACKGROUND: Vulvar melanosis can occasionally be clinically challenging by mimicking an early melanoma. OBJECTIVE: To report our experience of initial evaluation and follow-up in this peculiar subset of vulvar melanosis using reflectance confocal microscopy (RCM). METHODS: We retrospectively evaluated 18 consecutive cases referred for atypical vulvar pigmentation or for which melanoma was considered and that underwent both RCM examination and histopathological assessment. In 13 cases with available dermoscopic pictures, RCM classification was compared to dermoscopic diagnosis, and in all cases, the density of melanocytes was evaluated on biopsies using MelanA immunostaining. RESULTS: Among the 18 atypical pigmented lesions, 17 vulvar melanosis and one melanoma were histologically determined. RCM concluded a benign vulvar melanosis in 10 of 17 cases, whereas dermoscopy did so in three of 12 cases. RCM identified the only early malignant lentiginous melanoma. In several cases of vulvar melanosis, RCM could identify foci of melanocytic hyperplasia in an otherwise benign pattern. CONCLUSIONS: In this clinically and dermoscopically challenging subset of vulvar pigmentations, RCM appears relevant for initial extensive evaluation, especially to target initial biopsy sampling, and to perform non-invasive monitoring of foci of melanocytic hyperplasia.


Assuntos
Melanoma/diagnóstico por imagem , Melanose/diagnóstico por imagem , Neoplasias Vulvares/diagnóstico por imagem , Adulto , Idoso , Idoso de 80 Anos ou mais , Biópsia , Dermoscopia , Diagnóstico Diferencial , Feminino , Humanos , Antígeno MART-1/metabolismo , Melanoma/metabolismo , Melanoma/patologia , Melanose/metabolismo , Melanose/patologia , Microscopia Confocal/métodos , Pessoa de Meia-Idade , Estudos Retrospectivos , Pele/patologia , Neoplasias Vulvares/metabolismo , Neoplasias Vulvares/patologia
11.
Br J Dermatol ; 178(1): 198-206, 2018 01.
Artigo em Inglês | MEDLINE | ID: mdl-28733979

RESUMO

BACKGROUND: Naevoid basal cell carcinoma syndrome (NBCCS) is an autosomal dominant disorder characterized by developmental alterations and multiple basal cell carcinomas. Mutations in PTCH1, which encodes a membrane receptor for Sonic Hedgehog, are associated with the development of the disease. Most of them produce a truncated protein, which is unable to suppress Smoothened protein and continuously activates the downstream pathway. OBJECTIVES: We aimed to characterize 22 unrelated Spanish patients with NBCCS, the largest cohort with Gorlin syndrome reported to date in Spain. METHODS: Genomic analysis of PTCH1 was performed in patients with NBCCS and controls, and mutations were analysed using bioinformatics tools. RESULTS: We report for the first time two young patients, one each with uterus didelphys and ganglioneuroma, within the context of NBCCS. One patient showing a severe phenotype of the disease had developed basal cell carcinomas since childhood. Sanger sequencing of PTCH1 in this cohort identified 17 novel truncating mutations (11 frameshift, five nonsense and one mutation affecting an exon-intron splice site) and two novel missense mutations that were predicted to be pathogenic. The patients showed great clinical variability and inconsistent genotype-phenotype correlation, as seen in relatives carrying similar mutations. CONCLUSIONS: This study contributes to increase the pool of clinical manifestations of NBCCS, as well as increasing the number of pathogenic mutations identified in PTCH1 predisposing to the condition. The inconsistencies found between phenotype and genotype suggest the involvement of other modifying factors, genetic, epigenetic or environmental.


Assuntos
Síndrome do Nevo Basocelular/genética , Mutação/genética , Receptor Patched-1/genética , Neoplasias Cutâneas/genética , Adolescente , Adulto , Idoso , Síndrome do Nevo Basocelular/epidemiologia , Síndrome do Nevo Basocelular/patologia , Criança , Predisposição Genética para Doença/genética , Genótipo , Humanos , Pessoa de Meia-Idade , Fenótipo , Neoplasias Cutâneas/epidemiologia , Neoplasias Cutâneas/patologia , Espanha/epidemiologia , Adulto Jovem
12.
Eur J Cancer ; 85: 59-66, 2017 11.
Artigo em Inglês | MEDLINE | ID: mdl-28888850

RESUMO

INTRODUCTION: Different protocols have been used to follow up melanoma patients in stage I-II. However, there is no consensus on the complementary tests that should be requested or the appropriate intervals between visits. Our aim is to compare an ultrasound-based follow-up with a clinical follow-up. PATIENTS AND METHODS: Analysis of two prospectively collected cohorts of melanoma patients in stage IB-IIA from two tertiary referral centres in Barcelona (clinical-based follow-up [C-FU]) and Turin (ultrasound-based follow-up [US-FU]). Kaplan-Meier curves were used to evaluate distant metastases-free survival (DMFS), disease-free interval (DFI), nodal metastases-free survival (NMFS) and melanoma-specific survival (MSS). RESULTS: A total of 1149 patients in the American Joint Committee on Cancer stage IB and IIA were included in this study, of which 554 subjects (48%) were enrolled for a C-FU, and 595 patients (52%) received a protocolised US-FU. The median age was 53.8 years (interquartile range [IQR] 41.5-65.2) with a median follow-up time of 4.14 years (IQR 1.2-7.6). During follow-up, 69 patients (12.5%) in C-FU and 72 patients (12.1%) in US-FU developed disease progression. Median time to relapse for the first metastatic site was 2.11 years (IQR 1.14-4.04) for skin metastases, 1.32 (IQR 0.57-3.29) for lymph node metastases and 2.84 (IQR 1.32-4.60) for distant metastases. The pattern of progression and the total proportion of metastases were not significantly different (P = .44) in the two centres. No difference in DFI, DMFS, NMFS and MSS was found between the two cohorts. CONCLUSION: Ultrasound-based follow-up does not increase the survival of melanoma patients in stage IB-IIA.


Assuntos
Linfonodos/diagnóstico por imagem , Melanoma/diagnóstico por imagem , Neoplasias Cutâneas/diagnóstico por imagem , Ultrassonografia , Adulto , Idoso , Progressão da Doença , Intervalo Livre de Doença , Feminino , Humanos , Itália , Estimativa de Kaplan-Meier , Linfonodos/patologia , Metástase Linfática , Masculino , Melanoma/mortalidade , Melanoma/secundário , Melanoma/terapia , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Valor Preditivo dos Testes , Modelos de Riscos Proporcionais , Fatores de Risco , Biópsia de Linfonodo Sentinela , Neoplasias Cutâneas/mortalidade , Neoplasias Cutâneas/patologia , Neoplasias Cutâneas/terapia , Espanha , Fatores de Tempo , Resultado do Tratamento
13.
Dis Aquat Organ ; 124(2): 117-129, 2017 04 20.
Artigo em Inglês | MEDLINE | ID: mdl-28425425

RESUMO

Reared Senegalese sole Solea senegalensis Kaup show a high incidence of vertebral anomalies; however, little is known about its skeletal anomaly profile in the later farming phases. The purpose of this study was to provide a detailed description and quantification of the most common skeletal anomalies in reared Senegalese sole in the juvenile stage by means of computed radiography. A total of 374 Senegalese sole were classified according to the external morphology of the fish as normal or altered and then radiographed in latero-lateral and in dorso-ventral projections. Radiographic evaluation of anomalies focused especially on vertebral body anomalies (VBA) and vertebral column deviations (VCD). The 2 orthogonal projections provided a more complete visualization of the skeleton. Approximately 75% of the individuals showed at least 1 anomaly, while VBA and/or VCD were detected in 48.9% of the specimens. Regarding external morphology, 88% of the fish were categorized as normal, although about 72% of these normal fish displayed abnormalities in radiographies. The most frequent anomalies consisted of deformations of the caudal complex plates (hypurals, parhypural and epural), preurals and caudal vertebrae. Scoliosis was the most prevalent among VCD, affecting the caudal area in almost 15% of the individuals. The anomaly profile at the juvenile stages showed some differences compared to what has been reported previously in earlier stages of development. In light of these results, further investigation into the progression of skeletal anomalies over time and the causative factors at later stages is required.


Assuntos
Doenças do Desenvolvimento Ósseo/veterinária , Doenças dos Peixes/diagnóstico por imagem , Linguados/anormalidades , Coluna Vertebral/anormalidades , Animais , Doenças do Desenvolvimento Ósseo/diagnóstico por imagem
14.
World J Urol ; 35(8): 1277-1283, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-27987031

RESUMO

BACKGROUND: A new single use digital flexible cystoscope (FC) Isiris α from Coloplast® with an incorporated grasper has been developed to perform double J stent removal. There is a lack of data regarding the comparison of image quality, flexibility and flow between classic cystoscopes and the new Isiris α. MATERIALS AND METHODS: Five different FC were used to compare the image quality, the field of view, the loss of flow and the deflection loss. Two standardized grids, three stones of different composition and a ruler's image were filmed in four standardized different scenarios. These videos were shown to thirty subjects that had to evaluate them. Water outflow was measured in ml/sec in all devices with and without the grasper inside, instruments tip deflection was measured using a software. RESULTS: In the subjective analysis of the image quality Isiris α was the second FC best scored. At 3 cm of distance, the field view of Isiris α was the narrowest. Comparing the water flow in the different FCs, we observed a water flow decrease in all cystoscopes when the grasper was loaded in the working channel. Isiris α deflection and flow increase when the grasper is activated. CONCLUSION: In terms of quality of vision and water flow, the FC Isiris α is comparable to the other digital FC tested. Field of view is narrower. The results displayed a valid alternative to the standard procedure for DJ removal.


Assuntos
Cistoscópios , Remoção de Dispositivo/instrumentação , Stents , Ureter , Humanos
17.
Genes Immun ; 17(2): 128-38, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-26821283

RESUMO

The B-lymphocyte kinase (BLK) gene is associated genetically with several human autoimmune diseases including systemic lupus erythematosus. We recently described that the genetic risk is given by two haplotypes: one covering several strongly linked single-nucleotide polymorphisms within the promoter of the gene that correlated with low transcript levels, and a second haplotype that includes a rare nonsynonymous variant (Ala71Thr). Here we show that this variant, located within the BLK SH3 domain, is a major determinant of protein levels. In vitro analyses show that the 71Thr isoform is hyperphosphorylated and promotes kinase activation. As a consequence, BLK is ubiquitinated, its proteasomal degradation enhanced and the average life of the protein is reduced by half. Altogether, these findings suggest that an intrinsic autoregulatory mechanism previously unappreciated in BLK is disrupted by the 71Thr substitution. Because the SH3 domain is also involved in protein interactions, we sought for differences between the two isoforms in trafficking and binding to protein partners. We found that binding of the 71Thr variant to the adaptor protein BANK1 is severely reduced. Our study provides new insights on the intrinsic regulation of BLK activation and highlights the dominant role of its SH3 domain in BANK1 binding.


Assuntos
Proteínas Adaptadoras de Transdução de Sinal/genética , Substituição de Aminoácidos , Lúpus Eritematoso Sistêmico/genética , Proteínas de Membrana/genética , Mutação , Quinases da Família src/genética , Proteínas Adaptadoras de Transdução de Sinal/imunologia , Sequência de Aminoácidos , Linfócitos B/imunologia , Linfócitos B/patologia , Sítios de Ligação , Linhagem Celular Tumoral , Expressão Gênica , Meia-Vida , Haplótipos , Humanos , Lúpus Eritematoso Sistêmico/imunologia , Lúpus Eritematoso Sistêmico/patologia , Proteínas de Membrana/imunologia , Modelos Moleculares , Dados de Sequência Molecular , Regiões Promotoras Genéticas , Complexo de Endopeptidases do Proteassoma/metabolismo , Ligação Proteica , Isoformas de Proteínas/genética , Isoformas de Proteínas/imunologia , Proteólise , Alinhamento de Sequência , Ubiquitinação , Quinases da Família src/imunologia
18.
Nano Lett ; 12(4): 1873-8, 2012 Apr 11.
Artigo em Inglês | MEDLINE | ID: mdl-22417161

RESUMO

Graphene and few-layer graphene at high bias expose a wealth of phenomena due to the high temperatures reached. With in situ transmission electron microscopy, we observe directly how the current modifies the structure, and vice versa. In some samples, cracks propagate from the edges of the flakes, leading to the formation of narrow constrictions or to nanometer spaced gaps after breakdown. In other samples, we find layer-by-layer evaporation of few-layer graphene, which could be exploited for the controlled production of single layer graphene from multilayered samples. Surprisingly, we even find that two pieces of graphene that overlap can heal out at high bias and form one continuous sheet. These findings open up new avenues to structure graphene for specific device applications.

19.
Rev. Asoc. Esp. Espec. Med. Trab ; 20(2): 23-29, jul. 2011. tab
Artigo em Espanhol | IBECS | ID: ibc-91879

RESUMO

La exposición laboral a agentes biológicos afecta a una gran variedad de actividades y ocupaciones, siendo los trabajadores del sector sanitario uno de los colectivos laborales más expuestos a este tipo de riesgo. Los virus de la hepatitis B (VHB), el virus de la inmunodeficiencia humana (VIH) y el virus de la hepatitis C (VHC) son agentes patógenos frecuentemente implicados en este tipo de accidentes. Es sabido que el método más efectivo para prevenir estas infecciones es un buen cumplimiento de la práctica de precauciones estándar para evitar accidentes. Si el accidente se produce, es importante el análisis de las circunstancias que llevaron al mismo para evitar que se repita. En este contexto hemos realizado un estudio descriptivo de las características de los trabajadores accidentados con riesgo de infección por VHB, VHC y VIH y las circunstancias que rodearon al accidente (AU)


Occupational exposure to biological agents is common to a great variety of professional activities. Sanitation workers are among the most exposed to this kind of risk. Hepatitis B virus (HBV), human immunodeficiency virus (HIV) and hepatitis C virus (HCV) are pathogen agents frecuently linked to this kind of accidents. It is well known that the most effective method to prevent this kind of infections involves following standard precautoniary measures. In case of accidents, it is important to analyze the circumstances surronding such events, so that new episodes can be prevented. In this framework we have conducted a descriptive study of the characteristics of the workers that suffered HBV, HCV and HIV inffections, as well as the circumstances surronding those accidents (AU)


Assuntos
Humanos , Derramamento de Material Biológico/estatística & dados numéricos , Hepatite B Crônica/transmissão , Hepatite C Crônica/transmissão , Infecções por HIV/transmissão , Pessoal de Saúde/estatística & dados numéricos , Precauções Universais , Exposição Ocupacional/estatística & dados numéricos
20.
Sci Total Environ ; 408(24): 6172-8, 2010 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-20888616

RESUMO

Worldwide, fire-fighting chemicals are rapidly gaining acceptance as an effective and efficient tool in wildfires control and in prescribed burns for habitat management. However, despite its widespread use as water additives to control and/or slow the spread of fire, information concerning the impact of these compounds on soil ecosystems is scarce. In the present work we examine, under field conditions, the response of the microbial communities to three different fire-chemicals at normal doses of application. The study was performed with a Humic Cambisol over granite under heath, located in the temperate humid zone (Galicia, NW Spain) with the following treatments: unburned soil (US) and burned soil added with water alone (BS) or mixed with the foaming agent Auxquímica RFC-88 at 1% (BS+Fo), Firesorb at 1.5% (BS+Fi) and FR Cross ammonium polyphosphate at 20% (BS+Ap). The microbial mass (microbial C), activity (ß-glucosidase, urease) and community structure [phospholipids fatty acids (PLFA) pattern] were measured on soil samples collected at different sampling times during a 5year period after a prescribed fire. The results showed a negative short-term effect of the fire on the microbial properties. The microbial biomass and activity levels tended to recover with time; however, changes in the microbial community structure (PLFA pattern) were still detected 5years after the prescribed fire. Compared to the burned soil added with water, the ammonium polyphosphate and the Firesorb treatments were the fire-fighting chemicals that showed a higher influence on the microbial communities over the whole study period. Our data indicated the usefulness of the PLFAs analysis to detect the long-term impact of both fire and fire-fighting chemicals on the soil microbial communities and hence on the soil quality of forest ecosystems.


Assuntos
Incêndios/prevenção & controle , Retardadores de Chama/toxicidade , Microbiologia do Solo , Poluentes do Solo/toxicidade , Bactérias/efeitos dos fármacos , Bactérias/enzimologia , Biodiversidade , Enzimas/análise , Fungos/efeitos dos fármacos , Fungos/enzimologia , Solo/análise
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