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1.
Int J Oral Maxillofac Surg ; 50(1): 104-108, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32451234

RESUMO

The aim of this study was to compare the effectiveness of three agents - two antibiotics (amoxicillin and clindamycin) and an antiseptic (chlorhexidine) - to decontaminate bone grafts obtained by low-speed drilling. The study included 248 bone tissue samples harvested from 62 patients by low-speed drilling before dental implant placement. Each of four samples obtained from every patient was dropped, using a sterile instrument, into a sterile tube containing a 500-µl solution of 400µg/mL amoxicillin, 150µg/mL clindamycin, 0.12% chlorhexidine, or physiological saline for 1min. The number of colony-forming units (CFU) was determined at 48h of culture. The use of clindamycin, amoxicillin, or chlorhexidine as decontaminant for 1min significantly reduced the CFU count when compared to physiological saline (control agent). In both anaerobic and CO2-rich atmospheres, significant differences in CFU/mL were found between the control and chlorhexidine groups (P<0.001), control and amoxicillin groups (P<0.001), control and clindamycin groups (P<0.001), chlorhexidine and amoxicillin groups (P<0.0001), and chlorhexidine and clindamycin groups (P<0.0001). In conclusion, clindamycin had the highest decontaminating effect on bone particles obtained by low-speed drilling, followed by chlorhexidine and amoxicillin. Clindamycin may therefore be a valid alternative option for the routine decontamination of intraoral bone grafts.


Assuntos
Anti-Infecciosos Locais , Descontaminação , Amoxicilina , Antibacterianos/uso terapêutico , Osso e Ossos , Clorexidina , Humanos
2.
Food Chem ; 344: 128643, 2021 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-33246681

RESUMO

Mung bean protein isolate was texturized at different feed moisture contents (30.0, 49.3, and 60.0%) at a constant temperature (144.57 °C) to evaluate the changes in protein profile, solubility, thermal, structural (at secondary and tertiary levels) and rheological properties. SDS-PAGE, surface hydrophobicity, circular dichroism, FTIR spectroscopy, and fluorescence analyses revealed protein unfolding, aggregation, and structural rearrangement as a function of feed moisture content. Extrusion at 49.3% feed moisture produced texturized mung bean protein (TMBP) with favourable partial denaturation, the formation of small aggregates, improved solubility, and digestibility with strong gel forming behaviour, whereas 30.0 and 60.0% moisture content resulted in complete protein denaturation, the undesirable formation of large aggregates and weak gels. In conclusion, protein denaturation and formation of aggregates can be controlled by manipulating feed moisture content during extrusion, with 49.3% feed moisture prompting favourable partial denaturation to produce TMBP with desirable qualities for use as a vegetarian-based meat extender.


Assuntos
Proteínas de Plantas/química , Proteínas de Plantas/isolamento & purificação , Reologia , Vigna/química , Interações Hidrofóbicas e Hidrofílicas , Desnaturação Proteica , Solubilidade , Temperatura
3.
RSC Adv ; 10(9): 5399-5411, 2020 Jan 29.
Artigo em Inglês | MEDLINE | ID: mdl-35498297

RESUMO

Catharanthus roseus (Apocynaceae family) extract is rich in organic phytochemicals such as alkaloids, polyphenolic compounds, and flavonoids. It contains several functional entities such as fused heterocycles, and hydroxyl and carbonyl groups, which could be useful for corrosion inhibition of mild steel in NaCl environments. In the present work, ultrasonic energy was used to obtain the ethanolic extracts of root and stem which were then tested as corrosion inhibitors for mild steel in the presence of 3.5% NaCl. The corrosion inhibition process was studied by UV-visible spectroscopy, Fourier transform infrared spectroscopy, atomic force microscopy, weight loss, and electrochemical methods. After immersing in the corrosive medium, the microstructures of mild steel were investigated by scanning electron microscopy, X-ray diffraction, and ellipsometry. The extract of C. roseus showed excellent adsorption on mild steel surface as confirmed by DFT calculations. The results indicate that the extract of C. roseus acts as a mixed type corrosion inhibitor, where the stem extract is the most efficient inhibitor in 3.5% NaCl solution possibly due to the higher active area of stem phytochemicals.

4.
RSC Adv ; 9(15): 8537-8545, 2019 Mar 12.
Artigo em Inglês | MEDLINE | ID: mdl-35518658

RESUMO

Ti6Al4V alloy is light weight and is used in construction, oil industries and airbus, automobile, and bio implant materials. The native oxide layers of the alloy are not stable at high temperatures and strong mineral acid environments. The conventional epoxy-based layers are porous and the alloy finally fails in the harsh environment in the long term. Therefore, the carbon-based functional materials are being proposed as coating materials to overcome the alloy degradation. In the present contribution, we have used the neodymium-decorated graphene oxide as the corrosion inhibiting barrier for the Ti6Al4V alloy. As a novelty, we found that the few-layer graphene decorated with neodymium acts as a self-cleaning coating. The Nd-decorated graphene oxide were studied by XRD, TEM, FESEM, FTIR, UV, and Raman spectroscopy. The corrosion inhibition efficiency was studied by electrochemical methods.

5.
RSC Adv ; 8(60): 34275-34286, 2018 Oct 04.
Artigo em Inglês | MEDLINE | ID: mdl-35548604

RESUMO

In the present work, Pr-decorated graphene oxide was synthesized and tested as a corrosion barrier layer in acidic media for the magnesium AZ31 alloy. The morphology, composition and structure of Pr-decorated graphene oxide sheets were characterized via HRTEM, FESEM, Raman, XRD, DLS, UV and FTIR studies. The corrosion inhibition efficiency on the alloy surface was monitored via microstructural and electrochemical methods. The results indicate that Pr-decorated graphene oxide provides improved protection for the Mg AZ31 alloy compared to conventional epoxy coatings. The proposed mechanism arises from a combination of the barrier activities of the composite, GO + Pr, and the epoxy coating on the Mg alloy in acidic media.

6.
Nanotechnology ; 27(17): 175401, 2016 Apr 29.
Artigo em Inglês | MEDLINE | ID: mdl-26967792

RESUMO

Si x Ge1-x alloys are well-known thermoelectric materials with a high figure of merit at high temperatures. In this work, metal-induced crystallization (MIC) has been used to grow Si0.8Ge0.2 films that present improved thermoelectric performance (zT = 5.6 × 10(-4) at room temperature)--according to previously reported values on films--with a relatively large power factor (σ · S (2) = 16 µW · m(-1) · K(-2)). More importantly, a reduction in the thermal conductivity at room temperature (κ = 1.13 ± 0.12 W · m(-1) · K(-1)) compared to other Si-Ge films (∼3 W · m(-1) · K(-1)) has been found. Whereas the usual crystallization of amorphous SiGe (a-SiGe) is achieved at high temperatures and for long times, which triggers dopant loss, MIC reduces the crystallization temperature and the heating time. The associated dopant loss is thus avoided, resulting in a nanostructuration of the film. Using this method, we obtained Si0.8Ge0.2 films (grown by DC plasma sputtering) with appropriate compositional and structural properties. Different thermal treatments were tested in situ (by heating the sample inside the deposition chamber) and ex situ (annealed in an external furnace with controlled conditions). From the studies of the films by: x-ray diffraction (XRD), synchrotron radiation grazing incidence x-ray diffraction (SR-GIXRD), micro Raman, scanning electron microscopy (SEM), x-ray photoemission spectroscopy (XPS), Hall effect, Seebeck coefficient, electrical and thermal conductivity measurements, we observed that the in situ films at 500 °C presented the best zT values with no gold contamination.

7.
Nanotechnology ; 20(47): 475202, 2009 Nov 25.
Artigo em Inglês | MEDLINE | ID: mdl-19858562

RESUMO

We have fabricated an array of closely spaced quantum dashes starting from a planar array of self-assembled semiconductor quantum wires. The array is embedded in a metallic nanogap which we investigate by micro-photoluminescence as a function of a lateral electric field. We demonstrate that the net electric charge and emission energy of individual quantum dashes can be modified externally with the performance limited by the size inhomogeneity of the self-assembling process.

8.
Ultramicroscopy ; 109(9): 1189-92, 2009 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-19523768

RESUMO

The operation of a force microscope in Simultaneous Topography and Recognition (TREC) imaging mode is analyzed by means of numerical simulations. Both topography and recognition signals are analyzed by using a worm-like chain force as the specific interaction between the functionalized tip probe and the sample. The special feedback mechanism in this mode is shown to couple the phase signal to the presence of molecular recognition interactions even in absence of dissipation.

9.
ACS Nano ; 3(6): 1513-7, 2009 Jun 23.
Artigo em Inglês | MEDLINE | ID: mdl-19435304

RESUMO

We present a fabrication method to produce site-controlled and regularly spaced InAs/GaAs quantum dots for applications in quantum optical information devices. The high selectivity of our epitaxial regrowth procedure can be used to allocate the quantum dots only in positions predefined by ex-situ local oxidation atomic force nanolithography. The quantum dots obtained following this fabrication process present a high optical quality which we have evaluated by microphotoluminescence and photon correlation experiments.

10.
Phys Rev Lett ; 94(21): 217206, 2005 Jun 03.
Artigo em Inglês | MEDLINE | ID: mdl-16090346

RESUMO

In this Letter, we experimentally show that the room temperature ferromagnetism in the Mn-Zn-O system recently observed is associated with the coexistence of Mn(3+) and Mn(4+) via a double-exchange mechanism. The presence of the ZnO around MnO(2) modifies the kinetics of MnO(2)-->Mn(2)O(3) reduction and favors the coexistence of both Mn oxidation states. The ferromagnetic phase is associated with the interface formed at the Zn diffusion front into Mn oxide, corroborated by preparing thin film multilayers that exhibit saturation magnetization 2 orders of magnitude higher than bulk samples.

11.
Nanotechnology ; 16(2): 214-8, 2005 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-21727425

RESUMO

The magnetic properties of the system MnZnO prepared by conventional ceramic procedures using ZnO and MnO(2) starting powders are studied and related to the nanostructure. Thermal treatment at 500 °C produces a ferromagnetic phase, although this temperature is not high enough to promote proper sintering; thus the thermally treated compact shows brittle characteristics of unreacted and poorly densified ceramic samples. Scanning electron microscopy and x-ray analysis reveal the appearance of a new phase, most probably related to the diffusion of Zn into MnO(2) oxide nanocrystals. The magnetic properties deviate considerably from what would be expected of an unreacted mixture of ZnO (diamagnetic) and MnO(2) particles (paramagnetic above 100 K and anti-ferromagnetic below that temperature), exhibiting a ferromagnetic like behaviour from 5 to 300 K and beyond mixed with a paramagnetic component. The ferromagnetic phase seems to be originated by diffusion at the nanoscale of Zn into MnO(2) grains. The Curie temperature of the ferromagnetic phase, once the paramagnetic component has been subtracted from the hysteresis loops, is measured to be 450 K. EPR resonance experiments from 100 to 600 K confirm a ferromagnetic to paramagnetic like transition above room temperature for these materials.

12.
Transplant Proc ; 37(9): 3994-5, 2005 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-16386607

RESUMO

BACKGROUND: We present a retrospective study of 9 years of experience in the management of graft dysfunction in the early postoperative period after lung transplantation (LT) and heart lung transplantation (HLT). MATERIAL AND METHODS: There were 190 LT and HLT (22.63% single LT, 71.05% bilateral sequential LT, and 7.36% HLT) performed from 1993 to 2002. Hemodynamic and respiratory parameters were monitored during the operative technique and critical care for the first 24 hours. We analyzed ischemic time, bypass need, and type of transplant. RESULTS: Lung graft dysfunction occurred in 37.2% of patients, but only in 12.2% was it severe. Nearly all patients were ventilated on a 50% fraction of inspired oxygen during the first 24-48 hours; 61.56% of patients were extubated before the first 5 postoperative day and 38.43% thereafter. The mean ischemia time for the first lung was 220 +/- 28 minutes: for the second lung, it was 378 +/- 31 minutes. The anesthetic time was 500-600 minutes. The variables associated with a significantly increased graft dysfunction were as follows: bilateral LT, and cardiopulmonary bypass requirement. The residence in the intensive care unit (ICU) was longer for patients with graft dysfunction than for those without that problem. Mortality directly related to graft dysfunction was only 4.07%. CONCLUSIONS: A correlation among graft ischemia and early postoperative morbidity and duration of ICU stay did not have a significant impact on mortality.


Assuntos
Transplante de Coração-Pulmão/fisiologia , Transplante de Pulmão/fisiologia , Período Pós-Operatório , Transplante de Coração-Pulmão/mortalidade , Humanos , Unidades de Terapia Intensiva , Tempo de Internação , Pneumopatias/cirurgia , Transplante de Pulmão/mortalidade , Complicações Pós-Operatórias/classificação , Estudos Retrospectivos , Análise de Sobrevida
13.
Int. j. morphol ; 20(2): 165-168, 2002. ilus, tab
Artigo em Espanhol | LILACS | ID: lil-388077

RESUMO

Para muchos el problema del cáncer, es solo un fenómeno humano, sin embargo, éste también afecta a los animales domésticos. Al igual que el Hombre, los animales de compañía (perros y gatos) viven cada vez más, debido a una mejor calidad de vida, una adecuada medicina preventiva y programas de vacunación. Una vida más larga implica un aumento en las posibilidades de desarrollar cáncer. En los últimos años, las técnicas inmunohistoquímicas han contribuido a mejorar el diagnóstico y pronóstico en los casos de neoplasias. Entre tales técnicas destaca el anticuerpo monoclonal Ki-67, el cual detecta un antígeno nuclear que se expresa en las células que entran al ciclo celular, proporcionando una medida directa de la fracción de crecimiento del tejido. Para determinar la utilidad del anticuerpo Ki-67 en neoplasias mamarias de caninos, se aplicó la técnica inmunohistoquímica a 31 muestras de estas neoplasias: 14 neoplasias benignas y 17 malignas. Las neoplasias benignas presentaron un índice de proliferación (IP) promedio de 12.2 por ciento. Las neoplasias malignas presentaron un IP promedio de 19.3 por ciento. Los resultados obtenidos indicaron que los tumores benignos presentaron un índice de proliferación inferior al 15 por ciento y los tumores malignos presentaron IP sobre el 15 por ciento. El anticuerpo Ki-67 puede constituir una importante herramienta diagnóstica y pronostica para la Medicina Veterinaria.


Assuntos
Cães , Glândulas Mamárias Animais/patologia , Neoplasias Mamárias Animais , Imuno-Histoquímica
14.
Anticancer Res ; 21(5): 3141-6, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11848465

RESUMO

BACKGROUND: Cancer cells are characterized by multiple genetic defects which result in altered rates of cell division, cell death and ability to differentiate. These same molecular alterations may also contribute to therapeutic resistance. We examined the potential contribution of the pro-apoptotic gene, bax, to suppressing the growth of prostate cancer cells. MATERIALS AND METHODS: The bax-deficient DU145 prostate cancer cell line was transfected with a hemagluttinin-tagged bax (HA-bax) vector to generate stable expressing bax clones. RESULTS: Ha-bax clones exhibited a significant reduction in tumor growth compared to vector control and parental cells when xenografted into nude mice. HA-bax clones were significantly more sensitive to cell death induction by cis-diamminedichloroplatinum, etoposide, doxorubicin and gamma-radiation than vector control cells. Sensitivity to paclitaxel remained unaltered in the Ha-bax cells. CONCLUSION: These findings suggest that bax may possess a tumor suppressor function in prostatic glandular epithelial cells and be an important determinant of sensitivity to therapeutic cell death induction.


Assuntos
Morte Celular/efeitos dos fármacos , Morte Celular/fisiologia , Morte Celular/efeitos da radiação , Neoplasias da Próstata/patologia , Proteínas Proto-Oncogênicas c-bcl-2 , Proteínas Proto-Oncogênicas/fisiologia , Animais , Antineoplásicos/farmacologia , Divisão Celular/fisiologia , Hemaglutininas/biossíntese , Hemaglutininas/genética , Humanos , Masculino , Camundongos , Camundongos Nus , Transplante de Neoplasias , Neoplasias da Próstata/genética , Neoplasias da Próstata/metabolismo , Neoplasias da Próstata/terapia , Proteínas Proto-Oncogênicas/biossíntese , Proteínas Proto-Oncogênicas/genética , Tolerância a Radiação/fisiologia , Transplante Heterólogo , Células Tumorais Cultivadas , Proteína X Associada a bcl-2
15.
Nature ; 408(6808): 69-72, 2000 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-11081507

RESUMO

The most fundamental mass transport process in solids is self-diffusion. The motion of host-lattice ('self-') atoms in solids is mediated by point defects such as vacancies or interstitial atoms, whose formation and migration enthalpies determine the kinetics of this thermally activated process. Self-diffusion studies also contribute to the understanding of the diffusion of impurities, and a quantitative understanding of self- and foreign-atom diffusion in semiconductors is central to the development of advanced electronic devices. In the past few years, self-diffusion studies have been performed successfully with isotopically controlled semiconductor heterostructures of germanium, silicon, gallium arsenide and gallium phosphide. Self-diffusion studies with isotopically controlled GaAs and GaP have been restricted to Ga self-diffusion, as only Ga has two stable isotopes, 69Ga and 71Ga. Here we report self-diffusion studies with an isotopically controlled multilayer structure of crystalline GaSb. Two stable isotopes exist for both Ga and Sb, allowing the simultaneous study of diffusion on both sublattices. Our experiments show that near the melting temperature, Ga diffuses more rapidly than Sb by over three orders of magnitude. This surprisingly large difference in atomic mobility requires a physical explanation going beyond standard diffusion models. Combining our data for Ga and Sb diffusion with related results for foreign-atom diffusion in GaSb (refs 8, 9), we conclude that the unusually slow Sb diffusion in GaSb is a consequence of reactions between defects on the Ga and Sb sublattices, which suppress the defects that are required for Sb diffusion.

17.
Oncogene ; 17(22): 2889-99, 1998 Dec 03.
Artigo em Inglês | MEDLINE | ID: mdl-9879995

RESUMO

The ATP/ubiquitin-dependent 26S proteasome is a central regulator of cell cycle progression and stress responses. While investigating the application of peptide aldehyde proteasome inhibitors to block signal-induced IkappaBalpha degradation in human LNCaP prostate carcinoma cells, we observed that persistent inhibition of proteasomal activity signals a potent cell death program. Biochemically, this program included substantial upregulation of PAR-4 (prostate apoptosis response-4), a putative pro-apoptotic effector protein and stabilization of c-jun protein, a potent pro-death effector in certain cells. We also observed modest downregulation of bcl-XL, a pro-survival effector protein. However, in contrast to some recent reports stable, high level, expression of functional bcl-2 protein in prostate carcinoma cells failed to signal protection against cell death induction by proteasome inhibitors. Also in disagreement to a recent report, no evidence was found for activation of the JNK stress kinase pathway. A role for p53, a protein regulated by the proteasome pathway, was ruled out, since comparable cell death induction by proteasome inhibitors occurred in PC-3 cells that do not express functional p53 protein. These data signify that the ubiquitin/proteasome pathway represents a potential therapeutic target for prostate cancers irrespective of bcl-2 expression or p53 mutations.


Assuntos
Morte Celular/efeitos dos fármacos , Proteínas I-kappa B , Peptídeos e Proteínas de Sinalização Intracelular , Proteínas Quinases Ativadas por Mitógeno , Peptídeo Hidrolases/metabolismo , Neoplasias da Próstata/fisiopatologia , Complexo de Endopeptidases do Proteassoma , Proteínas Proto-Oncogênicas c-bcl-2/metabolismo , Transativadores , Proteína Supressora de Tumor p53/metabolismo , Aldeídos/farmacologia , Aldeídos/uso terapêutico , Proteínas Reguladoras de Apoptose , Western Blotting , Proteínas Quinases Dependentes de Cálcio-Calmodulina/metabolismo , Proteínas de Transporte/metabolismo , Proteínas do Citoesqueleto/metabolismo , Proteínas de Ligação a DNA/metabolismo , Relação Dose-Resposta a Droga , Humanos , Proteínas Quinases JNK Ativadas por Mitógeno , Leucina/análogos & derivados , Leucina/farmacologia , Masculino , Inibidor de NF-kappaB alfa , NF-kappa B/metabolismo , Peptídeos/farmacologia , Peptídeos/uso terapêutico , Neoplasias da Próstata/tratamento farmacológico , Neoplasias da Próstata/patologia , Proteínas Proto-Oncogênicas c-jun/metabolismo , Transdução de Sinais/efeitos dos fármacos , Fator de Transcrição RelA , Células Tumorais Cultivadas , Ubiquitinas/metabolismo , beta Catenina
18.
Biochem J ; 324 ( Pt 3): 987-94, 1997 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-9210426

RESUMO

The mechanism of protein kinase CK2 (CK2) activity stimulation by polylysine has been studied by surface plasmon resonance (SPR). The kinetics of the polylysine interaction with a peptide substrate of the enzyme, and with the enzyme itself, have been investigated. A peptide containing a threonine (T) residue surrounded by a cluster of negatively charged acidic [arginine (R) and glutamic acid (E)] residues, RRREEETEEE, and specifically phosphorylated by CK2, was selected. Polylysine interacts with both the enzyme and the peptide substrate. The rate constant, the stoichiometry of the polylysine-peptide substrate interaction and the kinetic parameters of the stimulated enzyme were used to calculate the polylysine-dependent stimulation of CK2. The results are in agreement with experimentally determined polylysine-dependent stimulation. The polylysine-enzyme interaction is too slow to account for enzyme stimulation. The behaviour of polylysine is not reproduced by the polyamine spermine. The results are consistent with a substrate-mediated mechanism of CK2 stimulation by polylysine, and they suggest that the CK2 stimulation by polyamines occurs by a different mechanism.


Assuntos
Polilisina/metabolismo , Proteínas Serina-Treonina Quinases/metabolismo , Sequência de Aminoácidos , Animais , Caseína Quinase II , Bovinos , Ativação Enzimática , Cinética , Modelos Químicos , Fragmentos de Peptídeos/metabolismo , Proteínas Serina-Treonina Quinases/química , Especificidade por Substrato , Propriedades de Superfície
19.
Arch Bronconeumol ; 33(9): 438-43, 1997 Oct.
Artigo em Espanhol | MEDLINE | ID: mdl-9424259

RESUMO

Objective to review the experience of the lung transplantation unit at Hospital La Fe (Valencia). Between February 1990 and March 1996 we performed 40 lung transplants. The following causes were most common: cystic fibrosis (9 cases), emphysema (8), pulmonary fibrosis (8) and bronchiectasis (7). Types of intervention were 27 double lung transplants (25 sequential and 9 blocked), 9 single lung transplants, and 4 heart-lung transplants. We then reviewed the 36 single and double lung transplants. The main exclusion criteria were age over 65 years, malignant disease, kidney or liver disease, severe or non reversible central nervous system disease, and drug addiction. Prior surgery, mechanical ventilation and the presence of Aspergillus were considered lower-order contraindications. Mean patient age was 37.7 years (14-59). Six patients were colonized by Aspergillus before transplantation. Five had undergone earlier surgery and two were mechanically ventilated before the transplant. The most common complication was respiratory infection, which was present in 6 of the 7 patients who died. Other complications in order of frequency were dehiscence and/or bronchial stenosis, corticoid myopathy and postoperative bleeding. The actuarial survival rate of single and double lung transplants was 67.85 after 3 years, and 87.5% in patients with cystic fibrosis. Lung transplantation is a well-established procedure that is gradually being extended to treat more conditions. The main obstacle is the scarcity of donors. The main challenge at present is bronchiolitis obliterans.


Assuntos
Transplante de Pulmão , Adolescente , Adulto , Feminino , Seguimentos , Transplante de Coração-Pulmão , Hospitais Universitários , Humanos , Transplante de Pulmão/métodos , Transplante de Pulmão/mortalidade , Transplante de Pulmão/fisiologia , Transplante de Pulmão/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/epidemiologia , Espanha/epidemiologia
20.
An Esp Pediatr ; 45(5): 505-10, 1996 Nov.
Artigo em Espanhol | MEDLINE | ID: mdl-9036782

RESUMO

OBJECTIVE: Since 1990 we have performed 40 lung transplants in the Hospital "La Fe" in Valencia. Nine of them have been performed in cystic fibrosis patients, which is the subject of this paper. PATIENTS AND METHODS: The mean age of the patients was 19.8 years, with the youngest patient being 14 years of age. In regards to patient selection, it is important to mention that one had a previous lobectomy, another one a thoracic deformity due to long term atelectasis and one needed intubation for hemoptysis within the 7 days before the lung transplant. Prophylaxis with imipenem and cyprofloxicin, aerosolized colistin and amphotericin B, prompt weaning and intensive respiratory physiotherapy were important for controlling postoperative infection. RESULTS: With 15.3 months as the mean follow-up (range 36-3), 3 year survival was 87.5%. Pulmonary infection, which was the most frequent complication, had a good response to adequate antibiotic treatment. The main postoperative problem pertained to the bronchial suture with 2 partial dehiscences, 2 stenoses and one bronchopleural fistula by Aspergillus, all of which were resolved with conservative procedures without surgery. CONCLUSIONS: Middle and long term evolution in these patients shows an excellent quality of life with spirometric and ergometric tests within the normal range.


Assuntos
Fibrose Cística/cirurgia , Transplante de Pulmão , Pulmão/cirurgia , Adolescente , Adulto , Fibrose Cística/fisiopatologia , Feminino , Ganciclovir/uso terapêutico , Rejeição de Enxerto/tratamento farmacológico , Humanos , Imunossupressores/uso terapêutico , Controle de Infecções , Pulmão/fisiopatologia , Masculino , Qualidade de Vida
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