Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 25
Filtrar
Mais filtros










Base de dados
Intervalo de ano de publicação
1.
Sensors (Basel) ; 22(9)2022 May 07.
Artigo em Inglês | MEDLINE | ID: mdl-35591267

RESUMO

The risk associated with extreme hydrological processes (flash floods, floods) is more present than ever, taking into account the global climatic changes, the expansion of inhabited areas and the changes emerging as a result of inadequate land management. Of all the hydrological risks, slope flash floods represent the processes that have the highest impact because of the high speed of their development and their place of origin, which makes them difficult to predict. This study is performed in an area susceptible to the emergence of slope flash floods, the Valea Rea catchment area, spatially located in Northwest Romania, and exposed to western circulation, which favours the development of such processes. The entire research is based on a methodology involving the integration of spatial databases, which indicate the vulnerability of the territory in the form of a weighted average equation to highlight the major impact of the most relevant factor. A number of 15 factors have been used in raster spatial databases, obtained by conversion (land use, soil type, lithology, Hydrologic Soil Group, etc.), derived from the digital elevation model (slope, aspect, TWI, etc.) or by performing spatial analysis submodels (precipitation, slope length, etc). The integration of these databases by means of the spatial analysis equation based on the weighted average led to the vulnerability of the territory to FFPI, classified on five classes from very low to very high. The final result underlines the high and very high vulnerability (43%) of the analysed territory that may have a major impact on the human communities and the territorial infrastructure. The results obtained highlight the torrential nature of the analysed catchment area, identifying several hotspots of great risk, located mainly within the built-up areas of intensely inhabited regions; a fact which involves a major risk and significant potential material damage in the territory. The model was validated by directly comparing the results obtained with locations previously affected, where the flood effects have been identified, highlighting the fact that the model may be taken into account to be applied in practice, and also to be implemented in territories that share the same features.


Assuntos
Inundações , Rios , Sistemas de Informação Geográfica , Humanos , Romênia , Solo , Análise Espacial
2.
Sensors (Basel) ; 20(7)2020 Apr 06.
Artigo em Inglês | MEDLINE | ID: mdl-32268555

RESUMO

The Transylvanian region of Romania is a place of rich history since ancient times, where the original natural environment around architectural heritage sites or buildings has not been severely altered by urban development. Unfortunately, many such places are left by the authorities to degrade or totally collapse for lack of funds, vision or initiatives. The current paper addresses the potential of Unmanned Aerial Vehicles (UAVs) in the assessment of a viable and feasible prospect of restoration on a 19th century mansion that belonged to a nobiliary family. UAV use is rising in many industries and has become very popular in the last decade, but for survey engineering and related domains they represent a quantum leap in technology. Integrating UAV-acquired data and structure from motion software, has enabled modern techniques to obtain useful metrics from the field, accurate photorealistic 3D models for visual inspection, structural damage analyses, architectural rehabilitation-restoration, conservation and spatial analysis of the surrounding area. In this work a socio-cultural planning and design process is explored and presented to improve the local community and inclusion in a tourist circuit based on the regional potential, as well as an evaluation of accessibility derived from a vector-raster database that highlights the central position of the cultural heritage in regards to the axis of circulation between the important metropolitan areas and the local tourist attractions. This established workflow of modern topographic and construction measurements is fully integrable into the architectural process, building information modelling, heritage conservation and reconstruction.

3.
Food Funct ; 8(10): 3621-3635, 2017 Oct 18.
Artigo em Inglês | MEDLINE | ID: mdl-28891575

RESUMO

Previous work on the computer simulation of edible fats and oils showed that triglyceride crystalline nanoplatelets (CNPs) aggregated into cylindrical structures dubbed "TAGwoods". This was experimentally verified using Ultra Small Angle X-ray Scattering experiments. In this paper, the aggregation of these TAGwoods was studied using the fluid simulation technique, Dissipative Particle Dynamics. The intent was to predict the TAGwood aggregation structures which arise via the application of a series of shear rates, [small gamma, Greek, dot above]. The effect of shear on TAGwood orientational order was also investigated. Three aggregation regimes were identified: At shear rates below a certain critical value, 0 < [small gamma, Greek, dot above] < [small gamma, Greek, dot above]t aggregation was enhanced. The value of the critical shear rate depended on the size of the CNPs. With large CNPs possessing a side length of ∼500 nm, the critical shear rate was [small gamma, Greek, dot above]t ≈ 0.6 s-1. However, if the CNPs were smaller with a side length of ∼100 nm, then [small gamma, Greek, dot above]t ≈ 75 s-1. For shear rates above the critical shear rate, [small gamma, Greek, dot above] > [small gamma, Greek, dot above]t aggregation was inhibited. The USAXS data was analyzed using the Unified Fit model and the observations were in accord with the simulation results. Three regimes were identified based on the values of the linear slope P2 of the USAXS data. P2 increased as [small gamma, Greek, dot above] increased, indicating increased aggregation of the TAGwoods as the shear rate was increased. P2 ceased increasing and began to decrease when [small gamma, Greek, dot above] ≈ [small gamma, Greek, dot above]t. With further increases in [small gamma, Greek, dot above], P2 decreased as [small gamma, Greek, dot above] increased further, which is indicative of a decrease in aggregation. The orientational quadrupole order parameter, S = 〈Q33〉 = 1/2〈cos2θ - 1〉, was computed, where θ is the angle between the axis of the TAGwood and the axis of flow, and showed that, for large [small gamma, Greek, dot above], it achieved a near-maximum value. This indicates that at high shear rates, the long axis of the cylindrical TAGwoods aligns in a direction parallel to that of the fluid flow.


Assuntos
Óleos de Plantas/química , Simulação por Computador , Triglicerídeos/química , Viscosidade , Raios X
4.
Epidemiol Infect ; 139(7): 994-7, 2011 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-20727246

RESUMO

SUMMARYStaphylococcus aureus is a leading cause of infections in deployed service members. Based on a molecular epidemiological study of 182 MRSA isolates from patients in three U.S. Army combat support hospitals in separate regions in Iraq, USA300 clone was the most predominant (80%) pulsotype. This finding suggested that strain carriage from the home country by military personnel is epidemiologically more important than local acquisition.


Assuntos
Infecção Hospitalar/epidemiologia , Hospitais Militares/estatística & dados numéricos , Staphylococcus aureus Resistente à Meticilina , Infecções Estafilocócicas/epidemiologia , Infecção Hospitalar/microbiologia , Genótipo , Humanos , Iraque/epidemiologia , Guerra do Iraque 2003-2011 , Staphylococcus aureus Resistente à Meticilina/genética , Epidemiologia Molecular , Infecções Estafilocócicas/microbiologia
5.
Neurogastroenterol Motil ; 18(4): 284-91, 2006 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-16553583

RESUMO

The aims of this study were to investigate the difference in developmental process of gastric slow waves and the effects of feeding in pre-term and full-term infants. Twenty-six pre-term and 31 full-term infants were enrolled in the study. Gastric myoelectrical activity was recorded using electrogastrography (EGG) from birth to month 6. An increase in the % of 2-4 cpm slow waves was noted in both pre-term (P < 0.01) and full-term infants (P < 0.04) from birth to month 4. The pre-term infants showed a reduced dominant EGG power at certain points of the study. (3) Breast or formula feeding resulted in no difference in the EGG in the full-term infants and showed a difference in the postprandial dominant power of the EGG in the pre-term infants only at month 2 after birth (P < 0.05) but not at other times. The gastric slow wave in pre-term infants is of a significantly reduced amplitude but similar rhythmicity. The method of feeding has no effects on the EGG in full-term infants and minimal effects (may be of non-clinical significance) on the EGG in pre-term infants as the difference was noted only at one time point during the 6-month follow-up study.


Assuntos
Alimentação com Mamadeira , Aleitamento Materno , Motilidade Gastrointestinal/fisiologia , Recém-Nascido Prematuro/fisiologia , Estômago/crescimento & desenvolvimento , Estômago/fisiologia , Eletrofisiologia , Feminino , Esvaziamento Gástrico , Humanos , Recém-Nascido , Masculino
6.
Appl Environ Microbiol ; 67(9): 4024-9, 2001 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-11526000

RESUMO

A yellow-pigmented marine bacterium, designated strain SD-21, was isolated from surface sediments of San Diego Bay, San Diego, Calif., based on its ability to oxidize soluble Mn(II) to insoluble Mn(III, IV) oxides. 16S rRNA analysis revealed that this organism was most closely related to members of the genus Erythrobacter, aerobic anoxygenic phototrophic bacteria within the alpha-4 subgroup of the Proteobacteria (alpha-4 Proteobacteria). SD-21, however, has a number of distinguishing phenotypic features relative to Erythrobacter species, including the ability to oxidize Mn(II). During the logarithmic phase of growth, this organism produces Mn(II)-oxidizing factors of approximately 250 and 150 kDa that are heat labile and inhibited by both azide and o-phenanthroline, suggesting the involvement of a metalloenzyme. Although the expression of the Mn(II) oxidase was not dependent on the presence of Mn(II), higher overall growth yields were reached in cultures incubated with Mn(II) in the culture medium. In addition, the rate of Mn(II) oxidation appeared to be slower in cultures grown in the light. This is the first report of Mn(II) oxidation within the alpha-4 Proteobacteria as well as the first Mn(II)-oxidizing proteins identified in a marine gram-negative bacterium.


Assuntos
Alphaproteobacteria/enzimologia , Alphaproteobacteria/isolamento & purificação , Manganês/metabolismo , Oxirredutases/metabolismo , Água do Mar/microbiologia , Alphaproteobacteria/classificação , Alphaproteobacteria/genética , Genes de RNAr , Dados de Sequência Molecular , Oxirredução , Filogenia , RNA Ribossômico 16S/genética , Análise de Sequência de DNA
7.
Am J Physiol ; 274(3): G503-8, 1998 03.
Artigo em Inglês | MEDLINE | ID: mdl-9530151

RESUMO

The aim of this study was to investigate the developmental process of gastric myoelectrical activity (GMA) in preterm infants. Nineteen healthy preterm infants were studied. GMA was recorded using surface electrogastrography, and six follow-up studies were performed in each subject. Spectral analysis methods were applied to compute the parameters of the electrogastrogram (EGG). The results showed that there was a developmental process of GMA with age during the first 6 mo of life. 1) The percentage of normal slow waves showed a progressive increase after birth (36.7 +/- 6.1, 37.8 +/- 6.2, 47.0 +/- 10.0, 52.2 +/- 12.2, 55.2 +/- 9.7, and 65.8 +/- 13.5% at 1 and 2 wk and 1, 2, 4, and 6 mo, respectively); 2) there was a significant postprandial increase in the percentage of normal slow waves during the first 2 mo after birth; and 3) the percentages of normal slow waves for different gestation ages were not statistically significant. In conclusion, the percentage of normal slow waves is low at birth and there is a developmental process that may be stimulated by enteral feeding.


Assuntos
Motilidade Gastrointestinal/fisiologia , Recém-Nascido Prematuro/fisiologia , Eletromiografia , Feminino , Esvaziamento Gástrico , Idade Gestacional , Humanos , Recém-Nascido , Masculino , Estômago/crescimento & desenvolvimento
8.
Am J Physiol ; 272(5 Pt 1): G1022-7, 1997 May.
Artigo em Inglês | MEDLINE | ID: mdl-9176209

RESUMO

The aim of this study was to investigate the developmental change of gastric myoelectrical activity in humans. Five groups of healthy subjects were studied, including 10 preterm newborns, 8 full-term newborns, 8 full-term infants (ages 2-6 mo), 9 children (ages 4-11 yr), and 9 adults. Gastric myoelectrical activity was recorded using surface electrogastrography for 30 min before and 30 min after a test meal in each subject. Spectral analysis methods were applied to compute the parameters of the electrogastrogram (EGG). The results showed that the percentage of 2- to-4-cycles/min (cpm) slow waves was 26.6 +/- 3.9% in the preterm newborns, 30.0 +/- 4.0% in full-term newborns, 70 +/- 6.1% in 2- to 6-mo-old infants (P < 0.001 compared with newborns), 84.6 +/- 3.2% in 4- to 11-yr-old children (P < 0.03 compared with infants), and 88.9 +/- 2.2% in the adults (P > 0.05 compared with children). In conclusion, gastric slow waves are absent at birth, and there is a maturing process after birth. Age-matched controls are necessary for the interpretation of EGG data from neonates and infants, whereas EGG data in children are the same as in adults.


Assuntos
Envelhecimento/fisiologia , Músculo Liso/fisiologia , Estômago/fisiologia , Adulto , Criança , Desenvolvimento Infantil , Pré-Escolar , Eletrofisiologia/instrumentação , Equipamentos e Provisões , Feminino , Humanos , Recém-Nascido , Masculino , Pessoa de Meia-Idade
11.
Hum Factors ; 36(2): 327-38, 1994 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-8070796

RESUMO

The need for 24-h operations creates nonstandard and altered work schedules that can lead to cumulative sleep loss and circadian disruption. These factors can lead to fatigue and sleepiness and affect performance and productivity on the job. The approach, research, and results of the NASA Ames Fatigue Countermeasures Program are described to illustrate one attempt to address these issues in the aviation environment. The scientific and operational relevance of these factors is discussed, and provocative issues for future research are presented.


Assuntos
Medicina Aeroespacial , Fadiga/etiologia , Doenças Profissionais/etiologia , Tolerância ao Trabalho Programado/fisiologia , Ritmo Circadiano/fisiologia , Fadiga/prevenção & controle , Humanos , Doenças Profissionais/prevenção & controle , Privação do Sono/fisiologia , Análise e Desempenho de Tarefas
12.
Biochemistry ; 33(5): 1248-54, 1994 Feb 08.
Artigo em Inglês | MEDLINE | ID: mdl-8110758

RESUMO

The infectivity of the human immunodeficiency virus (HIV) depends upon correct proteolytic processing of viral polyprotein precursors, the Pr55gag and Pr160gag-pol polyproteins. The processing is mediated spontaneously by the viral protease unit (PR) contained within the Pr160gag-pol precursor. However, little is known about the mechanism of this process. The expression in Escherichia coli and the isolation of a 14-kDa HIV-1 PR "miniprecursor" with Ala28 mutated to serine has permitted study of the mechanism for cleavage at the N-terminus of the protease. The miniprecursor is active against a synthetic peptide substrate, and its specific activity is near that of the mutant mature protease. The rate of conversion of radiolabeled precursor to mature protease is quantitated by measuring the amounts of the two radiolabeled proteins separated by SDS-PAGE. The apparent first-order conversion rate constant, kapp, is dependent on miniprecursor concentration indicating a second-order reaction and suggesting an interdimeric processing mechanism. A significant first-order rate constant is observed when the plot of kapp versus initial precursor concentration is extrapolated to zero. This observation suggests the presence of an alternative processing mechanism involving a single active precursor dimer. The presence of both mechanisms is an advantage for the virus to ensure processing under various conditions.


Assuntos
Protease de HIV/metabolismo , Processamento de Proteína Pós-Traducional , Sequência de Aminoácidos , Ácido Aspártico/metabolismo , Precursores Enzimáticos/metabolismo , HIV-1/enzimologia , Hidrólise , Cinética , Dados de Sequência Molecular
13.
Pediatr Pulmonol ; 16(1): 36-40, 1993 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-8414739

RESUMO

Collagen is an essential component of connective tissue and is present in the pulmonary interstitium. Collagen deposition is known to increase in many acquired chronic diseases, including bronchopulmonary dysplasia (BPD). Urinary excretion of hydroxyproline has been used as a specific index of collagen synthesis. Many studies have demonstrated that dexamethasone therapy is associated with respiratory improvement in infants with BDP but the mechanism of this effect is not well understood. We postulated that in infants with BDP who receive dexamethasone, suppression of collagen synthesis may cause respiratory improvement. Therefore, we studied the effect of dexamethasone on respiratory status and urinary excretion of hydroxyproline in 14 ventilator-dependent infants with BDP. Infants received 0.5 mg/kg/day dexamethasone, tapered by half every 3 days to complete a 12 day course. Eleven of the 14 infants were extubated at a mean +/- SD of 8.7 +/- 4.9 days after starting dexamethasone. Mean urinary hydroxyproline/creatinine ratios at 3, 6, 9, and 12 days of dexamethasone therapy were significantly lower than the mean pretreatment value, but after discontinuation rapidly rose toward baseline values. Decreased urinary excretion of hydroxyproline indicates that dexamethasone suppressed collagen synthesis in these infants. We speculate that suppression of collagen synthesis reduced pulmonary inflammation and fibrosis, resulting in respiratory improvement.


Assuntos
Displasia Broncopulmonar/terapia , Dexametasona/uso terapêutico , Respiração Artificial , Displasia Broncopulmonar/urina , Colágeno/biossíntese , Colágeno/efeitos dos fármacos , Terapia Combinada , Creatinina/urina , Dexametasona/farmacologia , Feminino , Humanos , Hidroxiprolina/efeitos dos fármacos , Hidroxiprolina/urina , Lactente , Recém-Nascido , Masculino
14.
Scand J Clin Lab Invest Suppl ; 210: 127-35, 1992.
Artigo em Inglês | MEDLINE | ID: mdl-1455175

RESUMO

The protease of human immunodeficiency virus (HIV) has been extensively studied. The structure and function relationships of this protease and its role in HIV life cycle is well known. We have use recombinant HIV protease and mutagenesis technology to study HIV protease and compare it to the eukaryotic aspartic proteases. When putative active-site hydrogen bonds are placed in the HIV protease, the pKa values of two active-site groups are only slightly downshifted. Corresponding removal of these H-bonds from the active sites of pepsin and rhizopuspepsin do not appreciably alter the active-site pKa values. The Kcat values are strongly decreased by these mutations. These observations suggest that the active-site H-bonds in HIV protease and other aspartic proteases control the rigidity of the catalytic apparatus but not the ionization of the active-site groups. A mechanism of catalysis by the HIV protease has been suggested based on kinetic and mutagenesis studies. The strategies involved in the development of HIV protease inhibitors are discussed. In spite of the pitfalls in each approach, it appears probable that a battery of inhibitors can be developed for the treatment of AIDS.


Assuntos
Síndrome da Imunodeficiência Adquirida/tratamento farmacológico , Inibidores da Protease de HIV , Protease de HIV , Sítios de Ligação , Catálise , Protease de HIV/química , Protease de HIV/metabolismo , Inibidores da Protease de HIV/química , Inibidores da Protease de HIV/uso terapêutico , Humanos , Ligação de Hidrogênio , Concentração de Íons de Hidrogênio , Estrutura Molecular , Precursores de Proteínas/metabolismo
15.
Radiology ; 181(2): 581-5, 1991 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-1924808

RESUMO

To determine whether cerebellar dimensions measured with cranial ultrasonography help assess gestational age in neonates, the authors measured the area, circumference, and vertical length of the vermis and the area, circumference, and maximum transverse width of the cerebellar body in 80 healthy neonates. These dimensions were correlated with the clinically assessed gestational age. All three measurements of the vermis and cerebellar body strongly correlated with gestational age. The area and circumference of the vermis were superior to the maximum transverse cerebellar width in prediction of gestational age. Multiple regression models made with a single vermis measurement along with either the cerebellar area or its circumference further improved gestational age prediction (r = .88; P less than .0001). The cerebellar dimensions also correlated strongly with clinically assessed gestational age in 13 neonates between 500 and 750 g birth weight, 18 neonates small for gestational age, and 12 neonates in whom clinical and obstetric assessments of gestational age were discrepant by more than 2 weeks.


Assuntos
Cerebelo/diagnóstico por imagem , Idade Gestacional , Antropometria , Peso ao Nascer , Cerebelo/anatomia & histologia , Feminino , Retardo do Crescimento Fetal/diagnóstico , Humanos , Recém-Nascido , Recém-Nascido Prematuro , Masculino , Valores de Referência , Caracteres Sexuais , Gêmeos , Ultrassonografia
17.
Zhonghua Yi Xue Za Zhi (Taipei) ; 45(1): 60-3, 1990 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-2168241

RESUMO

From January 1984 to December 1987, 520 pathologically proved cases of colorectal carcinomas were treated in Mackay Memorial Hospital - 272 (52.5%) were male and 248 (47.7%) were female. The distribution of carcinomas in the colorectum were caecum 27 (5%), ascending colon 49 (9.1%), transverse colon 70 (13%), descending colon 41 (7.6%), sigmoid colon 93 (17.3%), rectosigmoid colon 19 (3.5%) and rectum 239 (44.4%). Fourteen cases (3.3%) had double carcinomas. When 334 barium enema examinations (210 single contrast, 124 double contrast) and 207 colonoscopies were done, false negative results were found in 31 (14.76%) single contrast barium enema (BaE-S) and eight (6.45%) in double contrast barium enema (BaE-D) examinations, and 7 (3.38%) colonoscopic examinations failed to demonstrate cancer lesions because of incomplete examinations from technical problems. False negative in BaE were mostly due to failure to recognize or misinterpret the lesions especially in the rectum. Colonoscopy is significantly more accurate than BaE-S but not with BaE-D. BaE especially BaE-D can be complementary to colonoscopy in a nearly obstructing colon. Direct biopsy of the lesion makes colonoscopy more useful than BaE. Complete removal of a malignant polyp turns colonoscopy into a therapeutic modality. However, a well-trained endoscopist is essential in making colonoscopy a less suffering and more accurate examination. In a symptomatic patient, a confirmatory examination is always needed after positive BaE finding. Sometimes this can be avoided by having colonoscopy done first.


Assuntos
Sulfato de Bário , Colonoscopia , Neoplasias Colorretais/diagnóstico , Adulto , Idoso , Idoso de 80 Anos ou mais , Neoplasias Colorretais/diagnóstico por imagem , Enema , Reações Falso-Negativas , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Radiografia , Estudos Retrospectivos
18.
Chest ; 96(5): 984-7, 1989 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-2805869

RESUMO

The use of anticholinergic bronchodilators in COPD is based on the reversal of cholinergic bronchomotor tone. There is little information about the magnitude of cholinergic tone in patients with COPD as compared with normal subjects. As an index of the amount of cholinergic tone we measured the maximum increase in FEV1 following administration of an optimal dose of the anticholinergic agent atropine methonitrate. The study included nine normal nonsmoking subjects, ten normal smokers and 22 subjects with mild to moderately severe COPD. We found that normal nonsmokers had smallest increases in FEV1 following atropine methonitrate administration. Responses of subjects with airway disease were progressively greater. Greatest responses occurred in the group of subjects with prebronchodilator FEV1 values less than 55 percent of predicted. The most plausible explanation for this is that cholinergic tone in COPD is increased in proportion to the severity of airway disease. Other explanations are possible.


Assuntos
Atropina , Brônquios/inervação , Broncodilatadores/uso terapêutico , Pneumopatias Obstrutivas/fisiopatologia , Sistema Nervoso Parassimpático/fisiopatologia , Parassimpatolíticos/uso terapêutico , Administração por Inalação , Volume Expiratório Forçado/efeitos dos fármacos , Humanos , Pneumopatias Obstrutivas/tratamento farmacológico , Pessoa de Meia-Idade , Sistema Nervoso Parassimpático/efeitos dos fármacos , Fumar/fisiopatologia
19.
Am J Cardiol ; 59(5): 436-42, 1987 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-3812312

RESUMO

The incidence and severity of abnormalities of the coronary arteries were evaluated in 35 necropsy patients with pulmonary atresia and an intact ventricular septum. Right ventricular to coronary artery fistulous connections were found in more than 60% of the cases. All patients with fistulous connections had histologic abnormalities of the coronary arteries. In 50% the lesions were mild, with medial and intimal thickening producing up to moderate luminal stenosis. In 50% there was loss of normal arterial wall structure and severe narrowing or obliteration of the arterial lumen. The coronary arterial fistulas and histologic abnormalities were prevalent in those with underdevelopment of the tricuspid valve and right ventricular cavity but were not found in patients with a normal or dilated tricuspid valve anulus. The coronary arterial abnormalities were found in more than 80% of patients with a tricuspid valve/mitral valve ratio less than 1. A single coronary artery occurred in 6 patients (17%) of this series. In 80% of those with 1 coronary artery arising from the other, the aberrantly arising coronary artery crossed anteriorly to the pulmonary artery and could be at risk in surgical attempts to reconstruct the right ventricular outflow. Aortography is recommended if the coronary arteries are not clearly delineated on ventricular cineangiocardiography.


Assuntos
Anomalias dos Vasos Coronários/patologia , Valva Pulmonar/anormalidades , Vasos Coronários/patologia , Feminino , Septos Cardíacos , Humanos , Lactente , Recém-Nascido , Masculino , Miocárdio/patologia
20.
Am J Obstet Gynecol ; 146(4): 429-34, 1983 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-6859163

RESUMO

Blood levels of ketamine, measured in both mother (1,230 ng/ml at 1 minute) and fetus (470 ng/ml at 1 minute) illustrate not only rapidly decreasing levels of the drug after its intravenous administration but also its transplacental passage. Concentrations of norepinephrine, epinephrine, and dopamine did not change in the mother or fetus after ketamine, with the exception of maternal levels of epinephrine, which were significantly higher at 45 minutes than control values (p less than 0.05). Maternal effects of ketamine consisted of increases in mean arterial pressure (7% p less than 0.05), cardiac output (16% p less than 0.01), and respiratory acidosis, all of which were slight and transitory. Although resting uterine tone increased (39% p less than 0.01), the uterine blood flow remained constant. None of the physiologic alterations could be correlated with changes in catecholamine levels. Therefore, the cardiovascular and uterine stimulating properties of ketamine at a dose of 0.7 mg/kg are small and are not the result of increased catecholamine levels in plasma. Further studies are necessary to elucidate the mechanism.


Assuntos
Anestesia Obstétrica , Catecolaminas/sangue , Feto/efeitos dos fármacos , Ketamina/farmacologia , Útero/efeitos dos fármacos , Acidose Respiratória/induzido quimicamente , Animais , Pressão Sanguínea/efeitos dos fármacos , Débito Cardíaco/efeitos dos fármacos , Epinefrina/sangue , Feminino , Troca Materno-Fetal , Gravidez , Ovinos , Volume Sistólico/efeitos dos fármacos , Fatores de Tempo , Útero/irrigação sanguínea , Resistência Vascular/efeitos dos fármacos
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...