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1.
Nat Commun ; 12(1): 7343, 2021 Dec 20.
Artigo em Inglês | MEDLINE | ID: mdl-34930902

RESUMO

Characterizing time delays in molecular photoionization as a function of the ejected electron emission direction relative to the orientation of the molecule and the light polarization axis provides unprecedented insights into the attosecond dynamics induced by extreme ultraviolet or X-ray one-photon absorption, including the role of electronic correlation and continuum resonant states. Here, we report completely resolved experimental and computational angular dependence of single-photon ionization delays in NO molecules across a shape resonance, relying on synchrotron radiation and time-independent ab initio calculations. The angle-dependent time delay variations of few hundreds of attoseconds, resulting from the interference of the resonant and non-resonant contributions to the dynamics of the ejected electron, are well described using a multichannel Fano model where the time delay of the resonant component is angle-independent. Comparing these results with the same resonance computed in e-NO+ scattering highlights the connection of photoionization delays with Wigner scattering time delays.

2.
J Chem Phys ; 151(17): 174305, 2019 Nov 07.
Artigo em Inglês | MEDLINE | ID: mdl-31703511

RESUMO

We report benchmark results for dissociative photoionization (DPI) spectroscopy and dynamics of the NO molecule in the region of the σ* shape resonance in the ionization leading to the NO+(c3Π) ionic state. The experimental study combines well characterized extreme ultraviolet (XUV) circularly polarized synchrotron radiation, delivered at the DESIRS beamline (SOLEIL), with ion-electron coincidence 3D momentum spectroscopy. The measured (N+, e) kinetic energy correlation diagrams reported at four discrete photon energies in the extended 23-33 eV energy range allow for resolving the different active DPI reactions and underline the importance of spectrally resolved studies using synchrotron radiation in the context of time-resolved studies where photoionization is induced by broadband XUV attosecond pulses. In the dominant DPI reaction which leads to the NO+(c3Π) ionic state, photoionization dynamics across the σ* shape resonance are probed by molecular frame photoelectron angular distributions where the parallel and perpendicular transitions are highlighted, as well as the circular dichroism CDAD(θe) in the molecular frame. The latter also constitute benchmark references for molecular polarimetry. The measured dynamical parameters are well described by multichannel Schwinger configuration interaction calculations. Similar results are obtained for the DPI spectroscopy of highly excited NO+ electronic states populated in the explored XUV photon energy range.

3.
J Chem Phys ; 139(4): 044311, 2013 Jul 28.
Artigo em Inglês | MEDLINE | ID: mdl-23901984

RESUMO

We report a combined experimental and theoretical study of photoionization (PI) of the NO2 molecule into the NO2(+) (X (1)Σg(+)) ground state and the photodissociation of NO2 into the NO(+)((1)Σ(+)) + O(-)((2)P) ion pair. These processes were induced by 10.9 eV-13 eV synchrotron radiation and the products were detected using electron-ion or O(-)-NO(+) coincident momentum spectroscopy. The results demonstrate the strong influence of [R(∗)(4b2)(-1), nlα(i), v2(')] Rydberg states vibrationally resolved in the v2(') bending modes for both processes. In particular, we emphasize two regions around 11.5 eV and 12.5 eV that were studied in more detail for their relevance to 400 nm multiphoton ionization induced by femtosecond pulses. The photoelectron energy spectra and asymmetry parameters support the existence of two PI mechanisms, as probed with the help of fixed-nuclei frozen-core Hartree-Fock calculations. We found significant deviations from Franck-Condon ionization predictions which may be assigned to vibronic coupling of NO2(∗) states such as that induced by a conical intersection. The limited agreement between theory and experiment, even for the non-resonant processes, indicates the need for calculations that go beyond the approximations used in the current study. Ion pair formation leads to strong vibrational and rotational excitation of the NO(+)((1)Σ(+),v) product, with an ion fragment angular anisotropy depending on both the v2(') bending quantum number of the excited parent molecule and the v vibrational level of the fragment.

4.
Aliment Pharmacol Ther ; 38(5): 501-12, 2013 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-23855425

RESUMO

BACKGROUND: The impact of pregnancy on the course of IBD is still controversial. AIM: To investigate the impact of pregnancy on IBD and to search for factors with potential impact on remission. METHODS: Pregnant IBD women from 12 European countries were enrolled between January 2003 and December 2006 and compared at conception (1:1) with nonpregnant IBD women. Data on disease course were prospectively collected at each trimester during pregnancy and in the postpartum (6 months) using a standardised questionnaire. RESULTS: A total of 209 pregnant IBD women were included: 92 with Crohn's disease (CD; median age 31 years, range 17-40) and 117 with ulcerative colitis (UC; median age 32 years, range 19-42). No statistically significant difference in disease course during pregnancy and postpartum was observed between pregnant and nonpregnant CD women. Longer disease duration in CD and immunosuppressive therapy were found to be risk factors for activity during pregnancy. Pregnant UC women were more likely than nonpregnant UC women to relapse both during pregnancy (RR 2.19; 95% CI: 1.25-3.97, 0.004) and postpartum (RR 6.22; 95% CI: 2.05-79.3, P = 0.0004). During pregnancy, relapse was mainly observed in the first (RR 8.80; 95% CI 2.05-79.3, P < 0.0004) and the second trimester (RR 2.84, 95% CI 1.2-7.45, P = 0.0098). CONCLUSIONS: Pregnant women with Crohn's disease had a similar disease course both during pregnancy and after delivery as the nonpregnant women. In contrast, pregnant women with ulcerative colitis were at higher risk of relapse during pregnancy and in the postpartum than nonpregnant ulcerative colitis women.


Assuntos
Colite Ulcerativa/fisiopatologia , Doença de Crohn/fisiopatologia , Complicações na Gravidez , Adolescente , Adulto , Europa (Continente) , Feminino , Humanos , Período Pós-Parto , Gravidez , Resultado da Gravidez , Estudos Prospectivos , Inquéritos e Questionários , Adulto Jovem
5.
J Chem Phys ; 136(9): 094303, 2012 Mar 07.
Artigo em Inglês | MEDLINE | ID: mdl-22401436

RESUMO

Experimental and theoretical results for molecular-frame photoemission are presented for inner-valence shell photoionization of the CO molecule induced by linearly and circularly polarized light. The experimental recoil frame photoelectron angular distributions (RFPADs) obtained from dissociative photoionization measurements where the velocities of the ionic fragment and photoelectron were detected in coincidence, are compared to RFPADs computed using the multichannel Schwinger configuration interaction method. The formalism for including a finite lifetime of the predissociative ion state is presented for the case of general elliptically polarized light, to obtain the RFPAD rather than the molecular frame photoelectron angular distribution (MFPAD), which would be obtained with the assumption of instantaneous dissociation. We have considered photoionization of CO for the photon energies of 26.0 eV, 29.5 eV, and 32.5 eV. A comparison of experimental and theoretical RFPADs allows us to identify the ionic states detected in the experimental studies. In addition to previously identified states, we found evidence for the 2 (2)Δ state with an ionization potential of 25.3 eV and (2)Σ(+) states with ionization potentials near 32.5 eV. A comparison of the experimental and theoretical RFPADs permits us to estimate predissociative lifetimes of 0.25-1 ps for some of the ion states. Consideration of the MFPADs of a series of (2)Π ion states indicates the importance of inter-channel coupling at low photoelectron kinetic energy and the limitations of a single-channel analysis based on the corresponding Dyson orbitals.

6.
J Chem Phys ; 130(19): 194307, 2009 May 21.
Artigo em Inglês | MEDLINE | ID: mdl-19466836

RESUMO

The (V(A+), V(e), ê) vector correlation method, combining imaging and time-of-flight resolved electron-ion coincidence techniques, is used to probe dissociative photoionization (DPI) of CO induced by vacuum ultra violet linearly or circularly polarized synchrotron radiation in the 26-33 eV photon excitation energy range. It provides original information about both the photoionization dynamics of the CO molecule and the dissociation dynamics of the CO(+) molecular ions. The explored region corresponds to valence and inner-valence CO(+) ionic states, which involve doubly or multiply excited electronic configurations. In this paper I we identify up to 17 DPI reaction pathways by the position of the intermediate CO(+) molecular states in the Franck-Condon region and the (C(+) + O) or (O(+) + C) dissociation limits to which they correlate. For these processes we report the laboratory frame beta(C+/O+) and beta(e) asymmetry parameters as well as the relative branching ratios in selected binding energy bands. The I(chi,theta(e),phi(e)) molecular frame photoelectron angular distributions for selected PI processes will be reported in a companion paper II and compared with multichannel Schwinger configuration interaction ab initio calculations of these observables.

7.
J Chem Phys ; 126(5): 054307, 2007 Feb 07.
Artigo em Inglês | MEDLINE | ID: mdl-17302477

RESUMO

The authors report measured and computed molecular frame photoelectron angular distributions (MFPADs) and recoil frame photoelectron angular distributions (RFPADs) for the single photon ionization of the nonlinear molecule NO2 leading to the (1a2)-1 b 3A2 and (4a1)-1 3A1 states of NO2+. Experimentally, the RFPADs were obtained using the vector correlation approach applied to the dissociative photoionization (DPI) involving these molecular ionic states. The polar and azimuthal angle dependences of the photoelectron angular distributions are measured relative to the reference frame provided by the ion recoil axis and direction of polarization of the linearly polarized light. Experimental results are reported for the photon excitation energies hnu=14.4 and 22.0 eV. Theoretically the authors give expressions for both the MFPAD and the RFPAD. They show that the functional form in the recoil frame, where an average over the azimuthal dependence of the molecular fragments about the recoil direction is made, is identical to that they have earlier found for the DPI experiments performed on linear molecules. MFPADs were then computed using single-center expansion techniques within the fixed-nuclei frozen-core Hartree-Fock approximation. The computed cross sections for ionization to the (1a2)-1 b 3A2 state show a strong propensity for ionization with the polarization of the light perpendicular to the plane of the molecule, whereas the ionization to the (4a1)-1 3A1 state of the ion is of similar intensity for all orientations of the polarization of the light in the molecular frame. These qualitative features of the MFPAD are also evident in the RFPAD. The RFPAD for ionization leading to the (1a2)-1 b 3A2 state is strongly peaked in the perpendicular orientation, whereas the RFPAD for ionization leading to the (4a2)-1 3A1 state is much more nearly isotropic. Comparison between experimental and theoretical RFPADs indicates that the recoil angle for NO+ fragments is approximately 50 degrees relative to the symmetry axis of the initial C2v symmetry of the NO2 molecule in the ionization leading to the (1a2)-1 b 3A2 state and the recoil angle is approximately 120 degrees for the O+ fragment for ionization leading to the (4a1)-1 3A1 state.

8.
Phys Rev Lett ; 96(7): 073001, 2006 Feb 24.
Artigo em Inglês | MEDLINE | ID: mdl-16606081

RESUMO

We have measured the angular distribution of valence-shell photoelectrons excited by circularly polarized light from fixed-in-space N2O molecules, near to and on top of resonances due to Rydberg states embedded in the ionization continuum. The sign of the circular dichroism for ionization into the N2O+ (B2Pi, (1pi)-1) state is reversed on top of the lowest dominant resonances. Measured angular distributions are well predicted by state-of-the-art multichannel configuration interaction calculations. The change in sign of the circular dichroism at the peak of the resonance is the result of a rapid change in the phases of resonant dipole matrix elements by a factor of 2pi as the energy is scanned across the resonance.

9.
J Chem Phys ; 120(17): 8226-40, 2004 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-15267743

RESUMO

Dissociative direct photoionization of the N2O(X 1Sigma+) linear molecule via the N2O+(B 2Pi) ionic state induced by linearly polarized synchrotron radiation P in the 18-22 eV photon energy range is investigated using the (VA+,Ve,P) vector correlation method, where VA+ is the nascent velocity vector of the NO+, N2+, or O+ ionic fragment and Ve that of the photoelectron. The DPI processes are identified by the ion-electron kinetic energy correlation, and the IchiA+(thetae,phie) molecular frame photoelectron angular distributions (MFPADs) are reported for the dominant reaction leading to NO+ (X 1Sigma+,v) + N(2D)+ e. The measured MFPADs are found in satisfactory agreement with the reported multichannel Schwinger configuration interaction calculations, when bending of the N2O+(B 2Pi) molecular ion prior to dissociation is taken into account. A significant evolution of the electron scattering anisotropies is observed, in particular in the azimuthal dependence of the MFPADs, characteristic of a photoionization transition between a neutral state of Sigma symmetry and an ionic state of Pi symmetry. This interpretation is supported by a simple model describing the photoionization transition by the coherent superposition of two ssigma and ddelta partial waves and the associated Coulomb phases.

10.
Epidemiol Infect ; 127(1): 113-20, 2001 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-11561963

RESUMO

We compared the relative risks of mother-to-child transmission of Toxoplasma gondii and clinical manifestations due to congenital toxoplasmosis associated with intensive prenatal treatment in Lyon and Austria, short term treatment in 51% of Dutch women, and no treatment in Danish women. For each cohort, relative risks were standardized for gestation at seroconversion. In total, 856 mother-child pairs were studied: 549 in Lyon, 133 in Austria, 123 in Denmark and 51 in The Netherlands. The relative risk for mother-to-child transmission compared to Lyon was 1.24 (95% CI: 0.88, 1.59) in Austria; 0.59 (0.41, 0.81) in Denmark; and 0.65 (0.37, 1.01) in The Netherlands. Relative risks for clinical manifestations compared with Lyon (adjusted for follow-up to age 3 years) were: Austria 0.19 (0.04, 0.51); Denmark 0.60 (0.13, 1.08); and The Netherlands 1.46 (0.51, 2.72). There was no clear evidence that the risk of transmission or of clinical manifestations was lowest in centres with the most intensive prenatal treatment.


Assuntos
Antibacterianos/uso terapêutico , Transmissão Vertical de Doenças Infecciosas/prevenção & controle , Cuidado Pré-Natal , Espiramicina/uso terapêutico , Toxoplasmose Congênita/transmissão , Áustria/epidemiologia , Dinamarca/epidemiologia , Ecologia , Feminino , França/epidemiologia , Idade Gestacional , Humanos , Recém-Nascido , Países Baixos/epidemiologia , Gravidez , Risco , Toxoplasmose Congênita/tratamento farmacológico , Toxoplasmose Congênita/epidemiologia
11.
J Clin Microbiol ; 39(6): 2267-71, 2001 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-11376068

RESUMO

In a study involving 14 laboratories supported by the European Community Biomed 2 program, we evaluated immunologic methods for the postnatal diagnosis of congenital toxoplasmosis (CT). Among babies born to mothers who seroconverted to positivity for toxoplasmosis during pregnancy, we analyzed 55 babies with CT on the basis of persistent anti-Toxoplasma immunoglobulin G (IgG) at 1 year of life and 50 control babies without anti-Toxoplasma IgG at 1 year of life in the absence of curative treatment with pyrimethamine-sulfonamides. We tested in-house methods such as the enzyme-linked immunofiltration assay (ELIFA) or Immunoblotting (IB) for the detection of IgG or IgM; these methods allowed comparison of the immunologic profiles of the mothers and the infants. We compared ELIFA and IB with a commercial enzyme immunoassay (EIA) or in-house immunosorbent agglutination assay (ISAGA) for the detection of IgM or IgA. The performances of combinations of methods were also assessed. A cumulative sensitivity of 98% during a 1-year follow-up was obtained with the ELIFA plus ISAGA combination. Only one case of CT was missed by the ELIFA plus ISAGA combination, whereas three cases were missed by the IB plus ISAGA combination, even though 48% of patients with CT were treated with pyrimethamine-sulfonamides, which are known to inhibit antibody neosynthesis. A similar performance was obtained with either ELIFA or IB in combination with EIA. The difference in performance between ELIFA plus ISAGA and IB plus ISAGA was not statistically significant (P = 0.31), and we conclude that both combinations of tests can be used for the diagnosis of CT in newborns.


Assuntos
Anticorpos Antiprotozoários/sangue , Triagem Neonatal , Toxoplasma/imunologia , Toxoplasmose Congênita/diagnóstico , Adulto , Animais , Feminino , Humanos , Imunoglobulina A/sangue , Imunoglobulina G/sangue , Imunoglobulina M/sangue , Testes Imunológicos , Recém-Nascido , Toxoplasmose Congênita/parasitologia
12.
Phys Rev Lett ; 84(26 Pt 1): 5987-90, 2000 Jun 26.
Artigo em Inglês | MEDLINE | ID: mdl-10991105

RESUMO

Imaging and time-resolved coincidence techniques are combined to determine ion-electron (v-->(i),v-->(e)) velocity correlations in dissociative photoionization of diatomic molecules induced by synchrotron linearly polarized light P-->. The (v-->(i),v-->(e), P-->) vector correlation yields the identification of each process, together with the ( straight theta(e), straight phi(e)) electron emission in the molecule frame for each orientation of the internuclear axis with respect to the polarization. Strong electron emission anisotropies are observed in the NO molecule frame for the parallel and the perpendicular transitions of the NO+hnu(22-25 eV)-->NO+(c(3) Pi)+e-->N+(3P)+O(3P)+e reaction.

13.
J Pediatr ; 135(6): 714-9, 1999 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-10586174

RESUMO

OBJECTIVE: To evaluate different laboratory tests used to diagnose congenital toxoplasmosis in the neonatal period. STUDY DESIGN: A retrospective multicenter study of 294 pregnant women who experienced seroconversion for Toxoplasma gondii and subsequently delivered live-born infants. Fetal infection was assessed via specific IgM and IgA antibodies (cord and neonatal blood) and detection of T gondii in placenta and cord blood by mouse inoculation. RESULTS: Ninety-three (32%) of the 294 infants were congenitally infected. The sensitivity of IgA in cord blood and in neonatal blood was 64% and 66%; the sensitivity of IgM was 41% and 42%, respectively. Mouse inoculation of the placenta and cord blood had sensitivities of 45% and 16%. Positive results of the serologic tests in congenitally infected children correlated significantly with the gestational age at the time of maternal infection but was not significantly influenced by the administration of specific antiparasitic treatment during pregnancy. CONCLUSION: Specific T gondii IgA antibody is a more sensitive test than IgM for detecting congenital toxoplasmosis in the neonatal period. The overall specificity is better for serologic tests performed on neonatal blood than for those on cord blood. Neonatal screening with IgM or IgA antibodies will not detect the majority of children with congenital toxoplasmosis when the maternal infection occurred before the 20th week of pregnancy.


Assuntos
Toxoplasmose Congênita/diagnóstico , Antibacterianos/uso terapêutico , Feminino , Idade Gestacional , Humanos , Recém-Nascido , Leucovorina/uso terapêutico , Gravidez , Complicações Parasitárias na Gravidez/patologia , Estudos Retrospectivos , Sensibilidade e Especificidade , Espiramicina/uso terapêutico , Toxoplasmose Congênita/tratamento farmacológico
14.
Lancet ; 353(9167): 1834-7, 1999 May 29.
Artigo em Inglês | MEDLINE | ID: mdl-10359408

RESUMO

BACKGROUND: The best method for prevention and control of congenital toxoplasma infection is uncertain. Prenatal screening is done in Austria and France, but the effect of treatment during pregnancy is not well documented. The aim of our study was to find out the maternofetal transmission rate and outcome in infants born to mothers who were not treated during pregnancy. METHODS: We analysed 89873 eluates from phenylketonuria (PKU) cards from neonates and paired first-trimester serum samples from the mothers for specific IgG antibodies to Toxoplasma gondii. Children born to mothers who seroconverted during pregnancy were followed-up clinically and serologically to 12 months of age. In addition, 21144 PKU cards were analysed for toxoplasma-specific IgM antibodies during the last 12 months of the study. FINDINGS: In 24989 (27.8%) cases both the PKU eluate and the first-trimester samples were IgG positive, which indicates previous maternal infection. 139 of the 64884 seronegative women acquired toxoplasma infection during pregnancy and gave birth to 141 infants (two sets of twins). 27 of these children were diagnosed with congenital toxoplasma infection. The transmission rate was 19.4% (95% CI 13.2-27.0). Clinical signs and symptoms were found in four (15%) of the 27 children. The additional analysis for toxoplasma-specific IgM antibodies from the PKU card identified seven of nine children with congenital toxoplasma infection. The false-positive rate for the IgM test was 0.19 per 1000, and no false-negatives were found. INTERPRETATION: The risks of transmission of infection and of disease in the infant are low in an area with a low risk of toxoplasma infection. A neonatal screening programme based on detection of toxoplasma-specific IgM antibodies alone will identify between 70% and 80% of cases of congenital toxoplasmosis.


Assuntos
Triagem Neonatal , Toxoplasmose Congênita/epidemiologia , Adulto , Coleta de Amostras Sanguíneas , Dinamarca/epidemiologia , Estudos de Viabilidade , Feminino , Humanos , Recém-Nascido , Transmissão Vertical de Doenças Infecciosas/estatística & dados numéricos , Triagem Neonatal/métodos , Fenilcetonúrias/epidemiologia , Gravidez , Complicações Parasitárias na Gravidez/epidemiologia , Prevalência , Medição de Risco , Toxoplasmose/epidemiologia , Toxoplasmose/transmissão , Toxoplasmose Congênita/diagnóstico , Toxoplasmose Congênita/prevenção & controle
15.
Emerg Infect Dis ; 5(2): 278-80, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10221883

RESUMO

To determine whether Neospora caninum, a parasite known to cause repeated abortions and stillbirths in cattle, also causes repeated abortions in humans, we retrospectively examined serum samples of 76 women with a history of abortions for evidence of N. caninum infection. No antibodies to the parasite were detected by enzyme-linked immunosorbent assay, immunofluorescence assay, or Western blot.


Assuntos
Aborto Habitual/etiologia , Coccidiose/complicações , Neospora/isolamento & purificação , Adulto , Animais , Anticorpos Antiprotozoários/sangue , Feminino , Técnica Indireta de Fluorescência para Anticorpo , Humanos , Neospora/imunologia , Gravidez , Estudos Retrospectivos
16.
JAMA ; 281(12): 1099-105, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10188660

RESUMO

CONTEXT: Parvovirus B19 infection during pregnancy has been associated with fetal death. However, the incidence of and risk factors for infection in pregnant women have not been well studied. OBJECTIVES: To estimate a pregnant woman's risk of infection with parvovirus B19 in epidemic and endemic situations and to study risk factors for infection. DESIGN: Population-based cohort study conducted between November 1992 and June 1994. SETTING: Three regions in Denmark. PARTICIPANTS: A total of 30946 pregnant women from a consecutive and population-based screening. MAIN OUTCOME MEASURES: Specific IgG antibodies in serum samples obtained in the first trimester of pregnancy and from the newborn infant to assess past infection and seroconversion. Information on family structure, educational background, socioeconomic status, and pregnancy outcome was obtained from national registers. RESULTS: Based on 30 946 serum samples, 65.0% of pregnant women had evidence of past infection. Annual seroconversion rates among susceptible women during endemic and epidemic periods were 1.5% (95% confidence interval [CI], 0.2%-1.9%) and 13.0% (95% CI, 8.7%-23.1 %), respectively. Baseline seropositivity was significantly correlated with increasing number of siblings, having a sibling of the same age, number of own children, and occupational exposure to children. Risk of acute infection increased with the number of children in the household as follows: 0 children odds ratio (OR), 1 (reference); 1 child OR, 3.17 (95% CI, 2.24-4.49); 2 children OR, 5.47 (95% CI, 3.55-8.45); 3 or more children OR, 7.54 (95% CI, 3.80-14.94). Having children aged 6 to 7 years resulted in the highest rate of seroconversion among mothers (6.8%; OR, 4.07; 95% CI, 1.89-8.73). Compared with other pregnant women, nursery school teachers had a 3-fold increased risk of acute infection (OR, 3.09; 95% CI, 1.62-5.89). Population-attributable risk of seroconversion was 55.4% for number of own children and 6.0% for occupational exposure. CONCLUSIONS: The risk of infection is high for susceptible pregnant women during epidemics and associated with the level of contact with children. Nursery school teachers have the highest occupational risk, but most infections seem to be the result of exposure to the woman's own children.


Assuntos
Eritema Infeccioso/epidemiologia , Complicações Infecciosas na Gravidez/epidemiologia , Doença Aguda , Adulto , Estudos de Coortes , Dinamarca/epidemiologia , Eritema Infeccioso/transmissão , Características da Família , Feminino , Humanos , Exposição Ocupacional , Parvovirus B19 Humano , Gravidez , Sistema de Registros , Fatores de Risco , Estudos Soroepidemiológicos , Fatores Socioeconômicos
17.
J Med Ethics ; 24(5): 345-7, 1998 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-9800592

RESUMO

Judge Christian Byk renders service to the Steering Committee on Bioethics of the Council of Europe (CDBI) by proposing a draft of the protocol destined to fill in a gap in international law on the status of the human embryo. This proposal, printed in a previous issue of the Journal of Medical Ethics deserves nevertheless to be questioned on important points. Is Christian Byk proposing to legalise research on human embryos not only in vitro but also in utero?


Assuntos
Destinação do Embrião/legislação & jurisprudência , Pesquisas com Embriões , Ética Médica , Pesquisa Fetal , Experimentação Humana/legislação & jurisprudência , Europa (Continente) , Feminino , Humanos , Recém-Nascido , Internacionalidade , Experimentação Humana não Terapêutica , Gravidez , Gestantes , Criação de Embriões para Pesquisa , Controle Social Formal , Experimentação Humana Terapêutica
18.
Ugeskr Laeger ; 158(47): 6778-80, 1996 Nov 18.
Artigo em Dinamarquês | MEDLINE | ID: mdl-8992699

RESUMO

A series of 180 pregnant women with normal pregnancies participated in the study. A questionnaire concerning the presence of headache, fatigue and oedema of the lower limbs was filled out daily from the 30th gestational week to delivery. After the study period 120 questionnaires, of whom eight were excluded, were available for analysis. The weekly prevalences of headache and fatigue during the observation-period were nearly constant with values of 20% and 50%, respectively. The weekly prevalence of oedema increased significantly from 20% in the 31st week to 60% in the 42nd gestational week. Thirty-five percent had not suffered from headache, 22% did not report fatigue, and 42% did not describe oedema at all during the third trimester. The prevalence of headache and fatigue correlated significantly to increasing parity whereas headache was significantly correlated to decreasing age. Headache, fatigue, and oedema are common symptoms in the third trimester of normal pregnancy, and as such their presence alone should not usually give cause for suspicion of disease.


Assuntos
Edema/etiologia , Fadiga/etiologia , Cefaleia/etiologia , Complicações na Gravidez , Feminino , Humanos , Perna (Membro)/fisiopatologia , Gravidez , Complicações na Gravidez/diagnóstico , Terceiro Trimestre da Gravidez , Estudos Prospectivos , Inquéritos e Questionários
19.
Eur J Clin Microbiol Infect Dis ; 15(10): 799-805, 1996 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-8950557

RESUMO

Classification systems and case definitions provide the foundations upon which clinical and epidemiological studies are based. The European Research Network on Congenital Toxoplasmosis acknowledged the lack of such a system or definitions within its field of interest and established a working group to address the issue. Congenital Toxoplasma gondii infection was defined as occurring in four separate patient groups: pregnant women, fetuses, infants, and individuals > 1 year of age. The likelihood of Toxoplasma gondii infection was separated into five mutually exclusive categories: definite, probable, possible, unlikely, and not infected. Inclusion within a specific category is dependent upon the case definition, which is in turn derived from criteria based on serological, parasitological, and clinical information. Notes are included within the classification not only to clarify the definitions, but also to improve the reliability and quality of diagnosis. The goal is to construct a system that encompasses all aspects of congenital toxoplasmosis, which is applicable to different countries and health services, suitable for large epidemiological studies, aids the diagnosis and management of individual cases, and lends itself to computerisation.


Assuntos
Toxoplasmose/classificação , Toxoplasmose/diagnóstico , Feminino , Humanos , Recém-Nascido , Transmissão Vertical de Doenças Infecciosas , Gravidez , Complicações Parasitárias na Gravidez/classificação , Complicações Parasitárias na Gravidez/diagnóstico , Toxoplasmose/transmissão
20.
Ugeskr Laeger ; 158(27): 3935-9, 1996 Jul 01.
Artigo em Dinamarquês | MEDLINE | ID: mdl-8701510

RESUMO

Toxoplasmosis is a major and preventable cause of severe visual loss and blindness in young people. Ocular toxoplasmosis is the leading cause of posterior uveitis and in most cases it represents a late manifestation of a congenital infection. The clinical picture and anti-Toxoplasma therapy of seven patients referred to the Department of Infectious Diseases, Hvidovre Hospital is described. All patients had clinical ocular toxoplasmosis at initial examination with unilateral focal necrotizing retinitis associated with typical old, pigmented scars. All patients had anti-toxoplasmosis IgG antibodies. After anti-Toxoplasma therapy with sulfadiazine, pyrimethamine and corticosteroid the ocular lesions were healed to atrophic scars and the inflammatory activity disappeared. We conclude that when the clinical picture is compatible with toxoplasmosis, antibodies to Toxoplasma gondii are demonstrated and there is no other diagnosis, anti-Toxoplasma treatment should be considered. It is important to inform pregnant women about prophylactic measures, and to perform a serological screening of newborns, since treatment of congenital toxoplasmosis from birth improves the prognosis.


Assuntos
Coriorretinite/tratamento farmacológico , Toxoplasmose Ocular/tratamento farmacológico , Adolescente , Adulto , Aminoglicosídeos , Antibacterianos/administração & dosagem , Anti-Infecciosos Urinários/administração & dosagem , Antimaláricos/administração & dosagem , Coriorretinite/diagnóstico , Coriorretinite/microbiologia , Clindamicina/administração & dosagem , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Gravidez , Pirimetamina/administração & dosagem , Estudos Retrospectivos , Toxoplasmose Ocular/diagnóstico , Combinação Trimetoprima e Sulfametoxazol/administração & dosagem
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