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1.
Gen Comp Endocrinol ; 348: 114447, 2024 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-38216096

RESUMO

In earlier studies, wild-caught greater amberjack Seriola dumerili (Risso, 1810) males reared in sea cages showed gametogenesis impairment and low sperm production and quality. Here, we (a) examined if F1 hatchery-produced males reared in sea cages also exhibit reproductive dysfunctions and (b) evaluated the effects of gonadotropin releasing hormone agonist (GnRHa) administration through injections (GnRHainj) or sustained-release implants (GnRHaimpl), and human chorionic gonadotropin (hGC) injections on spermatogenesis/spermiation enhancement. Fish were given a hormone treatment just prior to the spawning season, and were transferred to land-based tanks, according to an established spawning induction protocol. Blood samples (n = 6) were obtained on Days 0, 7 and 13 after treatment. Testis samples were obtained on Days 0 (n = 4) and 13 (n = 2 per treatment). The fish prior to their transfer from the sea cages to the land-based tanks, exhibited a low gonadosomatic index, altered sex steroid hormone profile and high density of testicular apoptotic cells. After transfer to tanks, there was a general depression of sex steroid plasma levels parallel to an increase in cortisol concentrations. Despite the negative effect on steroidogenesis by the transfer from the sea, the hormonal treatments increased the number of fish from where sperm could be obtained, as well as testis growth, and reduced testicular apoptosis. Treatment with hCG resulted in the most significant changes in spermatogenesis, while GnRHaimpl appeared to induce less intense, but likely longer-lasting effects. The study indicated that F1 hatchery-produced males also exhibited reproductive dysfunctions as wild-caught captive-reared greater amberjack, and that the observed positive effects of the hormone treatments on spermiation/spermatogenesis were likely mediated by factors other than sex steroid hormones.


Assuntos
Perciformes , Sêmen , Animais , Humanos , Masculino , Espermatogênese , Peixes , Testículo , Hormônios/farmacologia
2.
Transfus Clin Biol ; 28(1): 55-59, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33096208

RESUMO

BACKGROUND: Although the SARS-CoV-2 virus is transmitted mainly through the respiratory tract, possible transmission by transfusion from asymptomatic carriers should be explored. As yet there are no reports of transfusion transmission of COVID-19. Haemovigilance findings within a three-month surveillance period during the new coronavirus pandemic are presented. MATERIALS AND METHODS: Due to great demand and shortage, blood sessions in outpatient facilities were organized during the high prevalence period of COVID-19, alongside a national plan to monitor the evolving public health situation by random molecular screening of high-risk groups of the population. Haemovigilance protocols were implemented as well as surveillance for any COVID-19 case reported post-transfusion. A 14-day quarantine and follow-up molecular and antibody testing of any COVID-19 positive case was obligatory. RESULTS: Post-donation, post-transfusion information and molecular testing of swab samples collected from three asymptomatic donors at risk for COVID-19, revealed the case of an immunosupressed patient who had been transfused with whole blood derived platelets from a donor subsequently diagnosed with COVID-19. The recipient exhibited no symptoms of the disease. Molecular and antibody testing results were negative. CONCLUSION: Haemovigilance provided information supporting the absence of transfusion transmission of COVID-19, thus strengthening the hypothesis that, even if it cannot yet be definitively ruled out, COVID-19 is not transmitted through blood transfusion. As of early June 2020, a perfect test does not exist, therefore haemovigilance along with the implementation of strict proactive measures is crucial to identify eluding asymptomatic individuals and ensure blood safety during the pandemic.


Assuntos
Transfusão de Componentes Sanguíneos/efeitos adversos , Doadores de Sangue , Segurança do Sangue , COVID-19/transmissão , Seleção do Doador/normas , Pandemias , SARS-CoV-2/isolamento & purificação , Viremia/transmissão , Adulto , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Infecções Assintomáticas , COVID-19/sangue , COVID-19/diagnóstico , COVID-19/prevenção & controle , Teste para COVID-19 , Busca de Comunicante , Feminino , Grécia/epidemiologia , Humanos , Hospedeiro Imunocomprometido , Leucemia Mieloide Aguda/tratamento farmacológico , Leucemia Mieloide Aguda/terapia , Masculino , Pessoa de Meia-Idade , Plasma Rico em Plaquetas , Polícia , Viremia/sangue , Viremia/diagnóstico
3.
Sci Total Environ ; 578: 257-267, 2017 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-27856058

RESUMO

In the present study, the photocatalytic activity of TiO2-based photocatalysts toward degradation and mineralization of the anti-cancer drug 5-fluorouracil (5-FU) in aqueous phase was investigated under simulated solar and visible irradiation. Commercial TiO2 (P25) and N/S-doped TiO2 catalysts synthesized by a simple sol-gel method were used as photocatalysts. TiO2 P-25 was found to be the most photoactive catalyst for the removal of 5-FU, under simulated solar irradiation. Among N/S-doped TiO2 catalysts, the one with molar Ti:N/S ratio equal to 0.5 was the most efficient under simulated solar irradiation. In contrast, under visible irradiation the catalyst with equimolar Ti:N/S ratio showed the highest performance for the removal of 5-FU. Scavenging experiments revealed that HO radicals and h+ were the major reactive species mediating photocatalytic degradation of 5-FU using TiO2 P-25 and N/S-doped TiO2 catalysts, under simulated solar irradiation. On the other hand, the essential contribution of 1O2 and O2- in the degradation of 5-FU under visible light was proved. The transformation products (TPs) of 5-FU, were identified by LC-MS-TOF suggesting that defluorination followed by hydroxylation and oxidation are the main transformation pathways, under all the studied photocatalytic systems.


Assuntos
Fluoruracila/isolamento & purificação , Fotólise , Titânio/química , Catálise , Luz
4.
Ann Neurol ; 78(6): 982-994, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26418456

RESUMO

OBJECTIVE: Mutations in TPM3, encoding Tpm3.12, cause a clinically and histopathologically diverse group of myopathies characterized by muscle weakness. We report two patients with novel de novo Tpm3.12 single glutamic acid deletions at positions ΔE218 and ΔE224, resulting in a significant hypercontractile phenotype with congenital muscle stiffness, rather than weakness, and respiratory failure in one patient. METHODS: The effect of the Tpm3.12 deletions on the contractile properties in dissected patient myofibers was measured. We used quantitative in vitro motility assay to measure Ca(2+) sensitivity of thin filaments reconstituted with recombinant Tpm3.12 ΔE218 and ΔE224. RESULTS: Contractility studies on permeabilized myofibers demonstrated reduced maximal active tension from both patients with increased Ca(2+) sensitivity and altered cross-bridge cycling kinetics in ΔE224 fibers. In vitro motility studies showed a two-fold increase in Ca(2+) sensitivity of the fraction of filaments motile and the filament sliding velocity concentrations for both mutations. INTERPRETATION: These data indicate that Tpm3.12 deletions ΔE218 and ΔE224 result in increased Ca(2+) sensitivity of the troponin-tropomyosin complex, resulting in abnormally active interaction of the actin and myosin complex. Both mutations are located in the charged motifs of the actin-binding residues of tropomyosin 3, thus disrupting the electrostatic interactions that facilitate accurate tropomyosin binding with actin necessary to prevent the on-state. The mutations destabilize the off-state and result in excessively sensitized excitation-contraction coupling of the contractile apparatus. This work expands the phenotypic spectrum of TPM3-related disease and provides insights into the pathophysiological mechanisms of the actin-tropomyosin complex.


Assuntos
Contração Muscular , Fibras Musculares Esqueléticas/patologia , Doenças Musculares/genética , Tropomiosina/genética , Pré-Escolar , Exoma , Feminino , Humanos , Masculino , Doenças Musculares/patologia , Doenças Musculares/fisiopatologia , Mutação , Fenótipo , Insuficiência Respiratória , Deleção de Sequência
5.
Transplant Proc ; 46(9): 3187-90, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-25420855

RESUMO

INTRODUCTION: The purpose of this study is to present the five-year survival and function of the renal allograft of recipients who were diagnosed with BK viremia and viruria during the first year after renal transplantation. PATIENTS AND METHODS: BK virus was studied in 32 new renal allograft recipients, from the first postoperative day until 18 months after the transplantation. Real-time polymerase chain reaction was used to detect and quantitate BK viral load in serum and urine samples. RESULTS: Qualitative analysis with PCR for the DNA of BK virus showed 31 (31/228, 14%) positive serum samples originating from 20 (20/32, 62%) renal allograft recipients and 57 (57/228, 25%) positive urine samples originating from 23 (23/32, 72%) recipients. During the follow up period of 5 years, renal allograft function remained stable (eGFR 18(th) month: 53.9 ± 23.9 mL/min/1.73 m(2) and eGFR 5(th) year: 52.6 ± 20.6 mL/min/1.73 m(2)). Comparison of recipients that presented with either BK viremia or viruria with a group that did not present viral reactivation did not reveal a statistically significant difference in eGFR. Furthermore, recipients with significantly high viral load in serum or urine did not present renal allograft dysfunction. CONCLUSION: BK virus is potentially pathogenic in renal allograft recipients. It is certain that there is a reactivation of the virus in a high percentage of transplanted patients mostly in the first year after the surgery, without however a negative effect of the transient viremia and viruria in renal allograft function.


Assuntos
Vírus BK/genética , DNA Viral/análise , Sobrevivência de Enxerto , Transplante de Rim , Rim/fisiopatologia , Infecções por Polyomavirus/virologia , Viremia/virologia , Adulto , Idoso , Feminino , Seguimentos , Taxa de Filtração Glomerular , Humanos , Rim/patologia , Masculino , Pessoa de Meia-Idade , Infecções por Polyomavirus/sangue , Infecções por Polyomavirus/urina , Complicações Pós-Operatórias , Reação em Cadeia da Polimerase em Tempo Real , Fatores de Tempo , Transplante Homólogo , Urina/virologia , Carga Viral , Viremia/sangue , Viremia/diagnóstico , Adulto Jovem
6.
Int J Oral Maxillofac Surg ; 43(3): 305-10, 2014 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-24246948

RESUMO

The purpose of this prospective study was to evaluate the outcomes of endoscopic vertical ramus osteotomy (EVRO) with rigid fixation for the treatment of mandibular prognathism or asymmetry. Inclusion criteria were age >15 years, adequate clinical and radiographic documentation, and minimum postoperative follow-up of 3 years. Exclusion criteria were refusal to consent, rheumatoid arthritis, steroid use, and smoking. Demographic data, pre-operative (T0), immediate postoperative (T1), and latest follow-up (T2) clinical examinations and cephalometric analysis, procedure data, complications, and length of hospital stay (LOS) were documented. Ten fulfilled the inclusion criteria. Diagnoses included mandibular hyperplasia (n = 5), stable condylar hyperplasia (n = 4), and mandibular asymmetry secondary to condylar resorption (n = 1). In total, 17 EVROs were performed. The mean operative time was 33 min per side. Mean mandibular setback was 4.7 mm. Mean LOS was 1.9 days. Latest follow-up ranged from 3 to 5 years. Skeletal stability was confirmed in nine patients. One patient exhibited recurrence of mandibular prognathism at 5 years due to late growth. No VII nerve deficits were encountered. Inferior alveolar nerve (IAN) paresthesia was noted in four patients, which resolved postoperatively. EVRO was fast and resulted in minimal blood loss, quick recovery, and skeletal stability.


Assuntos
Endoscopia/métodos , Osteotomia Sagital do Ramo Mandibular/métodos , Prognatismo/cirurgia , Adolescente , Adulto , Feminino , Humanos , Estudos Longitudinais , Masculino , Má Oclusão Classe III de Angle , Estudos Prospectivos , Resultado do Tratamento
7.
J Fish Dis ; 34(6): 459-74, 2011 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-21545440

RESUMO

Chronic ulcerative dermatopathy (CUD) also known as chronic erosive dermatopathy, hole-in-the-head, head and lateral line erosion syndrome (HLLE) and lateral line depigmentation (LLD) is a chronic disease of unknown aetiology that affects the lateral line canals of the head and the trunk of various fish species. It has been described only in freshwater species although there are reports that it also affects marine fish. Here, we describe the disease in cultured sharpsnout sea bream using histology and scanning electron microscopy and identify several marine species as CUD sensitive. The results of this study correlate the development of the disease with the use of borehole water, indicating that the aetiology is probably associated with water quality rather than nutritional imbalance or infectious agents.


Assuntos
Doenças dos Peixes/etiologia , Doenças dos Peixes/patologia , Perciformes , Dermatopatias/veterinária , Animais , Aquicultura , Grécia , Sistema da Linha Lateral/patologia , Microscopia Eletrônica de Varredura , Prevalência , Dermatopatias/etiologia , Dermatopatias/patologia , Água/química
8.
Int J Oral Maxillofac Surg ; 36(12): 1193-7, 2007 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-18036780

RESUMO

The general advantages of laser surgery, such as decreased bleeding and dry surgical field, reduced postoperative pain and less oedema, have led to a continuous interest in laser applications for bone cutting. The ability to cut bone with a laser beam would also be of great technical benefit in minimally invasive maxillofacial surgery (endoscopic). The Erbium:yttrium aluminum garnet (Er:YAG) laser has been demonstrated to result in minimal thermal damage of bone, precise cutting, rapid osseous healing and osteoinduction. The purpose of this study was to assess the feasibility of using Er:YAG laser to perform vertical ramus osteotomy, and to determine the most efficient energy per pulse for its completion. Two fresh pig mandibles, one pig cadaver head and one human mandible were used. A different energy per pulse (0.5, 1, 1.5 and 2J/pulse) was used for each osteotomy on the pig mandibles (n=4). Vertical ramus osteotomy was feasible with all energy settings but time decreased considerably from 28 to 5.33 min as the energy per pulse increased. The human and the pig cadaver head mandibles were osteotomized bilaterally with 2000 mJ/pulse that was the most efficient in terms of time. Bone cuts were smooth with no carbonization in all cases.


Assuntos
Lasers de Estado Sólido/uso terapêutico , Mandíbula/cirurgia , Osteotomia/métodos , Animais , Estudos de Viabilidade , Humanos , Lasers de Estado Sólido/efeitos adversos , Suínos , Fatores de Tempo
9.
Water Sci Technol ; 55(12): 47-52, 2007.
Artigo em Inglês | MEDLINE | ID: mdl-17674826

RESUMO

The mechanisms and kinetics of the sonochemical degradation of organic molecules in water are relatively complex since several parameters such as physicochemical properties, substrate concentration, water matrix, reactor geometry, ultrasound properties (frequency, power, emission system) all typically affect the process. In this work, simple kinetic models were used to predict the degradation of 2-chlorophenol and sodium dodecylbenzene sulphonate in aqueous solutions and verified against experimental data taken from previous studies. A pseudo-first order kinetic expression can adequately describe the degradation of the phenolic substrate, while a heterogeneous model based on the Langmuir-Hinshelwood equation is suitable for the surfactant degradation.


Assuntos
Modelos Químicos , Sonicação , Água/química , Benzenossulfonatos/química , Cinética , Temperatura
10.
Biomed Pharmacother ; 60(3): 127-33, 2006 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-16527443

RESUMO

Sclareol is a labdane-type diterpene that has demonstrated a significant cytotoxic activity against human leukemic cell lines. Here, we report the effect of sclareol against the human breast cancer cell lines MN1 and MDD2 derived from the parental cell line, MCF7. MN1 cells express functional p53, whereas MDD2 cells do not express p53. Flow cytometry analysis of the cell cycle indicated that sclareol was able to inhibit DNA synthesis induce arrest at the G(0/1) phase of the cycle apoptosis independent of p53. Sclareol-induced apoptosis was further assessed by detection of fragmented DNA in the cells. Furthermore, sclareol enhanced the activity of known anticancer drugs, doxorubicin, etoposide and cisplatinum, against MDD2 breast cancer cell line.


Assuntos
Antineoplásicos/farmacologia , Apoptose/efeitos dos fármacos , Neoplasias da Mama/metabolismo , Ciclo Celular , Proliferação de Células/efeitos dos fármacos , Diterpenos/farmacologia , Neoplasias da Mama/patologia , Linhagem Celular Tumoral , Cisplatino/farmacologia , Relação Dose-Resposta a Droga , Doxorrubicina/farmacologia , Interações Medicamentosas , Etoposídeo/farmacologia , Feminino , Fase G1 , Humanos , Fase de Repouso do Ciclo Celular , Fase S , Fatores de Tempo , Proteína Supressora de Tumor p53/metabolismo
11.
Ecotoxicol Environ Saf ; 59(1): 31-7, 2004 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-15261720

RESUMO

The histological and ultrastructural localization of heavy metals in the digestive gland of the mussel, Mytilus galloprovincialis, was evaluated using autometallography and X-ray microanalysis on epoxy resin sections. Mussels were collected from two populations along Thermaikos gulf (port of Thessaloniki and Halastra) and one population in Strymonikos Gulf (Olympiada). With the use of autometallography, the light and electron microscopic observations indicated that in the digestive gland, the metals are localized in lysosomal structures, such as heterolysosomes and the residual bodies of digestive cells. Through both techniques, mussels collected from the port of Thessaloniki displayed concentrations of metals higher than those recorded in mussels from Halastra and Olympiada. This fact is consistent with other reports indicating a similar distribution of metals in Thermaikos Gulf and Strymonikos Gulf. The results of the study support the use of both techniques, autometallography and X-ray microanalysis, as a suite of stress indices for pollution biomonitoring studies.


Assuntos
Bivalves/química , Sistema Digestório/química , Metais Pesados/análise , Poluentes Químicos da Água/análise , Animais , Basófilos/química , Bivalves/fisiologia , Sistema Digestório/citologia , Sistema Digestório/ultraestrutura , Monitoramento Ambiental/métodos , Resinas Epóxi , Secções Congeladas , Grécia , Lisossomos/química , Microscopia Eletrônica/métodos , Inclusão em Parafina , Água do Mar , Espectrometria por Raios X
12.
Environ Technol ; 24(12): 1491-500, 2003 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-14977145

RESUMO

The sonochemical degradation of phenol, 2-chlorophenol and 3,4-dichlorophenol in aqueous solutions as a function of several operating conditions has been investigated. Experiments were performed at initial substrate concentrations of 0.1, 0.5 and 1 g l(-1), liquid phase volumes of 0.05, 0.07 and 0.08 l, electric power outputs of 125, 187.5 and 250 W, liquid bulk temperatures of 20, 35, 50 and 70 degrees C and an ultrasound frequency of 20 kHz. Substrate concentration was determined as a function of time by means of high performance liquid chromatography. At the conditions under consideration, the rate of degradation follows first order kinetics with respect to the substrate concentration and increases with increasing electric power and decreasing liquid volume. The relative reactivity appears to decrease in the order: 2-chlorophenol > 3,4-dichlorophenol > phenol. Measurements of liquid phase total organic carbon content showed that degradation by-products are more recalcitrant than the original substrate. The rate of 2-chlorophenol degradation was also found to decrease with decreasing liquid bulk temperature and increasing initial concentration. Addition of t-butanol as a hydroxyl radical scavenger only partially inhibited degradation, thus implying that degradation is likely to proceed via both radical-induced and thermal reactions. Addition of Fe2+ ions at concentrations as low as about 0.2 x 10(3) g l(-1) resulted in increased degradation rates; this is attributed to iron being capable of readily decomposing hydrogen peroxide (generated by water sonolysis) in a Fenton-like process to form hydroxyl radicals as well as being an effective oxidation catalyst. The implications of the use of ultrasound in wastewater treatment are also discussed.


Assuntos
Fenóis/química , Ultrassom , Poluentes da Água/análise , Purificação da Água/métodos , Cinética
14.
J Biomed Mater Res ; 54(1): 47-58, 2001 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-11077402

RESUMO

The attachment, proliferation, morphology, and differentiation of two cell types-skeletal muscle cells and chondrocytes-were investigated on different compositions of poly(ethylene glycol) and poly(butylene terephthalate) segmented block copolymers. Four weight percentages (40, 55, 60, and 70%) and two different molecular weights (300 and 1000 Da) of poly(ethylene glycol) were tested. Varying the weight percentage and molecular weight of poly(ethylene glycol) resulted in different behaviors for skeletal muscle cells and chondrocytes. The attachment of skeletal muscle was the highest (similar to tissue culture polystyrene) when copolymers containing 55 wt % of poly(ethylene glycol) were used, regardless of the poly(ethylene glycol) molecular weight. Maximum proliferation and differentiation of skeletal muscle cells was achieved when copolymers containing 55 wt % and 300 Da molecular weight of poly(ethylene glycol) were used. In contrast, the weight percentage and molecular weight of poly(ethylene glycol) had no significant effect on chondrocyte attachment and proliferation; the attached chondrocytes retained a differentiated phenotype only when a 70 wt % of poly(ethylene glycol) was used. Cell behavior was correlated with the surface properties of the copolymer films, as indicated by contact-angle measurements. These results suggest that an optimized wt % and molecular weight of poly(ethylene glycol) will be useful depending on the specific cell type.


Assuntos
Materiais Biocompatíveis , Condrócitos/fisiologia , Músculo Esquelético/citologia , Poliésteres , Polietilenoglicóis , Animais , Western Blotting , Bovinos , Adesão Celular , Diferenciação Celular/fisiologia , Linhagem Celular , Separação Celular , Condrócitos/ultraestrutura , Técnicas Citológicas , Teste de Materiais , Camundongos , Microscopia Eletrônica de Varredura , Peso Molecular , Músculo Esquelético/ultraestrutura , Propriedades de Superfície
15.
Am J Physiol Heart Circ Physiol ; 280(1): H168-78, 2001 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-11123231

RESUMO

The primary aim of this study was to relate molecular and structural properties of in vitro reconstructed cardiac muscle with its electrophysiological function using an in vitro model system based on neonatal rat cardiac myocytes, three-dimensional polymeric scaffolds, and bioreactors. After 1 wk of cultivation, we found that engineered cardiac muscle contained a 120- to 160-microm-thick peripheral region with cardiac myocytes that were electrically connected through gap junctions and sustained macroscopically continuous impulse propagation over a distance of 5 mm. Molecular, structural, and electrophysiological properties were found to be interrelated and depended on specific model system parameters such as the tissue culture substrate, bioreactor, and culture medium. Native tissue and the best experimental group (engineered cardiac muscle cultivated using laminin-coated scaffolds, rotating bioreactors, and low-serum medium) were comparable with respect to the conduction velocity of propagated electrical impulses and spatial distribution of connexin43. Furthermore, the structural and electrophysiological properties of the engineered cardiac muscle, such as cellularity, conduction velocity, maximum signal amplitude, capture rate, and excitation threshold, were significantly improved compared with our previous studies.


Assuntos
Coração/fisiologia , Miocárdio , Animais , Animais Recém-Nascidos , Reatores Biológicos , Western Blotting , Conexina 43/biossíntese , Creatina Quinase/metabolismo , Creatina Quinase Forma MM , Meios de Cultura , Técnicas de Cultura , Eletrofisiologia , Imunofluorescência , Isoenzimas/metabolismo , L-Lactato Desidrogenase/metabolismo , Laminina , Microscopia Confocal , Microscopia Eletrônica , Miocárdio/citologia , Miocárdio/metabolismo , Cadeias Pesadas de Miosina/metabolismo , Ratos , Ratos Sprague-Dawley
16.
Cardiovasc Intervent Radiol ; 24(4): 224-8, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11779010

RESUMO

PURPOSE: The aim of the present study was to record and identify the frequency of complications following percutaneous nephrostomy, replacement of nephrostomy drains and percutaneous insertion of ureteral endoprostheses. METHODS: During a 10-year period 341 patients were referred to our department with indications for percutaneous nephrostomy and/or percutaneous insertion of a ureteral endoprosthesis, and a total of 1036 interventional procedures were performed (nephrostomy, catheter change, stenting). RESULTS: There were three major complications (0.29%): two patients died during the first 30 days after the procedure, due to aggravation of their condition caused by the procedure, and one patient had retroperitoneal bleeding requiring surgery. There were 76 complications of intermediate severity (7.33%): catheter or stent displacement (n = 37, 3.57%) catheter occlusion (n = 18, 1.73%), hematuria (n = 12, 1.16%), and urinary tract infection (n = 9, 0.87%). The 55 minor complications (5.3%) comprised inflammation of the skin at the site of insertion of the percutaneous catheter. CONCLUSION: The small number of complications observed during acts of interventional uroradiology prove transcutaneous manipulations to be safe medical procedures.


Assuntos
Nefrostomia Percutânea/efeitos adversos , Complicações Pós-Operatórias , Stents , Ureter/cirurgia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Hidronefrose/cirurgia , Masculino , Pessoa de Meia-Idade , Procedimentos Cirúrgicos Minimamente Invasivos/efeitos adversos , Radiografia Intervencionista , Ultrassonografia de Intervenção , Ureter/diagnóstico por imagem , Obstrução Ureteral/diagnóstico por imagem , Obstrução Ureteral/cirurgia
18.
Diabetes Res Clin Pract ; 45(2-3): 89-99, 1999 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-10588360

RESUMO

Diabetes mellitus is associated with increased frequency, severity and more rapid progression of cardiovascular diseases. Metabolic perturbations from hyperglycemia result in disturbed endothelium-dependent relaxation, activation of coagulation pathways, depressed fibrinolysis, and other abnormalities in vascular homeostasis. Atherosclerosis is localized mainly at areas of geometric irregularity at which blood vessels branch, curve and change diameter, and where blood is subjected to sudden changes in velocity and/or direction of flow. Shear stress resulting from blood flow is a well known modulator of vascular cell function. This paper presents what is currently known regarding the molecular mechanisms responsible for signal transduction and gene regulation in vascular cells exposed to shear stress. Considering the importance of the hemodynamic environment of vascular cells might be vital to increasing our understanding of diabetes.


Assuntos
Vasos Sanguíneos/fisiopatologia , Complicações do Diabetes , Diabetes Mellitus/fisiopatologia , Angiopatias Diabéticas/fisiopatologia , Endotélio Vascular/fisiopatologia , Regulação da Expressão Gênica , Animais , Vasos Sanguíneos/metabolismo , Doenças Cardiovasculares/etiologia , Doenças Cardiovasculares/genética , Doenças Cardiovasculares/fisiopatologia , Diabetes Mellitus/genética , Angiopatias Diabéticas/genética , Endotélio Vascular/metabolismo , Humanos , Modelos Cardiovasculares , Estresse Mecânico
19.
Acta Radiol ; 40(5): 528-33, 1999 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-10485243

RESUMO

PURPOSE: Evaluation of the treatment of malignant obstructive jaundice by percutaneous insertion of uncovered stents. MATERIAL AND METHODS: 51 patients (35 men, 16 women) with inoperable malignant biliary obstruction underwent percutaneous placement of uncovered Wallstent biliary endoprostheses. A total of 65 endoprostheses were inserted. RESULTS: The technical success rate was 98%, and the procedure-related complications rate was 10%. Early complications rate within the first 30 days was 2%. The clinical success rate within the first 30 days was 98% and the 30-day mortality rate was 2%. The late complications rate was 16%. The overall stent occlusion rate was 18% at a mean of 288.4 days. Mean survival time of the 50 patients was 214 days, and the mean total duration of hospital stay was 9.8 days. CONCLUSIONS: The advantages of uncovered Wallstent endoprostheses justify their placement in patients with inoperable malignant obstructive jaundice since patients' quality of life is markedly improved. Stent insertion is associated with a low complication rate, most stents remain patent longer than the patients' survival time and patients' hospital stay is relatively short.


Assuntos
Colestase/cirurgia , Neoplasias/complicações , Cuidados Paliativos/métodos , Implantação de Prótese/métodos , Stents , Adulto , Idoso , Idoso de 80 Anos ou mais , Colangiografia , Colestase/diagnóstico por imagem , Colestase/etiologia , Colestase/mortalidade , Feminino , Seguimentos , Humanos , Tempo de Internação , Masculino , Pessoa de Meia-Idade , Neoplasias/diagnóstico , Neoplasias/mortalidade , Estudos Retrospectivos , Taxa de Sobrevida , Resultado do Tratamento
20.
Am J Physiol ; 277(2): H433-44, 1999 08.
Artigo em Inglês | MEDLINE | ID: mdl-10444466

RESUMO

The objective of this study was to establish a three-dimensional (3-D) in vitro model system of cardiac muscle for electrophysiological studies. Primary neonatal rat ventricular cells containing lower or higher fractions of cardiac myocytes were cultured on polymeric scaffolds in bioreactors to form regular or enriched cardiac muscle constructs, respectively. After 1 wk, all constructs contained a peripheral tissue-like region (50-70 micrometer thick) in which differentiated cardiac myocytes were organized in multiple layers in a 3-D configuration. Indexes of cell size (protein/DNA) and metabolic activity (tetrazolium conversion/DNA) were similar for constructs and neonatal rat ventricles. Electrophysiological studies conducted using a linear array of extracellular electrodes showed that the peripheral region of constructs exhibited relatively homogeneous electrical properties and sustained macroscopically continuous impulse propagation on a centimeter-size scale. Electrophysiological properties of enriched constructs were superior to those of regular constructs but inferior to those of native ventricles. These results demonstrate that 3-D cardiac muscle constructs can be engineered with cardiac-specific structural and electrophysiological properties and used for in vitro impulse propagation studies.


Assuntos
Engenharia Biomédica , Músculos Papilares/fisiologia , Envelhecimento/fisiologia , Animais , Animais Recém-Nascidos , Biodegradação Ambiental , Engenharia Biomédica/instrumentação , Engenharia Biomédica/métodos , Técnicas de Cultura , Eletrofisiologia , Ventrículos do Coração , Técnicas Histológicas/instrumentação , Músculos Papilares/citologia , Polímeros , Ratos , Ratos Sprague-Dawley
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