WorldWideScience

Sample records for caracteristicas clinicas hormonales

  1. Dispensacion de anticonceptivos hormonales orales

    OpenAIRE

    Molinero Crespo, Ana María; Diego Martinez , Cristina de; Méndez Mora-Figueroa, Pilar; Esteso, Pilar; García Valiente, Paloma; González, Ana; Peiró Martínez, Alicia; Pérez Martín, Vanessa

    2010-01-01

    El 80% de las mujeres españolas en edad fértil utilizan métodos anticonceptivos. Los anticonceptivos orales hormonales son los que obtienen mayor grado de satisfacción entre las usuarias siendo el segundo método utilizado. Método Estudio observacional descriptivo en 7 farmacias de la Comunidad de Madrid. Durante seis meses (enero-junio de 2009) se realizó una entrevista en el mostrador a las usuarias de métodos anticonceptivos hormonales orales para conocer qué tipo de paciente los dema...

  2. Síndromes hormonales paraneoplásicos

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    L. Forga

    Full Text Available En términos generales, podemos definir los síndromes paraneoplásicos como una combinación de efectos que ocurren lejos del lugar originario del tumor e independientemente de la repercusión local de sus metástasis. Los síndromes hormonales paraneoplásicos dependen de la secreción de péptidos hormonales o sus precursores, de citokinas y, más raramente, de hormonas tiroideas y vitamina D, que actúan de forma endocrina, paracrina o autocrina. A veces, los síndromes paraneoplásicos pueden ser más graves que las consecuencias del propio tumor primario y pueden preceder, ir en paralelo o seguir a las manifestaciones clínicas de dicho tumor. Es importante reconocer un síndrome hormonal paraneoplásico por diversas razones entre las que cabe destacar tres: 1 Puede conducir al diagnóstico de una neoplasia subyacente, benigna o maligna, previamente desconocida; 2 Puede dominar el cuadro clínico y, por tanto, inducir a errores en cuanto al origen y tipo de tumor primario y 3 Puede seguir el curso clínico del tumor subyacente y así ser útil para monitorizar su evolución. Son poco conocidos los mecanismos moleculares responsables del desarrollo de estos síndromes pero se considera que pueden ser inherentes a las mutaciones responsables del tumor primario o depender de factores epigenéticos como la metilación. En esta revisión contemplaremos los siguientes síndromes hormonales paraneoplásicos: hipercalcemia de malignidad, hiponatremia (secreción inadecuada de hormona antidiurética, síndrome de Cushing ectópico, acromegalia ectópica, hipoglucemia por tumores distintos a los de células de los islotes, ginecomastia paraneoplásica y una breve referencia final a otras hormonas (calcitonina, somatostatina y VIP.

  3. EFECTO ABORTIVO DE LOS ANTICONCEPTIVOS HORMONALES: UNA REVISIÓN

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    PAU AGULLES SIMÓ

    2015-01-01

    Full Text Available En gran parte de la comunidad científica, así como del ámbito jurídico, al tratar del embrión no nacido, está vigente el criterio según el cual hay que definir el embarazo como el período que comprende sólo desde la implantación hasta el nacimiento natural. Esto lleva consigo otras novedades; por ejemplo, la redefinición de aborto como la eliminación del embrión sólo en ese período, o la extensión de la anticoncepción a cualquier medio que impida la unión entre los gametos como consecuencia de una relación íntima, o también que elimine el producto de la concepción antes de su implantación. De modo que la industria farmacéutica está lanzando al mercado, bajo el nombre de anticonceptivos, productos que actúan también mediante un mecanismo antiimplantatorio. Este hecho tiene grandes repercusiones éticas con relación al respeto del embrión, que obligan a reflexionar acerca de la valoración moral de la prescripción, dispensación y uso de estos medios. Ahora bien, ¿cuáles de los medios contraceptivos actualmente presentes en el mercado incluyen un efecto antiimplantatorio?, ¿qué mecanismos contribuyen a su acción farmacológica y en qué medida lo hacen? Esto es lo que hemos estudiado en este artículo, basándonos en la bibliografía científica disponible. Aunque no ha sido una tarea sencilla, puesto que los resultados aportados por la literatura varían mucho, se ha tratado de ofrecer una conclusión bastante precisa. Básicamente hemos cumplido un doble objetivo: actualizar y completar los estudios —pocos, parciales o lejanos en el tiempo— que tenían este mismo objeto; y ofrecer una valoración ética respecto al respeto de la vida naciente del uso de los anticonceptivos hormonales que pueden tener efecto antiimplantatorio.

  4. An evening at "La Clinica del Pueblo".

    Science.gov (United States)

    Shefsky, M L

    1986-01-01

    This article describes a typical evening at the Clinica del Pueblo in the Hispanic neighborhood of Adams-Morgan in Washington, D.c. The Clinical del Pueblo began operating in 1983 in response to the urgen medical needs of Central American refugees arriving in the Washington D.c. area. The refugees bring with them severe trauma, fear, and health problems caused by the civil was and exacerbated by inadequate or non-existant health services. Approximately 80,000 Salvadoran refugees live in the area. They do not receive adequate health care for 3 reasons. 1) Because the US goverment is unwilling to recognize them as true refugees, they live with the constant threat of deportatin back to the violence from which they have fled. 2) Refugees lack the ability to pay for private care. 3) Langauage and culture create frightening barriers to health care for the refugees. For those who do seek care, these barriers can lead to the inadequate or incomplete diagnoses and poor compliance and follow-up. Plenty International and the Central American Refugee Center responded to these problems by organizing a free clinic to provide not only medical care but also a training course for volunteers. The director of the clinic organizes the course, the classes are taught by a variety of people including the clinic's volunteer physicians, nurses, and public health educators as well as graduates of previus training courses and people from the wider community. The services of the clinic reach only a small portion of the population in need. However, the fact that free medical services are now available to some Central American refugees make the Clinica del Pueblo an important program.

  5. Hepatocarcinoma gigante unifocal en mujer con ingesta prolongada de anticonceptivos hormonales: ¿casualidad o causalidad?

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    VICTOR MANUEL LOPEZ MOURIÑO

    2016-12-01

    Full Text Available Presentamos un caso de una paciente de mediana edad con ingesta mantenida de anticonceptivos hormonales (AH que desarrolla múltiples adenomas hepáticos (asociación bien documentada y un carcinoma hepatocelular (CHC unifocal gigante sin encontrar otros factores de riesgo para el mismo (enolismo, tabaquismo, cirrosis, hemocromatosis,..... Si bien en la literatura no hay unanimidad respecto a la asociación del consumo de AH con el CHC, algunos autores ya contemplaron esa posibilidad, excluyendo también otras etiologías reconocidas de CHC, por lo que debería reevaluarse si su asociación es aleatoria o por el contrario existe nexo causal.

  6. Síndromes hormonales paraneoplásicos Paraneoplastic hormonal syndromes

    Directory of Open Access Journals (Sweden)

    L. Forga

    2005-08-01

    Full Text Available En términos generales, podemos definir los síndromes paraneoplásicos como una combinación de efectos que ocurren lejos del lugar originario del tumor e independientemente de la repercusión local de sus metástasis. Los síndromes hormonales paraneoplásicos dependen de la secreción de péptidos hormonales o sus precursores, de citokinas y, más raramente, de hormonas tiroideas y vitamina D, que actúan de forma endocrina, paracrina o autocrina. A veces, los síndromes paraneoplásicos pueden ser más graves que las consecuencias del propio tumor primario y pueden preceder, ir en paralelo o seguir a las manifestaciones clínicas de dicho tumor. Es importante reconocer un síndrome hormonal paraneoplásico por diversas razones entre las que cabe destacar tres: 1 Puede conducir al diagnóstico de una neoplasia subyacente, benigna o maligna, previamente desconocida; 2 Puede dominar el cuadro clínico y, por tanto, inducir a errores en cuanto al origen y tipo de tumor primario y 3 Puede seguir el curso clínico del tumor subyacente y así ser útil para monitorizar su evolución. Son poco conocidos los mecanismos moleculares responsables del desarrollo de estos síndromes pero se considera que pueden ser inherentes a las mutaciones responsables del tumor primario o depender de factores epigenéticos como la metilación. En esta revisión contemplaremos los siguientes síndromes hormonales paraneoplásicos: hipercalcemia de malignidad, hiponatremia (secreción inadecuada de hormona antidiurética, síndrome de Cushing ectópico, acromegalia ectópica, hipoglucemia por tumores distintos a los de células de los islotes, ginecomastia paraneoplásica y una breve referencia final a otras hormonas (calcitonina, somatostatina y VIP.We can define paraneoplastic syndromes as a combination of effects occurring far from the original location of the tumour and independently from the local repercussion of its metastases. Paraneoplastic hormonal syndromes

  7. The first century of the "clinica del lavoro" in Milan.

    Science.gov (United States)

    Bertazzi, Pier Alberto; Foà, Vito

    2005-01-01

    The Clinica del Lavoro was created in Milan at the beginning of the 20th century by Luigi Devotto, who deemed it essential for physicians and health researchers to get involved in the life and health problems of working populations. The main roles of the Clinica del Lavoro were to educate medical students and train physicians; study actual workplaces, examine health and safety hazards and their noxious effects; and create initiatives and services to protect and promote workers' health. Important scientific contributions were made in several fields, including chemical carcinogenesis, effects of mineral and biologicalfibers, mechanism of action of silica dust, methods for the detection and measurements of toxic substances in both the work environment and workers' biological media.

  8. Book review. Semeiologia Clinica Veterinaria. (a cura di Paolo Ciaramella

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    Manuel Graziani

    2014-09-01

    Full Text Available Il grado di specializzazione raggiunto nel settore clinico veterinario non è dissimile da quello presente in campo umano, soprattutto se si pensa agli animali d'affezione che sono oramai considerati parte integrante di una società moderna e civile in cui anche il fattore benessere animale ha acquisito importanza non secondaria, in particolare nell'allevamento degli animali da reddito. In questo contesto è sempre più richiesta la figura di uno specialista competente e aggiornato, in grado di risolvere in modo adeguato le problematiche che gli vengono proposte, in un mercato in concorrenza che non contempla imperizia, inesperienza e ignoranza professionale. Lo studio della semeiologia clinica è uno dei primi passi di questo lungo e affascinate cammino che permette di apprendere un metodo di analisi sistematico, affidabile, efficiente e accurato per educare il futuro medico veterinario verso le procedure della buona pratica clinica. La semeiotica insegna ad allenare i propri sensi: a guardare attraverso l'osservazione diretta e indiretta, a sentire ascoltando suoni o rumori, a percepire sensazioni tattili e, non da ultimo, a saper discernere con cognizione e competenza quando ricorrere alle indagini strumentali e di laboratorio; sempre e comunque nella consapevolezza che non possono in nessun modo sostituire l'esame fisico diretto del paziente. Paolo Ciaramella, professore ordinario di Clinica Medica Veterinaria all'Università Federico II di Napoli, presenta così il volume che ha curato: "L'idea di questo libro ha preso forma durante un simposio di medicina interna tenutosi a Torino nel 2008. Con alcuni colleghi presenti si pensò alla possibilità di elaborare un nuovo testo di Semeiotica Medica che potesse ampliare e aggiornare il glorioso Messieri e Moretti, non tanto perché esso avesse perduto il suo valore intrinseco, quanto piuttosto perché nel corso degli anni sono cambiate la patologia animale e con essa la semeiotica e la clinica

  9. Acta Clinica Croatica: progress of a journal step by step.

    Science.gov (United States)

    Ramljak, Gordana

    2014-03-01

    The journal Acta Clinica Croatica (ACC) was founded in 1962 under the title Anali Bolnice Dr. M. Stojanović. In 1995, the title of the journal was changed into its present form and ever since all papers have been published in English. In 2000, the electronic (online) edition of the ACC was released in addition to the print version. The paper presents development of the journal from 1962 to 2012 based on the analysis of the following SCOPUS citation index parameters: type and number of documents published in the journal; number of citations; and number of domestic and foreign authors. The studied period was analyzed in three time segments: the period from 1995 to 1999, the period from 2000 to 2006 and the period from 2007 to 2012. The same parameters were analyzed in the Web of Science/SCI-Expanded bibliographic and citation index for the 2007-2012 period. The increasing number of documents, authors (both domestic and foreign) and citations demonstrates gradual rise in the quality, visibility and impact of the journal. The fifty years of experience show that a goal, at first very distant and almost unachievable, may be reached by progressing step by step.

  10. OC ToGo: bed site image integration into OpenClinica with mobile devices

    Science.gov (United States)

    Haak, Daniel; Gehlen, Johan; Jonas, Stephan; Deserno, Thomas M.

    2014-03-01

    Imaging and image-based measurements nowadays play an essential role in controlled clinical trials, but electronic data capture (EDC) systems insufficiently support integration of captured images by mobile devices (e.g. smartphones and tablets). The web application OpenClinica has established as one of the world's leading EDC systems and is used to collect, manage and store data of clinical trials in electronic case report forms (eCRFs). In this paper, we present a mobile application for instantaneous integration of images into OpenClinica directly during examination on patient's bed site. The communication between the Android application and OpenClinica is based on the simple object access protocol (SOAP) and representational state transfer (REST) web services for metadata, and secure file transfer protocol (SFTP) for image transfer, respectively. OpenClinica's web services are used to query context information (e.g. existing studies, events and subjects) and to import data into the eCRF, as well as export of eCRF metadata and structural information. A stable image transfer is ensured and progress information (e.g. remaining time) visualized to the user. The workflow is demonstrated for a European multi-center registry, where patients with calciphylaxis disease are included. Our approach improves the EDC workflow, saves time, and reduces costs. Furthermore, data privacy is enhanced, since storage of private health data on the imaging devices becomes obsolete.

  11. [The role of the "Clinica del Lavoro Luigi Devoto" in international research].

    Science.gov (United States)

    Bertazzi, P A; Forni, Alessandra M

    2003-01-01

    During its long history, the Clinica del Lavoro Luigi Devoto has produced numerous internationally recognized scientific contributions in the specific field of occupational medicine and health, and in other broader areas as, for example, immunology, toxicology, cytogenetics. Pivotal in this activity was the figure of Enrico C. Vigliani, director of the Clinica for over 35 years. We mention here, in particular, the results of the study of "early" markers of lead intoxication; the research on the carcinogenicity of benzene and aromatic amines; the study of the pathogenesis of silicosis and byssinosis; the study of cytogenetic damage after exposure to industrial toxic chemicals; the technical research for dust abatement in mines. Such research also played a major role in the development of pulmonary medicine, toxicology and immunology in Italy, and conferred scientific dignity on the newborn "industrial hygiene" discipline thanks to the work of Nicola Zurlo. Today, the Clinica's research is maintained at international standards especially by the work of thematic Research Centers recently established within the Clinica, covering fields such as occupational and environmental toxicology, occupational oncology, ergonomics, respiratory disease and allergy, psycho-social risk factors. These Centers are also devoted to the development of innovative methods in epidemiology, toxicology, psychology, molecular biology, and ergonomic measurement for the identification and evaluation of health risks at work.

  12. Estudio PIENSA: efecto de la asesoría sobre la elección de anticonceptivos hormonales combinados en mujeres chilenas

    OpenAIRE

    Pizarro,Ernesto; Galán,Guillermo; Lavín,Pablo; Benavides,Claudio; Rivera,Francisca

    2014-01-01

    Objetivos: Evaluar la asesoría acerca de los anticonceptivos hormonales combinados de auto administración por parte de profesionales de la salud y cómo influye en el cambio o elección del método a utilizar. Método: Durante la consulta ginecológica habitual, se registra la elección del método anticonceptivo (MAC) combinado de auto administración (píldora, anillo o parche transdérmico) previa a la asesoría del médico y posterior a esta. El registro se realiza por medio de una encuesta que debe ...

  13. Evaluación de la reproducción inducida de nicuro Pimelodus blochii (Telostei: Pimelodidae utilizando diferentes inductores hormonales

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    Juan Ramírez M.

    2013-08-01

    Full Text Available Objetivo. Evaluar el efecto de dos inductores hormonales en la reproducción inducida de nicuro Pimelodus blochii. Materiales y métodos. Para los procesos experimentales fueron utilizados adultos sexualmente maduros, sometidos a tres tratamientos aplicados vía intramuscular, en dosis única de 0.25 mL/kg Ovaprim® (OVAP (T1, 0.5 mL/kg de OVAP (T2 y 6.25 mg/kg de Extracto de Hipófisis de Carpa (EHC (T3, para este último tratamiento la inyección fue dividida en 20 y 80%, con un intervalo de 12 h entre aplicaciones. Previo a la extracción de los gametos, los animales fueron tranquilizados por inmersión en una solución de Metanosulfonato de Tricaina (90 mg/L. El desempeño reproductivo fue evaluado mediante el índice de ovulación (hembras ovuladas/hembras tratadas, fecundidad absoluta (Fa (ovocitos/hembra, fecundidad relativa (Fr en función del número de ovocitos desovados por gramo de peso. La fecundación se realizó en seco y seis horas post-fecundación (HPF se determinó la tasa de fertilidad. Resultados. La ovulación (ºh para el T1 fue a las 297.1±30.0, T2 294.6±32.9 y T3 247.3±13.1 ºh. En todos los tratamientos se obtuvieron hembras ovuladas, donde los mayores índices de ovulación fueron obtenidos con Ovaprim® (T1 y T2 con 36.4 y 50%, respectivamente. Las tasas de fecundación obtenidas fueron mayores a un 50%, para el tratamiento 1 y 2, con valores de 74.5 y 32.7%, respectivamente. Conclusiones. El uso de inductores hormonales puede ser efectivo para garantizar la reproducción inducida del nicuro, en dosis única de 0.25 y 0.5 mL/kg de Ovaprim®.

  14. Hiperprolactinemia : expressao clinica, hormonal e radiologica em pacientes femininas, antes e durante o tratamento clinico

    OpenAIRE

    Elaine Sangali Mallmann

    1993-01-01

    A hiperprolactinemia constitui-se num achado laboratorial que quando resultante de secreção inapropriada, pode indicar tanto um processo patológico orgânico, como uma desordem funcional reversível. Representa o distúrbio hipofisário mais frequentemente encontrado na prática clinica e constitui um dos aspectos mais importantes no estudo da endocrinologia da reprodução. As hiperprolactinemias de causas não fisiológicas são secundárias mais frequentemente a efeito farmacológico, presença de tumo...

  15. Cambios hormonales asociados al embarazo: Afectación gingivo-periodontal Hormonal changes associated to pregnancy: Gingivo-periodontal involving

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    E. Figuero-Ruiz

    2006-08-01

    Full Text Available La gingivitis gravídica es una inflamación proliferativa, vascular e inespecífica con un amplio infiltrado inflamatorio celular. Clínicamente se caracteriza por una encía intensamente enrojecida que sangra fácilmente, por un engrosamiento del margen gingival y por hiperplasia de las papilas interdentales que pueden dar lugar a la aparición de pseudobolsas. La prevalencia varía entre el 35 y el 100% de las embarazadas con gingivitis previa. Aunque parece que durante el embarazo la susceptibilidad de los tejidos gingivales a la inflamación está relacionada con los cambios hormonales propios del mismo, el mecanismo exacto por el cual estas hormonas incrementan la inflamación gingival es desconocido. El cambio hormonal más significativo es el incremento en la producción de estrógeno y progesterona. La respuesta de los tejidos a las hormonas sexuales femeninas va a depender del tipo de hormona circulante, de la proporción de estrógeno/progesterona, así como de la concentración tisular de la hormona. Sus efectos a nivel del tejido gingival son variados y tienden a ser clasificados en cuatro grandes grupos: cambios vasculares, cambios celulares, cambios microbiológicos y cambios inmunológicos.Pregnancy gingivitis is a proliferative, vascular and non-specific inflammation accompanied by a wide cellular inflammatory infiltrate. Clinically it is characterized by an increased gingival redness and bleeding on probing index, gingival margin augmentation and hyperplasia of the interdental papillae. It is extremely common and affects 30-100% of all pregnant women. Even though it seems that during pregnancy susceptibility of gingival tissues to inflammation is related to altered hormonal levels, the exat mechanism by which they exert their effects remain unknown. The most significant hormonal change is the increase in the production of estrogens and progesterone. Tissue‘s response to female sex hormones depends on the circulating hormone

  16. Biblioterapia: uma experiência com pacientes internados em clinica médica/Bibliotherapy: an experience with patients interned in medical clinica

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    Eva Seitz

    2005-01-01

    Full Text Available O presente artigo tem por finalidade apresentar resultados do estudo biblioterapêutico, realizado com pacientes internados em clinica médica. O foco central foi verificar o nível de aceitação da leitura como atividade de lazer por pacientes internados em clínica médica. A prática biblioterapêutica com pacientes internados em clínica médica demonstrou ser útil no processo de hospitalização, como fonte de lazer e de informação, na interação biblioterapeuta/paciente/enfermagem e, no processo de sociabilização, além, de proporcionar momentos de descontração e alegria aos pacientes, contribuindo para o bem estar mental dos mesmos. O estudo aponta para o importante papel da leitura enquanto atividade de lazer para pacientes hospitalizados, humanizando o processo de hospitalização. The present article has for purpose to present resulted of the library-therapeutic study, carried through with patients interned in medical clinic. The central focus was to verify the reading acceptance as leisure activity by in-patients at Medical Clinic, through library-therapy practice. The library-therapy practice with in-patients at Medical clinic showed to be useful in the hospitalization process as leisure source and information, in library-therapist/patient/nursing interaction and, in the socialization process. Besides, it brought pleasant moments and joy to the patients, contributing for mental welfare of them. The study points out the important role of reading while leisure activity for hospitalized patients, humanizing the hospitalization process.

  17. Neurosurgical experience with tumours of the pineal region at Clinica Puerta de Hierro.

    Science.gov (United States)

    Vaquero, J; Ramiro, J; Martínez, R; Bravo, G

    1992-01-01

    The clinicopathological experience with 50 cases of pineal region tumours at Clinica Puerta de Hierro is presented. In this series, 88% of the patients were evaluated by CT-scan. Pineal region tumours make up approximately 0.7% of the intracranial expansive processes in the Spanish population. The largest group of lesions appearing in this localization is that of the germinomas (38%), followed by nontumoural lesions (20%) and tumours generally considered to be of the vicinity, such as meningiomas, gliomas and metastases (18%), tumours of the pineal parenchyma (14%), and non-germinoma germinal tumours (10%). In our series, in addition to an intracranial hypertension syndrome, an ophthalmological and, to a minor degree, an endocrinological syndrome predominate in germ-cell tumours, with a cerebellar syndrome appearing in gliomas of the pineal region. All the patients in the series diagnosed as having a germinoma and treated by irradiation are alive, and free of disease, after follow-up ranging from 2 to 20 years (mean: 8 years). The experience obtained with the present series supports the opinion that, in radiosensitive tumours, surgical resection adds no therapeutic benefit to treatment with radiotherapy alone. We suggest that when dealing with a tumour of the pineal region, CT-scan and clinical assessment now permit an initial selection of patients susceptible to surgery as a first therapeutic option, indicating those patients who, because they are considered to have either a "probable germinoma" or a "tumour of uncertain diagnosis", should undergo stereotaxic biopsy or trial radiotherapy and, only when this has proved a failure, should be subjected to open surgery.

  18. Evaluation of skin entry kerma in radiological examinations at the Hospital de Clinicas, Parana, Brazil; Avaliacao de kerma de entrada na pele em exames radiologicos no Hospital de Clinicas do Parana, Brasil

    Energy Technology Data Exchange (ETDEWEB)

    Porto, Lorena E.; Schelin, Hugo R.; Santos, Amanda C. dos; Bunick, Ana Paula; Paschuk, Sergei; Denyak, Valeriy [Universidade Tecnologica Federal do Parana (UTFPR), Curitiba, PR (Brazil); Tilly Junior, Joao G. [Universidade Federal do Parana (UFPR), Curitiba, PR (Brazil). Hospital de Clinicas; Khoury, Helen J., E-mail: khoury@ufpe.b [Universidade Federal de Pernambuco (UFPE/DEN), Recife, PE (Brazil). Dept. de Energia Nuclear

    2011-10-26

    This paper evaluates the skin entry dose of pediatric and adults patients when submitted to radiological examinations at the Hospital de Clinicas do Parana, Brazil, as part integrate of the data assessment of International Atomic Energy Agency (IAEA) for Latin America. It was performed measurements of dose for evaluation of skin entry kerma in pediatric patients in thorax AP/PA examinations, adults of thorax in AP/PA, cranio caudal mammography and median lateral and patients of computerized tomography in examination of head, thorax and abdomen. The obtained data demonstrate the necessity of verification of diagnostic analysis standards. The great value amplitudes demonstrate the incompatibility of examination executions with those recommended by the literature. The dose values presented partially inside the range recommended and the other over the expected for the due examination when compared with the literature

  19. Porcentaje de adiposidad y su relación con el índice de inmunorreactividad de los receptores hormonales en mujeres mexicanas con cáncer de mama

    Directory of Open Access Journals (Sweden)

    Luz Mª Adriana Balderas-Peña

    2013-08-01

    Full Text Available Introducción: El tejido adiposo es una importante fuente de estrógenos, los cuales se encuentran implicados en el desarrollo de cáncer de mama. Objetivo: Establecer la relación entre el porcentaje de adiposidad y el índice de inmunorreactividad de los receptores a estrógenos y a progesterona en mujeres mexicanas con cáncer de mama. Métodos: Estudio transversal analítico en pacientes con cáncer de mama confirmado con estudio histopatológico. Se estimó el % de adiposidad, y el índice de inmunorreactividad. Se realizó el análisis de correlación entre el porcentaje de adiposidad, el IMC, la presencia de DM2 e hipertensión arterial con la expresión de receptores a estrógeno y progesterona y regresión logística con cálculo de Odds Ratio. Resultados: Se estudiaron 43 pacientes con cáncer de mama y se observó asociación entre el porcentaje de adiposidad y el índice de inmunoreactividad para los RE y RP (rP 0,470; p 0,003 y rP 0,328; p 0,042 respectivamente. El factor de riesgo más importante en cáncer positivo a receptores estrogénicos fue la obesidad (OR 19,1, IC 95% 2,1 a 169,1, p 0,008 y obesidad previa en cáncer positivo a receptores a progesterona (OR 20,7, IC 95% 2,3 a 185,9, p 0,007. Conclusión: El porcentaje de adiposidad es un factor de riesgo importante para desarrollar cáncer de mama positivo a receptores hormonales.

  20. Estudio de las características metabólicas, hormonales e inmunoinflamatorias de mujeres con síndrome de ovarios poliquísticos con o sin obesidad. Análisis del impacto del tratamiento con atorvastatina

    OpenAIRE

    Mejia Montilla,Jorly

    2012-01-01

    De la presente investigación sobre el estudio de las características metabólicas, hormonales e inmunoinflamatorias de mujeres con síndrome de ovarios poliquísticos con o sin obesidad. Análisis del impacto del tratamiento con atorvastatina se concluye que: Las mujeres con síndrome de ovario poliquísticos presentan un estado de hiperlipidemia (aumento de las concentraciones de colesterol, TG y LDL-C), activación del sistema renina-aldosterona (aumento de las concentraciones de renina y aldoster...

  1. Virtual-reality-based attention assessment of ADHD: ClinicaVR: Classroom-CPT versus a traditional continuous performance test.

    Science.gov (United States)

    Neguț, Alexandra; Jurma, Anda Maria; David, Daniel

    2016-06-03

    Virtual-reality-based assessment may be a good alternative to classical or computerized neuropsychological assessment due to increased ecological validity. ClinicaVR: Classroom-CPT (VC) is a neuropsychological test embedded in virtual reality that is designed to assess attention deficits in children with attention deficit hyperactivity disorder (ADHD) or other conditions associated with impaired attention. The present study aimed to (1) investigate the diagnostic validity of VC in comparison to a traditional continuous performance test (CPT), (2) explore the task difficulty of VC, (3) address the effect of distractors on the performance of ADHD participants and typically-developing (TD) controls, and (4) compare the two measures on cognitive absorption. A total of 33 children diagnosed with ADHD and 42 TD children, aged between 7 and 13 years, participated in the study and were tested with a traditional CPT or with VC, along with several cognitive measures and an adapted version of the Cognitive Absorption Scale. A mixed multivariate analysis of covariance (MANCOVA) revealed that the children with ADHD performed worse on correct responses had more commissions and omissions errors than the TD children, as well as slower target reaction times . The results showed significant differences between performance in the virtual environment and the traditional computerized one, with longer reaction times in virtual reality. The data analysis highlighted the negative influence of auditory distractors on attention performance in the case of the children with ADHD, but not for the TD children. Finally, the two measures did not differ on the cognitive absorption perceived by the children.

  2. Definizione di un modello di prioritá clinica per la gestione dei tempi e delle liste di attesa

    Directory of Open Access Journals (Sweden)

    L. Bruno

    2003-05-01

    Full Text Available La gestione dei tempi di attesa, per la complessità dei determinanti che vi concorrono, costituisce una delle criticità del SSN frequentemente affrontata come un’emergenza. Per individuare soluzioni appropriate, garantendo tempi di attesa non tanto brevi quanto certi e adeguati al bisogni clinici, la Regione Lazio recependo gli indirizzi nazionali ha dato mandato ai Direttori Generali di definire e realizzare un’azione di governo clinico, che adegui l’offerta al bisogno reale. A tal fine la ASL Roma E ha progettato il presente studio pilota per la definizione di un modello di sperimentazione di priorità clinica, focalizzato su alcune prestazioni ambulatoriali critiche e sulle patologie oncologiche della mammella, del polmone e dell’apparato gastroenterico. Materiali e metodi: è stato costituito un gruppo di Progetto multidisciplinare per il coordinamento, il monitoraggio e la valutazione dello studio che ha coinvolto i medici prescrittori (MMGG e specialisti ambulatoriali, i medici dei Presidi ospedalieri, i Distretti, il CUP. In considerazione dell’estensione del territorio della ASL, della elevata densità di popolazione, della distribuzione dei presidi erogatori, la sperimentazione è stata circoscritta ad un ambito territoriale ristretto, corrispondente a quello del Municipio XVII. Sono stati arruolati 24 MMGG, individuati fra quelli inseriti in forme associative, con una popolazione di circa 30.000 assistiti. Sono state coinvolte sei strutture a gestione diretta insistenti nel Municipio. È stato previsto l’adattamento della procedura informatica di prenotazione, il coinvolgimento e la formazione degli operatori interni ai reparti ospedalieri interessati e del personale addetto al front - office. Risultati: definizione dei criteri clinici di arruolamento nelle classi di prioritarizzazione delle prestazioni ambulatoriali e delle patologie oncologiche con esplicitazione della graduazione del bisogno clinico. Creazione di un

  3. Clinical scientific research with ionizing radiations in Italy. Jurisprudential aspects; Ricerca scientifica clinica con radiazioni ionizzanti in Italia: aspetti normativi e giuridici

    Energy Technology Data Exchange (ETDEWEB)

    Valle, G.; Frusciante, V. [Casa Sollievo della Sofferenza, S. Giovanni Rotondo, FG (Italy). Servizio di Medicina Nucleare; Petrucelli, L. [Ospedale Civile Comiugi Bernardini, Palestrina, RM (Italy). Lab. di Analisi; Podagrosi, V. [Ospedale Santo Spirito, Rome (Italy). Div. di Chirurgia Generale e d' Urgenza; Giustini, A. [Ospedale Santo Spirito, Rome (Italy). Pronto Soccorso

    1999-09-01

    The paper reviews the laws that regulate the clinical scientific research with ionizing radiations in Italy and the effects of ICRP 62, introduced in Italy by the Minister's Decree 21/11/1997, renders invalid all previous rules and regulations which contrast with them. [Italian] Vengono esposte le norme di legge che regolano in Italia la ricerca scientifica clinica con radiazioni ionizzanti e discusse gli effetti dell'introduzione dell'ICRP 62 nella normativa italiana (DM 21/11/1997). Esso tratta in maniera esaustiva l'intera tematica e offre le fondamentali linee guida.

  4. La clinica parapsicologica

    Directory of Open Access Journals (Sweden)

    Evrard Renaud

    2007-09-01

    Full Text Available Gli ultimi due decenni hanno visto nascere una disciplina nuova: l'accoglienza e il sostegno psicologico delle persone che vivono esperienze eccezionali. Avere l'impressione di vivere in una casa abitata, testimoniare l’apparizione di OVNI, interrogarsi sulle possibilità di influenze telepatiche o anche conservare per sé la sensazione irreale di uscire “fuori dal corpo”, sono alcuni esempi di ciò che provano queste persone. L'eterogeneità di queste testimonianze le classifica spesso nella categoria delle "esperienze vissute come paranormali". Se tali resoconti sono sempre pervenuti agli esperti, si deve ai recenti lavori di ripristino dell'ascolto di queste persone.

  5. [The scientific progress of the "Clinica del Lavoro Luigi Devoto" as seen through the contents of the journal "La Medicina del Lavoro". ].

    Science.gov (United States)

    Foà, V; Camerino, Donatella

    2003-01-01

    On occasion of the Centenary of the "Clinica del Lavoro Luigi Devoto", its researchers suggested that awareness of its historical identity and scientific development should constitute the basis for the future of the Institution. The directors of the Institute who have succeeded one to the other over the years have left a vivid report of the vast amount of work developed in several research fields and also of the original results achieved with significant impact on the scientific community and on society. Content analysis of "La Medicina del Lavoro" allowed us to shed light on strong bonds existing between manufacturing techniques, work organization and health, in the different political and social periods in which they developed. Many actions have been defined and several research subjects have been renewed (according to current demands and new methodological possibilities) between the past and the present, nevertheless many new approaches need to be taken in the fields of epidemiology, indoor air quality, ergophthalmology, muskuloskeletal disorders, environmental and molecular toxicology, and further research will be undertaken thanks to the potential of this discipline for the future. The aim of this report is also to express our thanks to all the medical and non-medical staff who have made their contribution over 100 years of engagement.

  6. Chilhood leprosy: Clinical and epidemiological study in the Department of Dermatology, Clinicas Hospital, Faculty of Medical Sciences, National University of Asuncion-Paraguay, 2005-2014

    Directory of Open Access Journals (Sweden)

    Beatriz Di Martino Ortiz

    2016-01-01

    Full Text Available Introduction: Leprosy in childhood is not a common finding. The risk of a child to develop the disease is 4 times greater in contact with close people and 9 times higher among household contacts. The maximum risk observed is when the contact is Multibacillary (MB and intradomicilliary. Leprosy in childhood reflects the clinical characteristics of adult, with some peculiar aspects. Non-contagious forms (IL and TT are common during childhood. The contagious forms (BB, LB and LL are less frequent due to higher required incubation period. Aim: To describe the clinical and epidemiological characteristics of childhood leprosy in the Department of Dermatology, Clinicas Hospital from January 2005 to July 2014. Methods: Retrospective, observational cross-sectional study with an analytical component. Results: The total number of leprosy patients was 369, and of these 11 were pediatric patients (2.98% with a predominance of males (8/11 from 3 to 16 years. The BI ranged from negative to 3+. 6/11 were MB. The evolution was good in all cases and two patients developed leprorreactions. The lesions were predominant in facial location. 6/11 patients had family contacts. Conclusions: Leprosy in children is more common than is reported, especially in endemic areas. In <5 years, the disease is very rare. More than half of the cases of children with leprosy have a positive contact. It is considered that in <5 years the spread is always intradomiciliary; this shows the importance of monitoring contacts, which will be possible with the determination of all stakeholders in order to banish the undetected cases and prevent damage.

  7. [The centenary of the founding of the "Clinica del Lavoro Luigi Devoto" in Milan (1902-2002). The oldest health organization in the world for the study, treatment, and prevention of occupational diseases].

    Science.gov (United States)

    Grieco, A

    2003-01-01

    The foundation of the Clinica del Lavoro by Luigi Devoto cannot be dated back to the specific date of an event or, worse, to the official inauguration as has happened so far. It can rather be considered as a process started on November 20, 1902 (date of the first resolution by the Milan Municipality Council), continuing with the national law n. 365 of July 9, 1905, then with the laying of the first stone on December 11, 1907 bearing the motto of the Milanese School "In aliis vivimus, movemur et sumus" and finally the official inauguration on March 20, 1910. The Founder Luigi Devoto was born in 1864 at Borzonasca (Genoa) and took a degree of medicine and surgery at the Genoa University in 1888. After a period in Prague and then in Genoa, he was appointed temporary teacher of medical pathology in Pavia. He published several scientific contributions in different fields of occupational health (lead intoxication, ankylostomiasis, strain cardiopathy, etc.) and in other branches (tuberculosis, pellagra, etc.) that he considered as indirectly work-related diseases. He died in Milan in 1936. Three issues characterize the ingenious intuition of Luigi Devoto and his thirty-year direction of the Clinica del Lavoro: 1. Full respect for the principles of discipline and scientific method suggested by Bernardino Ramazzini; 2. The extremely broad conception of the diseases that had to be considered as "workers' diseases"; 3. The constant social attention towards the application of scientific knowledge also through workers' information and updating of regulations to improve working conditions. Many of the conflicts and events associated with the foundation of the Clinica del Lavoro can be summarized in the name chosen by the Founder. Actually to those asking why "Clinic of Work" and not "Clinic of Workers", Devoto used to reply that it was work that was ill and therefore it was necessary to treat the work to prevent workers' illnesses.

  8. Avaliação clinica e radiografica da carie dental em escolares de região de agua fluoretada e submetidos a aplicação de fluor e selantes

    OpenAIRE

    Cristina Maria Dumit Sewell

    1990-01-01

    Resumo: O objetivo do presente trabalho foi avaliar clinica e radiograficamente a evolução do processo de carie em escolares de 6 a 8 anos de Piracicaba, SP, que bebiam agua fluoretada e foram submetidos a aplicação de fluor e selantes ... Observação: O resumo, na íntegra poderá ser visualizado no texto completo da tese digital Abstract: The aim of this study was to evaluate clinically and radiographically the evolution of the caries process in school children of 6 to 8 years old of Pirac...

  9. Generator 113{sup S}n-113m{sup I}n. Study of the most important characteristics in the evaluate composition for the preparation of clinical labelled compounds; Generador de 113{sup S}n- 113m{sup I}n. Estudio de las caracteristicas mas relevantes en la composicion del eluido con miras a la obtencion de compuestos marcados de aplicacion clinica

    Energy Technology Data Exchange (ETDEWEB)

    Adan, L.; Rebollo, D. V.

    1978-07-01

    The design for the construction of a generator 113{sup S}n -113m{sup l}n is described. A systematic assay for de adequate adsorbents has been made, to obtain solutions of high radiochemical purity, as it is required for the radiopharmaceutical preparations. The control of purity is carried on by qualitative and quantitative analysis of the solutions, complemented by radiochemical techniques. The following physico-chemical parameters has been determinate; consecutive equilibrium constants, pH, distribution constants, separation factors and electrophoretic factors. It has been considered the measure of these parameters for the best quality In the preparation of the radiopharmaceutical compounds. (Author) 53 refs.

  10. System precision assessment ExacTrac 6D® BrainLab of the Hospital das Clinicas da Faculdade de Medicina da USP; Avaliacao da precisao do sistema Exactrac 6D® BrainLab do Hospital das Clinicas da Faculdade de Medicina da USP

    Energy Technology Data Exchange (ETDEWEB)

    Maistro, Carlos E.B., E-mail: carloseduardo.bravinmaistro@gmail.com [Programa de Residencia Multiprofissional em Fisica Medica, Faculdade de Medicina de Sao Paulo, SP (Brazil); Nakandakari, Marcos V.N.; Ribeiro, Victor A.B.; Sales, Camila P. de; Rodrigues, Laura N. [Universidade de Sao Paulo (USP), SP (Brazil). Instituto de Radiologia. Servico de Radioterapia. Hospital das Clinicas

    2015-08-15

    The goal of this study was to evaluate the precision of ExacTrac 6D® Brainlab system, installed at Hospital das Clinicas da Faculdade de Medicina da USP, in frameless radiosurgery treatments. Four sets of tests were performed for different purposes in order to assess the following parameters: the accuracy of location through infrared system; evaluation of the reproducibility of fusion algorithm; evaluation of the X-ray system; and the end-to-end test with the goal of assess the overall accuracy of the system. It was found that the infrared system showed a maximum deviation of 0.5 mm in terms of positioning and the X-ray system showed a precision of 0.15 mm and 0.6°. The reproducibility of fusion algorithms provided a maximum deviation in position which was less than 0.5 mm and 0.5° and the quantitative analysis of the results for end-to-end test showed an overall accuracy of the system better than 0.8 mm. (author)

  11. Voltage stability analysis considering the load dynamic characteristics and the voltage control devices; Analisis de estabilidad de voltaje considerando las caracteristicas dinamicas de la carga y dispositivos de control de voltaje

    Energy Technology Data Exchange (ETDEWEB)

    Hernandez Alvarez, Enrique

    2001-09-15

    improvement of the voltage stability. Finally, the application of the proposed methods of study to the analysis of voltage stability in an electrical network derived from the Mexican Peninsular system is presented. The influence of voltage control devices in the stability phenomenon is discussed and a comparison with the results obtained by means of other analysis techniques are presented, specifically, the study of the Q-V curves and the modal analysis of the power flow equations. [Spanish] El trabajo de investigacion que se presenta en esta tesis se centra en el analisis de la estabilidad de voltaje de mediano plazo considerando el efecto de las caracteristicas de la carga y su interaccion con los modelos de dispositivos de control de voltaje en la red de transmision. Mas concretamente, se define y estudia un tipo de modelo de carga con caracteristicas deseables para el estudio de la estabilidad de voltaje; los modelos genericos de carga derivados de pruebas de campo o de la aplicacion de tecnicas de identificacion y se analiza la influencia de la aplicacion de dispositivos de control para mejorar los margenes de estabilidad del sistema. Se estudian, asimismo, alternativas al modelado de sistemas de potencia para el estudio de la estabilidad de voltaje en sistemas complejos. Se presenta, en primer lugar, un analisis fundamental de las caracteristicas de estabilidad de voltaje en un sistema simplificado de potencia y se introduce el metodo de analisis adoptado. Se muestra que el fenomeno de inestabilidad se manifiesta como una bifurcacion tipo singular inducida del modo critico de voltaje cuando se opera el sistema bajo condiciones de estres. A continuacion, se analiza la contribucion de la accion de dispositivos de control al margen de estabilidad y se deducen criterios de analisis de estabilidad basados en el estudio de dicho modo. Se propone, a continuacion, un modelo lineal del sistema de potencia con caracteristicas deseables para el estudio de la estabilidad de voltaje

  12. EFECTO ABORTIVO DE LOS ANTICONCEPTIVOS HORMONALES: UNA REVISIÓN

    OpenAIRE

    PAU AGULLES SIMÓ

    2015-01-01

    En gran parte de la comunidad científica, así como del ámbito jurídico, al tratar del embrión no nacido, está vigente el criterio según el cual hay que definir el embarazo como el período que comprende sólo desde la implantación hasta el nacimiento natural. Esto lleva consigo otras novedades; por ejemplo, la redefinición de aborto como la eliminación del embrión sólo en ese período, o la extensión de la anticoncepción a cualquier medio que impida la unión entre los gametos como consecuencia d...

  13. [The preparation and characterization of fine dusts carried out in the Clinica del Lavoro di Milano in support of experimental studies].

    Science.gov (United States)

    Occella, E; Maddalon, G; Peruzzo, G F; Foà, V

    1999-01-01

    This paper aims to illustrate the conditions selected at the Clinica del Lavoro of the University of Milan to prepare and analyze a large number of fine dust samples produced over a period of about 50 years, that were initially used for studies within the Clinic performed in its own facilities, and since 1956 were sent to other Italian and overseas laboratories (Luxembourg, UK, Germany, Norway, Sweden, South Korea, USA). The total quantity of material distributed (with maximum size 7-10 microns) was about 2 kg and consisted of the following mineral and artificial compounds: quartz, HF-treated quartz, tridymite, HF-treated tridymite, cristobalite, chromite, anthracite, quartz sand for foundry moulds, sand from the Lybian desert, vitreous silica, pumice, cement, as well small quantities of metallic oxides, organic resins, chrysotile, crocidolite, fibres (vitreous, cotton and polyamidic). About half of the entire quantity of dusts produced consisted of partially HF-treated tridymite. Initially, research on the etiology of silicosis used quartz dust samples, simply sieved or ventilated (consisting of classes finer than 0.04 mm, containing a 15-20% respirable fraction). From 1956 to 1960 the dusts were produced by manual grinding in an agate mortar, below about 10 microns, starting from quartz from Quincinetto (near Ivrea, Province of Turin), containing about 99.5% quartz: particle size and composition were checked using an optical-petrographic technique, with identification of the free and total silica content. Subsequently, the dusts used for biological research were obtained by grinding coarse material with a cast iron pestle and planetary mills, agate and corundum jars. The grinding products were sized by means of centrifugal classification, using the selector developed by N. Zurlo, ensuring control of dust size both optically and by means of wet levigators and hydraulic classifiers (in cooperation with the Institute of Mines of Turin Polytechnic School). After 1990

  14. Efeitos do aumento na sobrecarga de treinamento sobre parâmetros bioquímicos e hormonais em ratos Efectos del aumento de sobrecarga de entrenamiento sobre parámetros bioquímicos y hormonales en ratones Effects of increase of overload training on biochemical and hormonal parameters in rats

    Directory of Open Access Journals (Sweden)

    Ronaldo Vagner Thomatieli Santos

    2006-06-01

    Full Text Available Para o treinamento ser bem sucedido deve ser suficientemente intenso para provocar a quebra da homeostase, a adaptação e, por fim, a supercompensação. Todavia, condições de estresse excessivo induzido pelo exercício físico podem provocar efeitos indesejáveis. Este trabalho tem como objetivo avaliar se o aumento na sobrecarga de treinamento altera parâmetros hormonais e bioquímicos similares ao overreaching. Os animais foram divididos em três grupos: SED (animais sedentários, MOD (animais que treinaram de forma moderada durante seis semanas e grupo EXT (que treinaram de forma semelhante ao grupo MOD por quatro semanas, duas sessões diárias de treinamento na quinta semana e três sessões na sexta semana. Houve aumento da concentração plasmática de glutamato no grupo EXT (p Para que el entrenamiento tenga éxito, éste debe ser lo suficientemente intenso para provocar la quiebra de homeostasis, la adaptación y por fin la supercompensación. Sin embargo, condiciones de estrés excesivo inducidos por el ejercicio físico pueden provocar efectos indeseables. Este trabajo tiene como objetivo evaluar si el aumento en la sobrecarga de entrenamiento altera parámetros hormonales y bioquímicos similares al overreaching. Los animales fueron divididos en tres grupos: SED (animales sedentarios, MOD (animales que entrenaron de forma moderada durante 6 semanas y EXT (que entrenaron de forma semejante al grupo MOD por 4 semanas, 2 sesiones diarias de entrenamiento en la quinta semana y 3 sesiones la sexta semana. Hubo aumento en la concentración plasmática de glutamato en el grupo EXT (p The training will be efficient if it is intensive enough to promote homeostasis break, adaptation and super compensation consequently. On the other hand, excessive stress conditions induced by exercise may promote undesirable effects. This paper aims to evaluate the effects of the increase in overload training upon some hormonal and biochemical parameters

  15. Etiopatogenia de la amenorrea hipotalámica funcional: Interacción de las respuestas hormonales del sistema nervioso central y neuropéptidos periféricos Ethiopatogeniae of functional hypothalamic amenorrhea: Interactions of central nervous system and peripherical neuropeptides responses

    Directory of Open Access Journals (Sweden)

    L. Fiszlejder

    2008-06-01

    Full Text Available La amenorrea hipotalámica funcional (AHF es una patología compleja provocada generalmente por el estrés psicológico, o por alteraciones psicógenas como la depresión en otras entidades como la amenorrea nerviosa y bulimia o en la excesiva actividad física (atletas competitivas, bailarinas clásicas entre las causas más frecuentes. Habitualmente, estos factores se presentan asociados a dietas cuali y cuantitativamente inadecuadas, originando alteraciones en el balance energético (consumo /gasto calórico y modificaciones en la composición corporal. En general, estas alteraciones se presentan combinadas e inducen reacciones hormonales tendientes a defender la homeostasis metabólica general. Los protagonistas de estos procesos adaptativos son un "circuito" constituido en el sistema nervioso central que se interrelaciona con otro "circuito periférico hormonal". Las manifestaciones del primero incluyen principalmente una atenuación funcional de los ejes hipotalamo-hipófiso-somatotrófico, prolactínico y tiroideo, amplificación de la secreción nocturna de la melatonina e hiperactividad adrenal. A su vez, las interrelaciones, a nivel hipotalámico, del eje CRH-ACTH-sistemas-opiodeo-dopaminérgico y la consiguiente inhibición de la secreción de Gn RH, constituye un mecanismo fisiopatológico crucial para el desarrollo de la disfunción gonadal. Por otro lado, el grado de alteración de la actividad pusátil del Gn RH está condicionado por la etiopatogenia, intensidad nosológica y el tiempo de evolución. La variabilidad y el tipo de irregularidades del ciclo menstrual, que frecuentemente son observados en las atletas competitivas, constituyen un reflejo representativo de ello. Por otro lado, el hipoestrogenismo e hipoandrogenismo de estas mujeres repercuten negativamente en el metabolismo general y osteocálcico, en particular. La osteopenia con su riesgo de fracturas, está omnipresente en este síndrome. No menos importante, el

  16. Clinical manifestations of peripheral nervous system involvement in human chronic chagas disease Manifestaciones clinicas de compromiso del sistema nervioso periférico en el estádio crônico de la enfermedad de Chagas

    Directory of Open Access Journals (Sweden)

    Osvaldo Genovese

    1996-06-01

    Full Text Available We conducted a clinical and electromyographical study in patients with Chagas' disease in the indeterminate or chronic stages of the illness. Altogether 841 patients were examined. Only 511 were admitted within the protocol; the remainder patients were rejected because they showed other causes able to damage the nervous system. Fifty two (10.17% out of the 511 patients showed signs and symptoms of peripheral nervous system involvement in the form of sensory impairment and diminished tendon jerks suggesting the presence of neuropathy. Forty five of them were submitted to a conventional electromyographical examination. Fifteen of mem showed normal results, while the remainder 30 disclosed a reduced interference pattern, being most of the remaining motor unit potentials fragmented or poliphasic, reduced sensory and motor conduction velocities and diminished amplitude of the sensory action potential. The findings suggest that some chagasic patients in the indeterminate or chronic stages of the disease may develop a clinical mild sensory-motor peripheral neuropathy.El estúdio presente fue diseftado con ei objeto de pesquizar Ia existência de manifestaciones clinicas en pacientes afectados por enfermedad de Chagas, en estádio indeterminado o crônico, que tuviesen, ai menos, 2 reacciones serologicas positivas. En total fueron examinados 841 enfermos. De ellos solo 511 fueron admitidos en ei protocolo; los restantes fueron rechazados por mostrar Ia presencia de otras causas que hubiesen podido danar su sistema nervioso. Dentro de los 511 pacientes admitidos, 52 (10.17% evidenciaron alteraciones objetivas y subjetivas de Ia sensibilidad y disminucion de los reflejos osteotendinosos. Estos signos y sintomas, que sugieren la presencia de neuropatia, podian combinarse de diferente manera. Como complemento dei examen clinico, se efectuo estúdio electromiografico convencional en 45 de estos pacientes. En 15 los hallazgos fueron normales, en tanto que en

  17. Evaluation of the energy potential, biogenesis and essential characteristics of the geothermal submarine systems in Mexico; Evaluacion del potencial, biogenesis y caracteristicas esenciales de los sistemas geotermicos submarinos en Mexico

    Energy Technology Data Exchange (ETDEWEB)

    Suarez Arriaga, Mario Cesar [Universidad Michoacana de San Nicolas Hidalgo, Morelia, Michoacan (Mexico)

    2004-12-01

    profundidad, hasta los recursos geotermicos profundos, a mas de 3000 metros de profundidad. Las fuentes geotermicas no tradicionales incluyen las partes profundas y los limites de los reservorios hidrotermales tradicionales, los sistemas en roca seca o humeda caliente, los yacimientos geopresurizados del Golfo de Mexico y los sistemas submarinos hidrotermales observados principalmente en la costa norte mexicana del Oceano Pacifico. La energia geotermica submarina surge por la existencia de rupturas profundas en el fondo marino, a lo largo de los centros de dispersion oceanicos entre las placas tectonicas. Estos sistemas tienen una longitud total aproximada de 65,000 Km. en la corteza oceanica. Hay dos tipos basicos de sistemas marinos existentes en el Golfo de California: los recursos profundos, localizados a lo largo de las cordilleras entre las placas de la corteza oceanica a mas de 2000 m bajo el nivel del mar, y los recursos poco profundos cerca de las plataformas continentales, entre 20 y 50 metros de profundidad. El calor submarino poco profundo tambien se relaciona con fallas y fracturas en el fondo del mar cerca de algunas costas. Este subsistema se encuentra tambien en la costa de Punta Banda en Ensenada, Baja California. El potencial preliminar de la energia contenida en tales reservorios se estima, en promedio, en 1120 MWt por cada km3 de roca submarina. Las caracteristicas quimicas especificas de las aguas hidrotermales encontradas en esos sistemas oceanicos indican que las interacciones agua-roca, ocurren bajo condiciones de presion y temperatura altas. La energia geotermica submarina soporta ricas variedades de comunidades biologicas a profundidades donde las plantas no tienen acceso a la luz solar para realizar la fotosintesis. Hay indicios de que las posibles condiciones para la sintesis de sustancias y elementos quimicos necesaria para el origen de la vida primitiva, pudieron ser los sistemas hidrotermales submarinos.

  18. Mastite clinica caprina causada por Arcanobacterium pyogenes

    OpenAIRE

    Garino Jr,F.; R.A.T. Matos; Miranda Neto,E.G; Bernardino,J.N.N.; Santos,E.D.; Aguiar,G.M.N.

    2012-01-01

    This paper reports the occurrence of goat mastitis due to Arcanobacterium pyogenes in Paraiba State - Brazil. The diagnosis was confirmed by clinical symptoms and microbiological culture. Amastectomywasperformedasclinical treatment.

  19. Dialogo tra Epistemologia Clinica ed Epistemologia antropologica

    Directory of Open Access Journals (Sweden)

    Maurizia Tinti

    2013-12-01

    Full Text Available Il viaggio può assumere funzioni diverse se osservato all’interno delle discipline psicoterapeutica e antropologica: da un lato è un tipo di cura, mentre dall’altro permette lo studio di culture altre. Questo confronto introduce la comparazione tra l’esperienza della follia e quella della cultura, analizzate attraverso lo sguardo critico di Foucault e della critica post-moderna in antropologia. Esperienze, queste, che hanno in comune il fatto di essere il prodotto di discorsività “scientifiche”, positiviste, che hanno assunto un certa autorità nel parlare di determinate alterità – il medico con il “suo” folle e l’antropologo con il “suo” selvaggio –, e che sono state esperite lungo la storia delle due discipline, particolarmente in età moderna, quando stabilirono il loro apparato epistemologico e metodologico. Con la post-modernità, si realizzò quindi una svolta epistemologica secondo cui il ricercatore e l’analisi da lui prodotta non possono essere oggettivi: tanto la soggettività dello studioso quanto quella dell’oggetto di analisi contribuiscono a modificare il contesto e l’interazione tra i soggetti. La psicoterapia e l’antropologia verranno quindi considerate sul piano fenomenologico, e la produzione di sapere diverrà polifonica e condivisa.

  20. Clinica use of platelet additive solutions.

    Science.gov (United States)

    van Rhenen, Dick J

    2007-12-01

    Randomised clinical trial (RCT) to study the clinical efficacy and safety of new platelet products using platelet additive solutions are scarce. In this paper a number of recent RCT's is discussed. It can be the start of a development where new transfusion products enter a RCT before the product is applied in clinical practice.

  1. DESARROLLO EMBRIONARIO Y ESTRATEGIAS ANTILUTEOLITICAS HORMONALES EN PROGRAMAS DE TRANSPLANTE DE EMBRIONES BOVINOS

    Directory of Open Access Journals (Sweden)

    Néstor Tovío L

    2008-04-01

    Full Text Available Durante el desarrollo embrionario se establecen múltiples interacciones entre hormonas, factores de crecimiento (FC y diferente tipo de moléculas, con lo cual se genera una serie de señales que desencadenan el reconocimiento materno de preñez (RMP entre los días 15 y 17, momento en el cual se genera un “periodo crítico”, cuando el endometrio libera la hormona prostaglandina F2a (PGF2apara causar regresión del cuerpo lúteo (CL, en el cual se sintetiza progesterona (P4, hormona encargada de favorecer un adecuado ambiente uterino para el desarrollo embrionario y el mantenimiento de la preñez. El embrión en desarrollo genera señales antiluteolíticas que bloquean la producción de la PGF2a, por lo que se podría sugerir que el mantenimiento de la preñez es dependiente de la efectividad de este bloqueo, entre otros factores; el cual es generado por la acción del Interferón tau (IFN-t, producido en las células mononucleares del trofoblasto embrionario. Este bloqueo garantiza la integridad del CL y de esta forma la producción normal de P4. Por lo anterior se podría pensar que la manipulación estratégica apoyada hormonalmente, mejora las condiciones para el efectivo bloqueo de los agentes luteolíticos que tienen su mayor actividad durante el llamado “periodo crítico”, con lo cual se mejora la tasa de sobrevivencia en programas de transplante embrionario ya que se crearía un ambiente uterino adecuado para el establecimiento y normal desarrollo del embrión. Por esto mismo, últimamente se han planteado mecanismos de apoyo hormonal que causan un bloqueo apropiado en cuanto a la producción de PGF2a uterina durante los días15 y 17 del ciclo estral.

  2. Workshop Euratom Directive 97/43. New trends in radiation protection in clinical practice, in research and in regulation; Giornata di studio La Direttiva Europea 97/43: nuovi orientamenti per la radioprotezione nella pratica clinica, nella ricerca e nel quadro normativo

    Energy Technology Data Exchange (ETDEWEB)

    Mazzei, F. [ed.] [Istituto Superiore di Sanita' , Rome (Italy). Lab. di Fisica

    1999-07-01

    The Euratom Directive 97/43 on health protection of individuals against the dangers of ionizing radiation in relation to medical exposure is presented. In particular the following topics are focused, with a multidisciplinary approach, on: diagnostic reference levels in radiodiagnostics and nuclear medicine; radiation protection in paediatrics, in interventional radiology and in computer tomography; radiation protection radiotherapy, radiation protection in medical research; radiation protection in prenatal and neonatal exposure; radiation protection in medical-legal exposures. [Italian] Il rapporto raccoglie una presentazione della Direttiva Euratom 97/43 riguardante la protezione sanitaria delle persone contro i pericoli delle radiazioni ionizzanti connessi a esposizioni mediche. In particolare sono affrontati in modo interdisciplinare i seguenti argomenti: livelli diagnostici di riferimento in radiodiagnostica e in medicina nucleare; radioprotezione nelle esposizioni in eta' pediatrica, in radiologica interventistica e in tomografia computerizzata; radioprotezione in radioterapia; radioprotezione nella ricerca scientifica clinica; radioprotezione nell'esposizione in eta' prenatale e neonatale; esposizioni potenziali e radioprotezione nelle esposizioni medico-legali.

  3. Caracteristicas distintivas en la gestion del servicio educativo

    Directory of Open Access Journals (Sweden)

    Horacio V. Barreda Tamayo

    2007-12-01

    Full Text Available La gestión de la producción del Servicio Educativo, -que incluye la Educación Superior- es um proceso muy complejo. Tiene características muy particulares, que invalidan cualquier intento de aplicación directa de los modelos y teorías de gestión empresarial vigentes. Para una real gestión educativa, todavía no existe una definición clara sobre el perfil de competencias de los egresados. Que vienen a ser los “productos esperados”, después del “proceso de producción” del servicio educativo universitario. Por otro lado, hay varios modelos de gestión educativa. Pero no existe un modelo propio para la gestión del servicio educativo; que es básicamente um Servicio Profesional. Además, se cuenta con diferentes enfoques pedagógicos, últimamente correlacionados al avance de las TIC’s y los nuevos descubrimientos sobre el sistema cognitivo de las personas. Casi la totalidad de Proyectos y Planes Educativos, contienen objetivos, metas y “resultados” totalmente cualitativos. Que sólo reflejan los buenos deseos de lo que se quiere en nuestros egresados, pero que no se pueden medir objetivamente en cuanto a su consecución. Como decía J. Harrington: “Si usted no puede medir lo que hace, no puede controlarlo. Si no puede controlarlo, no puede dirigirlo. Si no puede dirigirlo, no puede mejorarlo”. En el presente artículo, queremos resaltar algunas características y requisitos para la “gestión de la producción” del servicio educativo. Los cuales debemos tener presentes, cuando pretendemos mejorar los resultados de la Educación.

  4. Determinacion de Caracteristicas Opticas del Telescopio OAN150

    Science.gov (United States)

    Galan, M. J.; Cobos, F. J.

    1987-05-01

    En el Observatorio de Calar Alto, en Almería, España, está ubicado un telescopio de 15O-cms de diámetro -construído por REOSC- perteneciente al Observatorio Astronómico Nacional, con sede en Madrid, España. La infraestructura técnica del OAN ha sido tradicionalmente débil y actualmente se está haciendo un esfuerzo por fortalecerla. Existe una información muy limitada del telescopio en general; de su óptica en particular se conocían los valores de los parámetros principales pero sin saber si éstos corresponden a valores teóricos ó de construcción. Por ello se consideró necesario iniciar una investigación para conocer en detalle los valores reales de las componentes ópticas del telescopio, obteniéndose algunos resultados de interés. El primario del telescopio OANl5O es aproximadamente F/3 y el siste ma en su conjunto es F/8.2, con su sistema corrector de campo. En términos generales, la imagen es satisfactoria en todo el campo y, sin sistema corrector, la imagen axial también es buena. En un futuro muy cercano se piensa diseñar instrumentación adicional para este telescopio. Conocer con mayor precisión sus características puede ser de gran utilidad para tal fin, pues se efectúan los cálculos considerando conjuntamente al telescopio y al instrumento.

  5. Isolation of Pseudomonas aeruginosa strains from dental office environments and units in Barretos, state of São Paulo, Brazil, and analysis of their susceptibility to antimicrobial drugs Isolamento de cepas de Pseudomonas aeruginosa provenientes do meio ambiente e de equipos dentarios em clinicas dentarias em Barretos, São Paulo, Brasil; analises da susceptibilidade das cepas a drogas antimicrobianas

    Directory of Open Access Journals (Sweden)

    Ana Claudia de Oliveira

    2008-09-01

    Full Text Available A wide variety of opportunistic pathogens has been detected in the tubing supplying water to odontological equipment, in special in the biofilm lining of these tubes. Among these pathogens, Pseudomonas aeruginosa, one of the leading causes of nosocomial infections, is frequently found in water lines supplying dental units. In the present work, 160 samples of water, and 200 fomite samples from forty dental units were collected in the city of Barretos, State of São Paulo, Brazil and evaluated between January and July, 2005. Seventy-six P. aeruginosa strains, isolated from the dental environment (5 strains and water system (71 strains, were tested for susceptibility to six antimicrobial drugs most frequently used against P. aeruginosa infections. Susceptibility to ciprofloxacin, followed by meropenem was the predominant profile. The need for effective means of reducing the microbial burden within dental unit water lines is emphasized, and the risk of exposure and cross-infection in dental practice, in special when caused by opportunistic pathogens like P. aeruginosa, are highlighted.Uma ampla variedade de patógenos oportunistas tem sido detectadas nos tubos de alimentação de água dos equipos odontológicos, particularmente no biofilme formado na superfície do tubo. Entre os patógenos oportunistas encontrados nos tubos de água, Pseudomonas aeruginosa é reconhecida como uma das principais causadoras de infecções nosocomiais. Foram coletadas 160 amostras de água e 200 amostras de fomites em quarenta clinicas odontológicas na cidade de Barretos, São Paulo, Brasil, durante o período de Janeiro a Julho de 2005. Setenta e seis cepas de P. aeruginosa, isoladas a partir dos fomites (5 cepas e das amostras de água (71 cepas, foram analisadas quanto à susceptibilidade à seis drogas antimicrobianas freqüentemente utilizadas para o tratamento de infecções provocadas por P. aeruginosa. As principais suscetibilidades observadas foram para a

  6. Estimation of production characteristic curves of geothermal wells and of the permeability of rocky formations through one single mass flow-pressure-enthalpy (W-P-h) measurement at the wellhead; Estimacion de curvas caracteristicas de produccion de pozos geotermicos y de permeabilidades de formaciones rocosas a partir de una sola medicion flujo masico-presion- entalpia (W-P-h) a boca de pozo

    Energy Technology Data Exchange (ETDEWEB)

    L Moya, Sara; Aragon, Alfonso [Instituto de Investigaciones Electricas, Cuernavaca (Mexico)

    1997-12-31

    The proposed methodology described ahead (Moya et al.,1996; Moya et al.,1997a, 1997b and 1997c) simplifies the construction of production characteristic curves of geothermal wells and of its associated thermal productivity, in requiring one single measurement of mass flow-pressure-enthalpy (W-P-h) at the wellhead. Therefore it is an ecological option, technically and economically more feasible. On the other hand, the methodology also allows to diagnose the rocky formation absolute permeability in the well feeding zone. This permeability is usually determined through well bottom pressure tests, than in some cases are difficult to interpret. The permeability inferred by means of the proposed technology represents a complementary tool for these field tests and for the laboratory measurements on drilling cores. [Espanol] La metodologia propuesta que se describe a continuacion [Moya et al., 1995d; Moya et al., 1996; Moya et al., 1997a, 1997b y 1997c] simplifica la construccion de curvas caracteristicas de produccion de pozos geotermicos y de su productividad termica asociada al requerir solo una medicion de flujo masico-presion-entalpia (W-P-h) a boca de pozo. Es por tanto una alternativa ecologica, tecnica y economicamente mas factible. Por otra parte, la metodologia tambien permite diagnosticar el valor de la permeabilidad absoluta de la formacion rocosa en la zona de alimentacion al pozo. Esta permeabilidad se determina usualmente a partir de pruebas de presion a fondo de pozo que en algunos casos son dificiles de interpretar. La permeabilidad inferida mediante la metodologia propuesta representa una herramienta complementaria a estas pruebas de campo y a las mediciones de laboratorio sobre nucleos de perforacion.

  7. Ruolo ed organizzazione della microbiologia clinica di domani

    Directory of Open Access Journals (Sweden)

    Giorgio Mucignat

    2006-12-01

    Full Text Available Infectious diseases continue to represent an important preventive and clinical problem especially in the light of the emergence of new pathogens, of the return of infrequent pathogens and of the increased risk of infective pathologies associated with migratory flow. Another critical point is represented by the possible insurgence of infections due to agents used in bioterrorism. More than ever it is indispensable for our country to define a network of structures able to give an organized response to these relevant problems both in terms of prevention and assistance. It is therefore important to define a protocol for clinical microbiology on a national basis that responds to different levels of activity. Keeping in mind that the fundamental objectives of microbiology are: - diagnosis of infective diseases - determination of resistance to antimicrobic drugs as a valid instrument to allow the clinician to proceed with specific treatment - control of infection spreading in the sanitary structures (hospital infections - to develop front line defence in new infections and bioterrorism, in collaboration with the department of prevention - to be a reference centre for specific training The principals on which one must base the reorganization are essentially three: 1. to configurate the microbiology service on the basis of real needs of the local population 2. to give qualitatively optimal results in real time 3. supporting “good clinical practice” to assure adequate patient results and acceptable costs for the regionale sanitary system (SSR The organization of microbiology should therefore foresee a microbiology department, structured on a provincial basis or a vast area including a structured centralized complex with peripheral structures (even simplified. This must integrate actively with the department of prevention in regard to the dynamics of infectious diseases in the territory and with the Division of Infectious Diseases (where this exists. In parallel an active interaction with research structures (IRCCS and University present in the territory to enable the coordinated implementation of the guidelines of research and its relapse on diagnostic exams. Keeping in mind that the quality of diagnostic performance is closely linked to the professional experience of the operators it is good practice centralizing some diagnostic procedures by identifying a reference centre. In a regional network organized in this way it is important to include a coordinating structure, since it is necessary to activate a complete level of communication, information exchange, activity planning, and complete problem solving.

  8. L'Identificazione della sindrome metabolica nella pratica clinica

    OpenAIRE

    Sturani, Alessandra

    2009-01-01

    The definition of “Metabolic Syndrome” was proposed to identify those subjects at high cardiovascular risk although without any feature of actual or possible cardiovascular damage. Clinical (such as blood presure and abdominal obesity) and laboratory characteristics (such as glycemia, HDL-cholesterol, triglycerides) able to predict cardiovascular risk, either idividually or combined each other, were chosen. Despite a widespread evaluation in the context of several clinical trials, the real cl...

  9. Construcao de subconjuntos terminologicos: contribuicoes a pratica clinica do enfermeiro

    Directory of Open Access Journals (Sweden)

    Jorge Wilker Bezerra Clares

    2013-08-01

    Full Text Available A Classificação Internacional para a Prática de Enfermagem (CIPE® é um sistema de classificação unificador dos elementos da prática de enfermagem (diagnósticos, resultados e intervenções, que possibilita elucidar elementos da linguagem própria da Enfermagem por meio da construção de subconjuntos terminológicos. Neste ensaio reflexivo, destacam-se aspectos relevantes para a construção de subconjuntos terminológicos CIPE®, bem como suas contribuições para a prática clínica do enfermeiro. Discute-se a elaboração de subconjuntos como ferramenta que contribui para a universalização da linguagem da Enfermagem, facilita o processo comunicativo, bem como o avanço científico e tecnológico da profissão. Portanto, incentiva-se seu uso por enfermeiros de todo o mundo.

  10. SINDROME DE OVARIO POLIQUISTICO: PRESENTACION CLINICA, BIOQUIMICA Y ULTRASONOGRAFICA

    OpenAIRE

    Pérez C.,Jorge; Méndez R.,María J.; Fuhrer F.,Juan; Marquez N.,Juan; Cumsille,Miguel A.; Fuhrer C.,Juan

    2003-01-01

    En forma retrospectiva se efectúa una revisión de 115 historias clínicas de pacientes con Síndrome de Ovario Poliquístico (SOP) que consultan en la Unidad de Endocrinología del Servicio de Ginecología del Hospital San José en el periodo comprendido entre los años 1996 y 2002. Se determinó la prevalencia y se estableció una caracterización demográfica, hormonal y ultrasonográfica de estas pacientes. Destaca la presencia de un alto porcentaje de obesidad que alcanzó el 63% y una insulinoresiste...

  11. Enterite da Campylobacter upsaliensis: un paradigma della microbiologia clinica

    Directory of Open Access Journals (Sweden)

    Maria Letizia D’Annibale

    2006-12-01

    Full Text Available The Authors describe a case of acute enteritis in a adult woman with severe hepatitis C infection caused by a strain of Campylobacter upsaliensis.The clinical isolate was obtained only on blood agar because filter membrane technique was performed. In fact for this strain it was no growth on selective Campy agar, which include cephalotin too; C. upsaliensis is sensitive to this antibiotic molecule. So, the use of filter membrane on blood agar or charcoal agar at 37°C in microaerophilic atmosphere is recommended for isolation of all campylobacters responsible of human enteritis.

  12. Levetiracetam: review clinica ed economica di un nuovo antiepilettico

    Directory of Open Access Journals (Sweden)

    Orietta Zaniolo

    2004-06-01

    Full Text Available Uncontrolled epilepsy has a significant negative impact on patient’s quality of life, on his emotional well-being and his social functioning. Seizure places an undue economic burden on the patient and community. The increased costs are direct and indirect (e.g.,inpatient care and loss of earnings associated with time lost from work. Levetiracetam is a new antiepileptic drug used as adjuntive therapy in the treatment of refractory epilepsy. Its nonconventional mechanism of action is not completely understood, but preclinical studies suggest that its antiepileptic action.may depend on a reversible, saturable and stereoselective binding site in CNS membranes. In this paper, we review the main clinical and economic data available in the scientific literature. Levetiracetam has a favourable pharmacokinetic profile characterised by rapid and nearly complete absorption, very low potential for drug interactions and a prolonged pharmacodynamic effect that permits twice-daily dosing. Several placebo-controlled clinical trials have demonstrated that its efficacy has enabled many patients who were refractory to treatment with other antiepileptic drugs to achieve long-term seizure freedom; furthermore in levetiracetam trials the frequency of adverse events is low and withdrawal rates are comparable with those of placebo. A cost/effectiveness analysis compared direct medical costs of levetiracetam add-on therapy with maintenance of standard therapy alone within the UK National Health Service. A 1-year dose escalation decision model was set up in refractory patients who failed to respond to two or more other currently available therapies, with seizure freedom selected as the measure of effectiveness. Available pharmacoeconomic data show that the incremental cost of treating patients with levetiracetam is low when compared with the benefits of seizure freedom, at least in the UK. Furthermore, current studies suggest that this antiepileptic drug has a potential as first-line treatment for many types of epilepsy and in many different patient populations.

  13. La diagnostica molecolare nel laboratorio di patologia clinica veterinaria

    OpenAIRE

    Zambon, Elisa

    2015-01-01

    La prima parte del nostro studio riguarda la tecnica LAMP (Loop-mediated isothermal amplification), una tecnica di amplificazione isotermica recentemente inventata (Notomi et al., 2000). Essa presenta notevoli vantaggi rispetto alle tradizionali PCR: non necessita di strumentazioni sofisticate come i termociclatori, può essere eseguita da personale non specializzato, è una tecnica altamente sensibile e specifica ed è molto tollerante agli inibitori. Tutte queste caratteristiche fanno sì c...

  14. ENFERMEDAD DE VOGT KOYANAGI HARADA EN UNA SERIE CLINICA DE PACIENTES. EN RED DE SALUD UC: CLASIFICACION Y EVOLUCION CLINICA.

    Directory of Open Access Journals (Sweden)

    Enzo Castiglione A.

    2007-12-01

    Full Text Available La enfermedad de Vogt - Koyanagi - Harada (VKH es una panuveítisgranulomatosa bilateral con compromiso extraocular enel sistema auditivo, meníngeo y piel (1. Clínicamente se puedepresentar por ojo rojo profundo, bilateral, dolor ocular o compromisode la agudeza visual. Los hallazgos del examen clínicodependerán del estadío clínico de la enfermedad. Hay manifestacionestempranas como coroiditis (con o sin uveítis anterior o hiperemiadel disco óptico o desprendimientos retinales serosos,como también manifestaciones de enfermedad tardías: despigmentaciónocular, cicatrices coriorretinales o uveítis recurrente.Los tratamientos propuestos son múltiples: desde la observaciónhasta la corticoterapia por distintas vías de administración,inmunomoduladores, antimetabolitos o agentes alquilantes,dado que es desconocido el tratamiento más efectivo con lasmenores complicaciones a largo plazo. El diagnóstico diferencialincluye formas graves de retinopatía central serosa, traumaocular penetrante (quirúrgico o accidental y diversas causas deuveítis posterior y pan uveítis. Con el fin de definir poblacioneshomogéneas de pacientes con VKH para comenzar a desarrollarestudios clínicos y establecer de mejor manera su diagnóstico,tratamiento y pronóstico, en el año 2001 fueron replanteadoslos criterios diagnósticos de VKH por un comité internacional,determinando categorías de la enfermedad (2. Así, la enfermedadde VKH puede clasificarse como completa (enfermedad ocularmás compromiso de tegumentos y neurológicos, incompleta(enfermedad ocular más compromiso de tegumentos o compromisoneurológico y probable (enfermedad ocular pura.Nuestro objetivo fue clasificar a los pacientes con VKH evaluadosen la Red de Salud UC según los criterios del Comité Internacionalpara el estudio de la Enfermedad de VKH y evaluar susrespuestas a tratamiento y desarrollo de complicaciones.

  15. Legionnaires' disease in the renal transplant unit of "Hospital das Clinicas, FMUSP": during a five year period (1988-1993 Doença dos legionários na Unidade de Transplante Renal (UTR do Hospital das Clínicas FMUSP, no período de 1988 a 1993

    Directory of Open Access Journals (Sweden)

    Neusa Augusta de Oliveira Mazieri

    1994-06-01

    Full Text Available Several reports have related Legionella pneumophila with pneumonia in renal transplant patients, however this association has not been systematically documented in Brazil. Therefore this paper reports the incidence, by serologycal assays, of Legionella pneumophila serogroup 1 in these patients during a five year period. For this purpose sera from blood samples of 70 hospitalized patients with pneumonia from the Renal Transplant Unit of Hospital das Clinicas, FMUSP collected at the acute and convalescent phase of infection were submitted to indirect immunofluorescence assay (IFA to demonstrate anti-Legionella pneumophila serogroup 1 antibodies. Of these 70 patients studied during the period of 1988 to 1993,18 (25.71 % had significant rises in specific antibody titers for Legionella pneumophila serogroup 1. Incidence was interrupted following Hospital water decontamination procedures, with recurrence of infections after treatment interruption. In this study, the high susceptibility (25.71% of immunodepressed renal transplant patients to Legionella pneumophila serogroup 1 nosocomial infections is documented. The importance of the implementation and maintenance of water decontamination measures for prophylaxis of the infection is also clearly evident.Embora vários trabalhos tem mostrado a presença de Legionella pneumophila associado a pneumopatias infecciosas em transplantados renais, tal associação não fora antes realizado de maneira sistemática no Brasil. Os autores julgaram oportuno a determinação da incidência por comprovação sorológica da Legionella pneumophila sorogrupo 1 em transplantados renais num período de 5 anos. Para tanto amostras de soros de 70 pacientes com pneumopatia infecciosa internados na UTR do HC-FMUSP, colhidos na fase aguda e convalescente da infecção, foram submetidas à reação de imunofluo-rescência indireta para pesquisa de anticorpos anti-Legionella pneumophila sorogrupo 1. Dos 70 pacientes

  16. Ophthalmology emergency room at the University of São Paulo General Hospital: a tertiary hospital providing primary and secondary level care Pronto-Socorro de Oftalmologia do Hospital das Clinicas da Universidade de São Paulo: um hospital terciário para atendimento de nível primário e secundário

    Directory of Open Access Journals (Sweden)

    Regina de Souza Carvalho

    2007-01-01

    Full Text Available OBJECTIVE: To assess the need for emergency care in a tertiary hospital, in the Ophthalmology Emergency Room of the University of the São Paulo Medical School General Hospital. MATERIALS AND METHODS: A cross-sectional analytic study of the treatment complexity level was carried out in a readily available sample, n = 574, of patients seen at the Ophthalmology Emergency Room of the University of São Paulo Medical School General Hospital, during a typical week. RESULTS: Of the 574 treated patients, 69.0% of the cases were diagnosed as requiring a simple treatment for their problem. The most frequent diagnoses were related to ocular inflammation and infection (55.0%, mainly including conjunctivitis (29.4% and eyelid inflammations (10.5%. Next in frequency were ocular trauma (19.2%, particularly foreign bodies on the cornea (7.5% and blunt trauma (5.2%. Refractive errors (3.1% was the most prevalent diagnosis in the "other ocular modifications" category. CONCLUSION: Most of the cases (69.0% treated at the Ophthalmology Emergency Room of the University of São Paulo Medical School General Hospital could have been diagnosed and treated in primary or secondary care units. Also, the fact that return visits to check recovery are seen in the ER demonstrates the lack of referral services. The fact that patients come to a tertiary hospital with rather simple cases shows the poor structure of the Brazilian Public Healthcare System, which overloads the tertiary care facilities, where costs for human resources, materials, and other items are higher.OBJETIVO: Verificar a necessidade de atendimento em hospital terciário de casos emergenciais do Pronto-Socorro de Oftalmologia do Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo. MATERIAL E MÉTODO: Realizou-se um estudo transversal analítico em amostra prontamente acessível, n= 574, de pacientes emergenciais atendidos no Pronto-Socorro Oftalmológico do Hospital das Clínicas da

  17. [Oliver Sacks and literary neurology].

    Science.gov (United States)

    Guardiola, Elena; Banos, Josep E

    2014-03-16

    Introduccion. La literatura medica de divulgacion intenta poner al alcance del publico general temas medicos en un lenguaje desprovisto, en lo posible, de jerga medica para hacerlo mas inteligible. En el ambito de la neurologia, su complejidad hace dificil que los relatos de esta especialidad sean faciles de comprender para el publico sin formacion medica. Objetivo. El presente articulo revisa la obra de Oliver Sacks en el ambito de la neurologia dirigida al publico general; se presentan las principales caracteristicas y las situaciones clinicas que describe. Desarrollo. Se incluyen unas notas biograficas sobre Oliver Sacks y se analizan los 11 libros publicados a lo largo de los ultimos 40 años. Para cada uno de ellos, se realiza una contextualizacion historica y se comentan los aspectos mas destacados que justifican el interes de su lectura. En la mayoria de los casos, se explica la genesis de la obra, asi como sus caracteristicas mas relevantes. Conclusiones. La obra de Sacks contiene un amplio abanico de situaciones clinicas de gran interes que se explican, generalmente, con un lenguaje accesible para el publico general. A los neurologos les permite, ademas, una vision holistica de diversas situaciones clinicas con una discusion de sus componentes biograficos, historicos y evolutivos.

  18. Aspectos hormonales en la hipoglucemia del recién nacido hijo de madre diabética

    OpenAIRE

    Cruz Hernández, Manuel; Jiménez González, Rafael; Pastor Durán, Xavier

    1987-01-01

    La hipoglucemia del recién nacido HMD, aunque ya conocida, ha sido estudiada de forma poco rigurosa por lo que respecta al estudio cinético de la glucemia e influida por la hipótesis dominante del hiperinsulinismo. En un estudio de 100 RN, 65 de ellos hijos de diabéticas, se demuestra la relación de la hipoglucemia en la 1ª hora de vida de control metabólico maternos, el hiperinsulinismo, la capacidad de inhibición de la célula B y especialmente por la insensibilidad de la célula A frente a l...

  19. [Multisite study for norming and standardizing neuropsychological instruments in healthy people for Spanish population: methods and characteristics of Normacog project].

    Science.gov (United States)

    del Pino, Rocío; Peña, Javier; Schretlen, David J; Ibarretxe-Bilbao, Naroa; Ojeda, Natalia

    2015-07-16

    Introduccion. Muchos de los instrumentos neuropsicologicos utilizados en España se han normalizado en poblacion hispanohablante procedente de Estados Unidos y Sudamerica, con grupos de edad y caracteristicas restrictivas. Utilizar este tipo de normas disminuye potencialmente su representatividad, la interpretacion de los resultados y las decisiones clinicas. Este estudio se enmarca dentro del proyecto Normacog, con el fin de estandarizar instrumentos neuropsicologicos en una muestra representativa de la sociedad española. Objetivo. Presentar la metodologia de normalizacion llevada a cabo en el proyecto Normacog y las caracteristicas sociodemograficas de la poblacion española y de los participantes incluidos en el estudio. Sujetos y metodos. Se reclutaron 711 participantes (rango: 18-90 años) de diferentes areas geograficas de España, incluyendo los datos sociodemograficos, medicos, habitos habituales, lengua materna, bilinguismo y dominancia manual. Cada participante completo 19 instrumentos que evaluaban un amplio rango de dominios cognitivos, como memoria verbal y visual, atencion, funciones ejecutivas, velocidad de procesamiento o fluidez y denominacion verbal. Resultados. La muestra final normativa refleja las caracteristicas sociodemograficas y la representatividad de la poblacion española de acuerdo con los rangos de edad, educacion y sexo. Conclusiones. Se describe la metodologia de normalizacion y las caracteristicas de la muestra incluida en el estudio multicentrico Normacog, mediante el cual se llevara a cabo la estandarizacion y normalizacion de instrumentos neuropsicologicos, teniendo en cuenta las caracteristicas sociodemograficas propias de la poblacion española. El proyecto Normacog proporciona datos normativos adecuados a nuestro medio cultural, y es esencial para poder realizar un diagnostico clinico y neuropsicologico fiable.

  20. Análisis y caracterización de la farmacoterapéutica de las heparinas de bajo peso molecular prescritas en pacientes hospitalizados en el Hospital Clínica Bíblica (Costa Rica durante el periodo de marzo a agosto del 2010 Analysis and Characterization of the Pharmacotherapy of Low Molecular Weight Heparins Prescribed in Hospitalized Patients at the Hospital ClinicaBiblica (Costa Rica from March to August 2010

    Directory of Open Access Journals (Sweden)

    Gustavo Céspedes-Orozco

    2012-03-01

    ón adecuada de la farmacoterapia con HBPM en este hospital, donde existe una alta proporción de pacientes que pueden desarrollar eventos tromboembólicos.Aim: To analyze the prescription of low molecular weight heparins in hospitalized patients at the Clinica Biblica Hospital (private hospital in Costa Rica based on the guidelines established by the American College of Chest Physicians (ACCP;2008. Material and methods: This study included 1651 hospitalized patients in the period from March to August 2010 who were treated with low molecular weight heparins, 250 patients were analyzed and randomly selected. A compilation of documents and information required for each patient for the analysis was made. Results: A total of 43% of the hospitalized patients used low molecular weight heparins (707 patients. In 91% of cases low molecular weight heparins were used with a prophylactic purpose. 2% of patients did not need to use prophylactic heparin therapy. In 90% of cases the dose was correct. 18% of cases required dose adjustments. In 80% of the patients had clinically relevant drug interactions, 4% of patients had some form of bleeding, where 2% of cases this effect was linked to the use of low molecular weight heparins. In 9% of cases in which LMWH were used as treatment were addressed in accordance with established guidelines. Conclusion: In the Hospital Clinica Biblica low molecular weight heparins were used according to the recommendations established by the guidelines of the ACCP despite the non-existence at the time of a hospital protocol. A pharmacotherapeutic analysis by the clinical pharmacist can provide important information to the medical doctor in order to take corrective and / or preventive actions associated with the correct use of medications. Make correct risk stratification and individualization of treatment facilitates proper implementation of drug therapy with low molecular weight heparins in this hospital where there is a high proportion of patients that may

  1. [Clinical usefulness and psychometric properties of the Cambridge Behavioural Inventory].

    Science.gov (United States)

    Fernandez-Martinez, R; Kokoulina, E; Carballido-Araujo, E; Garcia-Fuertes, I; Gutierrez-Martinez, O; Santiago-Lopez, F; Vazquez-Batan, P

    2016-11-16

    Introduccion. Un area importante de la evaluacion neuropsicologica son los sintomas psicologicos y conductuales. El inventario conductual de Cambridge –Cambridge Behavioural Inventory (CBI)– es una medida de autoinforme dirigida a allegados que recoge una amplia variedad de sintomas conductuales que pueden darse en el curso de las enfermedades neurologicas. El principal objetivo del estudio es comprobar la utilidad clinica de su adaptacion al castellano. Sujetos y metodos. El CBI fue cumplimentado por 215 allegados de pacientes remitidos desde los servicios de neurologia y psiquiatria. Se compararon los perfiles del CBI de cuatro grupos de pacientes formados sobre la base de sus principales caracteristicas clinicas, datos psicometricos, pruebas de imagen y juicio clinico del profesional solicitante del estudio neuropsicologico. Resultados. La mayoria de las escalas (10 de 13) del CBI tuvo valores de consistencia interna aceptables, y las escalas de memoria y atencion/orientacion, correlaciones elevadas con medidas objetivas de memoria y orientacion temporal. Los perfiles del CBI de los grupos de pacientes con distintas condiciones (trastorno organico de la memoria, trastorno funcional de la memoria, variante conductual de demencia frontotemporal y enfermedad de Alzheimer) fueron consistentes con sus principales caracteristicas. Conclusiones. El CBI es un instrumento psicometricamente fiable y con adecuada validez convergente y discriminante que puede ser util en el proceso de evaluacion neuropsicologica, aportando informacion relevante no solo sobre el funcionamiento cognitivo y las capacidades funcionales, sino tambien sobre los sintomas conductuales y psicologicos de los pacientes con trastornos cognitivos.

  2. [Predictive factors of the response to treatment with onabotulinumtoxinA in refractory migraine].

    Science.gov (United States)

    Pagola, Inmaculada; Esteve-Belloch, Patricia; Palma, José Alberto; Luquin, M Rosario; Riverol, Mario; Martinez-Vila, Eduardo; Irimia, Pablo

    2014-03-16

    Objetivo. Identificar las caracteristicas clinicas que predicen una respuesta favorable al tratamiento con onabotulinumtoxina A (OnabotA) en pacientes con migraña refractaria. Pacientes y metodos. Estudio retrospectivo de pacientes con migraña refractaria que recibieron al menos dos infiltraciones de OnabotA entre los años 2008 y 2012. Los pacientes fueron divididos en respondedores y no respondedores a OnabotA y se compararon entre ambos grupos, y de forma retrospectiva, una serie de caracteristicas clinicas consideradas predictoras de respuesta en estudios previos: localizacion unilateral de la cefalea, presencia de tension muscular pericraneal, tipo de dolor (implosivo, explosivo u ocular), tiempo de evolucion de la migraña (menor o mayor de 10 años) y abuso de medicacion analgesica. Resultados. Se incluyeron 39 pacientes (35 mujeres) con una edad media de 46 años. En 18 pacientes (46,2%) se observo una reduccion mayor del 50% en el numero de dias de cefalea/mes (pacientes respondedores). Al analizar las diferentes caracteristicas de la migraña, se observo que todas ellas fueron igualmente prevalentes en los pacientes respondedores y en los no respondedores (p > 0,05): localizacion unilateral (66,7% frente a 66,6%, respectivamente), dolor implosivo (27,8% frente a 38,1%), presencia de tension muscular pericraneal (33,3% frente a 38,1%), tiempo de evolucion de la migraña mayor de 10 años (77,8% frente a 69,2%) y presencia de abuso de medicacion analgesica (50% frente a 81%). Conclusion. En esta serie de pacientes no se ha identificado ningun rasgo clinico que permita predecir en pacientes con migraña refractaria una respuesta favorable al tratamiento con OnabotA.

  3. Correlacion clinica-patologica de corioamnionitis en pacientes que ingresan al servicio ginecologia en el año 2009 en el Hospital Universitario Clinica San Rafael

    OpenAIRE

    2011-01-01

    Este trabajo tuvo como utilidad básica determinar cuál es la correlación del diagnóstico clínico con los criterios de Gibss y con el Gold estándar que es la patología en las paciente con corioamnionitis para así poder establecer si el diagnostico se realizó en forma adecuada y cuáles son los criterios más relevantes para su diagnóstico. Dicha investigación se realizó de la siguiente manera: 1. Se Identificaron las pacientes que ingresaron al servicio de urgencias...

  4. [Syringomyelias in paediatrics: a retrospective study of 25 cases].

    Science.gov (United States)

    Martinez-Albaladejo, I; Prochazkova, M; Perez-Sebastian, I; Bernardino-Cuesta, B; Martinez-Ferrandez, C; Suarez-Traba, O M; Budke, M; Garcia-Penas, J J

    2016-09-01

    Introduccion. Se define siringomielia como una cavidad que contiene liquido cefalorraquideo dispuesta en el interior de la medula espinal. Objetivo. Describir las caracteristicas clinicas de una serie de pacientes con siringomielia, su diagnostico y tratamiento. Pacientes y metodos. Estudio descriptivo retrospectivo realizado mediante la revision de historias clinicas en nuestro centro. Resultados. Se revisaron 25 pacientes diagnosticados de siringomielia. En cinco el diagnostico fue casual y ocho presentaban una patologia grave previa (tumoral, osea o vascular). Dos pacientes comenzaron con hidrocefalia y clinica de hipertension intracraneal y unicamente dos destacaban cefalea como unico sintoma. Cuatro presentaron escoliosis progresiva, dos de ellos como queja inicial, y precisaron cirugia con artrodesis y uso de corse, respectivamente. Destaca la precocidad del diagnostico. La mayoria presentaba unicamente perdida de fuerza leve, con potenciales somatosensoriales y electromiograma normales. En todos se hicieron controles con resonancia magnetica. Ocho pacientes precisaron craniectomia descompresiva con laminectomia posterior C1-C2, con drenaje de la cavidad siringomielica en cuatro. Nueve requirieron valvula de derivacion y dos precisaron, ademas, ventriculostomia. Conclusiones. La presencia de siringomielia en pediatria es rara, y se asocia generalmente a malformaciones en la fosa posterior y antecedentes de disrafismo espinal. Destaca la escoliosis progresiva como posible manifestacion aislada. Un abordaje multidisciplinar con controles radiologicos seriados y la valoracion por servicios de neurologia y neurocirugia pediatricos son mandatorios para su seguimiento.

  5. [The neuroanatomy of attention deficit hyperactivity disorder: neuropsychological and clinical correlates].

    Science.gov (United States)

    Albert, J; Fernandez-Jaen, A; Martin Fernandez-Mayoralas, D; Lopez-Martin, S; Fernandez-Perrone, A L; Calleja-Perez, B; Jimenez-De la Pena, M; Recio-Rodriguez, M

    2016-07-16

    Introduccion. El desarrollo de la resonancia magnetica estructural y de nuevos metodos de analisis ha permitido examinar, como nunca antes, las bases neuroanatomicas del trastorno por deficit de atencion/hiperactividad (TDAH). No obstante, poco se sabe todavia sobre la relacion de los sintomas clinicos y las disfunciones neuropsicologicas caracteristicas del TDAH con las alteraciones neuroanatomicas observadas. Objetivo. Explorar la relacion entre neuroanatomia, clinica y neuropsicologia en el TDAH. Desarrollo. A nivel de grupo, existen diferencias marcadas entre el cerebro de niños adolescentes y adultos con TDAH y el cerebro de personas con desarrollo tipico. Estas diferencias se observan transversal y longitudinalmente en todas las medidas, tanto de la sustancia gris como de la sustancia blanca. Aunque todavia escasa, cada vez existe mayor evidencia que señala que estas diferencias se relacionan con los sintomas nucleares del trastorno y con el grado de disfuncion clinica. Tambien parecen asociarse con el funcionamiento cognitivo (principalmente, atencion y control inhibitorio). Conclusiones. La relacion entre los distintos niveles de analisis de estudio del TDAH acerca la investigacion a la clinica y permite comprender y tratar mejor el trastorno. Aunque el avance en este campo es innegable, todavia son muchas las cuestiones que hay que explorar y profundizar en mayor detalle. Se requiere comprender mejor la asociacion entre las medidas neuroanatomicas y cada dimension sintomatologica, y la relacion con otros procesos neuropsicologicos tambien implicados en el trastorno.

  6. [Asymptomatic skull base metastases: clinical course and therapeutic alternatives].

    Science.gov (United States)

    Vargas, A; Paulazo, C; Oleaga, L; Verger, E

    2017-03-01

    Introduccion. Las metastasis sintomaticas de la base craneal (MBC) son una progresion infrecuente, tardia y de mal pronostico en pacientes con tumores solidos. Sus manifestaciones clinicas pueden agruparse en cinco sindromes caracteristicos, y su tratamiento mas frecuente es la radioterapia. Gracias a los progresos tecnologicos en las pruebas de imagen y al seguimiento estrecho de los pacientes con cancer, las MBC pueden diagnosticarse incidentalmente. En este subgrupo no se conoce la evolucion clinica ni se ha establecido la mejor modalidad de tratamiento. Objetivo. Analizar las caracteristicas clinicas y la evolucion de los pacientes diagnosticados incidentalmente de MBC. Pacientes y metodos. Entre enero de 2012 y diciembre de 2015, 31 pacientes con una neoplasia solida diagnosticados de MBC fueron valorados por nuestro servicio. Resultados. Las MBC se diagnosticaron por la presencia de un sindrome de base craneal (n = 24) o incidentalmente (n = 7). Los pacientes sintomaticos fueron tratados con radioterapia. Todos los pacientes diagnosticados incidentalmente permanecieron sin sintomas relacionados con la afectacion de la base craneal hasta la fecha del fallecimiento, aunque frecuentemente presentaron de forma concomitante otros tipos de progresion intracraneal de mal pronostico. Se observo una diferencia estadisticamente significativa en la supervivencia a favor de los pacientes sintomaticos (p = 0,001). Conclusiones. Las MBC diagnosticadas incidentalmente se asociaron frecuentemente a otros tipos de progresion intracraneal, limitando las opciones terapeuticas.

  7. Influencia de la toma de anticonceptivos hormonales combinados orales en el debut y el curso clínico de la esclerosis múltiple recurrente remitente

    OpenAIRE

    Hernández Clares, Rocío

    2016-01-01

    La Esclerosis Múltiple (EM) es una enfermedad desmielinizante inflamatoria crónica del sistema nervioso central (SNC) que afecta de forma típica a personas jóvenes, alrededor de la tercera década de la vida, suponiendo la segunda causa de discapacidad neurológica a esa edad. La paradoja de que las mujeres tengan un mayor riesgo de esclerosis múltiple pero que los hombres tengan una evolución peor de la enfermedad ha ayudado a descubrir un aspecto fascinante de la fisiopatología de la EM, a...

  8. Parámetros hormonales e inflamatorios en un grupo de mujeres con sobrepeso/obesidad Hormonal and inflammatory biomarkers in a group of overweight and obese women

    Directory of Open Access Journals (Sweden)

    V. Loria Kohen

    2011-08-01

    Full Text Available Introducción y Objetivos: Recientemente se ha descubierto que la obesidad es una patología caracterizada por un estado crónico de inflamación leve. El objetivo de este estudio fue describir la situación hormonal e inflamatoria de un colectivo de mujeres con sobrepeso/obesidad. Pacientes y métodos: se incluyeron mujeres > 18 años, con IMC ≥ 25 Background and objectives: The aim of this study was to describe the hormonal and inflammatory status of a group of overweight/obese women. Patients and methods: The sample studied was a crosssectional cohort of women > 18 years of age, BMI ≥ 25 < 40 kg/m², prior to starting a weight control program. Data collected were: demographic characteristics, blood pressure, anthropometric parameters, physical activity data, and biochemical, hormonal and inflammatory biomarkers. Results: The study involved 104 women with a mean age of 48.4 ± 9 years and a BMI of 29.8 ± 3.5 kg/m². Some 48% of the women studied were in menopause. Some 8.9% had hyperinsulinemia. The mean ghrelin value was 38.8 ± 33.6 pg/ml; there was no correlation between ghrelin levels and anthropometric and biochemical variables. CRP, leptin, adiponectin, resistin, IL6, IL10, and PAI1 were 3.0 ± 2.7 mg/dl, 36.3 ± 19.5 ng/ml, 8.3 ± 4.5 mg/ml, 24.3 ± 23.2 ng/ml, 51.6 ± 93.6 pg/ml, 10.0 ± 34.2 pg/ml and 22.3 ± 30.6 ng/ml, respectively. Obese patients had significantly higher mean values of resistin and PAI 1 than those who were overweight. These levels correlated significantly with anthropometric and biochemical variables; however, the correlations were weak. Age, menopause or the regular practice of physical activity had no effect on mean values. Conclusions: The group of women studied had altered inflammatory biomarkers in relation to people of normal weight. The study shows the inflammatory status of overweight/ obese individuals, and the values obtained may help to establish standard ranges for these markers.

  9. Reacciones hormonales e inmunológicas agudas en situaciones de estrés. Estudio experimental sobre el papel moderador de la experiencia de control

    Directory of Open Access Journals (Sweden)

    Viviola Gómez

    2001-01-01

    Full Text Available El objetivo central de este estudio fue determinar experimentalmente las diferencias en los patrones de respuesta hormonal e inmunológica, como también en los estados emocionales de los participantes, al ser confrontados con situaciones de exigencia en condiciones de evidente control y de no-control. Uno de los grupos recibió feedback positivo durante la realización de la tarea ("control" y el segundo grupo recibió feedback negativo en iguales condiciones ("no control". Al confrontar las condiciones experimentales "control" y "sin control", únicamente los datos en las variables psicológicas mostraron diferencias significativas. Sin embargo, la experiencia de control correlacionó negativamente con varios de los parámetros inmunológicos con tendencia a aumentar bajo condiciones de exigencia y positivamente con aquellos que mostraron disminución bajo las mismas condiciones. Estos datos nos indican que en la medida en que disminuyó la percepción de control en la tarea, hubo incrementos y decrementos de mayor magnitud en algunas de las variables inmunológicas.

  10. Lesões desportivas no atletismo: comparação entre informações obtidas em prontuários e inquéritos de morbidade referida Lesiones deportivas en el atletismo: comparacion entre las informaciones obtenidas en historias clinicas y consultas de la morbilidad referida Sports injuries in track and field: comparison between information obtained in medical records and reported morbidity inquires

    Directory of Open Access Journals (Sweden)

    Carlos Marcelo Pastre

    2004-02-01

    ões desportivas para a população investigada.Para comprender las lesiones deportivas (LD es necesario cuantificarlas, asociandolas a factores causales particulares al esporte. Aún así, faltan registros sobre estas patologías en las instituciones deportivas, sobretodo en el atletismo brasileño, donde pocos son los clubes que poseen servicios de asistencia de la salud. La ausencia de tales registros, estudios en el área de Salud Pública, se utilizan otros recursos epidemiológicos para colectas, tales como las consultas de morbilidad referida. A partir de esta escasez de información y de la facilidad de obtención de datos junto a los propios atletas, se objetivó, para esta pesquisa, levantar informaciones sobre las LD referidas por los atletas de alto rendimento, retrocediendo ocho meses, y comparándolas con los registros de historias clínicas. Por lo tanto, fueron tomados veinticinco atletas de elite, dieciseis de género masculino y nueve del femenino, con edades de 25,7 ± 4,4 años, altura de 1,74 ± 0,10 m, peso 70,4 ± 13,15 kg e tiempo médio de entrenamiento de 8,38 ± 4,06 años. Dos fisioterapeutas fueron entrenados separadamente para recolectar información sobre LD. Uno de ellos en historias clinicas y el otro de los propios atletas a través de entrevistas (Interrogatorio de Morbidade Referida - IMR. El estudio de concordancia de respuestas para las dos formas de colecta fué realizado por el test de proporción binomial, estabeleciendose límites de 95% de confianza para la concordancia. Los resultados mostraron que en todas las variables estudiadas los valores estaban dentro de los límites de confianza estabelecidos para los tests estadísticos, siendo: 88,33% para las variables tipo de lesión o agravio y mecanismo de lesión o aumento de los síntomas, 90% para la variable calidad del reintegro a las actividades deportivas el 91,67% para las variables local anatómico y período de entrenamiento. Se concluye por lo tanto, que ha habido una elevada

  11. The Traits of Effective Spanish Writing = Las caracteristicas de la buena escritura en espanol. Second Edition.

    Science.gov (United States)

    Flores, Will A.; Arrasmith, Dean G.

    This English-Spanish language report includes the rationale for creating an assessment model for Spanish writing, offering an overview of the components of high quality assessment for any subject area, particularly Spanish writing. It presents the characteristics of effective Spanish writing, rubrics for scoring student performance based on the…

  12. Caracteristicas morfologicas y cristalograficas del grafito de Osumita, Venezuela, y su uso como geotermometro

    Directory of Open Access Journals (Sweden)

    Benavides, A.

    2003-12-01

    Full Text Available A morphologic, petrographic and crystallographic study was performed in some representative samples of disseminated graphite of the Cerro Osumita, Cojedes State, Venezuela with the aim of establishing the degree of mineral crystallinity (graphitization and the highest temperature reached by the rock. From the original rock (La Aguadita quartz-feldespatic-graphitic Gneiss, fractions enriched in graphite were obtained by means of leaching with HCI-HF and physical procedures (flotation and accumulation in liquid interfaces. The isolated graphite was analyzed by X-Ray Diffraction, whereas morphology was studied by Scanning Electronic Microscopy (SEM. The mineralogical association exhibited by the gneiss (quartz- oligoclase- hornblende (green- microcline - chlorite- biotite- epidote allows establishing the metamorphism of the rock in the upper zone of the green schist facies, in the biotite zone. Graphite grains present aspect of flakes, with a concentration oscillating between 7 and 10% in weight. The used enrichment process allowed obtaining fractions with more than 92% in graphi- te. Under Scanning Electronic Microscopy, graphite samples showed morphology dominantly as sheets, very well defined and ordered. The crystallinity index (measured by XRD is around 58 and 60, with a mean graphitization degree of 60, suggesting a high order in the crystalline net. The higher temperature reached by the rock, according to the graphitization degree, is of 472 f 27 "C.Muestras representativas del grafito diseminado del Cerro Osumita, Estado Cojedes, Venezuela, fueron objeto de un estudio morfológico, petrográfico y cristalográfico, con el fin de establecer el grado de cristalinidad del mineral y la temperatura máxima alcanzada por la roca. A partir de la roca original (gneis cuarzo feldespático grafitoso de La Aguadita se obtuvieron las fracciones enriquecidas en grafito mediante una combinación de ataque químico (HCI-HF y físico (flotación y acumulación en interfases líquidas. El grafito obtenido mediante el procedimiento descrito, fue analizado mediante difracción de rayos X. Adicionalmente se estudió la morfología del grafito obtenido haciendo uso de Microscopia Electrónica de Barrido (SEM. La asociación mineralógica presentada por el gneis (cuarzo - oligoclasa - hornblenda (verde - microclino - clorita- biotita- epidota ubica al metamorfismo alcanzado por la roca en la región superior de la facies de los esquistos verdes, en la zona de la biotita. El grafito presenta aspecto de escamas, en una concentración que oscila entre 7 y 10% en peso. El proceso de concentración utilizado permitió obtener fracciones mayores al 92% en grafito. Bajo el microscopio electrónico de barrido, los granos de grafito presentan una morfología determinada por láminas muy bien definidas y ordenadas. El índice de cristalinidad alcanzado oscila entre 68-70, con un rado de grafitización promedio de 60, y un valor del parámetro d002, del cristal de 3,35 f,lo que sugiere un alto ordenamiento de la red cristalina. La temperatura máxima alcanzada por la roca, de acuerdo al grado de grafitización, es de 472 I 27 "C.

  13. Efecto del fraccionamento sobre las caracteristicas del germen de maiz desgrasado

    Directory of Open Access Journals (Sweden)

    HERNÁNDEZ Blanca D.

    1999-01-01

    Full Text Available El germen de maíz desgrasado (GMD es un subproducto que se obtiene al elaborar harina cruda o precocida y extraer el aceite de maíz. Este subproducto se usa exclusivamente en la alimentación animal, debido a que es un material heterogéneo con alto contenido de salvado. El principal obstáculo para usarlo en la formulación de alimentos es que los fragmentos de fibra de la cáscara, modifican las características sensoriales y funcionales de los productos. Para evitar esta limitante, en este trabajo, se trató de eliminar los fragmentos de fibra y de incrementar la concentración de proteína. Para esto, el material extraíble (ME rico en grasa y el germen industrial desgrasado (GD fueron sometidos a fraccionamientos mediante separación en tamices, aspirado y molienda. El rendimiento en fracciones de GMD obtenidas a nivel de laboratorio GD1 e industrial GD2 respectivamente, fue de 44,76% y 78,02%. La fibra se redujo en un 18,45% y en un 41,61% y se aumentó la proteína en 7,40% y en 19,56% para las fracciones GD1 y GD2 respectivamente. La calidad de la proteína medida por la eficiencia proteica (PER varió de 2,57 a 2,84 lo que resultó ser 16 veces superior a la de la harina de endospermo de maíz blanco (PER 0,16 y la digestibilidad aparente de las fracciones GD1 y GD2 dio valores superiores al 86%, lo que indica que el fraccionamiento es una tecnología sencilla que mejora considerablemente la calidad de las proteínas del germen, el color y los índices de solubilidad y absorción de agua.

  14. LA REFORMA ESTRUCTURAL DE LAS PENSIONES DE SEGURIDAD SOCIAL EN AMERICA LATINA: MODELOS, CARACTERISTICAS, RESULTADOSY LECCIONES

    OpenAIRE

    2002-01-01

    La reforma estructural de las pensiones de la seguridad social es un tema de debate internacional y América Latina ha sido pionera en dicha reforma, tiene una experiencia acumulada de dos décadas y ha ejercido una influencia importante en otras regiones del mundo. Este artículo recopila información legal y estadística sobre dicha reforma en diez países latinoamericanos, con el fin de acometer tres tareas: (I) analizar los tres modelos generales diversos seguidos y apuntar las características ...

  15. Adaptacao transcultural e confiabilidade de medidas de caracteristicas autorreferidas de vizinhanca no ELSA-Brasil

    Directory of Open Access Journals (Sweden)

    Simone M Santos

    2013-06-01

    Full Text Available OBJETIVO: Descrever o processo de adaptação de escalas de medida de características de vizinhança para o português brasileiro. MÉTODOS: As dimensões abordadas foram coesão social, ambiente propício para atividade física, disponibilidade de alimentos saudáveis, segurança em relação a crimes, violência percebida e vitimização. No processo de adaptação foram avaliados aspectos de equivalência entre as escalas originais e respectivas versões para o português. A confiabilidade teste-reteste foi avaliada em submostra de 261 participantes do Estudo Longitudinal de Saúde do Adulto (ELSA-Brasil que responderam ao mesmo questionário em dois momentos distintos em um intervalo de tempo de sete a 14 dias entre as duas aplicações. RESULTADOS: Os aspectos de equivalência avaliados mostraram-se adequados. O coeficiente de correlação intraclasse variou entre 0,83 (IC95% 0,78;0,87 para Coesão Social e 0,90 (IC95% 0,87;0,92 para Ambiente para Atividade Física. As escalas apresentaram consistência interna (alfa de Cronbach que variaram entre 0,60 e 0,84. CONCLUSÕES: As medidas autorreferidas de características de vizinhança tiveram reprodutibilidade muito boa e boa consistência interna. Os resultados sugerem que essas escalas podem ser utilizadas em estudos com população brasileira que apresente características similares àquelas do ELSA-Brasil.

  16. Neutron sources and its dosimetric characteristics; Fuentes de neutrones y sus caracteristicas dosimetricas

    Energy Technology Data Exchange (ETDEWEB)

    Vega C, H.R.; Manzanares A, E.; Hernandez D, V.M.; Mercado S, G.A. [Universidad Autonoma de Zacatecas, A.P. 336, 98000 Zacatecas (Mexico); Gallego D, E.; Lorente F, A. [Universidad Politecnica de Madrid, C/Jose Gutierrez Abascal 2, E-28006 Madrid (Spain)

    2005-07-01

    By means of Monte Carlo methods the spectra of the produced neutrons {sup 252} Cf, {sup 252} Cf/D{sub 2}O, {sup 241} Am Be, {sup 239} Pu Be, {sup 140} La Be, {sup 239} Pu{sup 18}O{sub 2} and {sup 226} Ra Be have been calculated. With the information of the spectrum it was calculated the average energy of the neutrons of each source. By means of the fluence coefficients to dose it was determined, for each one of the studied sources, the fluence factors to dose. The calculated doses were H, H{sup *}(10), H{sub p,sIab} (10, 0{sup 0}), E{sub AP} and E{sub ISO}. During the phase of the calculations the sources were modeled as punctual and their characteristics were determined to 100 cm in the hole. Also, for the case of the sources of {sup 239} Pu Be and {sup 241} Am Be, were carried out calculations modeling the sources with their respective characteristics and the dosimetric properties were determined in a space full with air. The results of this last phase of the calculations were compared with the experimental results obtained for both sources. (Author)

  17. Electrical characteristics of the hydroxyapatite for biomedical applications; Caracteristicas electricas de la hidroxiapatita para aplicaciones biomedicas

    Energy Technology Data Exchange (ETDEWEB)

    Lopez Buisan N, M.G.; Mendez G, M.M. [Laboratorio de Corrosion, ESFM-IPN, 07738 Mexico D.F. (Mexico)

    2006-07-01

    The electric characteristics of hydroxyapatite films were studied (HAP) deposited on metallic substrates oxidized naturally. The substrates was made of steel 316L and of titanium. These materials are used in reconstructive surgery for prosthesis and osseous implants. The studies were carried out with the techniques of potentiostatic polarization and faraday impedance. The potentiostatic polarization reveals that the very well-known piezoelectricity of the HAp subsists after the coating processes (it captures thermal and spray-pyrolysis). Its also revealed a semiconductor behavior of the HAp that until now had not been reported. This characteristic is important, by its relationship with the stability of the HAp coating in front of corrosion processes in the alive tissues. The results of the impedance tests were mathematically analyzed starting from the Nyquist diagrams, of Bode and of power. The physical interpretation is presented under the form of equivalent circuits (CE). In the case of the HAp on a steel 316L substrate, the CE is a Rancles-Voigt module that corresponds to the behavior of a dielectric with flights. In the case of the titanium substrate an element of constant phase appears to high frequencies (CPE), in series with the Rancles-Voigt module. The CPE reveals the presence of a rectifier of the metal/SC-n type that only it could be located in the interface among the titanium and its natural oxide (TiO{sub 2}). The absence of the CPE in the case of the steel 316L substrate indicates that the natural oxide (Cr{sub 2}O{sub 3}) it doesn't form with the steel a Schottky diode, possibly because the chromite is as a SC-n degenerate. On the interface Ti/TiO{sub 2} exists results qualitatively identical by other researchers that have worked with the same impedance technique, but applied by humid via (EIS). The CE that have proposed are based on the anodic processes of accretion/dissolution of the film at low pH. This proposal is questioned by our results, obtained under non electrochemical conditions. In accordance with our interpretation, the answer in frequencies of the system Ti/TiO{sub 2}/HAp can separate in two well differentiated ranges: that of low frequency, where operates the CE Rancles-Voigt that contains the information on the HAp; and that of high frequency, where operates the CPE that contain the information on the union Ti/TiO{sub 2}. This spectral resolution is, in principle, very convenient. However, when it is sought to characterize the HAp and the study should be carried out at low frequencies, the necessity to obtain an acceptable statistics implies a great lost of time. This unfavorable circumstance cannot be obviated by means of the Kramers-Kronig transformations, clearly inapplicable in these systems. (Author)

  18. Environmental characteristics of cogeneration plant; Caracteristicas ambientales de una central de cogeneracion

    Energy Technology Data Exchange (ETDEWEB)

    Mourelle, A.; Torron, M. M.

    1999-07-01

    The cogeneration of electric power in special regimen, to the help of the new juridical applicable frame, supposes some clear energy advantages that are translated in an environmental improvement in the group of the energy cycle. Nevertheless, this production demands a systematic control of the most significant environmental looks in their operation, with object of assuring the operation to complete the legal applicable dispositions strictly. The article presents an analysis of the environmental implications of the operation of a Central of cogeneration and their control. (Author)

  19. GTA arc characteristics in different atmospheres; Caracteristicas del arco de soldadura TIG en diferentes atmosferas

    Energy Technology Data Exchange (ETDEWEB)

    Marques, P. V.; Modenesi, P. J.

    1999-07-01

    Physical properties of gases as density, thermal and electric conductivity and ionization potential determine, to a great extent, the operational characteristics of welding arcs. These properties can very strongly for different gases. As a result, arc voltage, heat output, mean radius, thermal profile, efficiency and other arc characteristics that influence bead geometry (shape, depth, etc) depend on chemical composition of the shielding gas. Complex physical models have being proposed to explain and to quantify the effects of shielding gas chemical composition on the welding arc performance. The influence of arc atmosphere can also be readily observed empirically. However, only changes arc operational parameters and weld bead geometry due to variations in gas composition are well registered in the literature. In this work, an optical study of the gas tungsten arc is presented, based on a digital system for image capture and weeding parameters register, during arc operation. The results were related to physical properties of gases and mixtures used and models in literature. (Author) 11 refs.

  20. Dosimetric characteristics of a TLD dosemeter with extremities; Caracteristicas dosimetricas de un dosimetro TLD de extremidades

    Energy Technology Data Exchange (ETDEWEB)

    Molina P, D.; Diaz B, E.; Lien V, R. [Centro de Proteccion e Higiene de las Radiaciones, CPHR, Apdo.Postal 6195, Habana 6, CP 10600, Ciudad Habana (Cuba)

    1999-07-01

    It was designed a TLD dosemeter for the monitoring of the extremities. This one consists in a metallic ring with a circular orifice where is arranged a T L detector of LiF: Mg,Ti (Model JR1152C) 5 x 5 x 0.8 mm{sup 3} covered by a polyethylene fine layer. In this work were studied the dosimetric properties of the dosemeter for its application in the dosimetry of extremities for photonic radiation. the results obtained allow conclude that the designed dosemeter can be used for the extremities monitoring. (Author)

  1. Natural zeolites: characteristic, properties and uses; Zeolitas naturales: caracteristicas, propiedades y usos

    Energy Technology Data Exchange (ETDEWEB)

    Bosch, P.; Bulbulian, S. [UNAM, Centro de Ciencias Aplicadas y Desarrollo Tecnologico, Ciudad Universitaria, 04510 Mexico, D. F. (Mexico); Olguin, M. T. [ININ, Carretera Mexico-Toluca s/n, 52750 Ocoyoacac, Estado de Mexico (Mexico)

    2011-07-01

    The zeolites are a crystalline aluminium silicates family of volcanic origin. It characterizes them a porous structure, nano metric, regular and homogeneous. Therefore, they turn out to be excellent molecular sieves besides exchangers of ions. This last property it has been extremely exploited, in order to retain the radioactive ions of the contaminated waters in the accident of Three Mile Island (USA), of Chernobyl (Russia) and Fukushima Daiichi (Japan). Nevertheless, the use of the zeolites goes but there ... these they can work as much as nutritional supplement for chickens and pigs, as well as for to retain odors or to separate gases. The construction industry has welcomed this mineral, when either using it as quarry or additive in the called pozzolanic cements. In this book the authors explain the zeolites formation in the nature, their structure and the main uses of these minerals that some authors have baptized as the magic rocks. (Author)

  2. Plastic solar collector: feature and applications; Colector solar de plastico: Caracteristicas y aplicaciones

    Energy Technology Data Exchange (ETDEWEB)

    Bistoni, Silvia; Iriarte, Adolfo [Universidad Nacional de Catamarca, Catamarca (Argentina); Saravia, Luis [Universidad Nacional de Salta, Salta (Argentina)

    2000-07-01

    The Argentinean northwest (NOA) is an exceptional zone to use solar energy, because of its climate and its solar radiation levels. The aim of this paper is to analyze the use of low temperature solar heating system by mean of a plastic collector. The system proposed includes: a) Solar collectors built with plastic bags, welded in such a way that water, introduced at the top, falls by gravity through a zigzag long path. Each collector is fed by drip feed irrigations. b) Hot water storage and c) Water pump, hydraulic circuit and electronic controls. Two ways of use are proposed: as a water solar heating and as a system to heat greenhouses. In this second case, if during the day the air temperature inside the greenhouse is higher than the water storage temperature, the water will be heated in the bags. During the night the bags work as heat exchanger. When the temperature inside the greenhouse needs to be maintained at a constant value, the heating system is combined with a gas water heating. The equipment is described, performances are compared for both uses and the global heat exchange coefficient is calculated. The system's behavior inside a greenhouse is analyzed in two different situations. The utilization of plastic solar collectors has demonstrate to be a valid alternative for low temperature solar energy uses, specially in heating agricultural spaces. [Spanish] La region del Noreste Argentino (NOA), por su clima y muy en particular por los niveles de radiacion solar que posee, es una zona excepcional para el aprovechamiento de la energia solar. El objetivo de este trabajo es analizar el uso de la energia solar a baja temperatura mediante un colector de plastico. El sistema propuesto incluye: a) Colector solar construido con una bolsa de plastico soldada en forma tal, que el agua que se introduce por la parte superior cae por la gravedad siguiendo un camino en zigzag. Cada colector se alimenta mediante goteros de riego autocompensados. b) Almacenamiento del agua caliente y c) Bomba, circuito hidraulico y controles electronicos. Se plantean dos condiciones de uso: como calentador solar de agua y como sistema para calentar invernaderos. En este segundo caso si durante el dia la temperatura interior del invernadero es mayor que la temperatura del agua en el almacenamiento el funcionamiento del sistema preve que el agua circule a traves de las bolsas colectando energia; durante la noche las mismas bolsas actuan como intercambiadores de calor. Cuando es indispensable mantener la temperatura en el interior del invernadero dentro de cierto rango, el sistema de calentamiento se combina con un calentador de agua a gas natural. Se describen las instalaciones, se comparan rendimientos instantaneos y globales de los colectores solares para las dos situaciones analizadas y se calcula el coeficiente global de transferencia de calor cuando las bolsas actuan como intercambiadores de calor. Se analiza tambien el comportamiento integral del sistema dentro del invernadero para dos situaciones diferentes. El empleo de los colectores solares de plastico ha demostrado ser una alternativa valida para el uso de energia a baja temperatura, especialmente para la calefaccion de locales agricolas.

  3. CT features of mycotic aneurysms; Caracteristicas por TC de los aneurismas micoticos

    Energy Technology Data Exchange (ETDEWEB)

    Masaguer, S.; Pages, M.; Sanchez, M.; Real, M.; Ayuso, J. R.; Caralt, R. M. de; Ayuso, C. [Hospital Clinic de Barcelona (Spain)

    2003-07-01

    To describe CT features of mycotic aneurysms. We have retrospectively checked 10 patients diagnosed with mycotic aneurysm. Three revealed previously treated arteriosclerotic aneurysms, one was diabetic and had undergone a reno pancreatic transplant, and another presented advanced HIV infection. They all presented fever syndrome and eight exhibited leucocytosis. Mycotic aneurysm diagnosis was made by means of CT findings, clinical examination and positive hemo culture in all cases. Anatomopathological findings were available as confirmation for all four surgically treated patients. The CT scan was performed during arterial phase with spiral acquisition, without contrast and with endo venous administration of a contrast medium. Saccular aneurysms were found in seven patients (double aneurysms in the case of two), with seven of these being abdominal aneurysms (one retrocrural aortic,three infra renal aortic, and three iliac arteries) and two thoracic (aortic arch). In all three remaining patients, there was a pre-existing arteriosclerotic aneurysm (fusiform) and only incipient changes were observed in the adjacent fat. Perianeurysmatic soft-tissue was was noted in eight cases. Only two patients presented signs of tear (peri aneurysm hematoma and/or with contrast extravasation). In three cases, the calcium ring was disrupted. In two patients, absences were observed in other locations. In none of the cases was there gas in the aneurysm wall. Mycotic aneurysm is a rate entity, but must be considered in the evaluation of septic patients since it demands early diagnosis and treatment. In such patients, a CT finding of saccular aneurysm with adjacent soft-tissue mass, and associated with a positive hemo culture, is highly suggestive of this pathology. (Author) 9 refs.

  4. Characteristics of radiation protection legislation; Caracteristicas de la legislacion en proteccion radiologica

    Energy Technology Data Exchange (ETDEWEB)

    Puig Cardozo, Diva E. [Ministerio de Industria, Energia y Mineria (MIEM), Montevideo (Uruguay). Direccion Nacional de Tecnologia Nuclear

    2001-07-01

    The laws on radiological protection have special characteristics. They can exist laws that regulate dangerous activities that will be also applicable, if it corresponds to the activities that involve radioactive materials. But a law of radiological protection should exist. It foresees the existence of an appropriate regulatory body and specialized institutions, definitions, infractions and sanctions then the respective regulations will be elaborated for the different applications. The objective is to contribute to the development of the nuclear energy in the country and to provide the regulatory basis that assures a reasonable security for radioactive installations. The essential objectives of these laws are: 1. to establish the legislative framework for the development and employment of nuclear energy, without risks, according with treaties and conventions that the countries have approved. 2. To fix the fundamental principles and the conditions of their setting in practice allowing to a specific regulation determining application procedures. 3. To create a structure of regulation of enough authority to be able to control and to watch over in an effective way the authorized activities 4. To guarantee an appropriate financial protection against the derived damages of accidents or nuclear incidents. (author)

  5. Teoria de la deteccion de señales (tds y caracteristicas de la memoria transitoria

    Directory of Open Access Journals (Sweden)

    Paul Stephaneck

    1987-01-01

    Full Text Available Seis sujetos fueron sometidos a una tarea de memorización en la cual el sujeto conserva informaciones, recibe nuevos datos durante el intervalo de retención y elimina, al mismo tiempo, algunos aspectos antiguos de su memoria que se volvían inútiles. El material memorizado consistió en objetos abstractos que poseían varios atributos. Fueron establecidas dos condiciones experimentales. Condición V: numerosos atributos de pocos objetos. Condición U: un solo atrio buto de numerosos objetos. Los resultados obtenidos por la aplicación de la Teoría de la Detección de Señales (TDS muestran una leve superioridad del desempeño de los sujetos en la condición U. Reagrupando los datos se puede mostrar que el efecto principal en la degradación de la memoria se debe al número de aspectos conservados en la memoria en el momento de recordar

  6. LA REFORMA ESTRUCTURAL DE LAS PENSIONES DE SEGURIDAD SOCIAL EN AMERICA LATINA: MODELOS, CARACTERISTICAS, RESULTADOSY LECCIONES

    Directory of Open Access Journals (Sweden)

    Carmelo Mesa Lago

    2002-08-01

    Full Text Available La reforma estructural de las pensiones de la seguridad social es un tema de debate internacional y América Latina ha sido pionera en dicha reforma, tiene una experiencia acumulada de dos décadas y ha ejercido una influencia importante en otras regiones del mundo. Este artículo recopila información legal y estadística sobre dicha reforma en diez países latinoamericanos, con el fin de acometer tres tareas: (I analizar los tres modelos generales diversos seguidos y apuntar las características de las reformas entre los países;(II evaluar el desempeño de la reforma contrastándola con nueve supuestos convencionales sobre sus efectos (en la cobertura, el pago de las cotizaciones, la competencia y el costo administrativo, el impacto en el ahorro nacional, el rendimiento de la inversión, etc; y (III extraer lecciones de estas reformas que sean útiles para la región y otros países.

  7. Characteristics of liquid effluents and treatment systems; Caracteristicas dos efluentes liquidos e sistemas de tratamento

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-07-01

    This chapter gives an overview on the liquid effluents characteristics and the treatment systems, approaching the following subjects: the hydrological cycle; physical, chemical and biological characteristics of the liquid effluents; biological, chemical and physical characteristics; records on industrial effluents; treatment processes of industrial effluents.

  8. Endogamia e heterose em caracteristicas de desempenho e reprodutivas de codornas de corte

    OpenAIRE

    Rodrigo Mezencio Godinho

    2014-01-01

    A coturnicultura brasileira se enquadra como agronegócio estável inserido na avicultura industrial apresentando resultados promissores aos investidores e boas perspectivas de crescimento. Essa situação decorre dos incrementos em novas tecnologias de produção experimentados a partir da década de 1980. Em 2010 foram alojadas 14,68 milhões de codornas com aptidão para produção de ovos e/ou carne em todo o Brasil e espera-se que em 2020 sejam em torno de 36 milhões de aves alojadas (Bertechini, 2...

  9. [Fingolimod: effectiveness and safety in routine clinical practice. An observational, retrospective, multi-centre study in the province of Alicante].

    Science.gov (United States)

    Mallada, J; Perez-Carmona, N; Berenguer-Ruiz, L; Sanchez-Perez, R; Martin-Gonzalez, R; Sola-Martinez, D; Mola, S; Lopez-Arlandis, J M; Vela-Yebra, R; Gabaldon-Torres, L; Freire-Alvarez, E; Garcia-Escriva, A; Sempere, A P

    2016-09-05

    Introduccion. Los estudios postautorizacion son importantes para confirmar si los resultados de los ensayos clinicos se reproducen en la practica clinica habitual. Objetivo. Evaluar la efectividad y seguridad del fingolimod en la practica clinica en la provincia de Alicante. Pacientes y metodos. Estudio multicentrico retrospectivo de pacientes con esclerosis multiple remitente tratados con fingolimod. Se recogen las caracteristicas demograficas, clinicas y farmacologicas. Se describe la efectividad del farmaco –tasa anualizada de brotes (TAB) y porcentaje de pacientes libres de brotes– al año y a los dos años de tratamiento en relacion con el año previo y datos de efectos secundarios. Resultados. Se incluyo a 89 pacientes. El tratamiento previo fue inmunomodulador (interferon beta o acetato de glatiramero) en 54 pacientes y natalizumab en 32. Cincuenta pacientes cambiaron por fracaso con el inmunomodulador y 31 por serologia positiva del virus JC (VJC+). La TAB global disminuyo el 67,3% el primer año (p < 0,0001) y el 84,1% el segundo (p = 0,0078). Disminuyo en los pacientes con fracaso del inmunomodulador (el 85,6% el primer año, p < 0,0001; el 88,9% el segundo año, p = 0,0039) y aumento de forma no significativa en los pacientes VJC+ en el primer año. El porcentaje de pacientes libres de brotes en la poblacion global aumento del 32,6 al 68,1% en el primer año (p < 0,0019) y al 82,6% en el segundo (p = 0,0215). Este aumento no se observo en los pacientes VJC+. Trece pacientes tuvieron efectos secundarios, que obligaron a la retirada del farmaco en dos de ellos. Conclusion. En la practica clinica de la provincia de Alicante, el fingolimod mostro una efectividad y una seguridad ligeramente superiores a las de los ensayos clinicos.

  10. Corrimentos vaginais em gestantes: comparacao da abordagem sindromica com exames da pratica clinica da enfermagem

    Directory of Open Access Journals (Sweden)

    Thais Marques Lima

    2013-12-01

    Full Text Available Estudo avaliativo de abordagem quantitativa, com amostra de 104 gestantes, com o objetivo de comparar os achados de infecções vaginais em gestantes obtidos por meio do fluxograma de corrimento vaginal com exames presentes na prática clínica da Enfermagem. Os dados foram coletados por meio de entrevista e exame ginecológico realizados de janeiro a julho de 2011. O fluxograma não se mostrou eficaz na identificação de candidíase e tricomoníase, apresentou baixa sensibilidade (0,0%; 50% e valor preditivo positivo (0,0%; 3,6% para as duas infecções e baixa especificidade para tricomoníase (46%. Mostrou-se satisfatório para vaginose bacteriana, com alta sensibilidade (100%, valor preditivo negativo (100% e acurácia (74%. Conclui-se que o emprego do fluxograma precisa ser reavaliado, visto que não foi eficaz em identificar infecções importantes em gestantes. Os esforços para o desenvolvimento de testes eficazes devem ser contínuos, com intuito de prevenir a disseminação de infecções e reduzir tratamentos desnecessários.

  11. MR cholangio pancreatography: clinical applications; Colangiopancreatografia por ressonancia magnetica: aplicacoes clinicas

    Energy Technology Data Exchange (ETDEWEB)

    D`Ippolito, Giuseppe; Galvao Filho, Mario; Jesus, Paulo Eduardo Marinho de; Wolosker, Angela; Borri, Maria Lucia [Hospital Sao Luiz, Sao Paulo, SP (Brazil). Centro Diagnostico

    1998-05-01

    MR cholangio-pancreatography (MRCP) has been replacing diagnostic conventional cholangio-pancreatography. MRCP is a new, noninvasive and rapidly evolving technique for imaging diseases of the biliary tree and pancreatic ducts. Images are obtained without administration of oral or intravenous contrast. Our objective is to demonstrate the main clinical applications of MPCP, its limits and advantages over other methods. In our series of 60 patients we have detected choledocholithiasis, sclerosing cholecystitis, chronic pancreatitis, pancreatic and ampullary tumors. (author) 16 refs., 14 figs.

  12. Campylobacteriosi nel perugino nel primo biennio del nuovo secolo: alcuni aspetti e considerazioni di microbiologia clinica

    Directory of Open Access Journals (Sweden)

    Daniele Crotti

    2004-03-01

    Full Text Available 794 faecal specimens of outpatients with enteritis during 2001-02 were examined for pathogens. Campylobacter jejuni/coli (14.2% and Salmonella spp (15.1% prevailed among bacteria. 3 strains of Arcobacter butzleri were isolated too (0.4%. C. jejuni prevailed (85.7% in respect of C. coli (11.8% and A. butzleri (2.5%, as in children as in adults. C. jejuni biotype 1 was prevalent (68.6% in respect of C. jejuni b. 2 (29.4% or C. jejuni b. 3 (2.0%; also C. coli b. 1 prevailed (78.6%.The average of infected people was 4 years for children (0-14 years old and 48 for adults, with a range between 3 moths and 84 years. Regarding patterns of resistance to antibiotics, were observed 6.7% of resistance (R to erytromycin, 49.5% to norfloxacin (and similar quinolones, 37.8% to tetracycline, 31.1% to minocycline, 1.7% to amoxicyllin + clavulanate, 0.8% to gentamycin and chloramphenicole. No particular correlations were observed between age, sex, clinical findings and species or biotype of isolated Campylobacter. Concluding, the filter membrane technique is preferable for isolating these spirilla, the identification of genus and species could be rational, macrolides are always the first choice molecules for therapy when mandatory.

  13. Hidroxiapatita Porosa Coralina Hap-200. 15 Años de Aplicaciones Clinicas

    OpenAIRE

    Ramón González Santos

    2005-01-01

    La Hidroxiapatita Porosa Coralina HAP-200 es un biomaterial de implante óseo desarrollado en Cuba hace más de 15 años y se ha aplicado con éxito como sustituto del injerto óseo y como implante ocular integrado. En el presente trabajo se brinda una información resumida de los principales resultados obtenidos en la etapa de desarrollo y aplicaciones clínicas del mismo. Este biomaterial en forma de bloques y esferas con diferentes dimensiones así como granulados con distintos tamaños de las part...

  14. SOPORTE SOCIAL Y FAMILIAR: EXPERIENCIAS CON FAMILIAS DE PACIENTES ATENDIDOS EN UNA CLINICA UNIVERSITARIA

    OpenAIRE

    María Eugenia Agudelo Bedoya; María Clara Vélez,

    2016-01-01

    Este artículo está basado en una investigación realizada sobre problemáticas familiares de 133 pacientes interconsultados y atendidos por Trabajo Social en los servicios de internación de la Clínica Universitaria Bolivariana (CUB) entre febrero-julio de 2013.1 Se utilizó un diseño mixto, integrando aspectos cuantitativos y cualitativos para describir las familias, variables de la atención ofrecida por trabajo social y la manera como se organizaban las familias para el cuidado del paciente en ...

  15. A clinica como pratica arborifica e rizomorfica do trabalho em enfermagem cirurgica

    Directory of Open Access Journals (Sweden)

    Lenice Dutra de Sousa

    2013-12-01

    Full Text Available Foi realizada uma pesquisa qualitativa e exploratória, na forma de um estudo de caso, em uma unidade de internação cirúrgica de um hospital universitário, que objetivou analisar o trabalho do enfermeiro sob a ótica da produção de cuidados em saúde e do exercício da clínica. Os sujeitos do estudo foram seis enfermeiros e foram realizadas observações não participantes, pesquisa documental e entrevistas em profundidade com posterior análise textual discursiva. Verificou-se que o trabalho da enfermagem é organizado segundo duas perspectivas interconectadas e interdependentes: a do modelo clínico, que compõe a estrutura-mestre de sua prática, e uma estrutura composta por elementos múltiplos e heterogêneos. O modelo clínico de assistência organiza-se como uma estrutura centrada que possibilita a resolutividade das necessidades biológicas e atua como base para a conexão de outros saberes e práticas que expandem o fazer do enfermeiro por meio de interligações com o ambiente.

  16. Miastenia grave: avaliação clinica e terapêutica de 55 casos

    Directory of Open Access Journals (Sweden)

    Lineu Cesar Werneck

    1987-12-01

    Full Text Available Foram estudados 55 casos de miastenia grave, avaliando os sinais e sintomas clínicos que ocorreram no início e na evolução dos pacientes, bem como os procedimentos diagnósticos e avaliação das medidas terapêuticas utilizadas. No manejo dos pacientes foram utilizados anticolinesterásicos, corticoesteróides, azathioprina, plasmaferese e timectomia, sem que fosse possível encontrar relação estatística significante entre os diferentes procedimentos com respeito à resolução da doença. Dos 55 casos, 9 (16,6% obtiveram remissão total, 41 (74,5% permaneceram com a doença ativa necessitando de tratamento sintomático e 5 (9.09% faleceram. Houve relação estatística significante entre os sinais de insuficiência respiratória, crises miastênicas e timoma somente no grupo de pacientes que faleceram (um por insuficiência respiratória restritiva secundária a cifoescoliose severa, três com timoma e um caso durante a timectomia.

  17. Two patients walk into a clinic...a genomics perspective on the future of schizophrenia

    LENUS (Irish Health Repository)

    Corvin, Aiden P

    2011-11-11

    Abstract Progress is being made in schizophrenia genomics, suggesting that this complex brain disorder involves rare, moderate to high-risk mutations and the cumulative impact of small genetic effects, coupled with environmental factors. The genetic heterogeneity underlying schizophrenia and the overlap with other neurodevelopmental disorders suggest that it will not continue to be viewed as a single disease. This has radical implications for clinical practice, as diagnosis and treatment will be guided by molecular etiology rather than clinical diagnostic criteria.

  18. SOIL-TRANSMITTED HELMINTHS IN CHILDREN WITH CLINICA L SYMPTOMS OF INFECTION

    Directory of Open Access Journals (Sweden)

    Rudramuneswara Swamy

    2013-04-01

    Full Text Available ABSTRACT: The study was conducted to know the prevalence of s oil-transmitted helminths (STH in children aged 1-14 years attending outpati ents and inpatients from both urban and rural background. Out of the 550 stool samples exami ned, 450 were from the study group and 100 from the control group. All the 450 children of the study group presented one or more of the classical symptoms like abdominal pain, low grade fever, diarrhoea, dysentery, constipation and pica. Hundred children from the control group did not have any classical symptoms. Thirty five per cent from the study group and 21 per cent fro m the control group were found positive for one or more of the helminthic infection. The prevalence of Ascaris lumbricoides, Trichuris tr ichiura, Ancylostoma duodenale & Necator americanus (hookworm, Hymenolepis nana and Enterobius vermicularis were 27%, 15%, 0.4%, 2% and 0.22%, respectively in the study g roup and 15%, 10%, 4%, 2%, and 2%, respectively in the control group. Strongyloides ster coralis was not found either in the study or control groups. Helminthic infections were more comm on in 7-9 years of age group, urban children with low socio-economic strata, and with m ale preponderance. Majority of children who harboured STH were suffering from abdominal pain and low grade fever. Total 450 clinical samples (control group examined b y direct wet mount, saturated salt floatation, and formalin-ether sedimentation; and o nly 391 samples examined by Kato-Katz semiquantitative techniques. Twenty six per cent posi tive by direct wet mount, 35% by both saturated salt floatation and formalin-ether sedime ntation whereas 38% of the samples were found positive by Kato-Katz semiquantitative techniq ue. In conclusion, concentration techniques like saturated salt floatation and forma lin-ether sedimentation are the best diagnostic tools to get authentic and reliable resu lts and to rule out fallacious inference caused by relying only on direct wet mount preparation, whe reas Kato-Katz, a semiquantitative technique is the best diagnostic method to know the prevalence and intensity of the STH infection. This technique is simple, rapid, reliable, and mild infections can also be detected. No special equipment and expertise are needed and it can be performed in the field survey.

  19. The Clinicaal and Angiograghic Outcome of 290 Cases after Stent Placement in Small Coronary Vessels

    Institute of Scientific and Technical Information of China (English)

    郭文怡; 贾国良; 李伟杰; 秦涛; 李成祥; 栾荣华; 吕安林; 王小燕; 李媛

    2003-01-01

    Objectives To invest the success procedure,immediate outcome after procedure,the rate of main adverse cardiac events after procedure and restenosis after stent placement in small coronary vessels. Methods 290 patients with selected or emergency stent implantation in small vessels from April, 1997 to March, 2002. Total 299 vessels, 304 lesions and 316 stents were statisted. The successs rate of procedure, immediate outcome after procedure, the rate of main adverse cardiac events after procedure and restenosis after stent placement in small coronary vessels were assessed. The patients were followed up l month to 4 years. Re-catheter angiography were done in 122/290 patients. Results The narrow rate of lesion dropped from 89% ± 12% before procedure to 5% ±5% after procedure (diameter). 202 patients were followed up 1 month(69.7% ). 197/202 cases were survival. 5/202 cases died in 3hrs to 7days. 2/5 cases died of persistent hypotension after procedure. 1/5 case died of acute left heart failure. 2/5 cases died of sudden death. 180 cases were followed up 5 months to 4 years. The non-event survival (NES) rate was 73.3% (132/180). The re-angiography were done in 122 cases. Restenosis happened in 39 cases (30.3%). 37 patients repeated PCI. 2 patients went to CABG. 2 cases got angina recurrence and were proved second time restenosis by re-angiography. The third time PCI was done in 1 patient. The other patients went to CABG. 1 case died of chronic heart failure after 2 years. 1 case suffered acute myocardial infarction on artery stent implanted. Conclusions There are high success rate of procedure and perfect immediate outcome in stent placement in small vessels.Main adverse cardiac events did not increased. Non-event survial was satisfied in long term follow - up.Restenosis rate was showed slightly higher than the one of main vessels.

  20. Policitemia vera - caracterização clinica e molecular e novas abordagens terapêuticas

    OpenAIRE

    Amaral, Cecília Beatriz Alves

    2009-01-01

    Dissertação de mestrado integrado em Medicina (Hematologia), apresentado á Faculdade de Medicina da Universidade de Coimbra. A Policitemia Vera (PV) é uma doença clonal de etiologia desconhecida, na maior parte dos casos, que envolve a célula estaminal progenitora hematopoiética multipotencial. É uma neoplasia mieloproliferativa crónica (NMP) que se caracteriza pela expansão das três linhas celulares hematopoiéticas: eritróide, granulocítica e megacariocítica, com predomínio da primeira, d...

  1. Coronary CT: clinical indications and future directions; Tomografia de coronarias: indicacoes clinicas e perspectivas futuras

    Energy Technology Data Exchange (ETDEWEB)

    Nomura, Cesar H.; Serpa, Bruna S.; Kay, Fernando U.; Szarf, Gilberto; Passos, Rodrigo B.; Neto, Roberto S.; Chate, Rodigo C.; Funar, Marcelo B., E-mail: cesarnomura@gmail.com [Hospital Israelita Albert Einstein, Sao Paulo, SP (Brazil); Cury, Roberto C. [Hospital Samaritano, Sao Paulo, SP (Brazil)

    2011-01-15

    Multidetector computed tomography (MDCT) has started its implementation in cardiology with calcium quantification of coronary plaques in the study without contrast, using the calcium score, demonstrating an important independent predictor of future cardiac events. The examination with intravenous contrast, coronary angiography, appeared later as a noninvasive method for evaluation of anatomy and obstructive coronary disease, characterizing the degree of stenosis and the presence of non calcified atherosclerotic plaques, assessing not only the lumen, but also the vessel wall. With the advent of new machines with more detectors and higher temporal resolution has been a reduction in radiation dose and the possibility of new applications. (author)

  2. Psicoterapia breve gestaltica para homens com HIV/AIDS em contexto de clinica ampliada

    OpenAIRE

    LOBO, Warlington Luz

    2013-01-01

    O presente trabalho visou investigar qual a importância da Psicoterapia em homens doentes de aids marcados pela proximidade com a morte ou a finitude existencial internados em uma enfermaria hospitalar. A intervenção psicológica, na área da saúde e da clínica psicológica, foi procedimento interventivo que permitiu efetivar a escuta socialmente engajada visando superar a premissa acerca da doença enquanto centro do tratamento, transmitida ao longo da história e veiculando a concepção de um suj...

  3. Guías clinicas de RCP y SRI enfermería

    OpenAIRE

    Donis Mulero, Elena

    2015-01-01

    La reanimación cardiopulmonar (RCP) es un procedimiento de emergencia para salvar vidas que se lleva a cabo cuando una persona se encuentra en parada cardiorrespiratoria (PCR). Tanto la técnica de RCP como la de intubación, son aspectos olvidados por los profesionales de la salud. Recopilar las últimas recomendaciones sobre RCP para poder elaborar un programa sencillo enfocado a la enfermería. Elaborar una guía sencilla de secuencia rápida de intubación (SRI). Revisión bibliográfica en la que...

  4. Radio sterilized human ligaments and their clinical application;Ligamentos humanos radioesterilizados y su aplicacion clinica

    Energy Technology Data Exchange (ETDEWEB)

    Luna Z, D.; Reyes F, M. L. [ININ, Carretera Mexico-Toluca s/n, 52750 Ocoyoacac, Estado de Mexico (Mexico); Diaz M, I.; Hernandez R, G., E-mail: daniel.luna@inin.gob.m [Centro Estatal de Trasplantes del Estado de Mexico, Pablo Sidar No. 602, Col. Universidad, 50130 Toluca, Estado de Mexico (Mexico)

    2009-10-15

    The ligaments are human tissues that are used in the transplantation area. A ligament is an anatomical structure in band form, composed by resistant fibers that connect the tissues that unite the bones with the articulations. In an articulation, the ligaments allow and facilitate the movement inside the natural anatomical directions, while it restricts those movements that are anatomically abnormal, impeding lesions that could arise of this type of movements. The kneecap ligament is a very important tissue in the knee mobility and of walking in the human beings. This ligament can injure it because of automobile accidents, for sport lesions or illnesses, and in many cases the only form of recovering the knee movement is carried out a transplant with the purpose of replacing the damage ligament by allo gen kneecap ligament processed in specialized Tissue Banks where the tissue is sterilized with gamma radiation of {sup 60}Co at very low temperatures, obtaining high quality ligaments for clinical application in injured patients. The kneecap ligaments are processed in the Tissue Banks with a segment of kneecap bone, a segment of tibial bone, the contained ligament between both bones and in some cases a fraction of the quadriceps tendon. In this work is given a description of the selection method of the tissue that includes the donor's serologic control, the kneecap ligament processing in the Radio Sterilized Tissues Bank, its sterilization with gamma radiation of {sup 60}Co, also it is indicated like the clinical application of the allo gen ligament was realized in a hasty patient and whose previous crossed ligament was injured. Finally the results are presented from the tissue obtaining until the clinical application of it is, and in this case is observed a favorable initial evolution of the transplantation patient. (Author)

  5. The equivalent Histograms in clinical practice; Los histogramas equivalentes en la practica clinica

    Energy Technology Data Exchange (ETDEWEB)

    Pizarro Trigo, F.; Teijeira Garcia, M.; Zaballos Carrera, S.

    2013-07-01

    Is frequently abused of The tolerances established for organ at risk [1] in diagrams of standard fractionation (2Gy/session, 5 sessions per week) when applied to Dose-Volume histograms non-standard schema. The purpose of this work is to establish when this abuse may be more important and realize a transformation of fractionation non-standard of histograms dosis-volumen. Is exposed a case that can be useful to make clinical decisions. (Author)

  6. Two patients walk into a clinic...a genomics perspective on the future of schizophrenia

    Directory of Open Access Journals (Sweden)

    Corvin Aiden P

    2011-11-01

    Full Text Available Abstract Progress is being made in schizophrenia genomics, suggesting that this complex brain disorder involves rare, moderate to high-risk mutations and the cumulative impact of small genetic effects, coupled with environmental factors. The genetic heterogeneity underlying schizophrenia and the overlap with other neurodevelopmental disorders suggest that it will not continue to be viewed as a single disease. This has radical implications for clinical practice, as diagnosis and treatment will be guided by molecular etiology rather than clinical diagnostic criteria.

  7. [Food status peculiarities, anthropometric, clinica and biochemical indices at professional sportsmen].

    Science.gov (United States)

    Gapparova, K M; Nikitiuk, D B; Zaĭnudinov, Z M; Tserekh, A A; Chekhonina, Iu G; Golubeva, A A; Sil'vestrova, G A; Rusakova, D S; Grigor'ian, O N

    2011-01-01

    Under steady state conditions in 66 athletes involved in weightlifting, bodybuilding, judo and taekwondo have studied features of the metabolic status. Data on matter-of-fact nutrition, body weight content within the inter-competition period, energy exchange, clinical and biochemical indices and physical acceptability indices were analyzed. As a result, the decrease indexes of metabolism at all the sportsmen and high-level caloric value at sportsmen who are engaged in weightlifting, which corresponds their energy expenditures, was revealed.

  8. Hepatitis C Virus-related Mixed Cryoglobulinemia: Pathogenesis, Clinica Manifestations, and New Therapies.

    Science.gov (United States)

    Schamberg, Neal J; Lake-Bakaar, Gerond V

    2007-09-01

    Within the past decade, it has been recognized that a majority of patients with essential mixed cryoglobulinemia (MC) are chronically infected with hepatitis C virus (HCV). Although the underlying mechanisms have not been fully elucidated, cryoglobulin formation is clearly linked to the attempt of the host to clear the significant quantities of virions generated daily by the chronic infection. This review summarizes the current understanding of the relationship between chronic HCV infection and the development of MC, and discusses the interaction between the immune system and HCV and how this interaction can lead to the development of lymphoproliferative disorders.

  9. [Alarming signs and symptoms in the early diagnostics of late onset Pompe disease: super omnia clinica].

    Science.gov (United States)

    Nikitin, S S; Kurbatov, S A; Bredelev, V A; Kovalchuk, M O

    2015-01-01

    Pompe disease (PD) is a rare autosomal recessive muscle lysosomal glycogenosis caused by a deficiency of acid-α-glucosidase. There are two main forms of the disease: aggressive infantile PD started within the first year of life with a severe enzyme deficiency and multiorgan involvement, and late onset PD (LOPD) with progressive signs and symptoms including predominant proximal, axial muscle weakness and respiratory insufficiency started at any time from 1 till 75 years and older. Usually due to physician's unawareness, most adults with PD are diagnosed with great delay. The typical features and early nonspecific signs in four patients, aged between 35 and 72 years, with confirmed LOPD are delineated and discussed in correspondence with the age of first signs, age development of muscle weakness, distribution and age of final diagnosis. The disorders for differential diagnosis and spectrum of conditions that expanded the possibility of PB are listed. The fluorometrically analyzed level of acid α-glucosidase from dried blood spots is considered to be the first choice diagnostic method for clinically suspected cases of LOPD.

  10. CONSENTIMIENTO INFORMADO EN LA PRÁCTICA CLINICA: RETOS DEL PERSONAL DE SALUD

    Directory of Open Access Journals (Sweden)

    Francisco Javier Bonilla Escobar

    2013-08-01

    Full Text Available El consentimiento informado es una herramienta cotidiana en la práctica clínica; para comprenderlo se requiere de un proceso formativo y académico que genere las actitudes para proponer consentimientos informados éticamente aceptables y que estos abarquen la perspectiva del paciente. El consentimiento requiere de un uso adecuado y de su entendimiento por parte del paciente como del profesional de salud que lo administra, siendo de utilidad ética y legal, motivo por el cual no debe ser subestimado. Es importante que dicho conocimiento implique en forma clara el reconocimiento tanto del médico como del paciente de la(s intervención(es, de las posibles consecuencias y situaciones a las que pudiera estar expuesto. Este artículo es una revisión al respecto del consentimiento informado, partiendo de su historia, evolución e implicaciones para el personal de la salud en general, con el objetivo de orientar e informar sobre su uso y evolución en la práctica clínica. El área bioética y los temas concernientes al consentimiento informado son necesidades de difusión e investigación en Latinoamérica para la protección del paciente y la buena práctica del personal de salud.

  11. Fracture liaison service in a non-regional orthopaedic clinic--a cost-effective service.

    LENUS (Irish Health Repository)

    Ahmed, M

    2012-01-01

    Fracture liaison services (FLS) aim to provide cost-effective targeting of secondary fracture prevention. It is proposed that a dedicated FLS be available in any hospital to which a patient presents with a fracture. An existing orthopaedic clinic nurse was retrained to deliver a FLS. Proformas were used so that different nurses could assume the fracture liaison nurse (FLN) role, as required. Screening consisted of fracture risk estimation, phlebotomy and DXA scanning. 124 (11%) of all patients attending the orthopaedic fracture clinic were reviewed in the FLS. Upper limb fractures accounted for the majority of fragility fractures screened n=69 (55.6%). Two-thirds of patients (n=69) had reduced bone mineral density (BMD). An evidence based approach to both non-pharmacological and pharmacotherapy was used and most patients (76.6%) receiving pharmacotherapy received an oral bisphosphonate (n=46). The FLS has proven to be an effective way of delivering secondary prevention for osteoporotic fracture in a non-regional fracture clinic, without increasing staff costs.

  12. Applicazione della spettrometria di massa MALDI-TOF in microbiologia clinica

    OpenAIRE

    Piergianni, Maddalena

    2016-01-01

    Riassunto La spettrometria di massa (MS) nata negli anni ’70 trova oggi, grazie alla tecnologia Matrix-Assisted Laser Desorption Ionization-Time of Flight (MALDI-TOF), importanti applicazioni in diversi settori: biotecnologico (per la caratterizzazione ed il controllo di qualità di proteine ricombinanti ed altre macromolecole), medico–clinico (per la diagnosi di laboratorio di malattie e per lo sviluppo di nuovi trattamenti terapeutici mirati), alimentare ed ambientale. Negli ultimi ann...

  13. CONSENTIMIENTO INFORMADO EN LA PRÁCTICA CLINICA: RETOS DEL PERSONAL DE SALUD

    Directory of Open Access Journals (Sweden)

    Francisco Javier Bonilla Escobar

    2012-01-01

    Full Text Available El consentimiento informado es una herramienta cotidiana en la práctica clínica; para comprenderlo se requiere de un proceso formativo y acadé- mico que genere las actitudes para proponer consentimientos informados éticamente aceptables y que estos abarquen la perspectiva del paciente. El consentimiento requiere de un uso adecuado y de su entendimiento por parte del paciente como del profesional de salud que lo administra, siendo de utilidad ética y legal, motivo por el cual no debe ser subestimado. Es importante que dicho conocimiento implique en forma clara el reconoci- miento tanto del médico como del paciente de la(s intervención(es, de las posibles consecuencias y situaciones a las que pudiera estar expuesto. Este artículo es una revisión al respecto del consentimiento informado, partiendo de su historia, evolución e implicaciones para el personal de la salud en general, con el objetivo de orientar e informar sobre su uso y evolución en la práctica clínica. El área bioética y los temas concernientes al consentimiento informado son necesidades de difusión e investigación en Latinoamérica para la protección del paciente y la buena práctica del personal de salud.

  14. Hidroxiapatita Porosa Coralina Hap-200. 15 Años de Aplicaciones Clinicas

    Directory of Open Access Journals (Sweden)

    Ramón González Santos

    2005-01-01

    Full Text Available La Hidroxiapatita Porosa Coralina HAP-200 es un biomaterial de implante óseo desarrollado en Cuba hace más de 15 años y se ha aplicado con éxito como sustituto del injerto óseo y como implante ocular integrado. En el presente trabajo se brinda una información resumida de los principales resultados obtenidos en la etapa de desarrollo y aplicaciones clínicas del mismo. Este biomaterial en forma de bloques y esferas con diferentes dimensiones así como granulados con distintos tamaños de las partículas ha sido evaluado teniendo en cuenta todos los parámetros de su comportamiento "in vivo" tanto preclínico como clínico según exigen las normas de evaluación y registro de biomateriales del CCEEM del MINSAP de Cuba. Se han realizado varios protocolos de ensayos clínicos, tanto controlados como multicéntricos, de postproducción, de seguimiento y estudio del comportamiento clínico a largo plazo, de extensión e introducción en el sistema nacional de salud así como los estudios y diseño del sistema productivo y de gestión de la calidad que avalan la obtención de varios certificados de registro sanitario tanto en Cuba como en el extranjero así como los certificados de buenas prácticas de fabricación. Durante los 15 años de aplicaciones clínicas en Cuba se han tratado 9 613 pacientes en las especialidades de estomatología, incluyendo la cirugía maxilofacial, 783 personas han recibido implantes oculares y 2 592 han sido tratadas por defectos óseos de los huesos largos y otros en ortopedia y traumatología. Solo se ha reportado un 3,2 % de fracaso de los implantes por diferentes causas asociadas al tratamiento quirúrgico y en ningún caso por causa del biomaterial, demostrando este último una excelente biocompatibilidad con integración e incorporación a la dinámica natural del tejido óseo al cabo del tiempo. Los resultados obtenidos son excelentes tanto desde el punto de vista de las características y propiedades del biomaterial como de su comportamiento ¿in vivo¿ y el impacto en la salud y calidad de vida de nuestra población.

  15. Epidemiology of septic arthritis of the knee at Hospital das Clinicas, Universidade de Sao Paulo

    Directory of Open Access Journals (Sweden)

    Camilo Partezani Helito

    2014-01-01

    Full Text Available Background: Septic arthritis is an infrequent disease although very important due to the possibility of disastrous outcomes if treatment is not adequately established. Adequate information concerning the epidemiology of septic arthritis is still lacking due to the uncommon nature of the disease as well as the struggle to establish a correct case-definition. Objective: To epidemiologically characterize the population seen at Hospital das Clínicas, University of São Paulo with a diagnosis of septic arthritis between 2006 and 2011. Methods: Sixty-one patients diagnosed with septic arthritis of the knee between 2006 and 2011 were retrospectively evaluated. The patients' clinical and epidemiological characteristics, the microorganisms that caused the infection and the patients' treatment and evolution were analyzed. Results: Septic arthritis of the knee was more common among men, with distribution across a variety of age ranges. Most diagnoses were made through positive synovial fluid cultures. The most prevalent clinical comorbidities were systemic arterial hypertension and diabetes mellitus, and the most commonly reported joint disease was osteoarthritis. Staphylococcus aureus was the prevailing pathogen. Fever was present in 36% of the cases. All patients presented elevation in inflammatory tests. Gram staining was positive in only 50.8% of the synovial fluid samples analyzed. Six patients presented complications and unfavorable evolution of their condition. Conclusion: S. aureus is still the most common pathogen in acute knee infections in our environment. Gram staining, absence of fever and normal leukocyte count cannot be used to rule out septic arthritis.

  16. [Wolf-Hirschhorn syndrome. A series of 27 patients: their epidemiological and clinical characteristics. The current situation of the patients and the opinions of their caregivers regarding the diagnostic process].

    Science.gov (United States)

    Blanco-Lago, Raquel; Málaga, Ignacio; García-Peñas, Juan José; García-Ron, Adrián

    2013-07-16

    Introduccion. El sindrome de Wolf-Hirschhorn (SWH) es una cromosomopatia producida por una delecion en la region distal del brazo corto del cromosoma 4. Se caracteriza por la presencia de un fenotipo peculiar, retraso en el crecimiento, retraso del desarrollo psicomotor y epilepsia. Objetivos. Describir las caracteristicas de una serie de niños con SWH, incluido el tiempo medio empleado para el diagnostico, y valorar la opinion de las familias sobre el proceso diagnostico. Pacientes y metodos. Se contacto con la Asociacion Nacional de SWH y, a traves de ella, con 29 familias afectadas. Se recogio informacion sobre la clinica del niño y la opinion sobre el proceso diagnostico, y se solicitaron informes medicos que confirmaran la informacion facilitada. Constituida una base de datos de pacientes, se procedio a su analisis estadistico. Resultados. Se obtuvo informacion de 27 familias. Los pacientes presentan una edad media actual de 6,94 ± 6,37 años. La edad media de diagnostico fue de 14,34 meses. Existe retraso del crecimiento intrauterino en el 92,6% de los embarazos. Un 92,6% de los pacientes presenta epilepsia, el 44,4% de ellos en monoterapia. Existe retraso del desarrollo psicomotor/cognitivo en todos los pacientes. Camina sin ayuda el 33%. Los padres califican con una nota media de 7,25 ± 2,17 el trato ofrecido por los facultativos y de 6,29 ± 2,11 la informacion recibida. Conclusiones. No se han encontrado referencias a la edad media de diagnostico para el SWH. En nuestra muestra, existen variaciones importantes en este aspecto, posiblemente condicionadas por el fenotipo del caso y la experiencia del medico. Las caracteristicas clinicas son similares a las esperadas. El grado de dependencia estimado es alto y la calidad de la informacion recibida por la familia, baja.

  17. [Desvenlafaxine and neuropathic pain: additional clinical benefits of a second generation serotonin-noradrenaline reuptake inhibitor].

    Science.gov (United States)

    Alcantara-Montero, A

    2017-03-01

    Introduccion. La desvenlafaxina es el tercer antidepresivo incluido entre los inhibidores de la recaptacion de serotonina y noradrenalina. Las ultimas guias de practica clinica consultadas coinciden en señalar que los antidepresivos triciclicos, los duales (venlafaxina/duloxetina) y los antiepilepticos gabapentina y pregabalina constituyen los farmacos de primera linea en el tratamiento del dolor neuropatico. El tramadol, los apositos de lidocaina al 5% y los parches de capsaicina al 8% son los farmacos de segunda linea, mientras que los opioides potentes constituirian una tercera linea de tratamiento. La interaccion entre el binomio dolor y depresion es muy habitual y representa la complicacion psicologica mas frecuente en los pacientes con dolor cronico. Desarrollo. Tras una busqueda bibliografica, en este articulo se resumen los datos farmacologicos mas relevantes de la desvenlafaxina y su utilidad en la practica clinica, asi como la bibliografia especifica de este farmaco en el dolor neuropatico y el dolor cronico. Conclusiones. Aunque la evidencia de la desvenlafaxina en el dolor neuropatico es escasa, presenta unas caracteristicas farmacocineticas interesantes, como son no ser sustrato ni actuar sobre la glicoproteina P y tener un metabolismo que practicamente no depende del sistema del citocromo P450, lo que limita el riesgo de interacciones farmacocineticas y los potenciales problemas de tolerabilidad asociados cuando se administra con farmacos que sean inhibidores moderados o potentes del CYP2D6 o con otros sustratos de esta isoenzima. Estas caracteristicas hacen de la desvenlafaxina un antidepresivo distinto y especialmente util en algunos subgrupos de pacientes con dolor cronico (como polimedicados y pacientes con insuficiencia hepatica), donde la depresion comorbida es frecuente.

  18. [Migraine and evolutionary theory: paths for a clinical approach].

    Science.gov (United States)

    Alvaro-Gonzalez, L C

    2016-10-01

    Introduccion. La migraña es un trastorno muy comun, con incidencia en aumento. La teoria evolutiva permite explicar su aparicion, dadas las ventajas que aportaba a grupos originarios de Homo sapiens una mayor reactividad a estimulos, y la presencia creciente de interaccion con factores ambientales. Analizamos estos aspectos a traves de los mecanismos potenciales que los explican. Desarrollo. El diseño de los organismos y sus respuestas ambientales surgen para mejorar la supervivencia. Asi, el dolor y la cefalea pueden entenderse como respuestas homeostaticas y adaptativas. Menos del 10% de la poblacion no tiene experiencia de cefalea, y el fenotipo migrañoso es una repuesta dolorosa comun en formas secundarias y sindromicas de cefalea. Estas caracteristicas se entienden segun rasgos neurofisiologicos especificos (falta de habituacion, sensibilizacion y baja preactivacion), caracteristicas geneticas (trastorno poligenico con multiples genes de baja penetrancia, que interaccionan con el ambiente y que son comunes a los de los trastornos comorbidos, como depresion-ansiedad) e interaccion ambiental en las sociedades modernas (aumento del numero de ciclos estrogenicos, y especialmente sobreexposicion al estres). Conclusiones. Lo que fue una ventaja evolutiva se ha transformado en la sociedad moderna en un trastorno muy prevalente y frecuentemente incapacitante. Es el resultado de una interaccion con sobrecarga de estimulos externos (estres) e internos (hormonales), lo que, de acuerdo con la teoria evolutiva, convertiria a la migraña en una enfermedad por desajuste. Los efectos ocurririan precozmente, en la infancia, a traves de mecanismos de epigenetica. Se obtendria un gran beneficio terapeutico mediante intervenciones poblacionales y educativas que incorporen estos aspectos.

  19. [Home-based rehabilitation in the functional recovery of patients with cerebrovascular disease].

    Science.gov (United States)

    López-Liria, Remedios; Ferre-Salmerón, Rocío; Arrebola-López, Clara; Granados-Valverde, Rocío; Gobernado-Cabero, Miguel Ángel; Padilla-Góngora, David

    2013-06-16

    Introduccion. El estudio de la eficacia en los tratamientos de rehabilitacion aplicados a pacientes con secuelas tras una enfermedad cerebrovascular (ECV) resulta decisivo en la actualidad para planificar su abordaje desde la sanidad publica y mejorar las directrices de evaluacion y tratamiento existentes. Objetivo. Describir las caracteristicas que presentan los pacientes que han sufrido ECV atendidos por las unidades moviles de rehabilitacion-fisioterapia (UMRF) y como influyen estos tratamientos sobre su recuperacion funcional. Pacientes y metodos. Estudio descriptivo prospectivo en 124 pacientes derivados a las UMRF de la provincia de Almeria entre 2008 y 2011. Se analizaron variables (pre y postratamiento) como las caracteristicas y antecedentes personales, indice de Barthel, escala de espasticidad de Ashworth modificada, dolor (hombro) y escala neurologica canadiense. Resultados. La muestra final estuvo compuesta por 106 participantes (edad media: 73,72 años). El proceso discapacitante fue isquemico en un 77,4%, y la hipertension, el factor de riesgo mas prevalente (81%). La media del indice de Barthel inicial fue de 31,04, y la media del indice final, de 57,62 (t = –11,75; p mejora funcional en los pacientes tratados en las UMRF. La rehabilitacion domiciliaria se plantea como una herramienta necesaria para las personas con mayor vulnerabilidad clinica y sin acceso a los cuidados ambulatorios, que logra los beneficios de tratamientos que son efectivos.

  20. [Description of a series of hospital patients with a spinal fistula].

    Science.gov (United States)

    Garcia-Cabo, C; Morales-Deza, E S; Martinez-Rodriguez, L; Murias-Quintana, E; Perez-Alvarez, A; Martinez-Ramos, J; Vega-Valdes, P; Suarez-Santos, P; Garcia-Rua, A; Moris, G

    2016-10-01

    Introduccion. Aunque las fistulas espinales suponen el 70% de las malformaciones arteriovenosas espinales, son una entidad infradiagnosticada. El shunt arteriovenoso produce una congestion vascular que da lugar a una mielopatia progresiva, en ocasiones irreversible si no se trata de forma precoz. Objetivo. Describir las caracteristicas clinicorradiologicas de una serie de pacientes con fistula espinal. Pacientes y metodos. Se realizo una busqueda retrospectiva de pacientes con diagnostico de fistula espinal ingresados en el area de neurociencias de un hospital de tercer nivel asistencial. Resultados. Se identificaron 19 pacientes (7 mujeres y 12 varones) con una edad media de 56 años. La fistula espinal fue de tipo I en un 79% de los pacientes y la localizacion dorsal fue la mas frecuente. La mayoria de los casos presento un curso progresivo (90%). Un 74% de los pacientes se diagnostico mediante resonancia magnetica. En cuatro casos fue necesaria la realizacion de una angiografia para llegar al diagnostico, y en uno de ellos se preciso una biopsia intraoperatoria. Se realizaron tres punciones lumbares, en dos de las cuales se objetivo pleocitosis linfocitaria e hiperproteinorraquia. El retraso diagnostico medio fue de nueve meses. Se trato a un 79% de los pacientes, y de ellos solo mejoro el 10%. Conclusiones. Ante una clinica sugestiva de fistula espinal, debe realizarse una angiografia espinal diagnostica aunque el paciente estudiado pueda presentar caracteristicas licuorales atipicas y normalidad en la resonancia magnetica medular.

  1. [Malformations of cortical development in adult patients with epilepsy: a series of 79 cases].

    Science.gov (United States)

    González-Cuevas, Montserrat; Toledo, Manuel; Santamarina, Esteban; Sueiras-Gil, María; Cambrodí-Masip, Roser; Sarria, Silvana; Quintana, Manuel; Alvarez-Sabín, José; Salas-Puig, Javier

    2014-02-16

    Introduccion. Las malformaciones del desarrollo cortical (MDC) son una causa importante de epilepsia, retraso del desarrollo psicomotor o deficits neurologicos. Objetivo. Describir la evolucion clinica a largo plazo y las caracteristicas diferenciales de los distintos grupos de MDC en adultos con epilepsia. Pacientes y metodos. Pacientes mayores de 16 años con MDC confirmada por resonancia magnetica y epilepsia. Se analizaron las caracteristicas de la epilepsia, la presencia de deficits neurologicos, la discapacidad intelectual, los antecedentes de patologia perinatal y el electroencefalograma. Los pacientes se clasificaron en tres grupos (G) segun la clasificacion de Barkovich. Resultados. Se identificaron 85 pacientes con MDC de 2.630 pacientes con epilepsia, y se incluyeron 79 pacientes. Edad media: 37 años, el 57% mujeres. Edad media al inicio de las crisis: 17,8 años. El 59,5% era farmacorresistente. La distribucion de los casos segun la clasificacion de Barkovich fue: G1 (alteraciones de la proliferacion neuronal): 59,5%; G2 (alteraciones de la migracion): 25,3%; y G3 (alteraciones de la organizacion cortical): 15,2%. El 19% presentaba un deficit neurologico focal y el 34,2% tenia un cociente intelectual mayor porcentaje de deficits neurologicos focales y discapacidad intelectual que el G1 y el G2 (p mayor probabilidad de tener deficit neurologico, discapacidad intelectual y mejor control de las crisis que los pacientes del G1 y G2, que se manifiestan, predominantemente, con epilepsia farmacorresistente.

  2. [Diploid/triploid mosaicism: a variable but characteristic phenotype].

    Science.gov (United States)

    Natera-De Benito, Daniel; Poo, Pilar; Gean, Esther; Vicente-Villa, Asunción; García-Cazorla, Angels; Fons-Estupiña, M Carmen

    2014-08-16

    Introduccion. El mosaicismo diploide/triploide es una alteracion cromosomica poco frecuente. La produce un fallo en la division poscigotica durante el desarrollo embrionario. Da lugar a la coexistencia de dos lineas celulares con diferente constitucion cromosomica (46,XX y 69,XXX) en un mismo individuo. Su fenotipo clinico es caracteristico. Las alteraciones pigmentarias con un patron de distribucion que sigue las lineas de Blaschko son el principal signo guia, asi como las alteraciones de otros tejidos derivados del ectodermo. Casos clinicos. Describimos las caracteristicas clinicas de tres pacientes afectos de mosaicismo diploide/triploide y realizamos una comparacion de su fenotipo clinico con el de los casos publicados previamente en la bibliografia. Las alteraciones observadas con mayor frecuencia fueron alteraciones cutaneas, discapacidad intelectual, obesidad troncular, talla baja, hemihipertrofia, y manos pequeñas y estrechas con clino y camptodactilia. Las caracteristicas fenotipicas de nuestros pacientes fueron similares a las de los casos comunicados previamente. Aunque no existe un fenotipo unico y especifico asociado al mosaicismo diploide/triploide, existen malformaciones caracteristicas que conforman un sindrome malformativo bien definido. El cariotipo realizado en linfocitos de sangre periferica en las tres pacientes fue normal, y se logro el diagnostico mediante cariotipo en fibroblastos cultivados tras biopsia de piel hipopigmentada. Conclusiones. La presencia de discapacidad intelectual asociada a obesidad troncular, talla baja, hemihipertrofia o clino y camptodactilia, ademas de las alteraciones cutaneas, debe hacer pensar en la posible existencia de un mosaicismo diploide/triploide. En la mayoria de los casos, es necesario el estudio del cariotipo en los fibroblastos para llegar al diagnostico.

  3. [Familial microepidemic of food-borne botulism in the Region of Madrid].

    Science.gov (United States)

    Jalda, D; Junco, A; Alvarez-Moreno, M; Rodero, I; Carneado-Ruiz, J

    2016-07-01

    Introduccion. El botulismo es un sindrome causado por la toxina del bacilo Clostridium botulinum. La toxina actua bloqueando las terminaciones colinergicas presinapticas de la placa motora y del sistema nervioso parasimpatico, y ocasiona una paralisis flacida y un fallo parasimpatico. El modo mas habitual de adquisicion de la enfermedad es por ingesta de toxina preformada presente en las conservas caseras mal esterilizadas, aunque otros mecanismos son posibles. Su incidencia actual en Espana es muy baja. Casos clinicos. Se describen tres miembros convivientes de una familia que presentaron un cuadro de botulismo alimentario. Las manifestaciones clinicas iniciales mostraron predileccion por la paresia ocular y por sintomatologia disautonomica de escasa especificidad, y la agregacion familiar fue el indicio fundamental que sugirio el diagnostico. Posteriormente, los pacientes empeoraron y dos de ellos presentaron afectacion de la funcion respiratoria y precisaron ingreso prolongado en la unidad de cuidados intensivos. Los tres pacientes convalecieron y se recuperaron sin secuelas. Se consiguio detectar la toxina botulinica por bioensayo en los restos de alimentos, lo que confiere al caso la categoria diagnostica de confirmado. Conclusiones. La microepidemia familiar presentada constituye un caso de afectacion inicial predominantemente ocular y disautonomica. Asimismo, ilustra varios aspectos tipicos de la enfermedad: la sospecha diagnostica ante pacientes convivientes que acuden simultaneamente por clinica similar, las complicaciones caracteristicas del proceso y su tratamiento, el diagnostico de laboratorio y su historia natural hacia la resolucion.

  4. [Clinical features and diagnosis of Pelizaeus-Merzbacher disease: five case reports].

    Science.gov (United States)

    Espinosa, E; Mera-Solarte, P R; Cote-Orozco, J E

    2016-05-01

    Introduccion. La enfermedad de Pelizaeus-Merzbacher es un trastorno hipomielinizante raro debido a alteraciones en el gen PLP1, que lleva a un fallo de la mielinizacion axonal de los oligodendrocitos en el sistema nervioso central. Existen dos formas descritas segun la gravedad de su presentacion: connatal y clasica. Se caracteriza por hipotonia neonatal, retraso del desarrollo psicomotor, espasticidad progresiva de predominio en los miembros inferiores y nistagmo, con signos y sintomas piramidales y extrapiramidales, y la forma connatal es mucho mas grave. La resonancia magnetica muestra leucoencefalopatia hipomielinizante difusa, los potenciales evocados usualmente se alteran y la confirmacion se realiza mediante estudio molecular del gen PLP1. Casos clinicos. Se presentan cinco pacientes pediatricos afectados, cuatro con la forma clasica y uno con la forma connatal; se describen las caracteristicas clinicas, los estudios complementarios y se realiza una revision concisa de la bibliografia. Conclusion. Esta enfermedad tiene una evolucion progresiva y casi invariable, lo cual es la clave clinica para diferenciarla de otras entidades como la paralisis cerebral infantil, neuropatias perifericas, esclerosis multiple, entre otras, ademas de los hallazgos caracteristicos en las neuroimagenes. Es necesario sospechar este diagnostico y confirmar alteraciones en el gen PLP1 con el fin de obtener una incidencia real de esta entidad, probablemente subestimada, como otras leucodistrofias.

  5. [Structural congenital myopathies].

    Science.gov (United States)

    Erazo-Torricelli, Ricardo

    2013-09-06

    Introduccion. Las miopatias congenitas son un grupo heterogeneo de enfermedades que comparten clinica de inicio precoz y alteraciones histopatologicas musculares especificas. El estudio genetico permite determinar la mutacion causal en la mayoria de los casos. Existe heterogeneidad fenotipica y genotipica, lo que se ilustra al observar que un genotipo puede expresarse en mas de una forma clinicopatologica y un fenotipo puede estar causado por diferentes mutaciones geneticas. Desarrollo. En esta revision, se detallan las caracteristicas de las principales miopatias congenitas que permiten su identificacion clinica, patologica y genetica. Se describen los hallazgos de la biopsia muscular que constituyen el principal pilar diagnostico. Se enfatiza y se detalla la importancia del diagnostico diferencial, descartando otras patologias que se presentan con hipotonia en la lactancia o el periodo neonatal. Se destacan las formas neonatales graves (nemalinica, miotubular ligada al X) que se deben identificar precozmente para establecer el pronostico y brindar un consejo genetico adecuado. Se subrayan las mutaciones del gen rianodina (RYR1) por su asociacion a la hipertermia maligna y las mutaciones de la selenoproteina 1 (SEPN1) y la miopatia nemalinica por su asociacion a hipoventilacion nocturna. Conclusiones. El conocimiento profundo de las miopatias estructurales congenitas facilita la confirmacion diagnostica de la miopatia congenita, lo que permite la aplicacion oportuna de medidas relacionadas con la respiracion y la alimentacion de los casos mas graves y con la optimizacion de la funcion motora en todos los pacientes con miopatia congenita.

  6. [Spanish validation of the Iowa Rating Scale for Personality Change (IRSPC) for the appraisal of changes in personality in patients with acquired brain injury].

    Science.gov (United States)

    Guallart-Balet, María; Jiménez-Cortés, Marta P; Tuquet-Calvo, Helena; Pelegrín-Valero, Carmelo; Olivera-Pueyo, Javier; Benabarre-Ciria, Sergio; Tirapu-Ustárroz, Javier

    2015-01-01

    Introduccion. La Iowa Rating Scale for Personality Change (IRSPC) presenta una serie de caracteristicas (enfasis en las funciones motivacionales y emocionales, evaluacion de las funciones ejecutivas 'cognitivas' en la vida cotidiana, estimacion de la personalidad premorbida, valoracion de la fiabilidad del informador) que hacen muy interesante su utilizacion tanto en la clinica como en la investigacion. Objetivo. Validar en castellano la IRSPC para la evaluacion de los 'cambios de personalidad' secundarios a las lesiones cerebrales de la corteza prefrontal en general y del area ventromedial en particular. Pacientes y metodos. Tras el proceso de traduccion y adaptacion de la guia de la escala al castellano, se realizo un estudio de validacion con 31 pacientes con daño cerebral traumatico y se obtuvieron unos resultados de fiabilidad muy adecuados. Resultados. Los resultados obtenidos al medir la consistencia interna de la IRSPC y los coeficientes de fiabilidad interobservadores y test-retest apoyan dicha afirmacion. La validez del instrumento es confirmada por la validez concurrente (comparandolo con el inventario neuropsiquiatrico) y la validez de constructo (comparando las puntuaciones de los pacientes antes y despues del traumatismo). Conclusiones. La IRSPC es un instrumento fiable y valido para la exploracion clinica, en el contexto de una evaluacion integral de los sintomas derivados de las enfermedades neurologicas en general, y en particular de aquellas en las que se encuentra involucrada la corteza prefrontal ventromedial.

  7. [Optic neuritis in childhood. A pediatric series, literature review and treatment approach].

    Science.gov (United States)

    Lopez-Martin, D; Martinez-Anton, J

    2016-08-01

    Introduccion. En la edad pediatrica, la forma mas frecuente de neuritis optica se presenta generalmente despues de un cuadro infeccioso, con edema de papila, que suele ser bilateral y tiene buen pronostico. La conversion a esclerosis multiple es infrecuente. Objetivo. Presentar las caracteristicas clinicas y de laboratorio de una serie pediatrica de neuritis optica. Pacientes y metodos. Se analiza una serie de 17 casos de neuritis optica en niños y jovenes de 4 a 14 años, referidos entre los años 2000 y 2015. Resultados. La edad mediana de la serie fue de 11 años. Predominaron los pacientes de sexo femenino y el antecedente infeccioso fue poco frecuente; en cinco pacientes, la afectacion fue bilateral, y cuatro casos se presentaron como neuritis optica retrobulbar. La resonancia magnetica mostro hiperintensidad en T2 en los nervios opticos afectados en cinco pacientes. El estudio del liquido cefalorraquideo y bandas oligoclonales fue normal en todos los casos. Los pacientes, tratados con metilprednisolona intravenosa, tuvieron buena recuperacion. Solo en tres casos se comprobo una evolucion posterior a esclerosis multiple. Conclusiones. En esta serie, los casos que evolucionaron a esclerosis multiple no mostraron diferencias clinicas, aunque si presentaron mayor cantidad de lesiones hiperintensas en la resonancia magnetica. Este hecho, descrito en trabajos previos, apoya nuestro esquema diagnostico y terapeutico en un intento por acercarnos al manejo optimo de esta patologia.

  8. [Etiology, clinical presentation and outcome of severe viral acute childhood encephalitis (ECOVE study)].

    Science.gov (United States)

    Flores-Gonzalez, José C; Jordan-Garcia, Iolanda; Turon-Vinas, Eulàlia; Montero-Valladares, Cristina; Tellez-Gonzalez, Cinta; Fernandez-Carrion, Francisco; Garcia-Iniguez, Juan P; Onate-Vergara, Eider; Rodriguez-Nunez, Antonio

    2015-07-01

    Introduccion. Las encefalitis viricas son procesos raros y potencialmente graves, con etiologia diversa y no siempre identificable. El objetivo es describir las caracteristicas etiologicas, la presentacion clinica y la evolucion neurologica de las encefalitis viricas que ingresaron en las unidades de cuidados intensivos pediatricos (UCIP) en España. Pacientes y metodos. Estudio prospectivo multicentrico observacional. Se incluyeron los niños ingresados en 14 UCIP con diagnostico de encefalitis virica durante un periodo de tres años (2010-2013). Para el diagnostico etiologico se utilizo reaccion en cadena de la polimerasa y serologia a virus neurotropos en la sangre y el liquido cefalorraquideo. Se registraron los antecedentes personales, la presentacion clinica, la evolucion y la situacion neurologica en el momento del alta. Resultados. Se incluyeron 80 pacientes con edad media de 5 años; el 70%, varones. Los sintomas clinicos mas relevantes fueron disminucion de conciencia (86%), fiebre (82,4%), convulsiones (67%), vomitos (42%), cefalea (27%), agitacion (25%) y desorientacion (23%). Se llego al diagnostico etiologico en un 35%, y los mas frecuentes fueron virus herpes simple y enterovirus. La evolucion fue curacion sin secuelas en 55 pacientes (69%, sobre todo enterovirus, rotavirus y virus respiratorios), secuelas leves-moderadas en 19 (23,5%) y graves en seis (7,5%). Dos pacientes fallecieron. Conclusiones. En las UCIP españolas solo se realizo el diagnostico etiologico en un tercio de los niños con sospecha de encefalitis virica grave. A pesar de la gravedad clinica, hemos observado una tasa de mortalidad y morbilidad baja. La amplia mayoria son dados de alta de la UCIP con ninguna o escasa secuela neurologica.

  9. [Brainstem dysgenesis: functional prognosis and rehabilitative treatment. A series of nine cases].

    Science.gov (United States)

    Alberdi-Otazu, Ainara; Vives-Ortega, Juan C; Castelló-Verdú, Teresa; Toro-Tamargo, Esther; Meléndez-Plumed, Mar

    2014-05-01

    Introduccion. La disgenesia del tronco encefalico es una entidad clinica heterogenea, de baja incidencia y alta variabilidad clinica, que afecta a estructuras del tronco del encefalo. La combinacion de sintomatologia, neuroimagen y estudios neurofisiologicos es la base diagnostica. Objetivo. Conocer las caracteristicas clinicas comunes, pronostico funcional y necesidades de tratamiento rehabilitador en un grupo de niños con disgenesia del tronco encefalico. Pacientes y metodos. Estudio retrospectivo observacional de nueve pacientes diagnosticados de disgenesia del tronco encefalico controlados en consultas externas. Resultados. La edad media de los pacientes era de 5,5 años. Cinco presentaron alteraciones en la neuroimagen y, en los cinco con estudio neurofisiologico, este estaba alterado. Seis presentaron hipotonia muscular; ocho, amimia/hipomimia; seis, hipoacusia central, y cinco, gastrostomia. Un tercio presento un episodio de parada cardiorrespiratoria. En todos se detecto retraso psicomotor. Actualmente cinco realizan marcha autonoma por interiores y cuatro de ellos por exteriores. Un porcentaje elevado (77,7%) comprende ordenes simples y es capaz de comunicarse (66,6%). Conclusiones. Las alteraciones de los pares craneales, del tono muscular y la disfagia son las manifestaciones mas comunes en nuestra poblacion. El riesgo de broncoaspiracion y parada cardiorrespiratoria supone una amenaza vital para estos pacientes. Todos los niños presentan retraso psicomotor y la mitad de ellos alcanza marcha autonoma. Dada la diversidad de discapacidad que presentan estos pacientes, consideramos necesario un tratamiento de rehabilitacion integral e individualizado para conseguir un nivel funcional optimo. Necesitamos estudios con muestras mas amplias para obtener grupos homogeneos y establecer el pronostico funcional y las necesidades de tratamiento rehabilitador.

  10. Electrofiltration of fly ashes extremely strong and special characteristics; Electrofiltracion de Cenizas de Alta Resistividad y Caracteristicas Especiales

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-07-01

    The main objective of CARE project was to improve the utilization of electrostatic precipitator technology for control of particle emission to the atmosphere, specially from coal-fired power stations burning coal with fly ash characteristics exhibiting extremely strong particle cohesion. (Author)

  11. Synthesis of amorphous zirconium oxide with luminescent characteristics; Sintesis de oxido de circonio amorfo con caracteristicas luminiscentes

    Energy Technology Data Exchange (ETDEWEB)

    Barrera S, M.; Chavez G, M.; Soto E, A.M.; Velasquez O, C.; Garcia S, M.A.; Olvera T, L.; Rivera M, T. [UAM-I, 09340 Mexico D.F. (Mexico)

    2004-07-01

    It was prepared zirconium oxide, ZrO{sub 2}, by means of hydrolysis-condensation reactions (sol-gel method), using zirconium propoxide, Zr(C{sub 3}H{sub 7}O){sub 4}, as precursor and nitric acid, HNO{sub 3}, as catalyst of the hydrolysis reaction. In this synthesis it was used a molar ratio water-alkoxide, r=n{sub H2O}/n{sub Zr}(C{sub 3}H{sub 7}0){sub 4}, high, similar to 200, so that the hydrolysis happens quickly and the nucleation and growth are completed in very little time. The solid was characterized with Ftir spectrophotometry, Differential thermal analysis (Dta), Thermal gravimetric analysis (T G), X-ray diffraction of powders, Scanning electron microscopy (Sem) and X-ray Dispersion energy (EDX). The ZrO{sub 2} obtained by this way is amorphous even to 300 C and it consists of big aggregates. The amorphous ZrO{sub 2}, presents thermoluminescent behavior, after it was irradiated with UV radiation and beta particles of {sup 90}Sr/{sup 90}Y and it was thermally stimulated. (Author)

  12. La dinamica de fluidos computacional, su aplicacion al estudio de las caracteristicas de un intercambiador de tubos termicos

    NARCIS (Netherlands)

    Fernandez Rivas, David; Piedra Diaz, Margarita

    2005-01-01

    The Computational Fluids Dynamic it is used for studying a thermosyphon heat exchanger like a novel technique of numeric modeling, for the first time in Cuba. This technique could save a lot of resources. This work is the continuation of a long research in the heat pipes technology. Working with Com

  13. Women and entrepreneurial challenge in Spain, characteristics and determinants; Mujer y desafio emprendedor en Espana. Caracteristicas y determinantes

    Energy Technology Data Exchange (ETDEWEB)

    Ruiz Navarro, J.; Camelo Ordaz, M. C.; Coduras Martinez, A.

    2012-11-01

    This article contextualizes the discrete level of female entrepreneur ship in Spain and its differential aspects. It includes an analysis of the general characteristics of female entrepreneur ship, grouping them into contextual, demographic and perceptual factors. In addition, it considers in more depth those that promote or hinder the development of female entrepreneur ship: social networks, access to finance and the institutional framework supporting entrepreneurial activity. Finally, it makes a number of specific recommendations in order to correct the major weaknesses in this area and exploit female entrepreneur ship opportunities in Spain. (Author) 49 refs.

  14. Caracteristicas fisicoquimicas en vinos tintos: metodo tradicional y maceracion carbonica empleando dos cepas de la levadura saccharomyces cerevisiae

    OpenAIRE

    N. Flores-Ramírez; R. A. Martínez-Peniche; E. Fernández-Escartín; J. L. Gallegos-Pérez; M. I. Díaz-Cervantes; S. R. Vásquez-García

    2005-01-01

    Los vinos tintos que se elaboran en el centro de México generalmente presentan concentraciones de acidez relativamente elevadas, las cuales causan alteraciones en sus propiedades organolépticas. En este trabajo se reporta el estudio de los niveles de acidez relacionada a los cambios en las principales características físicas y químicas del vino. Los vinos analizados fueron del cv. Ruby cabernet elaborados por vinificación tradicional (VT) y por maceración carbónica (MC) con dos cepas de la le...

  15. Influencia da organizacao da atencao basica e das caracteristicas sociodemograficas da populacao na demanda pelo pronto atendimento odontologico municipal

    Directory of Open Access Journals (Sweden)

    Dirce Aparecida Valerio da Fonseca

    2014-01-01

    Full Text Available O objetivo deste estudo foi avaliar a influência dos determinantes sociais e da oferta de serviços na atenção primária em relação à utilização de um serviço de pronto atendimento odontológico em município de médio porte. Foram utilizados para a análise dados de registros de 57.231 usuários do pronto atendimento, período de 2007 a 2009, segundo idade, sexo, data e período do atendimento, índice de exclusão social do bairro de residência e existência de equipe de saúde bucal de referência. Verificou-se que, em média/ano, 5,24% da população utilizou o serviço no período estudado, com maior procura na faixa etária de 20 a 49 anos (63,84% e equilíbrio entre os sexos. Os procedimentos mais executados foram os cirúrgicos (54,9% com tendência ao aumento dos procedimentos restauradores (62,8%. Os usuários residentes em áreas de maior exclusão social apresentaram 4,15 vezes mais chance de procurar pelo serviço (p < 0,05. Não foi observada associação estatisticamente significativa entre procura pelo pronto atendimento, sexo e a existência de equipe de saúde bucal na área de residência. Concluiu-se que houve uma maior utilização pelo serviço de urgência odontológico municipal por indivíduos provenientes de áreas mais vulneráveis, demonstrando a importância do mesmo na diminuição das iniquidades em saúde bucal.

  16. Inversor Resonante de Tres Elementos L-LC con Caracteristica Cortocircuitable para Aplicaciones de Calentamiento por Induccion

    Science.gov (United States)

    Espi Huerta, Jose Miguel

    Los generadores de calentamiento por induccion son puentes inversores con carga resonante, cuya mision es basicamente crear una corriente sinusoidal de gran amplitud sobre la "bobina de caldeo", que forma parte del tanque resonante. En el interior de esta bobina se introduce la pieza que se desea calentar. EI campo magnetico creado induce corrientes superficiales (corrientes de Foucault) sobre la pieza, que producen su calentamiento. Los tanques resonantes (tambien llamados osciladores) utilizados en la actualidad son el resonante serie y el resonante paralelo. Aunque ya desde hace algun tiempo se vienen construyendo generadores de alta potencia basados en estos dos osciladores, el exito nunca ha. sido completo en ninguno de los dos casos. Tal y como se explica en la introduccion de esta memoria, los puentes inversores utilizados deben operar sobre una carga inductiva (corriente retrasada) para evitar el fenomeno de la recuperacion inversa de sus diodos y la consiguiente ruptura de los transistores. De la restriccion topologica anterior se deduce que el generador paralelo debe conmutar a frecuencias inferiores a la resonancia, y el serie a frecuencias superiores. A esta restriccion topologica hay que unir otra que es exclusiva del calentamiento por induccion: La corriente por la bobina de caldeo debe ser sinusoidal. De no ser asi, resultaria imposible disponer toda la potencia de calentamiento sobre la pieza en el espesor requerido por la aplicacion. Como consecuencia, los inversores no pueden operar por debajo de la frecuencia de resonancia del oscilador, pues en ese caso se amplifican los armonicos de orden superior de la tension/corriente de entrada situados sobre la resonancia, con la consiguiente distorsion de la corriente de salida. La conjuncion de las dos restricciones anteriores obligan al inversor paralelo a funcionar a la frecuencia de resonancia del oscilador. Esto imposibilita un control por variacion de frecuencia, regulandose la potencia desde la seccion de entrada mediante un mayor o menor aporte de corriente al puente. Como consecuencia, la seccion de entrada del paralelo, ya de por si mas voluminosa que lao del serie por el uso de grandes componentes magneticos (bobinas de filtro o de "alisamiento"), result a tambien mas complicada y costosa debido a la necesidad de ser implementada mediante rectificador controlado. Ademas, la regulacion que ofrece el rectificador es pobre, dada su baja frecuencia de conmutacion. En cambio, el circuito serie puede funcionar por encima de la resonancia manteniendo una secuencia de conmutacion sin riesgos de recuperacion inversa y con una corriente de salida practicamente sinusoidal, lo que permite un control de la potencia por variacion de frecuencia. Puesto que la tarea de regulacion se realiza desde el puente inversor, la regulacion resulta mucho mas eficaz y la seccion de entrada se puede implementar mediante un simple rectificador no controlado y un condensador de filtro. (Abstract shortened by UMI.).

  17. Thermal and hydraulic characteristics of the JEN-1 Reactor; Caracteristicas hidraulicas y termicas del Reactor JEN-1

    Energy Technology Data Exchange (ETDEWEB)

    Otra Otra, F.; Leira Rey, G.

    1971-07-01

    In this report an analysis is made of the thermal and hydraulic performances of the JEN-1 reactor operating steadily at 3 Mw of thermal power. The analysis is made separately for the core, main heat exchanger and cooling tower. A portion of the report is devoted to predict the performances of these three main components when and if the reactor was going to operate at a power higher than the maximum 3 Mw attainable today. Finally an study is made of the unsteady operation of the reactor, focusing the attention towards the pumping characteristics and the temperatures obtained in the fuel elements. Reference is made to several digital calculation programmes that nave been developed for such purpose. (Author) 21 refs.

  18. Caracteristicas de la Instruccion Programada como Tecnica de Ensenanza (Characteristics of Programed Instruction as a Teaching Technique).

    Science.gov (United States)

    Dorrego, Maria Elena

    This discussion of programed instruction begins with the fundamental psychological aspects and learning theories behind this teaching method. Negative and positive reinforcement, conditioning, and their relationship to programed instruction are considered. Different types of programs, both linear and branching, are discussed; criticism of the…

  19. Characteristics and properties of sugar cane trash; Caracteristicas e propriedades do palhico de cana-de-acucar

    Energy Technology Data Exchange (ETDEWEB)

    Innocente, Andreia F. [Universidade Estadual Paulista (UNESP), Botucatu, SP (Brazil); Saglietti, Jose R. C. [Universidade Estadual Paulista (IBB/UNESP), Botucatu, SP (Brazil). Inst. de Biociencias de Botucatu], E-mail: jroberto@ibb.unesp.br

    2010-07-01

    The sugar cane processing wastes (bagasse and trash) became an important energy source which may be used in the electrical energy co-generation. This work is aimed to determine the trash physical properties, define its energetic value and ideal combination of bagasse + trash to use in conventional boilers. The trash productivity (20 t/ha), green (14.9%) and dry (71.3%) leaves, and remaining material (8.3%) was found one day after the cane crop. The trash moisture content was measured for each component and the final average value was 28.7%. The bagasse showed a 49.81% moisture average content. The higher heating value (HHV) was found for the bagasse (19.27 MJ/kg), trash (17.90 MJ/kg) and bagasse + trash mixtures in different proportions. For the lower heating value (LHV), we observed that the released energy in the trash (12.11 MJ/kg) was higher than the one in the bagasse (8.55 MJ/kg). This result was expected due to the higher bagasse moisture content. From the analysed mixtures, the 50%-50% one had the highest LHV (10.08 MJ/kg), showing that the trash left in the field after the crop may be efficient for the energy production mixed to the bagasse in 50% proportion. (author)

  20. Study on radiographic and minerals characteristics of renal calculus; Estudo das caracteristicas radiograficas e minerais de calculos renais

    Energy Technology Data Exchange (ETDEWEB)

    Fernandes, Marco A.R., E-mail: mfernandes@fmb.unesp.b [Universidade Estadual Paulista Julio de Mesquita Filho (FMB/UNESP), Botucatu, SP (Brazil). Fac. de Medicina. Dept. de Dermatologia e Radioterapia; Goldberg, Jose [Universidade Estadual Paulista Julio de Mesquita Filho (FMB/UNESP), Botucatu, SP (Brazil). Fac. de Medicina. Dept. de Urologia; Sakate, Makoto [Universidade Estadual Paulista Julio de Mesquita Filho (FMB/UNESP), Botucatu, SP (Brazil). Fac. de Medicina. Dept. de Doencas Tropicais e Diagnostico por Imagem; Louzada, Mario J.Q. [Universidade Estadual Paulista Julio de Mesquita Filho (UNESP), Aracatuba, SP (Brazil). Curso de Medicina Veterinaria; Fernandes, Marco F.S. [Santa Casa de Misericordia de Sao Jose do Rio Preto, SP (Brazil). Dept. de Cirurgia Geral

    2010-07-01

    Radiological Images of kidneys stones were analyzed, quantifying the optical density (D.O.) and the blackening degree in the radiographic film of the samples. Studies of the literature, analyses of samples and interviews with specialists of the Center of Sciences and Technologies of Materials (CCTM) of the Institute of Energy and Nuclear Researches (IPEN/CNEN-SP), after crystallographic analysis for absorption techniques and diffraction of ray-X, showed that D.O. of the stones it is more directly dependent of their dimensions of what of their contents concentration. It is the researchers' consensus that as larger D.O. of the radiographic image of the calculation renal, larger her density (g/cm{sup 3}) and therefore larger the importance of the application of an appropriate energy for the fragmentation of the calculation. This energy, supplied by the equipment extracorporeal shock wave lithotripsy (ESWL) it depends on several parameters inside the ones which the anatomy and the patient's position and of the own limitations of the lithotripsy equipment. This interpretation, at least for the analyzed samples, it disappoints a simplistic correlation among the parameters of the shock waves used in the lithotripsy procedures and the measures of D.O. and characteristics minerals. Another restriction factor is the discrepancy of the radiological image the kidneys stones camped in the patient, surrounded by the organs and interposed bone structures, and gotten her through the analysis of the fragments expelled after the accomplishment of ESWL, which present great variety of granulations. (author)

  1. Gasoline contamination with iron: changes in physico-chemistry characteristics; Gasolina contaminada com ferro: mudancas nas caracteristicas fisico-quimicas

    Energy Technology Data Exchange (ETDEWEB)

    Cardoso, Tarcisio Nunes; Teixeira, Leonardo Sena Gomes; Souza, Jurema de Castro; Almeida, Selmo Queiroz; Pontes, Luiz Antonio Magalhaes; Vitor Sobrinho, Eledir; Guimaraes, Paulo Roberto Britto; Vianna, Regina Ferreira [Universidade Salvador - UNIFACS, Salvador, BA (Brazil). Dept. de Engenharia e Arquitetura]. E-mail: leonardoteixeira@unifacs.br

    2003-07-01

    Iron is one of the most common heavy metals found in gasoline. Its source may be, the crude oil itself, fuel additives or contamination. Heavy metals are known to catalyze oxidation reactions of several gasoline components and, therefore, may have an effect on some of gasoline quality parameters, such as gum formation, distillation curve and octane number. This study is concerned with an evaluation of the influence of copper on these parameters, and involved iron concentrations of up to 1.8 mg/L. The results have shown that that level of contamination does not affect the octane number and the distillation curve of gasoline. However, there is a sharp increase in gum formation, even at very low iron concentrations. (author)

  2. Characteristics of liver tissue for attenuate the gamma radiation; Caracteristicas del tejido hepatico para atenuar la radiacion gamma

    Energy Technology Data Exchange (ETDEWEB)

    Arcos P, A.; Rodriguez N, S.; Pinedo S, A.; Amador V, P.; Chacon R, A.; Vega C, H.R. [Unidad Academica de Estudios Nucleares, Cipres No. 10, Fracc. La Penuela, 98068 Zacatecas (Mexico)

    2005-07-01

    It was determined the lineal attenuation coefficient of hepatic tissue before gamma radiation of a source of {sup 137} Cs. When exposing organic material before X or gamma radiation fields, part of the energy of the photons is absorbed by the material, while another part crosses it without producing any effect. The quantity of energy that is absorbed is a measure of the dose that receives the material. The three main mechanisms by means of which the gamma rays interacting with the matter are: The Photoelectric Effect, the Compton dispersion and the Even production; the sum of these three processes is translated in the attenuation coefficient of the radiation. In this work we have used hepatic tissue of bovine, as substitute of the human hepatic tissue, and we have measured the lineal attenuation coefficient for photons of 0.662 MeV. Through a series of calculations we have determined the lineal attenuation coefficient for photons from 10{sup -3} to 10{sup -5} MeV and the measured coefficient was compared with the one calculated. (Author)

  3. Fenotipaje de individuos del género fasciola linnaeus, 1758 (trematoda: fasciolidae) de areas endemicas con caracteristicas heterogeneas

    OpenAIRE

    Vieira Peixoto, Raquel

    2016-01-01

    Fascioliasis is a zoonotic disease emerging in numerous parts of the world. Fascioliasis is an important food-borne parasitic disease caused by the two trematode species, Fasciola hepatica and Fasciola gigantica. The characterisation and di erentiation of Fasciola populations is crucial to control the disease, given the di erent transmission, epidemiology and pathology characteristics of the two species. Furthermore, in any endemic area, the characterisation of scenarios and patterns of infec...

  4. Caracteristicas operativas de CPKMB y Troponina 1 para el diagnostico del compromiso miocàrdico en neonatos asfixiados

    OpenAIRE

    Colon Llamas, Martha Liliana

    2011-01-01

    La asfixia perinatal es una condición grave que afecta un porcentaje importante de neonatos. Su diagnostico puede dificultarse requiriendo la aplicación de pruebas altamente confiables. La investigación de novedosas formas para su diagnostico es una prioridad por las implicaciones que tiene para el neonato. El presente trabajo evalúa la capacidad diagnostica de TPN 1 y CPK MB en la detección temprana del compromiso miocárdico por asfixia en neonatos que ingresaron a la unidad de cuidado inten...

  5. The Alto Paraguay Alkaline Province: petrographic, geochemical and geochronological characteristics; Provincia alcalina Alto Paraguai: caracteristicas petrograficas, geoquimicas e geocronologicas

    Energy Technology Data Exchange (ETDEWEB)

    Velazquez Fernandez, Victor

    1996-12-31

    The Alto Paraguay Province is located at the border of the State of Mato Grosso do Sul and Paraguay, between the coordinates 21 deg 10{sup `}to 23 deg 25{sup `}of Southern latitude and 57 deg 10{sup `} to 58 deg 00{sup `}, having the city of Porto Murtinho as the main reference point. The geotectonic domain of the area is governed by the precambric units of the Southern extreme of the Amazonic craton which developed a long and accentuated activity, giving rise to folds and important faults, that in several cases seem to have exerted an effective control of the magmatic manifestations. Radiometric data indicate that the emplacement of the syenitic bodies took place in the Permo-Triassic period, with a major incidence in the interval 260-240 Ma, representing thus, an important phase of alkaline magmatic affinity associated to the Parana Basin which is believed is to be unique, since the other known areas (Central, Amambay and Rio Apa Provinces, Paraguay, Velasco Province, Bolivia) are considerably younger (140-120 Ma). Syenitic rocks from the Alto Paraguay Province show wide variation in the ratio {sup 87} Sr/{sup 86} Sr (0.703361 - 0.707734). Excluding the Cerro Boggiani rocks (0.703837-0.707734), values for the nepheline syenites (0.703361-0.703672) general lower than those of the other syenites types. Alkaline syenites cover the interval 0.703510- 0.703872, while quartz syenites and syenogranites are 0.704562 and 0.707076, respectively. geologic evidence, in addition to petrographic, geochemical and isotopic (Sr) data, suggest that the syenitic rocks have been derived from an unique mantelic parental liquid, by fractional crystallization and assimilation processes, which are assumed to be occurred during the emplacement of the magma in the crust. (author) 124 refs., 52 figs., 7 tabs.

  6. Positron Emission Tomography (PET) in the oncologic clinical practice; Tomografia por Emision de Positrones (PET) en la practica clinica oncologica

    Energy Technology Data Exchange (ETDEWEB)

    Serna M, J.A.; Luviano, C.; Martinez V, D. [Hospital Angeles del Pedregal Mexico DF (Mexico); Maldonado S, A. [Centro PET Complutense, Madrid (Spain)

    2005-07-01

    We intended to determine the frequency with that the computer axial tomography (TAC), it was able to visualize the lesions extra neoplasia detected by the PET tomography in patients with fully identified primary malignant neoplasia. (Author)

  7. Selection, processing and clinical application of muscle-skeletal tissue; Seleccion, Procesamiento y Aplicacion Clinica de Tejido Musculo-Esqueletico

    Energy Technology Data Exchange (ETDEWEB)

    Luna Z, D.; Reyes F, M.L.; Lavalley E, C.; Castaneda J, G. [ININ, Carretera Mexico-Toluca s/n, 52750 La Marquesa, Ocoyoacac, Estado de Mexico (Mexico)]. e-mail: dlz@nuclear.inin. mx

    2007-07-01

    Due to the increase in the average of the world population's life, people die each time to more age, this makes that the tissues of support of the human body, as those muscle-skeletal tissues, when increasing the individual's age go weakening, this in turn leads to the increment of the illnesses like the osteoporosis and the arthritis, that undoubtedly gives as a result more injure of the muscle-skeletal tissues joined a greater number of traffic accidents where particularly these tissues are affected, for that the demand of tissues muscle-skeletal for transplant every day will be bigger. The production of these tissues in the Bank of Radio sterilized Tissues, besides helping people to improve its quality of life saved foreign currencies because most of the muscle-skeletal tissues transplanted in Mexico are of import. The use of the irradiation to sterilize tissues for transplant has shown to be one of the best techniques with that purpose for what the International Atomic Energy Agency believes a Technical cooperation program to establish banks of tissues using the nuclear energy, helping mainly to countries in development. In this work the stages that follows the bank of radio sterilized tissues of the National Institute of Nuclear Research for the cadaverous donor's of muscle-skeletal tissue selection are described, as well as the processing and the clinical application of these tissues. (Author)

  8. L’emergenza della resistenza batterica agli antibiotici e il suo impatto sul laboratorio di microbiologia clinica*

    Directory of Open Access Journals (Sweden)

    Pietro E. Varaldo

    2003-03-01

    Full Text Available Le riflessioni qui riportate sono state elaborate, in parte, in occasione di riunioni dell’AMCLI Marche (Jesi, 19.10.2001 e del Comitato AMCLI per lo Studio degli Antibiotici (CoSA (Milano, 11.12.2001 e Firenze, 11.4.2002 e, in parte, in un Leading Article su Journal of Antimicrobial Chemotherapy (Varaldo PE.Antimicrobial resistance and susceptibility testing: an evergreen topic. J.Antimicrob. Chemother. 2002; 50: 1-4.

  9. [Instituto de Investigaciones Clinicas "Dr. Américo Negrette": 55 years of excellent research versus global economic recession].

    Science.gov (United States)

    Valero Cedeño, Nereida Josefina

    2014-12-01

    The Instituto de Investigaciones Clínicas "Dr. Américo Negrette" belongs to the Faculty of Medicine at University of Zulia in Maracaibo, Zulia State, Venezuela. It was created on December 4, 1959 by Dr. Américo Negrette. Today, with 55 years of existence, the Institute seeks to fulfill the mission that characterizes it, based on the values instilled by its founder and maintained by subsequent generations, whose research projects are implemented through seven research sections: Biochemistry, Hematologic Research, Neuropharmacology and Neuroscience, Immunology and Cell Biology, Clinical Neurochemistry, Parasitology and Virology. The research originated in these laboratories have become national and international points of reference, despite the current economic situation with budget deficits that put at risk the quality and originality of their projects with negative consequences on the productivity and applications for health population, reasons of biomedical research.

  10. Recuperación Clinica Pero No Cognitiva En Esquizofrenia A Traves De La Experiencia Del Cine De Ficcion

    Directory of Open Access Journals (Sweden)

    J. Peña

    2015-12-01

    Discusión: Una intervención breve basada en actividades de la vida diaria puede ser transformada en herramienta eficaz de rehabilitación psiquiátrica. Sin embargo, con las características actuales y en la muestra de este estudio, la misma intervención no aportó beneficios en parámetros de cognición.

  11. Frecuencia y tiempo promedio para la rehabilitación postendodontica en una Clinica Dental Docente Peruana

    OpenAIRE

    Oliveira-Ruiz, Gaby; Machicao-Chacon, Norka Giuliana; Hernández-Añaños, Juan Felipe

    2016-01-01

    Objetivo: Determinar la frecuencia del tipo de rehabilitación y tiempo promedio que pasa desde la obturación de los conductos radiculares y la rehabilitación postendodóntica en la clínica dental docente de la Facultad de Estomatologia de la Universidad Peruana Cayetano Heredia en el año 2012. Materiales y Métodos: Se revisaron historias clínicas de pacientes atendidos en el Pregrado y en el Postgrado en el año 2012. Muchas historias clínicas fueron excluidas, debido a que no especifi caba dat...

  12. Leitura rapida do KDIGO 2012: Diretrizes para avaliacao e manuseio da doenca renal cronica na pratica clinica

    Directory of Open Access Journals (Sweden)

    Gianna Mastroianni Kirsztajn

    2014-03-01

    Full Text Available Os autores desta "leitura rápida" apresentam os dados que consideraram mais relevantes na versão 2012 do KDIGO referente à avaliação e manuseio da doença renal crônica. Não se trata da opinião dos autores, mas sim de uma apresentação mais concisa das diretrizes, que podem ser úteis na prática clínica.

  13. APRENDIZAJE COOPERATIVO SOBRE LA PRÁCTICA CLINICA EN ENFERMERÍA: EVALUACIÓN DE DOCENTES

    Directory of Open Access Journals (Sweden)

    María-Aurora Rodríguez Borrego

    2011-01-01

    Full Text Available El proyecto se desarrolló entre las Universidades de Córdoba y A Coruña en España y consistió en una experiencia de aprendizaje cooperativo intercultural e Interuniversitario con alumnos/as del primer curso de la Diplomatura de Enfermería que estaban realizando sus prácticas clínicas, con los objetivos de encontrar puntos de encuentro a la habitual distorsión entre teoría y práctica que detecta el alumnado cuando realiza sus primeras prácticas clínicas, trabajar en grupo cooperativo y ganar habilidad para la crítica y la autocrítica. Se presenta la evaluación de la experiencia por los docentes participantes con el modelo DAFO (Dificultades, Amenazas, Fortalezas y Oportunidades. Para los alumnos, el encuentro de la igualdad en la diferencia se constituyo en una gran oportunidad de aprendizaje, si bien contrastó con la dificultad de trabajar en grupo cooperativo. Como conclusión se puede decir que el método docente empleado mostró su efectividad y su dificultad.

  14. Phyllodes tumor: clinical, radiological and pathological correlation in 50 cases; Tumor filodes: correlacion clinica, radiologica y anatomopatologica en 50 casos

    Energy Technology Data Exchange (ETDEWEB)

    Higueras, A.; Alvarez, M.; Jimenez, A.; Garcia Revillo, J.; Cano, A. [Hospital Universitario Reina Sofia. Cordoba (Spain)

    2000-07-01

    To review the radiological features of the phyllodes tumor, correlating them with the clinical presentation, histological type and response to treatment. Fifty phyllodes tumors in 29 patients aged 16 to 59 years (mean: 41 years) were analyzed retrospectively. The series included 12 cases of recurrence, 1 of bilateral tumor and 6 of multiple tumor. Forty-five lesions were studied by mammography and 36 by ultrasound. Clinically guided fine-needle aspiration cytology was performed in 8 cases. The pathological diagnosis was obtained by means of surgical biopsy in every case (31 benign and 19 malignant). Twenty-four patients underwent postoperative clinical and radiological follow-up for a mean period of 32 months. Mammography revealed the presence of a nodule or mass in 42 cases, asymmetrical density in two and a generalized increase in density in one: Multifocal lesions were detected in six cases. The size varied widely, with masses measuring >5 cm showing a greater probability of malignancy (p<0.01). Calcifications were observed in 13% of the cases. Ultrasound revealed the presence of heterogeneous, hypoechoic nodules, with cystic areas in five tumors, all of which were malignant (p<0.01). Local recurrence was detected in 31% of the cases and bone metastases in one. The phyllodes tumor is an uncommon fibroepithelial tumor that has a potential for recurrence and distant metastasis. Mammographic and ultrasound features are similar to those of the fibroadenoma, a lesion with which it is occasionally associated. Multiple lesions are not infrequent and it can present with calcifications. The presence of cystic areas and a tumor size of >5 cm are the only radiological findings that are statistically associated with malignancy. The recurrence rate is greater in malignant tumors than in benign lesions, especially in patients treated by tumor resection. (Author) 28 refs.

  15. Design and construction of ophthalmic simulators for clinical applications; Projeto e confeccao de simuladores oftalmicos para aplicacoes clinicas

    Energy Technology Data Exchange (ETDEWEB)

    Sanchez, Andrea

    2006-07-01

    This work presents a calculational methodology for dose determination in human eye structures, such as: sclera, choroid, retina, lens, vitreous body, optic nerve and disc, and cornea, as well as tumor due to treatment to the eye plaques. A human eye model was constructed taking into consideration its main structural and dimension characteristics. Beyond that a mathematical model for the Co-60 and 1-125 plaques with all geometric details were built employing the MCNP-4C code. This model is able to calculate the axial and radial doses in any point of the eye and for each of its structures. An acrylic eye simulator was also built with the aim to obtain experimental results for the both model validations. This simulator is made of an acrylic sphere split into foils of 1 mm thickness which allow the introduction of a radiographic film to measure the axial and radial doses. The experimental data were used to validate the MCNP-4C results. The data from the mathematical model will serve as the basis to build a data bank for all the eye structures allowing different position and sizes of tumor as well as the replacement of all ophthalmic plaques used in the treatment. This data bank will be the principal part for the construction of a national software for the dose calculation and can be of great help for a reliable treatment system planning in radiotherapy/brachytherapy. (author)

  16. Clinical, radiographic and scintigraphic aspects of the trapeziometacarpal osteoarthritis; Caracterizacao clinica, radiografica e cintilografica da osteoartrose trapeziometacarpiana

    Energy Technology Data Exchange (ETDEWEB)

    Kaziyama, Helena Hideko Seguchi

    1996-12-31

    Trapeziometacarpal osteoarthritis occurs mainly in women during the menopausal period. It is related to manual activities and is usually bilateral. The onset is insidious and the evolution is slow and progressive. It is characterized by of strength and pain in the basis of the thumb resulting in limitation of the use and function of the hand. The diagnosis of this condition is based on the physical examination. The manouver of compression axial-rotation of the trapezimetacarpal joint is a common positive finding. Typical findings of osteoarthritis are present in the radiological studies. Scintigraphic images have a predictive value. The early diagnosis is important to avoid the risk factors and to prevent disabilities of the hand. (author) 102 refs., 18 figs., 10 tabs.

  17. Actinomicose cerebral: observação anatomo-clinica e revisão da literatura brasileira

    Directory of Open Access Journals (Sweden)

    Luciano de Souza Queiroz

    1975-12-01

    Full Text Available Os autores relatam a observação anátomo-clínica de um paciente de 33 anos, com síndrome de hipertensão intracraniana e hemiparesia à direita. O líquido cefalorraqueano revelava discreta hipercitose linfomonocitária. A autópsia mostrou três abscessos cerebrais, com edema difuso mais intenso no hemisfério cerebral esquerdo, sem leptomeningite purulenta. O exame histopatológico demonstrou grãos actinomicóticos nos abscessos cerebrais e pulmonares. A literatura brasileira sobre neuroactinomicose é analisada, com encontro de seis casos, publicados entre 1934 e 1946. São discutidos aspectos clínicos e anátomo-patológicos relevantes dos casos nacionais.

  18. Temerosidad en ratas heterogéneas (N/NIH-HS) y romanas (RHA/RLA): estudios hormonales y de expresión génica diferencial

    OpenAIRE

    Díaz Morán, Sira

    2014-01-01

    La presente Tesis tuvo como objetivos, estudiar la diferencia en ansiedad y otros rasgos conductuales relacionados (p. ej. miedo, susceptibilidad al estrés), a través de una batería de tests conductuales, en tres cepas o stocks de ratas diferentes (RHA-I -poco ansiosas-, RLA-I –muy ansiosas- y N/Nih-HS –ratas genéticamente heterogéneas-), y relacionar dichos perfiles conductuales/psicológicos con la expresión diferencial de genes en estructuras/circuitos cerebrales de conocida importancia en ...

  19. Amlodipin im Study Program on Physical activity and on Risk reduction in Treated Hypertensives (SPORT-H - hämodynamische, metabolische und hormonale Effekte bei körperlich aktiven Patienten mit arterieller Hypertonie

    Directory of Open Access Journals (Sweden)

    Schramm T

    2001-01-01

    Full Text Available Hintergrund: Im Rahmen des SPORT-H-Studienprogramms (Study program on Physical activity and on Risk reduction in Treated Hypertensives führten wir die präsentierte Pilotstudie durch, um die Effekte des langwirksamen Kalziumantagonisten Amlodipin auf die Hämodynamik, den Energie-Stoffwechsel und die Hormonspiegel sowie die Sauerstoffaufnahme in Ruhe und bei körperlicher Maximal- und Ausdauerbelastung bei physisch aktiven Patienten mit arterieller Hypertonie ohne Sekundärschäden zu untersuchen. Studiendesign: Dreizehn physisch aktive Patienten mit milder bis mittlerer EH wurden eingeschlossen: Alter: 43 ± 3 Jahre, Gewicht: 80 ± 2 kg, Blutdruck (BP: 151 ± 3/101 ± 3 mmHg, Herzfrequenz: 72 ± 3/Min. Nach einer 14-tägigen Wash-out-Periode wurde eine Spiroergometrie bis zur maximalen Erschöpfung (WHO-Schema durchgeführt, gefolgt von einer 60-minütigen submaximalen fahrradergometrischen Belastung auf der 2 mmol/l Laktat-Schwelle 48 h später. Vor, während und direkt nach den Belastungen wurden Blutproben entnommen. Das gleiche Protokoll wurde nach einer 42-tägigen Behandlungsphase mit 5 mg Amlodipin o.d. wiederholt. Ergebnisse: Die Amlodipintherapie führte zu einer signifikanten Senkung des systolischen und diastolischen Blutdrucks in Ruhe und während maximaler und submaximaler Belastung. LDL- und HDL-Cholesterin, Glukose, freie Fettsäuren, Plasma-Insulin, Cortisol und der belastungsinduzierte Anstieg von Beta-Endorphinen und hGH blieben unverändert. Maximale Herzfrequenz, Maximalleistung und Ausdauerleistungsfähigkeit, maximale Sauerstoffaufnahme wurden durch die Amlodipintherapie nicht beeinflußt. Das Druck-Frequenz-Produkt (PFP wurde durch Amlodipin signifikant verringert. Diskussion: Amlodipin kontrolliert den Blutdruck effektiv in Ruhe, während der Maximalbelastung und während der submaximalen Belastung, denen der körperlich aktive Patient, häufig ausgesetzt ist. Die Abnahme des PFP weist auf einen reduzierten myokardialen Sauerstoffbedarf hin. Die Stoffwechselneutralität und die Neutralität hinsichtlich der bei Belastung anfallenden Streßhormone sowie die Beibehaltung der Leistungsfähigkeit im maximalen und submaximalen Bereich zeigen die Eignung von Amlodipin in der Therapie bei körperlich aktiven Patienten mit arterieller Hypertonie und lassen bei zudem erhaltener subjektiver Leistungsbereitschaft auf eine gute Compliance hoffen.

  20. Domestication de Vitex doniana Sweet. (Verbenaceae: influence du type de substrat, de la stimulation hormonale, de la surface foliaire et de la position du nœud sur l’enracinement des boutures uninodales.

    Directory of Open Access Journals (Sweden)

    Mapongmetsem Pierre Marie

    2012-06-01

    Full Text Available  Résumé: La zone des hautes savanes guinéennes du Cameroun regorge de nombreux produits forestiers non ligneux de haute valeur ajoutée au rang desquels Vitex doniana Sweet. est une essence fruitière très valorisés par les populations locales. Malgré son importance dans le milieu paysan, elle vit encore à l’état sauvage et rares sont les travaux scientifiques qui se sont intéressés à sa domestication et sa culture. Afin de contribuer à sa domestication, une série de trois essais en pépinière ont été conduits pour évaluer l’effet du substrat (mélange terre noire/Sciure, terre noire/sable et sable sciure, de l’auxine (Contrôles, les boutures traitées à l’AIB, de la surface foliaire(0, 183, 214, 234 et 642 cm2 et de la position du nœud (N1,N2, N3, N4 et N5 sur l’enracinement des boutures juvéniles de V. doniana. Les résultats montrent que les substrats terre noire/sable et terre noire/sciure sont les plus performants pour l’enracinement à la sixième (0,0204<0,05, septième (0,0066<0,01 et huitième semaines (0,0248<0,05. La surface foliaire ainsi que la position du nœud influencent significativement (0,000 < 0,001 l’aptitude d’enracinement des boutures. L’enracinement le plus élevé (65,57% est enregistré chez les boutures ayant une surface foliaire égale à 234 cm2. S’agissant des boutures prélevées aux positions 2 et 3, le taux d’enracinement est de 68,31 % et 61,32% respectivement. Le plus important nombre de racines (5 par bouture est obtenu avec la même surface foliaire et du nœud de la position 2 (7 racines tandis que la plus longue racine est enregistrée chez les boutures ayant 182 cm2 (5,7cm et à la position 2 (4,58 cm. Ces résultats suggèrent qu’il est possible de développer les clones génétiquement supérieurs de Vitex doniana pour une utilisation en agroforesterie comme source potentiel de produits forestiers non ligneux. Mots clés: Domestication, Fruitier local, Multiplication végétative, Aptitude d’enracinement, Facteurs d’enracinement, Boutures de tige. Abstract: The High Guinean Savannahs zone is diversified in species producing non wood forest products among which Vitex doniana Sweet. is an indigenous fruit tree valued by the local population. However despite its importance in farmer backyard, it is still in the wild and there has been little effort to domesticate or cultivate it. In view to introduce it in the farmer existing production system, a series of nursery experiments were undertaken to access the effects of rooting medium (Soil/sawdust, Soil/Sand, Sawdust/Sand, auxin (treated with AIB and untreated, leaf area (0, 183, 214, 234 et 642 cm2 and node position (N1, N2, N3, N4 and N5 on rooting success of juvenile stem cuttings of V. doniana. The results showed that dark soil/sawdust and dark soil/sand were the most performing substrates from the sixth (0.0204<0.05, seventh (0.0066<0.01 to eighth (0.0248<0.05 weeks. Leaf area unlike node position affect significantly (0.000 < 0.001 the rooting ability. The highest rooting percentage (65.57% is obtained with the leaf area of 234 cm2. For the node position, the position 2 and 3 yielded maximum rooting (68.31 % and 61.32% respectively. The highest number of roots/cutting was obtained with 234 cm2 (5 and node 2 (7 whereas the longest root was obtained in 182 cm2 (5,7cm and node 2 (4,58cm. The results suggest that it is possible to develop clones of genetically superior trees of V. doniana for use in agroforestry as potential sources of non timber forest products.   Key words: Domestication, Local fruit tree, Vegetative propagation, Rooting ability, Rooting factors, Stem cutting.

  1. Modélisation mathématique de la régulation hormonale de la prise alimentaire et de la prise de poids : Applications à la restriction calorique et la résistance à la leptine

    OpenAIRE

    Jacquier, Marine

    2016-01-01

    The regulation of food intake and energy expenditure usually limits important loss or gain of body weight. Hormones (leptin, ghrelin, insulin) and nutrients (glucose, triglycerides) are among the main regulators of food intake. Leptin is also involved in leptin resistance, often associated with obesity and characterized by a reduced efficacy to regulate food intake. Mathematical models describing the dynamics of body weight have been used to assist clinical weight loss interventions or to stu...

  2. [Traumatic spinal cord injury in children and adolescents in Asturias].

    Science.gov (United States)

    Álvarez-Pérez, M José; López-Llano, M Luisa

    2015-05-01

    Introduccion. La lesion medular traumatica es rara en la infancia, pero con graves complicaciones. Objetivo. Conocer la incidencia, etiologia y caracteristicas sociodemograficas de los pacientes pediatricos y adolescentes con lesion medular traumatica en Asturias. Pacientes y metodos. Censo de pacientes entre 0-17 años codificados como 'lesion medular traumatica con o sin fractura vertebral' en Asturias entre 1934 y 2013. Se recogen variables sociodemograficas, hospitalarias y clinicas. Resultados. Se registran 72 pacientes, la mayoria varones (79,2%), con una edad media de 16 años (rango: 5-17 años). La incidencia en 2011 fue de 7,3 por millon. Predominaron las lesiones completas (68,1%) y la localizacion dorsal (44,4%). Hubo lesion osea en el 95,8%, y en la mitad de ellos, afectacion de dos o mas vertebras. La etiologia predominante fueron los accidentes de trafico (52,1%), sobre todo de vehiculos de cuatro ruedas (63,4%), con una mayoria de varones con una edad media de 17 años y una localizacion dorsal (46,3%). En segundo y tercer lugar se situaron la etiologia laboral y la deportiva, con el mismo numero de casos. En la laboral predominaron los varones y el nivel toracico (77,8%), y el mecanismo fundamental fue el golpe directo. En la deportiva, la mayoria fueron varones, y la zambullida fue la causa mas importante, de predominio cervical. Conclusiones. Son necesarios estudios centrados en este grupo poblacional que permitan determinar sus caracteristicas diferenciadoras para establecer programas de cuidados adaptados a sus necesidades, asi como las medidas preventivas mas oportunas para reducir las posibilidades de una lesion con tan graves repercusiones.

  3. [Prevalence of multiple sclerosis in the Region of Murcia].

    Science.gov (United States)

    Carreon-Guarnizo, E; Andreu-Reinon, E; Cerdan-Sanchez, M; Carrasco-Torres, R; Hernandez-Clares, R; Prieto-Valiente, L; Garcia-Escriba, C; Sola-Roca, A; Martinez-Andreu, M E; Miralles Gonzalez-Conde, M A; Martin-Fernandez, J J; Meca-Lallana, J E

    2016-05-01

    Introduccion. La esclerosis multiple (EM) es una enfermedad inflamatoria desmielinizante del sistema nervioso central con patogenia inmunomediada. Recientes estudios indican un aumento de su prevalencia, y numerosos trabajos relacionan el virus de Epstein-Barr (VEB) con su etiologia. Objetivo. Analisis de prevalencia de la EM en la Region de Murcia, incluyendo la descripcion de las caracteristicas clinicas en el momento del inicio de la enfermedad, y del estado serologico del VEB de los pacientes con EM. Pacientes y metodos. Estudio epidemiologico retrospectivo, tomando como muestra la poblacion residente en el area sanitaria centro-oeste de la Region de Murcia (257.865 habitantes). Se analizan datos clinicos y serologicos extraidos de diferentes fuentes. Resultados. Prevalencia de la EM en la poblacion estudiada: 88 casos/100.000 habitantes. Prevalencia de la EM junto con el sindrome desmielinizante aislado: 98,4 casos/100.000 habitantes. Incidencia media de la EM: 5,8 casos/100.000 habitantes/año. En el inicio de la EM, el 67,8% eran mujeres, el 81,9% presentaba un curso recurrente-remitente, la edad media era de 31,4 años, el sistema funcional mas frecuentemente afectado era el sensitivo (45,1%), el inicio fue monofocal en el 55,4% y el grado de discapacidad en la Expanded Disability Status Scale era de 2,1 puntos. La seroprevalencia del VEB fue del 99,3%. La reactivacion de la infeccion por VEB se relaciono con actividad clinica de EM en 10 pacientes (45,4%). Conclusiones. Actualmente, la prevalencia de la EM en la Region de Murcia es similar a la estimada en otras comunidades autonomas españolas. El estudio confirma la tendencia de incremento de prevalencia observada en las ultimas decadas.

  4. [Therapeutic possibilities in refractory epilepsy in tuberous sclerosis complex].

    Science.gov (United States)

    Puertas-Martin, Verónica; Carreras-Saez, Inmaculada; Marana, Ana; Ruiz-Falco Rojas, M Luz; Cantarin-Extremera, Verónica; Calleja-Gero, M Lourdes

    2014-06-16

    Introduccion. El complejo esclerosis tuberosa (CET) cursa frecuentemente con epilepsia de dificil control, lo que condiciona la calidad de vida y el nivel cognitivo de estos pacientes. Objetivo. Describir las caracteristicas epidemiologicas, clinicas y el tratamiento de los pacientes afectos de CET con epilepsia. Pacientes y metodos. Se han revisado retrospectivamente las historias clinicas de 30 pacientes menores de 18 años, diagnosticados de CET y epilepsia registrados en nuestra base de datos. Resultados. La edad de inicio de la epilepsia en los pacientes con CET en nuestra serie esta comprendida entre el primer mes de vida y los 4 años. Todos comenzaron con crisis parciales. Dos presentaron sindrome de West y cuatro, espasmos infantiles sin hipsarritmia. En 19 de los pacientes, la epilepsia se comporto como farmacorresistente. Respecto al tratamiento con farmacos antiepilepticos, 11 estan en monoterapia, 10 en biterapia, siete en triterapia y uno con cuatro farmacos. Dos recibieron ACTH, dos tienen implantado un estimulador del nervio vago, cuatro reciben tratamiento con everolimus y ocho han sido sometidos a cirugia. Conclusiones. La epilepsia es un problema muy frecuente y de inicio en los primeros años de vida en el CET. Las opciones terapeuticas actuales son muchas, sin embargo el 63,3% de los pacientes tiene una epilepsia no controlada y la mayoria de ellos presenta crisis diarias. El mal control de las crisis se correlaciona con retraso mental y trastorno del espectro autista. Señalar la respuesta positiva obtenida con otras posibilidades terapeuticas: inhibidores de la via mTOR, cirugia y el estimulador del nervio vago.

  5. Meningiomas of pineal region in children Meningiomas da região da pineal em crianças

    Directory of Open Access Journals (Sweden)

    Hamilton Matushita

    2007-12-01

    Full Text Available Meningiomas are uncommon tumors in children and either more rarely encountered in the pineal region. We report two cases of meningioma of the pineal region in children. One of these cases was a five years-old girl and the other a one year-old boy. No specific clinical presentation or tomographic examinations findings was identified before treatment, suggestive of a diagnosis of menigioma. The clinical and laboratory features were very similar to the most common tumors of the pineal region. Prior to the surgery, the histology of these tumors was not suspected. Both patients underwent direct surgery and complete removal was achieved by a suboccipital transtentorial approach. The tumors originated from velum interpositum in both cases. At the follow up, one case presented with recurrence six years later, and she underwent a reoperation with total resection without morbidity. Long-term follow up presented no other recurrences.Meningiomas são tumores poucos frequentes em crianças, e mais raramente encontrados na região da pineal. Relatamos dois casos de meningioma da região da pineal em crianças, uma menina de cinco anos e um menino de um ano de idade. Não foi identificada nenhuma forma de apresentação clinica ou caracteristica tomográfica, antes do tratamento, que sugerisse o diagnóstico de meningioma. As características clinicas e laboratoriais encontradas foram similares às de tumores mais frequentes da região da pineal. Ambos os pacientes foram submetidos ao tratamento cirúrgico e a remoção completa foi obtida por abordagem suboccipital transtentorial. Durante o seguimento, um dos pacientes foi reoperado por recorrencia do tumor seis anos após o tratamento inicial. Atualmente, os pacientes encontram-se livres de recorrência tumoral.

  6. [Sex differences in the integrated stroke management in a rural healthcare area in Asturias].

    Science.gov (United States)

    Lopez-Martinez, T; Bernardo-Cofino, J; Garcia-Prieto, E; Feito-Alvarez, M; de Dios-Del Valle, R; Calleja-Puerta, S

    2016-08-16

    Introduccion. Las diferencias de sexo y el caracter (rural o urbano) de las poblaciones determinan en gran medida el abordaje integral de patologias dependientes del tiempo, como el ictus, principal causa de hospitalizacion y mortalidad femenina en nuestro medio. Objetivo. Determinar si en un area sanitaria rural del Principado de Asturias se ponen de manifiesto las caracteristicas diferenciales entre mujeres y hombres con ictus. Pacientes y metodos. Estudio descriptivo retrospectivo realizado en el Hospital de Jarrio. Se revisaron variables a traves de las historias clinicas informatizadas de los pacientes que sufrieron ictus en 2013. Resultados. Se produjeron 126 altas totales, el 53,2% en las mujeres, que sufrieron la enfermedad con un retraso de cinco años (p < 0,008) en relacion con los varones, los cuales fueron mas fumadores y consumidores perjudiciales de alcohol (p < 0,000). La demora prehospitalaria no arrojo diferencias de sexo significativas. El trastorno del lenguaje fue el sintoma principal en el grupo femenino (p < 0,008), que registro una puntuacion superior en la National Institute of Health Stroke Scale (p < 0,046). Los estudios complementarios, como el Holter (p < 0,04) y la ecografia de troncos supraaorticos (p < 0,02), se realizaron menos en las mujeres, que recibieron un tratamiento principalmente conservador con mayor hidratacion parenteral (p < 0,017) y reposo. El grupo femenino sufrio mas complicaciones, discapacidad al alta (p < 0,001) y a los tres meses (p < 0,004), y registro porcentajes mas elevados de institucionalizacion posterior (p < 0,005). Conclusiones. Existen diferencias de sexo demograficas, en el perfil de riesgo cerebrovascular, la presentacion clinica, el manejo hospitalario y la comorbilidad del ictus en esta poblacion rural, que sugieren areas de mejora.

  7. [Subjective memory complaints, personality and prefrontal symptomatology in young adults].

    Science.gov (United States)

    Pedrero-Pérez, Eduardo J; Ruiz-Sánchez de León, José M

    2013-10-01

    Introduccion. El presente trabajo explora dos cuestiones relacionadas con la aparicion de quejas subjetivas de memoria en adultos jovenes: la posibilidad de que dichas quejas sean resultado de deficits atencionales y ejecutivos, y, por otro lado, si determinadas caracteristicas de la personalidad propician y modulan la expresion clinica de las quejas. Sujetos y metodos. Se administro el Memory Everyday Failures, version española, el inventario de sintomas prefrontales y el inventario del temperamento y el caracter-revisado a una muestra de 1.132 participantes (900 de poblacion general y 232 en tratamiento por adiccion a drogas). Se exploro la correlacion entre variables de las quejas de memoria, del funcionamiento prefrontal en la vida diaria y de las dimensiones de la personalidad propuestas por Cloninger. Se estudiaron relaciones de causalidad entre las variables mediante metodos estructurales. Resultados. Se observa una fuerte correlacion entre las quejas cognitivas y la sintomatologia prefrontal, lo que sugiere que las quejas son, en realidad, resultado de una inadecuada gestion atencional y ejecutiva que propicia los errores cotidianos. Se aprecia tambien una relacion con gran tamaño del efecto entre las quejas cognitivas y la baja autodireccion. Esta dimension de la personalidad presenta una importante capacidad predictiva sobre la aparicion y la intensidad de las quejas, bien directamente, bien modulada por otras dimensiones, especialmente la evitacion del daño. Conclusiones. Los datos apoyan la idea de que las quejas de memoria son producto de la autopercepcion de fallos y errores cotidianos provocados a nivel atencional y ejecutivo –aunque son tenidos por olvidos mnesicos–, y que la expresion clinica de dichas quejas esta modulada por un perfil de la personalidad.

  8. [Supratentorial cavernous malformations in an Argentinian institution: experience with surgical treatment].

    Science.gov (United States)

    Vergara, G E; Cervio, A; Farez, M; Mormandi, R; Condomi-Alcorta, S; Salvat, J

    2017-04-01

    Introduccion. Las malformaciones cavernosas son lesiones vasculares del sistema nervioso central constituidas por endotelio sinusoidal que forma capilares agrupados o cavernas que carecen de los elementos tipicos de una pared arterial madura y ausencia de tejido neural interpuesto. El endotelio esta rodeado por una densa capa de fibras colagenas que dejan pequeñas hendiduras por las que se extravasa hemosiderina. Se comunican con el sistema vascular a muy baja presion y su tratamiento puede ser por microcirugia o radiocirugia. Objetivos. Analizar las malformaciones cavernosas supratentoriales tratadas quirurgicamente en nuestra institucion (FLENI), determinar la epidemiologia y las caracteristicas intrinsecas, estudiar la clinica de presentacion, determinar las indicaciones quirurgicas y complicaciones, y establecer el pronostico. Pacientes y metodos. Estudio retrospectivo analitico de historias clinicas e imagenes de pacientes operados de malformaciones cavernosas supratentoriales en la FLENI desde enero de 1996 hasta diciembre de 2013. Resultados. Evaluamos a 51 pacientes, de 34 años de media, seguidos durante una media de 30 meses. El 1,96% de los pacientes presento diagnostico incidental y el resto mostro sintomas. El 23,52% presento hemorragia en el momento del diagnostico. En todas las cirugias se logro una exeresis total de las malformaciones cavernosas supratentoriales. Se observo un caso de meningitis postoperatoria. Conclusiones. La tasa de sangrado de las malformaciones cavernosas supratentoriales en nuestro medio es del 1,38% por paciente por año. El tratamiento quirurgico es eficaz para erradicar o disminuir los sintomas y para evitar un posible resangrado. Presenta una tasa muy baja de complicaciones y un pronostico neurologico favorable.

  9. [Detection of the PMP22 gene duplication in peripheral neuropathy patients: a study in Mexican population].

    Science.gov (United States)

    Cortés, Hernán; Hernández-Hernández, Óscar; Bautista-Tirado, Teresa; Escobar-Cedillo, Rosa Elena; Magaña, Jonathan J; Leyva-García, Norberto

    2014-08-01

    Introduccion. La enfermedad de Charcot-Marie-Tooth (CMT) es una neuropatia que afecta los nervios motores y sensitivos, y la CMT1A es el subtipo mas frecuente en el mundo. La CMT1A se produce por una duplicacion de 1,5 Mb en el locus 17p11.2-p12, donde se localiza el gen PMP22. Para el diagnostico de CMT1A es importante contar con tecnicas moleculares especificas para la determinacion de esta mutacion. Objetivos. Establecer un metodo de uso rutinario para detectar la duplicacion de PMP22 en la poblacion mexicana y estimar su frecuencia en pacientes con caracteristicas clinicas para la CMT. Pacientes y metodos. Se analizaron 157 pacientes mexicanos no relacionados entre si, diagnosticados de CMT por valoracion clinica. La determinacion de la duplicacion de PMP22 se realizo a traves de reaccion en cadena de la polimerasa en tiempo real mediante el metodo comparativo 2–ΔΔCT. Resultados. El metodo 2–ΔΔCT para detectar la duplicacion del gen PMP22 mostro ser sensible y fiable. Los resultados fueron consistentes con los obtenidos mediante la tecnica de hibridacion in situ fluorescente. Se detecto la duplicacion de PMP22 en 79 pacientes (50,3%), con un comportamiento similar a lo comunicado en Estados Unidos, Australia, Finlandia, Suecia y España. Sin embargo, se observo que existen diferencias con otras poblaciones. Conclusiones. La tecnica de reaccion en cadena de la polimerasa cuantitativa se implemento como un diagnostico molecular de CMT1A eficaz y de bajo coste, por lo que puede utilizarse rutinariamente en Mexico. Esto es esencial para el asesoramiento genetico y el tratamiento oportuno de los pacientes con CMT. La frecuencia de la duplicacion del gen PMP22 varia entre regiones geograficas, por lo que es importante estimarla en diferentes poblaciones.

  10. [Neuronal communication and synaptic metabolism in childhood epilepsy].

    Science.gov (United States)

    García-Cazorla, Àngels; Cortès-Saladelafont, Elisenda; Duarte, Sofia

    2015-03-01

    Introduccion. Los conocimientos que la neurociencia basica y el neurometabolismo estan aportando en epilepsia pediatrica, y en concreto en mecanismos de comunicacion sinaptica, crecen rapidamente. Existe, no obstante, una desconexion entre estos avances y una vision que los integre de manera global y en la practica clinica y terapeutica. Objetivos. Ofrecer una vision integradora de los diferentes mecanismos moleculares y metabolicos que se conocen y postulan en epilepsia pediatrica, y sugerir conceptos como el de 'metabolismo sinaptico' y 'fenotipos sinapticos' como herramientas utiles para desarrollar este enfoque. Desarrollo. Se revisan los estudios mas destacados que intentan explicar las caracteristicas esenciales de la comunicacion sinaptica en el cerebro en desarrollo, a traves de diferentes moleculas, basicamente proteinas sinapticas, canales ionicos (cotransportadores de cloro, sodio y potasio), la compartimentalizacion pre y postsinaptica, y los principales actores metabolicos (neurotransmisores, metabolismo energetico, factores de crecimiento y lipidos). A partir de esta combinacion de mecanismos biologicos se sugieren ejemplos de 'fenotipos sinapticos' en dos casos concretos de epilepsia genetica (SCN1A) y metabolica (epilepsia con respuesta a la piridoxina). Conclusiones. Una perspectiva holistica, entendiendo la diversidad de elementos relacionados y que suceden en determinados momentos del neurodesarrollo, puede ayudar a delinear fenotipos, vias de metabolismo sinaptico y conectividad cerebral, que faciliten no solo la comprension de la fisiopatologia, sino nuevas aproximaciones terapeuticas en epilepsia pediatrica.

  11. [Chronic subdural haematomas. The internal architecture of the haematoma as a predictor of recurrence].

    Science.gov (United States)

    García-Pallero, M Ángeles; Pulido-Rivas, Paloma; Pascual-Garvi, José M; Sola, Rafael G

    2014-10-01

    Introduccion. La arquitectura interna del hematoma subdural cronico (HSDC) es un factor muy importante que se debe tener en cuenta como predictor de recidiva. Objetivo. Analizar los factores posiblemente asociados a la recidiva de los HSDC, prestando especial atencion a dicha arquitectura. Pacientes y metodos. Hemos revisado 147 pacientes tratados desde 2010 hasta 2013. Dividimos los HSDC en cuatro tipos de acuerdo con la clasificacion de Nakaguchi de 2001. Ademas, hemos recogido diferentes caracteristicas clinicas y las hemos sometido a analisis estadistico para evaluar su posible asociacion con la tasa de recidiva de los HSDC. Resultados. La tasa de recidiva fue del 14,75% y la de mortalidad, del 4,76%. El tratamiento con anticoagulantes, el tipo de hematoma y el no usar drenaje subdural fueron factores de riesgo estadisticamente significativos para la recurrencia del HSDC. Segun la arquitectura interna, la tasa de recidiva fue del 36,36% para el tipo separado, del 15,90% para el laminar, del 8,82% para el homogeneo y del 0% para el trabecular. Dicha tasa fue significativamente mayor en el tipo separado respecto al homogeneo y trabecular. Conclusiones. El tratamiento con anticoagulantes y el no usar drenaje subdural son factores de riesgo de recurrencia de HSDC. Ademas, la division de los HSDC de acuerdo con la clasificacion de Nakaguchi puede ser util para predecir el riesgo de recurrencia, ya que la tasa de recidiva del tipo separado fue significativamente mayor que la del resto de tipos.

  12. La calidad de vida en personas con síndrome de intestino irritable

    Directory of Open Access Journals (Sweden)

    C. FERNÁNDEZ RODRÍGUEZ

    2002-01-01

    Full Text Available Se evalúa la calidad de vida en una muestra de 31 pacientes diagnosticados de SII con sintomatología mixta (dolor y alteración del hábito intestinal, de moderada intensidad y de curso crónico. Se indaga, mediante autoinfor - mes y cuestionarios estandarizados, las manifestaciones clinicas caracteristicas, la capacidad funcional, el estado emocional, el apoyo social, las conductas de enfermedad, el estado de salud y las limitaciones cotidianas. Los resultados, considerada la muestra en su conjunto, indican que el SII no empeora la calidad de vida. Los análisis correlacionales y de regresión logística señalan que son las peculiaridades comportamentales que definen este trastorn o antes que la sintomatología digestiva las condiciones más potentes para explicar la calidad de vida de los pacientes. El estado depresivo (HAD-D, las manifestaciones de enfermedad (Kellner, la apreciación de limitaciones coti - dianas (IBS-QOL, PSN y las molestias en relación a la deposición, hinchazón y fatiga son los parámetros que mayor y más significativa relación guard a n con una peor valoración de la calidad de vida en la muestra de estudio.

  13. [Illness due the Ebola virus: epidemiology and clinical manifestations within the context of an international public health emergency].

    Science.gov (United States)

    Carod-Artal, Francisco J

    2015-03-16

    Introduccion. La epidemia causada por el virus del Ebola en Africa occidental afecta a Guinea, Liberia, Sierra Leona, Nigeria, Mali y Senegal, y es la mas grave desde que se tiene noticia de este filovirus causante de fiebre hemorragica. En este articulo se revisan las caracteristicas epidemiologicas y las manifestaciones clinicas asociadas a la enfermedad por el virus del Ebola. Desarrollo. Hasta el 23 de febrero de 2015 se habian contabilizado 23.729 casos de ebola, con un 40,1% de mortalidad. En la actual epidemia, el virus se transmite al ser humano por tres vias: contacto con fluidos y secreciones de sujetos enfermos ya diagnosticados, contacto con cadaveres durante las ceremonias de enterramiento, y contagio a familiares y personal sanitario por enfermos sin diagnosticar. El Ebola causa una enfermedad grave en humanos. Tras un periodo de incubacion variable (2-21 dias), se inicia un sindrome febril, cefalea, mialgias, artralgias, vomitos y diarrea. La fase avanzada cursa con hemorragias, fracaso de multiples organos, hipotension y choque. Se desconoce la incidencia de manifestaciones neurologicas, aunque se han descrito hemorragias cerebrales y sindromes postinfecciosos en otras fiebres he­morragicas virales. Los cuidados de soporte son vitales. No existe un tratamiento efectivo demostrado, aunque varios pacientes han sido tratados con un coctel de anticuerpos monoclonales (ZMapp). Conclusiones. La identificacion y diagnostico precoz de casos sospechosos, el aislamiento de sujetos enfermos y las medidas de proteccion en el personal sanitario son fundamentales para contener esta epidemia.

  14. [Sluggish cognitive tempo: an updated review].

    Science.gov (United States)

    Tirapu-Ustárroz, Javier; Ruiz-García, Beatriz M; Luna-Lario, Pilar; Hernáez-Goñi, Pilar

    2015-10-01

    Introduccion. El estudio del tempo cognitivo lento (TCL) surgio en gran parte de las investigaciones del trastorno por deficit de atencion/hiperactividad (TDAH). Este constructo se define con una gama de sintomas conductuales, como apariencia de somnolencia, soñar despierto, hipoactividad fisica, pobre iniciativa, letargo y apatia. Desarrollo. Se revisa el constructo de TCL a traves de articulos recientemente publicados al respecto sobre caracteristicas clinicas, sintomas asociados, evaluacion, prevalencia, etiologia, comorbilidad, perfiles neuropsicologicos y tratamiento. Los trabajos mas actuales proponen entender el TCL como un cluster de sintomas distintivo del TDAH. Aunque no hay un consenso claro, los datos son cada vez mas consistentes y dotan de gran validez externa al TCL, asociandolo con sintomas internalizantes. Conclusiones. Consideramos necesario anclar los diferentes subtipos de TDAH en modelos conceptuales atencionales. Asi, la red de orientacion atencional se relacionaria con el TCL, la red de vigilancia o atencion sostenida con el TDAH subtipo inatento, y la atencion ejecutiva seria la implicada en el TDAH subtipo combinado. La evidencia hasta la fecha, incluyendo esta revision, apoya la idea de que el TCL es un trastorno de atencion diferenciado del TDAH, pero que, como cualquier trastorno dimensional, puede solaparse con el aproximadamente en la mitad de los casos.

  15. [Factors associated to the work situation of patients with multiple sclerosis].

    Science.gov (United States)

    Cores, Evangelina V; Vanotti, Sandra; Burin, Débora I; Politis, Daniel G; Villa, Andrés

    2014-02-16

    Introduccion. La esclerosis multiple es una enfermedad neurologica desmielinizante que suele provocar trastornos motrices, perceptivos, afectivos y cognitivos a quienes la padecen. Estos sintomas pueden llevar a la persona a perder su empleo, y disminuir la calidad de vida del paciente y sus familiares. Objetivo. Revisar estudios sobre variables demograficas, clinicas, cognitivas, psiquiatricas, laborales y sociales asociadas con la situacion laboral. Desarrollo. Estudios transversales y longitudinales han detectado variables relacionadas con el desempleo. Las investigaciones empiricas muestran una influencia clara de la discapacidad fisica, la fatiga y el curso de la enfermedad sobre la situacion laboral. Sin embargo, el genero, la depresion, la edad, la duracion de la enfermedad y las variables cognitivas no poseen el mismo grado de evidencia. Caracteristicas de la ocupacion, como discriminacion laboral, actitud del empleador, leyes laborales, actitud de los compañeros de trabajo y dificultades en el transporte han sido variables poco consideradas. Conclusiones. Muchos de los factores que determinan la perdida de empleo en un paciente con esclerosis multiple pueden identificarse a tiempo para poder modificarlos o compensarlos. Los conocimientos aportados por los estudios reseñados permiten detectar a aquellos pacientes que se encuentran en riesgo de perder su empleo para realizar intervenciones posibles con el objetivo de prevenir esta situacion. En particular, el perfil de vulnerabilidad incluye alta discapacidad fisica y fatiga, curso progresivo de la enfermedad y presencia de deterioro cognitivo, entre otros.

  16. [Three cases of Pallister-Killian syndrome].

    Science.gov (United States)

    Toledo-Bravo de Laguna, Laura; del Campo-Casanelles, Miguel; Santana-Rodriguez, Alfredo; Santana-Artiles, Alexandre; Sebastian-Garcia, Irma; Cabrera-Lopez, José Carlos

    2014-01-16

    Introduccion. El sindrome de Pallister-Killian se caracteriza por discapacidad intelectual, hipotonia, retraso motor y un fenotipo caracteristico en el que destaca un aspecto facial tosco, alteraciones pigmentarias de la piel y alopecia bitemporal. Es frecuente que se asocie a crisis convulsivas y a malformaciones en otros organos y sistemas. Tiene como causa principal el mosaicismo para la tetrasomia del cromosoma 12p. Casos clinicos. Se presentan tres nuevos casos pediatricos afectos de esta rara entidad, se describen las caracteristicas clinicas y se realiza una revision de la bibliografia. Conclusiones. Debe resaltarse la importancia del conocimiento del sindrome para poder llevar a cabo su diagnostico, puesto que lo habitual es que, sin practicar la biopsia cutanea o el frotis de mucosa bucal, la anomalia cromosomica pasa desapercibida si se usan tecnicas citogeneticas clasicas. Hoy en dia, es posible realizar el diagnostico en sangre mediante array-CGH o array-SNP, si bien la posibilidad de encontrar la anomalia cromosomica depende del porcentaje de mosaicismo.

  17. [Effectiveness of lacosamide in the treatment of refractory neuropathic pain: an open observational trial].

    Science.gov (United States)

    Gómez-Argüelles, José M; Bermejo, Pedro E; Lara, Manuel; Almajano, Jerónimo; Aragón, Esther; García del Carrizo, Fernando; Blanco, M Victoria; Valenzuela-Rojas, Francisco J; Colás, Juan; Sánchez-Del Valle, Octavio; Ceballos, M Ángeles; Toribio-Díaz, M Elena; Latorre-González, Germán; Costa-Frossard, Lucienne; Morin-Martin, M del Mar

    2014-10-01

    Introduccion. Aunque se dispone de diferentes tratamientos para el dolor neuropatico, en muchas ocasiones estos pacientes son refractarios, lo que hace necesario probar tratamientos que, por su utilidad en otras patologias, podrian ser eficaces en el dolor neuropatico. Pacientes y metodos. Se recogieron las historias clinicas de pacientes que hubieran sido tratados con lacosamida para el dolor neuropatico, en diferentes hospitales de la zona centro peninsular, y que cumplieran unas caracteristicas similares en cuanto a refractariedad a otros tratamientos estandares, en un seguimiento de al menos seis meses, o que hubiesen tenido que suspender el tratamiento con dicho farmaco por cualquier motivo. Se obtuvo una muestra de 114 pacientes, 61 varones y 53 mujeres, con una edad media de 60,5 años. Resultados. Las causas de dolor neuropatico mas frecuentes fueron: polineuropatia diabetica (31,6%), neuralgia postherpetica (22,8%), neuralgia del trigemino (17,5%), neuralgia suboccipital y lumbociatalgia (un 12,3% en ambas). La eficacia fue buena/muy buena en la mayoria de los pacientes, con un descenso medio en la escala analogica visual tras seis meses de 7,7 a 4,8. No se registraron efectos secundarios graves en ningun paciente, pero en 12 y 10 pacientes no hubo registro mas alla de seis meses, por ineficacia e intolerancia al tratamiento, respectivamente. Conclusiones. El tratamiento con lacosamida en el dolor neuropatico de diferentes causas podria considerarse como una alternativa efectiva y bien tolerada para aquellos pacientes que no respondan a los tratamientos estandares.

  18. [Adherence to oral antineoplastic therapy].

    Science.gov (United States)

    Olivera-Fernandez, R; Fernandez-Ribeiro, F; Piñeiro-Corrales, G; Crespo-Diz, C

    2014-11-03

    Introducción: Los tratamientos antineoplasicos orales presentan ventajas en cuanto a coste, comodidad y mejora potencial en la calidad de vida respecto al tratamiento endovenoso, pero es mas dificil controlar la adherencia y monitorizar los efectos adversos. El objetivo de este estudio fue conocer la adherencia real en pacientes con antineoplasicos orales en nuestro centro, analizar la influencia de las caracteristicas del paciente y del tratamiento, identificar motivos de no adherencia, oportunidades de mejora en la atencion farmaceutica y evaluar la posible relacion adherencia y respuesta al tratamiento. Método: estudio prospectivo observacional de cuatro meses de duracion, en los pacientes con tratamiento antineoplasico oral dispensado desde la consulta de farmacia oncologica. Para la recogida de datos se utilizaron: orden medica, historia clinica y visita con entrevistas al paciente. Resultados: Se evaluaron un total de 141 pacientes. Un 72% se considero totalmente adherente, mientras que en un 28% se detecto algun tipo de no adherencia. El tiempo desde el diagnostico y la presencia de efectos adversos fueron las variables que afectaron a la adherencia. No se pudo demostrar relacion entre adherencia y respuesta al tratamiento. Conclusiones: La adherencia al tratamiento antineoplasico oral en nuestro centro fue del 72%, identificando oportunidades de mejora en la atencion farmaceutica dirigidas a prevenir los efectos adversos y a potenciar la adherencia de nuestros pacientes.

  19. Study of metrologic characteristics in activimeters used in Nuclear Medicine Centers in Colombia; Estudio de caracteristicas metrologicas en activimetros utilizados en centros de Medicina Nuclear de Colombia

    Energy Technology Data Exchange (ETDEWEB)

    Davila, Hernan Olaya; Flores, Guillermo, E-mail: holayadavila@gmail.com [Instituto Colombiano de Geologia y Mineria (INGEOMINAS), Bogota, D.C. (Colombia). Laboratorio de Metrologia de las Radiaciones del Servicio Geologico Colombiano; Cantillo, Juliana I.P., E-mail: julianacantillo5@gmail.com [Universidad Pedagogica y Tecnologica de Colombia, Boyaca (Colombia)

    2013-07-01

    In our country currently there is a legislation that regulated de Nuclear Medicine practice, that establish the criteria about quality assurance in Nuclear Medicine and the justification to imparted to medical exposures. In this work includes some tests to the clinical approval in this type of instruments before to be used. The type of tests are linearity, geometric dependence and the energetic response and moreover to evaluate the total uncertainty during the work the physician using this equipment with radioactive sources. (author)

  20. The characteristic electric impedance of the circuits and its influences in the transient currents; A impedancia caracteristica dos circuitos e sua influencia nas correntes transitorias

    Energy Technology Data Exchange (ETDEWEB)

    Kascher, Ronaldo [Tesla Projetos e Consultoria Ltda. (Brazil)

    1997-05-01

    Usually not considered in the calculation of the maximum bearable current or even in the voltage drop throughout the electric circuits, the characteristic electric impedance assumes considerable relevance, especially concerning long distance electric power transmission lines. When dimensioning the protection devices, the consideration of the characteristic electric impedance may drastically reduce the necessary investments. 20 figs., 2 tabs.

  1. Caracteristicas biométricas e fisiológicas de três cultivares de milho Biometrical and physiological characteristics of three e cultivars

    Directory of Open Access Journals (Sweden)

    Eduardo Caruso Machado

    1985-01-01

    Full Text Available A análise de crescimento de três cultivares de milho, de níveis heteróticos, portes e ciclos distintos, foi realizada visando avaliar os seguintes índices biométricos e fisiológicos: distribuição percentual de matéria seca entre as diversas partes de planta, taxa de crescimento da cultura, taxa de crescimento dos grãos, índice de área foliar e taxa de assimilação líquida. Esses índices foram determinados através da variação temporal da área foliar e da matéria seca das diversas partes da planta. Os cultivares IAC-Maya e IAC-Maya latente não apresentaram diferenças entre si quanto às características estudadas, porém diferiram do híbrido duplo precoce Cargill-601. No período imediatamente após o florescimento, os fotossintetizados produzidos em excesso à capacidade de enchimento dos grãos, foram armazenados principalmente nos colmos, sendo posteriormente reutilizados no período de maior crescimento dos grãos. Embora os cultivares IAC-Maya e IAC-Maya latente tenham apresentado maior capacidade fotossintética, foram menos eficientes que o híbrido duplo Cargill-601 na taxaa de conversão de fotossintetizados em grãos. De maneira geral, os híbridos são mais eficientes que os cultivares na conversão de fotossintetizados em grãos, em vista do nível heterótico. Os valores dos índices de colheita para os cultivares IAC (Maya e Maya latente e para o híbrido duplo precoce Cargill-601 foram, respectivamente, 0,37 e 0,50.Growth analysis of three maize cultivara, of distinct vegetativa cycles and plant heights, were carried out in order to estimate the following biometrical and physiological characteristics: dry matter distribution among the plant parts, crop growth rate, grain growth rate, leaf area index, and net assimilation rate. These characteristics were evaluated from the temporal variations of leaf area and dry matter accumulation among the plant parts. For all the characteristics determined, both IAC-Maya and IAC-Maya latente did not differ from each other, but were distinct from Cargill-601. Just after flowering the photosynthates produced in excess of the grain filling capacity were accumulated mainly in the stem being, however, available during the period of grain growth. Although IAC-Maya and IAC-Maya latente had higher photosynthetic capacity they were, however, less efficient than Cargill-601 in converting photosynthates to grain. The harvest indexes were 0.37 and 0.50, respectively, for IAC (Maya and Maya latente and Cargill-601.

  2. Metrological characteristics of the new BSS2 beta secondary standard system; Caracteristicas metrologicas do novo sistema padrao secundario beta - BSS2

    Energy Technology Data Exchange (ETDEWEB)

    Reynaldo, Sibele R. [Universidade Federal de Minas Gerais (DEN/UFMG), Belo Horizonte, MG (Brazil). Dept. de Engenharia Nuclear; Floresta, Denise L.; Soares, Carlos M. de A.; Silva, Teogenes A. da [Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN-MG), Belo Horizonte, MG (Brazil)

    2005-07-01

    Due to the increased interest and the importance of beta radiation dosimetry for radiation protection purposes, the Centro de Desenvolvimento da Tecnologia Nuclear. MG, Brazil, acquired the newest Beta Secondary Standard system (BSS2) in order to replace the old BSS1 model, with the goal of implement a beta radiation metrology laboratory and provide the corresponding reference radiation. The new system BSS2, unique in Latin America, requires operational testing and metrological characterization for reliability purposes. For this, some comparative investigations of the two systems were made. The influence of opening and closing the shutter in the final dose of radiation was identified as the highest in the BSS2 in relation to the one founded in BSS1, justified by the structural difference of the shutters of the systems and the reproducibility of source-detector geometry was better in BSS2, because of the robustness of the same.

  3. Efecto de un aditivo antihumectante y de otro antioxidante sobre las caracteristicas higroscopicas y sobre la viabilidad de dos formulaciones vacunales liofilizadas de Vibrio cholerae

    Directory of Open Access Journals (Sweden)

    Tomás Moreira

    2010-01-01

    Full Text Available En la búsqueda de una forma terminada para una vacuna oral anticolérica, se estudió el efecto de la adición de fosfato tricálcico como antihumectante y de ácido cítrico como antioxidante, a dos formulaciones con efecto ya probado para conservar la cepa vacunal 638 de Vibrio cholerae. Se estudió el efecto de esos aditivos sobre la higroscopicidad de las formulaciones y sobre la viabilidad de la cepa bajo diferentes condiciones ambientales. Se observó que la formulación A liofilizada, compuesta por lactosa + peptona + sorbitol, es menos higroscópica que la formulación B compuesta por leche descremada + peptona + sorbitol y que la presencia de fosfato tricálcico disminuye la higroscopicidad en ambas formulaciones. En estado líquido, ambas formulaciones con dichos aditivos, sufren una disminución del pH pero no se afecta la viabilidad. En estado liofilizado, la formulación A con aditivos, mantiene una mayor viabilidad durante el almacenamiento ante la acción de una humedad relativa superior al 33 %. Sin embargo, aunque la protección contra la humedad haya sido mayor, las pérdidas de viabilidad en el entorno de tres órdenes logarítmicos, hacen descartar tales aditivos para una formulación final. La protección de las células contra el oxígeno, fue superior cuando se empleó la formulación A. Sin embargo, la adición de ácido cítrico no tuvo efectos sobre la viabilidad en ninguna de las formulaciones cuando se almacenaron en un ambiente conteniendo oxígeno.

  4. Ladle furnace with electromagnetic agitation: general characteristics and installations in Brazil; Fornos panela com agitacao eletromagnetica: caracteristicas gerais e instalacoes no Brasil

    Energy Technology Data Exchange (ETDEWEB)

    Betzios, Aristidis [ABB Asea Brown Boveri (WEC)

    1989-12-31

    The ladle furnaces technology enables the treatment of steels in liquid stage, however in all phases of the process it is necessary to control the temperature. This work describes the Brazilian experience with electromagnet agitators in order to solve this problem. The process is described and several case studies are presented. 7 refs., 14 figs.

  5. PERFORMANCE AND CARCASS TRAITS OF BROILERS FED DIETS CONTAINING YEAST EXTRACT DESEMPENHO E CARACTERISTICAS DE CARCAÇAS DE FRANGOS DECORTE RECEBENDO EXTRATO DE LEVEDURAS NA DIETA

    Directory of Open Access Journals (Sweden)

    Niédi Zauk

    2006-12-01

    Full Text Available This experiment was conducted to evaluate the effectof a yeast extract product on broiler growth performanceand carcass traits. A total of 810 male Ross broiler chickswere distributed in 27 pens (30 birds per pen in a completelyrandomized design. The animals were fed the experimentaldiets from 1 to 42 days of age. Treatments consisted offeeding a T1 basal corn-soybean meal diet; T2 a dietcontaining 2% yeast extract from 1 to 7 days of age and T3a diet containing 2% yeast extract from 1 to7 and 38 to 42days of age. Better growth performance was observed inbirds fed yeast extract from 1 to 7 and from 38 to 42 days ofage. Carcass traits were not statistically influenced by thedietary treatments. KEY WORDS: Body weight gain, feed conversion, feed intake, organs. Este estudo visou avaliar o efeito da utilização deum extrato de levedura sobre o desempenho e característi-cas de carcaça de frangos de corte. Um total de 810 frangos Ross, machos, foram distribuídos aleatoriamente em 27 boxes (trinta aves por boxe. As aves receberam as dietasexperimentais de 1 a 42 dias de idade. Os tratamentos consistiram em fornecer uma dieta à base de milho e farelo desoja (T1, uma dieta contendo extrato de levedura de 1 a 7dias (T2 e uma dieta contendo extrato de levedura de 1 a 7e de 38 a 42 dias de idade (T3. Os resultados experimentais indicam que o desempenho produtivo foi melhor ao se fornecer extrato de levedura de 1 a 7 e de 38 a 42 dias de idade.As características de carcaça não foram influenciadas estatisticamente pelas dietas experimentais. PALAVRAS-CHAVE: Ganho de peso, conversão alimentar, consumo de ração, órgãos.

  6. Compositional and physical characteristics of porcelain tile bodies with clays from Teruel; Caracteristicas fisicas y composicionales de pastas de gres porcelanico con arcillas de Teruel

    Energy Technology Data Exchange (ETDEWEB)

    Lazaro, A.; Garcia Portillo, C.; Torre, J. de la; Bastida, J.

    2012-11-01

    Stoneware pots were produced in the temperature range 1120-1220 using as raw materials ball clays from the mining area of Teruel (Spain) with additions of feldspars and without quartz additions. Data about water absorption, shrinkage, flexural strength and colour space (L a* b*) are provided, as well as semiquantitative estimations of the crystalline phases in the bodies using the reference intensity method. The results fulfil the norm ISO-13006 regarding water absorption and mechanical strength at 1185 degree centigrade. In addition, it is shown that the intensity reference method was a good alternative to more advanced quantitative methods.

  7. Análise das caracteristicas quantitativas e qualitativas da microbacia do córrego barreiro, afluente do Rio Uberaba

    Directory of Open Access Journals (Sweden)

    Jose Luiz Rodrigues Torres

    2011-08-01

    Full Text Available A associação de métodos qualitativos e quantitativos no estudo das microbacias hidrográficas é fundamental para investigar os fatores que influenciam as diversas formas de relevo e identificação das homogeneidades na área. Com os objetivos de realizar a morfometria e avaliar a qualidade da água da microbacia do córrego do Barreiro, fez-se a caracterização morfométrica da área, que foi realizada sobre uma carta topográfica do IBGE (Folha Uberaba na escala 1:100.000, com o auxílio de curvímetros, planímetros e programa computacional AutocadMap2000i. Observou-se que a microbacia possui área total de 10,97 km², perímetro de 14,33 km, com comprimento do canal principal de 6,11 km e rede de drenagem de 3ª ordem, com padrão dendrítico; o Kc de 1,21; Ic de 0,76; e Kf de 0,23 indicam o formato alongado da microbacia, o que determina a não propensão a enchentes na área; a área tem aptidão para a pecuária; a água do córrego estava imprópria para consumo humano e animal devido estar contaminada com coliformes fecais no período avaliado.

  8. Physico-chemistry characteristics of compost from urban solid wastes in Valencia (Spain); Caracteristicas fisico-quimicas de los composts de residuos solidos urbanos de la Comunidad Valenciana

    Energy Technology Data Exchange (ETDEWEB)

    Albiach, M. R.; Canet, R.; Pomares, F.; Tarazona, F.; Chaves, C.; Ferrer, E.

    2004-07-01

    For nearly twenty years samples of MSW compost produced in the Valencia region. have been analysed in our laboratories. Their main characteristics are summarised and discussed in this article, which reveals their compliance with current regulations, but also the problems which may arise if stricter requirements are eventually applied by the European Commission. (Author)

  9. Digital systems to acquire radiological imaging. Characteristics and quality control; Sistemas digitales de adquisicion de imagenes radiograficas. Caracteristicas y Control de Calidad

    Energy Technology Data Exchange (ETDEWEB)

    Torres Cabrera, R.; Hernando Gonzalez, I.

    2006-07-01

    Due to its special characteristics, quality control in digital radiographic systems is very important, even more than in conventional film-screen systems. Differences between digital and analogical images,a in terms of dynamics range, spatial and contrast resolution, and the flexibility of data post-processing require some actions to maintain clinical images in an optimum quality level. Revision 1 of the Spanish Protocol of Quality Control in Diagnostic Radiology includes a chapter dedicated to the quality control of these digital systems for the acquisition of radiographic images. In this paper the different parameters for quality control procedures are described. Also some difficulties to be concerned about (absence of levels of tolerance, access to the raw-data images and related information, availability of use anthropomorphic phantoms, etc, etc) are noted, as well as the most significant aspects of the differences in relation to the ana logical systems. (Author) 15 refs.

  10. Thermoluminescent characteristics of ZrO{sub 2}:Nd films; Caracteristicas termoluminiscentes de peliculas de ZrO{sub 2}:Nd

    Energy Technology Data Exchange (ETDEWEB)

    Vera B, G.; Rivera M, T. [Escuela Superior de Ingenieria Mecanica y Electrica-IPN, 04430 Mexico D.F. (Mexico); Azorin N, J. [Departamento de Fisica, Universidad Autonoma Metropolitana-Iztapalapa, 09340 Mexico D.F. (Mexico); Falcony G, C. [Centro de Investigacion y Estudios Avanzados-IPN, 07000 Mexico D.F. (Mexico); Garcia H, M.; Martinez S, E. [Instituto de Investigaciones en Materiales-UNAM, C.P. 04510 Mexico D.F. (Mexico)

    2002-07-01

    In this work it is exposed the obtained results after analysing the photo luminescent and thermoluminescent characteristics of activated zirconium oxide with neodymium (ZrO{sub 2} :Nd) and its possible application in the UV radiation dosimetry. The realized experiments had as objective to study the characteristics such as the optimum thermal erased treatment, the influence of light on the response, the response depending on the wavelength, the fadeout of the information, the temperature effect, the response depending on the time and the recurring of the response. The results show that the ZrO{sub 2} :Nd is a promising material to be used as Tl dosemeter for the UV radiation. (Author)

  11. Caracteristicas nutricionais e efeito sobre lipidios sanguineos e hepaticos das proteinas de lactosoro e caseinato de sodio, comparados a caseina e proteina de soja, comerciais

    OpenAIRE

    Helaine Beatriz Jacobucci

    1999-01-01

    Resumo: O presente trabalho teve como objetivos: produzir um concentrado protéico de soro doce (CSD) utilizando-se ultrafiltração e diafiltração, e caseinato de sódio (CasNa); verificar o efeito das proteínas do lactosoro e do caseinato de sódio (CasNa), comparativamente ao isolado protéico de soja (IPS) e a caseína comercial (CC) nos níveis séricos e hepáticos de colesterol total e triacilgliceróis, bem como sobre as proteínas séricas totais. O CSD apresentou a seguinte composição, expressa ...

  12. Characteristics of waste waters and sludges production in the industrial meat; Caracteristicas de las aguas residuales y produccion de fango en el sector carnico

    Energy Technology Data Exchange (ETDEWEB)

    Lafuente, C.; Bermudez de Castro, S. [Universidad Antonio Nebrija (Spain); Rodriguez, M. E. [Universidad Politecnica de Madrid (Spain)

    1999-07-01

    Within the agricultural industries, the meat industrial sector is considered one of the most important generators of waste water whose depuration is not difficult of carrying out. It is necessary describe the productive process of a company of the sector in order to determine where and what type of residuals is generated, as well as make a proposal of measuring preventive in order to improve the quality of the water. (Author) 40 refs.

  13. Study of electrical and thermal characteristics of inverters for grid-connected photovoltaic systems; Estudo de caracteristicas eletricas e termicas de inversores para sistemas fotovoltaicos conectados a rede

    Energy Technology Data Exchange (ETDEWEB)

    Rampinelli, Giuliano Arns

    2010-12-15

    Grid-connected photovoltaic systems directly convert solar energy into electrical energy delivering to the distribution grid a clean and renewable energy. These systems are basically formed by an array of photovoltaic modules and inverters. The inverters are responsible for converting direct current to alternating current. A study of electrical and thermal characteristics of inverters used in grid-connected photovoltaic systems from a theoretical and experimental analysis. The inverters tests were carried out in two stages: the first stage was performed at Solar Energy Lab. of the Federal University of Rio Grande do Sul (UFRGS), Brazil, where it was used a 4,8 kW{sub p} grid-connected photovoltaic system and ten inverters of different manufacturers. The inverters electrical characteristics measured and analyzed were: direct current to alternating current conversion efficiency, maximum power point tracker efficiency, power factor and harmonic distortion in current and voltage. Inverters thermal testing was also conducted and its results are presented ana analyzed. The second stage of the experimental tests was performed at Photovoltaic Solar Energy Lab. at CIEMAT in Spain. It was used 3 kW{sub p} photovoltaic system and seven inverters of different manufacturers. The inverters are single-phase, up to 5 kW and different topologies (high frequency transformer, low frequency transformer and transformerless). The influence of DC voltage input in the behavior of DC to AC conversion efficiency and power factor was analyzed. The results of the tests allowed the development of mathematical models that describe the electrical and thermal behavior of the inverters. The proposed mathematical models were inserted into computer simulation software developed at UFRGS named FVConect. The evolution of the simulation results compared to the experimental results validates the proposed models. The analysis of the behavior of the inverters improves the understanding of the operating os such equipment and their dynamic interaction with other grid-connected photovoltaic system components. (author)

  14. Influence of the hybrid material size in silicon oxycarbide materials characteristics; Influencia del tamano del material hibrido en las caracteristicas de los oxicarburos de silicio obtenidos

    Energy Technology Data Exchange (ETDEWEB)

    Mazo, M. A.; Palencia, C.; Nistal, A.; Rubio, F.; Rubio, J.; Oteo, J. L.

    2012-11-01

    In this work has been investigated the influence of the TEOS/PDMS hybrid size during the pyrolysis process to obtain the related silicon oxycarbide glasses. Hybrids monolithic pieces (100 mm x 50 mm x 5 mm), were crushed (1 mm x 1 mm x 1 mm) and grounded in agate or attrition to 16 and 3 {mu}m, respectively. Then, they were pyrolyzed at 1100 degree centigrade to obtain silicon oxycarbide glasses (SiOC). These materials present structural and microstructural differences. The monolithic sample showed the highest %C into the silica network (34 %), and after grounding in agate mortar decreased to 26 %. However the attrition milled sample reached %C values similar to the monolithic (32 %). This agrees with FT-IR band at 880 cm-1 assigned to Si-C bonds formation and related to higher carbon content into silica network. The carbon free phase displays a domain size of 3.44 nm which increased to 3.66 nm for the attrition milled. This result is due to a higher graphitization degree. The SiOC monolithic sample morphology displays spherical interconnected particles with pores of 12 {mu}m. This morphology disappeared for the SiOC attrition milled sample, formed by irregular particles of 3 {mu}m. (Author) 38 refs.

  15. Influence of heavy crude oil refining about the mains characteristics of jet fuel; Influencia do refino de petroleos pesados sobre as principais caracteristicas do combustivel de aviacao

    Energy Technology Data Exchange (ETDEWEB)

    Om, Neyda [Universidade Federal do Rio de Janeiro (UFRJ), RJ (Brazil). Escola de Quimica; Cavado, Alberto; Reyes, Yordanka [Centro de Pesquisas do Petroleo, Cidade de Havana (Cuba); Salazar, Rodolfo [Centro de Eletromagnetismo Aplicado, Cidade de Havana (Cuba); Dominguez, Zulema [Universidade Federal do Rio de Janeiro (UFRJ), RJ (Brazil). Coordenacao dos Programas de Pos-graduacao de Engenharia (COPPE)

    2004-07-01

    The aviation technology in the world, is to use gas turbines engines feted for fuel type Jet A1. The main exigency of quality for this products is concentrated in extreme security and secure answer during the functioning. The conductivity and thermal stability to oxidation are the principals characteristics to assure these quality exigencies. The use of additives is the methods most used for establish the quality for international specification. The incorporation of heavy crude oils in mixtures to produce fuels has caused a diminution of the quality of the derivatives produced. High viscosity, density and high sulfur content in the heavy crude oils affect some of properties of the jet fuel, influencing in its composition, increasing the mercaptanes and total sulfur content, getting a jet fuel unstable, with low conductivity and highly corrosive. So, for obtain the quality required internationally is necessary use additives. This paper study how the heavy crude oils affect the conductivity and the thermal stability of the jets fuels type Jet A1. Also analyze of the use of dissipater electrostatic and antioxidants additives, to improve these properties in the jet fuel. (author)

  16. Characteristics and properties of oil-well cements auditioned with blast furnace slag; Cementos petroleros con adicion de escoria de horno alto. Caracteristicas y propiedades

    Energy Technology Data Exchange (ETDEWEB)

    Sanchez, R.; Palacios, M.; Puertas, F.

    2011-07-01

    The present paper addresses the alkali activation of Portland cements containing blast furnace slag (20 and 30% by cement weight) with a view to the possible use of these materials in oil well construction. The hydration studies conducted showed that in cement/slag blends, the sodium silicate activator partially inhibited the dissolution of the silicate phases in the Portland cement, retarding cement hydration and reducing the precipitation of reaction products. Due to such partial inhibition, the cement/slag blends had significantly lower mechanical strength than Portland cements hydrated with water. {sup 2}9Si and {sup 2}7Al MAS NMR and BSE/EDX studies, in turn, showed that the CSH gel forming in the alkali-activated cement/slag pastes contained Al in tetrahedral positions and low Ca/Si ratios. (Author) 29 refs.

  17. Caracteristicas vocais acústicas de homens com voz e laringe normal Vocal acoustic characteristic in men with normal voice and laryngeal

    Directory of Open Access Journals (Sweden)

    Bárbara Costa Beber

    2011-04-01

    Full Text Available TEMA: características vocais acústicas do filtro e das medidas da fonte vocal masculina. OBJETIVO: realizar uma revisão de literatura descrevendo e discutindo os aspectos que envolvem as características vocais acústicas de homens com laringe normal relacionadas às medidas da fonte e ao filtro vocal. CONCLUSÃO: as medidas de Jita, ShdB e NHR tendem a ser maiores nos homens, enquanto a f0, PHR/HNR e o ATRI tendem a ser menores. As espectrografias tendem a apresentar formantes graves, com média de alcance menor, com escurecimento variável e menos regular do que nas mulheres.BACKGROUND: vocal acoustic characteristics of the filter and the male measures of the vocal source. PURPOSE: to accomplish a literature review describing and discussing the aspects that involve the vocal acoustic characteristic in men with normal laryngeal related to measures of the source and the vocal filter. CONCLUSION: the measures related to Jita, ShdB and NRH tend to be bigger in men, when f0, PHR/HNR and ATRI tend to be smaller. Spectrographies tend to show deep formants with darker variation and less regular than in women.

  18. Spanish firms patenting in the European office. characteristics compared with non-applicant; Las empresas espanolas que patentan en la oficina Europea. Caracteristicas comparadas con las no solicitantes

    Energy Technology Data Exchange (ETDEWEB)

    Barajas, A.; Huergo, E.; Moreno, L.

    2012-07-01

    The objective of this paper is to provide evidence about the features of Spanish firms applying for patents to the European Patent Office between 1998 and 2008. We compare these firms with a control sample of non-applicants during the same period and focus especially on firms that have been awarded public aid for R and D projects by the Centre for the Development of Industrial Technology. (Author) 14 refs.

  19. BeOSL system for personal dosimetry : dosimetric characteristics and practical application; Sistema BeOSL para dosimetria personal : caracteristicas dosimetricas y la aplicacion practica

    Energy Technology Data Exchange (ETDEWEB)

    Mende, E. [Helmholtz Zentrum Munchen, German Research Center for Environmental Health, Working Group Engineering, D-85764 Neuherberg (Germany)

    2015-10-15

    Full text: BeOSL system of Dosimetric s is very easy to use, assimilate and maintain. Our dosimeter defines a milestone in the supervision of personal equivalent dose of Hp (10) and Hp (0.07) it covers the range of total energy of 16 KeV to 10 MeV. For this energy range is exceptional in its energy dependence for official personal dosimetry. The BeOSL system consists of two modules, one of them is the BeOSL reader that measures the radiation exposure using the latest technology, optically stimulated luminescence (OSL). The reading is extremely fast; it does not require consumables such as nitrogen or other. The detector material is beryllium oxide (Be O); this is an OSL material tissue equivalent and therefore is ideal for personal dosimetry. The BeOSL technology allows multiple readings of the dosimeter (re-read) to verify the dose or archive the dosimeter. One of the biggest advantages of BeOSL system is its modular concept allows the system to run as a manual solution or as a complete automated robotic system, which can be filled with up to 5,000 dosimeters as bulk cargo. (Author)

  20. Effect of the ionizing radiation in the sensorial characteristics of the pineapple; Efeitos da radiacao ionizante nas caracteristicas sensoriais do abacaxi

    Energy Technology Data Exchange (ETDEWEB)

    Silva, Josenilda Maria da, E-mail: jmnilda@yahoo.com.b [Centro de Energia Nuclear na Agricultura (CENA/USP), Piracicaba, SP (Brazil); Spoto, Marta Helena Fillet; Silva, Juliana Pizarro [Escola Superior de Agricultura Luiz de Queiroz (ESALQ/USP), Piracicaba, SP (Brazil)

    2007-10-15

    The post-harvest quality of the pineapple cultivar Smooth Cayenne was evaluated after the fruit was irradiated with doses of 100 and 150 Gy and stored for 10, 20 and 30 days at 12 deg C ( +-1) and relative humidity of 85% (+- 5). The controls were untreated fruits. Sensorial analyses were made for each storage period to obtain information about the effects of ionizing radiation on the quality of the fruit. The ionizing radiation dosage had little effect on the sensorial characteristics of the pineapple, although the best results were obtained with fruit irradiated with 100 Gy. The 20-day storage period resulted in the highest consumer acceptability, while the 30-day storage period impaired the fruit's external and internal appearance. (author)

  1. Caracteristicas de las personas que acuden a las consultas de demanda del centro de salud sin citación previa

    Directory of Open Access Journals (Sweden)

    Carlos Isanta Pomar

    2000-01-01

    Full Text Available FUNDAMENTO: El tiempo de espera para acceder a la consulta está considerado un indicador de satisfacción. Las visitas no urgentes, realizadas sin cita previa, provocan un incremento del tiempo de espera de los pacientes citados, con la consiguiente insatisfacción de los mismos. El objetivo del estudio persigue la valoración cuantitativa de este tipo de visitas y conocer las características de las mismas, para introducir las medidas destinadas a su corrección y racionalización. MÉTODOS: Estudio descriptivo. Se realizó un registro que recogiera las características de los pacientes que originan las consultas sin cita previa, como la edad y el sexo y las relativas a la consulta: motivo, modalidad, jornada laboral y si era realizada de forma directa o indirecta. RESULTADOS: El 14,19% de consultas a demanda no urgentes son sin citación previa. Con el análisis factorial de correspondencias múltiple se identifican dos perfiles de consultas: las directas, solicitadas por pacientes jóvenes, por enfermedad o tareas burocráticas, al final de la consulta de la mañana, estando ellos presentes, y las consultas indirectas, ocasionadas durante las consultas con cita previa por pacientes que solicitan recetas. CONCLUSIONES: Hay un elevado número de visitas sin cita previa. Son precisas medidas que puedan conducir a la utilización del sistema de organización de las consultas y a la mejora de aquellas situaciones que impliquen una falta de accesibilidad, con la finalidad última de mejorar la satisfacción de los usuarios de los servicios sanitarios públicos.

  2. Heat transfer characteristics in the channel of a finned absorber solar collector; Caracteristicas da transferencia de calor no canal de um coletor solar de absorvedor aletado

    Energy Technology Data Exchange (ETDEWEB)

    Saboya, Sergio Mourao [Centro Tecnico Aeroespacial, Sao Jose dos Campos, SP (Brazil). Inst. Tecnologico de Aeronautica; Saboya, Francisco Eduardo Mourao [Universidade Federal Fluminense, Niteroi, RJ (Brazil)]. E-mails: saboya@mec.ita.cta.br; fsaboya@mec.uff.br

    2000-07-01

    Finned absorber solar collectors are devices in which plates (fins) are fixed perpendicularly to the absorber plate. The purpose of these fins is to cause the so called 'cavity effect', lowering the collector losses. This paper studies the heat transfer that occurs in the collector channel. This analysis is done using the efficiency of the collector, which is calculated solving the system of equations that govern the collector thermal behavior, and the computation of the convection heat transfer between the fluid flowing in the channel and the absorber plate. This analysis allows the calculation of design parameters such as mass flow rate and exit bulk temperature of the fluid. (author)

  3. Primoinfección por virus del herpes simp le tipo 1. Manejo farmacológico y caracteristicas clínicas

    Directory of Open Access Journals (Sweden)

    Hernan Francisco Sariego Santana

    2013-10-01

    Full Text Available ResumenEl presente artículo reporta un caso clínico de gingivoestomatitis herpética primaria y una breve revisión de los medicamentos usados para tratar la infección por virus del herpes simple (HSV. Se presenta un paciente con múltiples ulceraciones confluentes tanto en la cara ventral como en la dorsal de la lengua y en los labios, compatible con gingivoestomatitis herpética primaria. Esta forma de presentarse las ulceraciones y la edad del paciente son frecuentes en pacientes VIH positivo (Virus de la inmunodeficiencia humana, esto no pudo ser comprobado en el caso ya que el paciente dejo de asistir a consulta luego de recibido el tratamiento. El tratamiento instaurado fue aciclovir tabletas 200 mg cada 6 horas vía oral por 10 días. Cabe mencionar que los tratamientos para el virus del herpes simple con aciclovir no están aprobados por la Administración de Alimentos y Drogas de los Estados Unidos (FDA siglas en inglés pero si son aceptados por el Centro de Control de Enfermedades (CDC siglas en ingles, también se utilizó gel de polivinilpirrolidona, hialuronato de sodio para facilitar la deglución del paciente. (DUAZARY 2011 No. 2, 199 - 205AbstractThis article reports a case of primary herpetic gingivostomatitis and a brief review of drugs used to treat infection with herpes simplex virus (HSV. We present a patient with multiple confluent ulcers in both the ventral and the dorsal tongue and lips, compatible with primary herpetic gingivostomatitis. This way of presenting ulceration and patient age are common in HIV positive patients (human immunodeficiency virus, this could not be found in the case because the patient stopped coming to see after the treatment. Acyclovir treatment was introduced 200 mg tablets orally every 6 hours for 10 days. It is noteworthy that the treatments for herpes simplex virus with acyclovir are not approved by the Food and Drug Administration (FDA but if accepted by the Center for Disease Control (CDC was also used gel of polyvinylpyrrolidone, sodium hyaluronate to facilitate swallowing of the patient.Keywords: virus; herpes; herpetic; stomatitis; acyclovir. (MesH Database.

  4. Structural and morphological characteristics of composite: polyamide 6/ferrite nickel; Caracteristicas morfologicas e estruturais do composito: poliamida 6/ferrita de niquel

    Energy Technology Data Exchange (ETDEWEB)

    Fernandes, P.C.; Santos, P.T.A.; Silva, T.R.G.; Araujo, E.M.; Costa, A.C.F.M., E-mail: patricia.fernandes24@hotmail.co [Universidade Federal de Campina Grande (UFCG), PB (Brazil). Unidade Academica de Engenharia de Materiais

    2010-07-01

    This study aims to evaluate the structural and morphological characteristics of a composite polyamide 6 with 50% loading of nickel ferrite. The ferrite was obtained by combustion synthesis and calcined in muffle furnace at 700 deg C. The polymer matrix was previously dried in vacuum oven at 80 deg C / 48 h to eliminate moisture. The composites were characterized by XRD and SEM. XRD results show the incorporation of cargo in the matrix, and that increasing temperature led to a considerable increase in crystallinity. The particle size of the load in the matrix was changed by increasing temperature. (author)

  5. Microbiologicals characteristics of Tenerife island's bottled waters; Caracteristicas microbiologicas de las aguas de bebida envasada de la isla de Tenerife

    Energy Technology Data Exchange (ETDEWEB)

    Hardisson de la Torre, A.; Arco del Aguilar, A. L.; Galvan Gonzalez, M. A.; Pinero Sicicila, L. M.; Fernandez Molina, J. C.; Caballero Mesa, A. M.

    2001-07-01

    An exhaustive control of the sanitary quality of water is becoming more and more necessary. Therefore, in this study we are pretending to determine the degree of adequacy to the present technical and sanitary regulations by analyzing different water samples produced by companies located on Tenerife. Microbiological parameters have been studied, such as: aerobic bacteria recounts at 37 degree centigree and at 20-22 degree centigree, total Coliforms investigation, E, coli, faecalis Streptococcus, sulphite reducers Clostridium, Pseudomas aeruginosa and Salmonella. The results show the presence of Pseudomonas in two of the water samples and the presence of sulphite reducers Clostridum in one of the samples. (Author) 10 refs.

  6. Characterization of sugar cane bagasse: part II: fluid dynamic characteristics; Caracterizacion del bagazo de la cana de azucar: parte II: caracteristicas fluidodinamicas

    Energy Technology Data Exchange (ETDEWEB)

    Alarcon, Guillermo A. Roca [Universidad de Oriente (CEEFE/UO), Santiago de Cuba (Cuba). Centro de Estudios de Eficiencia Energetica], Emails: roca@ceefe.uo.edu.cu, grocabayamon@hotmail.com; Sanchez, Caio Glauco [Universidade Estadual de Campinas (FEM/UNICAMP), SP (Brazil). Fac. de Engenharia Mecanica], Email: caio@fem.unicamp.br; Gomez, Edgardo Olivares [Universidade Estadual de Campinas (NIPE/UNICAMP), SP (Brazil). Nucleo Interdisciplinar de Planejamento Energetico], Emails: gomez@bioware.com.br, egomez@energiabr.org.br; Cortez, Luis Augusto Barbosa [Universidade Estadual de Campinas (NIPE/FEAGRI/UNICAMP), SP (Brazil). Fac. de Engenharia Agricola. Nucleo Interdisciplinar de Planejamento Energetico], Email: cortez@reitoria.unicamp.br

    2006-07-01

    This paper is the second part of a general study about physic-geometrical and fluid-dynamics characteristic of the sugarcane bagasse particles. These properties has relevant importance on the dimensions and operation of the equipment for transport and treatment of solid particles. Was used the transport column method for the determination of the drag velocity and later on the drag coefficient of the sugarcane bagasse particles was calculated. Both, the installation and experimental technique used for materials of these characteristics are simple and innovations tools, but rigorous conceptually, thus the results obtained are reliable. Were used several sugarcane bagasse fractions of particles of known mean diameter. The properties determined were expressed as a function of Reynolds and Archimedes a dimensional criteria. The best considered model from statistical analysis (model from equation 8) was statistically validated for determined ranges of Reynolds and Archimedes. These empirical equations can be used to determine these properties in the range and conditions specified and also for modeling some processes where these fractions are employed. (author)

  7. Characteristics and economy of the European reactor of pressurized water (EPR); Caracteristicas y economia del reactor europeo de agua a presion (EPR)

    Energy Technology Data Exchange (ETDEWEB)

    Ortiz V, J.; Ramirez S, J.R.; Palacios H, J.C. [ININ, 52045 Ocoyoacac, Estado de Mexico (Mexico)]. e-mail: jov@nuclear.inin.mx

    2005-07-01

    The high current costs of the fossil fuels, have propitiated that the industries of electric power generation in the world reconsider the nuclear option as medium of generation. In Europe, the more recently contracted nuclear power plant is that of Olkiluoto-III in Finland that waits it enters in operation at the end of 2009. The reactor that will be installed in this power plant will be a prototype of pressurized water reactor of the companies AREVA and EDF. In this work they are described the reactor EPR and the major components of the nuclear power plant as well as the main characteristics of safety and the flexibility of the operation of the EPR. The supposed costs reported in different sources of information are also described and calculated with information provided by the manufacturer company. (Author)

  8. Characterization of sugar cane bagasse: part 1: physical characteristics; Caracterizacion del bagazo de la cana de azucar: parte 1: caracteristicas fisicas

    Energy Technology Data Exchange (ETDEWEB)

    Alarcon, Guillermo A. Roca [Universidad de Oriente (UO/CEEFE), Santiago de Cuba (Cuba). Centro de Estudios de Eficiencia Energetica], Emails: roca@ceefe.uo.edu.cu, grocabayamon@hotmail.com; Sanchez, Caio Glauco [Universidade Estadual de Campinas (FEM/UNICAMP), SP (Brazil). Fac. de Engenharia Mecanica], Email: caio@fem.unicamp.br; Gomez, Edgardo Olivares [Universidade Estadual de Campinas (NIPE/UNICAMP), SP (Brazil). Nucleo Interdisciplinar de Planejamento Energetico], Emails: gomez@bioware.com.br, egomez@energiabr.org.br; Cortez, Luis Augusto Barbosa [Universidade Estadual de Campinas (FEAGRI/UNICAMP), SP (Brazil). Fac. de Engenharia Agricola], Email: cortez@reitoria.unicamp.br

    2006-07-01

    Fine materials or particles are often encountered in many industrial processes and in our daily life. Some examples are: salt or sugar; sand; cleaning products; fertilizer; cement; calcium hydroxide; some residues of energy biomass, for instance, sugar cane bagasse, straw of sugar cane, saw dust, straw of rice, and even, other types of particulates as aerosols, and residual ash from combustion processes of conventional solids. During the preparation and handling of these materials and also for design and optimization of some multiphase processes and equipment associated with them, as classifying, transport and pneumatic drying, and thermo chemical conversion systems, in general, it is indispensable knowing the principal physical and fluid dynamic characteristics or properties, which not always are available or well established. In this paper the Ergun Method is employed, which is based on theoretical equations established for a fixed bed of porous particles when it is crossed by a gas flow. From this expression and measurements of pressure loss for a given flow of gas crossing the bed at different heights, it is possible to determine some physical characteristics, as bulk density, real density, porosity, sphericity, and specific surface of the bed particles. The technique used for obtaining experimental data is simple but rigorous and it is possible to reproduce these data. Were tested several fractions of bagasse obtained by the conventional sieving process. Finally it was statistically processed all experimental results obtaining the corresponding mathematical models for the desired properties as a function of the mean diameter of the particles. These empirical equations can be used to determine these properties in the range and conditions specified and also for modeling some processes where these fractions are employed. (author)

  9. Influence of the chemical, physical and mineralogical characteristics on the three latosoils compacting; Influencia das caracteristicas quimicas, fisicas e mineralogicas na compactacao de tres latossolos

    Energy Technology Data Exchange (ETDEWEB)

    Fernandes, Rafael Braganca Alves [Vicosa Univ., MG (Brazil). Dept. de Solos. E-mail: raphael@solos.ufv.br; Fontes, Luiz Eduardo Ferreira; Costa, Liovando Marciano da [Vicosa Univ., MG (Brazil). Dept. de Solos. E-mail: luizfontes@solos.ufv.br

    1997-07-01

    This work studies the behavior of three brazilian latosoils (Purple, Una and yellow latosoils) concerning to the tendency of compacting, by using the trail analysis for evaluation of the physical, chemical, mineralogical and other compacting estimation effects on this process. Two conditions of soil use were considered: intensive cultivation, with field evaluation which indicates the compacting and not worked area, with natural forest or old and abandoned reforesting.

  10. Influence of electrical discharge machining on the tribological characteristics of WC-Co alloys; Influencia de la electroerosion sobre las caracteristicas tribologicas de materiales compuestos WC-Co

    Energy Technology Data Exchange (ETDEWEB)

    Casas, B.; Martinez, E.; Esteve, J.; Anglada, M.; Llanes, L.

    2001-07-01

    The influence of electrical discharge machining (EDM) on the abrasive wear resistance of two WC-10 %{sub w}tCo cemented carbides with different carbide grain size has been studied. Different surface finish conditions were evaluated corresponding to sequential EDM as well as grinding and polishing with diamond. The abrasive wear resistance was determined through microscratch measurements using a nano indentation system. Contrary to the results obtained from hardness measurements, this techniques allows to discern tribological differences among the distinct surface finish conditions studied. Finally, the abrasive wear resistance degradation associated with sequential EDM is discussed as a function of microstructure in terms of a damage parameters. (Author) 9 refs.

  11. Temperature and final characteristics of composting process of the Municipal solid wastes; Evolucion de la temperatura y caracteristicas finales del co-compostaje de residuos solidos urbanos

    Energy Technology Data Exchange (ETDEWEB)

    Porcel, O.; Leon, J.J. de; Revilla, J.; Dobao, M.M.; Ruiz, J.L. [Departamento de Quimica Agricola y Edafologia, Universidad de Cordoba, cordoba (Spain)

    1996-06-01

    In this paper it has been studied the evolution of temperature in two depth of three piles during the composting process using the organic matter of the Municipal Solid Waste from Cordoba (Spain) from the selective harvest. The cited mixtures were composed of organic matter (<50 mm), sludge from the water treatment plant, pruning garden and bark of pine (bunking). Almost it has been obtained the yield of the composting piles and the agronomic quality of the compost obtained. The mixture organic matter <50 mm+pruning arden+bunking (M.P.B.) shoved the best index. (Author) 15 refs.

  12. Caracteristicas da poeira do processo de fabricação de materiais ceramicos para revestimento : estudo no polo de Santa Gertrudes

    OpenAIRE

    Maria Margarida Teixeira Moreira-Lima

    2007-01-01

    Resumo: A poeira gerada no processo de fabricação de materiais cerâmicos pode ser um agente de risco à saúde dos trabalhadores, em especial quando em sua composição houver a presença de polimorfos da sílica nas formas cristalinas do ?-quartzo e da cristobalita. A exposição ocupacional à poeira respirável desses polimorfos pode ocasionar o aparecimento da silicose e de outras doenças associadas. Na indústria de revestimentos cerâmicos as informações sobre as características da poeira gerada no...

  13. Mineralogical and micro-thermometric features of the Los Humeros geothermal reservoir, Pue., Mexico; Caracteristicas mineralogicas y microtermometricas del yacimiento geotermico de Los Humeros, Pue., Mexico

    Energy Technology Data Exchange (ETDEWEB)

    Izquierdo, Georgina; Arellano, Victor M; Aragon, Alfonso [Instituto de Investigaciones Electricas, Cuernavaca, Morelos (Mexico)]. E-mail: gim@iie.org.mx

    2008-07-15

    Studies on many topics have been undertaken during the exploratory and exploitation stages of the development of Los Humeros geothermal field. From a geochemical and mineralogical view-including hydrothermal mineralogy and fluid-inclusion micro-thermometry, features have been reported differing from those observed in other geothermal fields. Sometimes this has led to ambiguous conclusions. Studies of fluid-inclusion micro-thermometry have shown low-salinity and high-temperature fluids, suggesting a slight temperature decrease in the deepest portion associated with a boiling process rather than a cooling process. In 1998, Arellano et al. performed a multi-disciplinary study and proposed the existence of at least two, distinct reservoirs at depth. Mineralogical data from wells drilled at the Colapso Central zone tend to support this idea. However wells drilled in the zone known as Corredor Mastaloya seemingly show evidence of a single reservoir. [Spanish] Durante las etapas de exploracion y explotacion del campo geotermico de Los Humeros se han realizado diversos estudios cubriendo distintos topicos. Desde el punto de vista geoquimico y mineralogico (mineralogia hidrotermal y microtermometria de inclusiones fluidas) se han reportado comportamientos diferentes a los observados en otros campos del mundo, los que en ocasiones han llevado a conclusiones imprecisas. La microtermometria de inclusiones fluidas ha mostrado fluidos poco salinos de alta temperatura, asi como una ligera disminucion de temperatura en la parte profunda la cual se asocia a un proceso de ebullicion mas que a un enfriamiento del sistema. En 1998 Arellano et al realizaron un estudio multidisciplinario proponiendo la existencia de al menos dos reservorios. La informacion mineralogica de pozos perforados en la zona del Colapso Central fortalece esta propuesta. Sin embargo, para pozos localizados en la zona conocida como Corredor Mastaloya se tiene evidencia de lo que parece ser un solo yacimiento.

  14. ISO 9001 certification in the clinical dosimetry process in physics medical service; Certificacion ISO9001 en el proceso de dosimetria clinica en un servicio de fisica medica

    Energy Technology Data Exchange (ETDEWEB)

    Font Gomez, J. A.; Andres Redondo, M. M.; Gandia Martinez, A.; Jimenez Albericio, F. J.; Mengual Gil, M. A.

    2013-07-01

    The objective of this work is to simply name a series of procedures that are part of the certification and technical instructions (manuals about how to perform specific tasks) without going into details. (Author)

  15. La farmacoutilizzazione delle statine nella pratica clinica: risultati di uno studio di popolazione condotto su database amministrativi e di medici di medicina generale

    Directory of Open Access Journals (Sweden)

    Mirko Di Martino

    2003-05-01

    Full Text Available In spite of findings of large-scale clinical trials which showed an overall reduction of morbidity and mortality from coronary heart disease in patients treated with 3-hydroxy-3-metylglutaryl coenzyme-A reductase inhibitors (statins, relatively little is still known about the real prevalence of treatment in general practice setting, particularly in patients with a high cardiovascular risk. The objective of this study was to investigate among patients with cardiovascular risk profile estimated according to the Framingham Heart Prediction Risk Study, the percentage of those exposed to statins, and the proportion of patients reaching total cholesterol (TC target levels. A cross-sectional analysis was conducted on a large cohort of patients listed in the administrative databases of the Local Health Unit of Ravenna (total resident population of 356,000. In 2001, every single patient who received a prescription for a statin, and/or with a recorded plasma TC level, and/or with a hospital admission for cardiovascular reasons (identified by ICD-9 code, and/or with a clinical appraisal based on the presence of cardiovascular risk factors, was defined eligible. Sebsequently, pharmaceutical, and nosocomial databases, were cross-linked with that of 50 general practitioners in order to assess the pharmacoutilization of statins on a patient-by-patient basis. A cohort of 9,208 patients with a well documented cardiovascular risk profile were analyzed. The mean age of those patients was 57 (SD=17 years and 42% of them was male. On the basis of raised TC levels and cardiovascular risk profiles, patients for whom a statin treatment was suggested amounted to 7,233. However, the number of those who received statins was significantly lower (n = 1,343, corresponding to 18.6%. In those exposed to statins, just a small group of patients reached a level of TC below 190 mg/dl (n = 271, equivalent to 20.2%. In the group of treated who did not achieve recommended TC target levels, 31.7% (n = 340 of patients was at very high cardiovascular risk. Moreover, among all patients with high plasma TC levels (n=5,890, there was a 45.7% (n = 2,690 who did not received any lipid lowering drug even though they had a high cardiovascular risk profile. Results from large population-based administrative databases suggest a remarkable level of undertreatment among patients with cardiovascular risk factors. Furthermore, many patients did not achieve recommended TC target levels with their statin treatment. Pharmacoutilization of statins in general practice reveals the need of a more careful pursuing of therapeutic goals.

  16. Normal behaviour of circulatory parameters during exercise. Reference values for heart rate and systemic blood pressure. The ECCIS Project data. Epidemiologia e Clinica della Cardiopatia Ischemica Silente.

    Science.gov (United States)

    Menghini, F; Dally, L; Fazzini, P F; Menotti, A; Prati, P L; Rovelli, F; Antoniucci, D; Seccareccia, F

    1995-08-01

    The study of simultaneous variations in heart rate (HR) and systemic blood pressure is of great interest in ergometric practice complementing the analysis of the ST segment by ECG. This paper examines data proceeding from 500 consecutive, normal, exercise stress tests with the aim of offering reference values on the step-by-step behaviour of HR, systolic and diastolic blood pressure (SBP, DBP) during exercise in a normal population. The sample comes from a large epidemiological study (ECCIS Project) conducted on 4842 healthy, working men, aged 40-59, which proposes to identify, by a 3 stage procedure, subjects with totally asymptomatic coronary artery disease (type I silent ischemia). A further aim of our paper is to examine the influence of some physiological variables (age, height, weight, body mass index, resting HR, SBP and DBP) on the response to effort of HR, SBP and DBP; reciprocal HR/SBP adjustment during exercise; maximal attained workload and recovery time. Due to a preliminary observation that the rate of step-by-step increase in HR and SBP is inversely related to total duration, the population was split into 4 groups according to exercise tolerance (defined by maximal attained workload) to elaborate reference values. Furthermore our data demonstrate that: 1) SBP increases more rapidly with respect to HR for older and heavier subjects; 2) Exercise tolerance is inversely related to age, baseline HR and SBP, and directly related to weight and height; 3) return to baseline conditions, during recovery, is quicker for subjects with better exercise tolerance and lower baseline HR, SBP and weight.

  17. Analysis of imaging findings and clinical abnormalities in patients with lymphoma; Analise de achados de imagem e alteracoes clinicas em pacientes com linfoma

    Energy Technology Data Exchange (ETDEWEB)

    Caldas, Flavio Augusto Ataliba; Montomiya, Carolina Tsumori [Faculdade de Medicina de Marilia, SP (Brazil)]. E-mail: flavio_caldas@hotmail.com; Silva, Helena Cristina da [Faculdade de Medicina de Marilia, SP (Brazil). Hospital de Clinicas

    2002-04-01

    Computed tomography is currently the method of choice for the diagnostic and staging of lymphomas. Computed tomography enables accurate measurements of both tumor extent and volume and provides information that can be used to plan an appropriate strategy for the treatment. The purpose of the present article is to describe and analyze the chest and abdomen computed tomography and ultrasound findings in HIV-negative patients with lymphoma. Clinical abnormalities, such as the reason the patient sought medical assistance already showing evidence of lymphocytic disease (not yet diagnosed at this point) and the physical examination abnormalities seen on the first consultation were also studied. This study comprised 30 patients: 40% with non-Hodgkin lymphoma, 46,6% with Hodgkin lymphoma, 10% with Burkitt's lymphoma and 3,3% with lymphoblastic lymphoma. (author)

  18. Evolution of sensitivity to fosfomycin in bacteria isolated in 1973, 1974 and 1975 in the Servicio de Microbiologia y Epidemiologia of the 'Clinica Puerta de Hierro', Madrid.

    Science.gov (United States)

    Dámaso, D; Moreno-López, M; Martínez-Beltrán, J

    1977-01-01

    The bacteriostatic activity of fosfomycin was studied in vitro against 1,243 clinical isolations of gram-positive cocci and 4,086 isolations of gram-negative bacilli that were obtained in 1973, 1974 and in the period from January to May of 1975. MIC was determined by the agar diffusion method, quantifying it by means of the standard curve that was worked out with the strain of E. coli NCTC 10,418. A slight increase in resistance was observed in the gram-positive cocci: 64 mug/ml were inhibitory for 63% of the 249 isolations obtained in 1973, 59.1% of the 716 isolations obtained in 1974, and 57.5% of the 278 isolations from 1975. A slight loss of sensitivity was also observed in the gram-negative bacilli: the aforementioned concentration of fosfomycin inhibited 36% of the 742 isolations from 1973, 33.6% of the 2,387 isolations from 1974 and 32.6% of the 957 isolations from 1975. 933 g of this antibiotic were consumed in our hospital in 1973, 4,203 g in 1974 and 957 g in 1975. The consumption rate per patient per year was 0.15, 0.72 and 0.20 g, respectively. In conclusion, although no change was observed in the sensitivity of some bacterial strains to fosfomycin, the overall study indicates a slight decrease in the sensitivity, although it does not apparently have any relationship to the consumption of fosfomycin in our hospital.

  19. 中医药治疗病毒性心肌炎临床研究进展%Clinica Research Progress of Chinese Materia Medica for Virus Cadiomyositis

    Institute of Scientific and Technical Information of China (English)

    韩丽华; 王振涛; 尚东丽

    2002-01-01

    @@ 病毒性心肌炎是临床常见病、多发病,近年来其发病率呈上升趋势.西医对本病无特效疗法[1],而祖国医学注重整体调节,辨证治疗,显示出对本病治疗的良好前景.现将近年来中医药临床研究概况综述如下.

  20. Clinical manifestations in patients with computerized tomography diagnosis of neurocysticercosis; Manifestacoes clinicas de pacientes com diagnostico de neurocisticercose por tomografia computadorizada

    Energy Technology Data Exchange (ETDEWEB)

    Pfuetzenreiter, Marcia Regina [Universidade do Estado de Santa Catarina (UDESC), Florianopolis, SC (Brazil). Dept. de Medicina Veterinaria Preventiva e Tecnologia]. E-mail: a2mrp@cav.udesc.br; Avila-Pires, Fernando Dias de [Santa Catarina Univ., Florianopolis, SC (Brazil). Dept. de Saude Publica

    1999-09-01

    A survey was conducted in the urban area of Lages using patients who had been submitted to a computed tomography of the skull in the period of March-December, 1996, for different reasons. Forty-two patients with a provisional diagnosis of neurocysticercosis, and 57 negatives were personally interviewed by one of the authors (Pfuetzenreiter), using a semi-structured procedure. More individuals with a provisional diagnostic of neurocysticercosis reported clinical manifestations related to this infection than those found negative. this difference is more marked among women, except in relation to convulsions, more frequently reported by men (19.05%) than by women (7.14%). The greater percentage of inactive forms (83.33%0 and a longer history of perceived symptoms among those positives suggest that the condition is not new. (author)

  1. Avaliação clinica do valor terapeutico do barbexaclone incluindo determinação de niveis plasmaticos do barbiturico

    OpenAIRE

    1980-01-01

    São apresentados os resultados de um ensaio clínico usando barbexaclone (ciclo-hexil-aminopropano) associado com fenil-etil-barbitúrico, como único anti-convulsivante. Foram selecionados 70 pacientes dos quais 36 eram do sexo feminino e 34 do sexo masculino, sendo 52 crianças e 18 adultos. Todos apresentavam crises de epilepsia tipo grande-mal e tiveram duas ou mais crises antes de serem incluídos na pesquisa. Cinqüenta e três pacientes foram observados durante 18 meses, dos quais 96% ficaram...

  2. Radiological protection in the interventional techniques: experience in the Pain Clinic of the CIMEQ; Proteccion radiologica en las tecnicas intervencionistas: experiencia en la Clinica del Dolor del CIMEQ

    Energy Technology Data Exchange (ETDEWEB)

    Guerrero C, M. C.; Benitez N, P. P.; Gonzalez G, Y. [Centro de Investigaciones Medico Quirurgicas, Av. 216 Esq. 11B, Playa Siboney, 6096 La Habana (Cuba); Martinez G, A.; Gonzalez R, N. [Centro de Proteccion e Higiene de las Radiaciones, Carretera de la Cantera, Victoria II, Km. 21.5 Guanabacoa, La Habana (Cuba); Sanchez Z, L. R., E-mail: mayka@infomed.sld.cu [Hospital C. Q. Hermanos Ameijeiras, San Lazaro 701, Centro Habana, La Habana (Cuba)

    2014-08-15

    The Pain Clinic of the CIMEQ offers treatment to patients with different pathologies, using interventional techniques as the radiology like visual guide to reach the target structure and to apply the election technique. The personnel that carry out these procedures are inserted in the program of radiological surveillance of the institution, reason for which a radiological event could be detected where the main physician responsible of the service was implied. In this work the results of an investigation are presented realized with the objective of to know the causes of the event and to determine the necessary measures to avoid that this repeats again. The investigation was oriented to three fundamental aspects: medical exam of the affected worker; evaluation of the operational procedures from the radiological protection view point; and dosimetric measurements simulating the real conditions of work for which were used ionization chamber, radiometer and PMMA mannequin. As a result of the medical exam was detected that the main physician of the service did not use during the execution of all the procedures the extremities dosimetry and that he presented a radio induced erythema in the right hand, reason for which he was separated of the activity with ionizing radiations, until the conclusion of the investigation. With relationship to the evaluation of the operational procedures from the radiological protection view point, was verified that the medical physician not carried out any collimation of the beam and he was located in the positions where the dose rate reached the maximum values, frequently introducing the hands in the direct beam; that which implied an overexposure of the superior extremities and a not optimized exposure for whole body. This result was proven with the realized experimental measurements, which gave dose estimated values in extremities of the order of the deterministic effects. The investigation facilitated to introduce modifications in the operational procedures from the radiological protection view point that allowed optimizing the occupational exposure and to avoid the appearance of deterministic effects on the workers of this practice. Parallel was carried out the completion of the protection individual media and working media that allowed the proper application of the mentioned procedures were substituted. On the other hand, this investigation pointed to that the personnel training in radiological protection matter and the control of the occupational exposure in the interventional techniques are indispensable for the safe performance of the medical practice. (author)

  3. Laser diagnostic and therapy of dental caries: the clinic point of view; Laser diagnostico e tratamento da carie dental: uma visao clinica

    Energy Technology Data Exchange (ETDEWEB)

    Paiva, Priscila Faria

    2001-07-01

    Dental caries's diagnosis is a major dentistry problem from the clinic point of view. The laser beam on the region of 655 nm induces the fluorescence of the compounds present in the hard tissue, quantifying differences between sound and carious enamel and dentine. Diagnodent (Kavo, Germany), showed to be effective regarding dental caries's diagnosis in the present research sampling. The Er:YAG laser (Kavo Key Laser 2, Germany) performed efficient cavity preparations in caries lesions of I and V class type, using up energies that ranged from 300 mJ to 350 mJ with 4 Hz repetition rate for the enamel; and from 250 mJ to 300 mJ with 4 Hz repetition rate for the dentine, and with 80 mJ with 6 Hz of repetition rate for laser conditioning. In the Er:YAG laser preparations no patient was anesthetized even when there were deeper cavities, and the maximum degree of pain ( which ranged from 0 to 10) was 4. In the control group with conventional high-speed drill two patients were anesthetized and the maximum degree of pain was 7. Restorations performed by conventional method of composite were equally satisfying both in caries groups of I and V class type and in the control group. The laser application in the operative dentistry office as a new method of diagnosis and dental preparations should be a good alternative to the use of the conventional dental drill. Nevertheless, dentistry practice has a lot to improve from technology progress, as well as new researches on laser dentistry are necessary in a long term. New types of lasers will come about and will increasingly improve the dental practice assistance and procedures quality. (author)

  4. Utilizzo dell'esame dermoscopico nella valutazione clinica e nel follow up dei nevi melanocitici in sede acrale dell'età pediatrica: studio retrospettivo osservazionale

    OpenAIRE

    Bentivogli, Margherita

    2012-01-01

    La dermoscopia, metodica non invasiva, di pratico utilizzo e a basso costo si è affermata negli ultimi anni come valido strumento per la diagnosi e il follow up delle lesioni cutanee pigmentate e non pigmentate. La presente ricerca è stata incentrata sullo studio dermoscopico dei nevi melanocitici a localizzazione palmo-plantare, acquisiti e congeniti, in età pediatrica: a questo scopo sono state analizzate le immagini dei nevi melanocitici acrali nei pazienti visitati c/o l’ambulatorio di...

  5. Dermatoses pediátricas no Hospital das Clínicas da Universidade Federal de Pernambuco Pediatric dermatoses at the Clinicas Hospital, Federal University of Pernambuco

    Directory of Open Access Journals (Sweden)

    Josemir Belo dos Santos

    2004-05-01

    Full Text Available FUNDAMENTOS: Numerosas condições dermatológicas podem afetar a população pediátrica. Há poucos estudos sobre a dermatologia pediátrica no Brasil. OBJETIVOS: Estudar as dermatoses pediátricas no Hospital das Clínicas do Recife, Pernambuco - Brasil. MATERIAL E MÉTODOS: Durante o período de maio de 1999 a maio de 2000, foram analisados 307 prontuários de crianças atendidas no Ambulatório de Dermatologia da Universidade Federal de Pernambuco. Foram encontrados os dados referentes a caracterização individual, procedência, motivo da consulta, diagnóstico clínico laboratorial e tratamentos previamente realizados. RESULTADOS: As dermatoses alérgicas foram as mais freqüentes (17,64%, seguidas pelas desordens pigmentares (15,54% e infecções virais (13,44%. CONCLUSÃO: Os dados encontrados estão de acordo com a literatura. Quanto às infecções, representam um grande percentual dos casos analisados, devendo-se isso provavelmente ao baixo nível socioeconômico dos pacientes em estudo. A caracterização da epidemiologia dos problemas cutâneos em crianças deve ser uma prioridade de estudos futuros.BACKGROUND: Numerous skin conditions can affect the pediatric population. There are few studies on Pediatric Dermatology in Brazil. OBJECTIVES: To study the pediatric skin diseases at the Hospital das Clínicas in Recife, Pernambuco State - Brazil. MATERIAL E METHODS: From May 1999 to May 2000, 307 cases of children treated at the Dermatology Clinic of the Federal University of Pernambuco were studied. Details of the patients' features, origin, reason for consultation, clinical laboratory diagnosis and previous treatment were examined. RESULTS: Allergic dermatosis was the most frequent disease (17.64%, followed by disorders of pigmentation (15.54% and viral diseases (13.44%. CONCLUSION: This agrees with the literature. Infections represent a large percentage of cases studied and are probably due to the low socioeconomic level of the patients examined. Characterization of the epidemiology of cutaneous problems in children should be a priority in future studies.

  6. Breast cancer only detected at US. Incidental finding or clinical evidence?; Le neoplasie mammarie visualizzabili solo con esame ecografico. Reperti incidentali o realta' clinica?

    Energy Technology Data Exchange (ETDEWEB)

    Nori, J.; Masi, A.; Boeri, C.; Vivian, A.; Nori Bufalini, F. [Azienda Ospedaliera Careggi, Florence (Italy). Unita' Operativa di Radiodiagnostica 2; Cariti, G. [Florence Univ., Florence (Italy). Dipt. di Ginecologia e Ostetricia

    2000-06-01

    Mammography is the only technique of proven efficacy in the early diagnosis of breast cancer, even though its sensitivity is much lower in breasts that are dense or with a high parenchymal-stroma component. In the past malignant breast nodules detected at US in patients with negative mammographic and physical findings were considered incidental findings, but more recent papers report increasing numbers of breast cancers detected only at US. It was investigated the yield of US performed as a diagnostic complement in asymptomatic women with mammographic findings that were either negative or poorly readable because of dense breast. 13 women were examined: 37 to 55 years old (mean 47): 9 of them were asymptomatic and 4 had poorly specific physical findings. The patients underwent physical examination, mammography, US, micro histologic biopsy with 14G needles under US guidance and surgery. Fourteen breast lesions 7.0-15 mm in diameter were detected only by US. Mammography (2 or 3 standard views) was negative in all cases. The lesions detected only by US (10% of all carcinomas) were typified with US-guided needle biopsy and finally confirmed surgically. Though obtained in a small series, the results seem to suggest that US should be included in the diagnostic work-up, especially of women with dense breast. Also, any hypoechoic lesion detected at breast US in clinically asymptomatic women with negative mammographic findings should be further investigated with US, needle aspiration or core biopsy to make the final diagnosis. [Italian] Si intende con questo lavoro valutare l'utilita' dell'esame ecografico, eseguito come completamento diagnostico in donne clinicamente negative e con mammografia negativa o comunque scarsamente leggibile in relazione alla elevata densita' del parenchima mammario (mammelle dense). Tredici donne con eta' compresa tra 37 e 55 anni (eta' media 47 anni) asintomatiche o con quadri clinici vaghi o comunque non orientativi per patologia neoplastica della mammella hanno eseguito esame clinico, mammografia, ecografia mammaria, prelievo microistologico ecoguidato e intervento operatorio. Quattordici neoplasie mammarie, con dimensioni comprese tra 7 e 15 mm sono state evidenziate solo ecograficamente. La mammografia eseguita nelle 2 o 3 incidenze abituali, e' risultata sempre negativa. Le lesioni neoplastiche evidenziate solamente con l'esame ecografico (10% di tutti i carcinomi) sono state caratterizzate con biopsia istologica con ago da 14G e definitivamente confermate con intervento chirurgico. I risultati ottenuti permettono di suggerire che l'esame ecografico debba essere metodica da includere nell'iter diagnostico nelle donne con mammelle scarsamente leggibili. Le lesioni nodulari ipoecogene sospette rilevate all'esame ecografico in una donna con visita e mammografia negative meritano di essere ulteriormente approfondite (controllo con ecografia, agoaspirazione per citologia o biopsia istologica con ago) al fine di ottenere la definitiva caratterizzazione.

  7. Management units radio physics hospital clinic: New management model; Unidades de gestion clinica de radiofisica hospitalaria, ¿nuevo modelo de gestion?

    Energy Technology Data Exchange (ETDEWEB)

    Iborra Oquendo, M.; Angulo Pain, E.; Castro Ramirez, I.; Quinones Rodriguez, L. A.; Urena Llinares, A.; Richarter Reina, J. M.; Lupiani Castellanos, J.; Ramos Caballero, L. I.

    2011-07-01

    Clinical management in the Andalusian Health Service is a process of organizational design that allows professionals to incorporate the management of resources used in their own clinical practice. In the Clinical Management Units activity develops according to different objectives, among them: encourage the involvement of health professionals in managing the centers, enhance continuity of care between the two levels of care, improve work organization and raise patient satisfaction.

  8. Schistosomiasis of the central nervous system: clinical and radiologic correlation; Apresentacoes da esquistossomose no sistema nervoso central: correlacao clinica e radiologica

    Energy Technology Data Exchange (ETDEWEB)

    Faria, Andreia Vasconcelos; Cerqueira, Elza Maria Figueiras Pedreira de; Reis, Fabiano; Menezes Neto, Jose Ribeiro; Zanardi, Veronica de Araujo [Universidade Estadual de Campinas, SP (Brazil). Faculdade de Ciencias Medicas. Dept. de Radiologia]. E-mail: andrea.vf@ig.com.br; Pirani, Clodoaldo; Damasceno, Benito Pereira [Universidade Estadual de Campinas, SP (Brazil). Faculdade de Ciencias Medicas. Dept. de Neurologia

    2002-02-01

    We report four cases of patients with schistosomiasis in the central nervous system and describe and correlate the radiologic findings with clinical manifestations. In one patient, cerebral involvement presented as a pseudotumoral lesion confirmed by autopsy. Three other patients had schistosomiasis in the spinal cord characterized by an intramedullary mass and radicular and leptomeningeal enhancement after administration of gadolinium. Our findings show the importance of considering schistosomiasis in the differential diagnosis of intramedullary or cerebral lesions in patients of endemic areas of schistosomiasis. (author)

  9. [Congenital toxoplasmosis: clinical manifestation, treatment and follow-up] [Article in Italian] • Il neonato con toxoplasmosi congenita: clinica, terapia e follow-up

    Directory of Open Access Journals (Sweden)

    Lina Bollani

    2014-01-01

    Full Text Available Toxoplamosis is a parasitic zoonosis which occurs worldwide, but is prevalent in Europe, South America and Africa. When infection occurs for the first time during pregnancy, mother to child transmission of the parasite can cause congenital toxoplasmosis. Rate of congenital infection ranges from less than 0.1 to approximately 1 per 1,000 live births. The risk of transmission depends on the gestational age at the time of maternal infection. A diagnosis of congenital toxoplasmosis is usually considered in infants who present: hydrocephalus, chorioretinitis, and intracranial calcifications, but this triade is very rare. Approximately 85% of the infants with congenital toxoplasmosis are clinically normal at birth; however, sequelae of infection may become apparent only months or even years later. Chorioretinitis is the main complication of congenital toxoplasmosis, late onset retinal lesions and relapse can appear many years after birth, but the overall ocular prognosis is satisfactory when infection is identified and treated accordingly. Fortunately, serious neonatal forms and severe neurological impairment have become rare, but prompt treatment of children with convulsions, abnormal muscle tone, hydrocephalus, may improve the prognosis and result in almost normal outcome. For infants who have congenital toxoplasmosis, treatment soon after birth for 1 year with pyrimetamine, sulfadiazine and leukoverin led to remarkable resolution of serious, active disease. A long follow-up is necessary to assess the long-term outcome of children and young adults with congenital toxoplasmosis, that is favourable for the majority of cases. Epidemiological surveillance needs to be improved in order to determine the effectiveness of prevention programs.Articoli Selezionati del “3° Convegno Pediatrico del Medio Campidano” · Guspini · 25 Maggio 2013Guest Editor: Roberto Antonucci

  10. Alienacion de la Madre, Psicopatoligia y la Practica Clinica en Mexico. (Alienation of the Mother, Psychopathology, and the Practice Clinic in Mexico).

    Science.gov (United States)

    Diaz-Guerrero, Rogelio; And Others

    1979-01-01

    The study related the role of the maternal figure to the affective behavior of the Mexican. Two hundred adolescents judged the concept of "Insult to the Mother" in relation to other similarly charged affective concepts, e.g., "death", "suicide", "drunkenness", etc. Results showed that "Insult to the…

  11. MonitorNet: studio italiano osservazionale multicentrico per la valutazione del profilo rischio-beneficio dei farmaci biologici nella pratica clinica reumatologica

    Directory of Open Access Journals (Sweden)

    S. Bombardieri

    2011-06-01

    Full Text Available Over the last decade, several new biologic agents have become available for the treatment of patients with rheumatoid arthritis (RA, psoriatic arthritis (PsA, ankylosing spondylitis (AS and psoriasis (Ps. In contrast to conventional disease modifying anti-rheumatic drugs (DMARDs, these biological agents have rapid onset of action and pronounced disease reducing activity when administered as monotherapy or in combination with MTX. Pre-registration randomised clinical trials have compared biological agents against placebo over a limited time span (1-3. Wider use of biologics has resulted in reports of a wide range of adverse events (4, including evidence of reactivation of latent tuberculosis, increased incidence...

  12. Hepatic hemangio-endothelioma: radiological findings and clinical evolution of a case; Hemangioendotelioma hepatico: aspectos radiologicos e evolucao clinica de um caso

    Energy Technology Data Exchange (ETDEWEB)

    Carvalho Neto, Arnolfo de; Souza, Carolina Althoff; Yanaga, Ricardo Hideki [Parana Univ., Curitiba, PR (Brazil). Hospital de Clinicas. Servico de Radiologia; Albonei, Mara [Parana Univ., Curitiba, PR (Brazil). Hospital de Clinicas. Dept. de Pediatria]. E-mail: carolina_althoff@hotmail.com

    2003-02-01

    Vascular tumors encompass a spectrum of lesions, which may vary from benign hemangiomas to malignant angio sarcomas. Hemangio-endotheliomas can be considered intermediary between these two types of lesions. We report a case of hepatic hemangio endothelioma in a newborn female and review the most important aspects of this disease. (author)

  13. Development of software for management of radioactive waste in biological research and clinical assistance; Desenvolvimento do software para gerenciamento de rejeitos radioativos em pesquisa biologica e assistencia clinica

    Energy Technology Data Exchange (ETDEWEB)

    Maciel, Bianca; Mattos, Maria Fernanda S.S.; Medeiros, Regina B. [Universidade Federal de Sao Paulo (UNIFESP/EPM), Sao Paulo, SP (Brazil). Dept. de Diagnostico por Imagem. Nucleo de Protecao Radiologica; Franca Junior, Jose Antonio de, E-mail: fernanda@cfhr.epm.b, E-mail: rbitelli@cfhr.epm.b, E-mail: jafjunior@unifesp.b [Universidade Federal de Sao Paulo (UNIFESP/EPM), Sao Paulo, SP (Brazil). Dept. de Tecnologia da Informacao. Div. de Sistema de Informacao

    2011-10-26

    This paper describes the development of software which facilitates the automation of this process by mean of the Safety Analysis Report generating a data base allowing the statistic analysis and elaboration of radioactive wastes inventory. The software was developed in PHP language and the information is stored in a data base generated in Oracle and organized in different tables which allows to calculate the storage time of waste and to register the specificities of radioisotopes, cadastral data of the professionals which handle that radioisotope and also the characteristics of handling laboratories. That tool collaborates for a effective control on the use of radioisotopes in research laboratories and assistance areas as well

  14. Discussão genetico-clinica sobre a Síndrome de Apert: a propósito de um caso

    Directory of Open Access Journals (Sweden)

    Aguinaldo Gonçalves

    1976-09-01

    Full Text Available Após breve introdução sobre a síndrome de Apert, é relatado um caso clínico, sendo destacada a conduta genético-clínica. A discussão revela como os aspectos genéticos envolvidos orientam o raciocínio clínico.

  15. Proposta de uma definição generica do narcisismo como fundamento epistemologico para a sua investigação na teoria e na clinica psicanaliticas

    OpenAIRE

    Paulo de Tarso Ubinha

    2004-01-01

    Resumo: Este trabalho visa construir uma definição genérica ficientemente ampla do narcisismo, que abarque todas as linhas possíveis de investigação, sem privilegiar nenhuma delas, para estabelecer um terreno conceitual comum para toda pesquisa sobre este tema. Para tanto, o autor estudou quatro versões correntes do mito grego de Narciso, assinalando os aspectos relevantes do ponto de vista psicanalítico, procedeu a uma análise do texto capital de Freud, "Sobre o Narcisismo: uma Introdução", ...

  16. EFECTO DE LOS TRATAMIENTOS ODONTOLOGICOS EN LA DISFUNCION TEMPORO MANDIBULAR EN ALUMNOS DE LA CLINICA ODONTOLOGICA EN LA UNIVERSIDAD CATOLICA DE SANTA MARÍA, AREQUIPA 2008

    OpenAIRE

    DÍAZ ANDRADE, CARLOS JAVIER

    2015-01-01

    DISFUNCION TEMPORO MANDIBULAR TRATAMIENTO DE LOS TRASTORNOS DE LOS MÚSCULOS MASTICATORIOS CO-CONTRACCIÓN PROTECTORA (FIJACIÓN MUSCULAR) DOLOR MUSCULAR LOCAL (MIALGIA NO INFLAMATORIA) CARACTERÍSTICAS CLÍNICAS TRATAMIENTO DEFINITIVO DOLOR MIOFASCIAL (MIALGIA POR PUNTOS GATILLO) MIALGIA CRÓNICA DE MEDIACIÓN CENTRAL (MIOSITIS CRÓNICA) FIBROMIALGIA (FIBROSITIS) TRATAMIENTO DEL BRUXISMO NOCTURNO TRATAMIENTOS ODONTOLOGICOS TRATAMIENTO CON FÉRULAS OCLUSALES

  17. Alienacion de la Madre, Psicopatoligia y la Practica Clinica en Mexico. (Alienation of the Mother, Psychopathology, and the Practice Clinic in Mexico).

    Science.gov (United States)

    Diaz-Guerrero, Rogelio; And Others

    1979-01-01

    The study related the role of the maternal figure to the affective behavior of the Mexican. Two hundred adolescents judged the concept of "Insult to the Mother" in relation to other similarly charged affective concepts, e.g., "death", "suicide", "drunkenness", etc. Results showed that "Insult to the Mother" was viewed very negatively. (NQ)

  18. Gli antagonisti del recettore GPIIb/IIIa: farmacologia, clinica ed economia nelle sindromi coronariche acute NSTEMI e nelle rivascolarizzazioni per via percutanea

    Directory of Open Access Journals (Sweden)

    Lorenzo Pradelli

    2005-12-01

    Full Text Available Inhibition of platelet glycoprotein IIb/IIIa (GP IIb/IIIa receptor prevents platelet aggregation by controlling its final common pathway, the cross-binding of fibrinogen, bridging across adjacent platelets. Three pharmacological agents capable of inhibiting GP IIb/IIIa are available for use in Italy: abciximab, eptifibatide and tirofiban. In this paper, some relevant studies on the pharmacology of GP IIb/IIIa inhibitors are summarized, as well as the main clinical trials assessing their use in the management of unstable angina (UA and during percutaneous coronary interventions (PCI. Furthermore, the recommendations on their appropriate use in UA and PCI issued by authoritative scientific societies are presented. Finally, some of the pharmacoeconomic evidence published in the international literature is reviewed and implications in the Italian health care setting are discussed.

  19. ClinicaI Reversible Myelopathy in T-Cell Lymphoblastic Lymphoma Treated with Nelarabine and Radiotherapy: Report of a Case and Review of Literature of an Increasing Complication

    Directory of Open Access Journals (Sweden)

    Maria Chiara Tisi

    2015-02-01

    Full Text Available To date, eleven cases of irreversible neurological defects in T- ALL patients treated with nelarabine have been described in the last 4 years, seven of these after stem cell transplantation (SCT for T Lymphoblastic Lymphoma (T-LBL. Most of patients had an unfavorable outcome or irreversible damage. We report the case of a 41-year-old woman suffering from T-LBL who presented severe but reversible myelopathy after nelarabine based treatment and mediastinum radiotherapy, and we perform a review of literature.

  20. Valutazione analitica e applicazione clinica di un metodo Real Time PCR per il dosaggio della carica virale di Epstein-Barr virus

    Directory of Open Access Journals (Sweden)

    Maria Teresa Bortolin

    2004-03-01

    Full Text Available We assessed the performance of a Real Time PCR assay to be used for EBV viremia evaluation in clinical specimens. Sensitivity and intra-/interassay reproducibility were evaluated by using DNA serial dilutions from the Namalwa cell line. EBV DNA was analyzed in serum samples from 39 patients (pts with undifferentiated type nasopharyngeal carcinoma (UCNT, from 5 infectious mononucleosis (IM pts and from 18 healthy donors. Results obtained by Real Time PCR were compared with those obtained by quantitative competitive (QC-PCR assay.We thereafter measured the dynamics of EBV DNA load in 5 HIV-seropositive (HIV+ and 9 HIV-seronegative (HIV-, as controls pts with lymphoma, treated with high-dose chemotherapy (HCT followed by autologus stem-cell transplantation (ASCT. We found a sensitivity of 100% at 10 EBV copies. The Spearman correlation for both the intra- and the interassay reproducibility was statistically significant (r=0.99; p20 copies/reaction and >30% for EBV viral loads <20 copies/reaction. No EBV DNA was detected in healthy donors. Higher EBV DNA loads were found by Real Time PCR (range 1173-46328 copies/ml than by QC-PCR (range 450-5000 copies/ml (p<0.05. 54% of UCNT and 100% of IM pts were EBV DNA positive. Two HIV+(40% and 2 HIV-(22% pts with lymphoma had detectable EBV viremia during the follow-up. The Real Time PCR is a suitable technique for high-throughput screening and frequent monitoring of patients at risk for developing EBV-associated diseases.

  1. Lo studio FAST: FAringotonsillite STreptococcica in età pediatrica Impatto farmacoeconomico delle Linee Guida dell’American Academy of Pediatrics sulla pratica clinica di 600 pediatri italiani

    Directory of Open Access Journals (Sweden)

    G. L. Colombo

    2002-06-01

    Full Text Available The American Academy of Pediatrics (AAP has recently published its new guidelines for the treatment of pediatric tonsillopharyngitis; a diagnostic test for the detection of streptococci is recommended, followed by a treatment with penicillins (10 days or cephalosporins (5 days in case of positivity, and by no treatment otherwise. The success of a guideline, in general, depends on its diffusion in practice and on its adaptability to different local settings. The aim of the present study (FAST was the evaluation of the clinical and economical impact of the application of the AAP guidelines in the Italian reality. The study was conducted with the cooperation of 600 pediatricians, uniformly distributed on the Italian territory, and involved 3072 patients. The pediatricians were left free to decide whether to follow the guidelines or not. The results of the analysis indicate that only some 20% of the pediatricians adhered to the suggested protocol; the total cost (calculated in the perspective of the National Health System, with a time horizon of about 3 months per patient, nonetheless, resulted inferior in the group treated according to the proposed protocol (50,45 • vs. 53,30 •. Furthermore, a lower incidence of complications occurred in these patients. Among the “off-protocol” behaviors, two showed particularly evident misuse of health resources: inappropriate treatment after test positivity (59,15 •/patient, and treatment after test negativity (14% of the total population. Another interesting, although not surprising, result of this study was the evidence that penicillins are as effective as cephalosporins in the short-term, but significantly inferior in terms of complications, positivity for streptococci at the control test, and complications detected at follow-up.

  2. Gallbladder carcinoma in the "Hospital de Clinicas" of Uruguay: 1998-2002. A clinicopathologic study of five cases in 802 cholecystectomies.

    Science.gov (United States)

    Barcia, Juan José; Rodríguez, Ana; Siri, Leonardo; Masllorens, Ana; Szwebel, Patricia; Acosta, Gisĕle

    2004-02-01

    Five cases of primary carcinoma of the gallbladder are presented. The cases were identified after a study of 802 cholecystectomies in a period of 5 years. The patients are three women and two men between the ages of 43 and 60 years (mean, 55.8 years). In three cases the clinical diagnosis was that of carcinoma, while in two other patients the clinical diagnosis was that of acute cholecystitis. Grossly, all cases were characterized by a gray-white diffuse or focal plaque-like thickening of the gallbladder wall, with loss of the normal velvety mucosal surface and fibrosis of the organ. Histologically, four cases belong to moderately to poorly differentiated adenocarcinoma and were characterized by infiltrative, irregularly shaped and sized glands, islands, nests, and cords. The cells showed pleomorphic nuclei with clumped chromatin and frequent single nucleoli. One case was a mucinous adenocarcinoma characterized by large pools of mucoid material with neoplastic glands and cells "floating" within. Pathologic staging was pT3 in three cases; pT2 in one case; and pT2N1 in one other case. The present study highlights the importance of careful gross and histopathologic evaluation of gallbladders otherwise removed with the history of chronic or acute cholecystitis. In addition, it highlights the incidence of gallbladder carcinoma in a particular institution.

  3. Formación por competencias

    OpenAIRE

    Marín, Dioskomar

    2015-01-01

    Concepto de competencias: conjunto de caracteristicas, criterios, habilidades, cualidades, destrezas aptitudes, conocimientos, disposiciones, conductas y comportamientos, posiciones y manifestaciones.

  4. Etiopatogenia de la amenorrea hipotalámica funcional: Interacción de las respuestas hormonales del sistema nervioso central y neuropéptidos periféricos Ethiopatogeniae of functional hypothalamic amenorrhea: Interactions of central nervous system and peripherical neuropeptides responses

    OpenAIRE

    2008-01-01

    La amenorrea hipotalámica funcional (AHF) es una patología compleja provocada generalmente por el estrés psicológico, o por alteraciones psicógenas como la depresión en otras entidades como la amenorrea nerviosa y bulimia o en la excesiva actividad física (atletas competitivas, bailarinas clásicas) entre las causas más frecuentes. Habitualmente, estos factores se presentan asociados a dietas cuali y cuantitativamente inadecuadas, originando alteraciones en el balance energético (consumo /gast...

  5. Influencia de los cambios hormonales del ciclo menstrual en la percepción del dolor en las disfunciones temporomandibulares: Una revisión sistemática de la literatura médica Influence of hormone changes during the menstrual cycle on pain perception in temporomandibular disorders: A systematic review of the literature

    Directory of Open Access Journals (Sweden)

    R. La Touche

    2009-04-01

    Full Text Available Se dispone de una extensa literatura científica que confirma que las disfunciones temporomandibulares (DTM presentan una mayor incidencia en mujeres. El objetivo de esta revisión es determinar si el proceso hormonal generado mediante el ciclo menstrual influye en las DTM que presentan sintomatología dolorosa. Se realizó una búsqueda de artículos científicos en las bases datos Medline, Embase, Scielo y CINAHL, entre los años 1970 y 2008. Se incluyeron estudios con diseños de cohortes y de casos y controles, donde se valoraron diversas variables del dolor durante el ciclo menstrual de personas que presentaban DTM. Dos revisores independientes valoraron la calidad de los estudios utilizando la Newcastle-Ottawa Scale. Se seleccionaron para el análisis cualitativo 4 estudios que cumplieron los criterios de inclusión propuestos. Los resultados de los estudios analizados son contradictorios, y por este motivo esta revisión no permite establecer conclusiones afirmativas en relación con el hecho que el factor hormonal femenino influye en la percepción del dolor en las DTM. Consideramos que es necesario realizar una mayor cantidad de estudios donde se investiguen los diversos aspectos del sexo femenino que puedan estar implicados en las DTM.A large body of evidence suggests that temporomandibular joint disorders (TMJD are much more prevalent in women than in men. The purpose of this systematic review was to examine whether hormone levels during the menstrual cycle infl uence TMJD when painful symptoms are present. A data extraction search strategy was performed in the Medline, Embase, Scielo and CINAHL databases from 1970 to 2008. We included cohort and case-control studies assessing several pain variables in patients with TMJD during the menstrual cycle. The quality of the studies was assessed by two independent reviewers using the Newcastle-Ottawa Scale. Four studies that met the proposed inclusion criteria were included for the qualitative analysis. The results of the studies analyzed are contradictory and consequently do not allow us to conclude that female hormone factors strongly infl uence pain perception in TMJD. Therefore, further studies are required to investigate the various female sex-related factors that could be involved in TMJD.

  6. [Status epilepticus in paediatrics: a retrospective study and review of the literature].

    Science.gov (United States)

    Moreno-Medinilla, Esther E; Negrillo-Ruano, Rocío; Calvo-Medina, Rocío; Mora-Ramírez, M Dolores; Martínez-Antón, Jacinto L

    2015-05-01

    Introduccion. El estado epileptico (EE) es la emergencia neurologica mas frecuente en pediatria. Dada la posibilidad de secuelas neurologicas y mortalidad asociadas, requiere un tratamiento agresivo precoz. Pacientes y metodos. Estudio descriptivo retrospectivo a traves de la revision de historias clinicas de pacientes ingresados en nuestro hospital entre 2010-2013 con diagnostico de EE. El objetivo fue describir las caracteristicas epidemiologicas y el manejo de estos pacientes, asi como revisar la bibliografia disponible sobre este tema. Resultados. Hemos recogido 39 pacientes (25 varones) y 51 episodios de EE. Edad media: 4,8 años. Tenian enfermedad de base 22 pacientes. Dieciocho eran epilepticos conocidos y cinco tuvieron un EE previo. De los 51 episodios de EE, 33 fueron sintomaticos, 15 febriles y tres criptogenicos. Los tipos de EE fueron: 25 parciales (de ellos, 16 complejos) y 26 generalizados. El tratamiento de primera eleccion fue benzodiacepinas en 47 pacientes (40, diacepam), fenitoina en tres y acido valproico en uno. Veintisiete pacientes precisaron farmacos de segunda linea: 16, acido valproico; ocho, fenitoina; dos, fenobarbital; y uno, levetiracetam. Diez pacientes precisaron farmacos de tercera linea para la induccion del coma: el midazolam fue el mas utilizado en nuestro centro, seguido del tiopental y el propofol. Dos EE superrefractarios requirieron inmunoglobulinas y corticoides sistemicos por presentarse en el curso de encefalitis autoinmunes. Conclusiones. Debe plantearse el esquema terapeutico del EE desde el inicio de cualquier crisis convulsiva. El tratamiento es escalonado, con benzodiacepinas en la primera etapa, antiepilepticos de amplio espectro y disponibilidad intravenosa en la segunda (acido valproico, levetiracetam en el EE generalizado y fenitoina en el EE focal), mientras que el tercer nivel varia en funcion de la experiencia de cada equipo.

  7. [Prevalence, type of epilepsy and use of antiepileptic drugs in primary care].

    Science.gov (United States)

    Fernández-Suárez, Elena; Villa-Estébanez, Rubén; Garcia-Martinez, Alberto; Fidalgo-González, José A; Zanabili Al-Sibbai, Ahmad A; Salas-Puig, Javier

    2015-06-16

    Introduccion. La epilepsia es una enfermedad con gran repercusion social y economica. La prevalencia deberia ser usada como la base mas importante para planificar la prevencion secundaria y terciaria. Objetivos. Identificar los pacientes con diagnostico de epilepsia en un centro de atencion primaria y determinar la prevalencia, las caracteristicas demograficas, el tipo de sindrome epileptico y el uso de los farmacos antiepilepticos. Pacientes y metodos. Estudio descriptivo transversal retrospectivo. Incluyo 196 pacientes con diagnostico de epilepsia pertenecientes a un centro de salud y revision de la historia clinica hospitalaria, con el estudio de las variables sociodemograficas y clinicofarmacologicas. Resultados. Prevalencia de epilepsia: 8,4/1.000 habitantes. Edad media: 50,3 años. Sexo: 52,6%, hombres. Ambito: 79,6%, urbano. Antecedentes familiares de epilepsia: 14,8%. Tipo de epilepsia: focal sintomatica por ictus (14,3%), generalizada idiopatica (13,8%), focal criptogenica (8,7%), no clasificada (31,1%). Edad media al inicio de la crisis: 31,6 años. Comorbilidad neurologica o psiquiatrica: 62,8%. Ultima revision: el 18,9% sin tratamiento antiepileptico, el 56,6% en monoterapia y el 24,5% en politerapia. Libres de crisis: 76,5%. Farmacos mas prescritos: acido valproico, carbamacepina, fenitoina, lamotrigina y levetiracetam. Un 78,6% sin efectos secundarios. Fallecimiento: 4,1%. Conclusiones. La prevalencia de pacientes con epilepsia fue de 8,4/1.000 habitantes y predomina la focal sintomatica por ictus. Casi un tercio de los pacientes referia algun factor desencadenante de crisis, principalmente consumo de alcohol o fiebre. Predomina la monoterapia, los efectos secundarios son escasos y, en la ultima revision, la mayoria se hallaba libre de crisis.

  8. [Neurological complications of tick-borne relapsing fever].

    Science.gov (United States)

    Castilla-Guerra, L; Fernandez-Moreno, M C; Vergara-Lopez, S; Merino-Rumin, M; Colmenero-Camacho, M A

    2016-09-16

    Introduccion. La fiebre recurrente transmitida por garrapatas (FRTG) puede producir complicaciones neurologicas. No existen apenas estudios en España sobre el tema. Objetivo. Estudiar la prevalencia y las caracteristicas clinicas de las complicaciones neurologicas de los pacientes con FRTG. Pacientes y metodos. Estudio retrospectivo de los pacientes atendidos con FRTG durante 12 años (2004-2015) en un hospital de una zona rural del sur de España. Resultados. Se incluyeron 75 pacientes, 42 varones (56%), con una edad media de 33 años (rango: 14-72 años). Se observaron picaduras de garrapatas en nueve pacientes (12%). Los sintomas mas frecuentes fueron: fiebre en 64 pacientes (85,3%), cefalea en 41 (54,6%) y vomitos en 26 (34,6%). Se sospecho afectacion meningea en nueve pacientes (12%), de los que tres (4%) tenian signos meningeos en el momento del ingreso. A todos ellos se les realizo una puncion lumbar. Ninguno presento paralisis facial ni otra manifestacion neurologica. Se encontraron alteraciones del liquido cefalorraquideo en los tres pacientes con meningismo. En uno de los casos se visualizo Borrelia en el liquido cefalorraquideo. En los pacientes con afectacion neurologica, el tratamiento utilizado fue penicilina G en un caso y ceftriaxona en dos. Todos los pacientes se recuperaron completamente. Conclusiones. La FRTG es una de las formas menos graves de borreliosis, y menos del 5% de los pacientes presenta complicaciones neurologicas. Sin embargo, los medicos deben saber que Borrelia puede causar meningitis en los sujetos expuestos a garrapatas en regiones endemicas de FRTG.

  9. [Protocol for neurophysiological studies of the pelvic floor to appraise anorectal dysfunction in patients with multiple sclerosis].

    Science.gov (United States)

    Álvarez-Guerrico, Ion; Royo, Inmaculada; Andreu, Montserrat; Roquer-González, Jaume; Munteis, Elvira

    2016-03-01

    Introduccion. Los pacientes con esclerosis multiple (EM) frecuentemente desarrollan disfuncion anorrectal. Las estructuras neuromusculares del suelo pelvico y los mecanismos de control voluntario de la defecacion pueden afectarse por las lesiones parcheadas de la EM o secundarias a la discapacidad del paciente. La implicacion multifactorial limita la comprension de la fisiopatologia de la disfuncion anorrectal en la EM. Tests neurofisiologicos especificos valoran la funcionalidad de los elementos del sistema nervioso central y periferico implicados en las disfunciones anorrectales. Objetivo. Proponer un protocolo diagnostico de estudios neurofisiologicos estandarizados del suelo pelvico para caracterizar la fisiopatologia de la disfuncion anorrectal en los pacientes con EM. Pacientes y metodos. Se realizaron estudios de electromiografia de esfinter anal externo, potenciales evocados somatosensoriales desde el nervio pudendo interno, registro de reflejos sacros anales y neurografia del nervio pudendo a 16 pacientes con EM definida y criterios de estreñimiento o incontinencia fecal. Resultados. Las caracteristicas clinicas y neurofisiologicas fueron heterogeneas. Nueve pacientes presentaron estreñimiento; dos, incontinencia fecal aislada; y cinco, combinacion de ambos. La abolicion o el retraso de la latencia de los potenciales evocados somatosensoriales fue el hallazgo mas frecuente (n = 12), seguido de la deteccion de contraccion paradojica (n = 11) y de reclutamiento deficitario (n = 8) en la electromiografia de esfinter anal externo. Conclusiones. La correcta interpretacion de cada test neurofisiologico disponible y la correlacion de los hallazgos en conjunto permiten comprender la fisiopatologia de la disfuncion anorrectal. La protocolizacion de estudios neurofisiologicos del suelo pelvico permite ajustar el diagnostico al identificar la lesion nerviosa, central o periferica, determinante de disfuncion anorrectal en los pacientes con EM.

  10. [Postmastectomy pain syndrome in our region: characteristics, treatment, and experience with gabapentin].

    Science.gov (United States)

    de Miguel-Jimeno, Juan M; Forner-Cordero, Isabel; Zabalza-Azparren, Marta; Matute-Tobias, Belinda

    2016-03-16

    Introduccion. El sindrome de dolor posmastectomia puede afectar a mas de la mitad de pacientes intervenidas por cancer de mama. Objetivos. Revisar las caracteristicas clinicas de este sindrome y su evolucion, y evaluar la respuesta al tratamiento farmacologico. Pacientes y metodos. Estudio retrospectivo de 65 pacientes con un seguimiento superior a cinco años. Resultados. El 88% de las pacientes estaba sin diagnosticar. Su edad media era de 56,49 años y permanecieron con dolor un promedio de 29,15 meses. En el 71%, las alteraciones neurologicas correspondieron al segundo nervio intercostobraquial. La media en la puntuacion de dolor antes del tratamiento fue de 66,5 puntos en la escala analogica visual y de 13,14 en el indice de Lattinen. El tratamiento con gabapentina (dosis media: 1.135 mg/dia; duracion media: 14 semanas) disminuyo el dolor en el 80% de las pacientes (p < 0,0001). La mejoria se mantuvo a largo plazo. Un 10% continuo en tratamiento y el 10% debio suspenderlo por efectos secundarios. El numero necesario de pacientes que hubo que tratar fue de 2,13. Recidivo el 35% y preciso cambiar de farmaco el 15,68% de las tratadas con gabapentina, frente al 50% de las tratadas con otros farmacos (p = 0,046). No se encontraron diferencias en la eficacia entre ambos grupos. Conclusiones. El dolor posmastectomia es una patologia infradiagnosticada. El tratamiento (en especial con gabapentina) puede ser eficaz y bien tolerado hasta en el 90% de las pacientes de forma significativa.

  11. [High performance of an implantable Holter monitor in the detection of concealed paroxysmal atrial fibrillation in patients with cryptogenic stroke and a suspected embolic mechanism].

    Science.gov (United States)

    Rojo-Martinez, Esther; Sandín-Fuentes, María; Calleja-Sanz, Ana I; Cortijo-García, Elisa; García-Bermejo, Pablo; Ruiz-Piñero, Marina; Rubio-Sanz, Jerónimo; Arenillas-Lara, Juan F

    2013-09-16

    Introduccion. El holter implantable permite detectar fibrilacion auricular paroxistica (FAP) oculta en pacientes con ictus criptogenico, pero se desconoce que algoritmo de seleccion tiene un mayor rendimiento y la duracion optima de monitorizacion. Objetivo. Conocer la frecuencia y el tiempo hasta detectar la FAP mediante un holter implantable Reveal XT ® en pacientes con ictus criptogenico seleccionados por sospecha elevada de embolismo cerebral. Pacientes y metodos. Criterios de seleccion: ausencia de etiologia del ictus tras el estudio completo incluyendo un ecocardiograma transesofagico, monitorizacion ECG y holter de 24 horas, asi como confirmacion de oclusion aguda embolica de la arteria intracraneal por duplex transcraneal o bien alta sospecha de embolismo por caracteristicas de neuroimagen. Tras implantar el holter Reveal XT se formo a los pacientes para que emprendieran transmisiones todos los meses o ante sintomas. Se reviso la informacion online mensualmente y se realizaron visitas clinicas en las unidades de Neurologia y Cardiologia. Resultados. Se incluyeron 101 pacientes con ictus criptogenico y al menos un mes de seguimiento: edad media de 67 años, 54 mujeres (53,5%). Tiempo medio de seguimiento: 281 ± 212 dias. Se detecto FAP oculta en 34 pacientes (33,7%) y falsos positivos en 23 (22,8%). Mediana desde el implante hasta la deteccion de la arritmia: 102 dias (rango: 26-240 dias). En un 70% de los pacientes se registraron multiples episodios de FAP. El 75% de los eventos se detectaron durante los primeros seis meses de monitorizacion. Conclusiones. El algoritmo de seleccion de pacientes con ictus criptogenico segun sospecha de embolismo cerebral se asocio a una elevada frecuencia (33,7%) de FAP oculta con holter implantable. Uno de cada cuatro eventos sucedio tras los primeros seis meses de monitorizacion.

  12. [Stroke in children. Experience in an emergency service].

    Science.gov (United States)

    Huici-Sánchez, Malka; Escuredo-Argullós, Laura; Trenchs-Sáinz de la Maza, Victoria; Luaces-Cubells, Carles

    2014-08-01

    Objetivos. Describir las caracteristicas de la enfermedad cerebrovascular (ECV) en pacientes atendidos en un servicio de urgencias pediatrico y detectar diferencias clinicas segun sea isquemica o hemorragica. Pacientes y metodos. Estudio retrospectivo, analitico observacional, realizado en el servicio de urgencias pediatrico de un hospital de tercer nivel. Se incluyen pacientes entre 1 mes y 18 años de edad atendidos en el servicio durante 10 años (enero de 2001 a diciembre de 2011) con diagnostico final de ECV. Se excluyen las hemorragias por traumatismos o secundarias a tumores, las trombosis de senos venosos y los pacientes no atendidos en el servicio. Resultados. Se incluyen 61 pacientes, 39 (63,9%) de sexo masculino, con una mediana de edad de 4,6 años (rango: 1,3 meses-17,5 años). De ellos, 26 (42,6%) presentan ECV isquemica y 35 (57,4%) ECV hemorragica. La cefalea (n = 20; 57,1%; p = 0,008) y los vomitos (n = 25; 71,4%; p = 0,001) son mas frecuentes en la ECV hemorragica, y la hemiparesia (n = 17; 65,4%; p < 0,001) y la paralisis facial (n = 7; 26,9%; p = 0,001), en la ECV isquemica. Las principales causas de la ECV hemorragica son las malformaciones arteriovenosas (n = 17; 38,6%), y las de la ECV isquemica, las arteriopatias (n = 6; 42,3%). Al alta, 27 (44,3%) presentaban diferentes grados de discapacidad y 6 (9,8%) fallecieron. Conclusiones. La ECV es una entidad poco frecuente, aunque presenta una elevada morbimortalidad. Se observa un ligero predominio de la ECV hemorragica y se comprueba que la ECV hemorragica se presenta mas con signos de hipertension intracraneal, y la isquemica, con focalidad neurologica.

  13. [Hemicrania continua and paroxysmal hemicrania: clinical and therapeutic characteristics in a series of 23 patients].

    Science.gov (United States)

    Benítez-Rivero, Sonia; González-Oria, Carmen; Gómez-Caravaca, Teresa; Bernal Sánchez-Arjona, María; Jiménez-Hernández, M Dolores

    2014-10-16

    Introduccion. Las hemicraneas son cefaleas raras caracterizadas por dolor estrictamente unilateral, bien como una cefalea continua, aunque fluctuante, en la hemicranea continua (HC), o en forma de ataques recurrentes en la hemicranea paroxistica (HP). En ambos tipos de cefalea se describe una respuesta absoluta a la indometacina. Objetivo. Analizar el cumplimiento de los criterios diagnosticos actuales para HC y HP, y la reciente introduccion de la HC en el grupo de las cefaleas trigeminoautonomicas. Pacientes y metodos. Evaluamos retrospectivamente las caracteristicas clinicas y terapeuticas de pacientes diagnosticados de HC o HP. Incluimos informacion demografica, sintomatologia, escala analogica de dolor y respuesta a la indometacina. Resultados. Evaluamos una muestra de 12 pacientes con HC (cuatro hombres y ocho mujeres) de un total de 520 casos (2,3%). Edad media de inicio: 47,1 ± 16,4 años. Intensidad de dolor basal: 3,3 ± 1,9. Exacerbaciones: 9,2 ± 1,1. Ocho casos (66,7%) presentaban sintomas autonomicos, cuatro (33,3%) tenian patron horario y dos (16,7%) no respondieron a la indometacina. Evaluamos una muestra de 11 pacientes con HP (100% mujeres) de 520 casos (2,1%). Edad media de inicio: 37,0 ± 13,9 años. Intensidad de dolor: 8,7 ± 2,7. Nueve casos (81,8%) presentaban sintomas autonomicos, tres (27,3%) tenian patron horario y uno (9,1%) no respondio a la indometacina. Conclusiones. Las hemicraneas son diagnosticos infrecuentes en consultas de cefalea. Su diagnostico requiere el cumplimiento de unos criterios que a veces no se cumplen en su totalidad. Pensamos que se precisa una revision de los criterios y apoyamos que la HC se haya introducido recientemente en el grupo de las cefaleas trigeminoautonomicas.

  14. [Quality of life in children and adolescents with autism spectrum disorder without intellectual disability].

    Science.gov (United States)

    Cuesta-Gomez, J L; Vidriales-Fernandez, R; Carvajal-Molina, F

    2016-01-01

    Introduccion. El concepto de calidad de vida tiene gran importancia en la intervencion dirigida a las personas con discapacidad. Resulta indiscutible que el alcance de una calidad de vida satisfactoria debe ser el objetivo de las intervenciones clinicas dirigidas al colectivo de personas con trastorno del espectro autista (TEA), y un elemento clave para diseñar los tratamientos necesarios que mejoren el pronostico de desarrollo futuro. A pesar de ello, el conocimiento sobre las condiciones objetivas y subjetivas que predicen una mayor satisfaccion en las personas con TEA es aun muy limitado. Objetivo. Explorar la percepcion de la calidad de vida que experimenta un grupo de niños y adolescentes con TEA sin discapacidad intelectual asociada. Pacientes y metodos. Muestra de 12 niños y 11 adolescentes con TEA sin discapacidad intelectual asociada. Dependiendo de la edad, se les aplico el cuestionario de calidad de vida especifico. Resultados. Ambos grupos informan positivamente sobre su calidad, sin que existan diferencias en las dimensiones basicas. No obstante, en el caso de los adolescentes se obtienen puntuaciones mas bajas en el area de autodeterminacion en comparacion con las demas. Conclusiones. La discusion se centra en la identificacion de las dimensiones mas relevantes para la calidad de vida, las implicaciones para la intervencion y la necesidad de adecuar las metodologias empleadas para la evaluacion subjetiva de estos factores, debido a que las caracteristicas de los TEA pueden alterar las habilidades necesarias para la valoracion de la experiencia personal y requerir la adaptacion de los procedimientos empleados.

  15. [Accidental finding of a cri du chat syndrome in an adult patient by means of array-CGH].

    Science.gov (United States)

    Ferreirós-Martínez, Raquel; López-Manzanares, Lydia; Alonso-Cerezo, Concepción

    2014-07-16

    Introduccion. El sindrome cri du chat (SCDC) tiene su origen en una delecion parcial o total del brazo corto del cromosoma 5, y es uno de los sindromes de delecion cromosomica mas frecuentes en humanos. La mayoria de los pacientes se diagnostica entre el primer mes y el primer año de vida, si bien aqui se describe el hallazgo de un SCDC en una mujer con sospecha de ataxia espinocerebelar y antecedentes familiares de trastorno bipolar y ataxia, con especial atencion a las caracteristicas clinicas y las tecnicas diagnosticas que permitieron su identificacion. Caso clinico. Mujer de 46 años que presentaba una inteligencia limite, intervenida a los 43 años de faquectomia bilateral. El inicio de la sintomatologia fue durante la infancia, e incluia hipoacusia, ataxia, disartria, disfagia, depresion, deterioro cognitivo y trastorno bipolar. La exploracion fisica revelo microcefalia, micrognatia, pies equinos y ataxia. Se realizo cariotipo y array-CGH en sangre periferica. La paciente presentaba una traslocacion que involucraba los cromosomas 5 y 15, y una inversion del cromosoma 9: 45,XX,inv9(p11q13);t(5,15)(p15.33;q11.2). El array-CGH mostro una delecion de 2,91 Mb en 5p15.33, formula genomica arr 5p15.33 (151537-3057771)x1, que involucraba 20 genes, incluyendo el gen TERT. Conclusiones. La delecion de multiples genes confirmo el diagnostico de SCDC y es la responsable del fenotipo de la paciente. Se pone de manifiesto la importancia de utilizar tecnicas adecuadas de diagnostico (array-CGH, cariotipo en sangre periferica) y la correcta eleccion de estas.

  16. [Study of the diagnostic agreement on headaches between neurology and primary care].

    Science.gov (United States)

    Santos-Lasaosa, S; Vinueza-Buitron, P R; Velazquez-Benito, A; Iniguez-Martinez, C; Larrode-Pellicer, P; Lopez Del Val, L J; Mauri-Llerda, J A; Sanchez-Valiente, S; Millan-Morales, J L

    2016-06-16

    Introduccion. La cefalea como sintoma es una patologia frecuente y uno de los principales motivos de consulta por parte de atencion primaria. Objetivo. Analizar las caracteristicas de los pacientes derivados desde atencion primaria a la consulta de neurologia general con cefalea o neuralgia como motivo de consulta, y la concordancia diagnostica. Pacientes y metodos. Estudio descriptivo transversal de todos los pacientes remitidos desde atencion primaria; se recogieron variables demograficas/clinicas y se compararon las hipotesis diagnosticas de atencion primaria y neurologia, determinando su concordancia. Resultados. Se remitieron desde atencion primaria 2.514 pacientes (588 de ellos con caracter preferente); en 378 casos el motivo de la consulta fue cefalea o neuralgia (42,46 años de media; el 77,8%, mujeres). En 139 pacientes se establecio tan solo un diagnostico semiologico y en el resto predominaron la migraña episodica (49,79%), la cefalea tensional cronica (18,41%) y la neuralgia del trigemino (12,13%). Desde neurologia, los diagnosticos mas frecuentes fueron, respectivamente, 33,86%, 24,05% y 18,67%. Se obtuvo un coeficiente kappa de 0,543 (p < 0,05), compatible con una concordancia moderada al considerar solo los pacientes remitidos desde atencion primaria con un diagnostico concreto. Conclusiones. Las cefaleas constituyen un motivo de consulta desde atencion primaria muy frecuente (15%). La concordancia diagnostica es moderada en nuestro sector sanitario, por lo que es necesario diseñar programas de formacion que ayuden a perfilar los criterios de derivacion al especialista y mejorar la atencion a nuestros pacientes.

  17. [Care for patients with altered states of consciousness in a hospital for chronic and long-stay patients].

    Science.gov (United States)

    Más-Sesé, Gemma; Sanchis-Pellicer, M José; Tormo-Micó, Esther; Vicente-Más, Josep; Vallalta-Morales, Manuel; Rueda-Gordillo, Diego; Conejo-Alba, Antonia; Berbegal-Serra, Juan; Martínez-Avilés, Pedro; Oltra-Masanet, Joan A; Femenia-Pérez, Miquel

    2015-03-16

    Introduccion. Un 30-40% de los pacientes con daño cerebral presenta alteraciones del nivel de conciencia, y algunos casos, estados alterados de conciencia: sindrome de vigilia sin respuesta (SVSR) o estado de minima conciencia (EMC). La recuperacion es variable y la supervivencia esta amenazada por multiples complicaciones. Objetivos. Presentar la metodologia de trabajo del Hospital La Pedrera (HLP) para pacientes en SVSR o EMC y analizar las caracteristicas clinicas de los pacientes atendidos, la evolucion, y la situacion funcional y cognitiva en el momento del alta. Pacientes y metodos. Estudio descriptivo prospectivo de pacientes atendidos en el HLP durante el periodo 2009-2013, con diagnostico de SVSR o EMC. Resultados. El HLP trabaja mediante el metodo gestion de caso, ofreciendo una atencion integral por un equipo multidisciplinar. Los pacientes se clasifican segun objetivos asistenciales. Los pacientes con SVSR o EMC se incluyen en el programa de cuidados integrales y adaptacion. Se atendio a 23 pacientes (86,9% varones), con una edad media de 54,9 años. Etiologia: hemorragia cerebral, 30,4%; encefalopatia anoxica, 26,6%; encefalopatia metabolica, 17,3%; y otras causas, 17,3%. El 73,9% ingreso en SVSR y el resto en EMC. Evolucion: el 43,4% mejoro su situacion cognitiva inicial y el 88,8% presentaba una situacion de dependencia total en el momento del alta. Las complicaciones mas frecuentes fueron infecciones respiratorias y urinarias (53,6%). El 65,2% de los casos fueron exitus. Conclusiones. La asistencia en SVSR o EMC es compleja y precisa cuidados multidisciplinares. Casi la mitad de los pacientes mejoro su situacion cognitiva, lo que justifica una actitud proactiva que intente mejorar la calidad de vida de los pacientes y sus familias.

  18. [Prognostic factors of functional recovery from a stroke at one year].

    Science.gov (United States)

    Moreno-Palacios, J A; Moreno-Martinez, I; Bartolome-Nogues, A; Lopez-Blanco, E; Juarez-Fernandez, R; Garcia-Delgado, I

    2017-01-16

    Introduccion. La recuperacion de la marcha y de la independencia es fundamental para cualquier paciente que sufre un ictus, y existen numerosos factores que pueden influir en ella. Objetivo. Conocer que variables son mas importantes para conseguir una buena recuperacion funcional al año del ictus. Pacientes y metodos. Estudio prospectivo, longitudinal, observacional, realizado en 231 pacientes diagnosticados de ictus en el año 2013. Se analizaron datos sociodemograficos, caracteristicas clinicas, situacion neurologica en el momento del ingreso –National Institute of Health Stroke Scale (NIHSS)–, situacion funcional (escala de Rankin e indice de Barthel) y capacidad de marcha, tanto en el momento del ingreso como en el momento del alta de rehabilitacion y al año. Resultados. La edad media fue de 74,26 ± 13,1 años, y un 55,4% eran hombres. La estancia media hospitalaria fue de 16,24 dias. El 68,9% realizo rehabilitacion, 95,5 sesiones como media. El 51,7% recupero al año una buena capacidad funcional (Rankin 85), y el 63,5%, la marcha independiente. Los factores que influyeron de forma mas significativa en la recuperacion funcional y de la marcha al año fueron: la menor edad, la NIHSS ausencia de fibrilacion auricular y la mejor situacion funcional previa. Conclusion. La mayoria de los pacientes al año de haber sufrido un ictus recupera la capacidad de marcha independiente y, en menor medida, la independencia en las actividades de la vida diaria.

  19. [Visual epileptic seizures. Signs and symptoms, and clinical implications].

    Science.gov (United States)

    González-Cuevas, Montserrat; Toledo, Manuel; Santamarina, Estevo; Sueiras-Gil, María; Cambrodí-Masip, Roser; Sarria, Silvana; Quintana, Manuel; Salas-Puig, Javier

    2015-03-16

    Introduccion. Los fenomenos visuales pueden ser sintomas de crisis epilepticas, aunque con un significado clinico y una relacion con el foco epileptogeno incierto. Objetivo. Describir las implicaciones clinicas de las crisis epilepticas visuales segun su semiologia en adultos. Pacientes y metodos. Durante un año se recoge consecutivamente a pacientes que describian semiologia visual como manifestacion principal de sus crisis y se clasifican los sintomas visuales segun las caracteristicas de la descripcion. Resultados. Se incluye a 78 pacientes con una edad media de 43,5 años. El 97% de los casos eran epilepsias focales. Entre el 63% de las epilepsias sintomaticas, el 57% eran vasculares. Las crisis visuales eran, en un 81,9%, el aura previa a la crisis, y en un 17,9%, crisis visuales aisladas. La coexistencia de crisis visuales y otro tipo de crisis se asocio a farmacorresistencia (p = 0,021). Los sintomas visuales fueron: alucinaciones simples (55,1%), ilusiones (23,1%), alucinaciones complejas (15,4%) y perdida de vision (6,4%). La localizacion lobar de las lesiones era occipital (24,4%), temporoparietooccipital (21,8%), temporal (9%), parietal (3,8%) y frontal (1,3%). Las lesiones occipitales se asociaron con alucinaciones visuales simples (p < 0,001), y las ilusiones visuales y alucinaciones visuales complejas, con lesiones de la encrucijada temporoparietooccipital (p < 0,05). Del 55,1% de los pacientes con lesion unilateral en la resonancia magnetica, el 33% referia los sintomas en el hemicampo visual contralateral. Conclusiones. Las crisis visuales se presentan, principalmente, como auras epilepticas. Las alucinaciones simples se relacionan con el origen occipital, mientras que las alucinaciones complejas se asocian con regiones cerebrales mas anteriores. La aparicion de fenomenos visuales lateralizados nos orienta a un origen en el hemisferio contralateral.

  20. [Complex febrile crises: should we change the way we act?].

    Science.gov (United States)

    Martinez-Cayuelas, E; Herraiz-Martinez, M; Villacieros-Hernandez, L; Cean-Cabrera, L; Martinez-Salcedo, E; Alarcon-Martinez, H; Domingo-Jimenez, R; Perez-Fernandez, V

    2014-11-16

    Introduccion. Las convulsiones febriles son una de las causas mas frecuentes de consulta. Hasta ahora, los pacientes con convulsiones febriles complejas (CFC) deben ingresar, dado el mayor porcentaje de epilepsia y complicaciones agudas descrito clasicamente. En la actualidad hay estudios que apoyan ser menos invasivos en el abordaje de estos pacientes. Objetivo. Describir las caracteristicas de los pacientes ingresados por CFC y proponer un nuevo protocolo de actuacion. Pacientes y metodos. Analisis retrospectivo de historias clinicas de ingresados por CFC (enero de 2010-diciembre de 2013). Se ofrecen datos epidemiologicos, clinicos, pruebas complementarias y evolucion. Resultados. Las CFC suponian un 4,2% de los ingresos de neuropediatria (n = 67). Edad media al evento: 25 meses. El 47% tenia antecedentes familiares patologicos, y el 31%, antecedentes personales de convulsion febril previa. En el 54% de los pacientes, la CFC duro menos de cinco minutos; hubo recurrencia, la mayoria con un total de dos crisis y durante el primer dia (las CFC por recurrencia son las mas frecuentes). De las pruebas complementarias realizadas, ninguna de ellas sirvio como apoyo diagnostico en el momento agudo. Durante su seguimiento, cinco pacientes presentaron complicaciones. Los pacientes con antecedentes familiares de convulsiones febriles presentan mayor riesgo de epilepsia o recurrencia (p = 0,02), sin diferencias significativas respecto a la edad, numero de crisis, intervalo de fiebre, estado epileptico o tipo de CFC. Conclusiones. Las CFC no asocian mayores complicaciones agudas; las exploraciones complementarias no permiten discriminar precozmente a los pacientes de riesgo. Su ingreso podria evitarse en ausencia de otros signos clinicos y limitarse a casos seleccionados.

  1. Disease: H01244 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available H01244 T+B+Severe combined immunodeficiencies (SCIDs) Recently, several groups reported a novel clinica...nsion of TCR-gamma/delta T cells combined with TCR-alpha/beta T cell lymphopenia. The clinica

  2. Early Treatment of Shock and Injury

    Science.gov (United States)

    2013-10-01

    Resuscitation from Shock. FELANPE, Federation Latinoamericana de Terapia Nutricional, Nutrition Clinica, y Metabolisma. October 5, 2011. (Asuncion...Resuscitation from Shock. FELANPE, Federation Latinoamericana de Terapia Nutricional, Nutrition Clinica, y Metabolisma. October 5, 2011

  3. Caracteristicas epidemiologicas de 105 casos de criptococosis diagnosticados en la república Argentina entre 1981-1990 Epidemiological characteristics of 105 cases of cryptococcosis diagnosed in Argentina, between 1981-1990

    Directory of Open Access Journals (Sweden)

    A.J. Bava

    1992-08-01

    Full Text Available Se presentan 105 casos de criptococosis diagnosticados en la República Argentina, entre 1981 y 1990. El número anual de casos fue hasta 1987, de 4 a 8, aumentó desde 1988 por influencia del SIDA y llegó a 35 casos en 1990. La criptococosis no asociada al SIDA se mantuvo entre 3 y 7 casos anuales. Globalmente, el grupo etario más afectado fue el de 20-39 años y la distribución por edad fue diferente en las poblaciones con y sin SIDA. La mediana de la edad de las poblaciones total, asociada al SIDA y a otras causas predisponentes fue de 30, 30 y 45 años, respectivamente. El predominio del sexo masculino fue mucho más evidente entre los pacientes HIV+ que en los que no padecían esta última infección. La causa predisponente fue el SIDA en 57 pacientes, otra en 20 y era desconocida en 28 casos. Estimando indirectamente, el porcentaje de pacientes con SIDA que padecieron criptococosis en este período fue 6,19% (57 casos en 920 HIV+. Cryptococcus neoformans variedad neoformans fue aislado de 101 pacientes y la variedad gattii (serotipo B de los 4 restantes. Los datos obtenidos son similares a los observados en Europa y Estados Unidos.Some epidemiological characteristics of 105 cases of cryptococcosis diagnosed in Argentina, between 1981-1990, were studied. Until 1987, the annual number of cases was 4-8. It has increased since 1988 by AIDS influence and reached 35 cases in 1990. The annual number of cases non associated with AIDS has remmained in 3-7 cases. The age median of the all patients, AIDS and non AIDS associated cases was 30, 30 and 45 years old, respectively. The 20-39 years old group was the most affected and the age distribution was different in AIDS and non AIDS population. Masculine predominance was more evident in AIDS than in non AIDS associated cases. The predisposing factor was AIDS in 57 patients, another different factor in 20 and unknown in 28 cases. The indirect estimation of the percentage of AIDS cases with cryptococcosis was >6,19% (57 cases in 920 HIV+ during 1981-1990 this period. Cryptococcus neoformans variety neoformans was isolated from 101 cases and the gattii variety (serotype B from only 4. The obtained data are similar to those observed in Europe and United States.

  4. Characteristics of the potential crop of raw materials for biodiesel and its adoption by family farms; Caracteristicas das potenciais culturas materias-primas do biodiesel e sua adocao pela agricultura familiar

    Energy Technology Data Exchange (ETDEWEB)

    Sluszz, Thaisy [Universidade Federal do Rio Grande do Sul (CEPAN/UFRGS), Porto Alegre, RS (Brazil). Centro de Estudos e Pesquisas em Agronegocios. Programa de Pos-Graduacao em Agronegocios], Email: thaisy@terra.com.br; Machado, Joao Armando Dessimon [Universidade Federal do Rio Grande do Sul (PGDR/CEPAN/UFRGS), Porto Alegre, RS (Brazil). Centro de Estudos e Pesquisas em Agronegocios], Email: joao.dessimon@ufrgs.br

    2006-07-01

    Beyond the economic advantages and the ambient benefits, the production of bio diesel in wide scale will be important instrument of generation of income in the agricultural way, with significant impact on familiar agriculture. One of the biggest motivations for the production of this alternative fuel was given by the federal government by means of the 'Social Combustible Stamp', that it foresees that producing industries buy deriving raw materials of bio diesel of familiar agriculture. Several are the viable cultures for the small property, thus being, in this article become an analysis of the potentialities of each culture raw material of biodiesel, to be produced for familiar agriculture in small properties, in the different Brazilian regions. The exploration research was used that it aimed at to provide to more familiarity with the question biodiesel x familiar agriculture and involved bibliographical survey and interviews the specialists. Several are the alternatives of cultivates with positive agronomic potential that can promote the inclusion of familiar agriculture in the chain productive of biodiesel, taking in consideration the characteristics of each Brazilian region, being the oil plants of bigger prominence: dende, coconut, babacu, sunflower, canola, castor, tame nut and sesame. (author)

  5. Effect of Nutrient Supply on Chemical and Energetic Characteristics of Fiber Sorghum Biomass; Influencia del Aporte de Nutrientes en las Caracteristicas Quimico-Energeticas de la Biomasa de Sorgo Forrajero

    Energy Technology Data Exchange (ETDEWEB)

    Ciria, P.; Gonzalez, E.; Negro, M. J.; Solano, M. L. [CIEMAT. Madrid (Spain)

    1998-12-31

    The main objective of the present work, is to study the effect of the addition of different nutrients and irrigation doses on the chemical and energetical characteristics of the Sorghum bicolor (L). Moench ssp. bicolor biomass. The effect of compost addition is compared with the mineral fertilization in two different irrigation doses. The experimental parcel, is located at CIEMAT-CEDER (Soria) , at 1000 m above sea level, with a extremely weather and a loam sandy soil texture. The results obtained in the tested conditions show: a) the average biomass productivity was 9.8 t d. m./ha, and no significant differences between treatments were observed. b) Mean values of the proximate analysis were 72.6 volatile matter, 6.2% ashes and 21.2% fixed carbon. The volatile matter increases (1.1%) and the ashes decreases (1.4%) for the highest irrigation dose both in plots with no addition and in plots amended with compost. c) The N, S and Cl contents decreases for the highest irrigation dose in the same cases above mentioned. Mean values of the elemental analysis were: 45.0% C, 6.3% H, 1.4%% N, 0.15% S and 0.49%Cl. d) The average High Heating Value was 18071 kJ/kg d. m. and no significant differences between treatments were observed e) For the highest irrigation doses, a reduction in the K{sub 2} O, P{sub 2} O{sub 5}, Mg and Si content, and a increase in the Al, Fe and Ti in ashes were detected. (Author) 13 refs.

  6. Microstructural characteristics of the hydroxyapatite and its influence in the Tl signal induced by gamma radiation; Caracteristicas microestructurales de la hidroxiapatita y su influencia en la senal Tl inducida por la radiacion gamma

    Energy Technology Data Exchange (ETDEWEB)

    Mendoza A, D.; Gonzalez M, P.R.; Hernandez A, M. [ININ, A.P. 18-1027, 11801 Mexico D.F. (Mexico); Estrada G, R. [Depto. de Fisica y Matematicas, Universidad Iberoamericana, Santa Fe, 01000 Mexico D.F. (Mexico); Rodriguez L, V. [Centro Universitario de Vinculacion, BUAP, Puebla (Mexico)

    2003-07-01

    The analysis carried out on different materials has shown that the quantity and type of dopants play an important role in the behaviour thermoluminescent signal induced by the ionizing radiation. More recent studies have also shown that the grain size influences strongly in the thermoluminescent signal. Plus still, the crystal growth habit and the crystalline degree have an important effect in the type and intensity thermoluminescent signal. In this sense, we present this work on the analysis of the thermoluminescent signal induced by the gamma radiation in the hydroxyapatite ceramic. Depending the growth habit, a variation of the peak temperature location, signal intensity and linearity range was observed; in particular cases a lineal relationship between glow curve and radiation dose was in the range from 2 to 1000 Gray. These results are complemented with a microstructural and crystalline degree analysis through scanning electron microscopy and X-ray Diffraction. The dose-response over the whole irradiation range opening up the possibility of employing this bio material as a dosimeter. (Author)

  7. {sup 222} Rn determination and physicochemical characteristic and biological in aquifers in the Toluca Valley; Determinacion de {sup 222} Rn y caracteristicas fisicoquimicas y biologicas en acuiferos del Valle de Toluca

    Energy Technology Data Exchange (ETDEWEB)

    Hernandez A, A

    1998-10-01

    Concentration levels of {sup 222} Rn and {sup 226} Rn have been analyzed in water samples from boreholes belonging to the drinking water supply system around Toluca, Mexico. The {sup 222} Rn source is the decay of {sup 226} Rn within the solid matrix of the aquifer. The study was performed during the dry and rainy seasons. {sup 222} Rn concentration was determined by the liquid scintillation technique, {sup 226} Rn was determined by gamma spectrometry, the physicochemical parameters and bacteriological analysis were performed by conventional chemical techniques. Solubilized trace elements were determined by Inductively Coupled Plasma - Mass Spectrometry (Icp-Ms). The radon level fluctuations at the boreholes in Toluca city and Almoloya spring indicated differences in the radon content. At borehole Lodos Prietos 2, the temperature and radon level were systematically the highest in comparison with the other boreholes and the spring indicating a contribution of a regional flow to the water of this particular borehole. The result for {sup 226} Rn, the average {sup 222} Rn observed during the sampling period, no correspondence occurs between the radium and the radon content indicating that, radon is not supported by radium, but is incorporated into the water through fissures in the rocks in contact with the water. The radon levels obtained in house faucets which water is supplied by boreholes decrease as a function of the distance from the source borehole to the house. With the chemical composition of each one of the studied boreholes and spring a Piper diagram was draw indicating the kind of water. The boreholes and spring can be classified as bicarbonate calcium/magnesium. Almost no fluctuation on time was observed in the chemical species and trace elements only a slight increase was observed at the end of the rain season. At Almoloya, spring pollution with coliform bacteria and nitrates showed an anthropogenic contribution to the water deterioration probable and fertilizers and detritus. Most of the studied water samples were potable, however at Lodos Prietos 2 borehole the fluorine concentration was higher than the established norm. (Author)

  8. Estudo de algumas caracteristicas bioquimicas de levedura isoladas de bebidas alcoolicas andinas e brasileiras e de amostras de flores, frutas, melaço e mosto de usinas de açucar e alcool

    OpenAIRE

    Carmen Josefina Contreras Castillo

    1990-01-01

    Resumo: O objetivo desta pesquisa foi estudar leveduras componentes da microbiota de bebidas alcoólicas, melaço e mosto de usinas de açúcar e álcool, frutas e flores e sua provável utilização em processos de fermentação. Foi estudado com especial ênfase as bebidas alcoólicas andinas provenientes da região montanhosa dos Andes situada em países como Peru, Chile, Bolívia e Colômbia que são até hoje elaboradas artesanalmentee. Foram isoladas 511 cepas de leveduras, sendo 132 provenientes de 45 a...

  9. Analysis of the irradiation and thermal treatment combined effect in the quality of mangoes for exportation; Analise do efeito combinado da irradiacao e do tratamento hidrotermico nas caracteristicas de qualidade de mangas para exportacao

    Energy Technology Data Exchange (ETDEWEB)

    Caruso, Marcel Wilke

    2009-07-01

    In this research the effect of the hydrothermal treatment and irradiation as a combined method of food conservation and disinfestation was studied, searching to optimize the impact over the final product desired characteristics. Tommy Atkins mangoes from Brazil were submitted to a combined treatment: thermal treatment (46 deg C, 70 min and 52 deg C, 5 min) and gamma irradiation treatment (doses 0,3 and 0,75 kGy). The fruits were stored at 11 deg C during 14 days and kept at an environmental condition for more 12 days, where their physical chemical and sensorial properties were evaluated. As predicted by Oliveira (1998) the combined method of irradiation and thermal treatment showed better results then the individual methods in increasing the shelf-life. (author)

  10. Influence of chemical, physical and texture characteristics in the dry milled clays micro granulation process; Influencia das caracteristicas quimicas, fisicas e texturais no processo de microgranulacao de argilas moidas a seco

    Energy Technology Data Exchange (ETDEWEB)

    Bernardes, L.B.; Moreno, M.M.T., E-mail: laura_bernardes@uol.com.br, E-mail: mmoreno@rc.unesp.br [Universidade Estadual Paulista Julio de Mesquita Filho (UNESP), Rio Claro, SP (Brazil). Departamento de Petrologia e Metalogenia

    2012-07-01

    We studied the effects of the granulation in ceramic dry process classified as BIIb. For this we used a high intensity granulator to obtain information on the technical and economic viability in the production line and the possible contributions to the improvement of the process. Industrial compositions of clays were used. These materials were processed under different conditions and subsequently processed for obtaining the ceramic bodies pressed. The results indicate that the use of high intensity granulator, with or without modifications to the particle size distribution of mass, can decrease the firing cycle and / or sintering temperature of the ceramic, causing economic gain (author)

  11. Morphological and structural characteristics of powders of alumina by reaction combustion obtained through different types containers; Caracteristicas morfologicas e estruturais de pos de alumina obtidas por reacao de combustao atraves de diferentes tipos de recipientes

    Energy Technology Data Exchange (ETDEWEB)

    Cordeiro, V.V.; Costa, A.C.F.M.; Lira, H.L. [Universidade Federal de Campina Grande (UAEMa/UFCG), PB (Brazil). Unidade Academica de Engenharia de Materiais; Coutinho, J.P., E-mail: normanda@dema.ufcg.edu.b [Universidade Federal de Campina Grande (UFCG), PB (Brazil). Unidade Academica de Engenharia de Producao; Freitas, N.L. [Universidade Federal de Campina Grande (UFCG), Sume, PB (Brazil). Unidade Academica de Tecnologia do Desenvolvimento; Kiminami, R.H.G.A. [Universidade Federal de Sao Carlos (DEMa/UFSCar), SP (Brazil). Dept. de Engenharia de Materiais

    2010-07-01

    Among the existing types of synthesis, synthesis by combustion reaction is an effective method to produce nano-sized particles. The metallic nitrates that are sources of cations to form metal oxide, react with the fuel reducer quick, exothermic and self-sustaining. This paper aims to analyze the influence of container type on morphology and structural alumina powders obtained by combustion reaction. We evaluated two types of containers: vitreous silica crucible and crucible steel. The structural and morphological characteristics of the powders were analyzed by XRD, textural analysis by adsorption/desorption of N{sub 2} and SEM. The results showed the formation of single phase of alpha-Al{sub 2}O{sub 4} for the two samples, showing a very significant difference between their respective surface areas. The morphology was comprised of pre-sintered particles without interparticle porosity forming thin plates of different sizes. (author)

  12. Influence of Mn and Co on structural and morphological characteristics of ZnO synthesized by combustion reaction; Influencia do Mn e Co nas caracteristicas estrutural e morfologica do ZnO sintetizado por reacao de combustao

    Energy Technology Data Exchange (ETDEWEB)

    Torquato, R.A.; Costa, C.F.M. [Universidade Federal de Campina Grande (DEMA/UFCG), PB (Brazil). Dept. de Engenharia de Materiais; Kiminami, R.H.A. [Universidade Federal de Sao Carlos (DEMa/UFSCar), SP (Brazil). Dept. de Engenharia de Materiais

    2010-07-01

    This study aims to evaluate the effect of doping of 0.2 mol of Mn and Co on structural and morphological characteristics of ZnO synthesized by combustion reaction. During the synthesis was the measurement of temperature and time of the combustion flame. The samples were characterized by XRD, SEM, particle size distribution and nitrogen adsorption (BET). The maximum temperature the reactions were 428 deg C and 436 deg C, reaction time, and 115 and 0 seconds for the samples doped with Mn and Co, respectively. The XRD data showed that for both impurities were formed only ZnO phase. For Co were formed secondary phase CoO. The crystallite size and surface area were 18 nm and 22 nm, and 52 and 38 m2/g for ZnO doped with Mn and Co, respectively. (author)

  13. Analysis of electrical and microstructural characteristics of a ZnO-based varistor doped with rare earth oxide; Analise das caracteristicas microestruturais e eletricas de um varistor a base de ZnO dopado com oxidos de terras raras

    Energy Technology Data Exchange (ETDEWEB)

    Andrade, J.M. de; Dias, R.; Furtado, J.G. de M. [Centro de Pesquisas de Energia Eletrica (CEPEL), Rio de Janeiro, RJ (Brazil); Assuncao, F.C.R. [Pontificia Univ. Catolica do Rio de Janeiro (PUC/Rio), RJ (Brazil)

    2010-07-01

    Varistor is a semiconductor device, used in the protection of electrical systems, characterized to have a high no-linear electric resistance. Its properties are directly dependents of its chemical composition and microstructural characteristics. In this work were analyzed microstructural and electrical characteristics of a ZnO-based varistor doped with rare earth oxide, with chemical composition (mol%) 98,5.ZnO - 0,3.Pr{sub 6}O{sub 11} - 0,2.Dy{sub 2}O{sub 3} - 0,9.Co{sub 2}O{sub 3} - 0,1.Cr{sub 2}O{sub 3}. X-ray diffraction for phase characterization, scanning electron microscopy and energy dispersive X-ray spectroscopy were used for microstructural analysis. Measurement of average grain size and electrical and dielectric characteristics complete the characterization. The results show the formation of biphasic microstructure and with high densification, presenting relevant varistors characteristics but that would need improvements.(author)

  14. Process of nourishment staggered for elimination of nitrogen. Specific characteristics of the process. Strategies of control; Proceso de alimentacion escalonada para eliminacion de nitrogeno. Caracteristicas especificas del proceso. Estrategias de control

    Energy Technology Data Exchange (ETDEWEB)

    Rodrigo, J. C.; Cortacans, J. A. [Infilco Espanola, s.a (Spain)

    2002-07-01

    This article illustrates the step fed activated sludge process advantages for biological nitrogen removal. This configuration, also known as ALP-HA (alternative phase step feed) process, reduces biological reactor volume, avoids internal sludge recycling and optimizes organic matter consumption for denitrification. Besides, it is offered the possibility to work with a calibrated specific model as a tool for the evaluation, design and operation of the process. To end up, some efficient operation strategies for the three-step ALPHA process in denitrification-nitrification reactors are proposed. (Author) 13 refs.

  15. AVALIAÇÃO DAS CARACTERISTICAS SEMINAIS DE VARRÕES MANTIDOS EM CENTRAIS DE INSEMINAÇÃO ARTIFICIAL COM AMBIENTE CLIMATIZADO E NÃO CLIMATIZADO DURANTE 12 MESES

    Directory of Open Access Journals (Sweden)

    Jurij Sobestiansky

    2012-12-01

    Full Text Available The purpose of this study was to evaluate boars´ ejaculate during 12 months. Five boars were located in each artificial insemination farm with air-conditioned (G1 and non- air-conditioned (G2 environment, and submitted to ejaculate examination every two weeks. Scores for sperm progressive motility, concentration and morphology (MOT, CONC and MORPH, respectively were established. These scores were summed up to compound the breeding soundness examination index (BSE for pigs with amplitude ranging from 100 to 1 and four classes (A-E. There were differences in several seminal characteristics during the year within and between the farms in periods of higher temperature and temperature and humidity index. There were differences between the farms for MOT (13.1±4.0 vs. 12.0±3.6, MORPH (35.5±11.4 vs. 27.6±11.6, CONC (21.6±16.8 vs. 13.4±10.6 and BSE (70.2±21.5 vs. 53.0±18.8, and the BSE class frequencies A=17.92% vs. 0.83%, B=13.75% vs. 21.25%, C=16.67% vs. 21.67%, D=1.25% vs. 4.17% and E=0.42% vs. 2.08% for G1 and G2 respectively. Ejaculates presented season variations, with lesser quality during months with higher room temperature and temperature and humidity index. There were differences between and within farms. The air-conditioned farm (G1 presented better seminal characteristics along the year. The BSE means and its class frequencies reflected the seasonal variations of the ejaculates. There were correlations between BSE with the seminal characteristics, and artificial insemination doses showed variation in quality characteristics. There were seasonal deleterious effects on seminal characteristics of boars.

  16. Comparison of characteristics of LiF:Mg,Ti e LiF:Mg,Cu,P thermoluminescent dosemeters; Comparacao das caracteristicas dos dosimetros termoluminescentes LiF:Mg,Ti e LiF:Mg,Cu,P

    Energy Technology Data Exchange (ETDEWEB)

    Pereira, M.S.; Filipov, D., E-mail: dfilipov@utfpr.edu.br [Universidade Tecnologica Federal do Parana (UTFPR/DAFIS), Curitiba, PR (Brazil). Departamento Academicao de Fisica; Schelin, H.R. [Instituto de Pesquisa Pele Pequeno Principe (IPPPP), Curitiba, PR (Brazil)

    2014-07-01

    The aim of the current study was to compare the thermoluminescent dosimeters LiF:Mg,Ti (TLD-100) and LiF:Mg,Cu,P (MCP) data, which were acquired by the Federal Technological University - Parana. Tests were realized, for this purpose, such as: sensitivity (only one MCP TLD did not present results within the limit range), linearity (whose MCP result was better than the TLD-100 one), energy dependence (TLD-100 presented lower variation than MCP TLD) and reproducibility (whose TLD-100 results were better than the MCP ones). The results from both dosimeters show that these TLDs attend radiodiagnostic dosimetry criteria, however MCP had more satisfactory results. (author)

  17. Agrupamento de árvores matrizes de Eucalyptus grandis em função das variáveis dendrométricas e das caracteristicas tecnológicas da madeira

    Directory of Open Access Journals (Sweden)

    Merielen Lopes de Carvalho

    2004-01-01

    Full Text Available The objetive of this study is to cluster selected trees of Eucalyptus grandis Hill ex-Maiden as a function of phenotypic, dendrometric and wood technology characteristics. In a 27 years old commercial stand, located in the northern coast of Rio Grande do Sul, 63 selected trees were cut down and classified to the phenotypic and dendrometric characteristics. Then, disks were taken at the base, 25, 50, 75 and 100% of the commercial height, and at the DBH, for basic density determination. From the two first logs above the DBH boards parallel to the pith were taken, with 25mm of thickness, for sawn wood qualitative evaluation. The selected trees were grouped into four distinct groups following cluster analysis. In Group I were classified the trees with a lower tendency of presenting boards with end splits while in Groups II and III were classified the trees with a lower tendency of presenting logs with end splits and, in Group IV were classified the trees with a higher tendency of presenting end splits of the boards and the logs. For these groups, by discriminant analysis, there were identified five variables with real power of discrimination (DBH, estimated log split perimeter, ratio height/diameter (rh/d, type of bark and sapwood volumetric percentage and three discriminant functions. The technique of the multivariate analyze was an efficient method of grouping the selected trees of Eucalyptus grandis. The discriminant analysis enabled the selection of variables with real power of sorting the trees and determinating the discriminant functions that allow the allocation of future trees in the cluster.

  18. Caracteristicas fisico-quimicas e microbiológicas de ovos de codorna conservados na forma de picles
    Physico-chemical and microbiology of quail eggs preserved in the form of pickles

    Directory of Open Access Journals (Sweden)

    P. B. FARIA

    2010-12-01

    Full Text Available

    Visando aumentar o tempo de conservação, com salga e acidificação do ovo de codorna cozido na forma de picles, foram testados sete tipos de soluções: A (60% vinagre, 8% NaCl; B (40% vinagre, 8% NaCl; C (20% vinagre, 0,3% ácido cítrico, 8% NaCl; D (20% vinagre, 0,3% ácido cítrico, 5% NaCl; E (2% ácido acético, 0,3% ácido cítrico, 5% NaCl,; F (2% ácido acético, 0,3% ácido cítrico, 5% NaCl, 0,02% benzoato de sódio e G (0,4% ácido acético, 0,3% ácido cítrico, 5% NaCl. Foram realizados análises de pH, acidez titulável, cloretos totais e perda de peso dos ovos, nos intervalos de 2, 7, 14, 21, 28 dias. Todos os resultados foram infl uenciados significativamente a partir do segundo dia do início do experimento. Para acidez titulável as soluções A, E e F mostraram maior acidez (p<0,05. No produto, o pH inicial foi reduzido a partir do segundo dia e somente a solução G apresentou valores de pH acima de 4,5. Para cloretos totais, as soluções A, B e C mostraram maior percentual (p<0,01 do que os demais. As conservas promoveram mudanças significativas a partir do segundo dia, as soluções com maiores porcentagens de acidez e menor valores de pH proporcionaram melhor estabilidade e menor desenvolvimento de microrganismos mesófilos. As soluções D, E e F apresentaram em geral melhores características físico-químicas e microbiológicas para conservação de ovos de codorna na forma de picles.

  19. Produção, purificação e estudos das caracteristicas bioquimicas de glicosiltransferase de Erwinia sp. D-12 : produção de isomaltulose a partir de sacarose

    OpenAIRE

    Erica Marcondes Celestino

    1998-01-01

    Resumo: Trezentas e quatorze linhagens de microrganismos foram isoladas de amostras de mel, flores, frutas, caldo, melaço e mosto de usina de álcool e açucar e testadas quanto a capacidade de produção de glicosiltransferase, que catalisa a conversão de sacarose em isomaltulose (6-O-8-Dglicopirano sil-D-frutofuranose). A isomaltulose também conhecida como palatinose apresenta baixo potencial cariogênico e tem sido utilizada na produção de balas, gomas de mascar e produtos de confeitaria. A lin...

  20. Characterization of radiation qualities used for the determination of characteristic in CT application according to IEC 61267:2005;Caracterizacao das qualidades de radiacao usadas na determinacao das caracteristicas em aplicacoes de CT de acordo com a IEC 61267: 2005

    Energy Technology Data Exchange (ETDEWEB)

    Dias, Daniel M.; Silva Junior, Iremar A. da; Potiens, Maria da Penha A. [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil)

    2009-07-01

    The purpose of this study was to establish the standard RQT radiation qualities which represent simulations of the unattenuated beam used in Computed Tomography (CT). Thus, to avoiding excessive efforts for establishing a radiation quality by means of the spectral distribution of the photon fluence, the characterization of these standard radiation qualities was expressed in terms of the X-ray tube voltage, first and second half-value layer (HVL). To establishing the standard radiation beam, according to the IEC 61267 and the TRS 457 was measured first of all the correct values of the X ray tube voltages in terms of Practical Peak Voltage. The standard radiation qualities RQT were produced using the same set up mounted for the RQR qualities which had been early established, and for simulating the patient in order to achieve the standard RQT series, suitable thicknesses of layers of copper were used to obtain the values of the first HVL according to IEC 61267. (author)

  1. Physiochemical, energy characteristics and performance of coconut fiber in the sorption of diesel and bio diesel oils; Caracteristicas fisico-quimicas, energetica e desempenho da fibra de coco na sorcao de oleos diesel e biodiesel

    Energy Technology Data Exchange (ETDEWEB)

    Oliveira, Adriana Ferla de [Pos-Graduacao em Agronomia - Energia na Agricultura, Faculdade de Ciencias Agronomicas, Universidade Estadual Paulista - FCA/UNESP, Botucatu, SP (Brazil); Curso Superior de Tecnologia em Biocombustiveis, Universidade Federal do Parana - UFPR, Palotina, PR (Brazil)], e-mail: adrianaferla@ufpr.br; Leao, Alcides Lopes [Dept. de Recursos Naturais, Faculdade de Ciencias Agronomicas, Universidade Estadual Paulista - FCA/UNESP, Botucatu, SP (Brazil)], e-mail: alcidesleao@fca.unesp.br; Caraschi, Jose Claudio [Universidade Estadual Paulista - UNESP, Itapeva, SP (Brazil)], e-mail: carachi@itapeva.unesp.br; Oliveira, Luciano Caetano de [Curso de Agronomia, Universidade Federal do Parana - UFPR, Palotina, PR (Brazil)], e-mail: lucianocaetano@ufpr.br; Goncalves, Jose Evaristo [Pos-Graduacao em Agronomia - Energia na Agricultura, Faculdade de Ciencias Agronomicas, Universidade Estadual Paulista - FCA/UNESP, Botucatu, SP (Brazil)], e-mail: evaristto@yahoo.com.br

    2011-07-01

    Accidents involving oil spills and its derivatives on the soil and in hydric bodies are common and worrying once they endanger the quality of the ecosystem. An economical and efficient way of combating oil spills is the use of the sorption method using sorbent materials. There is a range of sorbent materials, however, the natural ones like biomass and vegetable fibers demonstrate interest due to the low cost and good sorbent capacity. There are works concerning the sorption of crude oil, however for diesel and bio diesel, which had their production increased, there is a little or even nothing exists in the literature. The aim of this work was to investigate the sorption capacity of coconut fiber (Cocos nucifera) confronting to the fuels, diesel and biodiesel and to compare them with the peat commercially used. The bio sorbents were also submitted to the physiochemical and energy characterization. Most of the tests were performed on the granulometric size range of {<=}180 {mu}m 180-425 {mu}m; 425-850 {mu}m e 850-3350 {mu}m. The coir fiber presented capacity of diesel and bio diesel sorption similar to the commercial sorbent made of peat. The determination of the calorific power of the bio sorbents shows that they can be used for energy generation before and after they are used as sorbents. This way, those materials can be used after studies of economical viability in this sector and still to increase the economy of the areas where they are abundant. (author)

  2. Evaluation of the effects of gamma radiation on physicochemical characteristics of kiwi (Actinidia deliciosa) cv. Hayward minimally processed; Avaliacao dos efeitos da radiacao gama nas caracteristicas fisico-quimicas de kiwi (Actinidia deliciosa) cv. Hayward minimamente processado

    Energy Technology Data Exchange (ETDEWEB)

    Oliveira, Ana Claudia Sampaio

    2011-07-01

    The search for a healthy life has led consumers to rethink their eating habits, consuming fruits and vegetables in place of manufactured products, therefore, the demand for minimally processed products has evolved rapidly. The kiwi fruit (Actinidia deliciosa) has high nutritional value, being rich in C vitamin especially, which has wide acceptance in consumer markets. Thus, along with papaya, passion fruit and pineapple, kiwi can be considered as an additional feature of C vitamin in the diet, or as a substitute for traditional citrus. The aim of this study was to assess the effects of gamma radiation on physical and chemical characteristics of kiwis minimally processed and stored under refrigeration, since this technology increases the shelf life of fruits and vegetables. The Kiwis was stripped, processed and cut into slices, stored in polyethylene bags of 10 cm squared and irradiated at doses of 0 (control), 1 and 2 kGy. A source of {sup 60}Co Gammacell 220, dose rate of 0.429 kGy/hour, in which each treatment had 5 replicates with 15 slices of kiwifruit per replicate. After irradiation the samples were stored in a climatic chamber at 6 degree C (near the temperature of commercial refrigerators). The following criteria were physical chemical analysis: pH, color, chlorophyll content, loss of weight, moisture, acidity and Brix. The analysis were done on 1{sup st}, 7{sup th} and 14{sup th} days after irradiation. The results indicated that gamma radiation did not induce deleterious changes in the physicochemical properties of the kiwi may be used for preservation of minimally processed kiwifruit. (author)

  3. Hydrogeological characteristics and groundwater evolution of the Western La Mancha unit: the influence of the wet period 2009-2011; Caracteristicas hidrogeologicas y evolucion piezometrica de la Mancha Occidental. Influencia del periodo humedo 2009-2011

    Energy Technology Data Exchange (ETDEWEB)

    Mejias Moreno, M.; Lopez Gutierrez, J.; Martinez Cortina, L.

    2012-11-01

    We describe the main characteristics of the Western La Mancha hydrological unit, encompassing the provinces of Ciudad Real, Cuenca and Albacete, in southern-central Spain. Because of its groundwater resources, volume and environmental and socio-economic implications, this unit constitutes the key to the hydrology of the Upper Guadiana River Basin. We emphasise the close relationship between surface water and ground water in the unit, its over-exploitation and its climatological peculiarities. We also describe the geometry of the aquifers, their working, both under natural and abnormal regimes, the water balance and its relationship with the neighbouring units. We have compiled and analysed water-level data from the mid-1970s until March 2011, focusing on the piezo metric evolution from 1980 to 2011, estimation of changes in ground-water storage during this period and the evolution of the water level in the Ojos del Guadiana, which is taken to reflect the health of the whole hydrogeological system. Our results clearly reveal the hydrological distress brought about by the intensive use of the groundwater resources over the last forty years and the modifications to which the system has been subjected. The wet weather experienced during the period 2009-2011 led in March 2011 to the highest groundwater level for the last 25 years. From the reference year 1980, a drop in the groundwater reserve of slightly over 1.000 Mm{sup 3} can be estimated. (Author) 31 refs.

  4. Detection of alpha particles by means of zinc sulphide screens. Study of their characteristics; Deteccion de particulas alfa por medio de pantallas de sulfuro de cinc: estudio de sus caracteristicas

    Energy Technology Data Exchange (ETDEWEB)

    Gaeta, R.; Manero, F.

    1959-07-01

    A method of SZn(Ag) screens preparation in order to detect alpha particles is described. The behaviour of the luminophore in a scintillometer is primarily studied and followed by experimental methods in the preparation of screens with the specific qualities required. A sedimentation technic of SZn(Ag) deposition has been employed, and followed by pressing in hot. The variation of impulse size with the massif thickness of luminophore has been studied, and found a maximum value for 6,5 mg/cm{sup 2} in unpressed screens and 6 mg/cm{sup 2} in the pressed ones. The plateau curves present flat areas till 450 volts. The background in source absence is below 0.5 impulse/minute. (Author) 19 refs.

  5. Methodology for assessment of characteristics of PV water pumping systems using a DC power supply; Metodologia de levantamento de caracteristicas de sistemas fotovoltaicos de bombeamento d'agua utilizando fonte de alimentacao CC

    Energy Technology Data Exchange (ETDEWEB)

    Vilela, Olga de Castro; Fraidenraich, Naum [Universidade Federal de Pernambuco (FAE/DEN/UFPE), Recife, PE (Brazil). Grupo de Fontes Alternativas de Energia. Dept. de Energia Nuclear], Emails: ocv@ufpe.br, nf@ufpe.br; Galdino, Marco Antonio [Centro de Pesquisas de Energia Eletrica (CEPEL), Rio de Janeiro, RJ (Brazil)], E-mail: marcoag@cepel.br

    2010-07-01

    This article describes a methodology which was used to reduce the time required to perform experimental assessment of characteristic curves (flowrate vs. solar irradiance) of PV water pumping systems showing different configurations. The characteristic curves are proposed to be obtained from two other types of curves: flowrate vs. DC power - measured using a DC power supply adjusted to simulate the operation of the PV panel in the system, and DC power vs. solar irradiance - obtained through outdoors measurements using PV panels. It is demonstrated how is possible to reduce the number of days of outdoor measurements necessary for obtaining these curves when the systems under test show configurations using the same pumping heights or the same PV panels. The flowrates, thus also the daily pumped volumes, calculated using the curves obtained through this methodology are considered the upper limits of system performance. (author)

  6. The influence of aquatic humic substances characteristics on the coagulation efficiency using ferric chloride; Influencia das caracteristicas das substancias humicas aquaticas na eficiencia da coagulacao com o cloreto ferrico

    Energy Technology Data Exchange (ETDEWEB)

    Sloboda, Eliane; Vieira, Eny Maria [Universidade de Sao Paulo (USP), Sao Carlos, SP (Brazil). Inst. de Quimica], e-mail: elisloboda@hotmail.com; Dantas, Angela Di Bernardo; Bernardo, Luiz Di [Universidade de Sao Paulo (USP), Sao Carlos, SP (Brazil). Escola de Engenharia. Dept. de Hidraulica e Saneamento

    2009-07-01

    The aim of this study was to verify the influence of the apparent molecular size of aquatic humic substances on the effectiveness of coagulation with ferric chloride. Coagulation-filtration tests using jar test and bench-scale sand filters were carried out on samples of water with true color of approximately 100 Hazen units, prepared with aquatic humic substances of different molecular sizes (F{sub 1}: < 0.45 {mu}m, F{sub 2}: 100 kDa - 0.45 {mu}m, F{sub 3}: 30 - 100 kDa and F{sub 4}{sup '} : < 30 kDa). For the water samples with lower apparent molecular size fractions, greater dosages of coagulant was needed to remove the color around 5.0 Hanzen units, mainly because these water samples contain higher concentrations of fulvic acids, which exhibited a larger number of negatively-charged groups. (author)

  7. Two-phase characteristics of the feeding fluid of Cerro Prieto IV wells (Mexico) obtained by gas equilibrium; Caracteristicas bifasicas del fluido de alimentacion de pozos de Cerro Prieto IV (Mexico), obtenidas por equilibrio gaseoso

    Energy Technology Data Exchange (ETDEWEB)

    Barragan-Reyes, Rosa Maria; Arellano-Gomez, Victor Manuel; Portugal-Marin, Enrique [Instituto de Investigaciones Electricas (Mexico); De Leon-Vivar, Jesus [Comision Federal de Electricidad, Residencia General de Cerro Prieto, B.C (Mexico)

    2008-10-15

    The gas composition of fluids produced by CP IV geothermal wells from the Cerro Prieto field was studied in order to identify different types of fluids entering the wells by estimating their temperature and excess steam. A method based on the Fischer Tropsch reaction and H2S equilibrium with pyrite-pyrrhotite as mineral buffer (FTHSH3) was used. The results for the reservoir natural state indicated the presence of fluids with heterogeneous reservoir temperature (between 275 and 310 degrees Celsius) and excess steam values, which were found from negative (boiled liquid that has lost steam when flowing to the well) to one (steam phase with zero liquid saturation). The study for individual wells in which boiling processes were identified, showed that through time, the feeding fluids consist of a two-phase mixture with different liquid/steam proportions. Also, the results suggested that a steam phase could occur at CP IV which is added to the feeding fluid, depending on the operation conditions of the wells. The origin of this steam could be the boiling of the deeper liquid due to a pressure drop. [Spanish] Se estudio la composicion gaseosa de los fluidos producidos por pozos geotermicos del sector CP IV del campo de Cerro Prieto para tratar de distinguir aportes de fluidos diferentes mediante la estimacion de su temperatura de yacimiento y del exceso de vapor. Se utilizo un metodo de equilibrio gaseoso basado en la reaccion de Fischer Tropsch y el equilibrio combinado pirita-pirrotita (FT-HSH3). Los resultados obtenidos indican que en el estado inicial del yacimiento existen fluidos que muestran heterogeneidad en los valores de temperatura de yacimiento (entre 275 y 310 grados Celsius), asi como en el exceso de vapor con valores desde negativos (liquido que despues de ebullir ha perdido vapor en su trayecto hacia el pozo) hasta uno (vapor con cero saturacion de liquido). El estudio individual de los pozos con fenomenos de ebullicion muestra que a traves del tiempo, los fluidos que los alimentan son una mezcla bifasica con diferentes proporciones liquido/vapor. Los resultados indican tambien que es probable la existencia de fase vapor en CP IV que, dependiendo de las condiciones de operacion de los pozos, se anade al fluido de alimentacion. El origen de esta fase vapor puede ser la ebullicion del liquido debido a una disminucion de presion.

  8. Geochemical characteristics of water from the reservoir of the hydrothermal system of Las Tres Virgenes, Baja California Sur, Mexico; Caracteristicas geoquimicas de las aguas del reservorio del sistema hidrotermal actual de Las Tres Virgenes, Baja California Sur, Mexico

    Energy Technology Data Exchange (ETDEWEB)

    Gonalez Partida, Eduardo [Universidad Nacional Autonoma de Mexico (Mexico); Tello Hinojosa, Enrique [Comision Federal de Electricidad (Mexico); Pal Verma, Mahendra [Instituto de Investigaciones Electricas (Mexico)

    2001-03-01

    The Las Tres Virgenes geothermal field is a liquid dominated system. The separated produced by the wells are sodium-chloride type, which is a characteristic of totally equilibrated geothermal brine. The temperature of water-rock interaction in the reservoir is 280 Celsius degrees. the chemical composition of gases corresponds to the one expected in a geothermal environment. The CO{sub 2} is the predominating gas and it is superior in 90% in weight to the total of existing gases. The gas contents is less than 1% in weight, in the case of the wells LV-1 and LV-3. It is also possible to conclude that the gases are in equilibrium with the liquid phase at a temperature of 280 Celsius degrees. With respect to water quality, it is saline, from high to very high and the contents of exchangeable sodium is also very high, resulting in waters not fit for agricultural usage. [Spanish] El yacimiento geotermico de Las Tres Virgenes, en Baja California Sur, Mexico, es un sistema de liquido dominante, en donde el agua separada producida por los pozos presenta un caracter clorurado-sodico caracteristico de una salmuera de origen geotermico totalmente equilibrada. El sistema agua-roca se encuentra en equilibrio a una temperatura de 280 grados centigrados , dicha temperatura son congruentes con las estimadas para las fases gaseosas y liquidas. La composicion quimica de los gases corresponde a la esperada en un ambiente geotermico. El CO{sub 2} es el predominante y es superior a 90% en peso del total de los gases presentes. El contenido de gas es menor de 1% en peso en el caso de los pozos LV-1 y LV-3. Tambien se puede concluir que los gases estan en equilibrio en las fases liquidas a una temperatura de 280 grados centigrados. Con respecto a la calidad del agua, presenta una salinidad de alta a muy alta y el contenido de sodio intercambiable tambien es muy alto, por lo que dichas aguas no son muy aptas para el cultivo.

  9. Caracteristicas bioclimaticas de las malezas del cinturon verde de cordoba: parte I - Polygonum aviculare "sanguinaria" Bioclimatic characteristic of weeds in the city Cordoba's green belt: part I - Polygonum aviculare

    Directory of Open Access Journals (Sweden)

    Raul A. Nobile

    1999-08-01

    Full Text Available Na região fruti-ortícula do cinturião verde da cidade de Córdoba, Argentina, ocorre com frequência nos períodos de inverno e primavera o aparecimento de Polygomun aviculare. O objetivo do presente trabalho foi o de conhecer a fenologia desta espécie e as necessidades bioclimáticas de cada uma das etapas do seu ciclo de vida. Para estas análises conduziu-se um ensaio em uma propriedade do cinturião verde, na região Nordeste de Córdoba, durante os anos de 1988, 1989 e 1990. Determinrou-se as fases e subperíodos do ciclo evolutivo da espécie e parâmetros como altura e densidade de plantas e dados meteorológicos. O estudo permitiu estabelecer o fluxo estacional de emergência e determinar o tipo ecológico de planta daninha quanto à estação de crescimento. Os aspectos ecológicos levantados servirão de ferramentas para implementar estratégias de controle desta planta daninha."Knotweed", Polygonum aviculare is one of the most common weeds in the winter-spring period in the horticultural zone of Córdoba green belt. In order to know the phenology and climatic requirements of the species in each stage of its life cycle, an experiment was conducted in one of the green belt farms located in the NE of Córdoba outskirsts for three years (1988, 1989, 1990. Different phases and sub-periods of this life cycle, phenometric parameters (plant height and density and meteorological observations were determined. The experiment enabled to establish the stational flow of emergency and corroborate the winterspring ecological type of the weed. These aspects of the bioecology, phenology and bioclimatology are necessary tools when implementing an integrated system of weed control.

  10. The use of handheld radiometry for the identification of stratigraphic characteristics of Paraiba Basin units; A aplicacao da radiometria autoportada na identificacao de caracteristicas estratigraficas nas unidades da Bacia Paraiba

    Energy Technology Data Exchange (ETDEWEB)

    Souza, Ebenezer Moreno de; Villar, Heldio Pereira; Lima, Ricardo de Andrade [Centro Regional de Ciencias Nucleares (CRCN), Recife, PE (Brazil); Lima Filho, Mario [Pernambuco Univ., Recife, PE (Brazil). Dept. de Geologia

    2000-07-01

    A study on the use of radiometric techniques for the identification of stratigraphic characteristics of Paraiba Basin units was carried out with handheld instrumentation. The area chosen ran from north Pernambuco to south Paraiba. The presence of radioactive material had been previously determined. For this work a portable scintillometer was fixed to the door of a vehicle, on the outside, with the probe directed downwards. Background radiation was measured as 40 cps (counts per second). The scintillometer has an alarm which sounds whenever the measured count rate rises above a pre-established figure, 100 cps in the present case. Monitoring then proceeded manually. In sites where the count rate was much higher than 100 cps, the probe was lowered to the soil surface. Local coordinates were obtained by GPS. Therefore, an isoradioactivity map of the area could be drawn. The comparison between this map and local geological charts showed significant correlation between observed count rates and geologic formations. Low count rates were indicative of the Barreiras formation, whereas the highest rates were obtained for the Gramame formation (with urano-phosphatic lythotypes). It is concluded that handheld radiometry is a useful tool in geological charting, is special in areas where stratigraphic units have been masked by environmental changes and human activities. (author)

  11. Effects on physicochemical, microbiological and sensory characteristics of honey bee samples submitted to gamma radiation; Efeitos nas caracteristicas fisico-quimicas, microbiologicas e sensoriais em amostras de mel de abelhas submetidas a radiacao gama

    Energy Technology Data Exchange (ETDEWEB)

    Bera, Alexandre

    2010-07-01

    Honey production in Brazil has increased considerably and gaining pro eminence on the international market, as a result many demands have become part of the productive honey chain. In addition to the analyses provided for the Brazilian legislation, international market demand products that meet the most stringent quality standards. Honey has interesting characteristics due to its constitution, but even so there are problems that can change some how your identity and quality. The application of gamma radiation is a viable proposal which promotes the reduction of bio burden without changing the constitution and most importantly the physicochemical properties, with smaller nutritional losses when compared to other treatments used in foods. This study beyond the physicochemical parameters required by Brazilian regulation also included other relevant analyses, including FT-IR ATR. Microbiological analyses were carried out on samples of pure honeys and subsequently inoculated microbial known loads to assess the action of gamma radiation in doses of 5 and 10 kGy. The triangular test was used to differentiate the irradiated and not irradiated. samples The major changes that have occurred in samples of honeys were mainly in concentrations of HMF (hydroxymethylfurfural) and diastase activity occurring a significant decrease in all analyzed samples. There was a reduction microbiological from the application of the 5 kGy, reaching absence with 10 kGy dose except Paenibacillus larvae. The sensory analysis conducted on samples of honey and honey irradiated with 5, 10 and 15 kGy doses, pointed out that there is no significant difference (5%) between irradiated and control samples. The application of gamma radiation in honeys proved a very useful method in microbiological decontamination, featuring few changes in the product at doses up to 10 kGy. (author)

  12. Determination of {sup 222}Rn and its physico-chemical and biological characteristics in aquifers of Toluca valley; Determinacion de {sup 222}Rn y caracteristicas fisicoquimicas y biologicas en acuiferos del Valle de Toluca

    Energy Technology Data Exchange (ETDEWEB)

    Hernandez, A.; Aranda, P.; Ceballos, S.; Cruz, D.; Jauregui, B.; Lopez, R.; Pena, P.; Salazar, S.; Segovia, N.; Tamez, E. [Instituto nacional de Investigaciones Nucleares, A.P. 18-1027, 11801 Mexico D.F. (Mexico)

    1997-07-01

    In this work it is realized a geochemical study which includes the evaluation of {sup 222} Rn concentration in drinking water wells at Toluca city and a spring water of Almoloya de Juarez municipality at State of mexico. the same is studied about evolution of {sup 222} Rn concentration in water of the hydrating which supply it to those wells. the geochemical evaluation also covers the determination of major and minor elements or trace and the biological analysis of water. The study includes two seasonal cycles, the low water mark one and other the rainy for being able to evaluate the aquifers reloading effects in the water composition. (Author)

  13. Determination and analysis of the physical chemical characteristics of witness coupons of boral for the CNLV; Determinacion y analisis de las caracteristicas fisico quimicas de cupones testigo de boral para la CNLV

    Energy Technology Data Exchange (ETDEWEB)

    Gonzalez M, J.L.; Aguilar H, F.; Rivero G, T.; Carrillo M, R. [ININ, Apdo. Post 18-1027, Col Escandon, 11801 Mexico D.F. (Mexico)]. E-mail: jlgm@nuclear.inin.mx; fah@nuclear.inin.mx; trg@nuclear.inin.mx; racm@nuclear.inin.mx

    2004-07-01

    The burnt fuel elements that are extracted in each charging of the Units 1 and 2 of the Nuclear Power Plant of Laguna Verde, are deposited in shelves placed in the storage reservoir designed for this end. Each cell or storage shelf has a structure type cage. Among the cells neutron absorber material is placed, (Boral), what allows to avoid the possible criticality that could settle down when accumulating in the storage the irradiated fuel elements. This boral has been designed to maintain its characteristics of thermal neutron absorber during a lifetime of the plant. To check that the wings and the Boral have not suffered some degradation or some change due to the environmental conditions in the warehouse, it is necessary to watch over their physical and chemical characteristics periodically, what is carried out by a surveillance program based on Badges or manufactured witness coupons of the same material that the wings. The badges witness are embedded in a special wing, which is placed in the place with more radiation in the pool. In this work the laboratory tests carried out in the ININ to the coupon witness 03 of the Unit 2, (II-03) are described, being presented the results and obtained conclusions. (Author)

  14. Temperature of optimum generation in facilities of solar cold making use of the equation characteristic; Temperatura de generacion optima en instalaciones de frio solar haciendo uso de la ecuacion caracteristica

    Energy Technology Data Exchange (ETDEWEB)

    Leucona, A.; Ventas, R.; Venegas, M. del C.; Zacarias, A.; Salgado, R.

    2008-07-01

    Absorption machines show a similar response as a function of the external temperatures, which can be approximated by a single functional dependence of the named characteristic temperature. This equation and the normalization curve of the solar thermal collector field driving the chiller and some more approximations allow determining the driving temperature that maximizes the cooling power at any time. This results in a simple equation. It is offered for the design of solar cooling facilities and their control algorithms. Some results are offered and discussed. (Author)

  15. Characteristics of a water pump system fed on photovoltaic panel connected to a battery group; Caracteristicas de um sistema de bombeamento d'agua alimentado por paineis fotovoltaicos ligado a um banco de baterias

    Energy Technology Data Exchange (ETDEWEB)

    Michels, Roger N.; Gnoato, Estor; Santos, Jose A.A. dos; Oyama, Paulo T.; Pasa, Leandro A.; Fischborn, Marcos; Mayer, Giovano; Halmemann, Maria C. [Universidade Tecnologica Federal do Parana (UTFPR-MD), Medianeira, PR (Brazil)], Emails: gnoatto@utfpr.edu.br, airton@utfpr.edu.br, oyama@utfpr.edu.br, pasa@utfpr.edu.br, fisch@utfpr.edu.br, giovano@utfpr.edu.br, cristhal@fca.unesp.br

    2009-07-01

    The photovoltaic solar energy started to be explored intensively in the 80's when researches related to this technology received great investments because it is a clean, renewable and greatly available energy. To improve the efficiency in this form of electric energy generation it is necessary to know its characteristics in order to reach a coherent sizing and foresee in which equipment they can be installed. This project analyzes the characteristics of a water pump system fed on two batteries connected to two photovoltaic modules, with variation of the geometric height of pressure. With the increase of the geometric height of pressure, occurs the reduction of the voltage (not only in the pump but also in the battery) and of the outflow and the increase of the electric current and power. (author)

  16. M\\'{e}todos para la Selecci\\'{o}n y el Ajuste de Caracter\\'{i}sticas en el Problema de la Detecci\\'{o}n de Spam

    CERN Document Server

    Lorenzetti, Carlos M; Maguitman, Ana G; Benczúr, András A

    2010-01-01

    It is used daily by millions of people to communicate around the globe and is a mission-critical application for many businesses. Over the last decade, unsolicited bulk email has become a major problem for email users. An overwhelming amount of spam is flowing into users' mailboxes daily. In 2004, an estimated 62% of all email was attributed to spam. Not only is spam frustrating for most email users, it strains the IT infrastructure of organizations and costs businesses billions of dollars in lost productivity. In recent years, spam has evolved from an annoyance into a serious security threat, and is now a prime medium for phishing of sensitive information, as well the spread of malicious software. Therefore we propose an algorithm that uses a classifier as one of its components. Our proposal does not include the development of a classifier itself, instead of that it plans an adjustment in the classifier training set data in order to improve their performance.

  17. Efecto de la naturaleza del precursor sobre las caracteristicas de las nanoparticulas de SnO2 sintetizadas Effect of the precursor's nature on characteristics of synthesized SnO2 nanoparticles

    Directory of Open Access Journals (Sweden)

    Carlos E. Ararat-Ibarguen

    2007-01-01

    Full Text Available Tin oxide (SnO2 is widely used in industry as raw material for electronic devices, plating of different types of materials, for dyes and pigments, for electroplating, heterogeneous catalysis, etc. In this work SnO2 was obtained by a controlled precipitation method with special attention to the effects the tin precursor has on the microstructure of the final product. The most appropriate pH for obtaining SnO2 with the rutile structure as the main phase is 6.25 for SnCl2 and 6.40 for SnSO4. After heat treatment at 600 °C, particles of nanometric order (~10 - 30 nm approx were obtained. The characterization of the solid phase was made by X-ray diffraction (XRD, thermal analysis (DTA/TG, transmission electron microscopy (TEM and Fourier transformed infrared spectroscopy (FTIR.

  18. Action of gamma radiation in the physico-chemical and sensorial characteristics of minimally processed cassava (Manihot esculenta CRANTZ);Acao da radiacao gama nas caracteristicas fisico-quimicas e sensoriais da mandioca (Manihot esculenta CRANTZ) minimamente processada

    Energy Technology Data Exchange (ETDEWEB)

    Simioni, Karime Raya

    2001-07-01

    Nowadays irradiation has been the most studied method of food conservation. The publication of thousand of papers, not just scientific but also technological, economical and social, have proved the technical validity of the irradiation method and showed the ways of how to introduce it in commercial facilities in ali countries of the modem world. Cassava is cultivated almost ali over the world and it is considered one of the most important nutritious sources of calories in human diet. Cassava is a viable food against starving in several poor areas of the world because it is an extremely resistant culture and may reach satisfactory economical yield. Cassava is a quite perishable root, characterized by fast post harvest deterioration. Because of the lack of researches about the effects of radiations in this root, the objective of the present work was to examine the gamma radiation coming from {sup 60}Cobalt as a treatment to prolong the shelflife of the root after harvesting, aiming to increase its period of commercialization and to conserve its sensorial characteristics for a longer period. Samples were washed, peeled, cleaned and diced cassava roots packed in polyethylene bags. The treatments were: control; freezing and storage at 18 deg C for 21 days; and irradiation with the doses of 8 and 10 kGy. The control and the irradiated samples were stored under ambient temperature during 21 days. All samples were analyzed at each 7 days for alterations in the physicochemical and sensorial characteristics. The samples were analyzed for pH, acidity, weight, humidity, texture and color. The irradiation did not affect the chemical characteristics of the cassava. Neither the pH nor the acidity, the most relevant variables to verify deterioration in cassava, presented significant alterations during the period of storage. Comparing the irradiated treatments, the dose of 8 kGy was that less affected the physic-chemical characteristics of the cassava and scored the highest notes in the sensorial analysis during the period of storage. It was concluded that the minimally processed cassava may be irradiated with the dose of 8 kGy and conserved under ambient temperature up to 21 days of storage without alterations in its characteristics. (author)

  19. Caracteristicas anatômicas da casca e produção de látex em plantas de seringueira não enxertadas Anatomic bark characteristics and latex production in non-grafted rubber trees

    Directory of Open Access Journals (Sweden)

    Alessandro Carlos Mesquita

    2010-01-01

    Full Text Available As estruturas envolvidas na produção de látex na seringueira são os laticíferos articulados. O objetivo deste estudo foi descrever aspectos anatômicos da casca em seringueiras não enxertadas com quatro, seis e oito anos, visando à seleção de materiais promissores. O material analisado foi obtido através do corte da casca à altura aproximada de 1,50 m do solo, chegando até o xilema da planta. Os cortes transversais foram preparados de acordo com as técnicas usuais de microtécnica vegetal. Os resultados permitem concluir, que a utilização de caracteres anatômicos (diâmetro das células, da espessura da casca e do diâmetro do caule, visando à seleção dos materiais de pés-francos com idades diferentes, apresentaram uma correlação significativa com a produção de látex.The structures involved in latex production in rubber trees are articulated laticifers. The objective of this study was to describe anatomical aspects of the bark in four, six and eight year old non-grafted rubber plants, with the view of selecting materials of high yield potential. The analyzed material was obtained from bark cut around 1.50 m from the soil up to the xylem of the plant. The transversal cuts were prepared according to standard plant microtechniques. Based on the results, we can conclude that the use of anatomical characteristics (cell diameter, bark thickness and shoot diameter for selecting material from rootstocks plus non-grafted plants of different ages, showed a significant correlation with latex production.

  20. The Influence of Industrial Processing on the Physico-Chemical Characteristics and Lipid and Antioxidant Contents of Rice Bran; Influencia del procesado industrial sobre las caracteristicas quimico-fisicas y contenido en lipidos y antioxidantes del salvado de arroz

    Energy Technology Data Exchange (ETDEWEB)

    Pestana, V. R.; Zambiazi, R.; Mendonca, C. R. B.; Bruscatto, M. H.; Ramis-Ramos, G.

    2009-07-01

    A comparative study of the physico-chemical characteristics of rice bran during the successive steps of its industrial processing was carried out and included white and parboiled rice brans and pelletized and defatted rice brans. Moisture, acidity and peroxide index were determined. Using extracts in petroleum ether and gas chromatography, the total fat contents and the profiles of the fatty acids were established. The tocopherols and {gamma}-oryzanol were determined using high performance liquid chromatography. The bran of parboiled rice showed the largest fat content and the lowest acidity, indicating that parboiling is the most effective process for bran stabilization. Oleic, linoleic and palmitic acids predominated in all the samples. Pelletization did not produce a loss in lipids, tocopherols or {gamma}-oryzanol. All the samples showed higher contents of {alpha}-tocopherol, intermediate contents of {gamma}-tocopherol and much lower concentrations of {delta}-tocopherol. Nine components of {gamma}- oryzanol were detected, with a major proportion of the component that eluted in the fourth position, probably ferulate of 24-methylene cycloartenol. Pelletized rice bran showed the highest tocopherol content, whereas parboiled rice bran yielded the largest {gamma}-oryzanol content. (Author) 31 refs.

  1. Caracteristicas demográficas e epidemiológicas de doadores aptos e inaptos clinicamente em um banco de sangue regional de Santa Cruz do Sul-RS

    Directory of Open Access Journals (Sweden)

    Cézane Priscila Reuter

    2011-11-01

    Full Text Available Analisar o perfil de doadores (aptos clínicos e não doadores (inaptos clínicos, com relação às características demográficas e socioeconômicas, o tipo de doação predominante, bem como os principais motivos para a inaptidão clínica. O estudo, de caráter transversal, contou com 2.876 sujeitos, de ambos os sexos. De acordo com os resultados, observa-se que os homens apresentam porcentagem bastante superior (65,0% em relação às mulheres (35,0%, quanto à aptidão clínica para a doação; já, as mulheres, apresentam maior porcentagem de inaptidão clínica (53,8%. De maneira geral, o perfil dos sujeitos, tanto aptos, quanto inaptos clinicamente, demonstra que, quanto às características demográficas e sócio-econômicas, a faixa etária predominante é de 18 a 29 anos, com ensino médio completo, solteiros e de etnia branca, sendo a maior parte semi-qualificado profissionalmente; quanto ao tipo de doação, há um destaque para a voluntária e, quanto ao motivo de inaptidão clínica, observam-se diferenças entre os sexos, onde os homens apresentam maior porcentagem de hematócrito elevado e hipertensão arterial e as mulheres, hematócrito baixo, gripe e hipotensão. Assim, pode-se concluir que a determinação do perfil do doador é importante para formular estratégias especificas para a captação de doadores de sangue.

  2. Revision of the equation Calculated Cetane Index for the characteristics of diesel commercialized in the Parana-Brazil; Revisao da equacao de Calculo do Indice de Cetano para as caracteristicas do diesel comercializado no Parana

    Energy Technology Data Exchange (ETDEWEB)

    Souza, Tatiana Bittencourt de; Yamamoto, Carlos Itsuo; Cocco, Lilian Cristina [Universidade Federal do Parana (UFPR), Curitiba, PR (Brazil). Lab. de Analise de Combustiveis Automotivos (LACAUTets)

    2008-07-01

    This work presents the development of models for Calculated Cetane Index (CCI) determination with the purpose of tailor it to the diesel oil sold in Brazil, using optimization techniques. As the diesel is the main fuel on the Brazilian territory, their quality is of great importance. The CCI calculation is important to evaluate the diesel quality. The standard ASTM D 4737 does not take into account the presence of cetane booster additive and biodiesel, which creates the need to recast the equation of the CCI determination. About 300 representative samples were selected of diesel in Parana, during the 2006 to 2007 period, which had their physic-chemical properties determined using the methodology adopted by the ANP - the Brazilian petroleum, natural gas and biofuel agency. The Derived Cetane Number was obtained in the IQT apparatus and several models were proposed, all with better predictive capability than the equation of the standard ASTM D 4737. It is pointed out that biodiesel can act as cetane booster additive depending upon its origin, mostly in concentrations above 5%. The methodology can be expanded to generate a representative equation for the diesel sold in the whole Brazilian territory. (author)

  3. Dimensional characteristics of welds performed on AISI 1045 steel by means of the application of high power diode laser; Caracteristicas dimensionales de soldadura formadas sobre el acero AISI 1045 mediante la aplicacion del laser diodo de alta potencia

    Energy Technology Data Exchange (ETDEWEB)

    Sanchez-Castillo, A.; Pou, J.; Lusquinos, F.; Quintero, F.; Soto, R.; Boutinguiza, M.; Saavedra, M.; Perez-Amor, M.

    2004-07-01

    The named High Power diode Laser (HPDL), emits a beam of optical energy generated by diode stimulation and offers the capability of supplying levels of power up to 6 kW. The objective of this research work was to study the main welding variables and their effects on dimensional characteristics of the beads performed by means of application of this novel laser. The results obtained, show that HPDL, is an energy source able to perform welds on AISI 1045 steel plates under conduction mode, without any kind of mechanized preparation, preheating or post-weld treatment and, without filler metal application. (Author) 16 refs.

  4. Public lighting system. Service characteristic and responsibilities. Questions between electric utilities and the public power; Iluminacao publica. Caracteristicas e responsabilidades do servico. Questoes entre os concessionarios e o poder publico

    Energy Technology Data Exchange (ETDEWEB)

    Prado Junior, Fernando Amaral de Almeida [Comissao de Servicos Publicos de Energia do Estado de Sao Paulo, SP (Brazil). Grupo Comercial e de Tarifas; Andrade, Moacyr Trindade de Oliveira [Universidade Estadual de Campinas, SP (Brazil). Faculdade de Engenharia Mecanica

    1999-07-01

    The central issue of debate was the need to align the energy sector's options and organization with changing global patterns of economic and social development, characterized by the increasing role played by the private sector, greater integration in the world economy, and new economic and social priorities such as efficiency, decentralization, deregulation, and a closer attention to environmental issues. The aim of the work was to present technical, commercial and social characteristics of public lightning systems considering the Brazilian electric power restructuring.

  5. Thermoluminescent characteristics of CaSO{sub 4}:Dy+PTFE irradiated with high energy electron beams; Caracteristicas termoluminiscentes del CaSO{sub 4}:Dy+PTFE irradiado con haces de electrones de alta energia

    Energy Technology Data Exchange (ETDEWEB)

    Alvarez, R.; Rivera, T.; Calderon, J. A.; Jimenez, Y. [IPN, Centro de Investigacion en Ciencia Aplicada y Tecnologia Avanzada, Av. Legaria 694, Col. Irrigacion, 11500 Mexico D. F. (Mexico); Rodriguez, J. [Hospital General de Mexico, Dr. Balmis 148, Col. Doctores, 06726 Mexico D. F. (Mexico); Oviedo, O. [Centro Medico ABC, Sur 136 No. 116, Col. Las Americas, 01120 Mexico D. F. (Mexico); Azorin, J., E-mail: chagua@hotmail.com [Universidad Autonoma Metropolitana, Unidad Iztapalapa, Av. San Rafael Atlixco 186, 09340 Mexico D. F. (Mexico)

    2011-10-15

    In the present work thermoluminescent response of dysprosium doped calcium sulfate embedded in polytetrafluorethylene (CaSO{sub 4}:Dy+PTFE) under high electron beam irradiations from linear accelerator for clinical applications was investigated. The irradiations were carried out using high electron beams (6 to 18 MeV) from a linear accelerator Varian, C linac 2300C/D, for clinical practice purpose. The electron irradiations were obtained by using the water solid in order to guarantee electronic equilibrium conditions. Field shaping for electron beams was obtained with electron cones. Glow curve and other thermoluminescent characteristics of CaSO{sub 4}:Dy+PTFE were conducted under high electron beams irradiations. The thermoluminescent response of the pellets showed and intensity peak centered at around 235 C. Thermoluminescent response of CaSO{sub 4}:Dy+PTFE as a function of high electron absorbed dose showed a linearity in a wide range. To obtain reproducibility characteristic, a set of pellets were exposed repeatedly for the same electron absorbed dose. The results obtained in this study can suggest the applicability of CaSO{sub 4}:Dy+PTFE pellets for high electron beam dosimetry, provided fading is correctly accounted for. (Author)

  6. Agrupamento de árvores matrizes de Eucalyptus grandis em função das variáveis dendrométricas e das caracteristicas tecnológicas da madeira.

    Directory of Open Access Journals (Sweden)

    Merielen de Carvalho Lopes

    2010-08-01

    Full Text Available O objetivo deste trabalho foi investigar a possibilidade de agrupar árvores matrizes de Eucalyptus grandis Hill ex Maiden em função das variáveis dendrométricas e fenotípicas e das características tecnológicas da madeira. As 63 árvores matrizes selecionadas, em um povoamento comercial do litoral norte do estado do Rio Grande do Sul foram abatidas e classificadas quanto às características fenotípicas e dendrométricas. Depois disso, retiraram-se discos na base, no diâmetro à altura do peito (DAP, e a 25, 50, 75 e 100% da altura comercial, destinados à determinação da massa específica básica. Das duas primeiras toras seccionadas acima do DAP, foram retiradas, paralelamente à medula, as tábuas destinadas à avaliação qualitativa da madeira serrada. Por meio da análise de agrupamento, as árvores matrizes foram reunidas em quatro grupos distintos e classificadas com base na tendência em desenvolver rachaduras de topo nas tábuas e toras. No grupo I, classificaram-se as árvores com menor tendência a apresentar rachaduras de topo das tábuas, enquanto que nos grupos II e III, reuniram-se as árvores com menor tendência a rachaduras de topo das toras; e por fim, no grupo IV, classificaram-se as árvores com maior tendência a rachaduras de topo das toras e das tábuas. Através da aplicação da análise discriminante, foi possível identificar cinco variáveis com poder de discriminação dos grupos (DAP, porcentagem estimada de rachaduras, relação altura/diâmetro, tipo de casca e percentual volumétrico de alburno e três funções discriminantes. A técnica de análise de agrupamento e análise discriminante possibilitou o agrupamento das árvores semelhantes, a identificação das variáveis de seleção e a discriminação das funções que permitem alocar novas árvores nos grupos formados.

  7. Preparation and determination of the luminescent characteristics of ZrO{sub 2} in powder; Preparacion y determinacion de las caracteristicas luminiscentes del ZrO{sub 2} en polvo

    Energy Technology Data Exchange (ETDEWEB)

    Rivera M, T. [ESIME-IPN Unidad Culhuacan Mexico D.F. (Mexico); Olvera T, L.; Azorin N, J.; Soto E, A.M.; Velazquez O, C.; Campero C, A. [UAM-I, 09340 Mexico D.F. (Mexico)

    2004-07-01

    In this work the luminescent characteristics of the ZrO{sub 2} are presented using the method of Thermally Stimulated Luminescence (TSL), also called thermoluminescence (Tl). The powders of ZrO{sub 2} were obtained by two preparation methods: for precipitation and for evaporation of Sol-gel. The luminescent characteristics of the ZrO{sub 2} are determined using a lamp of radiation of UV light and a radiation source of beta particles of {sup 90}Sr/{sup 90}Y. Using the method of thermal stimulation the curve representative thermoluminescent of the previously irradiated material was obtained. The curve Tl of the ZrO{sub 2} irradiated with UV light presents a maximum in 180 C. Likewise, the spectrum of the curve Tl of the ZrO{sub 2} irradiated with particles beta presents a maximum centered in 181 C. While using gamma radiation like excitement source one has a spectrum with a peak centered in 184 C. When subjecting the materials obtained by sol-gel to a process of calcination at 1000 C for 24 hours a curved Tl it presents with two maxim in 185 and in 290 C respectively. The intensity of the response induced in the material it is a decisive factor to continue studying the dosimetric characteristics of the ZrO{sub 2} what allows to consider it as a potential material to use it in the beta particle dosimetry and of the UV light using the thermoluminescence method (Tl). (Author)

  8. Caracteristicas de los Estudiantes de Ciencias Agricolas y de Economia Domestica de la Universidad de Puerto Rico (Characteristics of the Agricultural Science and Home Economics Students of the University of Puerto Rico). Publicacion 135.

    Science.gov (United States)

    Lube, Edna Droz; Calero, Reinaldo

    As part of a U.S. Department of Agriculture research project on young adults, a questionnaire was distributed in the fall of 1977 to all agriculture science and home economics students at the University of Puerto Rico in order to determine their personal and parental backgrounds; work, college, and high school experiences; life goals and attitudes…

  9. Condições climáticas, caracteristicas do fruto e sistema de colheita na qualidade fisiológica de sementes de jacarandá Climatic conditions, fruit characteristics and harvest system on physiological quality of jacaranda seeds

    Directory of Open Access Journals (Sweden)

    Cibele Chalita Martins

    2008-08-01

    Full Text Available As características dos frutos coletados e o sistema de colheita utilizado dependem da espécie que se está estudando. Esses parâmetros devem ser bem estabelecidos para permitir a obtenção de sementes com máxima germinação e vigor. Com o objetivo de determinar as características dos frutos e o sistema de colheita mais favorável à qualidade fisiológica de sementes de Jacaranda cuspidifolia Mart., por dois anos consecutivos foram colhidos frutos na árvore (verdes fechados, marrons fechados e marrons abertos e frutos marrons no chão. As sementes foram extraídas, limpas e avaliadas quanto ao teor de água, germinação e vigor (primeira contagem do teste de germinação, comprimento da parte aérea e da radícula das plântulas e porcentagem de emergência. Para a obtenção de sementes de jacarandá com melhor qualidade fisiológica, os frutos devem ser colhidos na árvore marrons, abertos ou fechados e com teor de água inferior a 24,4%.The characteristics of the collected fruits and its harvest system depend on the studied specie. These parameters must be well established to obtaining seeds with maximum germination and vigor. The objective of this study was to determinate the fruit characteristics and harvest system more favorable to physiological quality of Jacaranda cuspidifolia Mart. seeds, collecting during two years fruits from trees (green closed, brown closed and brown opened, and brown fruits on floor. Seeds were extracted, cleaned, and had evaluated the moisture content, germination and vigor (first counting of the germination test, seedling shoot and root growth and percentage of seedling emergence. Best physiological quality of jacarandá seeds was obtained with the harvest of brown fruits, opened or closed, on the trees with moisture content lower than 24.4%.

  10. Edafologic characteristics for the vulnerability of ground water by pollution under the calcaric fluvisols; Caracteristicas edaficas condicionantes de la vulnerabilidad a la contaminacion de las aguas subterraneas situadas bajo fluvisoles calcareos

    Energy Technology Data Exchange (ETDEWEB)

    Moreno Merino, L.; Gonzalez Huecas, C.; Lopez Lafuente, A. [Departamento de Edafologia, Universidad Complutense de Madrid, Madrid (Spain)

    1995-08-01

    A study of vulnerability of ground water based on an pedagogical view of the problem is presented. To do this, the study of one area with a piezo metric level close enough to the surface is selected, in such degree that the purification processes will take part in the greatest zone of the vadose zone. Profiles selected were studied under classical techniques of edafologic characterization, but the interpretation is newness, focusing always the behaviour of how ground water is protected against contaminants potentially aggressive, instead the study of genetic identification pf profiles or the study of genetic identification of profiles or the study of agricultural finess. 27 refs.

  11. Main features and possibilities of the new scale module for calculation of sensitivity and uncertainty by sampling: SAMPLER; Principlaes caracteristicas y posibilidades del nuevo modulo de SCALE 6.2 para calculo de sensibilidad e incertidumbre por muestreo: SAMPLER

    Energy Technology Data Exchange (ETDEWEB)

    Mesado, C.; Miro, R.; Barrachina, T.; Verdu, G.

    2014-07-01

    Due to the importance of calculating sensitivity and uncertainty in the calculation of field engineering, and especially in the nuclear world, it has been decided to present the main features of the new module present in the new version of SCALE 6.2 (currently beta 3 version) called SAMPLER. This module allows the calculation of uncertainty in a wide range of effective sections, neutron parameters, composition and physical parameters. However, the calculation of sensitivity is not present in the beta 3 release. Even so, this module can be helpful for participants of the proposed Benchmark by Expert Group on Uncertainty Analysis in Modelling (UAM-LWR), as well as to analysts in general. (Author)

  12. Megabladder in experimental Chagas disease: pathological features of the bladder wall Mega bexiga na Doença de Chagas experimental. Caracteristicas patológicas da parede vesical

    Directory of Open Access Journals (Sweden)

    Luciano Henrique Gazoni Scremin

    1999-04-01

    Full Text Available Mega-organs, primarily in the digestive tract, are well known to occur in chronic Chagas disease. Acute experimental infection with Trypanosoma cruzi results in parasitism of a wide range of cells, tissues, and organs, including the urinary bladder. Infection of BALB/c mice with 100,000 bloodstream forms of the Y strain of T. cruzi induced acute infection with intense parasitism of all layers of the urinary bladder. Parasites were found in the mucosa, lamina propria, muscular, adventitial connective, and fat tissue. Desquamate epithelial cells with amastigotes in the bladder lumen were also found. After 60 days of infection, mice inoculated with 50 bloodstream forms developed dilated, thin-walled bladders that had inflammatory infiltrates and foci of fibrosis replacing areas of damaged muscular layer. These lesions result from direct damage to the muscle fibers by the T. cruzi, leading to myosites, muscle damage, and scarring. Direct damage of paraganglia cells secondary to parasitism, leading to dilatation, damage of muscle fibers, and scarring with replacement of muscular tissue with connective tissue, should also be considered as a cause of functional disturbance of the urinary bladder.Os "mega-órgãos" na Doença de Chagas são bem conhecidos, especialmente os desenvolvidos no sistema digestivo. A infecção aguda apresenta parasitismo de diversas células, tecidos e órgãos, dentre eles a bexiga urinária. Camundongos Balb/c infectados com 100.000 formas sanguíneas de cepa Y de T. cruzi mostraram intenso parasitismo de todas camadas da bexiga urinária na fase aguda. Os parasitas foram encontrados na mucosa, submucosa, lâmina própria, muscular, adventícia e tecido adiposo, além das células descamadas para a luz do órgão. Para produzir a fase crônica, os animais foram inoculados com a mesma cepa, porém apenas inóculo com 50 formas sangüíneas. Após sessenta dias de infecção, detectamos dilatações da parede vesical, assim como infiltrado inflamatório e focos de fibrose substituindo áreas musculares lesadas. Este achado pode ser resultado da ação direta do T. cruzi sobre as fibras musculares levando a miosite, destruição das fibras e consequente reparo. Lesão das células paraganglionares secundário ao parasitismo deve também ser considerado como causa de distúrbio urodinâmico evoluindo com dilatação, lesão das fibras musculares e substituição das mesmas por tecido conectivo.

  13. Effects of ionizing radiation in the physico-chemical characteristics of red wine Cabernet Sauvignon; Efeitos da radiacao ionizante nas caracteristicas fisico-quimicas do vinho tinto Cabernet Sauvignon

    Energy Technology Data Exchange (ETDEWEB)

    Silva, Fellipe Souza da; Leiras, Anderson; Wagner, Walsan, E-mail: fellipe.souzadasilva@gmail.com [Instituto de Radioprotecao e Dosimetria, (IRD/CNEN-RJ), Rio de Janeiro, RJ (Brazil)

    2014-07-01

    The oenology in the current days is increasingly aimed obtain improvements on wine quality produced without there the deterioration of characteristics of the same, using new technologies for such order. The objective of present work will be the application of the radiation ionizing in wines Cabernet Sauvignon, with the interest of analyzing its effects on physic-chemical characteristics of this wines, such as quality, aging and etc. Were analyzed the following strands: degree alcoholic; dry extract; density and absorbance with spectrometer (420, 520 and 620 nm). (author)

  14. Geotechnological characteristics of a sanitary land-fill:three years monitoring the sanitary landfills at Meruelo. Caracteristicas geotecnologicas de un vertedero controlado: tres aos de observacion de movimientos en el vertedero controlado de Meruelo

    Energy Technology Data Exchange (ETDEWEB)

    Sanchez-Alciturri, J.M.; Palma, J.H.; Sagaseta, M.; Caizal, J. (Universidad de Cantabria. (Spain))

    1994-01-01

    As a part of research program on geotechnical problems involved in waste disposal, a sanitary landfill has been instrumented in Meruelo, in the region of Cantabria, Spain. It is located in a valley, with an initial retaining dyke whose height is increased by the ''upstream'' method up to a final value of 50 m. At present, the records of three years of monitoring are available, and they are analyzed in this paper. They include surface settlements in points with different thickness of waste (up to 16 m.) and horizontal and vertical movements of the front slope for stability assessment. (Author)

  15. Multiple sclerosis outcome and morbi-mortality of a Brazilian cohort patients Caracteristicas clínico-evolutivas e morbi-mortalidade de uma coorte de pacientes brasileiros com esclerose múltipla

    Directory of Open Access Journals (Sweden)

    Soniza Vieira Alves-Leon

    2008-01-01

    Full Text Available We studied the clinical and evolution characteristics of multiple sclerosis (MS patients followed since the onset of HUCFF/UFRJ in 1978. The diagnosis of MS was based on Poser's et al. and MC Donald's et al. criteria. From 188 patients, 122 were included. Eighty-five were females. The mean age onset was 32.2 years-old (range 6.0 to 61.0±10.3, mainly Caucasians (82/67%. The relapsing-remitting course (MSRR was more frequent (106/86.8%. Monosymptomatic onset was significantly more frequent in Caucasians than in Afro-Brazilians (pEstudamos as características clínico-evolutivas de pacientes com esclerose múltipla (EM acompanhados no HUCFF-UFRJ desde 1978. Foram usados critérios de Poser et al. e MC Donald et al. para o diagnóstico de EM. De 188, 122 foram incluídos. Oitenta e cinco eram mulheres. A média de idade de início foi 32,2 anos (6,0-61,0±10,3, predominando caucasianos (n=82/67%. A forma recorrente-remitente (EMRR foi mais freqüente (n=106/86,8%. Formas mono-sintomáticas no primeiro surto foram significativamente mais freqüentes em caucasianos do que em afro-brasileiros (p<0,05. Dezessete pacientes apresentavam a forma benigna (13,9% e 43 a grave (35,2%. A forma benigna foi associada com a EMRR (p=0,01. A taxa de letalidade 2,12% (4 óbitos. Nossos resultados são semelhantes aos de outras séries brasileiras no que se refere ao sexo e idade, e falta de correlação entre EDSS e número de surtos; confirmamos gradiente sul-sudeste de distribuição afro-descendente, associação significativa entre primeiro surto mono-sintomático e caucasianos e menor freqüência de formas benignas.

  16. Study of the influences of the zeolites physical and chemical characteristics in the soya oil cracking; Estudo das influencias das caracteristicas fisico-quimicas de zeolitas no craqueamento do oleo de soja

    Energy Technology Data Exchange (ETDEWEB)

    Santos, Frances Regiane dos

    1995-10-01

    Vegetable oils have been studied as raw materials to yield fuel hydrocarbons. The catalytic and thermal transformations of these oils have been presented as being able to generate hydrocarbons from which diesel oil and vegetable gasoline may be obtained. (author)

  17. Chemical and isotopic characteristics of rainwater at Los Humeros geothermal field, Puebla, Mexico and surrounding areas; Caracteristicas quimicas e isotopicas del agua de lluvia en el campo geotermico de Los Humeros, Puebla, Mexico y zonas aledanas

    Energy Technology Data Exchange (ETDEWEB)

    Tovar Aguado, Rigoberto; Cruz Grajales, Irma [Comision Federal de Electricidad, Los Humeros, Puebla (Mexico)

    2000-12-01

    A study of chemical and isotopic characteristics of rainwater at Los Humeros geothermal field was undertaken for the second consecutive year. Samples were collected in seven stations-two inside the field and five on the periphery. In 1996, a total of 99 samples were collected and 104 were collected in 1997. Of these, 19-18.26% of the total-had a negative alkalinity. The Atempan (No.5) and Campamento (No.1) stations showed the highest number of anomalous samples (31.25 and 27.8%, respectively). Anomalous samples in Perote station were not observed a result that we attribute to the predominant wind direction. The results for the Campamento station are attributed to the thermal inversion phenomena occurring when the samples with negative alkalinity were obtained. Concentrations of cations in some samples were relatively high, with the maximum concentration of calcium in the Los Humeros station (79.7 ppm) . Other significantly high values were found in the Texcal station (34.8 ppm) and Perote (33.8 ppm) due to the presence of dust particles scattered in the air and because of the lack of pavement where the sampling stations are located. Another factor affecting these figures could be the presence of block and lime factories in the neighborhood. Although measured concentrations may seem high, reports exist with similar concentrations in nongeothermal areas. Oxygen-18 and deuterium contents were determined for each stations, mixing anomalous samples. The results show that the most enriched samples correspond to the San Juan Xiutetelco, Puebla (No. 6) station and the minimum to the Perote Veracruz (No. 7) station. The concentration of SO{sub 4} has marine and industrial origins, with a contribution of the first source ranging between 10 and 25 percent. [Spanish] En el campo geotermico de Los Humeros, Puebla se realizo, por segundo ano consecutivo, la caracterizacion quimica e isotopica de agua de lluvia en muestras colectadas en siete estaciones, dos localizadas dentro del campo y cinco en la periferia del mismo. Durante 1996 se colectaron un total de 99 muestras y en 1997, 104 mas, de las cuales 19 presentaron una alcalinidad negativa, lo que representa el 18.26% del total de las muestras. Las estaciones de Atempan (No.5) y campamento (No.1) presentaron el mayor numero de muestras anomalas (31.25 y 27.8 % respectivamente). En la estacion de Perote no se encontro ninguna muestra anomala, lo que es atribuido a la direccion predominante del viento. Los resultados encontrados en la estacion Campamento se atribuyen a la presencia de fenomenos tipo inversion termica que se observaron durante los periodos en que se encontraron los valores de alcalinidad negativa. Las concentraciones de cationes fueron relativamente altas; el maximo contenido de calcio se midio en la estacion de Los Humeros (79.7 ppm), le siguieron otros valores significativos en las estaciones de Texcal (34.8 ppm) y Perote (33.8 ppm), lo que fue ocasionado por la presencia de particulas de polvo suspendidas en el aire, ya que en los sitios donde se ubican las estaciones de muestreo no existe pavimento, junto con otros factores tales como la presencia de fabricas de block y cal. Aunque las concentraciones anteriores pueden parecer elevadas, existen reportes con concentraciones similares en otras zonas. Se preparo una muestra de agua de lluvia por estacion, a partir de la mezcla de muestras anomalas de cada una de ellas. Se determino el contenido de oxigeno-18 y deuterio, encontrando que la mezcla mas enriquecida corresponde a la estacion de San Juan Xiutetelco, Puebla (No. 6) y la de menor enriquecimiento a Perote, Veracruz (No. 7). La concentracion del SO{sub 4} tiene origen marino e industrial, con un aporte del primero que oscila entre el 10-25 %.

  18. Comparison among the mineralogic characteristics of Corumbatai formation and a mass for via humidity ceramic coating; Comparacao das caracteristicas mineralogicas da formacao Corumbatai com uma massa para revestimentos ceramicos via umida

    Energy Technology Data Exchange (ETDEWEB)

    Rocha, R.R.; Zanardo, A.; Moreno, M.M.T., E-mail: azanardo@rc.unesp.b [Universidade Estadual Paulista Julio de Mesquita Filho (UNESP), SP (Brazil). Dept. de Petrologia e Metalogenia; Souza, E.M. [Colorminas Colorificio e Mineracao S.A., Icara, SC (Brazil)

    2009-07-01

    The mineralogy of the raw materials used in the production of ceramic tiles is a matter of great importance considering the constant necessity of finding alternatives to reduce costs and to improve the product quality. The ceramic industry of Santa Gertrudes could see a dramatic growth due to reasons that include the natural characteristics of the raw materials found in the region which are suitable for the production of ceramic tiles through the dry grinding process. In order to understand the ease of use of such clays which are sedimentary rocks of Corumbatai Formation, their plastic components made up primarily of clay minerals such as illite and smectite, and non-plastic components, including quartz (inert), feldspars (fluxe) and some contaminants, were identified with the use of X-ray diffraction. When comparing the properties of the formulation made with clays from Corumbatai Formation with that made with raw materials for the wet process, it was possible to note the ease of use and the relative characteristics of both processes. (author)

  19. Splenic marginal zone lymphoma with Evans' syndrome, autoimmunity, and peripheral gamma/delta T cells

    OpenAIRE

    2008-01-01

    Splenic marginal zone lymphoma with Evans? syndrome, autoimmunity, and peripheral gamma/delta T cells (Garcia-Mu?oz, Ricardo) Hematology Service, Clinica Universitaria, University of Navarra - Pamplona - SPAIN (Garcia-Mu?oz, Ricardo) Hematology Service, Clinica Universitaria, University of Navarra - Pamplona - SPAIN (Rodriguez-Otero, Paula) Hematology Service, Clinica Universitaria, University of Navarra - Pamplona - SPAIN (Pegenaute, Carlota) Department of...

  20. Estudio retrospectivo de las afecciones obstructivas de las vias aereas superiores en equinos adultos presentados a la clinica para grandes animales de la universidad nacional de colombia entre 1993 y 2007

    OpenAIRE

    Martínez, D. A.; Oliver, O. J.

    2012-01-01

    Un total de 44 historias de animales admitidos en la Clínica para Grandes Animales de la Universidad Nacional de Colombia fueron analizadas, para determinar cuales fueron las entidades más prevalentes en el tracto respiratorio superior (cavidad nasal, faringe y laringe) de estos equinos. Se determinó que el desplazamiento dorsal del paladar blando, la hemiplejia laríngea, la hiperplasia faríngea linfoide y las neoplasias fueron las mas prevalentes con 38.64%, 34.09%, 18.18% y 9.09% respectiva...

  1. Influence of the curve density relative electron in dosimetry clinic in treatments stereo tactics; Influencia de la curva de densidad electronica relativa en la dosimetria clinica en tratamientos estereotaxicos

    Energy Technology Data Exchange (ETDEWEB)

    Moreno Saiz, C.; Benitez Villegas, E. M.; Casado Villalon, F. J.; Parra Osorio, V.; Bodineau Gil, C.; Garcia Pareja, S.

    2013-07-01

    The objective of this study is to analyze the difference between clinical dosimetry in the treatments with radiosurgery and stereotactic radiotherapy fractional obtained from the relative Electron density curve (Schneider 1996) tabulated and provided with the scanner's radiation therapy. (Author)

  2. Percepción de los usuarios de la clinica Roque Armando López (RAL) respecto a la prestación de los servicios de saud y atención brindada en el servicio de consulta externa

    OpenAIRE

    Gómez Chamorro, Lina María; Gómez García, Elizabeth; López Vargas, Jhoan Manuel

    2015-01-01

    Tesis(Especialista en Administración de la Salud). Universidad Católica de Manizales. Facultad de salud, 2015 Con frecuencia se escucha hablar de satisfacción del usuario al recibir servicios de salud, dado que es un punto importante que determina que los clientes externos deseen y busquen recibir servicios de salud en nuestras instituciones; por lo tanto con este trabajo se buscó determinar el grado de satisfacción del usuario atendido en la Clínica Roque Armando López, estableciendo la...

  3. Ventilatory-perfusory pulmonary scintigraphy as non invasive election procedure in patients with clinical suspicion of pulmonary thrombo emboli; Centelleografia pulmonar ventilatoria-perfusoria, como procedimiento no invasivo de eleccion en pacientes con sospecha clinica de tromboembolia pulmonar

    Energy Technology Data Exchange (ETDEWEB)

    Altamirano L, J

    2004-07-01

    30 patients were studied with suspicion of pulmonary thrombo emboli PTE, in a period of 9 months (January-September of 1992), 20 women and 10 men, with an age range of 26 to 88 years, average of 57.59 18.89. With respect to the clinical data, 24 presented breathing inadequacy (80%). 16 tachycardia (54%), 15 with thoracic pain (50%) and 4 with hemoptysis (13%). Of the cabinet studies, 12 presented electrocardiographic changes (IF, QIII, and TIII) (40%), 14 presented abnormalities in arterial gases. In the thorax tele, 8 presented abnormality; as spill, pneumonia, diaphragmatic elevation, etc. (26.6%) and of 14 the result was not reported (46 6%). They were carried out in all the patients, the ventilatory studies and perfusories in that order. A Siemens mark scintillation camera was used, with a collimator of low energy and of high resolution; the information was stored in a floppy disk, and later on they were printed in radiographic plaques of high resolution. The ventilatory study was carried out with 30 mCi of {sup 99m} Tc-DTPA, in radio aerosol form, emitted by a micro nebulizer, to which was applied a pressure of oxygen of 10 ml-min; during 10 to 15 minutes. They took projections antero, posterior, oblique antero left and right, oblique posterior left and right, each one with an acquisition of 150000 counts, or during 5 minutes. Later on and remaining the patient in supine position, was carried out the perfusory study, applying 3-4 mCi of {sup 99} Tc-MAA for endo venous via; they took the same projections that the ventilatory study, but with a density of information greater (500 000 counts each one). Both studies are printed in a radiographic plaque of high resolution, with which is interpreted and the study is filed. (Author)

  4. Clinic implementation of method Zacarias for the correction of errors of convergence of optimization of IMRT in lung; Implementacion clinica del metodo Zacarias para la correccion de errores de convergencia de optimizacion en la IMRT en pulmon

    Energy Technology Data Exchange (ETDEWEB)

    Pardo Perez, E.; Molina Lopez, M. Y.; Ruiz Maqueda, S.; Castro Novais, J.; Counago Lorenzo, F.

    2013-07-01

    The implemented procedure is acceptable per a unit of radiophysic since it does not increase planning time in more than 30 - 45 minutes. Plans thus obtained show an improvement in dosimetric parameters for a small increase in the complexity of the plan, without appreciable increase risk organ doses. (Author)

  5. Octavius 4D: Initial state of reference and clinical implementation of a new equipment for checks VMAT; Octavius 4D: Estado de referencia inicial e implementacion clinica de un nuevo equipamiento para verificaciones VMAT

    Energy Technology Data Exchange (ETDEWEB)

    Eno Olmos, J.; Carmona Mesequer, V.; Lliso Vlaverde, F.; Garcia Martinez, M. t.; Pujades Claumarchiran, M. C.; Palomo Llinares, R.; Ballester Pallares, F.; Perez-Calatayud, J.

    2013-07-01

    The objective of this work is the establishment of the State of initial reference of a new system of measurement with the above capabilities, as well as the evaluation of its use in clinical routine. (Author)

  6. Method for calibration of asymmetric jaws in hemi fields techniques and effects in clinical practice; Metodo para la calibracion de las mandibulas asimetricas en tecnicas de hemicampos y efectos en la practica clinica

    Energy Technology Data Exchange (ETDEWEB)

    Hernandez Masgrau, V.; Sempau Roma, J.; Abella Cereigido, R.; Lopez Sanchez, M.; Perez Fernandez, M.; Gonzalez Leyba, M.; Artigues Pedrola, M.

    2013-07-01

    This paper presents a method improved very significantly the accuracy of calibration, providing a good homogeneity of the dose distribution in the area of union of fields. Also evaluates the effect that has this new calibration in clinical practice. (Author)

  7. Use of clinical practice as a motivating tool of radioprotection teaching and radiopharmacology in early semesters of pharmacy course; Uso da pratica clinica como ferramenta motivadora de ensino de radioprotecao e radiofarmacologia em semestres iniciais em cursos de farmacia

    Energy Technology Data Exchange (ETDEWEB)

    Andrighetto, Daniela; Lüdke, Everton, E-mail: daniela.andrighetto@hotmail.com, E-mail: evertonludke@gmail.com [Universidade Federal de Santa Maria (CCNE/DEFIS/UFSM), RS (Brazil). Departamento de Fisica

    2014-07-01

    The research teaching methods aimed at the success of the higher education student in pharmacology and medicine courses in technical expertise in the fields of radiological protection, radiopharmacology and interventional radiology is extremely important in view of the progress of these sectors. The objective of this work is to propose a methodological sequence of teaching work with first-year students of pharmacy and medicine courses within a biophysical discipline where the integrated knowledge to clinical practice can be used for this purpose. The methodology was to assess individual learning of a group of N = 49 students of the first half in the age group of 17-19 years through conceptual acquisition by the traditional method of 'blackboard and chalk' and developed method that includes four pedagogical moments focused on the area health. An analysis of the evaluation student performance through Variance Analysis of a pathway showed improved scores with respect to the performance of application issues of knowledge concerning radiation protection and biological mechanisms of radiation with respect to the method of 'blackboard and chalk' with p < 0.05. Therefore, work with students with respect to the content in the form of six steps of clinical interest are a promising technique for radiation protection education in the early grades of college courses with experimental effectiveness.

  8. Dosimetry characterization and clinical application of Exa skin: Bolus of high of high density for use with photons; Caracterizacion dosimetrica y aplicacion clinica de Exaskin: bolus de alta densidad para uso con fotones

    Energy Technology Data Exchange (ETDEWEB)

    Ortiz Seidel, M.; Velazquez Miranda, S.

    2013-07-01

    Bolus of high density eXaSkin of density 1.6 g/cm{sub 3} is calculated correctly in the planning systems, is easy to use and generates optimum coupling with the radiation area, at the same time which is easily reproducible in their placement, avoiding the use of electron beams. On the other hand its behavior varies very slightly with the presence of air gaps. (Author)

  9. Clinical characterization of OSL dosimeters for use in dosimetry of teletherapy beams in conventional fractionation; Caracterizacion clinica de dosimetros OSL para su uso en dosimetria de haces de teleterapia en fraccionamiento convencional

    Energy Technology Data Exchange (ETDEWEB)

    Lopez V, A.; Gutierrez M, J. G.; Rivera M, T. [IPN, Centro de Investigacion en Ciencia Aplicada y Tecnologia Avanzada, Av. Legaria No. 694, Col. Irrigacion, 11500 Mexico D. F. (Mexico); Velazquez T, J. J., E-mail: jggm25@yahoo.com.mx [Centro Medico Nacional Siglo XXI, Hospital de Oncologia, Departamento de Fisica Medica, Av. Cuauhtemoc No. 330, Col. Doctores, 06720 Mexico D. F. (Mexico)

    2015-10-15

    Optically stimulated materials are increasingly used for dosimetry in clinical settings; to be sure of the obtained reading their proper clinical characterization is necessary. Is important to know the homogeneity of a batch, reproducibility, be exposed to the same conditions of irradiation repeatedly and other dependences that could present such as energy, angular, the type of radiation which are exposed and the dose deposited in them. For characterization they were designed and implemented tests for each of the factors of interest, taking into account the need for them (calculations, manufacture of mannequins, conditions, practicality, etc.) It was shown that we can apply this dosimetry in clinical practice within a radiotherapy center, relying on the readings and practicality. (Author)

  10. 肾脏相关标志物在评估妊娠高血压综合征肾损伤的研究%Clinica value of markers related kidney in assessing renal dysfunction in pregnancy induced hypertension women

    Institute of Scientific and Technical Information of China (English)

    陈志晓; 谢淑贤; 陈金玲; 陈国卫; 利定建; 吴修宇

    2015-01-01

    目的 评价胱抑素C(Cys C)、同型半胱氨酸(Hcy)、24小时尿蛋白定量(24 h-UPE)、尿素(UREA)、肌酐(Scr)在妊娠高血压综合征(PIH)早期肾损伤及损伤程度应用的价值.方法 检测133例PIH患者的Cys C、Hcy、24 h-UPE、UREA、Scr等指标 ;PIH患者分为轻度、中度重度组并与30例健康妊娠者(健康对照组)作比较.结果 轻度PIH组各项指标均高于健康对照组 ,中度、重度PIH组显著高于健康对照组、轻度PIH组 ,差异有统计学意义(P<0 .05);Cys C和24 h-UPE具有高度的相关性(r=0 .780 ,P<0 .01).结论 联合检测Cys C、Hcy、24 h-UPE、UREA、Scr能更准确和客观地反映PIH患者肾脏损伤程度 ,有利于早期诊断与治疗.%Objective To evaluate the significance of the serum cystatin C (Cys-C) Homocysteine(Hcy) ,24 h urinary protein excretion(24 h-UPE) ,UREA and Scr in assessing renal dysfunction in Pregnancy induced hyperten-sion(PIH) women .Methods Biochemistry was used to evaluate the level of Cys-C ,Hcy ,24 h-UPE ,UREA and Scr in 133 PIH patients (study group) who were divided into 3 groups ,the low group ,medium group and severe group , compared with 30 normal pregnant women(control group) .Results The concentrations of Cys-C ,Hcy ,24 h-UPE , UREA and Scr were significantly higher in the low PIH group than in the control group ,all in the medium PIH group and severe PIH group higher in the control group and low PIH group .Correlation analyses demonstrated significant correlations between Cys-C and 24 h-UPE in all the 133 pregnant women ,r=0 .780(P<0 .01) .Conclusion Cys-C , Hcy ,24 h-UPE ,UREA and Scr can reflect the degree of renal function damage in patients with PIH .

  11. Importance of the effective atomic number (Z{sub eff}) of TL materials for radiation dosimetry in clinical applications; Importancia del numero atomico efectivo (Z{sub eff}) de materiales TL para dosimetria de la radiacion en aplicaciones clinicas

    Energy Technology Data Exchange (ETDEWEB)

    Gonzalez M, P.R. [ININ, 52750 La Marquesa, Estado de Mexico (Mexico)]. e-mail: pgm@nuclear.inin.mx

    2008-07-01

    The electric power generation, it has been one of the radiation applications of bigger weight, mainly in developed countries. Another sector of more impact is without a doubt that of the medicine. However, for a sure operation with radiations, those international organisms of radiological safety, exist every time more precise detection systems. The thermoluminescent dosimetry is one of the more reliable methods for this purpose, for that several groups of investigators from different parts of the world, they have guided its investigations in the development of new TL materials. However, to avoid underestimate or overestimation of the measured dose with the use of these materials, it should take into account it effective atomic number (Z{sub eff}) it is well known that some TL materials considered as equivalent to the tissue, presents smaller TL intensity when being irradiated with low energy photons, while the TL material known as not equivalent to the tissue, they present the supra sensitivity effect for this radiation type. Nowadays, the estimate of the Z{sub eff} has not been clear, in this work the Z{sub eff} is determined by means of the traditional methods and an own method is presented for its determination. The results of the TL signal of different materials, when being irradiated with photons of effective energy between 24 keV and 1.25 MeV and their relationship with their calculated Z{sub eff} are also presented. (Author)

  12. Analysis of the systems for management of radioactive wastes from nuclear medicine clinics of the city of Recife, Pernambuco, Brazil; Analise dos sistemas de gerenciamento de rejeitos radioativos de clinicas de medicina nuclear da cidade de Recife, PE

    Energy Technology Data Exchange (ETDEWEB)

    Lira, Renata Farias de; Lopes, Ferdinand de Jesus; Passos, Robson Silva; Silva, Valeria Cosma Bento da; Belo, Igor Burgo, E-mail: renatafariasdelira@hotmail.co, E-mail: ferdinand.lopes@oi.com.b, E-mail: robson.passos@hotmail.co, E-mail: Valleria_@hotmail.co, E-mail: Igor.burgo@gmail.co [Instituto Federal de Educacao, Ciencia e Tecnologia de Pernambuco, Recife, PE (Brazil); Santos, Marcus Aurelio Pereira dos, E-mail: masantos@cnen.gov.b [Centro Regional de Ciencias Nucleares (CRCN-NE/CNEN-PE), Recife, PE (Brazil)

    2009-07-01

    In nuclear medicine compounds marked with radionuclides, called radiopharmaceuticals, for obtention diagnostic information and for diseases treatment. The physicochemical characteristics of the radiopharmaceuticals determine his fixation at target-organ, and the physical characteristics determine the compound application in diagnostic or therapy. The handling of radiopharmaceuticals generates solid, liquid and gas wastes. The presence of these wastes implies in a adequate management according to regulation standards established by the Brazilian Nuclear Energy Commission (CNEN). The objective of safe management of radioactive wastes is to protect the human being and the preservation of the environment, limiting possible radiological impacts for the future generation, and comprehend a set of technical and administrative activities involved in the collection, segregation, handling, conditioning, transportation, storage, control and elimination, or the final deposition. This work intends to verify if the radioactive waste management systems from the nuclear medicine clinics at the city of Recife are conformal with te normative regulations issued by the CNEN. The initial obtained results are used to elaboration of conformal verification spreadsheet and its application in six nuclear medicine clinics at Recife

  13. Elements determination of clinical relevance in biological tissues Dmd{sup mdx}/J dystrophic mice strains investigated by NAA; Determinacao de elementos de relevancia clinica em tecidos biologicos de camundongos distroficos Dmd{sup mdx}/J por AAN

    Energy Technology Data Exchange (ETDEWEB)

    Metairon, Sabrina

    2012-07-01

    In this work the determination of chemistry elements in biological tissues (whole blood, bones and organs) of dystrophic mice, used as animal model of Duchenne Muscular Dystrophy (DMD), was performed using analytical nuclear technique. The aim of this work was to determine reference values of elements of clinical (Ca, Cl, K, Mg, Na) and nutritional (Br and S) relevance in whole blood, tibia, quadriceps and hearts from Dmdmdx/J (10 males and 10 females) dystrophic mice and C57BL/6J (10 males) control group mice, using Neutron Activation Analysis technique (NAA). To show in more details the alterations that this disease may cause in these biological tissues, correlations matrixes of the DMD{sup mdx}/J mouse strain were generated and compared with C57BL/6J control group. For this study 119 samples of biological tissue were irradiated in the IEA-R1 nuclear reactor at IPEN (Sao Paulo, Brazil). The concentrations of these elements in biological tissues of Dmd{sup mdx}/J and C57B/6J mice are the first indicative interval for reference values. Moreover, the alteration in some correlation coefficients data among the elements in the health status and in the diseased status indicates a connection between these elements in whole blood, tibia, quadriceps and heart. These results may help the researchers to evaluate the efficiency of new treatments and to compare the advantages of different treatment approaches before performing tests in patients with muscular dystrophy. (author)

  14. Administered activities of {sup 18}F-FDG PET clinics in pediatrics patients in Brazil- preliminary study; Atividades administradas de {sup 18}F-FDG aos pacientes pediatricos nas clinicas PET no Brasil - estudo preliminar

    Energy Technology Data Exchange (ETDEWEB)

    Oliveira, Cassio Miri, E-mail: cmo@cdtn.br [Universidade Federal de Minas Gerais (PCTN/UFMG), Belo Horizonte, MG (Brazil). Pos-Graduacao em Ciencias e Tecnicas Nucleares; Silva, Teogenes A. da, E-mail: silvata@cdtn.br [Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN-MG), Belo Horizonte, MG (Brazil); Sa, Lidia V. de, E-mail: lidia@ird.gov.br [Instituto de Radioprotecao e Dosimetria (IRD/CNEN-RJ), Rio de Janeiro, RJ (Brazil)

    2013-07-01

    A survey was conducted among the Brazilian clinical PET, with the purpose of investigating the activities administered to pediatric oncology patients and assess whether significant differences between the protocols adopted. In addition, this survey can cooperate to the suggestion diagnostic reference levels (DRLs) in nuclear medicine. Although the methodology for delivering doses by most clinics be based on patient's weight, the results showed variations of up to 191, 6% between the activities administered in clinics, even for similar devices. The average value of the distribution of activities reported was 4.46 {+-} 1,6 MBq /kg. These data demonstrate the need for harmonization and optimization of {sup 18}F-FDG/PET procedures, as well as training for professionals involved in the clinical routine.

  15. Specialized consultant in radiological safety to the Reforma peripheral clinic, PEMEX. - I. - May-June of 2003; Asesoria especializada en seguridad radiologica a la clinica periferica Reforma, PEMEX.- I.- Mayo-Junio de 2003

    Energy Technology Data Exchange (ETDEWEB)

    Torres P, A.; Garcia A, J.; Rodriguez A, F

    2003-07-15

    The Reforma peripheral clinic, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the clinic can conserve its respective sanitary license.(Author)

  16. Specialized consultant in radiological safety to the Macuspana peripheral clinic, PEMEX. - IV. - November and December of 2002; Asesoria especializada en seguridad radiologica a la clinica periferica Macuspana, PEMEX.- IV.- Noviembre y Diciembre de 2002

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Hernandez C, J. E.; Garcia A, J.; Rodriguez A, F

    2003-02-15

    The Macuspana peripheral clinic, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the clinic can conserve its respective sanitary license.(Author)

  17. Temporal evolution of the environmental dose remaining in a clinical irradiation bunker after the cessation of irradiation; Evolucion temporal de la Dosis ambiental remanente en un bunker de irradiacion clinica tras el cese de la irradiacion

    Energy Technology Data Exchange (ETDEWEB)

    Ruiz Egea, E.; Sanchez Carrascal, M.; Torres Pozas, S.; Monja Ray, P. de la; Perez Molina, J. L.; Madan Rodriguez, C.; Luque Japon, L.; Morera Molina, A.; Hernandez Perez, A.; Barquero Bravo, Y.; Morengo Pedagna, I.; Oliva Gordillo, M. C.; Martin Olivar, R.

    2011-07-01

    In this paper we try to quantify the dose emitted by different radioactive processes that occur in the head of a clinical linear accelerator and the patient is irradiated, or walls of the bunker, converted into tertiary sources of radiation trying to establish the origin of the came in different parts of the bunker.

  18. Gunshot wounds to the head. Correlations between CT and clinical findings, neurosurgical treatment and long-term sequels; Traumi cranio-encefalici da proiettile: correlazione tra tomografia computerizzata, clinica, trattamento neurochirurgico e sequele a distanza

    Energy Technology Data Exchange (ETDEWEB)

    Salzano, A.; Nocera, V. [Ospedale S. Giovanni di Dio, Frattamaggiore, NA (Italy). Servizio di Radiologia; De Rosa, A.; Nunziata, A. [Ospedale Loreto Mare, Neaples (Italy). Servizio di Radiologia; Rossi, E.; Brunese, L. [Universita' degli Studi Federico II, Neaples (Italy). Ist. di Scienze Radiologiche; Tuccillo, M. [Azienda Ospedaliera di Rilievo Nazionale A. Cardarelli, Neaples (Italy). Servizio di Radiologia; Grassi, R. [Seconda Universita' degli Studi, Neaples (Italy). Ist. di Radiologia

    2000-03-01

    With the aim of demonstrating the usefulness of computerised tomography (CT) findings in the planning of brain neurosurgery in gunshot victims, for prompt and successful treatment, 30 patients with brain gunshot wounds were examined with CT over 5 years. The mortality rate of firearm wounds of the skull base was 34% higher than that of the hemisphere; this is due to carotid hemorrhage and midbrain damage. Such traumas require emergency radiological diagnosis and neurosurgical treatment because of their severity and early irreversible complications. Complex operations and skilled surgeons may prevent disabling postoperative sequels. CT findings are indispensable and must be correctly interpreted. The radiologist and the neurosurgeon must collaborate closely and both must consider several diagnostic factors affecting surgical planning. [Italian] Scopo dello studio e' stato quello di dimostrare l'utilita' della semeiologia della tomografia computerizzata in relazione con la pianificazione dell'intervento neochirurgico, al fine di attuare con tempestivita' interventi chirurgici soddisfacenti e meno lesivi. Lo studio comprende 30 casi di lesioni cranio-encefaliche da arma da fuoco esaminate con tomografia computerizzata nel periodo di 5 anni. Materiali e metodi utilizzati sono analiticamente descritti. L'esperienza dimostra che nelle lesioni da arma da fuoco del basicranio si nota una mortalita' del 34% superiore rispetto a quelle piu' craniali come quelle emisferiche in relazione a emorragie carotidee e lesioni tronco-mesencefaliche. Tali traumi esigono diagnosi radiologica e terapia neurochirurgica d'urgenza per la gravita' e le precoci complicanze irreversibili. Cio' richiede interventi complessi e manualita' esperte e rapide al fine di evitare sequele postoperatorie invalidanti. La corretta e indispensabile interpretazione dei segni radiologici della tomografia computerizzata deve avvenire in stretta collaborazione tra il radiologo e il neurochirurgo, ed entrambi devono tenere conto di una vasta gamma di fattori diagnostici, prognostici e di strategia terapeutica, che influenzano il tipo di decisionalita' e di aggressivita' chirurgica.

  19. ERI and initial clinical experience with dosimetry check, a commercial software for dosimetry in vivo volumetric; ERI y experiencia clinica inicial con dosimetry check, un software comercial para dosimetria in vivo volumetrica

    Energy Technology Data Exchange (ETDEWEB)

    Pujades Claumarchirant, M. C.; Gimeno Olmos, J.; Garcia Martinez, T.; Carmona Meseguer, V.; Lliso Valverde, F.; Palomo Llinares, R.; Ballester Pallares, F.; Perez Calatayud, J.

    2013-07-01

    The objective of this work is to study the differences in dose at a point of reference between the result of calculation of dose and the planning system to establish a level of uncertainty of the system. In addition, evaluates its use in clinical routine and presents results obtained with the first patients. (Author)

  20. 滤泡辅助性T细胞在类风湿关节炎发病中的临床意义%ClinicaI significance of T follicuLar helper cells in rheumatoid arthritis

    Institute of Scientific and Technical Information of China (English)

    李云春; 方忠俊; 钟立; 王悦; 阳帆; 稽晓赟

    2015-01-01

    Objective To investigate the percentages of T follicuLar helper cells (Tfh)and interleukin-21(IL-21)in the plasma of patients with rheumatoid arthritis,and the immunological mechanism of Tfh cells in the development of rheumatoid arthritis. Methods According to ACR and DAS28,patients with rheumatoid arthritis were divided into low,moderate and high activity group.The percentages of CD3 + CD4 + CXCR+ 、CD3 + CD4 + ICOS+ and CD3 + CD4 + CXCR+ ICOS+ Tfh cells were detected by Flow Cytometry.While the levels of IL-21 、RF-IgM and anti-CCP in plasma were measured by ELlSA test.The analysis was performed by t-test and Spearman′s correlation analysis.Results The expression of CD3 + CD4 + CXCR+ ICOS+ Tfh cells in PBMCs of rheu-matoid arthritis was significantly higher than that in the normal controls(P <0.05).Meanwhile the results of the three rheumatoid arthritis groups(low,moderate and high activity groups)showed that the expression of Tfh increased accordingly(P <0.05).The expression of Tfh in rheumatoid arthritis was positively related with the levels of IL-21 ,ESR,CRP,RF and anti-CCP respectively. Conclusion The expression of Tfh and IL-21 increases significantly and is closely related to the disease activity in rheumatoid ar-thritis.The results indicate that the abnormality of Tfh may play an important role in the pathogenesis of rheumatoid arthritis.%目的:通过检测类风湿关节炎(RA)患者外周血滤泡辅助性 T 淋巴细胞(Tfh))和白细胞介素-21(IL-21)等的表达,探讨其在 RA 发病过程中可能的免疫学发病机制。方法根据病情活动度不同将病例组分为轻、中、重度活动组(各30例),健康对照组30例;流式细胞仪检测 RA 和健康对照组外周血单个核细胞(PBMCs)中 CD4-异硫氰酸荧光素(FITC)、CXCR5-藻红蛋白(PE)、ICOS-别藻蓝蛋白(APC)标记的 CD3+ CD4+ CXCR+、CD3+ CD4+ ICOS+及 CD3+ CD4+ CXCR+ICOS+ Tfh 百分率;酶联免疫吸附试验(ELISA)检测 IL-21、类风湿因子(RF-IgM)、抗环瓜氨酸肽(CCP)抗体(CCP-IgG)及红细胞沉降率(ESR)、C 反应蛋白(CRP),分析其与 Tfh 的相关性。结果RA 轻、中、重度活动组患者外周血中 Tfh 百分率明显高于健康对照组(P <0.05);Tfh百分率随着 RA 活动度的增加呈上升趋势,组间差异有统计学意义(P <0.05);Tfh 细胞百分率与 RA 患者 ESR、CRP、RF 及抗CCP 抗体滴度呈正相关,差异有统计学意义(P <0.05)。结论RA 患者外周血 Tfh、IL-21、CRP、ESR、RF 及 CCP 水平明显升高,与疾病活动度等有明显相关性,提示 Tfh 细胞可能在 RA 发病中起着一定的作用。

  1. Clinical and morphologic evaluation of Er:YAG laser action at the front of cervical dentinal hypersensitivity; Avaliacao clinica e morfologica da acao do laser de Er:YAG frente a hipersensibilidade dentinaria cervical

    Energy Technology Data Exchange (ETDEWEB)

    Rocha, Dalva Maria

    2001-07-01

    This work was achieved in vivo and in vitro to evaluate the efficiency of Er:YAG laser in the cervical dentinal hypersensitivity treatment (HSDC). The Clinical study was achieved in patients with HSDC. The treatment was realized in five sessions: the first for selection, the second for exams (clinic and X-Ray) and trying to remove the etiologic factors that could cause the HSDC. The third and fourth sessions were subjected to the radiation with that protocol: 60 mJ energy ,2 Hz frequency, 6 mm out of focus, under air cooling, 20 seconds each application which the same was repeated four times with one minute breaks, which scanning movements and without using anaesthetics. The fifth was evaluation. The patients were evaluated and registered in a subject scale of pain 0 to 3, in the beginning and end of each session of irradiation, and one month after the last session. The results showed that for the irradiated group occurs significant differences in the beginning of each session and between. For the control group did not occur significant differences in the beginning and after each session, but did show a difference between the sessions. As the control group as the irradiated group, had reduction of sensibility between the session. For the morphologic study nine teeth were selected, 7 molars and 2 pre-molars from operative dentistry discipline. Half of the surface was irradiated with Er:YAG laser, the same protocol used in vivo, and the other half was used as a control without receiving any laser irradiation. Subsequently, specimens were prepared for SEM examinations. The results showed that laser treated surfaces showed a reduction of dentine tubular diameter with partial or total closure of the dentine tubules. For the control group, it was observed bigger amounts smear layer and open dentine tubular. The results obtained indicated that the Er:YAG laser can contribute to the HSDC treatment. (author)

  2. Specialized consultant in radiological safety to the south central hospital of high speciality, PEMEX. IV. - October of 2001; Asesoria especializada en seguridad radiologica a la clinica al hospital central sur de alta especialidad, PEMEX. IV.- Octubre de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Garcia A, J.; Rodriguez A, F

    2002-01-15

    The south central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  3. Pineal metastasis as first clinical manifestation of colorectal adenocarcinoma: case report Metástase pineal como primeira manifestação clinica de adenocarcinoma colorretal: relato de caso

    Directory of Open Access Journals (Sweden)

    RICARDO RAMINA

    1999-03-01

    Full Text Available Cerebral metastases from colorectal adenocarcinomas occur in 8% of the cases. Diagnosis is usually made when primary disease and widespread metastases are already known. We report the case of a patient with single metastases in the pineal region as the first clinical manifestation of a colorectal adenocarcinoma. A 48-year-old female with Parinaud's syndrome for 15 days prior her admission was evaluated in our clinic. She had no symptoms or signs of colorectal disease. MRI examination revealed an heterogeneous lesion with peritumoral gadolinium enhancement, located in the pineal region. The tumor was radically resected through an infratentorial/supracerebellar approach. Histology showed metastatic carcinoma and immunohistochemical examination showed gastrointestinal tract adenocarcinoma. Metastases to the pineal region are extremely rare and should be considered in the differential diagnosis of tumors of this region.Metástases cerebrais derivadas de adenocarcinomas colorretais ocorrem em 8% dos casos. Geralmente a doença primária e as metástases em outros órgãos já são conhecidas quando do momento das manifestações neurológicas. Descrevemos um caso de metástase única na região pineal que promoveu a primeira manifestação clínica de adenocarcinoma colorretal. Uma mulher de 48 anos de idade apresentava há quinze dias de sua admissão ao nosso serviço diplopia e síndrome de Parinaud . O exame de ressonância magnética revelou lesão heterogênea localizada na região pineal. O tumor foi completamente retirado por acesso infratentorial/supracerebelar. O exame histológico revelou tumor metastático indiferenciado e o exame imuno-histoquímico demostrou adenocarcinoma do trato gastrointestinal moderadamente diferenciado. Metástases para a região pineal são extremamente raras e devem ser consideradas no diagnóstico diferencial de tumores nesta região.

  4. Development of a kit for RBC labelling with /sup 99m/Tc and its clinic evaluation. Desarrollo y evaluacion clinica de un juego de reactivos para la marcacion de globulos rojos con /sup 99m/Tc

    Energy Technology Data Exchange (ETDEWEB)

    Marafuschi, A.M.; Mondino, M.H.; Nowotny, G.A.; Palcos, M.C.; Rotta, M. del C.

    1980-01-01

    A kit for labelling red blood cells (RBC) with /sup 99m/Tc based on a Tin Pyro-phosphate mixture freeze-dried and a saline solution saturated with nitrogen, has been prepared for spleen and placenta scanning, circulatory studies and blood volume determinations. The stannous tin is intended to reduce the /sup 99m/Tc pertechnetate, obtained either from generators or from solvent extraction, to the appropriate valence state suitable for labelling. The labelling yield (95% to 88%) and its stability has been checked by in vitro measurements, up to four hours after labelling. The biological distribution and spleen uptake have been determined in rats and rabbits. An interesting application is shown in babies with congenital cardiac defects and suspected absence of spleen, where the scan gave a good image of the existing spleen. 7 refs., 4 figs., 2 tabs.

  5. Dissection of the sentry ganglion by laparoscopic boarding in patients with cervix uterine cancer clinical stages IA2 at IIB; Diseccion de ganglio centinela por abordaje laparoscopico en pacientes con cancer cervicouterino etapas clinicas IA2 a IIB

    Energy Technology Data Exchange (ETDEWEB)

    Valdez U, J.J.; Pichardo M, P.A.; Cortes M, G.; Escudero de los Rios, P. [Hospital de Oncologia. Centro Medico Nacional Siglo XXI. IMSS, Mexico D.F. (Mexico)

    2005-07-01

    The obtained results in presently study demonstrate that the feasibility of the detection of the sentry ganglion in cervix uterine cancer using a boarding by laparoscopic via, being necessary the use of twice labelled as much with patent blue and radioisotope (colloid of labelled rhenium with {sup 99m}Tc, total dose of 3 MCi) to achieve the identification of the ganglion. (Author)

  6. Infecções causadas por fungos demácios e suas correlações anátomo-clinicas Infections caused by dematiaceous fungi and their anatomoclinical correlations

    Directory of Open Access Journals (Sweden)

    Camila de Camargo Hoffmann

    2011-02-01

    Full Text Available O gênero Exophiala é composto por fungos melanizados dimórficos, responsáveis por um espectro de doenças, incluindo feohifomicoses, micetomas, cromoblastomicoses e fungemia. A espécie E. jeanselmei é a predominante nestas infecções, seguida de E. dermatitidis. Este trabalho tem como objetivo relatar quatro casos e discutir aspectos clínicos, histológicos, micológicos e epidemiológicos para o seu diagnóstico.The Exophiala genus comprises dimorphic melanized fungi responsible for a spectrum of diseases including phaeohyphomycosis, mycetoma, chromoblastomycosis and fungemia. The E. jeanselmei species is predominant in such infections, followed by E. dermatitidis. This paper aims at reporting four cases and at discussing clinical, histologycal, mycologycal and epidemiologycal aspects for its diagnosis.

  7. Specialized consultant in radiological safety to the clinical north central hospital of high speciality, PEMEX. IV. - December of 2001; Asesoria especializada en seguridad radiologica a la clinica hospital central norte de alta especialidad, PEMEX. IV.- Diciembre de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Garcia A, J.; Rodriguez A, F

    2002-01-15

    The clinical north central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  8. Security in inserting data into the system scheduler registration and verification and medical history; Seguridad en la insercion de los datos del planificador en el sistema de registro y verificacion y en la historica clinica

    Energy Technology Data Exchange (ETDEWEB)

    Camara, A.; Martinez, D.; Melchor, M.; Candela, F.; Asensio, M.; Gil, S.; Borreda, V.

    2011-07-01

    A critical process Service Radio physics and Radiation Protection is to manage the data resulting from the treatment planning of Radiation Oncology, including both its insertion in the registration and verification of the linear accelerator (data that will be treated later patients) as its final registration in the medical record.

  9. Avaliação clínica da vertebroplastia percutânea transpedicular Evaluación clinica de la vertebroplastia transpedicular percutánea Clinic evaluation of transpedicular percutaneous vertebroplasty

    Directory of Open Access Journals (Sweden)

    André Rafael Hubner

    2011-01-01

    Full Text Available OBJETIVO: Avaliar a eficácia do efeito analgésico da vertebroplastia com polimetilmetacrilato (PMMA e da estabilização vertebral obtida nos pacientes com fraturas vertebrais patológicas e realizar uma revisão detalhada da técnica da vertebroplastia percutânea, analisando suas indicações. MÉTODOS: Análise retrospectiva de 64 procedimentos de vertebroplastia percutânea em 46 pacientes. Foram realizadas avaliações dos prontuários e das radiografias pré e pós-operatórias e em nova consulta de rotina, na qual foi aplicado o questionário de dor (escala analógica visual da dor. RESULTADOS: Entre os 46 pacientes analisados, 37 (80,4% eram do sexo feminino e 9 (19,6% do sexo masculino, com média de idade de 71 anos (desvio-padrão +/- 9,2, variando de 50 a 90 anos. Foram operados 64 níveis, com predomínio do segmento toracolombar, sendo realizadas 17 (26,6% vertebroplastias a maioria em pedículos de T12. Trinta e um pacientes (67,4% apresentaram apenas um nível fraturado, 12 (26,1% apresentaram 02 níveis operados e três pacientes (6,5% apresentaram 03 ou mais níveis operados. O diagnóstico de osteoporose foi o mais comum (33 casos, 71,7%. Quanto ao alívio da dor no pós-operatório, houve um alto índice de satisfação de 90 a 100% em 37 (80% pacientes. CONCLUSÃO: A vertebroplastia demonstra ser um procedimento eficaz no tratamento da dor por fratura patológica de coluna, sendo tamb��m utilizada em investigação diagnóstica (biópsia óssea. É um procedimento seguro com baixas taxas de complicações.OBJETIVO: Evaluar la eficacia del efecto analgésico y estabilización vertebral de la vertebroplastia con polimetilmetacrilato (PMMA en pacientes con fracturas patológicas de la columna vertebral, y realizar una revisión detallada de la técnica de vertebroplastia percutánea, analizando sus indicaciones. MÉTODOS: Evaluación retrospectiva de 64 fracturas tratadas en 46 pacientes sometidos a vertebroplastia percutánea en el período de enero de 2000 a diciembre de 2008. Los pacientes fueron evaluados por las historias clínicas, por las radiografías pre y postoperatorias y consultas de rutina en las cuales se realizaron encuestas de dolor (escala universal visual del dolor. RESULTADOS: 37 (80,4% eran mujeres y 9 (19,6% eran varones, con edad promedio de 71 años (desvío estándar de + / - 9,2, que oscila entre 50 y 90 años. 64 niveles fueron operados, con predominio de lo segmento torácico-lumbar, se realizaron 17 (26,6% la mayoría en pedículos vertebroplastia de T12. Treinta y un pacientes (67,4% tenían sólo un nivel de fractura, 12 pacientes (26,1% tenían 02 niveles y 03 (6,5% pacientes tenían 03 o más niveles de fractura. El diagnóstico de osteoporosis fue el más común (33 casos, el 71,7%. Cuanto al alivio del dolor postoperatorio, hubo un alto índice de satisfacción de 90 a 100% en 37 (80% pacientes. CONCLUSIÓN: La vertebroplastia es un procedimiento que probó ser eficaz en el tratamiento del dolor por fractura patológica de la columna, y también se utiliza con fines de diagnóstico (biopsia de hueso. Es un procedimiento seguro y tiene bajas tasas de complicaciones.OBJECTIVE: This paper evaluates the analgesic effect and obtained vertebral stability of percutaneous vertebroplasty with polymethylmethacrylate (PMMA in patients with vertebral pathological fractures, and performs a detailed revision of this technique. METHODS: A retrospective analysis of 64 percutaneous vertebroplasty procedures in 46 patients was performed. Patients were evaluated by medical records, pre and post-operative radiographs, and by pain status (visual analog pain scale. RESULTS: 37 (80.4% patients were female and 9 (19.6% male, with mean age of 71 years (standard deviation + / - 9.2, ranging from 50 to 90 years. Sixty-four levels were treated, with a predominance of thoracic-lumbar segment, the majority 17 (26.6% of vertebroplaties at T12 pedicle. Thirty-one patients (67.4% presented only one fractured level, 12 patients (26.1% presented 02 levels and three (6.5% presented 03 or more treated levels. Osteoporosis was the most common diagnosis (33 cases, 71.7%. A high satisfaction rate of 90 to 100% was observed to the majority of patients when considering relief of pain postoperatively. CONCLUSIONS: Vertebroplasty has proven to be an effective procedure to treat pain caused by pathological fracture, and it is also used for diagnostic investigation (bone biopsy. The technique is secure and has provided low complications rates.

  10. Gingival healing after gingivectomy procedure and low intensity laser irradiation. A clinical and biometrical study in anima nobile; Reparacao gengival apos a tecnica de gengivectomia e aplicacao de laser em baixa intensidade. Avaliacao clinica e biometrica em humanos

    Energy Technology Data Exchange (ETDEWEB)

    Amorim, Jose Claudio Faria

    2001-07-01

    For the present study seven patients presenting periodontal disease were selected in a way that they required the performance of gingivectomy procedure in the region of premolars in both sides, being this in the upper or lower region. After the surgical procedure one side was submitted to low intensity laser radiation, wavelength 685 nm, power 50 mW and fluency of 4J/cm{sup 2}, contact mode. The other side was used as a control, not receiving any laser irradiation. Healing process for both sides, was clinically and biometrically evaluated and compared using photographs for the periods: pre-operative, immediate post-operative, 3, 7,14,21, 28 and 35 days. The analysis was performed by 3 specialists in Periodontology considering aspects of healing. Results were submitted to statistical analysis. Biometrical evaluation showed improvement of healing for the period of 21 and 28 days in the lased group. Clinical evaluation showed better reparation mainly after the third day for the active group. Laser group was considered to present an improved healing when compared to the control group. (author)

  11. OCTAVIUS 4D: Commissioning and routine clinical use of a device for VMAT verifications; OCTAVIUS 4D: establecimiento del estado de referencia inicial y uso en rutina clinica de un dispositivo para verifiicaciones VMAT

    Energy Technology Data Exchange (ETDEWEB)

    Gimeno Olmos, J.; Candela Juan, C.; Palomo Linares, R.; Carmona Meseguer, V.; Lliso Valverde, F.; Ballester Pallares, F.; Perez Calatayud, J.

    2015-07-01

    Purpose: To commission OCTAVIUS 4D and its arrays 729 and 1000 SRS for VMAT patient-specific QA verifications, and to provide clinical results obtained with this device. Methods: The performance of both arrays was analysed by evaluating: homogeneity, linearity, reproducibility and leakage current. The accuracy of the dose reconstruction of OCTAVIUS 4D with array 729 was evaluated through ion chamber measurements at several points of interest. The performance of both arrays was compared for the same clinical plans. Finally, results of the 3D gamma analysis performed in our hospital for more than 900 patient plans are provided. Results: Both arrays present good homogeneity, linearity, reproducibility, and negligible leakage current. Dose differences between OCTAVIUS-calculated doses and ion chamber measurements or TPS-calculated doses were within 2% for single field plans, and within 4% for clinical plans. The mean value of the local gamma passing rate (3%/3 mm) of clinical plans verified with array 729 is 89.7%, whereas for 1000 SRS it is 97.8%. Conclusions: OCTAVIUS 4D provides accurate 3D dose reconstructions from 2D dose measurements. Clinical results here presented may be used to establish reference levels for VMAT verifications with this device. (Author)

  12. WITHDRAWN: Corrigendum to "High-sensitive cardiac troponin I (hs-cTnl) values in patients with stable cardiovascular disease: An initial foray" [Clinica Chimica Acta 411 (2010) 812--817].

    Science.gov (United States)

    Schulz, Olaf; Reinicke, Markus; Berghoefer, Gunnar H; Bensch, Ricarda; Kraemer, Jochen; Schimke, Ingolf; Jaffe, Allan S

    2010-05-18

    This article has been withdrawn at the request of the author(s) and/or editor. The Publisher apologizes for any inconvenience this may cause. The full Elsevier Policy on Article Withdrawal can be found at http://www.elsevier.com/locate/withdrawalpolicy.

  13. Accounting of costs in a service of physical health. Relative units of value in dosimetry clinic in teletherapy; Contabilidad de costes en un servicio de fisica medica. Unidades relativas de valor en dosimetria clinica en teleterapia

    Energy Technology Data Exchange (ETDEWEB)

    Font Gomez, J. A.; Gandia Martinez, A.; Jimenez Albericio, F. J.; Andres Redondon, M. M.; Mengual Gil, M. A.

    2013-07-01

    A single - although laborious - start in the economic and clinical management of our units can be come to the knowledge of the time invested in the tasks functional, having to differentiate them, name them and even encrypt them. The time spent in performing the tasks multiplied by the annual number of these will indicate the resources necessary to achieve our objectives. In addition, pooling the values of times that members of the Unit provide analysed inter-workers dispersal, their causes and possible solutions. The establishment of relative units of value in any process benefits all workers involved in the process since it allows to know the dispersion of the times that each person employed in the development of the tasks. (Author)

  14. Specialized consultant in radiological safety to the Reforma peripheral clinic, PEMEX. - IV. - November and December of 2002; Asesoria especializada en seguridad radiologica a la clinica periferica Reforma, PEMEX.- IV.- Noviembre y Diciembre de 2002

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Hernandez C, J. E.; Rodriguez A, F.; Garcia A, J

    2003-02-15

    The Reforma peripheral clinic, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray quipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the clinic can conserve its respective sanitary license.(Author)

  15. Development and clinical implementation of a global software use and analysis of radiochromic s films; Desarrollo e implementacion clinica de un software global de uso y analisis de peliculas radiocromicas

    Energy Technology Data Exchange (ETDEWEB)

    Gimeno Olmos, J.; Martinez Fernandez, J. M.; Pastor Sanchis, V.; Gonzalez Perez, V.; Guardino de la Flor, C.; Dolores Alemany, V. de los; Crispin Contreras, V.

    2011-07-01

    The aim of this study was to gather information in one solution the different processes that occur with the use of radiochromic films: calibration, reading, corrections, step-absorbed dose, dose distribution analysis and comparison with reference distributions.

  16. Specialized consultant in radiological safety to the Reforma peripheral clinic, PEMEX. - III. - September and October of 2002; Asesoria especializada en seguridad radiologica a la clinica periferica Reforma, PEMEX.- III.- Septiembre y Octubre de 2002

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Rodriguez A, F.; Garcia A, J

    2003-02-15

    The Reforma peripheral clinic, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the clinic can conserve its respective sanitary license.(Author)

  17. COMPARACION DE LA REABSORCION RADICULAR EN DIENTES VITALES Y DIENTES CON ENDODONCIA A LOS 12 MESES DE TRATAMIENTO ORTODONCICO. MEDIANTE LA MEDICION DE LA LONGITUD RADICULAR. CLINICA DE ORTODONCIA DE LA U.M.S.N.H MORELIA MICH 2007.

    OpenAIRE

    Melendez Rodriguez, Verenice

    2012-01-01

    Han sido mucho las investigaciones clínicas que han demostrado la asociación entre reabsorción radicular y movimiento dentario ortodoncico. Desde que Schwarzkopf, en 1887, y Ottolengi, en 1914, observaron la aparición de acortamiento radicular tras el tratamiento. Hasta nuestros días, han sido múltiples los estudios que han tratado de relacionar en términos matemáticos la extensión del fenómeno con factores biológicos. Ketcham, en 1927, encontró reabsorción en el 22% de un g...

  18. Contributions to the problems of generalization in the phonological intervention: a clinical approach Contribuições para os problemas de generalização em intervenção fonológica: uma abordagem clinica

    Directory of Open Access Journals (Sweden)

    Víctor M. Acosta Rodríguez

    2007-03-01

    Full Text Available PURPOSE: to describe the procedure which could be useful for teachers and speech therapists engaged within a school context, in the treatment of the phonological mistakes exhibited by children during their primary-school education. It is an attempt to present an intra-subject study and to observe the generalization suffered by the untrained phonemes and processes during the training of a phoneme. METHODS: two children with phonological impairment participated in this research. A Test of Phonology Acosta et al. (1998 was used for the analysis of the simplifications and, later on, an intervention program by minimal pairs was applied. RESULTS: the results seem to indicate that the treatment should start with the process affecting more phonemes and that the most difficult; for example, the phoneme where the process is compulsory applied, should be chosen as the one to be trained. CONCLUSION: the results showed that treatment must begin with the process that affects a major number of phonemes which have more difficulty in their production.OBJETIVO: descrever procedimento de intervenção fonológica. MÉTODOS: duas crianças com transtorno fonológico participaram do estudo. Foi aplicada a prova de Fonologia de Acosta et al. (1998 para o levantamento das simplificações e, posteriormente, aplicado o programa de intervenção por pares mínimos. RESULTADOS: observou-se generalização dos fonemas e processos fonológicos não treinados durante o tratamento. CONCLUSÃO: os resultados indicam que o tratamento deve começar por aqueles processos que afetam um maior número de fonemas e que apresentam maior dificuldade em sua produção.

  19. Spatial map dose of nuclear medicine service of the Clinical Hospital of Botucatu, SP, Brazil; Mapa espacial de dose do servico de medicina nuclear do Hospital das Clinicas de Botucatu

    Energy Technology Data Exchange (ETDEWEB)

    Oliveira, Caio V.; Mendonca, Caroline; Silva, Eduardo T.; Moriguchi, Sonia M.; Koga, Katia H., E-mail: caiov_oliveira@yahoo.com.br [Universidade Estadual Paulista Julio de Mesquita Filho (UNESP), Botucatu, SP (Brazil). Faculdade de Medicina

    2013-12-15

    This study was conducted to describe levels of occupational and environmental exposure of the Nuclear Medicine Service of the Clinical Hospital of Botucatu. To this end, measurements were made of the radiometric levels of points strategically defined, in all the environments, for a period of six months, sampling different days and times, during operation normal routine of the sector. The results allow to estimate the expected dose for each environment, comparing them to the dose limitation established by the National Commission of Nuclear Energy (CNEN), allowing better targeting of occupationally exposed individuals, indicating the points where the occupation should be the minimum required, enabling the reduction of risks to potential exposures. (author)

  20. Confronto tra ecocardiografia tridimensionale real-time e tomografia assiale computerizzata a 64 strati nella valutazione della funzione ventricolare sinistra nella pratica clinica, usando la risonanza magnetica cardiaca come standard di riferimento

    OpenAIRE

    Bertorelli, Marcello

    2011-01-01

    L'obiettivo della tesi è di confrontare la valutazione dei volumi e della frazione di eiezione del ventricolo sinistro, eseguita con ecocardiografia tridimensionale e con tomografia computerizzata a 64 strati, in una serie consecutiva di pazienti, utilizzando la risonanza magnetica come standard di riferimento

  1. EFECTO IN VITRO DE LA UNCARIA TOMENTOSA, DEL MTA Y DEL HIDROXIDO DE CALCIO EN LA VIABILIDAD CELULAR, MORFOLOGIA NUCLEAR Y INTEGRIDAD DEL ADN EN PULPA DENTAL DE PIEZAS DENTARIAS EXTRAIDAS, CLINICA ODONTOLOGICA PARTICULAR. AREQUIPA, 2011

    OpenAIRE

    LÓPEZ HUAMÁN, GIOVANNI

    2013-01-01

    UNCARIA TOMENTOSA ANTECEDENTES HISTÓRICOS CLASIFICACIÓN BOTÁNICA COMPOSICIÓN QUÍMICA PROPIEDADES FARMACOLÓGICAS TOXICIDAD Y CONTRAINDICACIONES EFECTOS MTA HIDRÓXIDO DE CALCIO COMPLEJO DENTINO PULPAR RECUBRIMIENTO PULPAR DIRECTO VIABILIDAD CELULAR MORFOLOGÍA NUCLEAR ESTRUCTURA DEL ADN

  2. Nd:YAG laser in caries prevention: a clinical study; Avaliacao clinica da eficiencia do laser de Nd:YAG associado ao fluor fosfato acidulado na prevencao de caries de sulcos e fissuras de criancas e adolescentes

    Energy Technology Data Exchange (ETDEWEB)

    Boari, Heloisa Gomes Dimiranda

    2000-07-01

    The caries prevention by using laser irradiation has been investigated during the last 30 years. The Nd: YAG laser associated with acidulated phosphate fluoride has been shown as a very promising technique for enamel caries prevention. The aim of this work was to clinically evaluate the efficiency of Nd: YAG laser associated with acidulated phosphate fluoride in pit and fissure caries prevention of children and adolescents. In this work it was determined the dye that enhance the effect of Nd: YAG laser in enamel. It was selected 242 pre-molar and molar teeth from 33 children and adolescents, aged from 7 to 15 years old. The selected teeth were free from caries or decalcification marks (active white marks) to the clinical and radiographic exams. The teeth were divided into two groups: the first group was laser irradiated and their homologous remained as a control. The right side teeth were dye-assisted Nd:YAG laser irradiated. The dye solution was a moisture of dust coal and equal parts of water and alcohol. The irradiation conditions were 60 mJ/10 Hz, optical fiber in contact mode, with diameter of 300 {mu}m, resulting in an energy density of 84,9 J/cm{sup 2}. The oclusal surface of the teeth was completely irradiated, specially on the slopes and in the deepest part of the pits and fissures. This procedure was repeated three times. In the sequence it was applied the acidulated phosphate fluoride for 4 minutes. On the left side teeth - control group- only acidulated phosphate fluoride was applied for the same time. The final examination considered the presence of caries and active white marks after a period of one year. There were statistical significant differences (p < 0.01) between the lased + fluoride group and the non irradiated group. The present study concluded that the technique used in this work can be an alternative clinical method for caries prevention. (author)

  3. Hepatitis C seroprevalence and correlation between viral load and viral genotype among primary care clients in Mexico Seroprevalencia de hepatitis C y correlación entre la carga viral y el genotipo viral en asistentes al nivel primario de atención enMéxico

    Directory of Open Access Journals (Sweden)

    Ana I Burguete-Garcia

    2011-01-01

    Full Text Available OBJECTIVE: To measure hepatitis C virus (HCV sero-prevalence, prevalence, hepatitis risk characteristics frequency, and genotype correlation with viral load among clients attending health care clinics. MATERIAL AND METHODS: Venous blood samples from l12 226 consecutive consenting adults were collected from January 2006 through December 2009. HCV antibodies were detected by immunoassay. HCV RNA was detected by qRT-PCR and viral genotype was performed by PCR and LIPA test. RESULTS: The HCV seroprevalence observed was l.5 % (C.I. 95% l.3-l.7, from seropositive individuals 60.9 % reported previous blood transfusion, 28.3% declared to have relatives with cirrhosis, 25.2% had tattoos or piercings, and 6.9% referred to have used drugs. Male gender and transfusion (pOBJETIVO: Medir la seroprevalencia y prevalencia del virus de hepatitis C (VHC, la frecuencia de caracteristicas de riesgo y la correlacion genotipica con la carga viral en sujetos asistentes a clinicas de medicina familiar. MATERIAL Y METODOS: muestras de sangre venosa se colectaron de l12 226 adultos, previo consentimiento informado, de enero 2006 hasta diciembre 2009, para la deteccion de anticuerpos contra VHC por ELISA. La deteccion de RNA-VHC y el genotipo viral se realizo mediante qRT-PCR. RESULTADOS: La seroprevalencia de VHC fue l.5 % (C.I. 95% l.3-l.7, 60.9% reportaron transfusion sanguinea previa, 28.3% dijo tener familiares cercanos con cirrosis, 25.2% tenian tatuajes o piercing y 6.9% refirio ser usuario de drogas intravenosas. El ser hombre, el antecedente de transfusiones y el uso de drogas (p<0.00l, fueron los factores con mayor frecuencia en el grupo VHC seropositivo. La prevalencia del RNA-VHC en seropositivos fue de 48.3%. El genotipo mas frecuente en todas las areas geograficas de Mexico fue el l (subtipo lA, 33%; subtipo lB, 21.4% seguido por el genotipo 2 (subtipo 2A, 8.50%. Se observó una correlación positiva de 51% con la carga viral más alta y el genotipo viral 1A

  4. Clinical behavior of Streptococcus pneumoniae meningoencephalitis Comportamiento clinico y terapéutico de la meningoencefalitis por Streptococcus pneumoniae

    Directory of Open Access Journals (Sweden)

    Raisa Bu-Coifiu Fanego

    2009-12-01

    Full Text Available OBJECTIVE: There was an increased number of cases of meningoencephalitis caused by Streptococcus pneumoniae, after the successful vaccination campaigns against Neisseria meningitidis and Haemophilus influenzae. This paper aims at describing the clinical characteristics, the laboratory findings, the complications, and the therapeutic management of these patients, who have been suffering from this disease since 1993 to 2006. METHOD: Twelve children with Streptococcus pneumoniae meningoencephalitis admitted to the pediatric hospital of San Miguel del Padron, City of Havana in this period were assessed. RESULTS: Children under one year are the most frequently affected. Septic shock and brain edema were the most severe complications. Three patients died, implying that this disease has a serious course. Early treatment of brain edema is very important to reduce mortality. The elective drugs for treatment of these cases of Streptococcus pneumoniae meningoencephalitis were vancomycin combined with cephalosporin, cefotaxime or ceftriaxone type. CONCLUSION: Patients with Streptococcus pneumoniae meningoencephalitis show clinical characteristics, complications, and sequels that are different to other bacterial meningoencephalitis, meaning that they could be helpful for physicians considering the differential diagnosis of meningoencephalitis.OBJETIVO: Existe un incremento de la meningoencefalitis producida por Streptococcus pneumoniae, después de las campañas exitosas de vacunación contra Neisseria meningitidis y Haemophilus influenzae. El objetivo de este trabajo es describir las caracteristicas clinicas, los hallazgos de laboratorio, las complicaciones y el manejo terapéutico de los pacientes que sufrieron esta enfermedad desde 1993 a 2006. MÉTODO: Se estudiaron doce niños con meningoencefalitis por Streptococcus pneumoniae ingresados en el Hospital Pediátrico de San Miguel del Padrón, Ciudad de La Habana en este periodo. RESULTADOS: Los ni

  5. Modificación en la valoración de la resistencia y reactancia del tejido adiposo corporal con las nuevas vías de administración de anticoncepción hormonal

    OpenAIRE

    Encinas Pardilla, María Begoña

    2013-01-01

    En este trabajo se han estudiado las posibles modificaciones que los contraceptivos hormonales vía oral, transdérmica y transvaginal podrían tener en la composición del tejido adiposo corporal durante un año, así como sus efectos en el perfil lipídico y el índice de masa corporal. Conociendo los efectos que las formulaciones hormonales orales tienen en el perfil lipídico, cabría esperar que también pudiera alterarse en alguna medida el porcentaje de grasa corporal o al menos su densidad, de...

  6. Síntomas psicosomáticos y análisis energético de algunos tipos de disfunción tiroidea

    OpenAIRE

    Flórez-Moreno, José D.; Gallego-Jacded, Heimi D.

    2013-01-01

    Introducción: se describen las disfunciones tiroideas caracterizadas por su alta prevalencia, por ser causantes de cambios afectivos y emocionales disfuncionales. Metodología: se mencionan los hallazgos hormonales, psicosomáticos y energéticos encontrados en cinco mujeres con algún tipo de disfunción tiroidea, desde un enfoque cuantitativo descriptivo. Para esto, en cada una de las participantes se determinó el promedio de los valores hormonales de la tsh, T3 y T4, obtenidos con el método de ...

  7. Disease: H01089 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available env_factor) Johnson EH, Windsor JJ, Clark CG Emerging from obscurity: biological, clinica...ness J Dientamoebiasis: clinical importance and recent advances. Trends Parasitol...42:139-53 (2012) PMID:16380293 (description, env_factor, drug) Stark DJ, Beebe N, Marriott D, Ellis JT, Hark

  8. Alpha glucocorticoid receptor expression in different experimental rat models of acute lung injury

    OpenAIRE

    Bertorelli,Giuseppina; Pesci, Alberto; Peveri, Silvia; Mergoni, Mario; Corradi, Attilio; Cantoni, Anna Maria; Tincani, Giovanni; Bobbio, Antonio; Rusca, Michele; Carbognani, Paolo

    2008-01-01

    Alpha glucocorticoid receptor expression in different experimental rat models of acute lung injury correspondence: Corresponding author. Tel.: +390521703883; fax: +390521703493. (Carbognani, Paolo) (Carbognani, Paolo) Dipartimento di Clinica Medica - Nefrologia e Scienze della Prevenzione--> , University of Parma--> - ITALY (Bertorelli, Giuseppina) Dipartimento di Clinica Medica - Nefrologia e Scienze della...

  9. Cooperation-Induced Topological Complexity: A Promising Road to Fault Tolerance and Hebbian Learning

    Science.gov (United States)

    2012-03-16

    Information Science Directorate, United States Army Research Office, Durham, NC, USA 4 Istituto di Fisiologia Clinica del Consiglio Nazionale delle...Vadim Uritsky, Catholic University of America at NASA Goddard Space Flight Center, USA *Correspondence: Paolo Allegrini , Istituto di Fisiologia Clinica

  10. Near Infra-Red Spectroscopy to Reduce the Phrophylactic Fasciotomies for and Missed Cases of Acute Compartment Syndrome in Solders Injured in OEF/OIF

    Science.gov (United States)

    2011-10-01

    development and approval of a NIRS based diagnostic device for detecting ACS. Regular coordination between the primary clinica l research location (LRMC...Whitesides T . Introduction: ACS is a clinica l diagnosis, wi th poor inter/intra-rater re liability. Currently, pat ients with ACS are be ing missed, and

  11. Dual Utilization of Medical Services by Low Income Latino Families: An Exploratory Investigation.

    Science.gov (United States)

    Coe, Merilyn

    1985-01-01

    Interviews with 50 low income family members who used two health care providers--Kaiser Health Maintenance Organization and La Clinica de La Raza--were used to study how cost, need, access, services, and culture affected choice of provider. Cultural affinity seemed to influence decisions to use and pay for La Clinica's services. (JHZ)

  12. Characteristics of charcoal fines obtained by rapid pyrolysis process of elephant grass in fluidized bed in different operation conditions; Caracteristicas dos finos de carvao vegetal obtido pelo processo de pirolise rapida de capim elefante em leito fluidizado em diferentes condicoes de operacao

    Energy Technology Data Exchange (ETDEWEB)

    Mesa Perez, Juan Miguel; Cortez, Luis Augusto Barbosa [Universidade Estadual de Campinas (UNICAMP), Campinas, SP (Brazil). Fac. de Engenharia Agricola; Gomez, Edgardo Olivares; Rocha, Jose Dilcio [Universidade Estadual de Campinas (UNICAMP), Campinas, SP (Brazil). Nucleo Interdisciplinar de Planejamento Energetico

    2004-07-01

    This paper presents a study about the effect of excess air and the inert fixed bed height upon the characteristics of fine charcoal particles and the main reactor parameters. The pyrolysis process is considered as a method to concentrate carbon in fine charcoal particles and a method to reduce oxygen content in the biomass.The study concludes that the operation point which gives the highest percentage if carbon fine charcoal particles and reduces the most the oxygen in biomass corresponds to a fixed bed height of 207 mm and excess air of 8%. (author)

  13. Role of intraoperative ultrasonography (IOUS) in the study of the anatomical and ultrasonographic features of primary pancreatic leiomyosarcoma. Original communication; Contribuicao da ultra-sonografia intra-operatoria (USIO) no estudo das caracteristicas anatomo-sonograficas do leiomiossarcoma primario do pancreas. Nota previa

    Energy Technology Data Exchange (ETDEWEB)

    Machado, Marcio Martins; Cerri, Giovanni Guido [Sao Paulo Univ., SP (Brazil). Faculdade de Medicina. Dept. de Radiologia]. E-mail: giovanni.cerri@hcnet.usp.br; Rosa, Ana Claudia Ferreira [Hospital Sirio-Libanes, Sao Paulo, SP (Brazil). Dept. de Radiologia; Machado, Marcel Cerqueira Cesar; Penteado, Sonia [Sao Paulo Univ., SP (Brazil). Faculdade de Medicina. Servico de Cirurgia de Pancreas e Vias Biliares

    2001-10-01

    The authors present a case of a patient with primary pancreatic leiomyosarcoma and describe the ultrasound findings during intraoperative ultrasonography. Although ultrasound, computed tomography and magnetic resonance features of primary pancreatic leiomyosarcoma have been previously described, there is no report on the ultrasonographic appearance of these tumors during intraoperative ultrasonography. The authors also stress the importance of intraoperative ultrasonography in establishing vascular invasion by the tumor. (author)

  14. Características epidemiológicas dos óbitos maternos ocorridos em Recife, PE, Brasil (2000-2006 Caracteristicas epidemiológicas de las muertes maternas ocurridas en Recife, PE, Brasil (2000-2006 Epidemiological features of maternal deaths occurred in Recife, PE, Brazil (2000-2006

    Directory of Open Access Journals (Sweden)

    Rafaella Araújo Correia

    2011-02-01

    Full Text Available Estudo de corte transversal que objetivou descrever as características epidemiológicas dos óbitos maternos de residentes no Recife, PE, Brasil, ocorridos entre 2000 e 2006. A fonte de dados foi constituída pelas fichas de investigação de óbito materno da Secretaria de Saúde do Recife. Para a análise dos dados, utilizou-se o programa EpiInfo 6.04d. Foram estudados 111 óbitos, correspondendo a uma Razão de Morte Materna de 65,99/100.000 nascidos vivos. Os dados obstétricos mostraram a realização de menos de seis consultas pré-natais, entre uma e quatro gestações prévias, parto cesário e admissão em estado grave. Os transtornos hipertensivos constituíram a principal causa de óbito. A maioria dos óbitos foi considerada evitável. Os resultados indicam a necessidade de aprimorar a assistência à saúde da gestante durante o pré-natal, parto e puerpérioEstudio de corte transversal cuyo objetivo ha sido describir las características epidemiológicas de los óbitos maternos de residentes en la ciudad de Recife, PE, Brasil ocurridos entre los años 2000 y 2006. La fuente de datos la constituyeron las fichas de investigación de óbito materna de la Secretaría de Salud de Recife. Para el análisis de los datos se ha hecho uso del programa EpiInfo 6.04d. Han sido investigados 111 óbitos, lo que corresponde a una Razón de Muerte Materna de 65,99/100.000 nacidos vivos. Los datos obstétricos han demostrado la realización de menos de seis consultas prenatales, entre una y cuatro gestaciones previas, parto cesáreo, ingreso en estado grave, con demanda de asistencia bajo terapia. Los trastornos hipertensivos constituyeron la principal causa del óbito. En su mayor parte, los óbitos han sido considerados evitables. Los resultados señalan la necesidad de aprimorar la asistencia a la salud de la gestante en el período prenatal, el parto y el puerperioThis was a cross-sectional study that aimed to describe the epidemiological characteristics of maternal deaths among women living in Recife, PE, Brazil that occurred between 2000 and 2006. The data source consisted of investigation files on maternal deaths. To analyze the data, the EpiInfo 6.04d software was used. The analysis considered 111 deaths, corresponding to a maternal death ratio of 65.99/100,000 live births. The obstetric data showed that these women had had fewer than six prenatal consultations, between one and four previous pregnancies, cesarean deliveries and hospital admission in a severe condition. Hypertensive disorders were the main cause of death. Most of the deaths were considered avoidable. The results indicate the need to improve the healthcare for pregnant women prenatally, at delivery and during the puerperium

  15. Raw material of the Corumbatai formation at the region of ceramic pole of Santa Gertrudes - Sao Paulo, Brazil, with natural characteristics for fabrication of expanded clay; Materia-prima da formacao Corumbatai na regiao do polo ceramico de Santa Gertrudes - Sao Paulo, com caracteristicas naturais para fabricacao de argila expandida

    Energy Technology Data Exchange (ETDEWEB)

    Moreno, M.M.T.; Zanardo, A.; Rocha, R.R.; Roveri, C.D., E-mail: mmoreno@rc.unesp.b [Universidade Estadual Paulista Julio de Mesquita Filho (UNESP), Rio Claro, SP (Brazil). Dept. de Petrologia e Metalogenia

    2009-07-01

    This paper refers to the study of the bases material of the Corumbatai Formation (Parana Basin) from a clay mine, which presents limits for its use in ceramic tiles in dry grinding process due to its hardness and, especially, the high content of organic matter in relation to the clay overlaid. The characterization of the raw material and the product was accomplished by organic carbon analysis, X-ray diffraction, optical microscopy and test-firing. Firing conditions were determined to get expanded clay, using fast firing static kiln and a continuous roller kiln, both from laboratory equipment, getting samples with variable density up to the limit of expansion, with density that can reach values lower than 0,5g.cm{sup -3} because of the formation of closed pores and an external vitreous foil which provide a high mechanical resistance to the particles. (author)

  16. Deep-water turbidity systems: a review of their elements, sedimentary processes and depositional models. Their characteristics on the Iberian margins; Sistemas turbiditicos de aguas profundas: revision de sus elementos, procesos sedimentarios y modelos deposicionales. Sus caracteristicas en los margenes Ibericos

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    Garcia, M.; Ercilla, G.; Alonso, B.; Estrada, F.; Jane, G.; Mena, A.; Alves, T.; Juan, C.

    2015-07-01

    Turbidity systems or submarine fans are considered the most important clastic accumulations in the deep sea and represent the sediment-transfer system between the hinterland source area and the deep-sea depositional sink. Their deposits contain information about global factors and local factors. Different scales and varying observational methods have contributed to the lack of a unifying terminology. In order to solve this problem several authors have proposed an elemental approach. The main architectural elements defining a turbidity sys- tem are: large-scale erosive features (mass-movements and canyons), channels and channel-fill deposits, over- bank deposits and lobes. The sediment making up these elements is principally from gravity flow deposits, the most widely recognised being the turbidity, and other submarine mass movements. The genesis and character of these elements, as well as the overall geometry of the systems, indicate they are formed by a complex inter- action between global and local factors. Various turbidity-system classifications are found in the literature, the most widely-used being based on grain size and feeder systems. Besides the scientific importance of turbiditic systems, they are predominantly studied because of the economic interest in them, as turbidite sandstones con- stitute important gas and oil reservoirs. Turbidite systems shape the sea floor of the Iberian continental margins and contribute in a large part to their outbuilding and basin in filling. They are hugely variable in size, location within the physiographic domains, style and overall geometry of the architectural elements, as well as sediment composition. The most studied Iberian turbidity fans are in the Mediterranean Sea whereas those of the Atlantic Ocean remain poorly known. (Author)

  17. Study of the characteristic response of the pressure control system for the design parameters of the new turbine control system, MARK VI, in Cofrentes Nuclear Power Plant; Resultados del estudio de la respuesta caracteristica del sistema de control de presion para el Proyecto OCP-4300 Nuevo Sistema de Control de Turbina MARK VI en la C.N. Cofrentes

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    Palomo anaya, M. J.; Ruiz Bueno, G.; Mora, J. A.; Vaquer, J. I.; Bucho, L.; Lopez, B.

    2010-07-01

    This paper presents the results of the study of the characteristic response of the ancient Pressure and Turbine Control System for the OCP-4300 Project in the Cofrentes Nuclear Power Plant, made by Titania Servicios Tecnologicos in collaboration with the Institute for Industrial, Radiophysical and Environmental Safety. This work was done as one of the preliminary work necessary for replacing the old control system by Mark VI.

  18. Comparative analysis of electro-mechanical characteristic of a three-phase induction motor with 1,5 CV with high performance and conventional one; Analise comparativa das caracteristicas eletromecanicas entre um motor de inducao trifasico de 1,5CV de alto-rendimento e convencional

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    Mendieta, J.C.V. [Dalkia, Rio de Janeiro, RJ (Brazil); Bertoleti, P.H.F.; Magalhaes Sobrinho, P. [Universidade Estadual Paulista (LAMOTRIZ/UNESP), Guaratingueta, SP (Brazil). Lab. de Otimizacao de Sistemas Motrizes Industriais; Souza, T.M. [Universidade Estadual Paulista (UNESP), Guaratingueta, SP (Brazil)

    2009-07-01

    In Brazil, the electric power consumed by three-phase induction motors corresponding to approximately 55% of total electric power consumed by the industrial sector. Therefore, a thorough analysis of this type of engine under the questions of energy saving, economic viability and electro-mechanical characteristics are needed. This work deals with the comparative analysis for two motors three-phase induction, one conventional and another with high performance (manufacturer WEG and IP55 protection grade), aiming to obtain the necessary relationships to do an economical and electro-mechanical analysis.

  19. A paradox in the restoration of limestone quarries on mediterranean basin: physical characteristics of substrate as determinant of dynamics of created system; Una paradoja en la restauracion de canteras de caliza en el area mediterranea: caracteristicas fisicas del sustrato como condicionante de la dinamica del sistema creado

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    Jorba, M.; Hereter, A.; Josa March, R.

    2009-07-01

    The restoration of open cast mining land looks for the quick integration in the landscape and the erosion control of derelict areas. The characteristics of substrate can determinate the behaviour of novel system. The stony substrates used have a great Ks and a very low water storage capacity. This paper presents the results of an experiment performed on story mineral substrates amended with sewage sludge under Mediterranean climatic conditions in a limestone quarry in the SW of Barcelona (NE of Spain). the experiments was carried out at container scale and the aim was to evaluate the vegetation response in two substrates with different stoniness and with irrigation during dry period. Water content in the mineral substrate was monitored using vertical TDR probes during the experiment. The growth of introduced plants was monitored monthly. Throughout the experiment, populations of sown plants fluctuated according to the available water in the substrate. The irrigation applied was not sufficient to maintain the vegetation in summer (period of higher evaporative demand at that time of year). The volume of leachate was high and nitrates, sulfates and chlorides were washed. (Author) 4 refs.

  20. IMPLEMENTACIÓN DE ALGUNOS CONTENIDOS PROCEDIMENTALES EN LA ENSEÑANZA DEL CONTENIDO CONCEPTUAL: CÉLULA Y SUS CARACTERISTICAS, PARA EL RECONOCIMIENTO DE LOS SERES VIVOS; CON ESTUDIANTES DE GRADO SEXTO DE LA INSTITUCION EDUCATIVA TECNICO SUPERIOR DE NEIVA-

    Directory of Open Access Journals (Sweden)

    Mabel Tatiana Torrente Díaz

    2014-05-01

    Full Text Available Esta ponencia surge durante la práctica pedagógica I, como estudiante del programa de Licenciatura en educación básica con énfasis en ciencias Naturales y educación ambiental,de la Facultad de educación, de la Universidad Surcolombiana (Neiva –Huila; con el fin de evidenciar algunas concepciones acerca de las características para el reconocimiento de los seres vivos en los estudiantes de grado sexto, de la institución educativa Técnico Superior de Neiva- Huila.   Para la recolección de los resultados, se utilizaron las siguientes herramientas: los trabajos escritos, la participación oral en clase y la argumentación escrita en forma de conclusiones.   El análisis de resultados iniciales en la practica pedagógica I, permitió encontrar algunas dificultades que tienen los estudiantes para el reconocimiento de los seres vivos estableciendo características, además algunas problemáticas de los estudiantes al tratar de apropiarse del lenguaje científico, el cual debe ser trabajado a temprana edad. Estas dificultades tienen que ver con los procesos mentales o contenidos procedimentales que los estudiantes deben desarrollar para construir el conocimiento; como la observación, la descripción, la comparación y la argumentación. En el transcurso de la práctica mejoraron sus falencias después del implemento de algunas estrategias didácticas que fortalecieron los contenidos procedimentales.Así mismo ha aumentado la motivación de los estudiantes en el estudio de las Ciencias Naturales.

  1. Environment variations into the combustion control. A control system mixtures the air rate in the environmental characteristics. Influencia de las condiciones ambientales en el control de combustion. Un sistema de control que corrige el indice de exceso de aire en funcion de las caracteristicas ambientales

    Energy Technology Data Exchange (ETDEWEB)

    Ferreiro Garcia, R.; Gonzalez Marco, P.P. (Universidad de la Corua. Dpto. Electronica y Sistemas (Spain))

    1993-01-01

    This paper describes a combustion control application for a fired drum type boiler system. The contribution is based in the compensation of disturbances by means of feed forward and feedback methods, which enters the combustion system from the environment variations as it is the case of moisture and ambient temperature in the combustion air. With the proposed strategy, efficiency is achieved at economic cost because of the simplicity of the system to correct automatically the stoichiometric combustion air flow even under large modelling errors design, which makes the control system robust and efficient under a wide range of operating conditions. (Author) 4 ref.

  2. Study of the resistance mechanisms to ultraviolet radiation in Escherichia Coli. II. General characteristics of the mutants resistant to ultraviolet radiation of Escherichia Coli PQ30; Estudio de los mecanismos de resistencia a UV en E. coli. II. Caracteristicas generales de los mutantes resistentes a UV de E. coli PQ30

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    Alcantara D, D. [ININ, 52045 Ocoyoacac, Estado de Mexico (Mexico)

    1995-12-15

    Inside this second work the results are shown on the preliminary characterization of the 5 populations of Escherichia coli that its were subjected to the light UV, by means of 80 irradiation- growth cycles, the dose of which it was duplicated each 10 cycles. The course that the resistance to UV to those 5 populations continued along the process, that covers some 165 generations, and the level reached at the end by each one of them suggests the presence of different resistance mechanisms to the UV light. (Author)

  3. Welding and corrosion resistance of the new nitrogen alloyed steel X2 CrNiMnMoN241764. Caracteristicas de soldadura y resistencia a la corrosion de nuevo acero X2 CrNiMnMoN 241764 aleado con nitrogeno

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    Arit, N.; Henser, H.; GroB, V.

    1994-01-01

    Remanit 4565 S is a new developed nitrogen alloyed austenitic stainless steel. Characteristic features are: improved strength and toughness, delayed precipitation of carbides and intermetallic phases, improved corrosion resistance. Welding fabrication is possible without the risk of pore formation. TIG-welded joints are as resistant as the base metal, using filler metal SG-NiCr 20 Mo 15 (Thermanit Nimo C) respectively SG-NiCr 28 Mo(Thermanit 30/40 E) according to the area of application. (Author) 8 refs.

  4. Características dos grupos de pesquisa da enfermagem brasileira certificados pelo CNPq de 2005 a 2007 Caracteristicas de los grupos de investigación de la enfermería brasileña certificados por el CNPq de 2005 hasta 2007 Research group characteristics of the brazilian nursing certificated by the CNPq from 2005 to 2007

    Directory of Open Access Journals (Sweden)

    Alacoque Lorenzini Erdmann

    2008-06-01

    Full Text Available Trata-se de um estudo documental, constituindo-se um banco de dados coletados em quatro momentos distintos: março de 2005, dezembro de 2005, agosto de 2006 e abril de 2007, dados estes referentes ao total de Grupos de Pesquisa de Enfermagem encontrados no Diretório dos Grupos de Pesquisa no Brasil do CNPq. Os resultados indicam que 92% dos grupos de pesquisa possuem de 1 a 5 linhas de pesquisa, são compostos por 11 a 15 membros, oscilando em uma média de até 8 pesquisadores, 5 doutores, 3 mestres, 3 especialistas e 7 graduandos. Logo, os grupos de pesquisa representam o lócus de produção de conhecimentos e formação de recursos humanos em pesquisa. No Brasil, houve um crescimento significativo dos grupos de pesquisa da área da Enfermagem com o incremento da produção, qualificação dos integrantes, bem como o fortalecimento das bases de investigação e a maior visibilidade e reconhecimento da inovação da Enfermagem.Estudio documental que constituye en una base de datos recogida en cuatro momentos distintos: marzo de 2005, diciembre del 2005, agosto de 2006, y abril de 2007, datos éstos que refieren el total de grupos de investigación encontrados en el directorio de los grupos de investigación en el Brasil del CNPq. Los resultados indican que los 92% de los grupos de investigación poseen de 01 las 05 líneas de la investigación, son compuestos para 11 los 15 miembros, oscilando en un promedio de hasta 08 investigadores, 05 doctores, 03 masteres, 03 especialistas, 07 graduandos. Luego, los grupos de investigación se constituyen en el locus de la producción del conocimiento y de la formación de recursos humanos en la investigación. En el Brasil, hubo un crecimiento significativo de los grupos de investigación del área de la enfermería con el incremento de la producción, la calificación de los integrantes, así como, el fortalecimiento de las bases de la investigación y de la mayor visibilidad y reconocimiento de la innovación de la enfermería.This is a documentary study and consisting a data base collected at four distinct moments: march of 2005, December of 2005, august of 2006 and April of 2007, these information are referring to the total of Research Groups of Nursing in the Directory of Research Groups of in Brazil of the CNPq. The results indicate that 92% of the research groups possess of 01 - 05 research lines, are composites of 11 - 15 members, oscillating in a average of 08 researchers, 05 doctors, 03 masters, 03 specialists, 07 student of graduation. Soon, the research groups are center of production of knowledge and formation of human resources in research. In Brazil, it had a significant growth of the research groups Nursing with the increment of the production, qualification of the integrants, the fortification of the inquiry bases and the biggest visibility and recognition of innovation of the Nursing.

  5. Evaluation of quality characteristics and functional properties of mechanically deboned chicken meats treated with different dose rates of ionizing radiation and use of antioxidants; Avaliacao de caracteristicas de qualidade e propriedades funcionais da carne mecanicamente separada de frango tratada com diferentes taxas de dose de radiacao ionizante e uso de antioxidantes

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    Brito, Poliana de Paula

    2012-07-01

    The Mechanically Deboned chicken meat (MDCM) is used in traditional meat products, in greater proportion in those emulsified, replacing meat raw materials more expensive. The raw material can have high MDCM the microbial load, as a result of contamination during processing or failure during the evisceration. The irradiation process is accepted as one of the most effective technologies when compared to conventional techniques of preservation, to reduce contamination of pathogens and spoilage. However, little information is available about the use and effects of different dose rates of ionizing radiation processing. Irradiation causes chemical changes in food, a major cause of deterioration of quality of raw or cooked meat products during refrigerated storage, frozen. The objective of this study was to evaluate the effects of different dose rates of ionizing radiation on the production of Thiobarbituric Acid Reactive Substances (TBARS), color, microbiological and sensory characteristics of mechanically deboned chicken added or without added antioxidants, during the cold storage and evaluation of functional properties. The results showed that among the tested dose rates using cobalt-60 source, dose rate of 4.04 kGy.h-1 was the best for processing MDCM. Furthermore, the use of the combination of rosemary antioxidant and α-tocopherol were able to reduce lipid oxidation generated by irradiation of the samples, showed a synergistic effect to the processing with ionizing radiation in reduction of psychrotrophic bacteria count and contributed to a better sensory quality. The use of radiation in the processing FDMI did not adversely affect the functional properties studied. (author)

  6. Ionizing radiation effects of Cobalt-60 on the physical-chemical, sensorial and microbiological of bread with addition of linseed (Linum usitatissimum); Efeitos da radiacao ionizante de cobalto-60 nas caracteristicas fisico-quimicas sensoriais e microbiolgicas de paes com adicao de linhaca (Linum usitatissimum)

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    Moura, Neila Camargo de

    2011-07-01

    The incorporation of functional ingredients on breading products has grown very much lately, because of the preoccupation with the consumers' health. The linseed has awakened the interest by its high level of fiber, lignin, omega-3 and antioxidants compounds. The objective of the present work is evaluate the ionizing radiation effect of {sup 60}Co on the physical-chemical, sensorial and microbiological characteristics of bread with addition of different concentration of brown linseed. There were elaborated 3 types of bread: French roll, form bread prepared with the mixture and form bread produced with conventional ingredients. It was added smashed brown linseed on the bread dough, with concentrations of 8% and 12%. After the preparation, the three kinds of bread packed with polypropylene packages and taken to the IPEN/USP (Institute of Nuclear Energetic Research/University of São Paulo) and irradiated with doses of 6, 8 and 10 kGy. Treatments were elaborated without the addition of linseed and without irradiation, for control, totalizing 12 distinct treatments, to each bread formula tested. Chemical analyses were made (centesimal composition, anti-nutritional compounds, anti-oxidant activity, glycemic index, fat acids, complex B vitamins and minerals); physical analyses (cooking index, volume, color and water activity); sensorial analyses (preference tests and Descriptive Quantitative Analysis - ADQ); microbiological analysis and a survey about irradiated products. It could be seen that the addition of linseed was efficient to increase the level of alimentary fiber and the level of lipids on the 3 bread formula. The three kinds of bread that received the linseed addition and that were not irradiated presented increase on the level of total phenolic; however, when the samples which received the linseed addition were submitted to the irradiation process, it could be noticed the decrease of the antioxidant capacity. There was an increase on the level of omega-3, depending on the percentage of linseed added to the bread. The linseed addition was effective to raise the level of potassium, phosphorus and magnesium. But, the irradiation decrease the level of vitamin B1 and vitamin B6 of the three kinds of bread. The irradiation did not influence the quality of the obtained bread. The sample tasters, not trained, accepted the bread independently of the doses of applied radiation. The ADQ test evidenced that the sensorial characteristics of the samples depend on the ingredient variation used on the formulas and on the radiation. The irradiated samples presented mold counting considerably lower than the non-irradiated samples, which increased the shelf-life of those products. The survey reveals that the majority of the people interviewed has little or any knowledge about radiation and believe that the irradiation can generate some kind of harm for human beings. Therefore, the bread production enriched with mashed linseed and submitted to gamma radiation is promising, given that the chemical and sensorial properties were considered satisfactory, besides the increasing of the shelf-time. (author)

  7. Physico-chemical and sensorial characteristics of rice (Oryza sativa L.) irradiated and the effect in Sitophilus oryzae L. development;Caracteristicas fisico-quimicas e sensoriais do arroz (Oryza sativa L.) irradiado e o efeito no desenvolvimento de Sitophilus oryzae L.

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    Zanao, Cintia Fernanda Pedroso

    2007-07-01

    Rice is exposed to injuries especially due to the attack of insects, which represent great qualitative and quantitative losses. The aim of the present research was to verify the viability of the gamma irradiation as rice (Oryza sativa L.) conservation method; its efficiency in the control of an important pest for stored grains Sitophilus oryzae L. and the effects that irradiation may present in irradiated grains in relation to the sensory aspect and starch alterations. Samples were composed of polished rice and the gamma irradiation dosages used were 0.5; 1.0; 3.0; and 5.0 kGy, and kept at room temperature. Analyses of the grain breakage percentages during processing and the longevity and reproduction of the rice weevil were performed. Analyses of the centesimal composition, phytic acid, apparent amylose content and starch paste properties were also conducted, as well as analyses of the rice color (instrumental) and acceptability (hedonic test), aimed at the determination of the raw and cooked rice sensory quality. It was verified that the gamma irradiation did not change the grain breakage percentage significantly and caused a negative effect on the insect development. Irradiation did not change the centesimal composition significantly. No significant values of phytic acid were found because during rice processing, the outer part (bran) containing 85-92% of total phytates was removed. Values from 17.33 to 18.44% for the apparent amylose content were found, and irradiation did not affect the rice starch amylose content significantly. The paste properties results were significantly changed, where reduction on the paste temperature, decrease on the time for the occurrence of the peak viscosity, reduction on the final viscosity values were observed. The retrogradation tendency became less intense in starches with increasing irradiation dosages. Statistical differences (p<0.05) were detected in the sensory aspect between irradiated and non-irradiated samples, and the sample irradiated with 1.0 kGy obtained the highest means for the sensory attributes. For results obtained for instrumental color, a statistical difference was observed in b* values, indicating that the rice color changed from white to yellowish with increased irradiation dosages. One concluded that the use of the gamma irradiation especially at dosage of 1.0 kGy, even presenting significant difference (p<0.05) in the paste properties, obtained higher acceptance; this irradiation level did not affect the rice physical-chemical analyses and provided longer shelf-life against the attack of insects, being therefore, the recommended dosage for the conservation of the polished rice. (author)

  8. Influence of M{sub g}O SIO{sub 2} in sintering behavior of Al{sub 2}TiO{sub 5} ceramics; Influencia de M{sub g}O e SiO{sub 2} nas caracteristicas de ceramicas a base de Al{sub 2}TiO{sub 5}

    Energy Technology Data Exchange (ETDEWEB)

    Guedes-Silva, C.C.; Zaninelli, G.; Genova, L.A., E-mail: cecilia.guedes@ipen.br [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil); Carvalho, F.M.S. [Universidade de Sao Paulo (IGC/USP), SP (Brazil). Instituto de Geociencias

    2012-07-01

    Aluminum titanate based ceramics (Al{sub 2}TiO{sub 5}) are very appreciated by exhibiting high thermal shock resistance owing to their low thermal conductivity, low Young's modulus and low coefficient of thermal expansion. However, it is very difficult to obtain dense components of Al{sub 2}TiO{sub 5} due to anisotropy of thermal expansion and susceptibility to phase dissociation in temperature range between 1000 and 1300 deg C. In this paper, the effect of SiO{sub 2} and MgO additions are evaluated considering densification, microstructure and thermal expansion coefficient of aluminum titanate ceramics. Samples with different contents of additives and sintered at 1600 deg C for 1 h were analyzed by X ray powder diffraction, scanning electron microscopy and dilatometry. The results showed that the sintered materials are formed by equiaxial grains of Al{sub 2}TiO{sub 5} with residual content of Al{sub 2}O{sub 3}. Moreover, these additives changed the grains size distribution, the coefficient of thermal expansion and the densification of materials. (author)

  9. Identificação das características definidoras do diagnóstico de enfermagem excesso de volume de líquidos Identificación de las caracteristicas definidoras del diagnóstico de enfermería excesso de volumen de liquidos Identification od defining characteristics of the nursing diagnosis fluid volume excess

    Directory of Open Access Journals (Sweden)

    Heloísa Cristina Quatrini Carvalho Passos Guimarães

    2000-04-01

    Full Text Available Este estudo foi realizado com o objetivo de identificar as características definidoras do diagnóstico de enfermagem Excesso de Volume de Líquidos, proposto pela NANDA. Os dados foram coletados num hospital especializado em cardiologia, com uma amostra de 29 pacientes, cuja seleção foi realizada por duas enfermeiras peritas no assunto. Concluiu-se que houve concordância das duas peritas na identificação de nove pacientes com o diagnóstico em estudo e 20 sem o diagnóstico. As características definidoras identificadas aparecem em percentagens diferentes nos pacientes estudados.Este estudio fue llevado a cabo con el objetivo de validar el diagnóstico de enfermería "Exceso de Volumen de Líquidos". Para esto se buscó verificar la existencia o no de concordancia entre enfermeras de un hospital especializado en cardiología en lo que respecta a la identificación de las características definitorias utilizadas para determinar dicho diagnóstico, tal como es propuesto por la Asociación Norteamericana de Diagnósticos de Enfermería. El estudio fue realizado con 29 pacientes evaluados, en un primer momento, por dos enfermeras especialistas. Los resultados mostraron que las dos enfermeras concordaron en la indicación de presencia del diagnóstico objeto de estudio, en 9 pacientes y de ausencia en 20. Las características definitorias que determinaban la presencia o ausencia del diagnóstico se presentaron en diferentes porcentajes en los pacientes estudiados.This study aimed at verifying the defining characteristics of the nursing diagnosis "Fluid Volume Excess" proposed by NANDA. Data collection was carried out within a specialized Cardiology health care setting where the 29 patients were selected by two expert nurses. The conclusion showed consonance of opinions between the two professionals in regard to the identification of nine patients with diagnosis and 20 without this type of diagnosis. The identified defining characteristics appeared in different percentages considering the studied patients.

  10. Comparison among structural characteristics of Ce{sub 1-x}Cu{sub x}O{sub 2} nanocatalysts obtained by two methods of distinct synthesis; Comparacao entre as caracteristicas estruturais dos nanocatalisadores Ce{sub 1-x}Cu{sub x}O{sub 2} obtidos por dois metodos de sintese distintos

    Energy Technology Data Exchange (ETDEWEB)

    Neiva, L.S.; Bispo, A.; Santos, P.T.A.; Costa, A.C.F.M.; Gama, L., E-mail: lucianna@dema.ufcg.edu.b [Universidade Federal de Campina Grande (UFCG), PB (Brazil). Dept. de Engenharia de Materiais; Mascarenhas, A.J.S. [Universidade Federal da Bahia (UFBA), Salvador, BA (Brazil). Inst. de Quimica

    2009-07-01

    The objective this work is to synthesize nano catalysts Ce{sub 1-x}Cu{sub x}O{sub 2} type by the synthesis methods of the combustion reaction and Pechini. The value of the concentration (x) of the element dope (Cu) varies between 0,1 and 0,5 mols. It intends evaluate that form the synthesis method influences in the physical structural characteristics of this material. nano catalysts were characterized by ray- X diffraction. The results showed nano catalysts formation with a formed structure for the most part by the phase CeO{sub 2}, as it was expected, since this is the hostess matrix of the element dope (Cu). Nano catalysts obtained by the method Pechini presents crystallinity larger deg, according with patterns of ray-X. Thus, it was concluded that synthesis employee method the kind in the methodology, as well as the value of the concentration of the element dope has influence on the final structural characteristics of the developed material. (author)

  11. A quick system for estimating the purification performance of waste water treatment plants based on the macroscopic and microscopic characteristics of activated sludge; Sistema rapido de estimacion de los rendimientos en depuracion de una EDAR en funcion de las caracteristicas macroscopicas del fango activado

    Energy Technology Data Exchange (ETDEWEB)

    Jimenez, C.; Fernandez, N.; Horra de la, J. M.; Rodriguez, E.; Isac, L.; Salas, D.; Gomez, E.; Ortiz Vargas, A.; Gonzalez Carballo, J. A.

    2001-07-01

    Microbiological studies of activated sludge require time, specialized staff and the arduous task of identifying and analysing the results, which is not usually within the scope of every laboratory. This article raises the possibility of carrying out a simplified study of active sludge, based on its macroscopic and microscopic characteristics, which produces a sludge index value that is directly related to the percentage reduction of solids in suspension, COD and BOD in the waste water treatment plant. In addition, this sludge index would also provide the possibility of quickly obtaining a historical record of biological quality values using a simple protocol that could be use for comparisons. (Author) 10 refs.

  12. Iron making technology with fuels and other materials injection in blast furnace tuyeres. Part 1. Auxiliary fuels characteristics and its influence in the blast furnace process; Tecnologia de fabricacion de arrabio con la inyeccion de combustibles y otros materiales por toberas en el horno alto. I parte. Caracteristicas de los combustibles auxiliares y su influencia en el proceso del horno alto

    Energy Technology Data Exchange (ETDEWEB)

    Garcia, L. [Union de Empresas de Recuperacion de Materias Primas. Ciudad de La Habana (Cuba); Cores, A.; Formoso, A. [Centro Nacional de Investigaciones Metalurgicas. Madrid (Spain); Babich, A.; Yaroshevskii, S. [Universidad Estatal Tecnologica de Donetsk. Ucrania (Ukraine)

    1998-06-01

    The injection of fuels by tuyeres in the blast furnace is a used practice in most furnaces with the principal aim to reduce the coke consumption by ton of pig iron produced. The nature of these fuels is very diverse and depends on the resources of each country and of the fuel price. At this moment the coal injection (pulverized and granular) is the most extended practice, and the number of furnaces with facilities for coal injection increases continuously. (Author) 14 refs.

  13. Capacitacion de educadores para areas marginales--I: Caracteristicas y necesidades educativas de los ninos, jovenes y adultos en las poblaciones menos favorecidas, rurales y urbanas. Tercera edicion (Preparation of Educators for Marginal Areas--I: Educational Needs and Characteristics of Children, Youth and Adults in Disadvantaged Populations, Rural and Urban. Third Edition).

    Science.gov (United States)

    Tedesco, Juan Carlos

    Forty percent of the families in Latin America have an income which does not provide essential necessities. Two-thirds of poor families live in the countryside, while the remainder reside in urban slums. The key variable in explaining poverty is education. Without education these families have irregular, unstable, and low paying employment…

  14. PSYCRODATA: a software which calculates the air humidity characteristics and relate its with the variations of the gamma environmental bottom; PSYCRODATA: software que calcula las caracteristicas de la humedad del aire y las relaciona con las variaciones del fondo gamma ambiental

    Energy Technology Data Exchange (ETDEWEB)

    Alonso A, D.; Dominguez L, O.; Ramos V, O.; Caveda R, C.A.; Capote F, E. [CPHR, Calle 20 No. 4113 e/41 y 47, Playa, C.P. 11300, A.P. 6195, C.P. 10600 La Habana (Cuba); Dominguez G, A.; Valdes S, E. [Instituto Superior de Ciencias y Tecnicas Aplicadas (INSTEC), La Habana (Cuba); Rodriguez V, E. [Instituto de Meteorologia (INSMET), La Habana (Cuba)]. e-mail: lola@cphr.edu.cu

    2006-07-01

    The computer tool 'Psycrodata', able to calculate the values of those characteristics of the humidity of the air starting from the measurements carried out of humidity and temperature in the post of occident of the National Net of Environmental Radiological Surveillance was obtained. Among the facilities that 'Psycrodata' toasts it is the keeping the obtained information in a database facilitating the making of reports. For another part the possibility of selection of different approaches for the calculation and the introduction of the psicrometric coefficient to use, its make that each station can have the suitable psicrometric chart keeping in mind the instrumentation and the characteristics of the area of location of the same one. Also, can have facilities to import text files for later on to be plotted, it allowed to correlate the absorbed dose rate in air due to the environmental gamma radiation, besides of the temperature and the humidity, with the tension of the water steam, the temperature of the dew point and the saturation deficit. (Author)

  15. Study of the characteristics of gases and condensates generated in three platforms of Garraf landfill for its energetic use; Estudio de las caracteristicas de los gases y condensados generados en tres plataformas del vertedero de Garraf (Barcelona) con objeto de comprobar la viabilidad del aprovechamiento energetico del mismo

    Energy Technology Data Exchange (ETDEWEB)

    Dorronsoro, J.L.; Carreras, N.

    1996-07-01

    Viability study about energetic use in biogas Garraf landfill has been carried out. For this reason, three different platforms of this landfill have been studied. Samples of biogas and condensates have been taken out of different wells of each studied platform. This paper shows the results obtained of the biogas and condensates exhaustive analysis. (Author) 5 refs.

  16. Effect of gamma irradiation on physico-chemical and sensorial characteristics of rice (Oryza sativa L.) and on the development of Sitophilus oryzae L; Efeito da irradiacao gama nas caracteristicas fisico-quimicas e sensoriais do arroz (Oryza sativa L.) e no desenvolvimento de Sitophilus oryzae L

    Energy Technology Data Exchange (ETDEWEB)

    Zanao, Cintia Fernanda Pedroso; Canniatti-Brazaca, Solange Guidolin; Sarmento, Silene Bruder Silveira [Escola Superior de Agricultura Luiz de Queiroz (ESALQ/USP), Piracicaba, SP (Brazil). Dept. de Agroindustria, Alimentos e Nutricao], e-mail: sgcbrazaca@esalq.usp.br, e-mail: cpedroso@claretianas.com.br, e-mail: sbssarme@esalq.usp.br; Arthur, Valter [Centro de Energia Nuclear na Agricultura (CENA/USP), Piracicaba, SP (Brazil). Lab. de Irradiacao de Alimentos e Radioentomologia], e-mail: arthur@cena.usp.br

    2009-01-15

    The objective of this research was to verify the viability of the gamma radiation as polished rice (Oryza sativa L.) conservation method. The samples were irradiated with doses of 0.5; 1.0; 3.0; and 5.0 kGy. Analysis of the grain breakage during the enriching process, longevity and reproduction of the Sitophilus oryzae L., centesimal composition, apparent amylose content, starch paste properties, color (instrumental), and the sensorial evaluation of raw and cooked rice were performed. It was verified that the irradiation did not change the percentage of grain breakage during the enrichment process, and it caused a negative effect on the development of insects. The irradiation did not change significantly the centesimal composition and the apparent amylase content. The Tukey test (p {<=} 0.05) was conducted to verify the differences between the treatments. Gamma irradiation affected the pasting properties of the rice flour. Pasting parameters as temperature, peak, final viscosity, and setback values showed decreasing values with irradiation doses. Differences were detected in the sensorial aspect among the samples, and the sample irradiated with the dose of 1.0 kGy presented greater averages. Regarding the instrumental color parameter, it was observed the difference in the values b{sup *} indicating that the rice changed the white color for yellowish with the increase in the irradiation dose. The irradiation dose of 1.0 kGy proved the best to meet the objectives of this study. (author)

  17. Características dos enfermeiros de uma unidade tecnológica: implicações para o cuidado de enfermagem Caracteristicas de los enfermeros de una unidad tecnológica: implicaciones para el cuidado de enfermería Characteristics of the nurses from a technologic unit: implications for nursing care

    Directory of Open Access Journals (Sweden)

    Rafael Celestino da Silva

    2011-02-01

    Full Text Available Objetivou-se descrever características de formação e qualificação dos enfermeiros de uma unidade de cuidados intensivos, e discutir suas implicações na assistência de enfermagem, quanto ao uso de tecnologias. Estudo descritivo-exploratório com realização de entrevista semi-estruturada. Sujeitos: vinte e quatro enfermeiros atuantes em unidade cardio-intensiva. Predomínio de mulheres com dois anos atuando no setor e curso de especialização. Grande parte não participou de cursos para manuseio de tecnologias, seis não escolheram o setor e onze são novatos. Houve equilíbrio no tempo de formação profissional. Deve-se considerar o perfil profissional para trabalhar nos setores de cuidados intensivos. Não atender este perfil pode trazer riscos aos clientesEl objetico hay sido describir las características de formación y calificación de los enfermeros de una unidad de cuidados intensivos, y discutir sus implicaciones en la asistencia de enfermería, cuanto al uso de tecnologías. Estudio descriptivo-exploratorio con realización de entrevista semi-estructurada. Sujetos: veinte y cuatro enfermeros actuantes en unidad cardio-intensiva. Predominio de mujeres con dos años actuando en el sector y curso de especialización. Gran parte no participó de cursos para manoseo de tecnologías, seis no eligieran el sector y once son novatos. Hubo equilibrio en el tempo de formación profesional. Se debe considerar el perfil profesional para trabajar en los sectores de cuidados intensivos. No atender este perfil puede traer riesgos a los clientesThe purpose was to describe characteristics of formation and qualification of the nurses of a unit of intensive cares, and to argue its implications in the nursing assistance, how much to the use of technologies. Descriptive-exploratory study, with accomplishment of half-structuralized interview. Citizens: twenty and four operating nurses in cardio-intensive unit. Predominance of women with two years acting in the sector and course of specialization. Great part did not participate of courses for manuscript of technologies, six had not chosen the sector and eleven are inexperienced. It had balance in the time of professional formation. The professional profile must be considered to work in the sectors of intensive cares. Not to take care of this profile can bring risks to the customers

  18. Rb-Sr geochronology and geochemical characteristics of mafic dikes in the Nova Lacerda and Conquista D'Oeste region, Mato Grosso, SW Amazonian Craton; Geocronologia Rb-Sr e caracteristicas geoquimicas dos diques maficos da regiao de Nova Lacerda e Conquista D'Oeste (MT), porcao sudoeste do Craton Amazonico

    Energy Technology Data Exchange (ETDEWEB)

    Costa, Paulo Cesar Correa da; Matos, Joao Batista de [Universidade Federal de Mato Grosso (UFMT), Cuiaba, MT (Brazil). Dept. de Recursos Minerais; Grupo de Pesquisas em Evolucao Crustal e Metalogenia Guapore, Cuiaba, MT (Brazil)], e-mail: pccorrea@ufmt.br, e-mail: jmatos@cpd.ufmt.br; Girardi, Vicente Antonio Vitorio [Universidade de Sao Paulo (USP), SP (Brazil). Inst. de Geociencias. Dept. de Mineralogia e Geotectonica], e-mail: girardi@usp.br; Ruiz, Amarildo Salina [Universidade Federal de Mato Grosso (UFMT), Cuiaba, MT (Brazil). Dept. de Geologia Geral; Grupo de Pesquisas em Evolucao Crustal e Metalogenia Guapore, Cuiaba, MT (Brazil)], e-mail: asruiz@rc.unesp.br

    2009-07-01

    In the Nova Lacerda and Conquista D'Oeste regions, Mato Grosso State, SW part of the Amazonian Craton, mafic dikes trending NNW intrude the Nova Lacerda Granite (1462{+-}12 Ma), within the Jauru Domain, in the Rondonia-San Ignacio Province (1.55 - 1.3 Ga). The mafic swarm comprises diabases, metadiabases and amphibolites. Metadiabases originated from uralitization of diabases. These rocks have tholeiitic affinity and predominant basaltic composition. Some samples are andesi-basalts. The ages of diabases and metabasites are 1380 {+-} 32 Ma and 1330 {+-} 120 Ma respectively. Geochemical data indicate that the compositional variation of diabases and metadiadases is due to fractional crystallization of evolved tholeiitic magmas. The origin of the basaltic magmas is related to a heterogeneous mantle source. (author)

  19. Diagnóstico de hipotiroidismo canino e hipertiroidismo felino 

    OpenAIRE

    Melián Limaña, Carlos

    1999-01-01

    [ES] Evaluamos 854 animales para determinar la utilidad de nuevas pruebas hormonales para el diagnóstico de las enfermedades tiroideas más comunes en los animales de compañía: hipotiroidismo canino e hipertiroidismo felino.

  20. Comparative analysis between two-dimensional (2D) and three-dimensional (3D) MRI acquisitions - clinical applications for the evaluation of the knees in juvenile rheumatoid arthritis (JRA); Analise comparativa entre aquisicao tri (3D) e bidimensional (2D) em ressonancia magnetica - aplicabilidade clinica em joelhos em artrite reumatoide juvenil (ARJ)

    Energy Technology Data Exchange (ETDEWEB)

    Doria, Andre S. [Hospital das Clinicas, Sao Paulo, SP (Brazil). Inst. de Radiologia; Rebelo, Marina de Sa [Hospital das Clinicas, Sao Paulo, SP (Brazil). Instituto do Coracao. Servico de Informatica; Castro, Claudio Campi de [Hospital das Clinicas, Sao Paulo, SP (Brazil). Instituto do Coracao. Servico de Ressonancia Magnetica] [and others

    2000-06-01

    In this cross-sectional study in patients with juvenile rheumatoid arthritis the authors compare two-dimensional evaluation of the maximum synovial diameter on post-contrast axial T1-weighted SE (spin-echo) sequences with volumetric (three-dimensional assessment) on post-contrast axial T1-weighted SPIR (spectral presaturation with inversion recovery) SE sequences. With the aim of determining their cost-effectiveness these two methods of assessment were compared to clinical and laboratorial parameters, as well as the presence of synovial enhancement seen on magnetic resonance imaging. (author)

  1. APOE epsilon4 and Alzheimer's disease: positive association in a Colombian clinical series and review of the Latin-American studies Asociación positiva entre APOE épsilon4 y demencia de Alzheimer en una serie clinica en Bogotá (Colombia y revision de los estudios latinoamericanos

    Directory of Open Access Journals (Sweden)

    Martine Jacquier

    2001-03-01

    Full Text Available OBJECTIVE: As the strength of the association between the APOE epsilon4 allele and Alzheimer's disease (AD varies across ethnic groups, we studied if there was such an association in Colombian patients. METHOD: We performed apolipoprotein E (APOE genotyping in a clinical sample of 83 unrelated AD patients, predominantly late-onset (>65 yrs including familial ( n =30 and sporadic AD cases (n= 53 diagnosed according to NINCDS-ADRDA criteria and assessed by a multi-disciplinary team. Control subjects (n = 44 had no significant cognitive impairment by medical interview and neuro-psychological testing. RESULTS: We found a high association (OR= 5.1 95%CI 1.9 -13.6 between APOE epsilon4 and AD, in this series with predominantly late-onset cases with familial aggregation in 24 cases (28.9%. A significant negative association was found between epsilon2 and AD (OR= 0.2 95% CI 0.05-0.75. CONCLUSION: Further population-based surveys in Colombia are warranted to precise a possible dose effect of APOE epsilon4.OBJETIVO: Como la fortaleza de la asociación entre el alelo épsilon4 del gen APOE y la enfermedad de Alzheimer (EA difiere entre grupos étnicos, quisimos evaluar si esta asociación existe en pacientes colombianos. MÉTODOS: Realizamos una genotipificación para el gen de la apolipoproteina E (APOE en una muestra clínica de 83 pacientes con EA no relacionados, de inicio predominantemente tardío (> 65 años, incluyendo casos familiares (n=30 y esporádicos (n=53 diagnosticados según los criterios del NINCDS-ADRDA y evaluados por un equipo multi-disciplinario. Los sujetos control (n= 44 no presentaban deterioro cognoscitivo de acuerdo con la entrevista médica y la evaluación neuropsicológica. RESULTADOS: Hallamos una alta asociación (OR= 5.1; IC95% 1.9- 13.6 entre APOE épsilon4 y EA en la serie de casos de inicio tardío y con agregación familiar en 24 sujetos (28.9%. Una asociación negativa, estadísticamente significativa, fue encontrada entre épsilon2 y EA (OR= 0.2; IC95% 0.05-0.75. CONCLUSIÓN: En Colombia son necesarios futuros estudios con base poblacional para poder precisar la existencia o no de un efecto de dosis de APOE épsilon4.

  2. Quantification of the influence of the choice of the algorithm and planning system on the calculation of a treatment plan; Cuantificacion de la influencia que tiene la eleccion del algoritmo y del sistema de planificacion en el calculo de una dosimetria clinica

    Energy Technology Data Exchange (ETDEWEB)

    Moral, F. del; Ramos, A.; Salgado, M.; Andrade, B; Munoz, V.

    2010-07-01

    In this work an analysis of the influence of the choice of the algorithm or planning system, on the calculus of the same treatment plan is introduced. For this purpose specific software has been developed for comparing plans of a series of IMRT cases of prostate and head and neck cancer calculated using the convolution, superposition and fast superposition algorithms implemented in the XiO 4.40 planning system (CMS). It has also been used for the comparison of the same treatment plan for lung pathology calculated in XiO with the mentioned algorithms, and calculated in the Plan 4.1 planning system (Brainlab) using its pencil beam algorithm. Differences in dose among the treatment plans have been quantified using a set of metrics. The recommendation for the dosimetry of a careful choice of the algorithm has been numerically confirmed. (Author).

  3. 参柴胃苏胶囊联合多潘立酮治疗功能性消化不良的临床疗效分析%The clinica efficacy of treatment of functional dyspepsia with combination of Senate Chai Weisu and capsule domperidone

    Institute of Scientific and Technical Information of China (English)

    王蓉辉; 张诗军

    2015-01-01

    目的:观察研究参柴胃苏胶囊与多潘立酮联合应用对功能性消化不良的临床治疗效果.方法:选取2014年4月~2015年4月于我科室就诊的诊断为功能性消化不良的患者60例,按随机数字表法分为治疗组和对照组各30例,治疗组给予参柴胃苏胶囊联合多潘立酮治疗,对照组单独应用多潘立酮治疗.治疗1月后记录两组疗效结果及主要症状变化情况.结果:治疗1月后治疗组主要症状餐后饱胀不适、早饱感上腹痛、上腹烧灼感评分分别为(1.32±0.73、1.83 ±0.56、1.22±0.75),均明显低于对照组(1.95±0.79、2.42±0.68、1.74 ±0.87).治疗1月后治疗组治HAMA/HAMD明显优于对照组;治疗组总有效率90.0%,明显高于对照组76.7%.治疗1月后治疗组治血清胃动素(MTL)及血清生长抑素(SS)水平分别为(218.7±41.2、613.6±52.1) pg/ml明显优于对照组(188.1±30.2、702.1±57.0) pg/ml.两组患者均无明显不良反应.结论:参柴胃苏胶裳联合多潘立酮治疗功能性消化不良,能明显改善患者症状.

  4. ClinicaI observation of large-spot and low-fluence Q-Switched Nd:YAG laser combined with HuayuQuban capsule for melasma%大光斑低能量Q开关Nd:YAG激光联合化瘀祛斑胶囊治疗黄褐斑疗效观察

    Institute of Scientific and Technical Information of China (English)

    2015-01-01

    目的:探讨大光斑低能量Q开关Nd:YAG激光联合化瘀祛斑胶囊治疗黄褐斑的疗效及安全性。方法:选取笔者科室2013年1月-2015年5月收治的女性黄褐斑患者90例,随机分为治疗组和对照组。对照组:给予患者Q开关Nd:YAG激光治疗,波长1064nm,光斑6mm,能量1.5~2.5J/cm2,每周1次,连续治疗8周后改为每2周1次再治疗4周,10次为1个疗程,共治疗12周;治疗组:在对照组治疗基础上加服化瘀祛斑胶囊,5片/次,2次/日,连续服用12周。分别于治疗8周和12周时评价疗效。结果:治疗8周时,治疗组有效率66.67%,对照组62.22%,两组比较差异无显著性(P>0.05);12周时,治疗组有效率86.67%,对照组68.89%,两组比较差异有显著性(P<0.05)。结论:大光斑低能量Q开关Nd:YAG激光联合化瘀祛斑胶囊治疗黄褐斑安全、有效,值得临床推广应用。%Objective To evaluate the efficacy and safety of low-fluence and large spot-size 1 064nm Q-switched Nd:YAG laser combined with HuayuQuban capsule for the treatment of melasma. Methods The ninety female patients with melasma were enrolled in study from January 2013 to May 2015 in our hospital,and randomly divided into the treatment group and control group.Forty-five patients of control group were treated once a week for 8 weeks and then two weeks a time for 4 weeks by 1 064nm Q-switched Nd:YAG laser at fluences of 1.5-2.5J/cm2 and a spot size of 6mm,the treatment group was given HuayuQuban capsule 5 tablets/time,2 times a day on the basis of control group.Each group received treatment for 12 weeks.Clinical efficacy were evaluated after 8 and 12 weeks of treatment. Results After 8 weeks of treatment,the markedly effective rate of treatment group was 66.67%and that of control group was 62.22%.There was no significant difference(P>0.05).After 12 weeks of treatment,the markedly effective rate of treatment group was 86.67%and that of control group was 68.89%.The markedly effective rate of control group in 12th week was significantly lower than that of treatment group.The difference was statistically significant(P<0.05). Conclusion The low-fluenee,1arge spot-size,1 064nm Q-switched Nd:YAG laser combined with HuayuQuban capsule is a safe and effective treatment modality for melasma.

  5. Clinical evolution of patients hospitalized due to the first episode of Acute Coronary Syndrome Evolución clínica de pacientes internados debido el primer episodio de la Síndrome Aguda de las Coronarias Evolução clinica de pacientes internados em decorrência do primeiro episódio da Síndrome Coronariana Aguda

    Directory of Open Access Journals (Sweden)

    Gislaine Pinn Gil

    2012-10-01

    Full Text Available AIM: to assess the clinical evolution of patients hospitalized due to the first episode of Acute Coronary Syndrome (ACS according to its clinical manifestation. METHODS: data were collected from 234 patients, hospitalized between May 2006 and July 2009 due to the first episode of an ACS, by consulting their medical records. RESULTS: 234 patients were hospitalized, 140 (59.8% due to Acute Myocardial Infarction (AMI. In the group with AMI, 19.3% presented complications, against 12.8% in the group with Unstable Angina (UA (p=0.19. Angioplasty levels were higher among patients with AMI than with UA (p=0.02 and coronary artery bypass graft surgery was more frequent among UA patients (p=0.03. The majority (227; 97% survived after the coronary event. Among the seven patients who died during the hospitalization, four had AMI (2.9% and three UA (3.2%. CONCLUSIONS: A larger number of complications were found among infarction victims and the accomplishment of coronary artery bypass graft surgery differed between the groups.OBJETIVO: evaluar la evolución clínica de pacientes internados por el primer episodio del Síndrome Aguda de Coronarias según su manifestación clínica. MÉTODOS: Fueron colectados datos de 234 pacientes internados entre mayo de 2006 y julio de 2009 debido el primer episodio de una ACA mediante consultas a los prontuarios. RESULTADOS: La mayoría (59,8% internó debido al Infarto Agudo del Miocardio (IAM. En el grupo con IAM, 19,3% presentaron complicaciones y 12,8% en el grupo con Angina Inestable (AI(p=0,19. La realización de angioplastia fue mayor entre los pacientes con IAM de lo que con AI (p=0,02 y la cirugía de revascularización fue más realizada entre los pacientes con AI (p=0,03. La mayoría (227; 97% sobrevivió al evento de las coronarias. Entre los siete pacientes que murieron en la internación, cuatro tenían IAM (2,9% y tres AI (3,2%. CONCLUSIONES: Hubo mayor número de complicaciones entre los infartados y la realización de revascularización del miocardio fue diferente en los dos grupos.OBJETIVO: avaliar a evolução clínica de pacientes internados pelo primeiro episódio da síndrome coronariana aguda (SCA, segundo sua manifestação clínica. MÉTODOS: foram coletados dados de 234 pacientes internados entre maio de 2006 e julho de 2009, em decorrência do primeiro episódio de uma SCA, mediante consultas aos prontuários. RESULTADOS: a maioria (59,8% foi internada devido ao infarto agudo do miocárdio (IAM. No grupo com IAM, 19,3% apresentaram complicações e 12,8% no grupo com angina instável (AI (p=0,19. A realização de angioplastia foi maior entre os pacientes com IAM do que com AI (p=0,02 e a cirurgia de revascularização foi mais realizada entre os pacientes com AI (p=0,03. A maioria (227 - 97% sobreviveu ao evento coronariano. Entre os sete pacientes que morreram na internação, quatro tinham IAM (2,9% e três AI (3,2%. CONCLUSÕES: houve maior número de complicações entre os infartados e a realização de revascularização do miocárdio foi diferente nos dois grupos.

  6. Study of the positioning of the films of the MLC by a Test of bands and your influence in the clinic dosimetry in IMRT; Estudio del posicionamiento de las laminas del MLC mediante un test de bandas y su influencia en la dosimetria clinica en IMRT

    Energy Technology Data Exchange (ETDEWEB)

    Serrano Zabaleta, S.; Millan Cebrian, E.; Calvo Carrillo, S.; Alba Escorihuela, V.; Garcia Romero, A.; Ortega Pardina, P.; Canella Anoz, M.; Hernandez Vitoria, A.

    2015-07-01

    We performed a test of adjacent bands inspired by the proposed in AAPM Report No. 72, we provides a parameter characterizing the state of the MLC as to the actual position of its blades. This test has been validated by studying repeatability and reproducibility and has found the correlation between the parameter and creep detected by the ILD. Subsequently it has studied the impact of changes in the positioning of the blades on clinical dosimetry in IMRT patients, reconstructing the patient dose by Matrix Evolution team and Compass software, IBA Dosimetry. (Author)

  7. Práticas da psicologia clínica em face do sofrimento psíquico causado pelo desemprego contemporâneo Prácticas de psicologia clinica frente al sufrimiento psíquico causado por el desempleo contemporáneo Psychology clinical practices towards psychological suffering caused by contemporary unemployment

    Directory of Open Access Journals (Sweden)

    Daniel Abs

    2010-06-01

    Full Text Available Este estudo objetivou compreender as práticas da Psicologia Clínica em face do sofrimento psíquico causado pelo desemprego contemporâneo. Para tanto, foram entrevistados 8 psicólogos da região metropolitana de Porto Alegre, abordando os seus entendimentos sobre as temáticas de trabalho e desemprego, as suas consequências para a subjetividade dos pacientes, as intervenções utilizadas, o auxílio da abordagem teórica nessas intervenções e as possíveis contribuições da Psicologia em relação ao fenômeno estudado. Foi realizada análise de conteúdo para os dados coletados. Os enunciados foram agrupados em quatro temáticas, com as respectivas categorias: Trabalho, Desemprego, Intervenções sobre o desemprego na clínica e Lugar da Psicologia em face do desemprego. Os enunciados destacaram a falta de operadores clínicos para se lidar com esse fenômeno. Concluiu-se que o desemprego é uma temática da clínica psicológica contemporânea, e que esta necessita produzir operadores capazes de, na clínica, dar conta de fenômenos contemporâneos que estão emergindo, como o desemprego. Concluiu-se igualmente que são necessários mais estudos abordando essa temática.Este estudio tuvo el objetivo de comprender las prácticas de Psicología Clínica frente al sufrimiento psíquico causado por el desempleo contemporáneo. Para tal, fueron entrevistados 8 psicólogos de La región metropolitana de Porto Alegre, abordando sus entendimientos de las temáticas de trabajo y desempleo, consecuencias estas para la subjetividad de los pacientes, intervenciones utilizadas, auxilio del abordaje teórico en estas y posibles contribuciones de la Psicología frente al fenómeno estudiado. Fueron realizados análisis del contenido para los datos colectados. Los enunciados fueron agrupados en cuatro temáticas, con sus respectivas categorias: Trabajo, Desempleo, Intervenciones sobre el desempleo en la clínica y lugar de la Psicología frente al desempleo. Los enunciados destacaron la falta de operadores clínicos para lidar con ese fenómeno. Ese estudio concluyó que el desempleo es una temática de la Clínica Psicológica contemporánea, y que hay una necesidad de producirse operadores que den cuenta, en la clínica, de fenómenos contemporáneos que están emergiendo, como el desempleo, y que más estudios son necesarios acercándose a esta temática.This paper aims at understanding the practices of Clinical Psychology towards psychological suffering caused by contemporary unemployment. To this end, eight psychologists from Porto Alegre outskirts were interviewed. They were asked about their understanding of issues regarding work and unemployment and consequences to patients' subjectivity, intervention practices they used and the relationship of these interventions to theories and possible contributions of psychology towards the phenomenon under scrutiny. Content analysis was used to study the data collected during the interviews.Psychologists' utterances have been divided in four groups based on the following categories: work, unemployment, interventions towards unemployment and psychology's contributions to unemployment. The author concludes that clinical psychology needs to prepare professionals who are able to deal, in their clinical practices, with ever emerging contemporary phenomena such as unemployment. It is also highlighted that more investigations on this area of study are necessary.

  8. EL ESTRÉS CRÓNICO Y LA MEDICIÓN PSICOMÉTRICA DEL DISTRÉS EMOCIONAL PERCIBIDO EN MEDICINA Y PSICOLOGÍA CLINICA DE LA SALUD/ CHRONIC STRESS AND THE MEASUREMENT OF PERCEIVED EMOTIONAL DISTRESS IN MEDICINE & HEALTH PSYCHOLOGY

    Directory of Open Access Journals (Sweden)

    Manolete S. Moscoso*

    2011-02-01

    Full Text Available RESUMENEl propósito central de este artículo es presentar el Inventario de Distrés Emocional Percibido (IDEP e indicar su utilidaden el área de la psicología clínica de la salud. Se presenta un marco conceptual coherente y multidimensional acerca deldistrés emocional percibido. Los resultados del análisis factorial de componentes principales con rotaciones promaxclaramente indican que el IDEP es un instrumento psicométrico que presenta una descripción válida y confiable del distrésemocional percibido en pacientes con diagnóstico de cáncer. Dichas observaciones sugieren que el IDEP provee informaciónsignificativa acerca de los diferentes factores multidimensionales del distrés emocional percibido. Nuestra intención es queeste reporte empírico estimule la investigación psicométrica en Latinoamérica con la intención de replicar los resultadosobservados en el presente estudio de investigación.ABSTRACTThe central purpose of this study is to describe the Perceived Emotional Distress Inventory (PEDI and point out itsusefulness in the field of health psychology. The conceptual framework that guided the development of the PEDI, factorstructure, internal consistency, and construct validity are reported. Item responses were examined by Factor Analyses ofPrincipal Components with promax rotations. The PEDI presents three subscales that assesses Anxiety/Depression,Hopelessness, and Anger Expression as components of perceived emotional distress in cancer patients. We also discussthe important implications of replicating these results in the different regions of Latin America.

  9. [Hand-foot-mouth disease: its course in the city of Milan (1980-86). Epidemiologic study gathered from the records of the community and scholastic ambulatory services of the Istituto di Clinica Dermatologic I and Dermatologia Pediatrica of the University].

    Science.gov (United States)

    Sala, F; Mansi, M; Greppi, F; Ferrari, L; Perotta, E; Andreani, B

    1989-03-01

    Hand-foot-mouth disease: the Authors describe the epidemiological observations in a period of seven years made in a big urban area of Milan. They point out the periodic course of hand-foot and mouth disease, which is present in particular during May and November and particularly in children under six years. The Authors point out the difference between males and females and they try to correlate their dates with those gathered from the study of the literature.

  10. [The role of biochemical markers of myocardial damage in clinical practice: the diagnosis of infarct and risk stratification. The Intersociety Interdisciplinary Study Group of the ANMCO-SIBioC-SIMeL, Markers of Muocardial Lesions. L'Associazione Nazionale Medici Cardiologi Ospedalieri-Società Italiana di Biochimica Clinica-Società Italiana di Medicina di Laboratorio].

    Science.gov (United States)

    Ottani, F; Galvani, M; Panteghini, M; Dolci, A; Plebani, M; Tubaro, M; Zaninotto, M

    2000-01-01

    For many years creatine kinase (CK) and CK-MB isoenzymes were used together with the ECG to confirm the presence of myocardial infarction. During the last decade newer cardiac markers have been introduced and immunological test systems developed for their quantification. Among these new markers, a prominent role has emerged for cardiac troponins (T or I). These technological advanced assays have shown greater sensitivity compared to "conventional cardiac enzymes;, thereby identifying patients with small--at times, microscopic--infarcts who would not have met defining criteria for myocardial infarction in an earlier era. Another major advantage shown by both cardiac troponins with respect to "conventional cardiac enzymes" is their ability to predict clinical outcome over a short- or long-term follow-up in patients with acute coronary syndromes, and this appears to be particularly relevant in patients with micronecrosis, who constitute a high-risk subgroup of unstable angina patients. Recently, myoglobin has also been widely applied as a marker. Although lacking in myocardial specificity, it is the earliest marker to show an increase after coronary occlusion. Thus, the combined use of myoglobin and a cardiospecific structural protein such as troponin T or I may prove an attractive strategy for biochemical testing in chest pain patients. With the routine use of these novel cardiac markers, fascinating opportunities are now open in the field of diagnostic classification (making the World Health Organization definition of myocardial infarction obsolete) and risk stratification in chest pain patients; opportunities that were unforeseen in the era of cardiac enzymes. However, the use of these markers has also posed some important questions on: a) the best and most cost-effective diagnostic strategy in chest pain patients; b) the remaining role of cardiac enzymes; c) the therapeutic consequences of a positive test result.

  11. Clinical evaluation of the low intensity laser antialgic action of GaAlAs ({lambda}=785 nm) in the treatment of the temporomandibular disorders; Avaliacao clinica da acao antialgica do laser em baixa intensidade de arseneto de galio e aluminio ({lambda}=785 nm) no tratamento das disfuncoes da articulacao temporo-mandibular

    Energy Technology Data Exchange (ETDEWEB)

    Sanseverino, Nelly Tichauer Maluf

    2001-07-01

    The therapy with laser emitting low intensity has been currently used in the most diverse fields of medicine as therapeutic conduct for pain. It is a non invasive, painless, non-thermal and aseptic type therapy, without any collateral effects, having a good cost/benefit relationship. However, for the therapy with low-intensity laser to result in positive effects, a correct diagnosis is fundamental, as well as a protocol of adequate application. n odontology, the majority of patients diagnosed with temporomandibular disorders (TMD), present pain and limitations in the movements of the jaw. In this work, a GaAlAs laser emitting low intensity, was used, {lambda}=785 nm, in patients having a dysfunction of the temporomandibular joint with a complaint of pain. Twenty patients were divided into two groups. The group treated received laser therapy in the temporomandibular articulations and in the muscles affected. The dose applied was 45 J/cm{sup 2}, while the ten patients in the control group received 0 J/cm{sup 2}, in a total of nine applications, carried out three times a week, during three weeks. he evaluation of the patients was made through clinical examinations of manual palpation of the masseter, temporal, cervical, posterior neck and sternocleidomastoid muscles, and measurements of opening and laterality of the mouth. The results obtained showed a diminishing of the pain and an increase of the mandibular mobility in the patients treated, when compared to the control group. These results point to this therapy as being an important tool in the treatment of pain in patients with a dysfunction in the TMJ, indicating this therapeutic modality as a co-adjuvant in these treatments. (author)

  12. Alteration in the absorption cell dose arising from the use of gold nanoparticle associated with the radionuclides of clinical application: simulate study; Alteracao na absorcao de dose celular decorrente da utilizacao de nanoparticulas de ouro associadas a radionuclideos de aplicacao clinica: estudo simulado

    Energy Technology Data Exchange (ETDEWEB)

    Culik, Lucas; Schwarcke, Marcelo, E-mail: mschwarcke@unifra.br [Centro Universitario Franciscano (UNIFRA), Santa Maria, RS (Brazil)

    2015-12-15

    The present work is a proposal to assess, which is the efficiency in the use of radionuclides of clinical application in nuclear medicine service conjugated system with gold nanoparticles.To obtain the results needed for the interpretation of this combination, was using the Monte Carlo simulation code PENELOPE, where was the main structures of a simulated eukaryote cell. To simulate irradiation on cellular structures was used the emission spectrum of main radionuclide clinical use in nuclear medicine service. The material containing gold nanoparticles was modeled according the stoichiometric proportions found in the literature. The results obtained, present for the simulated energies to smaller bodies than 2,0μm, no substantial response to the use of nanoparticles in the reinforcement of locally absorbed dose. Is observed a small decrease in locally dose absorbed due to emission of charged particles, it is believed that causes an increase in the emission secondary range to be placed outside the study body. But this effect is small when comparing to the increase of energy absorbed due to interaction with the bodies containing nanoparticles, so demonstrating an increase in the locally dose absorbed. Being observed that there is an increase in dose absorbed locally due to the use of nanoparticles. For protocols based on the principle of target radionuclide therapy, the imaging of the treaty sit will be affected in their statistical accuracy, since the gamma radiation will be attenuated by the nanoparticles present in the material. Being necessary to know if this increase in the locally absorbed dose has greater importance in the treatment protocol than the image of the absorption of the radioactive material in the target organ. (author)

  13. 18. Annual meeting of the Federation of Societies on Experimental Biology; 19. Brazilian congress on clinical research; 28. Brazilian congress on neuroscience and behaviour. Accepted abstracts; 18. Reuniao Anual da Federacao de Sociedades de Biologia Experimental; 19. Congresso brasileiro de investigacao clinica; 28. Congresso brasileiro de neurociencias e comportamento. Resumos aceitos

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-07-01

    Utilization of radioisotopes and ionizing radiations is reported in several aspects related to various diseases. Biological pathways, biological receptors and metabolism are studied by radioassay, tracer techniques, labelled compounds (C14, tritium compounds, e.g.) and radiopharmaceuticals application. Radiotherapy, nuclear medicine and radiation effects are studied as well. In vivo dynamic function studies are presented, mainly in rats and mice. Environmental issues are also considered, specially regarding to soils and plants.

  14. Existe diferença no estadiamento entre doentes operados de câncer colorretal no sistema previdenciário e na clinica privada? There is any difference in staging between patients operated on for colorectal cancer in public or private hospital?

    Directory of Open Access Journals (Sweden)

    Rodrigo Cuiabano Paes Leme

    2007-06-01

    Full Text Available OBJETIVO: Avaliar se existe diferença no estadiamento de doentes submetidos à ressecção intestinal por câncer colorretal no sistema previdenciário e na clínica privada. MÉTODO: Foram estudados de forma retrospectiva 41 doentes (16 homens e 25 mulheres com idade média de 59,4 anos operados no sistema previdenciário (SP e 33 doentes (18 homens e 15 mulheres com idade média de 60,8 anos operados na clínica privada (CP. Foram avaliados o estadiamento TNM, a frequência de operações de urgência, de operações paliativas e do uso de colostomia. RESULTADOS: Não se observou diferença entre o estadiamento dos dois grupos. A frequência de operações de urgência foi 26,8% no SP e 12,1% na CP (p=0,100. As operações paliativas ( 19,5% SP x 6,1% CP e o uso de colostomia ( 26,8 SP X 15,2 CP foram maiores no sistema previdenciário porém os valores não foram estatisticamente significantes, valores de p=0,087 e p=0,352 respectivamente. CONCLUSÃO: Não há diferença significante entre o estadiamento TNM de doentes operados no sistema previdenciário e privado.BACKGROUND: To examine whether there is any difference in staging between patients operated on for colorectal cancer in public or private hospital. METHODS: This study included 41 patients (16 men and 25 women, mean age of 59.4 years old who underwent colorectal resection for adenocarcinoma in public hospital (PU and 33 patients (18 men and 15 women, mean age 60.8 years old operated in private hospital (PR. They were evaluated regarding the TNM stage, mode of presentation (elective or emergency, type of resection (curative or palliative and the use of colostomy. RESULTS: There was no significant difference in the staging among the two groups. Emergency presentation were 26.8% in the PU group and 12.1% in the PR group (p=0.100. Palliative resection (19.5% PU x 6.1% PR and the use of colostomy (26.8% PU X 15.2% PR were more frequently in the patients operated in public hospital but differences were not significant, p=0.087 and p=0.352 respectively. CONCLUSION: These findings demonstrate that there was no significant difference in staging between patients operated on for colorectal cancer in public or private hospital.

  15. Evaluation of conventional x-ray diagnostic equipment and radiological protection systems of hospitals and clinics installed in Recife city, Brazil; Avaliacao dos equipamentos de raios-X diagnostico convencionais e dos sistemas de protecao radiologica de clinicas e hospitais da cidade de Recife

    Energy Technology Data Exchange (ETDEWEB)

    Passos, Robson Silva

    1999-05-15

    Diagnostic radiology is the main contributor to the man-made exposure of general population. Since Quality Assurance (QA) programs ensure high quality diagnostic images with the lowest possible radiation dose to the patient, it has been recommended that all introduce QA programs for their radiological facilities. Consequently it is important to check the adequacy of equipment operating parameters in diagnostic radiography facilities, to ensure that a high quality of service is delivered. The purpose of this study was to evaluate the operating conditions of diagnostic units installed in Recife, Pernambuco. The study included 31 X-ray units from both public and private diagnostic services. The following parameters were evaluated: coincidence between the luminous and radiation fields; alignment of the radiation beam; agreement between the real and preset values of kVp and exposure time; filtration; half value lower (HVL); luminance of the view box; uniformity of the luminance; illuminance of the environment. The results showed that 20% of the equipment surveyed exhibited discrepancies between the luminous and radiation fields greater than 2% of the source to skin distance. The test of kilovoltage showed that 48% of the units do not fulfill the acceptability criteria, presenting discrepancies higher than {+-} 10% between the measured and preset values. The results of the accuracy of the timer indicated that 81% of the equipment surveyed present a discrepancy greater than {+-} 10% between the time selected in the control panel and actual exposure time.The test of the filtration shown that, in 20% of the equipment, this was inferior to 2,5 mm Al. The test of the luminance of view box shown that 96% of the equipment, shown a luminance lower of 2.000 cd/m{sup 2}. Related to the test of the uniformity of the luminance, 81 % of the equipment shown a variation of the uniformity higher then 10%. The test of the iluminancy of the environment shown that 61 % of the equipment presented on iluminancy level out of the gap between 50 and 100 lux. The results of this survey showed that a high percentage of the equipment surveyed demonstrated inadequate operating conditions, reinforcing the need to implement quality control protocols in conventional x-ray units located in Recife. (author)

  16. Determinação do prognostico de pacientes com lesão medular submetidos a estimulação eletrica neuromuscular e fisioterapia convencional, atraves da avaliação fisioterapica, avaliação clinica asia e potencial evocado somato-sensorial

    OpenAIRE

    Beatriz de Oliveira Peixoto

    2002-01-01

    Resumo: Este estudo avaliou o diagnóstico e o prognóstico de pacientes com lesão medular através do potencial evocado sômato sensorial (PESS), avaliação ASIA (classificação neurológica da lesão medular e medida de independência funcional (FIM) e escala de deficiência) e avaliação fisioterápica. O efeito da estimulação elétrica neuromuscular (EENM) foi comparado ao tratamento fisioterápico convencional (FC). Foram estudados 19 pacientes com lesão medular, com idade de 16 a 50 anos e de ambos ...

  17. Programa de tratamento integral de pacientes crônicos do Hospital de Clinicas da Universidade do Estado do Rio de Janeiro: I - Etapa diagnóstica A programme for comprehensive treatment of chronic hospital patients at the Rio de Janeiro State University Hospital: I - The diagnostic phase

    Directory of Open Access Journals (Sweden)

    Hésio de Albuquerque Cordeiro

    1977-03-01

    Full Text Available O estudo sobre redundância de hospitalização, baseado no conceito de dependência aos cuidados de enfermagem, evidenciou que, em 99 pacientes que permaneceram 25 ou mais dias internados, foram redundantes em algum momento da internação, representando um desperdício de 1094 leitos-dia (30,17% do total de leitos-dia consumidos por este grupo de pacientes . Estudou-se, também, um grupo de 102 pacientes com acompanhados durante uma semana, identificando-se 60 pacientes (59% com hospitalização desnecessária. Não se verificou diferenças estatisticamente significativas entre os grupos de pacientes redundantes e não redundantes em relação às variáveis sócio-demográficas estudadas. As condições que contribuíram com maior número de dias de redundância foram neoplasias, doenças do aparelho respiratório (pneumopatia complicada e doença pulmonar obstrutiva crônica, fraturas, hipertensão arterial com ou sem insuficiência cardíaca, acidente vascular cerebral e cirrose hepática. Face a magnitude do desperdício de recursos decorrentes da hospitalização desnecessária e riscos para o paciente da permanência prolongada no hospital, é recomendada a implantação de programas experimentais para tratamento domiciliar de pacientes crônicos.A study on redundant days of hospitalization based on the concept of nursing care dependence showed that among the 99 patients studied 68 demonstrated redundant days during their hospitalization of 25 or more days. This implies a wastage of 1094 bed-days. In another study a group of 102 patients and redundancy was identified in 60 patients. There was no significant statistical difference between the redundant and non-redundant patients according to the social and demographic variables studies. Five diseases were found to be more frequent among the redundant patients: respiratory diseases, fractures, arterial hypertension with or without cardiac failure, cerebral strokes and hepatic cirrhosis. Considering the grea wastage of material and financial resources and the risks of a long-term hospitalization for patients, it is recommended that experimental home care programmes for a more reasonable treatment of chronic patients should be tested.

  18. 急性颅脑损伤患者血清甲状腺、PRL和NSE水平的变化及临床意义%ClinicaL Significance of measurement of changes of Serum Thyoids,PRL and NSE levels in patients with acute craniocerebral in jury

    Institute of Scientific and Technical Information of China (English)

    潘晴

    2013-01-01

      目的探讨了急性颅脑损伤患者血清甲状腺素、PRL和NSE水平的变化及临床意义。方法应用化学放光法和放免法对33例急性颅脑损伤患者进行了血清甲状腺素、PRL和NSE水平检测,并与35名正常健康人作比较。结果急性颅脑损伤的血清TSH、PRL、NSE水平非常显著地高于正常人组(P<0.01),而TT3水平非常显著地低于正常人组(P<0.01),血清TT3水平与TSH、PRL、NSE水平呈显著负相关(r=--0.4012、-0.5718、-0.5922、P<0.01)。结论检测急性颅脑损伤患者血清甲状腺素、PRL、和NSE水平的变化对诊断治疗和估计病情轻重有一定的临床价值。%objective:To explore the clinicnl signi-ficance of changes of Serum Thyoids, PRL and NSE levels in patients With acute craniocerebral injury.Methods:serum Thyoids. PRL(withCLIA) serum NSE(withRIA) levels mere? determined in 33 patients with acute craniocevebral injury and 35 incontrols. pesult: serumTSH、PRL、NSE levels were signiticantly higher than , those in controls(P<0.01), but serum TT3 Levels were significmtliy Lower than those in controls(P<0.01), Seran TT3 levels were negative correlated with TSH、PRL、NSE(r=-0.4012、-0.5718、-0.5922、P<0.01).Conclusions: Detection of serum Thyoid、PRL and NSE Levels might he of helpful assessment of che severing of d:sease and prognosis, much of clinical Values.

  19. Collimator with compensated filtration: clinical adaptation for recommendation 4f of the EU about the radiation protection in oral dental radiology; Colimador con filtracion compensada: adaptacion clinica para alcanzar la recomendacion 4F de la Union Europea sobre proteccion radiologica al paciente en radiologia odontologica

    Energy Technology Data Exchange (ETDEWEB)

    Alcaraz, M.; Garcia-Vera, C.; Bravo, C. La; Morant, J. J.; Armedo, D. Y.; Canteras, M.

    2006-07-01

    Recent recommendations by the European Union (2004) for performing lateral cranial cephalometry (LCC) state that collimation should be maximized so that only those tissues necessary are irradiated when performing clinical diagnoses, although the fact that many manufacturers do not incorporate these elements in their equipment design has been recognised (recommendations 4f). Aim: the manufacture and utilization of a collimator with a pre-patient compensating filter for LLC which may be used in most extraoraldental radiology units, as well as determining the reduction in the dose of radiation absorbed by more sensitive tissues exposed to said clinical exploration. Making use of mannequins, phantom and craniums, we constructed a collimator with a compensating filter and established the necessary technical, dosimetric and quality specifications for its clinical use. Subsequently, we studied 16 patients referred for cephalometric study, determining the radiation dose (TLDs) in both the patients (crystalline lens, frontal lobe, parotid/submaxillary/thyroid glands and brain) and in the radiographic film, as well as in different parts of the collimator/filter. Al presented we are aiming for its clinical use by carrying out LCC in another 16 patients referred of orthodontic treatment but with the pre-a patient introduction of the tested collimator with the compensating filter as a substitute for the usual technique. The collimation reduced the field or radiation by some 40% and with that, so too the radiated tissues. The compensating filter reduced the dose in tissues by some 34.2. Our collimator has allowed the radiological image to be obtained with only one third the usual radiation dose. The dose reaching the film shies only between 17% less than in the usual technique and didn't alter its diagnostic capacity. A reduction of 61,6% of the dose administered to the patient is achieved by incorporating the collimator and filter to most radiological equipment without the need for renovating or substituting existing apparatus. (Author)

  20. Association among nursing diagnoses, demographic variables, and clinical characteristics of patients with high blood pressure Asociación entre diagnósticos de enfermería y variables sociales/clinicas en pacientes hipertensos Associação entre diagnósticos de enfermagem e variáveis sociais/clínicas em pacientes hipertensos

    Directory of Open Access Journals (Sweden)

    Francisca de Fátima Vasconcelos

    2007-09-01

    Full Text Available OBJECTIVES: To analyze the association among diagnoses, demographic variables, and clinical characteristics of patients with high blood pressure. METHODS: The data were collected in 67 patients from a primary care unit in Fortaleza, Brazil. The NANDA Taxonomy was used to determine the nursing diagnoses. Data analysis consisted of Fisher's exact test, Chi-square test, and likelihood ratio test. RESULTS: Fifty four nursing diagnoses were identified; fifteen were above the 75th percentile. Ineffective individual therapeutic regimen management and number of medication, sleep pattern disturbance and marital status, activity intolerance and education, activity intolerance and time of diagnoses, sexual dysfunction and gender, sexual dysfunction and education, risk for falls and age, marital status and time of diagnoses, chronic pain and marital status all had significant association coefficients. CONCLUSION: Some demographic characteristics were associated with nursing diagnoses.OBJETIVO: Analizar la asociación estadística entre diagnósticos y características sociales / clínicas de pacientes hipertensos. MÉTODOS: Los datos fueron recolectados en una unidad básica de salud de Fortaleza-Ceará con 67 pacientes. La identificación de los diagnósticos se llevó a cabo según la taxonomía de la NANDA. Para el análisis de los datos se utilizó test de Fisher, Chi-Cuadrado de Pearson y Razón de Verosemejanza. RESULTADOS: Se encontró 54 diagnósticos de enfermería y 15 sobre el percentil 75. Se verificó asociación estadística entre: Control eficaz del régimen terapéutico y número de medicamentos; Patrón de sueño perturbado y estado civil; Intolerancia a la actividad y escolaridad y años de diagnóstico; Disfunción sexual y sexo y escolaridad; Riesgo para caídas y edad, estado civil y tiempo de diagnóstico de la enfermedad; Dolor crónico y estado civil. CONCLUSIÓN: Algunas características demográficas están asociadas a la ocurrencia de diagnósticos de enfermería.OBJETIVO: Analisar a associação estatística entre diagnósticos e características sociais / clínicas de pacientes hipertensos. MÉTODOS: Os dados foram coletados numa unidade básica de saúde de Fortaleza-Ce com 67 pacientes. A identificação dos diagnósticos foi procedida segundo a taxonomia da NANDA. Para análise dos dados utilizou-se testes de Fisher, Qui-Quadrado de Pearson e Razão de Verossimilhança. RESULTADOS: Encontrou-se 54 diagnósticos de enfermagem e 15 acima do percentil 75. Verificou-se associação estatística entre: Controle eficaz do regime terapêutico e número de medicamentos; Padrão de sono perturbado e estado civil; Intolerância à atividade e escolaridade e anos de diagnóstico; Disfunção sexual e sexo e escolaridade; Risco para quedas e idade, estado civil e tempo de diagnóstico da doença; Dor crônica e estado civil. CONCLUSÃO: Algumas características demográficas estão associadas à ocorrência de diagnósticos de enfermagem.

  1. Calidad de vida en el trabajo: Profesionales de la salud de Clínica Río Blanco y Centro de Especialidades Médicas Quality of life at work: Health Professionals Clinica Rio Blanco and Center Especialidades Médicas

    Directory of Open Access Journals (Sweden)

    Diemen Delgado García

    2012-09-01

    Full Text Available Objetivo: Identificar un constructo sobre la calidad de vida en el trabajo de los médicos/as y enfermeros/as de Clínica Río Blanco y Centro de Especialidades Médicas. Métodos y Materiales: Estudio transversal y analítico. Se aplicó un cuestionario de datos socio-laborales integrados por 10 ítems y el instrumento CVT-GOHISALO, el cual consta de 74 ítems y mide la calidad de vida en el trabajo en siete dimensiones Resultados: En un grupo de 20 trabajadores entre médicos/as y enfermeros/as, el 40 % cuenta con dos trabajos, el 20 % reporta ausentismo por enfermedad el año previo. El 60 % se desempeñan principalmente en turno mixto. El 40 % tiene una antigüedad de dos a cinco años y el 30 % menos de dos años. El número de horas semanales que dedican al descanso es menor a 20 horas en un 50 % de los trabajadores. Las siete dimensiones evaluadas: soporte institucional para el trabajo, seguridad en el trabajo, integración al puesto de trabajo, satisfacción por el trabajo, bienestar a través del trabajo, desarrollo personal y administración del tiempo libre, reflejan grados de insatisfacción en la calidad de vida en el trabajo. Conclusiones: Los trabajadores de la salud evaluados muestran una serie de percepciones subjetivas que reflejan una realidad de su medio laboral.Objective: To identify a construct on quality of life in the work of doctors and nurses Clínica Río Blanco and Center Especialidades Médicas. Methods and Materials: Cross-sectional and analytical. A questionnaire was social and labor data consisting of 10 question and CVT-GOHISALO instrument, which consists of 74 question and measures the quality of life at work in seven dimensions. Results: In a group of 20 workers among doctors and nurses, 40 % have two jobs, 20 % reported absenteeism due to illness the previous year. 60 % work mainly in mixed shift. 40 % have a length of two to five years and 30 % less than two years. The number of hours per week devoted to rest is less than 20 hours in 50 % of workers. The seven dimensions assessed: institutional support for work, job security, integration into the workplace, job satisfaction, well-being through work, personal development and leisure management, reflect a degree of dissatisfaction in the quality of work life. Conclusions: The health workers evaluated show a series of subjective perceptions that reflect a reality of their workplace.

  2. Resultados do exame anátomo-patológico e "Polymerase Chain Reaction (PCR" na forma clinica e subclinica da infecção anal pelo Papilomavirus Humano (HPV: estudo em quatro grupos de pacientes Histopathological and PCR results for clinical and subclinical forms of HPV anal infection: study of four groups of patients

    Directory of Open Access Journals (Sweden)

    João Carlos Magi

    2006-12-01

    Full Text Available O Papilomavírus Humano tem alta incidência na população. O objetivo deste trabalho é o estudo dos resultados encontrados no exame anatomo-patológico e no PCR das formas clínica e subclínica da infecção anal por HPV em quatro grupos de pacientes. MÉTODO: Foram estudados 10 pacientes com prurido anal idiopático, seis com infecção genital pelo HPV, tratada, seis com condiloma anal tratado e oito com condiloma anal. As verrugas foram biopsiadas nos oito pacientes com condiloma e feito exame de anuscopia de alta resolução com biópsia dirigida nos outros 22 pacientes. O material foi encaminhado para exame anátomo-patológico e depois, a partir do mesmo bloco de parafina, foi feito o exame de PCR. Resultados: O anátomo-patológico foi positivo para HPV em todos os pacientes, sendo que nos oito com condiloma confirmou-se a forma clínica e em 22 diagnosticou-se a subclínica com 13 casos de neoplasia intraepitelial associada. O PCR foi positivo em 91,9% dos 22 pacientes da forma subclínica ao anátomo-patológico e em 87,5% dos oito pacientes da forma clínica. O tipo predominante nos casos de HPV anal subclínico foi o 16 e o predominante nas verrugas foi o 11. CONCLUSÕES: O exame anátomo-patológico foi positivo para HPV em todos os pacientes, propiciando também o diagnóstico de 13 casos de neoplasia intraepitelial, sendo dois de carcinoma "in situ". O PCR foi positivo em 91,9% dos pacientes da forma subclínica ao anátomo-patológico e em 87,5% da forma clínica ao anátomo-patológico. O tipo predominante da forma subclinica foi o 16 e das verrugas foi o 11.The purpose of this study is to analyze the results found in the pathological examination and PCR test for clinical and subclinical HPV anal infections in four groups of patients. Methods: The four groups studied were: ten patients with idiopathic anal pruritus, six with treated HPV genital infection, six with treated anal condyloma, and eight with anal condyloma. Eight patients with condyloma underwent wart biopsy, and high-resolution anoscopy with directed biopsy was performed in the remaining 22 patients. Paraffin wax embedded biopsy specimens were sent to pathological analysis, and later PCR was carried out on the same samples. Results: Through the pathological examination, the presence of HPV is positive in all patients studied: clinically in the eight patients with condyloma, and subclinically in the others 22. Thirteen of these 22 patients presented and associated intraepithelial neoplasia. PCR was positive in 91,9% of the 22 patients those who presented the subclinical infection at pathology examination and 87,5% of the eight patients that presented the clinical infection the most common type of anal subclinical HPV infection was HPV-16 and HPV-11 when warts were presented. Conclusions: Pathological findings related to HPV were presented in all patients studied, and 13 cases were diagnosed two of them were carcinoma in situ. PCR was positive in 91,9% of patients presenting the subclinical infection, and in 87,5% with the clinical infection was HPV-16, and for warts HPV-11.

  3. In ricordo di Vittorio Bianchi

    Directory of Open Access Journals (Sweden)

    Maurizio Cutolo

    2011-09-01

    Full Text Available Vittorio Bianchi fu Ernesto e fu Mary Sbertoli naque a Cogoleto (Genova il 17 febbraio 1919. Laureato in Medicina e Chirurgia presso l’Università di Genova nel 1943 con lode fu Allievo interno della Clinica Medica di Genova negli anni 1942 e 1943, Assistente Volontario alla Clinica Medica di Perugia, quindi della Clinica Medica di Genova negli anni seguenti dove fu nominato Assistente di ruolo per concorso nel 1950. Successivamente Assistente di ruolo alla Patologia Medica diretta dal prof. Aminta Fieschi nel periodo 1954- 1969....

  4. Associations between selected allergens, phthalates, nicotine, polycyclic aromatic hydrocarbons, and bedroom ventilation and clinically confirmed asthma, rhinoconjunctivitis, and atopic dermatitis in preschool children

    DEFF Research Database (Denmark)

    Callesen, M.; Bekö, Gabriel; Weschler, Charles J.

    2014-01-01

    Previous studies, often using data from questionnaires, have reported associations between various characteristics of indoor environments and allergic disease. The aim of this study has been to investigate possible associations between objectively assessed indoor environmental factors and clinica...

  5. Disease: H01364 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available order that has been the most recently described only in a few patients. The clinica... dehydrogenase deficiency: the clinical relevance of an early diagnosis and report of four new cases. J Inhe

  6. Disease: H00569 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available ure. Mutations in the only known causative gene FGD1 are found in about one-fifth of the cases with the clinica...olecular characterisation of the Aarskog-Scott syndrome: a survey of the clinical

  7. Disease: H00237 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available H00237 Diamond-Blackfan anemia (DBA) Diamond-Blackfan anemia (DBA) is a genetically and clinica... treating Diamond Blackfan anaemia: results of an international clinical consensus conference. Br J Haematol

  8. Disease: H00280 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available s, and cause watery diarrhea. The clinical symptoms of ETEC infection can range f...rholm AM, Faruque AS, Sack RB Enterotoxigenic Escherichia coli in developing countries: epidemiology, microbiology, clinica

  9. Disease: H01206 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available neous conjunctivitis is the most common of the clinical syndromes associated with...n as dysplasminogenemia, is characterized by normal, or slightly reduced antigen levels, and absence of clinica

  10. Oxyntomodulin Identified as a Marker of Type 2 Diabetes and Gastric Bypass Surgery by Mass-spectrometry Based Profiling of Human Plasma

    DEFF Research Database (Denmark)

    Wewer Albrechtsen, Nicolai J; Hornburg, Daniel; Albrechtsen, Reidar;

    2016-01-01

    Low-abundance regulatory peptides, including metabolically important gut hormones, have shown promising therapeutic potential. Here, we present a streamlined mass spectrometry-based platform for identifying and characterizing low-abundance regulatory peptides in humans. We demonstrate the clinica...

  11. Depression, anxiety and 6-year risk of cardiovascular disease

    NARCIS (Netherlands)

    Seldenrijk, Adrie; Vogelzangs, Nicole; Batelaan, Neeltje M.; Wieman, Iris; van Schaik, Digna J. F.; Penninx, Brenda J. W. H.

    2015-01-01

    Objective: Depression and anxiety are considered etiological factors in cardiovascular disease (ND), though their relative contribution and differentiation by clinical characteristics have not been studied intensively. We examined 6-year associations between depressive and anxiety disorders, clinica

  12. Eesti nimekaim ilukirurg jagab enesekindlust / Peep Pree ; intevjueerinud Priit Pullerits

    Index Scriptorium Estoniae

    Pree, Peep, 1958-

    2006-01-01

    Vestlus Tartu esteetilise kirurgia erakliiniku Clinica juhatajaga tööst, vastutustundest, ebaõnnestumistest. Kommenteerivad Tartu linnapea Laine Jänes ja Tartu Ülikooli arstiteaduskonna emeriitprofessor Ennu Sepp

  13. DETERMINACION CUANTITATIVA DEL ESTADO ENERGETICO CON NEUROMETER EN PACIENTES Y CAMBIOS EN SU TRATAMIENTO CON ACUPUNTURA

    OpenAIRE

    RAMIREZ MONDRAGON, MERIT

    2009-01-01

    SE REALIZO ESTUDIO CLINICO INTERVENSIONISTA, DESCRIPTIVO, LONGITUDINAL, PROSPECTIVO, ABIERTO, TETRAETAPICO, PARA VER CAMBIOS ENERGETICOS DE 30 PACIENTES 22 MUJERES Y 8 HOMBRES TRATADOS CON ACUPUNTURA EN LA CLINICA DE ACUPUNTURA DEL HOSPITAL 20 DE NOVIEMBRE DEL ISSSTE. SE LES PRACTICO HISTORIA CLINICA Y MEDICION ENERGETICA CON EL NEUROMETRO PARA EVALUAR EL ESTADO ENERGETICO EL CUAL SE REPRESENTA EN UNA GRAFICA A PARTIR DE LOS VALORES TOMADOS DE LOS PUNTOS DE ACUPUNTURA DETERMINADOS POR EL...

  14. Cefaleia pós-punção da dura máter

    OpenAIRE

    Veiga, R; Pinheiro, N; Vilaça, MJ; Morais, S; Carmona, C

    2012-01-01

    Apresenta uma revisão da anatomia, fisiopatologia,clinica, diagnóstico e tratamento das cefaleias pos punção da dura mater. Faz uma revisão da casuistica do serviço de anestesiologia em relação a esta entidade clinica e apresenta alguns casos clinicos de cefaleias para diagnóstico diferencial com as cefaleias pós punção da dura mater.

  15. Electron Conformal Radiotherapy for Post-Mastectomy Irradiation: A Bolus-Free, Multi-Energy, Multi-Segmented Field Algorithm

    Science.gov (United States)

    2005-08-01

    The radiation oncologist outlines the PTV, which is the target area that will be treated with electrons . Figure 2 .2 shows a clinica l example of...post-mastectomy clinica l cases. These particular cases were previously treated using bolus ECT . After the segmented-field ECT plans were developed...size. This data was collected by the medica l physics staff at M . D. Anderson during the machine commissioning proces s for a linear accelerator . 19 3

  16. Results of work in the hot cells of Laboratory Testing Materials Irradiated Areva of Carina project for the expansion of the database of mechanical characteristics of fractures in materials of RPV German irradiated; Resultados del trabajo en las celdas calientes del Laboratorio de Ensayos de Materiales Irradiados de Areva del proyecto Carina para la ampliacion de la base de datos de caracteristicas mecanicas de las fracturas en materiales de RPV alemanas irradiados

    Energy Technology Data Exchange (ETDEWEB)

    Barthelmes, J.; Schabel, H.; Hein, H.; Kein, E.; Eiselt, C.

    2013-07-01

    In the frame of the already completed research projects CARINA and its predecessor CARISMA a data base was created for pre-irradiated original RPV steels of German PWRs which allowed to examine the consequences if the Master Curve (T{sub 0}) approach instead of the RT{sub N}OT concept is applied to the RPV safety assessment. Furthermore in CARINA different irradiation conditions with respect to the accumulated neutron fluences and specific impact parameters were investigated. Besides a brief introduction of the CARINA project and an overview of the main results an overview on the requirements of the hot laboratory work in terms of specimen manufacturing and material testing is given and examples for realization are shown. (Author)

  17. Study of the effect of different mixed supports on the catalytic activity and the structure of Bi{sub 2}Mo{sub x}W{sub 1-x}O{sub 6} catalysts; Estudio del efecto de diferentes soportes mixtos en la actividad catalitica y las caracteristicas estructurales de catalizadores de Bi{sub 2}Mo{sub x}W{sub 1-x}O{sub 6}

    Energy Technology Data Exchange (ETDEWEB)

    Rangel, R.; Cervantes L, J. L.; Espino, J. [Universidad Michoacana de San Nicolas de Hidalgo, Facultad de Ingenieria Quimica, Division de Estudios de Posgrado, 58060 Morelia, Michoacan (Mexico); Nunez G, R. [IPN, Centro de Investigacion y de Estudios Avanzados, Unidad Merida, Departamento de Fisica Aplicada, 97310 Merida, Yucatan (Mexico); Bartolo P, P. [Universidad de Sonora, Departamento de Matematicas, 83000 Hermosillo, Sonora (Mexico); Gomez C, A.; Diaz, G., E-mail: rrangel@umich.mx [UNAM, Instituto de Fisica, 04510 Mexico D. F. (Mexico)

    2014-07-01

    A series of Bi{sub 2}Mo{sub x}W{sub 1-x}O{sub 6} catalysts supported on Al{sub 2}O{sub 3}-SiO{sub 2}, SiO{sub 2}-TiO{sub 2} and activated carbon were synthesized. The aim was to compare the different supports and calcination temperature of catalysts, studying their efficiency and activation temperature in the CO oxidation reaction. The catalysts active phase, Bi{sub 2}Mo{sub x}W{sub 1-x}O{sub 6} was made by means of chemical precipitation procedure starting from high purity (NH{sub 4}){sub 6}Mo{sub 7}O{sub 24}·4H{sub 2}O, (NH{sub 4}){sub 6}W{sub 12}O{sub 6}·H{sub 2}O, Bi(NO{sub 3}){sub 2}·5H{sub 2}O compounds, which afterwards, were supported on Al{sub 2}O{sub 3}-SiO{sub 2}, SiO{sub 2}-TiO{sub 2} and activated carbon through impregnation. The catalysts characterization was carried out by means of X-ray diffraction analysis, scanning electron microscopy and surface area determination (Bet method). Regarding the catalytic activity the Bi{sub 2}Mo{sub x}W{sub 1-x}O{sub 6}/carbon activated compound synthesized at 500 grades C was the best catalyst being activated at 125 grades C reaching 90% conversion. It is concludes that was observed an effect of calcination temperature and the support on the different values reached for the catalytic activity. (Author)

  18. Influence of synthesis parameters on the characteristics of nano metric ceramic powders for the Sr{sub x}Ba{sub 1}-xNb{sub 2}O{sub 6} compound (SBN); Influencia de parametros de sintesis sobre las caracteristicas de los polvos ceramicos nanometricos del compuesto Sr{sub X}Ba{sub 1}-XNb{sub 2}O{sub 6} (SBN)

    Energy Technology Data Exchange (ETDEWEB)

    Gaona, S.; Munoz, J. r.; Raigoza, C. F. V.; Ramirez, A.; Caneiro, A.

    2013-07-01

    Results on the synthesis process of nano metric ceramic powders of the Sr{sub 1}-xBa{sub x}Nb{sub 2}O{sub 6} compound (SBN) for two values of x (0.33 and 0.50), and two synthesis methods (Pechini and controlled coprecipitation) are presented. Parameters such as pH of solution, niobium precursor and heat treatment were varied. The phase purity of obtained powders was analysed by X-ray diffraction and their morphology by scanning electron microscopy. The effect of both synthesis methods and of the above mentioned parameters in obtaining pure phase and particle size were concluded from the characterization analysis. Pechini method (with pH = 9.7) yielded the pure phase SBN for x 0.33 and particle size of the order of 50 nm, while the controlled co-precipitation method was not possible to obtain pure phase. (Author)

  19. Thermoluminescent characteristics (TL) of K{sub 2}F{sub 5}: Y{sub 0.99} Tb{sub 0.01} irradiated with beta particles of {sup 90}Sr/{sup 90} Y; Caracteristicas termoluminiscentes (TL) de K{sub 2}F{sub 5}: Y{sub 0.99} Tb{sub 0.01} irradiado con particulas beta de {sup 90}Sr/{sup 90} Y

    Energy Technology Data Exchange (ETDEWEB)

    Baillet, C.; Azorin, J.; Rivera, T. [Dep. de Fisica, UAM-I, 09340 Mexico D.F. (Mexico)

    2005-07-01

    In this work the results of studying the thermoluminescent characteristics of the K{sub 2}F{sub 5}: Y{sub 0.99} Tb{sub 0.01} are presented. The material was characterized irradiating samples of K{sub 2}F{sub 5}: Y{sub 0.99}Tb{sub 0.01} in powder with beta radiation of {sup 90}Sr/{sup 90}Y. The studied characteristics were TL curve, response reproducibility, TL response in function of the dose and fading of the information. The samples exhibited a thermoluminescent curve (TL) with two very defined peaks centered respectively in 167 and 307 C. The TL response of the samples under the action of the beta radiation after 10 cycles (thermal erased, irradiation and reading of the samples) presented a standard deviation of 3.09%. The TL response of K{sub 2}F{sub 5}: Y{sub 0.99} Tb{sub 0.01} in function of the absorbed dose of beta radiation resulted lineal in the interval of 3 mGy to 1.29 Gy. The fading of the information contained in the samples of K{sub 2}F{sub 5}: Y{sub 0.99} Tb{sub 0.01} was of 40% in the first 10 minutes, which is due to the first peak. The obtained results suggest that the TL material resulted as promissory for its possible use as thermoluminescent dosemeter of beta radiation using the second peak of its TL curve like dosimetric peak. (Author)

  20. Diferencias de sexo en la práctica anestésica general

    Directory of Open Access Journals (Sweden)

    William Gutiérrez

    2010-08-01

    Full Text Available El reconocimiento de las diferencias fisiológicas y morfológicas es de suma importancia en la práctica anestésica. Factores hormonales son fundamentales en la desigualdad entre ambos sexos. El ciclo menstrual de la mujer modifica los niveles hormonales de progestágenos y testosterona, teniendo un efecto considerable a nivel sistémico y local. Hechos como la depuración más rápida de algunos anestésicos IV por parte de la mujer hace que recobre la conciencia más rápido que el hombre, a pesar de ello la mujer sufre consecuencias postoperatorias más severas (...

  1. Melatonina y deficiencia de hormona de crecimiento: contribucin a la evaluacin de los desrdenes neuroendocrinos Melatonin and growth hormone deficiency: a contribution to the evaluation of neuroendocrine disorders

    OpenAIRE

    G Fideleff; M Surez; HR Boquete; M. Azaretzky; P Sobrado; O Brunetto; HL Fideleff

    2011-01-01

    La melatonina constituye un integrante fundamental del denominado "reloj biolgico" y las alteraciones hormonales sueo-dependientes. Siendo la secrecin fisiolgica de GH, predominantemente nocturna, evaluamos en un grupo de nios y adultos deficitarios de GH (GHD) sin y con tratamiento sustitutivo, la secrecin nocturna de melatonina. Estudiamos 44 pacientes GHD: Grupo a (Ga): Nios sin tratamiento; Grupo b (Gb): Nios con tratamiento con GH (0.16 mg/Kg/semana, dosis estable por mnimo de 6 meses); ...

  2. Desnutrición y amenorrea hipotalámica funcional: Neuropéptidos periféricos (Leptina, Adiponectina, Ghrelina) y su relación con la homeostasis metabólica

    OpenAIRE

    2009-01-01

    Habitualmente, la amenorrea funcional hipotalámica (AHF) se presenta asociada a dietas cuali-cuantitativas inadecuadas que afectan el balance energético, modifican el esquema corporal y originan reacciones hormonales destinadas a preservar la homeostasis metabólica. En este proceso adaptativo interviene un "circuito central" constituido por hormonas hipotalámicas interrelacionado con el "circuito periférico" provenientes del tejido adiposo (leptina, adiponectina, entre otras citokinas) y el t...

  3. Comparación de diferentes métodos de sincronización de estros en vacas Cebú con monta natural controlada en el trópico colombiano

    OpenAIRE

    2015-01-01

    Los sistemas productivos necesitan tener buena rentabilidad para lo cual deben ser eficientes y entre otras cosas, tener muy buenas tasas reproductivas. En Colombia, la tasa de concepción en Bos indicus oscila entre 37 a 40%. Para mejorarla es necesario tener buena fertilidad de las hembras y para ello buen estado corporal y utilizar complementariamente métodos hormonales para sincronizar estros y ayudar a inducir una temporada de servicio estacionado durante las lluvias. Todo ello favorecerá...

  4. Vitaminas B y homociste??na en la insuficiencia renal cr??nica

    OpenAIRE

    2007-01-01

    Durante la insuficiencia renal cr??nica ocurren cambios metab??licos, bioqu??micos y hormonales que suelen ir acompa??ados frecuentemente de estados de malnutrici??n. En pacientes en predi??lisis, conocer el estado nutricional en vitaminas hidrosolubles como la tiamina, riboflavina, piridoxina, cianocobalamaina y ??cido f??lico cobra cada vez m??s importancia ya que algunas de las manifestaciones de la insuficiencia renal cr??nica podr??an deberse a la deficiencia de a...

  5. Importance of parathyroid SPECT and {sup 99m}Tc scintigraphy, and of clinical, laboratorial, ultrasonographic and cytologic correlation in the pre-operative localization of the parathyroid adenoma - pictorial assay;Importancia da complementacao com SPECT e {sup 99m}Tc na cintilografia das paratiroides e da correlacao clinica, laboratorial, ultrassonografica e citologica na localizacao pre-operatoria do adenoma de paratiroide: ensaio pictorico

    Energy Technology Data Exchange (ETDEWEB)

    Oliveira, Marco Antonio Conde de, E-mail: marco.oliveira@fleury.com.b [Fleury Medicina e Saude, Sao Paulo, SP (Brazil). Servicos de Medicina Nuclear; Maeda, Sergio Setsuo; Dreyer, Patricia; Lobo, Alberto; Andrade, Victor Piana de; Hoff, Ana O.; Biscolla, Rosa Paula Mello; Smanio, Paola; Brandao, Cynthia M.A.; Vieira, Jose G. [Fleury Medicina e Saude, Sao Paulo, SP (Brazil)

    2010-06-15

    Objective: In patients with primary hyperparathyroidism, candidates for surgical intervention, the parathyroid pre-operative localization is of fundamental importance in planning the appropriate surgical approach. Materials and methods: The additional acquisition of SPECT and Technetium-99m images, during parathyroid scintigraphy with Sestamibi, is not common practice. Usually, only planar image acquisition, 15 minutes prior and 2 hours after radiopharmaceutical administration, is performed. Results: in our experience, the complete protocol in parathyroid scintigraphy increases the accuracy of pre-operative parathyroid localization. Conclusion: the complete utilization of all available nuclear medicine methods (SPECT e {sup 99m}Tc) and image interpretation in a multidisciplinary context can improve the accuracy of parathyroid scintigraphy. (author)

  6. 19. Annual meeting of the Federation of Societies on Experimental Biology; 29. Brazilian congress on biophysics; 39. Brazilian congress on physiology; 20. Brazilian congress on clinical investigation; 28. Brazilian congress on neuro sciences and behavior. Abstracts; 19. Reuniao anual da Federacao de Sociedades de Biologia Experimental; 29. congresso brasileiro de biofisica; 39. congresso brasileiro de fisiologia; 20. congresso brasileiro de investigacao clinica; 28. congresso brasileiro de neurociencias e comportamento. Resumos

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2004-07-01

    Utilization of radioisotopes and ionizing radiations is reported in several aspects related to various diseases. Biological pathways, biological receptors and metabolism are studied by radioassay, tracer techniques, labelled compounds (C14, tritium compounds, e.g.) and radiopharmaceuticals application. Radiotherapy, nuclear medicine and radiation effects are studied as well. In vivo dynamic function studies are presented, mainly in rats and mice. Use of phantoms and tissue-equivalent materials in dosimetry and monitoring, evaluation of radiation dose distribution, calculation and measurement of adsorbed doses are also presented. Environmental issues are also considered, specially regarding to soils and plants.

  7. Comparative study of bridge plate associated to the intramedullary pin and the dynamic compression plate on the experimental osteotomy fixation of femoral in rabbits (Oryctolagus cuniculus). Clinical, radiographic, histological and scintigraphy analyses; Estudo comparativo da placa em ponte associada ao pino intramedular e da placa de compressao dinamica na fixacao de osteotomia experimental em femur de coelhos (Oryctolagus cuniculus). Analises clinica, radiografica, histologica e cintilografica

    Energy Technology Data Exchange (ETDEWEB)

    Borges, Natalie Ferreira

    2011-07-01

    The objectives were to benchmark and monitor the fracture healing of femoral osteotomy in rabbits after fixation with dynamic compression plate and bridge plate associated with intramedullary pin. Were used 14 New Zealand rabbits, four months old with mean weight of 3.5 pounds, from the Experimental Farm Professor Helio Barbosa of the Veterinary School of Minas Gerais Federal Univ. (UFMG). The animals were randomly divided into two groups (I and II). All rabbits underwent osteotomy across the middle third of right femur. In the group I was made to fix the osteotomy with the bridge plate (BP) associated with intramedullary pin, introduced the technique of minimal invasion. In group II, we used dynamic compression plate (DCP) via the conventional approach. Both groups were evaluated clinical, radiographic, histologic and scintigraphic findings. Clinical assessments were performed weekly until the 12{sup th} postoperative week and radiographic examinations were performed before, immediately after, at 15, 30, 45, 60 and 90 days. The bone scintigraphy were performed before and at 20, 50 and 90 days after surgery to monitor the bone metabolism qualitatively and quantitatively. Observed perfusion and bone healing process. After 90 days of study, there was histopathologic evaluation of the osteotomized area and the insertion of screws. In the region of the osteotomy was observed predominance of trabecular bone in group I and group II, the predominance of bone osteons, compatible with the original bone. On insertion of the screws did not differ between groups and there was cortical discontinuity, little necrosis and local hemorrhage. The two types of fixation have led to consolidation within the scheduled period, maturing in early fixation with DCP fixation compared with BP. Scintigraphy demonstrated by the indices of activity and image characteristics, the process of bone healing was significantly greater in animals undergoing early fixation with DCP. (author)

  8. “EVALUACIÓN DE LA MICROFILTRACIÓN APICAL POSTERIOR A LA OBTURACIÓN CON GUTAPERCHA REBLANDECIDA EN XILOL Y GUTAPERCHA SIN REBLANDECER POR MEDIO DE LA MEDICIÓN APICO CORONAL DEL MATERIAL DE TINCIÓN EN CINCUENTA RAICES DE PREMOLARES UNIRRADICULARES INFERIORES EN EL LABORATORIO DE LA CLINICA DE ENDODONCIA DE LA UNIVERSIDAD MICHOACANA DE SAN NICOLAS HIDALGO.SEPTIEMBRE 2005 A AGOSTO 2006”

    OpenAIRE

    Carreón Ochoa, Susana Leticia

    2012-01-01

    1. La obturación de conductos es el reemplazo del contenido pulpar (normal o patológico), por materiales inertes y/o antisépticos que aíslen, en lo posible el conducto radicular, obturándolo de la zona periapical.(1) 2. El objetivo de la obturación de conductos es la incomunicación entre ambas zonas (conducto y periápice), para impedir el paso de gérmenes, exudado, toxinas y alérgenos en un sentido y en otro; es decir, del periápice al conducto y del conducto al periáp...

  9. [Treatment of autism spectrum disorders: union between understanding and evidence-based practice].

    Science.gov (United States)

    Martos-Pérez, Juan; Llorente-Comí, María

    2013-09-06

    Introduccion. De manera sintetica se da cuenta de las caracteristicas heterogeneas de funcionamiento de las personas con trastornos del espectro autista (TEA) y como dichas caracteristicas tambien pueden estar en la base de la variabilidad en la respuesta al tratamiento. Se recalca la necesidad de combinar, en el tratamiento, la practica basada en la evidencia y una comprension profunda de los TEA. Desarrollo. Se explican algunos de los principios esenciales que deben guiar el tratamiento desde la optica de indicadores de calidad que han de contener los programas de intervencion. Se incide en las caracteristicas y contenidos que forman parte de los programas que se llevan a cabo en el ambito de la intervencion temprana, explicando brevemente algunos de esos programas, y posteriormente se caracteriza la intervencion, con el uso de tecnicas y estrategias, que habitualmente se realiza en niños y adolescentes de alto nivel de funcionamiento. Conclusion. La investigacion y conocimiento acumulados y la cada vez mayor evidencia experimental configuran las caracteristicas que deben adoptar los programas de intervencion y tratamiento usados en personas con TEA. Dicho tratamiento debe comenzar de manera temprana, lo antes posible y extenderse a lo largo del ciclo vital.

  10. Individual attitudes and perceived social norms: Reports on HIV/AIDS-related stigma among service providers in China

    Science.gov (United States)

    Li, Li; Liang, Li-Jung; Wu, Zunyou; Lin, Chunqing; Wen, Yi

    2009-01-01

    personnelles dans l’étude de la stigmatisation lié au VIH et prōnent l’incorporation de l’existence du capital humain dans les futurs programmes de réduction de la stigmatisation du VIH. En este estudio se examinó el estigma hacia el VIH/SIDA entre proveedores de servicios chinos mediante la comparación de sus actitudes hacia las personas que viven con el VIH/SIDA con su precepción de las normas sociales relacionadas a personas que viven con el VIH/SIDA. Se seleccionaron al azar tres hospitales provinciales, cuatro de la ciudadlhospitales de la prefectura, diez hospitales del condado, 18 clinicas de salud municipales, y 54 clinicas de la aldea de Yunnan, China. Los médicos y las enfermeras fueron incluidos en la muestra de manera aleatoria y considerando la relación enfermera-médico de cada hospital o clínica. Una muestra grande de técnicos de laboratorio fue incluida en el estudio con el fin de garantizar su adecuada representación en los análisis. Un total de 1,101 proveedores de servicios participaron de manera voluntaria en una encuesta anónima, en la cual se evaluaron las caracteristicas demográficas, las actitudes individuales, asi como la percepción de las normas sociales hacia personas que viven con el VIH/SIDA, la intención de discriminación laboral, las actitudes globales de prejuicio y los conocimientos sobre el VIH/SIDA. La mayor parte de la muestra presentó similitudes entre sus opiniones personales y lo que ellos pensaban, eran las creencias de la mayoria de las personas de su sociedad. En una regresión logistica multiple se pudo observar que los participantes más jóvenes o que indicaron un contacto personal con personas que viven con el VIH/SIDA, mostraron de manera más significativa respecto de esta población actitudes personales mucho más liberales que las normas sociales percibidas. El presentar una actitud personal más liberal que las normas sociales percibidas, hacia personas que viven con el VIH/SIDA, estaba significativa y

  11. Microsatellite instability in solitary and sporadic gastric cancer Instabilidade de microsatelites no cancer gástrico solitário e esporádico

    Directory of Open Access Journals (Sweden)

    Rodrigo Oliva Perez

    2004-01-01

    .A presença de Instabilidade de microsatellites (IMS tem sido relatada no cancer gastrico e associada a pacientes com idade mais avançada, localização mais distal do tumor, estadios mais precoces e melhor prognostico. Relatamos neste prospectivo estudo envolvendo 24 pacientes com cancer gastrico solitario e esporadico, a incidencia de IMS, sua correlação com parametros epidemiologicos, clinicos e anatomo patológicos e o seu impacto sobre a sobrevida geral e livre de doença. PACIENTES E MÉTODOS: Todos os pacientes haviam sido tratados com cirurgia radical. Fragmentos de tecido normal e tumoral eram extraidos das peças e armazenados a -80ºC antes da extração e purificação DNA. Realizava-se então a amplificação com PCR utilizando marcadores específicos de microsatelites. Os tumores que apresentavam produtos de amplificação anormais foram considerados positivos para IMS. RESULTADOS: Cinco pacientes (21% apresentaram Instabilidade de microsatelites (IMS+ com pelo menos um marcador (primer No grupo de pacientes com adenocarcinomas gástricos do tipo histológico de Lauren, três apresentavam IMS (23% enquanto no grupo portador de cancar gástrico difuso, dois pacientes mostraram IMS (19%.. Embora haja uma tendência dos pacientes IMS+ apresentarem tumores de localização mais proximal, estadios mais precoces e ausência de metástases linfonodais, não se observou diferenças estatisticamente significativas (p > 0,1. A comparação entre as taxas de sobrevida geral e livre de doença não mostrou significância estatistica (p > 0,1. CONCLUSÕES: IMS é um evento frequente na carcinogese gástrica e pode estar associado a caracteristicas clinicas e anátomo-patológicas do câncer gástrico.

  12. [Compliance of the guidelines of the Spanish Neurology Society in the treatment of patients with multiple sclerosis].

    Science.gov (United States)

    Oreja-Guevara, Celia; Río, Jordi; Gobartt, Ana L

    2015-08-16

    Introduccion. El tratamiento de la esclerosis multiple se basa en la administracion de farmacos modificadores de la enfermedad (FAME), utilizados para frenar el curso natural de la enfermedad. Objetivo. Evaluar el grado de cumplimiento de las guias terapeuticas de la Sociedad Española de Neurologia (SEN) de 2010 por parte de los neurologos. Pacientes y metodos. Estudio observacional, retrospectivo y multicentrico de 218 pacientes adultos con esclerosis multiple de al menos cinco años de evolucion y en tratamiento con FAME. Los datos se obtuvieron de la historia clinica y se compararon con las recomendaciones de la SEN. Resultados. Segun las guias de la SEN de 2010, el 82% de los pacientes presentaba respuesta clinica adecuada, y el 18%, respuesta clinica inadecuada al FAME actual; el 94% y 92%, respectivamente, mantuvieron ese tratamiento. Los pacientes en los que la respuesta clinica inadecuada no origino un cambio del FAME actual llevaban en tratamiento mas tiempo y experimentaron con mayor frecuencia progresion de su discapacidad e incremento del numero de brotes. El 48% de los pacientes inicio tratamiento de primera linea con interferon beta-1a, administrado por via subcutanea (29%) o intramuscular (19%), seguido de interferon beta-1b y acetato de glatiramero. Algunos pacientes recibieron tratamientos de segunda linea como segunda/tercera opcion (15% y 28%, respectivamente), pero el uso de estos tratamientos (especialmente natalizumab) solo se generalizo a partir de la cuarta linea de tratamiento. Conclusiones. De acuerdo con las guias de la SEN de 2010, la mayoria de los pacientes tuvo una respuesta clinica adecuada. Un elevado porcentaje de pacientes con respuesta clinica inadecuada continuo con el tratamiento actual.

  13. Children in Therapy as a Signal for Help for Parents.

    Science.gov (United States)

    1976-10-01

    coeff icients were used to examine the relationships among the demo- graphic , behaviora l, and clinica l data gathered . Primary Interest was in those...cases In wh ich no clinica l diagnosis was made, reflect i ng some cases of the child being offered as a Sign of family prob l ems...ATS.~~~~~~ . Oct 76 Nava l Medica l Research and Develop ment Command ,~ Bethesda, Mary land 20014 5 14 M O N I T O R I N G A G E N C Y N A M E A

  14. Cambios en la composición de la membrana de las células tumorales como mecanismo de los efectos moduladores diferenciales de los aceites de oliva virgen extra y de maíz en la carcinogénesis mamaria experimental

    OpenAIRE

    Pelicano Esqueta, Meritxell

    2015-01-01

    El cáncer de mama es el más frecuente en las mujeres de todo el mundo. Además de los factores genéticos, epigenéticos y hormonales, existen evidencias epidemiológicas y experimentales de que los factores nutricionales tienen un papel en la etiología y el desarrollo de esta enfermedad. Los lípidos de la dieta se han relacionado directamente con el cáncer, fundamentalmente, el de mama. El grupo investigador ha contribuido al mejor conocimiento de los efectos y de los mecanismos de acción de las...

  15. La mamoglabina : una nueva posibilidad en la detección del cáncer de mama

    OpenAIRE

    Universidad del Rosario, Facultad de Ciencias Naturales y Matemáticas; Universidad del Rosario, Programa de Divulgación Científica

    2012-01-01

    La proteína mamoglobina, particularmente su región central, es un potencial biomarcador para la detección del cáncer de mama. Los anticuerpos dirigidos contra esta región permiten establecer la concentración de mamoglabina en el suero y diferenciar entre individuos sanos y pacientes que tienen dicha enfermedad. Los pacientes con cáncer de mama presentan una concentración mayor de mamoglobina sérica que la de los individuos sanos. Esta parece no estar influenciada por los cambios hormonales q...

  16. Fisiopatología de la disfunción gonadal en la Amenorrea Hipotalámica funcional (AHF) y su relación con la activación del eje hipotálamo-hipófiso-adrenal Pathophysiology of gonadal dysfunction in functional Hypothalamic Amenorrhea (FHA) and its relation to activation of the hypothalamic-pituitary-adrenal axis

    OpenAIRE

    León Fiszlejder

    2011-01-01

    La amenorrea hipotalámica funcional (AHF) constituye un proceso secundario de una respuesta de adaptación en mujeres que consumen dietas inadecuadas y presentan modificaciones en la composición corporal de su organismo. Ello origina reacciones hormonales en el hipotálamo destinadas a preservar la homeostasis metabólica. En este proceso de adaptación intervienen un "circuito central" constituido por una red de hormonas hipotalámicas que se interrelacionan con un "circuito periférico" integrado...

  17. Lípidos de la dieta y cáncer de mama experimental: efectos sobre el estrés oxidativo

    OpenAIRE

    de Miguel Pastor, Cristina

    2016-01-01

    El cáncer de mama es el más frecuente en mujeres de todo el mundo. Además de los factores genéticos, epigenéticos y hormonales, existen evidencias epidemiológicas y experimentales de que los factores nutricionales y ambientales tienen un papel en la etiología y el desarrollo de esta enfermedad. Los lípidos de la dieta se han relacionado directamente con el cáncer, fundamentalmente, el de mama. Resultados previos demostraron que las dietas hiperlipídicas de aceite de maíz, rico en ácidos graso...

  18. Influencia de los lípidos de la dieta en la iniciación del cáncer de mama experimental: Ontogenia de las enzimas de detoxificación de xenobióticos. Metabolism ode carcinógeno y daño en el ADN

    OpenAIRE

    Manzanares Serrano, Miguel Angel

    2014-01-01

    El cáncer de mama es el más frecuente en las mujeres de todo el mundo. Además de los factores genéticos, epigenéticos y hormonales, existen evidencias epidemiológicas y experimentales de que los factores nutricionales y ambientales tienen un papel en la etiología y el desarrollo de esta enfermedad. Los lípidos de la dieta se han relacionado directamente con el cáncer, fundamentalmente, el de mama. El grupo de investigación ha contribuido al mejor conocimiento de los efectos y de los mecanismo...

  19. Estudio comparativo, randomizado, ciego, del efecto del pre-tratamiento con análogos de GnRH frente a placebo en pacientes estériles diagnosticadas de endometriosis que realizan tratamiento de fecundación in vitro

    OpenAIRE

    2016-01-01

    Introducción La endometriosis se define como la presencia de tejido endometrial fuera de la cavidad uterina, que induce una reacción inflamatoria local. La fisiopatología de esta enfermedad no está completamente establecida, aunque parece que existen factores hormonales, genéticos e inmunológicos implicados. Su prevalencia exacta es desconocida, pero se estima que hasta el 10% de las pacientes en edad reproductiva y el 50% de pacientes con esterilidad la padecen. Esta enfermedad se a...

  20. Efectos de la alteración endocrina durante la gestación: una revisión sistemática

    OpenAIRE

    Llopis González, Agustín; Dueñas Ricaurte, Juan Carlos; Huerta Biosca, Vicente; María M. Morales Suárez-Varela

    2014-01-01

    Los alteradores endocrinos son contaminantes ambientales, naturales y sintéticos, ubicuos, que pueden mimetizar, bloquear o alterar funciones hormonales. La exposición ambiental a estos contaminantes es prácticamente imposible de evitar debido a que están presentes en el aire, en el agua, en los suelos, en los alimentos, y en muchos de los materiales con los que estamos en contacto diariamente, como los plásticos. La gestación supone una etapa de vulnerabilidad para el feto porque su organism...

  1. Factores inmunereactivos "digoxin-like" en la natriuresis tras expansi??n de volumen central inducida por atiortostatismo : Interrelaciones con el SRA-aldosterona ADH y prostaglandinas

    OpenAIRE

    Rodr??guez L??pez, Ju??n

    1989-01-01

    el antiortostatismo se muestra como m??todo de expansi??n de volumen con natriuresis, diuresis, (-) adh, (-) s.r.a.-aldosterona, pero no como m??todo que produzca elevaci??n de los f.digoxin-like. el tratamiento previo con captopril incrementa la diuresis y natriuresis con respecto al grupo control, tambi??n incrementa la diuresis y natriuresis con respecto al grupo control, al igual que los niveles hormonales de adh, aldosterona y digoxin-like por una flujo dependencia de orina que se ve cor...

  2. Actividad nitrogenasa, producción de fitohormonas, sideróforos y antibiosis en cepas de Azospirillum y Klebsiella aisladas de maíz y teocintle

    OpenAIRE

    Moisés Graciano Carcaño-Montiel; Ronald Ferrera-Cerrato; Jesús Pérez-Moreno; José D. Molina-Galán; Yoav Bashan

    2006-01-01

    Las bacterias de los géneros Azospirillum y Klebsiella, conocidas como rizobacterias promotoras del crecimiento vegetal, son fijadoras de nitrógeno y productoras de sustancias reguladoras del crecimiento, por lo que ejercen un efecto benéfico en las plantas con las cuales interaccionan. Esta asociación microorganismo-planta puede mejorar el crecimiento de los cultivos a través de la combinación de fijación biológica de nitrógeno, producción de sustancias hormonales, incremento de la disponi...

  3. Diferentes respuestas somáticas y densitométricas sobre el hueso cortical y trabecular a la androgenoterapia en varones hipogonádicos Different somatic and densitometric responses of cortical and trabecular bone to androgen therapy in hypogonadal men

    OpenAIRE

    S. Aszpis; Silvia Karlsbrum; Helena Salerni; Patricia Otero; Schurman, L.; O. Levalle

    2007-01-01

    Una consecuencia clínica de la deficiencia de testosterona en el varón es el descenso de la densidad mineral ósea (DMO), asociado a mayor riesgo de fractura (con la consiguiente morbi-mortalidad en el hombre añoso), y cambios de la composición y el contenido de calcio corporal total. Para cuantificar los efectos de la androgenoterapia sobre la composición corporal y el contenido de calcio corporal, correlacionar los cambios hormonales con los densitométricos y de la composición corporal, y co...

  4. Alteraciones del sueño, obesidad y resistencia a la insulina

    OpenAIRE

    Casanueva García de Alvear, María Asunción

    2016-01-01

    Numerosos parámetros metabólicos, desde niveles hormonales, a concentraciones de nutrientes en plasma, oscilan a lo largo del día en relación a los ciclos de luz-oscuridad, ingesta, y comportamiento. La regulación del metabolismo corporal (metabolismo lipídico, glucídico y proteico) y las hormonas que lo regulan, se correlaciona de una forma intensa con la relación establecida entre el sueño y la ritmicidad circadiana. Por tanto alteraciones del sueño conducirán a la disrupción de los proceso...

  5. Diferencias en memoria entre hombres y mujeres jóvenes sanos: influencia de las variaciones naturales de las hormonas sexuales

    OpenAIRE

    Otero Dadín, Cecilia

    2013-01-01

    El objetivo general del presente trabajo es analizar las diferencias entre sexos y la influencia de los ciclos naturales de las hormonas sexuales en memoria. Se evaluó con pruebas de memoria a 36 hombres y 39 mujeres jóvenes sanos en dos ocasiones, coincidentes con dos fases hormonales, bien del ciclo diurno de la testosterona en los varones o bien del ciclo menstrual en las mujeres. Se observó una ventaja masculina en memoria auditiva inmediata y en memoria de trabajo para material verba...

  6. COMPORTAMIENTO REPRODUCTIVO DE VACAS CRIOLLAS CON AMAMANTAMIENTO RESTRINGIDO Y SINCRONIZACIÓN DEL ESTRO

    OpenAIRE

    2010-01-01

    Comportamiento reproductivo de vacas criollas con amamantamiento restringido y sincronización del estro. Los objetivos fueron conocer el comportamie nto reproductivo posparto de vacas criollas de rodeo con amamantamie nto restringido, la respuesta a la sincronización del estro con protocolos hormonales, los niveles séricos de progesterona y estradiol, la actividad ovárica y la tasa de concepción, con el empleo de inseminación artificial a tiempo fijo. En el Municipi o de Soto Maynes, Chihuahu...

  7. Estudio de proteínas solubles que unen lípidos (SLBP) intracelulares expresadas en sistemas que metabolizan grandes cantidades de lípidos : Caracterización biofisicoquímica, estructural y funcional de IFABP y LFABP de enterocito de mamífero e YLSCP2 de Yarrowia lipolytica

    OpenAIRE

    2009-01-01

    Los lípidos son compuestos que cumplen una gran variedad de funciones en la biología celular, desde componentes estructurales o nutrientes de reserva hasta señales hormonales o incluso feromonas pasando por moduladores de la transcripción y pigmentos fotosintéticos. Sin embargo, por definición, estos compuestos poseen una muy baja solubilidad en el medio acuoso celular. Por tal motivo, se cree que han evolucionado diferentes familias de proteínas solubles, capaces de unir lípidos en forma rev...

  8. El níquel y su vínculo con el agrandamiento gingival: revisión de la literatura

    OpenAIRE

    V. Gómez Arcila; L. Fang Mercado; A. Herrera Herrera; Díaz Caballero

    2014-01-01

    El agrandamiento gingival es común entre los pacientes y puede ser causado por una variedad de factores etiológicos. La razón más común es la inflamación gingival provocada por mala higiene oral y alta carga bacteriana. Otros factores implicados son los medicamentos sistémicos, en donde se encuentran bloqueadores de los canales de calcio, inmunosupresores y anticonvulsivantes. Algunos crecimientos gingivales podrían estar asociados a condiciones hormonales como la pubertad, el embarazo o la d...

  9. Tratamiento cognitivo-conductual en la menopausia

    OpenAIRE

    Gutiérrez Gómez-Calcerrada, Sonia

    2012-01-01

    Dada la carencia de alternativas terapéuticas a la terapia hormonal sustitutiva que aborden la sintomatología menopáusica y los diferentes aspectos que influyen en esta etapa, y la incapacidad de los tratamientos hormonales para la remisión de la sintomatología psicológica en la etapa climatérica, se plantea como objetivo de la presente investigación: establecer un programa de intervención cognitivo-conductual eficaz para mujeres climatéricas con sintomatología menopáusica.

  10. Sobrepeso y Obesidad en Adolescentes de Saltillo, Coahuila, México: asociación con variables clínicas, bioquímicas e hígado graso y una propuesta de intervención educativa integral

    OpenAIRE

    González Madrazo, Miguel Ángel

    2015-01-01

    Introducción: La obesidad es un grave problema de salud. México Ocupa el primer lugar en obesidad infantil, cerca del 40% de los niños padecen sobrepeso u obesidad, este se asocia a trastornos en los carbohidratos, diabetes tipo 2, dislipidemias, hipertensión arterial, esteatosis hepática y la posibilidad de Síndrome Metabólico. Objetivo: Identificar el posible efecto del sobrepeso u obesidad (SP u 0) sobre las alteraciones de los marcadores bioquímicos y hormonales e hígado graso en adolesce...

  11. Embarazo luego de necrosis espontanea de un macroadenoma pituitario

    OpenAIRE

    V. Dobrovsky; A. J. Garcia; R. Artese; O. D. Bruno

    2003-01-01

    La recuperación de la función pituitaria luego de necrosis de un macroadenoma es infrecuente pero no excepcional. Se presenta el caso de una mujer de 32 años de edad, previamente operada de una tumoración adrenal con signos sugestivos de hipercortisolismo que no revirtieron luego de cirugía. Más tarde presentó un cuadro de apoplejía pituitaria seguido de hipopituitarismo probado por mediciones hormonales. Una resonancia nuclear magnética (RNM) evidenció un macroadenoma pituitario con signos n...

  12. Respuesta inmune celular en vacas suplementadas con grasa sobrepasante durante el periodo de transición

    OpenAIRE

    2014-01-01

    La inmunidad celular es determinada por los leucocitos, los cuales participan en la respuesta inmune celular del animal (Duque et al., 2011). En las vacas de producción de leche durante el periodo de transición ocurren importantes cambios metabólicos, hormonales y nutricionales, uno de estos es el denominado BEN —Balance Energético Negativo— (Duque et al., 2011), que puede desencadenar un cuadro de inmuno-supresión relacionado con estados patológicos clínicos o subclínicos (Ruginosu et al., 2...

  13. Vitaminas B y homocisteína en la insuficiencia renal crónica Vitamin B complex and homocysteine in chronic renal failure

    OpenAIRE

    Sánchez, C.; E. Planells; P. Aranda; A Pérez de la Cruz; C. Asensio; J. Mataix; Llopis, J.

    2007-01-01

    Durante la insuficiencia renal crónica ocurren cambios metabólicos, bioquímicos y hormonales que suelen ir acompañados frecuentemente de estados de malnutrición. En pacientes en prediálisis, conocer el estado nutricional en vitaminas hidrosolubles como la tiamina, riboflavina, piridoxina, cianocobalamaina y ácido fólico cobra cada vez más importancia ya que algunas de las manifestaciones de la insuficiencia renal crónica podrían deberse a la deficiencia de algunas de estas vitaminas hidrosolu...

  14. Causas de embarazos no deseados en las gestantes en el municipio de Cajamarca (Tolima) durante el año 2010 y primer semestre del 2011

    OpenAIRE

    2011-01-01

    Tesis (Especialista en Administración en Salud). Universidad Católica de Manizales, Facultad de Salud, 2011 La gestación es una etapa trascendental en la vida de una mujer que implica cambios físicos, hormonales y emocionales. Para asumir esta etapa adecuadamente la mujer debe en lo posible poseer ciertas características que hagan de esta una etapa de plenitud y tranquilidad, dichas características son la edad, la madurez emocional y física y un entorno económico y familiar definidos, entr...

  15. PERFIL LIPÍDICO POR TRIMESTRE DE GESTACIÓN EN UNA POBLACIÓN DE MUJERES ADULTAS

    OpenAIRE

    Ywaskewycz Benítez,Laura Romina; Bonneau,Graciela Alicia; Castillo Rascón,María Susana; Lorena López,Doriani; Pedrozo,Williams Rene

    2010-01-01

    Antecedentes: En el embarazo se producen variaciones hormonales muy marcadas y estas se asocian con grandes modificaciones del perfil lipídico. Objetivos: Evaluar el perfil lipídico de mujeres adultas por trimestre de gestación y comparar el perfil lipídico de un grupo control de mujeres no embarazadas con gestantes del primer trimestre, que consultan al servicio de Maternidad del Hospital Público Provincial "Dr. Ramón Madariaga". Método: Se estudiaron 248 embarazadas, 69 en primer trimestre,...

  16. Role of vitamin D signalling in vascular smooth muscle cells - morphological and molecular study

    OpenAIRE

    2011-01-01

    La vitamina D ha estat durant molt de temps coneguda pel seu important paper en laregulacio dels nivells de calci i fosfor, i en la mineralitzacio de l'os. Els efectes biologics de laforma hormonalment activa de vitamina D (1,25(OH)2D3, o calcitriol) estan mediats per launio al receptor de vitamina D (VDR), que alhora actua sobre els elements de respostaespecifics (VDRE) en el promotor dels gens diana de vitamina D, modificant-ne l'expressio.En les ultimes decades, s'ha demostrat que el VDR n...

  17. Evaluación de la depresión con relación al ciclo menstrual y la maternidad en mujeres jóvenes

    OpenAIRE

    García López, Georgina Isabel; Universidad Autónoma del Estado de México; Aguilar Moreno, Magdalena; Universidad Autónoma del Estado de México; Aguilera Reyes, Ulises; Universidad Autónoma del Estado de México; Galicia Castillo, Óscar; Universidad Iberoamericana Ciudad de México

    2013-01-01

    La depresión es un trastorno de alta prevalencia, con mayor incidencia en las mujeres, debida posiblemente a la influencia de los cambios hormonales. En el presente trabajo se puso a prueba la hipótesis de que la variación en las concentraciones de hormonas esteroideas sexuales influyen en la aparición de síntomas que indican algún grado de depresión a lo largo del ciclo menstrual, dependiendo de la edad, y el embarazo. Se trabajó con cuatro grupos de mujeres (menores de 18 años con hijos y s...

  18. Hiperplasia paraprotética

    OpenAIRE

    Pelayo, N. A.; Bustos, S. G.

    2015-01-01

    El término de Hiperplasia se refiere a un aumento de volumen de un tejido producido por el incremento en el número de sus células. Su etiología es variada y se asocia a la presencia de factores irritativos como la presencia de biofilm, cálculo, aparatología ortodóntica o protésica mal ajustada o sobre extendida, mal posición dental y por desequilibrios hormonales.

  19. Relaciones afectivo-sexuales durante la adolescencia: un estudio sobre el comportamiento violento entre los iguales y en la pareja

    OpenAIRE

    Ortega-Rivera, Francisco Javier

    2015-01-01

    Introducción o motivación de la tesis En las últimas dos décadas estamos asistiendo a un incremento del interés científico por el estudio de las relaciones afectivo-sexuales durante la adolescencia. Los estudios psicosociales, y en especial los psicoevolutivos, han desplazado a aquellos que, con una visión más clínica de la adolescencia, infravaloraban la importancia que las relaciones sentimentales tienen para los adolescentes y para su desarrollo. Los cambios hormonales y el ...

  20. Enfoque terapéutico global de la sarcopenia Global therapeutica approach to sarcopenia

    OpenAIRE

    Burgos Peláez, R.

    2006-01-01

    La sarcopenia es la pérdida de masa muscular esquelética asociada al envejecimiento, y contribuye en gran medida a la discapacidad y la pérdida de independencia del anciano. En su etiopatogenia se incluyen diversos mecanismos tanto intrínsecos del propio músculo como cambios a nivel del sistema nervioso central, además de factores hormonales y de estilo de vida. Diversas hormonas y citoquinas afectan la función y la masa muscular. La reducción de testosterona y estrógenos que acompaña la veje...

  1. Cuidados enfermeros en la unidad de reanimación postanestésica a pacientes sometidos a cirugía hipofisaria por vía transesfenoidal.

    OpenAIRE

    Núñez Varela, J.J.; De Soto González del Corral, E.; Valero Lobo, J.; Carrero Jiménez, P.; León García, F.

    2007-01-01

    Introducción: Los enfermos con tumores hipofisiarios sometidos a hipofisectomía transesfeinoidal (h:t.) pueden presentar trastornos endocrinos múltiples y desarrollan complicaciones específicas inherentes a la técnica quirúrgica, junto a alteraciones hormonales por manipulación de la glándula que suelen aparecer en las primeras 24 h. del postoperatorio durante su estancia en la U.R.P.A. Objetivos: Unificar criterios de actuación de enfermería. Elaborar plan de cuid...

  2. EFECTOS DE LA METFORMINA EN EL SINDROME DE OVARIO POLIQUISTICO ASOCIADO A INSULINO RESISTENCIA

    OpenAIRE

    Caro,Claudio; Fuhrer,Juan; Sáez,Rodrigo; Rubio, Víctor; Moreno, Luis; Cumsille,Miguel

    2002-01-01

    Se presenta la experiencia clínica del uso de metformina (1,7 g día), por 4 meses, en 11 pacientes con (SOP) asociado a resistencia insulínica. Se determinaron los efectos clínicos, bioquímicos y hormonales luego de 4 meses de terapia. Cinco de las pacientes que deseaban embarazo, continuaron recibiendo la droga, hasta por un año. Se evaluó durante el tratamiento los síntomas clínicos, historia menstrual, hirsutismo; y los niveles séricos de gonadotrofinas, andrógenos, globulina ligante sexua...

  3. Estrógenos y desarrollo del cerebro femenino en la adolescencia: anticoncepción de emergencia

    OpenAIRE

    Natalia López Moratalla; Tania Errasti Alcalá; Esteban Santiago

    2011-01-01

    En el periodo entre pubertad y madurez tiene lugar el proceso de maduración cerebral en el que los niveles hormonales inducen modificaciones en las neuronas y dirigen la arquitectura y funcionalidad estructural al modificar los patrones de desarrollo de diversa áreas cerebrales. El inicio de la pubertad trae consigo la invasión del cerebro femenino por niveles elevados de hormonas: oleadas cíclicas de estrógenos y progesterona que se suman a los esteroides producidos in situ. Los centros de c...

  4. Ritmos circadianos en pacientes oncológicos

    OpenAIRE

    Dehisy Marisol Juarez Garcia; Rene Landero Hernandez

    2014-01-01

    Los ritmos circadianos mantienen la homeostasis del organismo a través de ciclos hormonales, metabólicos y celulares que regulan la proliferación celular. A su vez, estos son mediados por condiciones psicológicas que pueden alterar su funcionamiento y dejar al organismo susceptible a enfermedades como el cáncer. El objetivo de este artículo es revisar la relación de los ritmos circadianos con el cáncer; enfatizando en aquellos ritmos que guardan relación con comportamientos como el ritmo sueñ...

  5. Efecto de las hormonas esteroides y la gonadotrofina coriónica humana en la transformación de los monocitos humanos a macrófagos

    OpenAIRE

    María Alicia Díaz y Orea; Alira Fraga-Olvera; Sandra Sánchez Rodríguez; Eduardo Gómez- Conde; Víctor Omar Castellanos-Sánchez; María de Lourdes Díaz Orea; Jaime Martínez-Murguía; María de los Ángeles Pavón Vargas; Rosendo Briones Rojas

    2010-01-01

    La elevada prevalencia de enfermedades crónico-degenerativas, ha generado un problema en la salud pública, que ha creado la necesidad de buscar nuevas estrategias terapéuticas para reducir sus efectos y dar al paciente una mejor calidad de vida. Entre estas terapéuticas se ha implementado el uso de diferentes líneas célulares para inducir la reparación celular. Respecto a la interacción neuroinmunoendocrina se han detectado receptores hormonales en las células de la respuesta inmune, que pued...

  6. Proceedings of the 13. Annual meeting of the Federation of Societies on Experimental Biology; 23. Brazilian congress on biophysics; 30. Brazilian congress on pharmacology and experimental therapeutics; 33. Brazilian congress on physiology; 14. Brazilian congress on clinical research; 22. Brazilian congress on neuroscience and behaviour. Abstracts; Anais do 13. Reuniao anual da Federacao de Sociedades de Biologia Experimental; 23. Congresso brasileiro de biofisica; 30. Congresso brasileiro de farmacologia e terapeutica experimental; 33. Congresso brasileiro de fisiologia; 14. Congresso brasileiro de investigacao clinica; 22. Congresso brasileiro de neurociencias e comportamento. Resumos

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-07-01

    Several aspects concerning neuroscience and behavior, compared physiology, endocrinology, pharmacology, molecular immunology and immuno diagnosis, biochemistry, genetic and toxicology of either animals, plants and microorganisms are studied. Topics such as cell membrane structures (including receptors), enzymatic assays, biological pathways, structural chemical analysis, metabolism, biological functions, blood pressure regulation are focused. The use of radiolabelled compounds, e.g. radioassay, radioimmunoassay, radioreceptor assay, are the most applied techniques.

  7. 20. Annual meeting of the Federation of Societies on Experimental Biology; 30. Brazilian congress on biophysics; 37. Brazilian congress on pharmacology and experimental therapeutic; 40. Brazilian congress on physiology; 21. Brazilian congress on clinical investigation; 29. Brazilian congress on neuro sciences and behavior. Abstracts; 20. Reuniao Anual da Federacao de Sociedades de Biologia Experimental; 30. Congresso brasileiro de biofisica; 37. Congresso brasileiro de farmacologia e terapeutica experimental: 40. Congresso brasileiro de fisiologia; 21. Congresso brasileiro de investigacao clinica; 29. Congresso brasileiro de neurociencias e comportamento. Resumos

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2005-07-01

    Utilization of radioisotopes and ionizing radiations is reported in several aspects related to various diseases. Biological pathways, biological receptors and metabolism are studied by radioassay, tracer techniques, labelled compounds (C14, tritium compounds, e.g.) and radiopharmaceuticals application. Radiotherapy, nuclear medicine and radiation effects are studied as well. In vivo dynamic function studies are presented, mainly in rats and mice. Use of phantoms and tissue-equivalent materials in dosimetry and monitoring, evaluation of radiation dose distribution, calculation and measurement of adsorbed doses are also presented. Environmental issues are also considered, specially regarding to soils and plants.

  8. Current status of the Colombia power plants emissions; Estado de las emisiones en las centrales termoelectricas de Colombia

    Energy Technology Data Exchange (ETDEWEB)

    Quijano Hurtado, Ricardo [Ministerio de Minas y Energia, (Colombia)

    1996-12-31

    The characteristics of the Colombian thermal electric resource and the environmental characteristics of the region such as: the climate where the power plants are located; the Geology and the type of soils; the technology employed for the atmospheric emissions control; the water consumption in the region; the systems for ash extraction an social-economical aspects are described [Espanol] Se describen las caracteristicas del parque termico de Colombia y las caracteristicas ambientales de la region como son: el clima donde estan localizadas las plantas; la geologia y los tipos de suelos; la tecnologia utilizada en el control de las emisiones atmosfericas; el consumo de agua en la region; los sistemas de extraccion de cenizas y aspectos socioeconomicos

  9. Agujeros de Gusano en Gravedad (2+1)

    CERN Document Server

    Rubio, Eduard Alexis Larranaga

    2007-01-01

    Traversable wormholes are objects that present a lot of interest in the last years because of their geometric features and their relation with exotic matter. In this paper we presnt a review of the principal characteristics of traversable Morris-Thorne wormholes, their construction proccess and some aspects about the exotic matter that is needed in order to mantain them. Then, we use a junction proccess to obatin two specific wormhole solutions in the (2+1) gravity formalism with negative cosmological constant. The obtained solutions represent wormholes with an external spacetime correspondient to the BTZ black hole solution. We also show that exotic matter is needed to mantain these wormholes. ----- Los agujeros de gusano atravesables son objetos que presentan un gran interes en la actualidad debido a sus caracteristicas geometricas y a su relacion con la materia exotica. En el presente trabajo se muestra una revision de las caracteristicas de los agujeros de gusano atravesables al estilo de Morris y Thorne,...

  10. Determinantes de la inclusion financiera en Peru

    OpenAIRE

    Noelia Camara; Ximena Pena; David Tuesta

    2013-01-01

    Este estudio ofrece una primera aproximacion cuantitativa a los determinantes de la inclusion financiera en Peru a partir de microdatos de encuestas. A traves de correlaciones significativas, se identifican aquellas caracteristicas socioeconomicas que podrian afectar a la inclusion (exclusion) financiera para hogares y empresas. Para aquellos individuos no bancarizados, se analiza la sensibilidad a algunas barreras con el fin de determinar su importancia y los factores por los que podrian ver...

  11. LA CAUSAL DE PROLONGACIÓN DEL PROCESO ESTABLECIDA EN LA LEY N° 30076 Y SU INCIDENCIA EN EL PLAZO RAZONABLE DE LA MEDIDA DE PRISIÓN PREVENTIVA: SU CONSTITUCIONALIDAD. MÓDULO PENAL DE CAMANÁ, 2014

    OpenAIRE

    DE ROMAÑA VELARDE, HUGO

    2016-01-01

    LA CAUSAL DE PROLONGACIÓN DEL PROCESO ESTABLECIDA EN LA LEY N° 30076 INTRODUCCION AL CODIGO PROCESAL PENAL DE 2004 MEDIDAS DE COERCION PROCESAL MODELOS DE COERCION PROCESAL CARACTERISTICAS DE LAS MEDIDAS DE COERCION PROCESAL LA PRISION PREVENTIVA PRESUPUESTOS DE LA PRISION PREVENTIVA QUE EL IMPUTADO, EN RAZÓN A SUS ANTECEDENTES Y OTRAS CIRCUNSTANCIAS DEL CASO PARTICULAR, PERMITA COREGIR RAZONABLEMENTE QUE TRATARÁ DE OBSTACULIZAR LA AVERIGUACION DE LA VERDAD (PELIGRO DE OBSTACULIZACION)...

  12. Crisotilas naturais brasileiras : ativação da superficie e aplicação na imobilização de biocatalizadores

    OpenAIRE

    Osvaldo Parizotto Junior

    1989-01-01

    Resumo: Crisotila é um argilo-mineral de estrutura lamelar serpentinizada em fibrilas cilíndrical, de diâmetro externo de ordem de 50 nm, e potencial zeta positivo. A crisotila natural consiste de feixes destas fibrilas, mais ou menos densamente empacotadas, contendo quantidades variáveis de impurezas diversas. As caracteristicas das fibrilas indicam que se trata de um material com alta energia livre superficial; entretanto na forma natural, sua atividade é baixa. A crisotila natural brasilei...

  13. CIRCULACION DEL NEUMOCOCO RELACIONADO A CAMBIOS EN LOS FACTORES CLIMÁTICOS EN LA PROVINCIA DE LA RIOJA

    OpenAIRE

    Patricia Cordoba, PhD; Mónica Romanazzi; Sonia Flores; Patricia Torres; Jose Maria Barrios

    2003-01-01

    Resumen: Streptococo pneumoniae (Neumococo), Neisseria meningitidis y Haemophilus influenzae producen meningitis bacterianas. Este trabajo describe las caracteristicas del aumento de casos de meningitis bacterianas en la Provincia de la Rioja, Argentina. Se realizó un estudio descriptivo retrospectivo de las meningitis desde 1997 hasta 2001. Se estudió la circulación de los agentes etiologicos; la distribución de las neumonías y bacteriemias producidas por neumococo; las variaciones de la ...

  14. La neutralidad perpetua en el panorama mundial

    OpenAIRE

    2015-01-01

    Este documento analiza las caracteristicas de los países permanentes de Europa, así como algunas de las importantes restricciones a la libertad que implica la neutralidad permanente para la política exterior de estso países Europeor. Por último, se abordará un resumen sobre las condiciones políticas  de las que dependen la supervivencia y éxito de los países neutrales de Europa.

  15. Inventario mundial de la calidad del carbon mineral (WoCQI) [The world coal quality inventory (WoCQI)

    Science.gov (United States)

    Finkelman, R.B.; Lovern, V.S.

    2001-01-01

    Los oficiales encargados de la politica comercial de cada pais requieren informacion clara y precisa sobre el recurso del carbon mineral, particularmente sobre sus propiedades y caracteristicas, para tomar decisiones bien fundamentadas con respecto al mejor uso de los recursos naturales, necesidades de importacion y oportunidades de exportacion, objetivos de politica interna y externa, oportunidades de transferencia tecnologica, posibilidades de inversion externa, estudios ambientales y de salud, y asuntos relacionados con el uso de productos secundarios y su disposicion.

  16. Estudio Sobre Portadores Cronicos de Salmonellas en Manipuladores de Alimentos de la Ciudad de Iquitos (Study of Chronic Salmonella Carriers in Food Handlers in the City of Iquitos)

    Science.gov (United States)

    1990-01-01

    Iquito% los casos de Salmonellosis es considerable, y dada a las caracteristicas tic Wi nfecci6n y de los aspectos sociodemogrificos de Ia ciudad he...fuc realizado cn c) laboratoria dc An~1isis Clinico de )a Universi- dad Nacional de la Amazonia Peruana -Iquitos. RFSULTADOS CUADRO No. I...ENTIFICACION DE PORTAIDORES CRONICOS DE SALMVONELLAS EN MANIPULADORFS DE ALIMENTOS IQUITOS.1986 MANIPULADORS ANALIMt SALMONELLAS DE ALIMENTOS CASO SEXO EDAD

  17. La moderna esclavitud y su relevancia jurídico-penal

    OpenAIRE

    Villacampa Estiarte, Carolina

    2013-01-01

    El fenomeno designado como moderna esclavitud o esclavitud contemporanea constituye una realidad de dificil aprehension acerca de la cual se ha tomado consciencia gracias al establecimiento de su paralelismo con la esclavitud tradicional. En el presente estudio se analizan sus caracteristicas, sus normas y su magnitud. Al mismo tiempo, se conceptua la moderna esclavitud y se busca el reflejo de esta realidad en conceptos normativos contenidos en instrumentos juridicos internacionales, como...

  18. Programacion funcional y lambda cálculo

    OpenAIRE

    Jonatan Gómez Perdomo; Wilson Castro Rojas; Alexander Cardona López

    2011-01-01

    En la primera parte de este artículo se explican algunos conceptos de los lenguajes de programación, haciendo énfasis en las caracteristicas y propiedades de los lenguajes de programación funcional. En la segunda, se realiza una introducción al lambda cálculo puro, su notación, axiomas y reglas elementales.

  19. Ensayos sobre la influencia de la estructura financiera en la inversión empresarial

    OpenAIRE

    García Marco, María Teresa

    2011-01-01

    Se analizan y comparan las distribuciones de 1980-81 y 1990-91 desde la perspectivas de las clases medias de bienestar wa y wr se considera el tamaño del lugar como la unica caracteristica diferenciadora eticamente relevante, las estimaciones de consumo de los hogares se expresan a precios constantes por medio de indices de preciso estadisticos. Se analiza con posterioridad un nuevo concepto denominado (x,)-desigualdad y se desarrollan procedimientos operativos que permiten aplicar este conce...

  20. Variables cognitivo-motivacionales y estrategias de aprendizaje en estudiantes de secundaria

    OpenAIRE

    Mendiri Ruiz de Alda, Paula

    2016-01-01

    [Resumen] Dada la importancia que para profesores, padres y alumnos tienen las caracteristicas personales de los estudiantes en el rendimiento de estos, no hemos centrado, a lo largo de este trabajo, en determinados aspectos internos de la persona que consideramos de especial relevancia en el proceso de aprendizaje y que van a influir, de una manera significativa, en el rendimiento academico. Dentro de estos aspectos, diferenciamos los mas vinculados con el ambito motivacion...