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Sample records for placenta humana estudio

  1. Validación del sistema ultramicroelisa en la certificación de placenta humana como materia prima farmacéutica y cosmética

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    Maydelin Trujillo Alfonso

    Full Text Available Introducción: el Laboratorio de Control Viral de la Planta Derivados de la Placenta realiza la certificación de la placenta humana como materia prima farmacéutica y cosmética mediante el sistema ultramicroanalítico. Objetivo: validar el sistema ultramicroelisa de determinación de antígeno de superficie del virus de la hepatitis B, anticuerpos contra el virus de la hepatitis C y virus de inmunodeficiencia humana tipo 1 y 2 en muestras de suero de cordón umbilical. Métodos: se realizó la calificación de la operación y la validación del desempeño analítico de los sistemas UMELISA HBsAg Plus, UMELISA HCV y UMELISA HIV 1+2 Recombinant empleandocomo sistemas de referencia el Hepanostika HBsAg Uni-FormII, Hepanostika HCV Ultra y Vironostika HIV-Uni-Form II Ag/Ab. Resultados: la calificación de la operación para las tres técnicas analíticas resultó satisfactoria. Los parámetros de especificidad diagnóstica y analítica fueron de 100 %, así como la concordancia con las técnicas de referencia. El coeficiente de variación fue menor del 10 % durante el estudio de precisión interensayo, menor que el 20 % intraensayo y se demostró la robustez de las técnicas para pequeños cambios en la temperatura de incubación. Conclusiones: los sistemas ultramicroelisa utilizados como método de control de la calidad de la placenta humana resultaron específicos, precisos y robustos en las condiciones ensayadas, por lo que pueden emplearse de manera segura y confiable.

  2. Esterilización mediante radiación gamma de un extracto liofilizado de placenta humana: Reporte Preliminar

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    Castro, Emma; Ticona, Nohemí; Linares, Marco

    2008-01-01

    En la práctica odontológica, la hemostasia quirúrgica debe tenerse en cuenta durante el acto operatorio, porque accidentalmente puede provocarse hemorragia. Para el control del sangrado son muy útiles agentes hemostáticos. El factor tisular (FT) es una glicoproteína que participa activamente en la formación del coágulo lo que lo convierte en un potencial hemostático. La placenta humana es un órgano muy rico en FT, a partir de la cual, éste puede ser extraído. El proceso de procuración de las...

  3. Metodologia para estudo do volume e densidade absoluta da placenta humana de termo

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    Del Nero Ulisses

    2002-01-01

    Full Text Available OBJETIVO: comparar duas metodologias para o cálculo do volume placentário em gestações normais de termo: a do princípio de Arquimedes e a do volume do cilindro, para estimar a densidade absoluta da placenta. Definir a metodologia mais adequada para o cálculo do volume e densidade placentários, que se relacione com o peso e classificação do recém-nascido. MÉTODOS: foram estudadas 50 placentas provenientes de gestações de termo sem complicações e calculados o volume e a densidade absoluta placentários: a pelo princípio de Arquimedes e b na suposição de que a placenta seria uma secção de cilindro com duas alturas diferentes do bolo placentário: com a altura média e com a altura da média aritmética do centro e extremidades. As densidades absolutas placentárias foram calculadas pelo quociente entre o peso ao ar da placenta e os diferentes volumes. RESULTADOS: a maioria das gestantes eram multíparas, idade média de 25,4 anos, volume placentário médio entre 547,8 e 610 cmsuperscript three e densidade média entre 0,94 e 1,14 g/cmsuperscript three, dependendo da metodologia empregada. CONCLUSÕES: a metodologia mais adequada para estimar o volume placentário no termo foi a do princípio de Arquimedes, pela melhor correlação com o peso dos recém-nascidos, o índice placentário e a classificação do peso dos recém-nascidos em relação à idade gestacional.

  4. Caracterización del canal epitelial de sodio en sinciciotrofoblasto de placenta humana preeclamptica Characterization of the epithelial sodium channel in human pre-eclampsia syncytiotrophoblast

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    Silvana del Mónaco

    2006-02-01

    Full Text Available El sinciciotrofoblasto (SCT de placenta humana regula la transferencia de solutos y agua entre la sangre fetal y materna. En el presente trabajo observamos que el canal de sodio ENaC (asociado a cuadros como el síndrome de Liddle y pseudohipoaldosteronismo está presente en la membrana apical del SCT y que la subunidad a del canal tiene una expresión reducida en placentas con hipertensión gestacional (preeclampsia. Realizamos estudios a nivel de expresión de ARN (RT-PCR y a nivel proteico (western blot e inmunohistoquímica. En la línea celular BeWo (modelo de SCT humano el canal se encuentra presente y la expresión del mismo es regulada por las hormonas aldosterona, vasopresina, estradiol y progesterona. Analizamos la actividad del ENaC por electrofisiología y observamos corrientes sensibles a amiloride (10 µM cuando las células BeWo se cultivaron 12 horas con aldosterona (100 nM. Esta corriente presentó una magnitud 20 veces mayor que las corrientes basales, un potencial de reversión cercano a 3 mV y una conductancia de 127 ± 26 pS/pF entre los pulsos de -60 y -140 mV aplicados. Las características de esta corriente son similares a las producidas por ENaC en otros tejidos y evidencian la presencia de un canal funcional. El papel del ENaC en el SCT es poco comprendido, aunque la diferencia de expresión en la preeclampsia podría tener consecuencias para el transporte placentario de agua y iones. Nuestros datos son un aporte para futuros estudios de los mecanismos involucrados en la patofisiología de la preeclampsia.The syncytiotrophoblast (SCT, a multinucleated epithelium forming the outer layer of chorionic villi, acts in human placenta as a transporting barrier regulating the transference of nutrients, solutes and water between maternal and fetal blood. Electrolyte homeostasis and extracellular fluid volume are maintained primarily by regulated Na+ transport. The present study was conducted to analyze the presence of the

  5. Localización inmunocitoquímica de la hormona gonadotropina corionica en la placenta humana y en celulas tumorales

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    Geranina Escovar V.

    1982-06-01

    Full Text Available Mediante el uso de los métodos de peroxidasa anti-peroxidasa e inmunofluorescencia aplicada a tejidos desparafinados y tratados con tripsina, se estudiaron inmunocitoquímicamente un grupo de placentas y tumores malignos. Al utilizar anticuerpos anti-GCH, la hormona gonadotropina coriónica humana (GCH fue localizada en células del sincitiotrofoblasto de placentas de diferentes estados de desarrollo, se encontró, además, que las c6lulas de Langhan's y del citotrofoblasto fueron negativas a la inmuno-reacción. La mayoría de los tumores estudiados fueron encontrados positivos al aplicar los métodos mencionados. Se postula que la inmunosupresión selectiva del huésped por tumores y la inmunosupresión selectiva de tejidos maternos por tejidos fetales. podría estar mediada por la hormona gonadotropina coriónica.

  6. Estudio del perfil proteico de tejido y secretoma de la arteria coronaria humana en la enfermedad aterosclerótica

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    Cuesta Marina, Fernando de la

    2010-01-01

    El objetivo principal de la presente Tesis Doctoral es el estudio del perfil proteico de las capas íntima y media de la arteria coronaria aterosclerótica humana, la evaluación de las proteínas alteradas en estas capas en la coronaria, con el desarrollo de la aterosclerosis, así como la caracterización del secretoma de la coronaria aterosclerótica y la evaluación de las proteínas específicamente secretadas por esta arteria, con respecto a otras arterias humanas no afectadas.

  7. Estudio descriptivo de la presentación de brucelosis humana en Colombia desde 2000 hasta 2012

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    Patricia Lopez Guarnizo

    2014-07-01

    Full Text Available El objetivo de la investigación fue realizar un estudio descriptivo de la ocurrencia de brucelosis humana en Colombia entre 2000 y 2012, y con base en estudios previos conocer la prevalencia e incidencia de la enfermedad, las limitaciones para el diagnóstico oportuno y el reconocimiento de la enfermedad por el sistema laboral colombiano. La investigación se basó en la búsqueda y análisis de la información publicada en artículos relacionados con brucelosis humana entre 2000 y 2012 en Colombia. En esta investigación se incluyó una fase de recopilación de información y entrevistas no estructuradas a representantes de programas de control de brucelosis y a profesionales expertos. Se analizaron 17 trabajos de brucelosis humana realizados en el personal a riesgo en plantas de beneficio, expendedores y vacunadores del programa de brucelosis animal, en los cuales se reportaron 10 estudios con prevalencias entre 0,14 % y 10,4 % y 7 con seropositividad. En estos se encontró alguna información pertinente a las limitaciones del diagnóstico y se evidenció el poco conocimiento de la comunidad médica frente a la enfermedad. En Colombia no hay una política clara respecto a esta zoonosis de riesgo ocupacional. Solo se menciona la brucelosis en el Decreto 2566 de 2009, en la cual se adopta la nueva tabla de enfermedades profesionales. Se concluye que la brucelosis humana en Colombia es una enfermedad subdiagnosticada y, por lo tanto, subnotificada, ya que no existe un sistema de notificación obligatoria.

  8. El estudio de la procrastinación humana como un estilo interactivo

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    María Antonia Padilla Vargas

    2017-02-01

    Full Text Available La procrastinación es un fenómeno que ha cobrado cada vez mayor relevancia dadas las implicaciones que puede tener tanto en las áreas de la educación y la salud, como en la vida diaria en general. Sin embargo, a pesar de su importancia, no se ha estudiado de manera sistemática. En este estudio se examinó el efecto de una tarea con requerimiento de respuesta alto sobre la procrastinación humana. Participaron voluntariamente 12 estudiantes de licenciatura en ingeniería, entre 18 y 20 años de edad, que fueron asignados de manera aleatoria a tres grupos experimentales y un grupo control. La tarea consistió en resolver una cantidad determinada de ejercicios que implicaban calcular, por simple inspección visual, la proporción de puntos verdes y azules desplegados en la pantalla de una computadora, indicando si el número de puntos verdes era mayor o menor que el número de puntos azules. Se dispusieron distractores al alcance de los participantes durante todo el experimento. Los sujetos fueron expuestos a la tarea durante tres fases, una con requerimiento de respuesta alto, que consistió de 200 ejercicios, y dos fases con requerimiento de respuesta bajo de 100 ejercicios cada una. Los resultados no mostraron efectos sistemáticos del requerimiento de respuesta sobre la procrastinación. Sin embargo, se observó un hallazgo consistente, independiente de la condición experimental a la que los participantes se hubieran expuesto: algunos procrastinaron prácticamente en todas las fases, mientras que otros jamás lo hicieron. Ello parece mostrar que la procrastinación es un estilo interactivo idiosincrásico. Se discute la necesidad de realizar más estudios que permitan identificar las variables implicadas en este fenómeno

  9. Alterações histopatológicas em placentas humanas relacionadas às síndromes hipertensivas Histopathological changes in human placentas related to hypertensive disorders

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    Luciano Guimarães Artico

    2009-01-01

    Full Text Available OBJETIVO: determinar a prevalência de alterações histopatológicas em placentas humanas, relacionadas às síndromes hipertensivas. MÉTODOS: estudo de corte transversal, que comparou as alterações histopatológicas identificadas em 43 placentas oriundas de gestantes do grupo de hipertensas (GrHip com as de 33 placentas de gestantes do grupo de normotensas (GrNor. Foram analisados o peso, volume e ocorrência macro e microscópica de infartos, coágulos, hematomas, aterose (obliteração parcial, espessamento de camadas e presença de vasos hialinizados e alterações de Tenney-Parker (ausentes, discretas e proeminentes, bem como a localização de infartos e coágulos (central, periférico ou associação de ambos. Para a análise estatística foram usados os testes do χ2 e t de Student, bem como médias, desvios padrões e percentuais. Considerou-se como significante um pPURPOSE: to determine the prevalence of histopathological changes, in human placentas, related to hypertensive syndromes. METHODS: a transversal study that compares histopathological changes identified in 43 placentae from hypertensive pregnant women (HypPr, with the ones from 33 placentae from normotensive pregnant women (NorPr. The weight, volume and macroscopic and microscopic occurrence of infarctions, clots, hematomas, atherosis (partial obliteration, thickness of layers and presence of blood vessels hyalinization and Tenney-Parker changes (absent, discreet and prominent, as well as the locating of infarctions and clots (central, peripheral or the association of both have been analyzed. The χ2 and t Student tests have been used for the statistical analysis, as well as medians, standard deviations and ratios. It has been considered as significant, p<0.05. RESULTS: the macroscopic study of HypPr placentae have presented lower weight (461.1 versus 572.1 g and volume (437.4 versus 542.0 cm³, higher infarction (51.2 versus 45.5%; p<0.05: OR=1.15 and clots (51.2 versus

  10. Aportaciones de la paleohistología humana al estudio de biomateriales

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    Nacarino Meneses, C.

    2012-12-01

    Full Text Available The deep study of archaeological human bone could provide relevant information to biomaterials science, as it could tell how the implant process of bioglasses and bioresorbable ceramics is. In this paper, we propose to study, by means of different microscopic, spectroscopic, and X-ray diffraction techniques, the histological and mineral bone variability throughout ontogeny. Extrapolating this data, we could have a better knowledge of biodegradable materials implant. In different ages, we could notice different tissues in cortical bone: fibrolamellar bone is characteristic of early stages of life while secondary or harvesian bone is in adult individuals. Raman and infrared spectroscopy suggest an increase of critallinity in the inorganic matrix during live. Finally, the X-ray diffraction study of bone tissue shows β-calcium phosphate and hydroxyapatite as the main mineral bone components.

    El estudio en profundidad del hueso humano arqueológico puede aportar información relevante a la ciencia de los biomateriales, al informar sobre la evolución del proceso de implante de biovidrios o biocerámicas reabsorbibles. En este trabajo, se propone una aproximación, mediante diferentes técnicas de microscopía, espectroscopía y difracción de rayos X, a la variabilidad histológica y mineral del tejido óseo en el transcurso de la ontogenia y así, poder realizar una extrapolación que permita comprender mejor el implante de materiales biodegradables. Respecto a la variabilidad histológica, se han observado diferentes tipos de tejidos en la cortical del hueso en las distintas edades, siendo el hueso fibrolaminar principal en etapas tempranas de la vida, y el hueso secundario o haversiano en etapas adultas. Los análisis de espectroscopía Raman e infrarroja indican un aumento en la cristalinidad de la parte inorgánica del hueso a lo largo del ciclo vital. Por último, el estudio del tejido óseo mediante difracción de rayos X muestra la

  11. Rupturas epistémicas y complejidad en los estudios de género, una aproximación a la conciencia humana feminizada

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    Ivonne Vizcarra Bordi

    2017-07-01

    Full Text Available El objetivo de este texto consiste en reflexionar sobre los aportes feministas teóricos y empíricos que permitieron posicionamientos de rupturas epistémicas para revelar otras perspectivas de las realidades sociales y humanas. Se consideraron cinco rupturas epistémicas que desconstruyen una realidad unidimensional y racional, para dar cabida a otra compleja, que alcanzaría al espacio político de la educación transversalizada de género: biologicista, tecnocientífica, binarista, heterosexual y la separación objeto-sujeto. Se concluyó que los estudios de género pueden promover una educación des-universalizada, para dar lugar al pensamiento complejo que transciende las disciplinas y la misma conciencia humana.

  12. Differential expression of human beta defensins in placenta and detection of allelic variants in the DEFB1 gene from HIV-1 positive mothers Expresión diferencial en placenta de beta-defensinas humanas y detección de variantes alélicas en el gen DEFB1 de madres positivas para VIH-1

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    María Teresa Rugeles

    2011-04-01

    Full Text Available Introduction. Low infection rates in neonates born to HIV-1-seropositive mothers highlight the existence of natural defense mechanisms in the maternal-fetal interface. Human beta defensins (HBDs inhibit HIV-1 replication in vitro and their variants are associated with HIV-1 resistance/susceptibility.
    Objective. Levels of HBD mRNA expression in placentas were obtained from seropositive and healthy mothers to determine whether HIV-1 infection induces anti-viral factors.
    Materials and methods. HBD-1, -2 and -3 transcripts were quantified by real time RT-PCR, and A692G/G1654A/A1836G variants in the DEFB1 gene were evaluated by sequencing.
    Results. Transcript levels of HBD-1 were significantly higher, and those of HBD-3 were lower in placenta from seropositive mothers compared to controls. Additionally, simultaneous presence of the A692G A/G and A1836G G/G genotypes was associated with high expression of HBD-1 in all populations and the A692G variant in babies born to seropositive mothers was in Hardy-Weinberg disequilibrium.
    Conclusion. Contrasting results in levels of HBDs were probably due to viral stimuli and suggest that HIV-1 induce a differential expression of HBDs in placenta and these proteins could be involved in protecting against HIV-1 at least early in pregnancy. However, it was not possible to associate these findings directly with protection against HIV-1 vertical transmission since none of the newborn infants became infected.
    Introducción. Las bajas tasas de infección en neonatos nacidos de madres seropositivas para el VIH-1 resaltan la existencia de mecanismos de defensa natural en la interfase materno-fetal. Las beta-defensinas humanas inhiben la replicación del VIH-1 in vitro y sus polimorfismos están asociados con la resistencia o susceptibilidad al VIH-1.
    Objetivo. Comparar los niveles de expresión de ARNm de beta-defensinas humanas en placentas de madres seropositivas y en seronegativas para

  13. Estudio histológico, inmuno-histoquímico y de cultivo celular de mamas humana y canina normal y cancerosa

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    Carine Fernandes B.

    2012-08-01

    Full Text Available Objetivo. Comparar las características morfológicas de células normales y cancerosas derivadas de glándulas mamarias de las especies humana y canina. Materiales y métodos. Fueron colectadas 10 muestras de parénquima mamario normal y 14 de parénquima tumoral de la especie canina, así como seis muestras de parénquima mamario normal y tres de parénquima tumoral de la especie humana. Para el cultivo de células fue utilizada la técnica de cultivo de células de mamíferos y para la histoquímica la técnica de la avidina- biotina- peroxidasa, con utilización del anticuerpo monoclonal 32-2B (anti-desmogléina-1. Resultados. A los estudios histológicos y morfológicos las células de la glándula mamaria normal humana demostraron semejanzas con las células de la glándula mamaria normal canina. Se observó adhesión y proliferación de células normales en ambas especies por aproximadamente tres meses de cultivo. Las células normales de las especies humana y canina mostraron baja actividad de proliferación cuando se compararon con las cancerosas de las especies en estudio. Los grupos de células epiteloides que se adhirieron al sustrato de los dos cultivos tuvieron dependencia de las células estromales, porque en la medida que las células fibroblastoides se retiraron, las células epiteloides detuvieron su crecimiento. Conclusiones. Comparando los resultados obtenidos por medio de análisis inmuno-histoquímico de células normales de mujeres y perras fue posible observar cambios en el patrón de coloración en células cancerosas en ambas especies, demostrando que las estructuras relacionadas con la adhesión celular (desmosomas pueden estar alteradas.

  14. Estudio de la conservación de la leche humana y de los preparados para lactantes

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    Romeu Nadal, Meritxell

    2006-01-01

    [spa] En esta tesis se han estudiado diferentes métodos de conservación de la leche materna (leche de la propia madre) y/o humana (leche de otra madre sana), concluyendo que las muestras de leche pueden conservarse en el refrigerador a 4ºC hasta un máximo de 3 horas, en el congelador a -20ºC hasta un máximo de 5 meses y en el ultracongelador a -80ºC hasta un máximo de 8 meses con la finalidad de preservar los niveles iniciales de vitaminas C y E y los niveles de los ácidos grasos poliinsatura...

  15. Estudio diagnóstico de la mortalidad humana en el Ecuador, en la Provincia de Tungurahua, el Cantón capital Ambato y los principales cantones con el mayor porcentaje de mortalidad. República del Ecuador. 2014.

    OpenAIRE

    Castañeda Guillot, Carlos David; González Miranda, Victoria María

    2016-01-01

    Se realiza estudio diagnóstico de las diez principales causas de mortalidad humana en Ecuador a nivel de país, la provincia de Tungurahua y principales cantones basada la  investigación en  los datos del Instituto Nacional de Estadística y Censos y Ministerio de Salud Pública correspondientes al año 2014 en base al Registro Internacional de Mortalidad Humana. Por orden de incidencia predominan enfermedades cardiovasculares (isquemia del corazón, enfermedades cerebrovasculares y enfermedades h...

  16. Estudio inmunohistoquímico de moléculas de adhesión en placentas de niños de bajo peso al nacer en el Hospital Universidad del Norte, Barranquilla (Colombia

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    Luz Alba Silvera Arenas

    2014-01-01

    Full Text Available Objetivo: Observar la expresión de moléculas de adhesión VCAM-1, ICAM-1 en placentas de niños de bajo peso al nacer. Se estudiaron 21 placentas de pacientes atendidas en el Hospital Universidad del Norte en el periodo de mayo a diciembre de 2006. Materiales y métodos: Se realizó estudio macroscópico de las placentas: forma, peso, diámetro grosor, consistencia, color, olor. Para estudios microscópicos se realizaron 5 cortes de la placa corial, uno del rollo de membrana y otro del cordón umbilical. Los cortes fueron fijados en formol al 10 %, incluidos en parafina, coloreados con hematoxilia - eosina para estudios morfológicos. Para estudios inmunohistoquímicos se usaron anticuerpos monoclonales Nova Castra para ICAM-1, VCAM-1, macrófagos. Resultados: Dieciocho placentas de forma redonda, 3 ovaladas; el peso varió entre 240 - 400 gramos; 3 presentaron infarto en los cotiledones. En la micro 18 presentaron necrosis hialina de la media, hiperplasia de la intima, macrófagos xantomatosos, infiltrado linfocitario en tres. En la inmunohistoquímica se observó expresión de ICAM-1, VCAM-1, en la basal de las vellosidades coriales, en la basal de los vasos sanguíneos y macrófagos en el estroma conjuntivo Conclusiones: En dieciocho de los casos los cambios fueron compatibles con preeclampsia, tres con proceso virales. La expresión de moléculas de adhesión y macrófago en la inmunohistoquímica nos sugiere que estas moléculas son fundamentales en los proceso fisiopatológicos de la placenta.

  17. El estilo psicológico como estudio de la diversidad humana: un ejemplo basado en los estilos de vida

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    María Pilar Sánchez-López

    1997-12-01

    Full Text Available Este estudio considera el Estilo Psicológico (EP como categoría supraordinal en la organización de la personalidad y como base del enfoque del cambio. El estilo organiza la conducta, tiene un carácter eminentemente global, es imprescindible para el mantenimiento adaptativo del individuo y puede considerarse como un conjunto de pautas de interpretación, donación de significados y respuestas. Dado su carácter globalizador, el EP es aplicable a muchos campos. Se presenta un trabajo empírico sobre estilos de vida (EV, proponiéndose su operativización mediante la distribución del tiempo. Se presenta el instrumento original creado (ADIT. Los datos indicaron que podemos utilizar la distribución del tiempo como operativización del EV, puesto que los perfiles encontrados tienen un claro sentido psicológico y las relaciones con las variables demográficas tienen también sentido psicológico.

  18. Orgasmo femenino: eje en el estudio nacional de la sexualidad humana / Female orgasm: topic of discussion in the national study of human sexuality / Orgasmo feminino: eixo no estudo nacional sobre a sexualidade humana

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    Sergio Andrés Melo Sánchez, MD., Esp

    2015-11-01

    Full Text Available Sra. Editora: El orgasmo femenino y las disfunciones orgásmicas en el ámbito de la salud y el bienestar sexual de la mujer, son sin duda un tema de creciente interés en los últimos años. La salud sexual es considerada uno de los elementos esenciales en el bienestar del ser humano; en un entorno idealizado cada acto sexual debería desencadenar un orgasmo, y la ausencia de este impacta en la salud y calidad de vida de las mujeres. Hablando en cifras, en los Estados Unidos, la National Health and Social Life Survey (1 establece la disfunción sexual femenina general en un 43.0% vs un 31.0% en los hombres, lo que indica una importante desatención de los problemas sexuales de las mujeres. Los problemas para alcanzar el orgasmo en la mujer merecen por su importante prevalencia un estudio minucioso de multicausalidad y la realización de trabajos que implementen métodos con rigor científico para la producción de resultados. Esta carta al editor busca sensibilizar a los profesionales de la salud respecto a la necesidad de generar productos de investigación relacionados con el tema del orgasmo femenino y las disfunciones orgásmicas, puesto que al indagar en los reportes de literatura se evidencia escasa producción científica que bien podría ser el resultado de las restricciones socioculturales que se han arraigado por décadas en el territorio nacional. Al revisar la literatura existente en el país, nos encontramos ante información en ocasiones ambigua y con una limitada cantidad de productos de investigación sobre el tema. La sexualidad humana en los últimos años ha intentado trascender los límites del conservadurismo cultural demarcados por el antisexualismo al cual se refería Helí Alzate, uno de los pioneros en describir el comportamiento sexual en nuestro país en 1977; dentro de sus observaciones sobre una muestra de estudiantes de medicina en la ciudad de Manizales, identifica una prevalencia de orgasmo en todas las

  19. Estudio del foco en un caso de fasciolosis humana en Neuquén A focus study from a case of human fascioliasis in Neuquén

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    Diana Rubel

    2005-06-01

    Full Text Available El objetivo del trabajo fue realizar un estudio de foco relacionado con un caso de fasciolosis humana ocurrido en abril de 2002 en Loncopué, Neuquén, Argentina. La confirmación diagnóstica se efectuó en mayo de 2002 por el test de ELISA. En noviembre de 2002 se realizó un muestreo en el área rural donde se ubicaba la vivienda de la paciente, ya restablecida, y se le tomó una nueva muestra de sangre. El suero de la paciente continuó reactivo para antígenos de Fasciola hepatica. Se muestrearon plantas de berro para detectar metacercarias. Se recolectaron caracoles en cuatro canales de riego conectados a un canal principal. Los caracoles fueron trasladados vivos para su identificación, medición y examen de infección. Se recolectaron 35 muestras fecales de ganado de cría. No se observaron metacercarias en las hojas de berro examinadas (n=222. Se recolectaron 130 caracoles identificados como Lymnaea viatrix y 2 de 101 ejemplares (2% estaban infectados con larvas de F. hepatica. Las prevalencias en el ganado adulto fueron: 100% (10/10 para caprinos, 82% (9/11 para ovinos y 86% (6/7 para bovinos. El número de huevos eliminados por las cabras (mediana = 20.7; Q1=6.2; Q3=34.5 y ovejas (4, 18, 13 infectadas, resultó mayor que el eliminado por vacas (0.3; 0.3; 1.7 (pAn epidemiological focal study was performed in Loncopué, Neuquén, Argentina, in November 2002 to detect the origin of the infection in a human case of fascioliasis confirmed by an indirect-ELISA test, six months before the study. Thirty five individual fecal samples were taken from domestic livestock, and watercress plants and snails were collected from the irrigation ditches connected to a main canal in the surroundings of the patient’s house. A new blood sample was taken from the already recovered patient. The patient was still seropositive to Fasciola hepatica antigens. No metacercariae were found in the 222 watercress leaves checked. All the snails collected (n=130 were

  20. Estudio clínico epidemiológico de bartonelosis humana en el valle del Monzón, Huamalíes, Huánuco

    Directory of Open Access Journals (Sweden)

    Abelardo Tejada

    2003-12-01

    Full Text Available OBJETIVO: Estudiar los casos de bartonelosis humana en valle del Monzón y determinar las especies de Lutzomyia que podrían jugar papel en la transmisión de la enfermedad en la zona. MATERIAL Y MÉTODOS: Se estudió casos de la enfermedad de Carrión en la selva alta del valle del Monzón, provincia de Huamalíes, Huánuco, donde entre 1997 y 1998 se presentó un brote epidémico. Para el diagnóstico de los casos se realizó frotis y gota gruesa, hemocultivo y serología. Para la captura de flebotominos, se utilizó trampas de luz CDC y trampa Shannon, en ambientes intra y peridomiciliarios. RESULTADOS: A lo largo de 21 localidades, la enfermedad afectó 140 personas, 25 de ellos entre 1 y 4 años de edad, 81 mujeres y 59 hombres; 121 presentaron la fase aguda de la enfermedad, 16 la fase intercalar y 3 la fase eruptiva. La población de la zona se dedica principalmente al cultivo de la coca, café y cacao. CONCLUSIÓN: Se estableció que el valle del Monzón es nueva zona endémica de bartonelosis humana, donde la transmisión ocurre principalmente en ambientes intra y peridomiciliarios, siendo Lutzomyia serrana el vector más probable.

  1. Placenta Praevia

    African Journals Online (AJOL)

    Department of Obstetrics & Gynaecology, Jos University Teaching Hospital, Jos ... Screening ultrasonography in women with history of multiple caesarean sections .... B. MSB. Placenta Praevia: Incidence, Risk Factors, Maternal And Fetal Outcomes In A Nigerian Teaching ... These high figures from all the centres stress the.

  2. Placenta previa

    Science.gov (United States)

    ... cervix is the opening to the birth canal. Causes During pregnancy, the placenta moves as the womb stretches and ... care provider can diagnose this condition with a pregnancy ultrasound. ... or part of the cervix, a vaginal delivery can cause severe bleeding. This can be deadly to both ...

  3. Anatomía Humana: estudio de las reacciones de los estudiantes de primero de medicina ante la sala de disección

    Directory of Open Access Journals (Sweden)

    Maribel Miguel Pérez

    Full Text Available Introducción: El objetivo de este estudio es reflejar las reacciones físicas y emocionales de los estudiantes de primer curso de Medicina de la Universidad de Barcelona (Campus de Bellvitge ante la sala de disección. Material y métodos: Los estudiantes responden a tres cuestionarios que valoran la intensidad del miedo, las reacciones físicas y psicológicas frente la sala de disección y los métodos de afrontamiento, en dos momentos del curso: al inicio y al final del curso académico. Resultados: Las reacciones más frecuentes fueron la sensación de disgusto, la pérdida del apetito, las imágenes visuales recurrentes de los cadáveres, el insomnio y las pesadillas. Respecto a los métodos de afrontamiento más usados por los estudiantes para contrarrestar las reacciones adversas correspondieron en juntarse y hacer broma con los amigos, estudiar anatomía y pedir consejo a compañeros y profesores. Conclusiones: La sala de disección representa, para los estudiantes del primer curso de medicina, el primer encuentro relacionado con la muerte y ésta, a la vez, implica el desarrollo de mecanismos de adaptación en su futuro profesional. Los profesores de anatomía no solo tienen una mera función docente como transmisores de contenidos, sino que también deberían dar apoyo a la adaptación progresiva de los alumnos a la sala de disección.

  4. Producción y caracterización de anticuerpos monoclonales frente a albúmina humana : Aplicación al estudio de la estructura antigénica de esta proteina

    OpenAIRE

    García Pacheco, José Marcos

    2011-01-01

    Se han producido 10 anticuerpos monoclonales frente a albúmina humana, los cuales reconocen 6 epitopos de naturaleza conformacional sobre la superficie de la albúmina de esta molécula, habiéndose detectado diferencias antagónicas entre albúmina humana de diferente procedencia.

  5. EVALUACIÓN DE LA EXPOSICIÓN HUMANA A LAS MICOTOXINAS: ESTUDIO GLOBAL EN LA POBLACIÓN DE CATALUÑA (ESPAÑA

    Directory of Open Access Journals (Sweden)

    Ramos AJ*

    2012-07-01

    Full Text Available La exposición a las micotoxinas a través de los alimentos es un riesgo para la salud reconocido, que está recibiendo una creciente atención. El presente trabajo muestra el diseño y los principales resultados del primer estudio llevado a cabo en Cataluña (comunidad autónoma española situada al noreste de España para evaluar la incidencia de las micotoxinas más importantes en alimentos que se comercializan en esta región, y para evaluar la exposición de la población a estos importantes contaminantes de los alimentos. Para alcanzar estos objetivos se determinaron, por un lado, los niveles de micotoxinas en los productos más susceptibles a la contaminación que se consumen con mayor frecuencia en esta región, principalmente alimentos a base de cereales, alimentos para bebés, frutos secos, especias, alimentos a base de manzana y productos lácteos. Por otra parte, se evaluó la ingesta alimentaria en todos los grupos de población con el fin de caracterizar y cuantificar la exposición de la población a las micotoxinas. Las micotoxinas analizadas fueron las aflatoxinas (AFs, B1, B2, G1, G2 y M1, el deoxinivalenol (DON, las fumonisinas (FBs B1 y B2, la ocratoxina A (OTA, la patulina (PAT, las toxinas T-2 y HT-2, y la zearalenona (ZEA. En conjunto, 3,447 muestras fueron adquiridas en 2008 y 2009 en seis hipermercados y supermercados procedentes de las doce principales ciudades de Cataluña, lo que representaría el 72 % de la población. Las muestras se agruparon para obtener las muestras analíticas (n = 1,690, para determinar y cuantificar, entre una y once del total de las micotoxinas citadas. Éstas se extrajeron, purificaron y se determinaron siguiendo métodos validados que incluyen procedimientos de purificación por columnas de cromatografía de inmunoafinidad (IAC, y la determinación por cromatografía líquida de alta resolución (HPLC con detector de diodos o detección de fluorescencia, o por cromatografía de gases con

  6. The Placenta Economy

    DEFF Research Database (Denmark)

    Kroløkke, Charlotte; Dickinson, Elizabeth; Foss, Karen A.

    2018-01-01

    This article examines the human placenta not only as a scientific, medical and biological entity but as a consumer bio-product. In the emergent placenta economy, the human placenta is exchanged and gains potentiality as food, medicine and cosmetics. Drawing on empirical research from the United......, in the emergent bio-economy, the dichotomy between the inner and the outer body is deconstructed, while the placenta gains clinical and industrial as well as affective value....

  7. Desenvolvimento de biomaterial a partior de matriz amniótica humana

    OpenAIRE

    Francisco, Júlio César

    2013-01-01

    Resumo: A membrana amniótica tem sido estudada como possível biomaterial na Medicina Regenerativa, sobretudo de uso externo. Os protocolos são controversos entre os métodos descelularização e manutenção da integridade de seus componentes. Objetivo: desenvolver um biomaterial a partir de matriz amniótica humana. Material e Métodos: Realizado protocolo modificado de placenta humana a base detergentes iônicos para remoção de todos os componentes celulares da membrana amniótica. Placentas obtidas...

  8. Musica Humana og musikterapi

    DEFF Research Database (Denmark)

    Schou, Karin

    2005-01-01

    I pressen har Musica Humanas projekter på flere danske sygehuse jævnligt været omtalt i de seneste to år, særligt i forbindelse med udgivelsen af serien MusiCure’s foreløbig fire Cd’er. Ordet ’musikterapi’ er blevet anvendt til beskrivelse af disse projekters metode. I artiklen redegøres for defi......I pressen har Musica Humanas projekter på flere danske sygehuse jævnligt været omtalt i de seneste to år, særligt i forbindelse med udgivelsen af serien MusiCure’s foreløbig fire Cd’er. Ordet ’musikterapi’ er blevet anvendt til beskrivelse af disse projekters metode. I artiklen redegøres...... for definitioner af relevante niveauer af musikterapi i denne sammenhæng; Musica Humanas formål; MusiCure’s tilblivelse; baggrunden for og relevansen af en musikterapeuts tilstedeværelse i Musica Humana, samt hvilken rolle musikterapeuten kan spille i denne sammenhæng. Medlemmer af Musica Humanas styregruppe...... bidrager med udsagn om deres opfattelse af relevansen af en musikterapeut som ressourceperson i Musica Humana....

  9. Estudio de la suplementación de la dieta materna con cerveza sin alcohol, su efecto sobre el metabolismo oxidativo materno infantil y sobre las propiedades antioxidantes de la leche humana

    OpenAIRE

    Hernández Aguilar, Maria Teresa

    2015-01-01

    INTRODUCCION: Tras el nacimiento, el ser humano necesita el aporte de antioxidantes que le ayuden a hacer frente al daño oxidativo. La leche humana es la fuente esencial de antioxidantes para el recién nacido pero su composición varía con el estado nutricional y la dieta maternos. Se ha observado que el contenido en antioxidantes y la capacidad antioxidante total de la leche humana, son mayores en el calostro y menores en la leche segregada por la madre en los días y meses posteriores. Es p...

  10. Estudio del sistema regulador formado por la serotonina y sus receptores en las células troncales MSC aisladas de médula ósea humana. Adipogénesis.

    OpenAIRE

    González Méndez, Laura

    2014-01-01

    Tesis doctoral inédita, leída en Universidad Autónoma de Madrid, Facultad de Ciencias, Departamento de Biología Molecular. Fecha de lectura: 21/03/2014 En los últimos años se ha identificado a la serotonina como un regulador crítico de la masa ósea, regulando tanto directa como indirectamente la actividad de las células responsables del proceso de remodelación ósea, osteoclastos y osteoblastos. El presente trabajo muestra que las MSCs aisladas de la médula ósea humana, células precursoras ...

  11. Pseudotumors of the placenta.

    Science.gov (United States)

    Bruner, Evelyn T

    2016-01-01

    The placenta is one of the most common gross pathology specimens encountered by surgical pathologists, yet primary tumors are exceptionally rare and even rarer are entities with the potential to mimic malignancy. There are many nonneoplasticmass forming lesions in the placenta that are important to be aware of as many of these can be associated with adverse outcomes in the mother and fetus. Also important are entities which may be observed microscopically in the placenta and potentially confused as a malignancy. Knowledge of these potential pitfalls is essential to avoid making an incorrect diagnosis and causing undue alarm. Copyright © 2016 Elsevier Inc. All rights reserved.

  12. Evolucion humana y el ADN mitocondrial (II)

    OpenAIRE

    Amat Olazabal, Hernan

    2014-01-01

    En el presente ensayo nos proponemos mostrar un recorrido por la historia de nuestros antepasados desde que nos separamaos del linaje de los chimpancés, hace 5 a 6 millones hasta la aparición del Homo sapiens, resultado de una serie de cambios evolutivos trascendentales. Tratamos de presentar los estudios más recientes acerca de la evolución humana y el ADN mt, que evidencia que todos procedemos desde África, y en un época pródiga en descubrimientos paleontólógicos y arqueológicos y de debate...

  13. Management of placenta percreta

    DEFF Research Database (Denmark)

    Clausen, Caroline; Lönn, Lars; Langhoff-Roos, Jens

    2014-01-01

    in the management of the conditions. A PubMed search was performed in April 2013 and the final review included 119 published placenta percreta cases. Conservative management, where the placenta is left in situ for resorption, seems to be associated with severe long-term complications of hemorrhage and infections......Publications on abnormally invasive placenta in general report what can be considered a mixture of the conditions true accreta, increta and percreta varieties. The aim of this review was to identify all published cases of the most severe condition, placenta percreta in order to describe...... cases for the local resection technique might in part explain the lower complication rates with that approach. Future prospective data collection activities should include intended as well as actual management, and long-term follow-up of all cases is of vital importance....

  14. Estudios sobre la enfermedad de Carrión en el valle interandino del Mantaro: II. Incidencia de la infección bartonelosica en la población humana

    Directory of Open Access Journals (Sweden)

    Arístides Herrer

    1960-01-01

    Full Text Available Con la finalidad de determinar la zona endémica de la verruga peruana o enfermedad de Carrión en el valle del Mantaro, durante la segunda quincena de abril. 1959, se realizaron 239 hemocultivos y una encuesta informativa en la población del mencionado valle. Para los cultivos se obtuvo 215 muestras de sangre en la población humana y, las 24 restantes, en algunos animales domésticos. En la encuesta se trató de recoger las informaciones que la gente de la región podría ofrecer acerca de la verruga, al mismo tiempo que todas las personas encuestadas fueron revisadas por los autores en busca del brote verrucoso. Los siguientes son los principales resultados obtenidos: 1. En los cultivos con sangre humana se obtuvo 5 positivos, 172 negativos y 38 contaminados y. en la de los animales domésticos, 13 negativos y 11 contaminados. Todos los hemocultivos positivos correspondieron a personas que habitan en localidades que se hallan entre 2.800 y 3,000 metros de altitud. 2. Dos de las cinco personas que ofrecieran hemocultivo positivo, al momento de extraérseles la sangre se encontraban en estado febril y con abundantes bartonelas en los eritrocitos circulantes; ambas murieron pocos días después. Las tres restantes no presentaban síntomas atribuibles a la enfermedad de Carrión, y dos de ellas fueron observadas durante los 15 meses subsiguientes sin que presentasen brote verrucoso. 3. En la encuesta se verificó que, con rarísimas excepciones, la gente del valle del Mantaro no conocía la verruga. Del mismo modo, tan sólo en dos ocasiones los autores observaron nódulos subcutáneos semejantes a verrucomas. 4. Se hace resaltar el que la enfermedad de Carrión sea endémica a considerable altitud en el valle del Mantaro, así como la rareza del brote cutáneo y se cuestiona la extrema gravedad que se atribuye a la verruga en el referido valle del Mantaro.

  15. Leptospira spp. y leptospirosis humana

    Directory of Open Access Journals (Sweden)

    Claudia M. Romero-Vivas

    2016-01-01

    Full Text Available La leptospirosis, la enfermedad bacteriana zoonótica y emergente más importante en el mundo, es causada por las especies patógenas de Leptospira spp. Han sido descritas veinte especies de Leptospira spp.; se ha determinado la secuencia del ADN genómico de algunas cepas patógenas; la función de la mayoría de los genes involucrados en su patogénesis permanece desconocida. La leptospirosis humana presenta un rango de síntomas que van desde una fiebre indiferenciada hasta una ictericia, hemorragia, fallas renales y pulmonares severas. La administración temprana e intravenosa de penicilina G es requerida para reducir las tasas de mortalidad, pero los antibióticos pueden no ser efectivos en la enfermedad pulmonar severa. En las Américas, las áreas de alto riesgo son Brasil, Centroamérica y el Caribe. En Colombia se han realizado pocos estudios. La prueba serológica de oro, la microaglutinación, tiene alta sesibilidad y especificidad cuando se usan baterías de serovariedades locales, pero es serogrupo específica. Las vacunas generan respuestas específicas para la serovariedad usada, pero no previenen la infección o trasmisión. Problemas en el diagnóstico de laboratorio de la leptospirosis conllevan a un subregistro en el número de casos; altas tasas de mortalidad asociadas a fallas renal y pulmonar son resultado de las dificultades en el manejo de los casos.

  16. La agresividad humana

    Directory of Open Access Journals (Sweden)

    Olimpia López Avendaño

    2004-01-01

    Full Text Available En este artículo se comparan los planteamientos de Sigmund Freud, Herbert Marcusse y Erich Fromm en torno a la agresividad humana. Analizar esta temática en el contexto actual es relevante dado el incremento de acciones que conllevan gran dosis de violencia tanto en el plano físico, como en el psicológico y espiritual, así como la urgencia de plantear soluciones. La posición de los tres autores permite visualizar la pertinencia de explicaciones que tienden a asumirse en la vida cotidiana en torno a este fenómeno y, sobre todo, construir nuevas perspectivas que las relean, trasciendan y enriquezcan.

  17. Zika virus and placenta

    Institute of Scientific and Technical Information of China (English)

    Beuy Joob; Viroj Wiwanitkit

    2016-01-01

    Zika virus infection is the new arboviral infection problem. The serious outcome of infection and induction of abnormal infant become the big issue in reproductive medicine. The pathogenesis and pathology of the placenta in the affected case is an interesting issue. Here, the authors focus and discuss on this topic in this short article.

  18. LA FORMA HUMANA

    Directory of Open Access Journals (Sweden)

    GERMÁN ENRIQUE BELTRÁN

    2015-03-01

    Full Text Available Como pedagogos constituimos una gran organización  de sinceros aspirantes al poder que proviene del conocimiento,  y el conocimiento es el único poder que necesitamos.  Nos circundan por todos lados las más poderosas fuerzas,  podemos pensar que la dinámica es un poder maravilloso,  una fuerza de gran potencia, cuando se le deja libre,  pero este poder no es nada en comparación con la potencia  del poder y fuerza contenidos en el electrón invisible o átomo  de materia, si pudiéramos liberarlo con tal facilidad como  lo hacemos con la fuerza de la dinámica.  La fuerza llamada de gravitación no es más potente que la  fuerza que cualquier motor eléctrico halla sido capaz de  producir. La fuerza y poder que existe dentro del cuerpo  humano, llamada también vitalidad humana o magnetismo  es mucho mas grande y dinámica de lo que nos imaginamos.  Tenemos también el poder, la fuerza potente que se  manifiesta a través de la mente humana.

  19. Moléculas que participan en el transporte de hierro materno-fetal: importancia del receptor 1 de transferrina y de la ferroportina en la placenta humana = Molecules implicated in maternal-fetal iron transport across the placental barrier: Role of Transferrin Receptor 1 and Ferroportin

    Directory of Open Access Journals (Sweden)

    Corrales Agudelo, Lady Vanessa

    2011-03-01

    Full Text Available La adecuada transferencia placentaria de hierro es crucial para satisfacer los altos requerimientos del feto y promover su adecuado crecimiento y desarrollo intrauterino; de otra parte, contribuye a prevenir la ferropenia y la anemia, entidades altamente prevalentes en los lactantes durante los primeros dos años de edad, que se asocian con mayor morbilidad y mortalidad en la infancia. La placenta es un órgano capaz de realizar diferentes adaptaciones en la producción de moléculas que participan en el transporte de hierro materno-fetal en respuesta al estado de hierro celular, para proveer la mayor disponibilidad de este mineral al feto. Esta revisión, pretende acercar al lector a los mecanismos metabólicos y moleculares relacionados con la captación, el transporte y la salida de hierro por la placenta hacia el feto, así como su regulación, para proporcionar elementos que le permitan comprender en forma integrada, la importancia de un adecuado estado de hierro materno antes y durante la gestación.

  20. La agresividad humana

    Directory of Open Access Journals (Sweden)

    López Avendaño, Olimpia

    2004-12-01

    Full Text Available En este artículo se comparan los planteamientos de Sigmund Freud, Herbert Marcusse y Erich Fromm en torno a la agresividad humana. Analizar esta temática en el contexto actual es relevante dado el incremento de acciones que conllevan gran dosis de violencia tanto en el plano físico, como en el psicológico y espiritual, así como la urgencia de plantear soluciones. La posición de los tres autores permite visualizar la pertinencia de explicaciones que tienden a asumirse en la vida cotidiana en torno a este fenómeno y, sobre todo, construir nuevas perspectivas que las relean, trasciendan y enriquezcan. In this article the expositions regarding human aggressiveness by Sigmund Freud, Herbert Marcusse and Erich Fromm are compared. The relevance of this subject's analysis in the present context is due to the increase of actions that entail a great dose of violence in the physical, psychological and spiritual planes; and to the urgency of raising solutions. The three authors' position allows us to see how adequate are the explanations that tend to be assumed in everyday life; and above all allow us to build new perspectives that make a new interpretation of them, that extend and enrich them

  1. MRI features of placenta accreta

    International Nuclear Information System (INIS)

    Cao Manrui; Du Mu; Huang Yi; Liu Bingguang; Zhang Fangjing; Guo Jimin; Zhu Zhijun

    2012-01-01

    Objective: To investigate the MRI features of placenta accreta. Methods: From Apr 2009 to Jun 2011, 15 patients with placenta accrete received MRI examination. In them, placenta accreta was diagnosed based on clinical manifestations or postoperative histopathology. The MR features of placenta accreta in them (study group) were retrospectively analyzed and compared with those in 15 pregnant women without placenta accreta (control group) with Fisher exact test. Results: In the 15 patients with placenta accreta,uterine bulging and (or) a focal outward contour bulge was detected in 14 patients; heterogeneous signal intensity in the placenta was detected in 15 patients; dark intraplacental bands on T 2 -weighted images was detected in 15 patients; and increased subplacental vascularity was detected in 11 patients on T 1 - weighted images. In the study group, 14 patients showed at least three of the above four features, and in all of them uterine bulging and (or) a focal outward contour bulge, heterogeneous signal intensity in the placenta and dark intraplacental bands on T 2 -weighted images were detected; one patient showed heterogeneous signal intensity in the placenta, dark intraplacental bands on T 2 -weighted images and increased subplacental vascularity. In the control group,none patient had three of the above features.Uterine bulging and (or) a focal outward contour bulge, heterogeneous signal intensity in the placenta, dark intraplacental bands on T 2 -weighted images and increased subplacental vascularity were detected in 3, 6, 3 and 4 patients (P=0.000, 0.001, 0.000 and 0.027), respectively. Conclusions: The main MRI features of placenta accreta are uterine bulging and (or) a focal outward contour bulge, heterogeneous signal intensity in the placenta and dark intraplacental bands on T 2 -weighted images Besides, increased subplacental vascularity also could provide useful information for the diagnosis of placenta accreta. (authors)

  2. La maquinaria social y las ciencias humanas. Pensionados de la Junta para la Ampliación de Estudios en la Europa de la razón tecnocrática

    Directory of Open Access Journals (Sweden)

    Guijarro Mora, Víctor

    2015-06-01

    Full Text Available The establishment of the JAE and the scholarship policy supported by this institution promoted not only the well-known scientific renovation, but other values related in this case to the technocratic views of social problems. The present study is aimed at exploring this second effect, a relatively unattended topic, by the examination of the concerns and purposes of various scholarship holders who traveled between 1909 and 1932 to Germany, England, Belgium, Switzerland, and France.La creación de la JAE y su política de pensiones promovió no solo los elementos integrantes del discurso oficial, sino otros intereses ligados a los enfoques tecnocráticos de los problemas sociales difundidos en la Europa de la modernidad. En este estudio exploramos este segundo efecto, no reconocido suficientemente, mediante el examen de la trayectoria y propuestas de diversos pensionados que viajaron entre 1909 y 1932 a Alemania, Inglaterra, Bélgica, Suiza y Francia.

  3. Placenta: How It Works, What's Normal

    Science.gov (United States)

    ... placental problems include placental abruption, placenta previa and placenta accreta. These conditions can cause potentially heavy vaginal bleeding. ... health care provider will recommend a C-section. Placenta accreta. This condition occurs when the blood vessels and ...

  4. Anatomía Humana: estudio de las reacciones de los estudiantes de primero de medicina ante la sala de disección Human Anatomy: reactions of first year medical students to the dissection room

    Directory of Open Access Journals (Sweden)

    Maribel Miguel Pérez

    2007-06-01

    Full Text Available Introducción: El objetivo de este estudio es reflejar las reacciones físicas y emocionales de los estudiantes de primer curso de Medicina de la Universidad de Barcelona (Campus de Bellvitge ante la sala de disección. Material y métodos: Los estudiantes responden a tres cuestionarios que valoran la intensidad del miedo, las reacciones físicas y psicológicas frente la sala de disección y los métodos de afrontamiento, en dos momentos del curso: al inicio y al final del curso académico. Resultados: Las reacciones más frecuentes fueron la sensación de disgusto, la pérdida del apetito, las imágenes visuales recurrentes de los cadáveres, el insomnio y las pesadillas. Respecto a los métodos de afrontamiento más usados por los estudiantes para contrarrestar las reacciones adversas correspondieron en juntarse y hacer broma con los amigos, estudiar anatomía y pedir consejo a compañeros y profesores. Conclusiones: La sala de disección representa, para los estudiantes del primer curso de medicina, el primer encuentro relacionado con la muerte y ésta, a la vez, implica el desarrollo de mecanismos de adaptación en su futuro profesional. Los profesores de anatomía no solo tienen una mera función docente como transmisores de contenidos, sino que también deberían dar apoyo a la adaptación progresiva de los alumnos a la sala de disección.Introduction: The aim of this study is to record the physical and emotional reactions of the first-year medical students at the University of Barcelona (Campus de Bellvitge to the dissection room. Material and methods: Three questionnaires focusing on degree of fear and psychological and physical reactions were prepared and administered to students before the first dissection session, after the first dissection, and at the end of the course. Results: The most frequent reactions were sensation of disgust, loss of appetite, recurring visual images of cadavers, insomnia and nightmares. To cope with these

  5. Naturaleza humana y política en Denis Diderot

    Directory of Open Access Journals (Sweden)

    Pablo Scotto Benito

    2015-02-01

    Full Text Available El presente trabajo se propone relacionar la concepción que Diderot tiene del ser humano con sus ideas políticas. A pesar de que no se pueda hallar en la obra del “filósofo” un tratado sistemático en el que el estudio de la naturaleza humana sirva como fundamentación de un determinado sistema político, la epistemología empirista y el monismo materialista diderotianos, con la consecuente revalorización de las pasiones corporales, conducen a una moral y una política universalistas, acordes con la naturaleza humana y centradas en la felicidad de los individuos.

  6. Comunicación humana

    OpenAIRE

    Revista Chasqui

    2011-01-01

    La mirada del autor. Lo específicamente humano de la comunicación humana. Estraído de Manuel Martín Serrano, 2007, "Teoría de la comunicación. La comunicación la vida y la sociedad" p. 265. Madrid, McGraw-Hill / interamericana de España.

  7. Placenta accreta and anesthesia: A multidisciplinary approach

    OpenAIRE

    R S Khokhar; J Baaj; M U Khan; F A Dammas; N Rashid

    2016-01-01

    Placenta accreta (an abnormally adherent placenta) is one of the two leading causes of peripartum hemorrhage and the most common indication for peripartum hysterectomy. Placenta accreta may be associated with significant maternal hemorrhage at delivery owing to the incomplete placental separation. When placenta accreta is diagnosed before delivery, a multidisciplinary approach may improve patient outcome.

  8. Placenta accreta and anesthesia: A multidisciplinary approach

    Directory of Open Access Journals (Sweden)

    R S Khokhar

    2016-01-01

    Full Text Available Placenta accreta (an abnormally adherent placenta is one of the two leading causes of peripartum hemorrhage and the most common indication for peripartum hysterectomy. Placenta accreta may be associated with significant maternal hemorrhage at delivery owing to the incomplete placental separation. When placenta accreta is diagnosed before delivery, a multidisciplinary approach may improve patient outcome.

  9. La Pareja Humana

    Directory of Open Access Journals (Sweden)

    Alvaro Villar Gaviria

    2000-12-01

    Full Text Available

    En el proceso que da origen al lenguaje y al conversar como parte definitiva de lo humano en nuestros ancestros primates, hay una emoción básica que tuvo que estar presente como trasfondo permanente para que eso ocurriera: el amor.

    El amor, entendido como la aceptación del otro como un legítimo otro, en la convivencia.

    Humberto Maturana: El sentido de lo humano

    Estaba contra toda razón científica que dos personas apenas conocidas, sin parentesco alguno entre ellas, con caracteres distintos, con culturas distintas, y hasta con sexos distintos, se vieron comprometidas de golpes a vivir juntas, a dormir en la misma cama, a compartir dos distintos destinos que tal vez estuvieran determinados en sentidos divergentes.

    Gabriel García Márquez: El amor en los tiempos del colera

    Nada se parece tanto al infierno como un matrimonio feliz. Gabriel García Márquez: Diatriba de amor contra un hombre sentado.

    Hay un vector primordial que ha estado en mí desde siempre -quizás adquirido a través de algunos de mis genes: la curiosidad, que me condujo, hace ya muchos años, a indagar por cuanto me rodeaba; que desde luego comprendía los seres humanos. Es en esa saga metafórica donde se entreveran los recuerdos, en los múltiples avatares y en las vicisitudes, unidos confusamente en la memoria, sin hilación alguna.

    Pero bien, sé que debo concretarme en un intento, no siempre logrado, de escapar de la asociación libre. Ese intento, que es impuesto por la pertinacia, es la dicha curiosidad acerca de cómo ocurren las cosas en los seres humanos, es decir, de la fisiología. Pero resulta que no hay una enseñanza universitaria con ese referente exclusivo. Así, hube de comenzar los estudios de medicina, que me ofrecían esa oportunidad inicial. Pero con esos conocimientos no podía hacer nada -si acaso enseñarlos en un

  10. La cultura comunicada en el origen de la violencia humana

    OpenAIRE

    Garrido Lora, Manuel

    2003-01-01

    La ciencia actual considera la preponderancia de los factores culturales sobre los biológicos en la determinación de la violencia humana intraespecífica.Con independencia de los propósitos –intrumentales o emocionales– y los agentes –individuos o grupos -, la violencia está presente en todas las culturas, como demuestran los más recientes estudios antropológicos. Los valores culturales dominantes determinan el desarrollo o inhibición de pautas de comportamiento violento a partir d...

  11. Ausencia de mujeres negras en los estudios sobre discapacidades humanas

    OpenAIRE

    Mena Ortiz, Luz Zaret

    2012-01-01

    Una investigación intencionalmente organizada para dar cuenta de la realidad vivida por las mujeres negras en situación de discapacidad pasa por rescatar el pensamiento y el activismo de las mujeres en el movimiento afro en la medida en que dicho movimiento, tan diverso en su accionar como en sus registros y alcances históricos, ha sido elaborado al vaivén de los debates locales, nacionales e internacionales centrados en la cuestión étnico-racial negra, afrodescendiente, palenquera y raizal. ...

  12. comunicación humana

    Directory of Open Access Journals (Sweden)

    Constanza Moya Pardo

    2006-01-01

    Full Text Available Este artículo pretende mostrar los planteamientos cognitivos más representativos de la Teoría de la Relevancia propuesta por Spelber & Wilson con respecto al modelo ostensivoinferencial. Este modelo plantea un mecanismo deductivo explícito que da cuenta de los procesos y estrategias que permiten el paso del significado literal a la interpretación pragmática de los mensajes en el proceso de comunicación humana.

  13. [Placenta accreta--prenatal diagnosis, treatment].

    Science.gov (United States)

    Tsankova, M; Marinov, B; Bozhilov, D; Pirnareva, E

    2013-01-01

    Placenta accreta is a potentially life threatening obstetric condition that requires a multidisciplinary management. Placenta praevia and previous Cesarean section are the two most important known risk factors for placenta accreta. This study presents two patients having both of the foremention risk factors diagnosed ultrasonographically with placenta accreta in the second trimester. Ultrasound findings considered suggestive of placenta accreta are: presence of placental lacunae (vascular spaces), loss of the hyperehoic uterine serosa-bladder wall interface, loss of the retroplacental hypoechoic clear space, hypervascularity of the interface between the uterine wall and the bladder wall/isthmico-cervical zone, presence of placenta praevia, either anterior or posterior, overlying the uterine scar. Both of the cases with suspected placenta accreta ended successfully by planned preterm Cesarean hysterectomy with the placenta left in situ. Placenta accreta is a significant cause of maternal morbidity and mortality and the most common reason for urgent postpartum hysterectomy.

  14. Música y cerebro: influencia del arte musical en la biología humana

    OpenAIRE

    Siesto Sánchez, Violeta

    2017-01-01

    Trabajo de fin de grado. Grado en Biología. Curso académico 2016-2017 El trabajo analiza la posible influencia de la música en el desarrollo de las habilidades humanas. Se analiza la anatomía humana relacionada en el proceso, desde el sistema auditivo hasta la corteza cerebral. La segunda parte del estudio lo pone en relación con el proceso de percepción y se refiere a la relaciónd el hombre con la música a lo largo de la historia, con particular atención a la influencia que pueda haber t...

  15. Fraccionando la microbiota gastrointestinal humana

    OpenAIRE

    Peris Bondia, Francisco

    2012-01-01

    La microbiota gastrointestinal humana es una de las comunidades microbianas más diversa y compleja que se puede encontrar en la naturaleza. Las nuevas tecnologías de secuenciación permiten obtener una amplia visión de la diversidad microbiana, lo que ha revelado una gran cantidad de bacterias no cultivables. A pesar del potencial de estas tecnologías de alto rendimiento la metagenómica no muestra la imagen completa. La citometría de flujo es una metodología que permite describir y/o separa...

  16. [Do you know "Humanae Vitae"?].

    Science.gov (United States)

    Gakwaya, D

    1993-04-01

    This work, appearing on the 25th anniversary of "Humanae Vitae," describes the contents of the encyclical on family planning, summarizes reactions to it from western church leaders, and reflects on its relevance to modern societies. "Humanae Vitae" begins with a statement acknowledging the problems posed by population growth to societies and to individual families. Deteriorating conditions of housing and employment and increasing economic and educational inadequacies often make it difficult to raise large families in the modern world. Views of the role of women in society and of the value of marital love and the significance of the sex act in relation to marital love have undergone change. The document raised the question of whether it is time to entrust to couples greater responsibility in regulating their fertility. The document referred to the reasons why the Pope and the Church have the authority to answer such a question and described the care with which the document was prepared before moving to the second major part of the article, that concerning doctrinal principles. After remarking on the respect due to nature, to the purposes of the conjugal act which were identified as union and procreation, and to faithfulness to God's design, the Pope moved on to condemn means of birth regulation termed illicit, which include abortion and direct sterilization as well as contraception. 2 exceptions were recognized, therapeutic sterilization and recourse to infertile periods for couples who for serious reasons wished to avoid pregnancy. The third section instructed priests, couples, bishops, and others in their duties in relation to the contents of Humanae Vitae. The encyclical was praised by some church leaders but also questioned. The fact that the work was not presented as infallible and possible conflicts with the duty of men affirmed in Vatican II not to act against their consciences were noted. When Humanae Vitae was published, the world population was 3.6 billion

  17. PLACENTA PRAEVIA- TIMELY DECISION MANDATORY!

    Directory of Open Access Journals (Sweden)

    Kshama Kedar

    2017-11-01

    Full Text Available BACKGROUND Antepartum Haemorrhage (APH is still a grave obstetric emergency contributing to a significant amount of maternal and perinatal morbidity and mortality in our country. Placenta Praevia (PP complicates 0.33%1 to 0.55%2 of all pregnancies. This study is to evaluate how far we have come and the effect of treatment on the perinatal and maternal outcome and study the maternal and foetal outcome in placenta praevia and its prevalence in tertiary care hospital. The aim of the study is to study the maternal and foetal outcome in placenta praevia and assess the importance of early diagnosis and treatment. Objective of the study was to determine the cause of placenta praevia and assess the value of current obstetric practice in managing placenta praevia. MATERIALS AND METHODS Prospective study was carried out in a tertiary care hospital on 60 patients who presented with PP in the ANC OPD and in emergency over a period of 2 years with gestational age >28 weeks and no blood dyscrasias or bleeding source other than the uterus. RESULTS Maximum cases (69.11% were unbooked, more in multiparous (41.67% and commonly associated with previous caesarean section (41.6%. 41.46% belonged to 25-29 years of age. 56.67% were more than 36 weeks of gestation at the time of admission. Out of 60, 9 (15% had absent foetal heart sound and 6 (10% had foetal distress at time of admission. 56 (93.3 cases delivered by caesarean section, 29 (48.3% cases were elective, while 27 (45% were done in emergency. 1 (1.6% underwent caesarean hysterectomy. 16 (26.6% had PPH postoperatively managed by medical methods. 2 (3.3% had scar dehiscence and 3 (5% patients went in sepsis. Commonest complication (26.67% was anaemia. 5 (8.3% babies of placenta praevia were premature. CONCLUSION Placenta praevia constitutes 35% of the causes of placental bleeding leading to antepartum haemorrhage, which is a leading cause of maternal morbidity. Hence, timely diagnosis and intervention is of

  18. Hidatidosis humana en el Perú

    Directory of Open Access Journals (Sweden)

    Luis Guerra Montero

    2015-06-01

    Full Text Available El objetivo de este trabajo ha sido conocer el estado de la hidatidosis humana, por la gran incidencia que presenta en nuestro país, principalmente en la región central andina. La recopilación de datos fue a partir de la revisión de fuentes primarias sobre epidemiología, el ciclo vital del parásito y del manejo del paciente afecto de Hidatidosis. Algunos hallazgos permiten afirmar que la hidatidosis es una enfermedad producida por el estado larval del cestodo Echinococcus del género Granulosus, de alta prevalencia en nuestro país y más en la región central andina, esto se debe principalmente a la costumbre de convivir con perros y ganado ovino así como también a la falta de educación y concientización de la población. Los estudios serológicos como Elisa IgG y Wester Blot por su mayor sensibilidad y especificidad son las pruebas de primera línea para confirmar el diagnóstico. Dependiendo del tamaño, las características del quiste hidatídico y su localización se decide el tratamiento. La hidatidosis es una enfermedad producida por el cestodo Echinococcus Granulosus de alta prevalencia en el Perú y más aún en la región central andina (Cerro de Pasco, Junín, Huancavelica, tiene un lento crecimiento dentro de los órganos humanos pudiendo ser asintomáticos hasta la edad adulta, los órganos más afectados son el hígado y el pulmón donde son diagnosticados por sus antecedentes epidemiológicos, clínica sugestiva (dolor abdominal, vómica estudios de imagen principalmente ecografía abdominal, radiografía de tórax y exámenes de laboratorio como el Elisa IgG y Wester Blot.

  19. Características de la transmisión perinatal del virus de la inmunodeficiencia humana en la región zuliana

    OpenAIRE

    Villalobos, Noren

    2002-01-01

    Objetivo: Determinar las características de la transmisión perinatal del virus de la inmunodeficiencia humana en la región zuliana, y establecer la efectividad de la terapia antirretroviral empleada. Método: Estudio retrospectivo, descriptivo, simple y estratificado de embarazadas con virus de inmunodeficiencia humana positivo diagnosticadas antes o durante el embarazo, entre el 1º de julio de 1996 hasta el 31 de diciembre de 2000. Ambiente: Departamento Obstétrico del Hospital Universitario ...

  20. Postpartum MR diagnosis of retained placenta accreta

    Energy Technology Data Exchange (ETDEWEB)

    Tanaka, Yumiko Oishi; Itai, Yuji [Department of Radiology, Institute of Clinical Medicine, University of Tsukuba, 1-1-1 Tennodai, 305-8575, Tsukuba, Ibaraki (Japan); Shigemitsu, Sadahiko [Department of Obstetrics and Gynecology, Ryugasaki Saiseikai General Hospital, Ryagasaki (Japan); Ichikawa, Yoshihito; Sohda, Satoshi; Yoshikawa, Hiroyuki [Department of Obstetrics and Gynecology, Institute of Clinical Medicine, University of Tsukuba, 1-1-1 Tennodai, 305-8575, Tsukuba, Ibaraki (Japan)

    2004-06-01

    Retained placenta accreta can cause catastrophic postpartum hemorrhage. This study aims to determine whether MR imaging can differentiate retained placenta accreta from postpartum hemorrhage caused by other conditions. Fourteen cases suspicious for retained placenta were examined with MR imaging. Signal intensity, the enhancing pattern of uterine contents, and flow voids within the myometrium were retrospectively studied. As hysterectomy was performed in only two cases, final diagnosis was based on clinical outcome and analysis of uterine contents. Final diagnoses were retained placenta accreta in seven cases, retained normally attached placenta in four, hematoma in two, and placental site trophoblastic tumor (PSTT) in one. All seven cases with placenta accreta had a very hyperintense area on T2-weighted images, showing transient early enhancement. None demonstrated delayed strong enhancement around the hyperintense area. In two cases with retained normally attached placenta and in both with hematomas, there were no hyperintense areas on T2-weighted images. Of these, only one showed transient early enhancement. Flow voids were observed in four cases with placenta accreta, one with normally attached placenta, and the case with PSTT. A markedly hyperintense area on T2-weighted images and transient early enhancement without delayed strong enhancement between the mass and the myometrium can indicate retained placenta accreta. (orig.)

  1. Postpartum MR diagnosis of retained placenta accreta

    International Nuclear Information System (INIS)

    Tanaka, Yumiko Oishi; Itai, Yuji; Shigemitsu, Sadahiko; Ichikawa, Yoshihito; Sohda, Satoshi; Yoshikawa, Hiroyuki

    2004-01-01

    Retained placenta accreta can cause catastrophic postpartum hemorrhage. This study aims to determine whether MR imaging can differentiate retained placenta accreta from postpartum hemorrhage caused by other conditions. Fourteen cases suspicious for retained placenta were examined with MR imaging. Signal intensity, the enhancing pattern of uterine contents, and flow voids within the myometrium were retrospectively studied. As hysterectomy was performed in only two cases, final diagnosis was based on clinical outcome and analysis of uterine contents. Final diagnoses were retained placenta accreta in seven cases, retained normally attached placenta in four, hematoma in two, and placental site trophoblastic tumor (PSTT) in one. All seven cases with placenta accreta had a very hyperintense area on T2-weighted images, showing transient early enhancement. None demonstrated delayed strong enhancement around the hyperintense area. In two cases with retained normally attached placenta and in both with hematomas, there were no hyperintense areas on T2-weighted images. Of these, only one showed transient early enhancement. Flow voids were observed in four cases with placenta accreta, one with normally attached placenta, and the case with PSTT. A markedly hyperintense area on T2-weighted images and transient early enhancement without delayed strong enhancement between the mass and the myometrium can indicate retained placenta accreta. (orig.)

  2. El zinc, micronutriente importante en la salud humana

    OpenAIRE

    Alicia Velázquez Pérez; Orelvis Pérez Duerto; Juan Rafael Pino de los Reyes

    2014-01-01

    La importancia biológica del zinc fue admitida por primera vez hace más de un siglo y en la actualidad continúan los estudios que avalan su valor en la nutrición humana. Se ha comprobado que la falta de zinc es bastante frecuente en la población de los países en vías de desarrollo, sobre todo en edades pediátricas, y se asocia en general a malnutrición y deficiencias de otros micronutrientes. El diagnóstico de la deficiencia leve de zinc en el hombre es difícil, ya que produce muchos síntomas...

  3. Interventions for suspected placenta praevia.

    Science.gov (United States)

    Neilson, J P

    2003-01-01

    Because placenta praevia is implanted unusually low in the uterus, it may cause major, and/or repeated, antepartum haemorrhage. The traditional policy of care of women with symptomatic placenta praevia includes prolonged stay in hospital and delivery by caesarean section. To assess the impact of any clinical intervention applied specifically because of a perceived likelihood that a pregnant woman might have placenta praevia. A comprehensive electronic search was performed to identify relevant literature. Searched databases included the Trials Register maintained by the Cochrane Pregnancy and Childbirth Group (August 2002), and the Cochrane Controlled Trials Register (The Cochrane Library, Issue 2, 2002). Any controlled clinical trial that has assessed the impact of an intervention in women diagnosed as having, or being likely to have, placenta praevia. Data were extracted, unblinded, by the author without consideration of results. Three trials were included, involving a total of 114 women. Both tested interventions (home versus hospitalisation and cervical cerclage versus no cerclage) were associated with reduced lengths of stay in hospital antenatally: weighted mean difference (WMD) respectively -18.50 days (95% confidence interval (CI) -26.83 to -10.17), -4.80 days (95% CI -6.37 to -3.23). Otherwise, there was little evidence of any clear advantage or disadvantage to a policy of home versus hospital care. The one woman who had a haemorrhage severe enough to require immediate transfusion and delivery was in the home care group. Cervical cerclage may reduce the risk of delivery before 34 weeks: relative risk (RR) 0.45 (95% CI 0.23 to 0.87), or the birth of a baby weighing less than two kilograms RR 0.34 (0.14 to 0.83) or having a low five minute Apgar score RR 0.19 (0.04 to 1.00). In general, these possible benefits were more evident in the trial of lower methodological quality. There are insufficient data from trials to recommend any change in clinical practice

  4. Placenta accreta spectrum: accreta, increta, and percreta.

    Science.gov (United States)

    Silver, Robert M; Barbour, Kelli D

    2015-06-01

    Placenta accreta can lead to hemorrhage, resulting in hysterectomy, blood transfusion, multiple organ failure, and death. Accreta has been increasing steadily in incidence owing to an increase in the cesarean delivery rate. Major risk factors are placenta previa in women with prior cesarean deliveries. Obstetric ultrasonography can be used to diagnose placenta accreta antenatally, which allows for scheduled delivery in a multidisciplinary center of excellence for accreta. Controversies exist regarding optimal management, including optimal timing of delivery, surgical approach, use of adjunctive measures, and conservative (uterine-sparing) therapy. We review the definition, risk factors, diagnosis, management, and controversies regarding placenta accreta. Copyright © 2015 Elsevier Inc. All rights reserved.

  5. Plan de intervención en seguridad humana 75-cien, un análisis desde la implementación de políticas públicas en materia de seguridad ciudadana en Bogotá. Estudio de caso UPZ Las Cruces

    OpenAIRE

    Serrano Maldonado, Lina Maria

    2015-01-01

    La presente investigación tiene como objetivo principal, explicar la influencia de la línea de intervención de Seguridad Humana del plan 75-cien, en la seguridad ciudadana de la UPZ Las Cruces, con el fin de demostrar que la política pública no influye de manera significativa en la seguridad ciudadana de la UPZ Las Cruces, ante la participación casi nula de la Policía Nacional en el proyecto. A pesar de que la intervención focaliza el territorio y prioriza las necesidades sociales, el vacío q...

  6. Increased placental trophoblast inclusions in placenta accreta.

    Science.gov (United States)

    Adler, E; Madankumar, R; Rosner, M; Reznik, S E

    2014-12-01

    Trophoblast inclusions (TIs) are often found in placentas of genetically abnormal gestations. Although best documented in placentas from molar pregnancies and chromosomal aneuploidy, TIs are also associated with more subtle genetic abnormalities, and possibly autism. Less than 3% of non-aneuploid, non-accreta placentas have TIs. We hypothesize that placental genetics may play a role in the development of placenta accreta and aim to study TIs as a potential surrogate indicator of abnormal placental genetics. Forty cases of placenta accreta in the third trimester were identified in a search of the medical records at one institution. Forty two third trimester control placentas were identified by a review of consecutively received single gestation placentas with no known genetic abnormalities and no diagnosis of placenta accreta. Forty percent of cases with placenta accreta demonstrated TIs compared to 2.4% of controls. More invasive placenta accretas (increta and percreta) were more likely to demonstrate TIs than accreta (47% versus 20%). Prior cesarean delivery was more likely in accreta patients than controls (67% versus 9.5%). Placenta accreta is thought to be the result of damage to the endometrium predisposing to abnormal decidualization and invasive trophoblast growth into the myometrium. However, the etiology of accreta is incompletely understood with accreta frequently occurring in women without predisposing factors and failing to occur in predisposed patients. This study has shown that TIs are present at increased rates in cases of PA. Further studies are needed to discern what underlying pathogenic mechanisms are in common between abnormal placentation and the formation of TIs. Published by Elsevier Ltd.

  7. [MANAGEMENT OF PLACENTA ACCRETA, DIAGNOSED BEFORE BIRTH].

    Science.gov (United States)

    Dimitrov, A; Garnizov, T; Frundeva, B; Masseva, A; Zlatkov, V

    2015-01-01

    The optimal management of placenta accreta and until now remains unclear. The reasons for this are a rarity of this condition and the considerable heterogeneity of the group under the term "placenta accreta." Total hysterectomy during caesarean section is the most common approach to a known placenta accreta. Planned or emergency perinatal hysterectomy is associated with several complications--damage to the urinary tract, relaparotomiya, massive blood transfusions and stay in ICU. The average blood loss is about 3000 ml. To reduce blood loss in perinatal hysterectomy contribute: preliminary uterine artery occlusion, istmus-coporal longitudinal hysterectomy for extraction of the fetus, placental extraction along with the uterus. To save the woman's uterus at placenta accreta are using the following methods: cutting the uterine wall on which is located the placenta, imposing single stitches covering 2-3 cm in 1 cm, around the placental area; removal of the maximum possible part of the placenta; using longitudinal hysterectomy. So far, there are no comparative studies of the efficacy of different surgical techniques to preserve the uterus cases of placenta accreta. Extraction of the placenta to be done after the administration of uterotonics and devascularization the uterus. To reduce bleeding from the uterus after removal of parts of the placenta and according to the situation can be used: x-back hemostatic sutures from internal side of the uterus, tamponade with gauze roll, balloon catheters or haemostatic mushrooms. Conservative surgical treatment of placenta accreta is not always possible. In hospital Maternity Hospital-Sofia for the period 1986-2000 there were 17 cases of placenta accreta diagnosed only at birth. Maintaining the uterus was successful in 35% of these cases.

  8. Microvascularization on collared peccary placenta

    DEFF Research Database (Denmark)

    Santos, Tatiana Carlesso; Oliveira, Moacir Franco; Dantzer, Vibeke

    2012-01-01

    and fetal compartments of the placentae. The immunolocalization of vimentin in the vascular endothelium and in the smooth muscle cells of blood vessels showed indented capillaries along the uterine epithelium and the trophoblast at the sides of complementary maternal and fetal microfolds, or rugae...... into a microvascular network wall in a basket-like fashion. At the base of these baskets venules were formed. On the fetal side, arterioles branched centrally in the fetal rugae into a capillary network in a bulbous form, complementary to the opposite maternal depressions forming the baskets. At the base...

  9. Reoccurrence of retained placenta at vaginal delivery

    DEFF Research Database (Denmark)

    Nikolajsen, Sys; Løkkegaard, Ellen Christine Leth; Bergholt, Thomas

    2013-01-01

    To estimate the prevalence and validate the diagnosis of retained placenta in nulliparous women and the risk of reoccurrence at subsequent vaginal delivery.......To estimate the prevalence and validate the diagnosis of retained placenta in nulliparous women and the risk of reoccurrence at subsequent vaginal delivery....

  10. Pluralidad humana en el destierro

    Directory of Open Access Journals (Sweden)

    Marta Beatriz Gaviria-Londoño

    2013-10-01

    Full Text Available Contar “otra historia” del destierro para iluminar la comprensión del problema identitario de los desterrados y del fenómeno político del destierro. Alcance: Estudio desarrollado en Medellín, la segunda ciudad del país con mayor recepción de desterrados en Colombia. Metodología: A partir de entrevistas conversacionales a seis hombres y mujeres residentes de Medellín, que habían sido expulsados violentamente de la zona rural; construimos autobiografías, en las que se da forma y representa el tejido de significados de la experiencia, creamos y aplicamos una matriz interpretativa sobre la triple mimesis ricoeuriana. Resultados: Puede leerse en las autobiografías que el destierro, visto como acontecimiento narrativo, es una historia singular, una pérdida de mundo que no comenzó ni terminó con la expulsión; evidencia una democracia reducida, la precariedad del Estado social de derecho, una profundización de injusticias y otras violencias; y revela al sujeto desterrado como ser en movimiento con distintas formas de aparecer en el mundo, libre y capaz de iniciar algo nuevo como persona ética y política. Conclusiones: Narrar humaniza al desterrado, lo singulariza como “cuerpo”, mostrando que como ser en movimiento es un sujeto ético y político.

  11. Steroid metabolism in the mouse placenta

    International Nuclear Information System (INIS)

    Okker-Reitsma, G.H.

    1976-01-01

    The purpose of the study described in this thesis was to investigate the capacity for steroid synthesis of the mouse placenta - especially the production of progesterone, androgens and estrogens - and to determine, if possible, the relation of steroid synthesis to special cell types. In an introductory chapter the androgen production in the mouse placenta is surveyed by means of a histochemical and bioindicator study of different stages of development of the placenta. The metabolism of [ 3 H]-dehydroepiandrosterone and [ 3 H]-progesterone by mouse placental tissue in vitro is studied. The metabolism of [ 3 H]-progesterone by the mouse fetal adrenal in vitro is also studied

  12. The placenta in toxicology. Part III : Pathologic assessment of the placenta

    OpenAIRE

    Cline, J Mark; Dixon, Darlene; Ernerudh, Jan; Faas, Marijke M; Göhner, Claudia; Häger, Jan-Dirk; Markert, Udo R; Pfarrer, Christiane; Svensson-Arvelund, Judit; Buse, Eberhard

    2014-01-01

    This short review is derived from the peer-reviewed literature and the experience and case materials of the authors. Brief illustrated summaries are presented on the gross and histologic normal anatomy of rodent and macaque placentas, including typical organ weights, with comments on differences from the human placenta. Common incidental findings, background lesions, and induced toxic lesions are addressed, and a recommended strategy for pathologic evaluation of placentas is provided.

  13. A Case Report and Literature Review of Midtrimester Termination of Pregnancy Complicated by Placenta Previa and Placenta Accreta

    OpenAIRE

    Matsuzaki, Satoko; Matsuzaki, Shinya; Ueda, Yutaka; Tanaka, Yusuke; Kakuda, Mamoru; Kanagawa, Takeshi; Kimura, Tadashi

    2014-01-01

    Objective - Concurrent placenta previa and placenta accreta increase the risk of massive obstetric hemorrhage. Despite extensive research on the management of placenta previa (including placenta accreta, increta, and percreta), the number and quality of previous studies are limited. We present a case of placenta accreta requiring an induced second-trimester abortion because of premature rupture of the membranes (PROM). Study Design - Case report and review of the literature. Results -...

  14. Decellularization of placentas: establishing a protocol

    Directory of Open Access Journals (Sweden)

    L.C.P.C. Leonel

    2017-11-01

    Full Text Available Biological biomaterials for tissue engineering purposes can be produced through tissue and/or organ decellularization. The remaining extracellular matrix (ECM must be acellular and preserve its proteins and physical features. Placentas are organs of great interest because they are discarded after birth and present large amounts of ECM. Protocols for decellularization are tissue-specific and have not been established for canine placentas yet. This study aimed at analyzing a favorable method for decellularization of maternal and fetal portions of canine placentas. Canine placentas were subjected to ten preliminary tests to analyze the efficacy of parameters such as the type of detergents, freezing temperatures and perfusion. Two protocols were chosen for further analyses using histology, scanning electron microscopy, immunofluorescence and DNA quantification. Sodium dodecyl sulfate (SDS was the most effective detergent for cell removal. Freezing placentas before decellularization required longer periods of incubation in different detergents. Both perfusion and immersion methods were capable of removing cells. Placentas decellularized using Protocol I (1% SDS, 5 mM EDTA, 50 mM TRIS, and 0.5% antibiotic preserved the ECM structure better, but Protocol I was less efficient to remove cells and DNA content from the ECM than Protocol II (1% SDS, 5 mM EDTA, 0.05% trypsin, and 0.5% antibiotic.

  15. Marcadores de estrés oxidativo en placentas de gestantes añosas

    Directory of Open Access Journals (Sweden)

    Silvia Suárez

    2007-12-01

    Full Text Available Introducción: Un factor de riesgo alto ginecoobstétrico que contribuye a la morbimortalidad materna perinatal es la edad materna mayor de 35 años. Es posible que el estado oxidativo en la placenta de la gestante añosa sea mayor a la de la gestante no añosa. Objetivo: Evaluar el estado oxidativo de la placenta en gestantes mayores de 35 años. Diseño: Estudio observacional y transversal. Lugar: Hospital Nacional Docente Materno Infantil San Bartolomé y Centro de Investigación de Bioquímica y Nutrición de la Universidad Nacional Mayor de San Marcos. Material biológico: 28 placentas de gestantes de 35 años o más y 28 placentas de gestantes de menos de 35 años, obtenidas de partos vaginales a término. Intervenciones: La muestra de placenta se homogenizó al 10% con buffer fosfato 10 mM, pH 7,4, se centrifugó a 2000 rpm por 5’. Parte del sobrenadante se usó para analizar lipoperoxidación y glutatión (GSH; el sobrenadante restante fue centrifugado a 42 000 rpm por 1 hora, para medir actividad de superóxido dismutasa (SOD. Principales medidas de resultados: Estado oxidativo de placentas obtenidas de mujeres añosas y no añosas. Resultados: La actividad de la SOD y el contenido de GSH placentarios en añosas fue 43,52 U/g de tejido y 4,67 µmol/mL x 10-²; para el grupo control fueron 54,13 U/g de tejido y 6,02 µmol/mL x 10-², respectivamente; en ambos hubo significancia estadística (p < 0,05. La medición de TBARS (lipoperoxidación no mostró diferencias significativas. Conclusiones: Las placentas obtenidas de mujeres añosas muestran menor capacidad de defensa antioxidante frente a las placentas obtenidas de mujeres no añosas.

  16. Myiasis gastrointestinal humana por Eristalis tenax

    Directory of Open Access Journals (Sweden)

    Marcelo Kun

    1998-08-01

    Full Text Available Son caracterizadas las myiasis registradas en Bariloche y establecidas las condiciones probables bajo las cuales se produjeron las infestaciones. Las larvas obtenidas a partir de heces de 2 pacientes fueron identificadas como Eristalis tenax (Diptera: Syrphidae de acuerdo a las claves de Hartley (1961 y Organización Panamericana de la Salud (1962. Estos 2 casos de myiasis gastrointestinal humana constituyen los primeros registrados en Bariloche (Patagonia, Argentina y sus características responden a las registradas para esta especie de Díptera en otras partes del mundo. La falta de control específico en el sistema domiciliario de suministro de agua ha sido la causa más probable de la infestación. Este registro extiende la distribución de E. tenax y de las myiasis gastrointestinales humanas en América del Sur hasta los 41º 03' S.

  17. Myiasis gastrointestinal humana por Eristalis tenax

    Directory of Open Access Journals (Sweden)

    Kun Marcelo

    1998-01-01

    Full Text Available Son caracterizadas las myiasis registradas en Bariloche y establecidas las condiciones probables bajo las cuales se produjeron las infestaciones. Las larvas obtenidas a partir de heces de 2 pacientes fueron identificadas como Eristalis tenax (Diptera: Syrphidae de acuerdo a las claves de Hartley (1961 y Organización Panamericana de la Salud (1962. Estos 2 casos de myiasis gastrointestinal humana constituyen los primeros registrados en Bariloche (Patagonia, Argentina y sus características responden a las registradas para esta especie de Díptera en otras partes del mundo. La falta de control específico en el sistema domiciliario de suministro de agua ha sido la causa más probable de la infestación. Este registro extiende la distribución de E. tenax y de las myiasis gastrointestinales humanas en América del Sur hasta los 41º 03' S.

  18. GESTIÓN HUMANA: TENDENCIAS Y PERSPECTIVAS

    Directory of Open Access Journals (Sweden)

    JUAN GUILLERMO SALDARRIAGA RÍOS

    2008-01-01

    Full Text Available En este artículo se hace referencia a las tendencias y las perspectivas de gestión humana que se imponen en el mundo en la actualidad y que, a su manera, pretenden optimizar la administración del personal de la organización y contribuir al desarrollo e incremento de la productividad y la competitividad. Mediante la realización de un Estado del Arte se logran determinar algunas de las tendencias más relevantes en la actualidad y se concluye que, cada vez con mayor fuerza, dichas tendencias se sustentan en discursos que pretenden "rescatar" al ser humano dentro de la organización, lo que no necesariamente se traduce en los procesos de gestión humana que se realizan en las organizaciones nacionales e internacionales.

  19. Genética humana e sociedade

    OpenAIRE

    Rosa, Vivian Leyser da

    2000-01-01

    Tese (doutorado) - Universidade Federal de Santa Catarina, Centro de Ciências da Educação. Análise do campo de estudos sobre o entendimento público da ciência, distinguindo os modelos de deficit cognitivo e interativo, bem como suas implicações na esfera educacional. Estudo do panorama dos avanços atuais da genética humana, do ponto de vista científico, ético e social. Análise de aspectos relativos ao ensino de genética humana nos cursos de graduação da área da saúde, em nove Universidades...

  20. Reproductive performance of Friesian mares after retained placenta and manual removal of the placenta

    NARCIS (Netherlands)

    Sevinga, M; Hesselink, JW; Barkema, H.W.

    2002-01-01

    Because the incidence of retained placenta in Friesian mares is estimated to be high, and no reports have been published on the reproductive performance of Friesian mares after retained placenta, we studied postpartum reproductive performance in Friesian brood mares with (n = 54) and without (n =

  1. Placenta Accreta and Total Placenta Previa in the 19th Week of Pregnancy

    Science.gov (United States)

    Findeklee, S.; Costa, S. D.

    2015-01-01

    Placentation disorders are the result of impaired embedding of the placenta in the endometrium. The prevalence of these disorders is estimated to be around 0.3 %. A history of previous prior uterine surgery (especially cesarean section and curettage) is the most common risk factor. Impaired placentation is differentiated into deep placental attachment; marginal, partial and total placenta previa; and placenta accreta, increta and percreta. Treatment depends on the severity of presentation and ranges from expectant management to emergency hysterectomy. In most cases, preterm termination of pregnancy is necessary. We report here on the case of a 39-year-old woman with placenta accreta and total placenta previa who underwent hysterectomy in the 19th week of pregnancy. PMID:26366004

  2. Assessing gene function in the ruminant placenta.

    Science.gov (United States)

    Anthony, R V; Cantlon, J D; Gates, K C; Purcell, S H; Clay, C M

    2010-01-01

    The placenta provides the means for nutrient transfer from the mother to the fetus, waste transfer from the fetus to the mother, protection of the fetus from the maternal immune system, and is an active endocrine organ. While many placental functions have been defined and investigated, assessing the function of specific genes expressed by the placenta has been problematic, since classical ablation-replacement methods are not feasible with the placenta. The pregnant sheep has been a long-standing animal model for assessing in vivo physiology during pregnancy, since surgical placement of indwelling catheters into both maternal and fetal vasculature has allowed the assessment of placental nutrient transfer and utilization, as well as placental hormone secretion, under unanesthetized-unstressed steady state sampling conditions. However, in ruminants the lack of well-characterized trophoblast cell lines and the inefficiency of creating transgenic pregnancies in ruminants have inhibited our ability to assess specific gene function. Recently, sheep and cattle primary trophoblast cell lines have been reported, and may further our ability to investigate trophoblast function and transcriptional regulation of genes expressed by the placenta. Furthermore, viral infection of the trophoectoderm layer of hatched blastocysts, as a means for placenta-specific transgenesis, holds considerable potential to assess gene function in the ruminant placenta. This approach has been used successfully to "knockdown" gene expression in the developing sheep conceptus, and has the potential for gain-of-function experiments as well. While this technology is still being developed, it may provide an efficient approach to assess specific gene function in the ruminant placenta.

  3. [Management of placenta previa and accreta].

    Science.gov (United States)

    Kayem, G; Keita, H

    2014-12-01

    Produce recommendations for the management of placenta previa and placenta accrete. A literature search was conducted using Medline and the Cochrane Library over a period from 1950 to 31/12/2013. Recommendations of the latest scientific societies have also been consulted. In cases of placenta previa, if bleeding episode before 34weeks gestation occurs, a short hospitalization and tocolysis may help stop bleeding (grade C). Vaginal delivery is preferable when the distance between the internal cervical os and the placental edge is greater than 20mm. When this distance is less than 20mm, vaginal delivery is possible (professional consensus). Caesarean section is recommended in cases of placenta overlapping the internal os (professional consensus). Antenatal screening placenta accreta could improve care (EL3). Upon discovery of a placenta accreta during childbirth, it is better to avoid a forced removal of the placenta (grade C). Conservative treatment or cesarean hysterectomy are possible (grade C). The management of placental abnormalities should be planned and managed with a multidisciplinary team (professional consensus). The use of blood-saving techniques such as "cell saver" is possible in situations where early intraoperative bleeding would be>1500mL (grade C). There are no studies that have sufficient methodological value to recommend an anesthetic technique [general anaesthesia (GA) or neuraxial anaesthesia] over another in the context of placental abnormalities (grade B). When a major bleeding risk is identified, GA can be chosen in order to avoid emergency conversions in difficult conditions (professional consensus). Placental insertion abnormalities require anesthetic and obstetric coordination. Delivery must be planned in a suitable structure. Copyright © 2014. Published by Elsevier Masson SAS.

  4. Alojamiento conjunto madre-hijo y lactancia humana exclusiva

    Directory of Open Access Journals (Sweden)

    FLORES-HUERTA SAMUEL

    1997-01-01

    Full Text Available Objetivo. Conocer la influencia del alojamiento conjunto (AC madre-hijo, en la frecuencia de lactancia humana exclusiva (LHE, desde el nacimiento hasta los cuatro meses de vida. Material y métodos. Estudio de cohortes no aleatorizado realizado en la clínica de lactancia del Hospital "Luis Castelazo Ayala", del Instituto Mexicano del Seguro Social, de enero de 1993 a octubre de 1994, en el que participaron 178 binomios madre-hijo (BMH sanos con gestación de término. El grupo con alojamiento conjunto (AC se integró con 90 BMH, y la madre recibió asesoría para lactar; 88 se atendieron en forma separada, sin asesoría para lactar. Se realizó análisis estadístico de los datos para apreciar frecuencia y asociaciones de las variables. Resultados. La alimentación se registró como LHE, fórmula o ambas. Los grupos con y sin AC se estratificaron por la forma de nacimiento, parto o cesárea. Con X² de Mantel-Haenszel y de rango logarítmico se aceptaron diferencias con p< 0.05. Durante el estudio la lactancia global fue semejante entre los grupos. En el primer mes la LHE fue mayor en el grupo con AC, 61 vs 42%, independientemente de la forma de nacimiento (p< 0.05. El AC fue la única variable que influyó para que se diera LHE. Conclusiones. El AC madre-hijo favorece la LHE en el primer mes posnacimiento.

  5. El zinc, micronutriente importante en la salud humana

    Directory of Open Access Journals (Sweden)

    Alicia Velázquez Pérez

    2014-08-01

    Full Text Available La importancia biológica del zinc fue admitida por primera vez hace más de un siglo y en la actualidad continúan los estudios que avalan su valor en la nutrición humana. Se ha comprobado que la falta de zinc es bastante frecuente en la población de los países en vías de desarrollo, sobre todo en edades pediátricas, y se asocia en general a malnutrición y deficiencias de otros micronutrientes. El diagnóstico de la deficiencia leve de zinc en el hombre es difícil, ya que produce muchos síntomas clínicos inespecíficos. Por todo ello se realizó una revisión bibliográfica, para contribuir a incrementar los conocimientos del personal médico sobre su importancia, alimentos donde se puede encontrar, patologías en las que más está indicado su uso en pediatría y la forma de administración

  6. El significado del éxito reproductivo en poblaciones humanas

    Directory of Open Access Journals (Sweden)

    Crognier, Emile

    2003-01-01

    Full Text Available Para la sociobióloga, el éxito reproductivo a sido desde el principio, la medida universal del valor adaptivo. La noción es muy discutible, considerando que se trata de una estimación individual, inapropiada a evaluar el valor selectivo de un (supuesto genotipo, pero a pesar de su inadecuación y de la simplificación de su evaluación en la mayoridad de los estudios, el éxito reproductivo permanezco una medida muy popular. En el caso de las poblaciones humanas, su medida tuvo que ser aun más simplificada para tomar en cuenta la larga extinción de las generaciones, hasta ser el número de descendientes sobreviviendo hasta madurez sexual. Sin embargo, su definición aun no logro de ser ni precisa ni satisfactoria y los últimos trabajos parecen indicar que así como el coeficiente de consanguinidad, su significado se revela en la profundidad de la sucesión de las generaciones. Se discuta este tema, apoyándose en datos de grupos Beraber de Marueccos y Aymara de Bolivia

  7. Altas tecnologías, conflictos armados y seguridad humana

    Directory of Open Access Journals (Sweden)

    Elena del Mar García Rico

    2016-01-01

    Full Text Available El examen de las amenazas para la seguridad y el bienestar de las personas inherentes al concepto de seguridad humana exige ocuparse también de las consecuencias que la utilización de las altas tecnologías puedan ocasionar en relación con los conflictos armados actuales. De ahí que en este trabajo abordemos los cambios relevantes en la naturaleza y características de los nuevos conflictos armados provocados por la celeridad y amplitud en el empleo de altas tecnologías y su desigual distribución entre los beligerantes, tal y como muestran las llamadas guerras de coste cero, de cuarta generación o asimétricas, e incluso las híbridas. Asimismo, el desarrollo reciente de las capacidades militares cibernéticas, de los sistemas de armas autónomos y de los vehículos aéreos no tripulados plantea nuevos retos al Derecho Internacional Humanitario, aspectos contemplados en este estudio.

  8. Produção da proteína recombinante anexina V humana em cultivos de Escherichia coli em batelada alimentada

    OpenAIRE

    Marder, Laura Schirmbeck

    2013-01-01

    A Anexina V é uma proteína humana endógena dependente de Ca+2, com peso molecular de 35,8 kDa, amplamente distribuída intracelularmente em altas concentrações na placenta e em concentrações mais baixas nas células endoteliais, renais, miocárdicas, epiteliais, esqueléticas musculares, eritrócitos, plaquetas e monócitos. Apresenta como principal característica a capacidade de se ligar à fosfatidilserina, um fosfolipídeo presente na camada interna da bicamada lipídica, que durante a apoptose cel...

  9. Perinatal outcome and near-miss morbidity between placenta previa versus abruptio placentae

    International Nuclear Information System (INIS)

    Siddique, S.A.; Tariq, G.; Sheikh, A.; Hussain, F.S.U.; Memon, K.A.

    2010-01-01

    To compare perinatal outcome and near-miss morbidities between placenta previa versus abruptio placentae in patients of antepartum haemorrhage (APH). Patients with APH diagnosed as placenta previa and abruptio placentae who delivered after 24 weeks of regnancy were selected from labour room. Outcome measures were birth weight, neonatal intensive care admission, stillbirth, perinatal mortality rates, near-miss, surgical intensive care admission, postpartum haemorrhage, hysterectomy, massive transfusion, renal failure, coagulopathy and maternal death. Stillbirth was defined as a fetus weighing greater or equal to 500 gm showing no sign of life after birth. Near-miss was defined as severe organ dysfunction which if not treated appropriately, could result in death. Descriptive statistics were calculated and chi-square was applied with significance level < 0.05. Stillbirths and perinatal mortality rates were significantly higher in abruptio placentae, 52.97% versus 18.18% and 534/1000 versus 230/1000 (p < 0.01). Near-miss cases were also significantly higher in abruptio placentae, 22.27%. Verus 11.18% (p < 0.01). Hypovolemic shock and coagulation failure were also significantly higher in abruptio placentae (p < 0.05). (author)

  10. Placenta percreta with urinary bladder involvement

    International Nuclear Information System (INIS)

    Al-Ojaimi, Eftekhar H.; Subramaniam, Balameenakshi V.

    2004-01-01

    A 37-years old Pakistani lady, who had previously undergone one cesarean delivery and one uterine curettage, was admitted to the labor ward at 29 weeks of gestation with history of sudden severe painless vaginal bleeding from a sonographically diagnosed placenta pervia. An immediate cesarean was performed and a live male infant was delivered. The placenta was morbidly adherent to the lower uterine segment and attempts at removal caused torrential bleeding, necesstiating cesarean hysterectomy. In addition, attempts to dissect the bldder from lower uterine segment was unsuccessful and, hence, the diagnosis of placenta percreta with involvement of urinary bladder was made. A modified posterior approach to the hyterectomy was carried out, with subsequent good recovery. (author)

  11. ESTUDIOS TRANSCULTURALES DEL BURNOUT: LOS ESTUDIOS TRANSCULTURALES BRASIL-ESPAÑA

    Directory of Open Access Journals (Sweden)

    Macarena Gálvez Herrer

    2003-07-01

    Full Text Available Los estudios transculturales no son un ejercicio secundario y complementario en el estudio de la psicología; un modelo antropológico de la conducta humana obliga a plantear que las variables culturales no son secundarias sino primarias. Por estas razones el estudio del “burnout†o desgaste profesional puede profundizarse mediante la utilización de los métodos transculturales. No es suficiente con la simple comparación de resultados, sino que es necesario buscar instrumentos propios de cada cultura y establecer la comparación no sólo del síndrome de desgaste profesional sino de todos los diferentes elementos del proceso. El trabajo presentado establece las bases teóricas de este planteamiento, y expone, mediante un ejemplo, algunas de las vías posibles para una psicología transcultural del burnout.

  12. Estudios transculturales del burnout: Los estudios transculturales Brasil-España

    Directory of Open Access Journals (Sweden)

    Bernardo Moreno Jiménez

    2003-01-01

    Full Text Available Los estudios transculturales no son un ejercicio secundario y complementario en el estudio de la psicología; un modelo antropológico de la conducta humana obliga a plantear que las variables culturales no son secundarias sino primarias. Por estas razones el estudio del “burnout” o desgaste profesional puede profundizarse mediante la utilización de los métodos transculturales. No es suficiente con la simple comparación de resultados, sino que es necesario buscar instrumentos propios de cada cultura y establecer la comparación no sólo del síndrome de desgaste profesional sino de todos los diferentes elementos del proceso. El trabajo presentado establece las bases teóricas de este planteamiento, y expone, mediante un ejemplo, algunas de las vías posibles para una psicología transcultural del burnout

  13. Conservative Management of Placenta Accreta in a Multiparous Woman

    OpenAIRE

    Jennifer C. Hunt

    2010-01-01

    Placenta accreta refers to any abnormally invasive placental implantation. Diagnosis is suspected postpartum with failed delivery of a retained placenta. Massive obstetrical hemorrhage is a known complication, often requiring peripartum hysterectomy. We report a case of presumed placenta accreta in a patient following failed manual removal of a retained placenta. We describe an attempt at conservative management with methotrexate in a stable patient desiring future fertility. Treatment was ...

  14. Gluconeogenesis in rat placenta during foetal development

    International Nuclear Information System (INIS)

    Bagewadikar, R.S.; Sharma, C.; Nadkarni, G.B.

    1977-01-01

    Variations in glycogen levels in rat placenta have been correlated with gluconeogenesis in this tissue. Placental homogenate could synthesize substantial amounts of glucose from L-alanine-U- 14 C in early pregnancy. This has been substantiated by the observed enhancement in the activities of glucose 6-phosphatase, fructose 1, 6-diphosphatase and phosphoenolpyruvate carboxykinase. Gluconeogenic activity in placenta could proceed till the foetal liver was able to take over this function. The increase or decrease in placental glycogen is concomitant with glycogen synthetase, but not phosphorylase, activity. The reversible catalytic properties of placental aldolase also show subtle functional changes during and late phases of gestation. (author)

  15. Gluconeogenesis in rat placenta during foetal development

    Energy Technology Data Exchange (ETDEWEB)

    Bagewadikar, R S; Sharma, C; Nadkarni, G B [Bhabha Atomic Research Centre, Bombay (India). Biochemistry and Food Technology Div.

    1977-01-01

    Variations in glycogen levels in rat placenta have been correlated with gluconeogenesis in this tissue. Placental homogenate could synthesize substantial amounts of glucose from L-alanine-U-/sup 14/C in early pregnancy. This has been substantiated by the observed enhancement in the activities of glucose 6-phosphatase, fructose 1, 6-diphosphatase and phosphoenolpyruvate carboxykinase. Gluconeogenic activity in placenta could proceed till the foetal liver was able to take over this function. The increase or decrease in placental glycogen is concomitant with glycogen synthetase, but not phosphorylase, activity. The reversible catalytic properties of placental aldolase also show subtle functional changes during and late phases of gestation.

  16. Periodismo de Frontera y Dignidad Humana

    OpenAIRE

    Cetina Presuel, Rodrigo (ed.); Gutiérrez Atala, Fernando (ed.); Corredoira y Alfonso, Loreto (ed.)

    2017-01-01

    El presente libro explora cuál es el papel del Derecho y la Ética de la información en la protección de la dignidad humana, particularmente en relación con las actividades informativas que se dan en ámbitos transfronterizos, ya sea entre países colindantes o entre países y organizaciones que tienen influencia regional y en los asuntos internos de otros terceros países. Entre otros temas, el libro también mira hacia procesos de paz como el vivido en Colombia y por extensión analiza temas a...

  17. Fonoaudiología y lactancia humana

    Directory of Open Access Journals (Sweden)

    Karen Eliana Ramírez-Gómez

    2017-04-01

    Conclusiones. Se ratificó la acción del fonoaudiólogo como especialista en la organización desde la correlación anatómica y funcional de estructuras y órganos involucrados, tanto en la madre como en el infante, durante la lactancia. Además, se comprobó la pertinencia de la metodología IAP durante la consejería en fonoaudiología en entornos comunitarios y lactancia humana.

  18. Hidatidosis humana en el Perú

    OpenAIRE

    Luis Guerra Montero; María Ramírez Breña

    2015-01-01

    El objetivo de este trabajo ha sido conocer el estado de la hidatidosis humana, por la gran incidencia que presenta en nuestro país, principalmente en la región central andina. La recopilación de datos fue a partir de la revisión de fuentes primarias sobre epidemiología, el ciclo vital del parásito y del manejo del paciente afecto de Hidatidosis. Algunos hallazgos permiten afirmar que la hidatidosis es una enfermedad producida por el estado larval del cestodo Echinococcus del género Granulosu...

  19. Per operative discovery of Placenta Praevia Percreta: A case report ...

    African Journals Online (AJOL)

    Placenta percreta is a rare pathological entity with challenging diagnostic and therapeutic requirements especially for resource limited settings. We present here the case of a 40 year old woman with a per operative diagnosis of placenta accreta during a caesarian section indicated for placenta praevia. We highlight the ...

  20. INTRODUCTION The incidence of retained placenta varies greatly ...

    African Journals Online (AJOL)

    balance between the post-partum haemorrhage risk of leaving the placenta in ... Conclusion: Retained placenta still remains a potentially life threatening condition in ... obstetric services by high skilled health care providers in ensuring a properly conducted .... of the preterm placenta may require more uterine work and time ...

  1. Correlation between placenta and umbilical cord morphplogy and ...

    African Journals Online (AJOL)

    Context: The ability of the fetus to grow and thrive in-utero depends on a number of factors of which the placenta is a contributor. The umbilical cord is an essential organ connecting the fetus to the placenta and a healthy placenta is essential for good perinatal outcome. Objectives: The study aims at determining the ...

  2. El papel de la asertividad sexual en la sexualidad humana: una revisión sistemática

    Directory of Open Access Journals (Sweden)

    Pablo Santos-Iglesias

    2010-01-01

    Full Text Available El estudio de la asertividad sexual ha generado resultados que demuestran su importancia y su papel fundamental en la sexualidad humana. En este estudio teórico se lleva a cabo una revisión sistemática de los principales resultados obtenidos en estos estudios. Después de una búsqueda en las principales bases de datos se obtiene un total de 76 trabajos publicados entre 1980 y 2009, que demuestran que la asertividad sexual es un factor determinante tanto de la respuesta sexual como del funcionamiento sexual humano. Además se relaciona de forma directa con una visión positiva de la sexualidad humana y con algunas variables sociodemográficas como el sexo, aunque esta relación no está clara. Otros estudios ponen de manifiesto que es un factor de protección ante experiencias de abuso y victimización sexual, así como ante conductas sexuales de riesgo. Se discuten los resultados y se plantea la necesidad de incluir la asertividad sexual de forma específica, más que la asertividad general, en los programas educativos y en intervenciones con poblaciones en situación de riesgo.

  3. Escalating placenta invasiveness: repeated placenta accreta at the limit of viability

    Science.gov (United States)

    Greenbaum, Shirley; Khashper, Alla; Leron, Elad; Ohana, Eric; Meirovitz, Mihai; Hershkovitz, Reli; Erez, Offer

    2016-01-01

    Placenta percreta is an obstetric condition in which the placenta invades through the myometrium. This is the most severe form of placenta accreta and may result in spontaneous uterine rupture, a rare complication that threatens the life of both mother and fetus. In this case report, we describe a 32-year-old woman in her fourth pregnancy, diagnosed with repeated placenta accreta, which was eventually complicated by spontaneous uterine rupture at 24 weeks’ gestation. This patient had a history of abnormal placentation in prior pregnancies and previous uterine injuries. This case demonstrates a pattern of escalating placental invasiveness, and raises questions regarding the process of abnormal placentation and the manifestation of uterine rupture in scarred uteri. PMID:27143953

  4. A Case Report and Literature Review of Midtrimester Termination of Pregnancy Complicated by Placenta Previa and Placenta Accreta

    Directory of Open Access Journals (Sweden)

    Satoko Matsuzaki

    2015-04-01

    Full Text Available Objective - Concurrent placenta previa and placenta accreta increase the risk of massive obstetric hemorrhage. Despite extensive research on the management of placenta previa (including placenta accreta, increta, and percreta, the number and quality of previous studies are limited. We present a case of placenta accreta requiring an induced second-trimester abortion because of premature rupture of the membranes (PROM. Study Design - Case report and review of the literature. Results - A 41-year-old female presented at 20 weeks of gestation with placenta previa and PROM. Ultrasonography revealed placenta accreta with multiple placental lacunae. She then developed massive hemorrhaging just prior to a planned termination of pregnancy. We performed a hysterectomy with the intent of preserving life because of the failure of the placenta to detach and blood loss totaling 4,500 mL. Conclusion - Previous studies suggest that second-trimester pregnancy terminations in cases of placenta previa which are not complicated with placenta accreta do not have a particularly high risk of hemorrhage. However, together with our case, the literature suggests that placenta previa complicated with placenta accreta presents a significant risk of hemorrhage both during delivery and intraoperatively. Further reports are needed to evaluate the most appropriate treatment options.

  5. A Case Report and Literature Review of Midtrimester Termination of Pregnancy Complicated by Placenta Previa and Placenta Accreta.

    Science.gov (United States)

    Matsuzaki, Satoko; Matsuzaki, Shinya; Ueda, Yutaka; Tanaka, Yusuke; Kakuda, Mamoru; Kanagawa, Takeshi; Kimura, Tadashi

    2015-04-01

    Objective Concurrent placenta previa and placenta accreta increase the risk of massive obstetric hemorrhage. Despite extensive research on the management of placenta previa (including placenta accreta, increta, and percreta), the number and quality of previous studies are limited. We present a case of placenta accreta requiring an induced second-trimester abortion because of premature rupture of the membranes (PROM). Study Design Case report and review of the literature. Results A 41-year-old female presented at 20 weeks of gestation with placenta previa and PROM. Ultrasonography revealed placenta accreta with multiple placental lacunae. She then developed massive hemorrhaging just prior to a planned termination of pregnancy. We performed a hysterectomy with the intent of preserving life because of the failure of the placenta to detach and blood loss totaling 4,500 mL. Conclusion Previous studies suggest that second-trimester pregnancy terminations in cases of placenta previa which are not complicated with placenta accreta do not have a particularly high risk of hemorrhage. However, together with our case, the literature suggests that placenta previa complicated with placenta accreta presents a significant risk of hemorrhage both during delivery and intraoperatively. Further reports are needed to evaluate the most appropriate treatment options.

  6. Evolution of the Placenta in Eutherian Mammals

    DEFF Research Database (Denmark)

    Carter, Anthony Michael; Mess, A

    2007-01-01

    of eutherian mammals had an endotheliochorial placenta or a haemochorial one. Research has been stimulated by improved understanding of the relations between the orders of mammals provided by molecular phylogenetics. In part, the uncertainties arise from doubt about how to root the mammalian tree. Resolution...

  7. The sick placenta - the role of malaria

    NARCIS (Netherlands)

    Brabin, B. J.; Romagosa, C.; Abdelgalil, S.; Menéndez, C.; Verhoeff, F. H.; McGready, R.; Fletcher, K. A.; Owens, S.; D'Alessandro, U.; Nosten, F.; Fischer, P. R.; Ordi, J.

    2004-01-01

    The human placenta is an ideal site for the accumulation of Plasmodium falciparum malaria parasites, and as a consequence serious health problems arise for the mother and her baby. The pathogenesis of placental malaria is only partially understood, but it is clear that it leads to a distinct

  8. The Placenta: Applications in Orthopaedic Sports Medicine.

    Science.gov (United States)

    McIntyre, James Alexander; Jones, Ian A; Danilkovich, Alla; Vangsness, C Thomas

    2018-01-01

    Placenta has a long history of use for treating burns and wounds. It is a rich source of collagen and other extracellular matrix proteins, tissue reparative growth factors, and stem cells, including mesenchymal stem cells (MSCs). Recent data show its therapeutic potential for orthopaedic sports medicine indications. To provide orthopaedic surgeons with an anatomic description of the placenta, to characterize its cellular composition, and to review the literature reporting the use of placenta-derived cells and placental tissue allografts for orthopaedic sports medicine indications in animal models and in humans. Systematic review. Using a total of 63 keyword combinations, the PubMed and MEDLINE databases were searched for published articles describing the use of placental cells and/or tissue for orthopaedic sports medicine indications. Information was collected on placental tissue type, indications, animal model, study design, treatment regimen, safety, and efficacy outcomes. Results were categorized by indication and subcategorized by animal model. Outcomes for 29 animal studies and 6 human studies reporting the use of placenta-derived therapeutics were generally positive; however, the placental tissue source, clinical indication, and administration route were highly variable across these studies. Fourteen animal studies described the use of placental tissue for tendon injuries, 13 studies for osteoarthritis or articular cartilage injuries, 3 for ligament injuries, and 1 for synovitis. Both placenta-derived culture-expanded cells (epithelial cells or MSCs) and placental tissue allografts were used in animal studies. In all human studies, commercial placental allografts were used. Five of 6 human studies examined the treatment of foot and ankle pathological conditions, and 1 studied the treatment of knee osteoarthritis. A review of the small number of reported studies revealed a high degree of variability in placental cell types, placental tissue preparation, routes

  9. Failed manual removal of the placenta after vaginal delivery

    DEFF Research Database (Denmark)

    Bjurström, Johanna; Collins, Sally; Langhoff-Roos, Jens

    2018-01-01

    PURPOSE: A retained placenta after vaginal delivery where manual removal of placenta fails is a clinical challenge. We present six cases that illustrate the heterogeneity of the condition and discuss the etiology and terminology as well as the clinical management. METHODS: Members of the European...... and the UK provide examples of various treatment strategies such as ultrasound-guided vaginal removal, removal of the placenta through a hysterotomy and just leaving the placenta in situ. The placentas were all retained, but it was only possible to diagnose abnormal invasion in the one case, which had...

  10. Placenta percreta is associated with more frequent severe maternal morbidity than placenta accreta.

    Science.gov (United States)

    Marcellin, Louis; Delorme, Pierre; Bonnet, Marie Pierre; Grange, Gilles; Kayem, Gilles; Tsatsaris, Vassilis; Goffinet, François

    2018-05-04

    Abnormally invasive placentation is the leading cause of obstetric hysterectomy and can cause poor to disastrous maternal outcomes. Most previous studies of peripartum management and maternal morbidity have included variable proportions of severe and less severe cases. The aim of this study was to compare maternal morbidity from placenta percreta and accreta. This retrospective study at a referral center in Paris includes all women with abnormally invasive placentation from 2003 to 2017. Placenta percreta and accreta were diagnosed histologically or clinically. When placenta percreta was suspected before birth, a conservative approach leaving the placenta in situ was proposed because of the intraoperative risk of cesarean delivery. When placenta accreta was suspected, parents were offered a choice of a conservative approach or an attempt to remove the placenta, to be followed in case of failure by hysterectomy. Maternal outcomes were compared between women with placenta percreta and those with placenta accreta/increta. The primary outcome measure was a composite criterion of severe acute maternal morbidity including at least one of the following: hysterectomy during cesarean delivery, delayed hysterectomy, transfusion of ≥ 10 units of packed red blood cells, septic shock, acute kidney injury, cardiovascular failure, maternal transfer to intensive care, or death. Of the 156 women included, 51 had placenta percreta and 105 placenta accreta. Abnormally invasive placentation was suspected antenatally nearly four times more frequently in the percreta than the accreta group (96.1% (49/51) vs. 25.7% (27/105), P placentation (48.7%), the rate of antenatal decisions for conservative management was higher in the percreta than the accreta group (100% (49/49) vs. 40.7% (11/27), Paccreta group (86.3% (44/51) vs. 28/105 (26.7%), P placentation diameter > 6 cm showed similar results (86.0% (43/50) vs. 48.7% (19/38), P accreta group (52.9% (27/51) vs. 20.9% (22/105), P accreta

  11. Tratamiento contra la rabia humana: un poco de su historia

    Directory of Open Access Journals (Sweden)

    Maria Cristina Schneider

    1994-12-01

    Full Text Available El presente trabajo es una revisión histórica del tratamiento utilizado contra la rabia humana, desde la antigüedad hasta el momento actual. Pretende hacer una analogía entre el concepto de causa predominante en la época y el tipo de tratamiento utilizado. Los griegos antiguos tenían la diosa Artemisa como sanadora de la rabia y ya utilizaban la cauterización de la herida. Los pueblos del siglo I conocían la capacidad infecciosa en la saliva de perros rabiosos, llamando a ese material de veneno virus (en latín. En la Edad Media, cuando prevalecía un concepto mágico y religioso de la salud, el gran protector era San Humberto. Con el Renacimiento surgen nuevamente muchos experimentos y avances en el conocimiento de la enfermedad, que sentaron las bases para los importantes hallazgos en el futuro próximo. En esa época predominaba la teoría miasmática y del contagio. Pasteur fue un grande opositor de la espontaneidad de la rabia. A finales del siglo XIX, con los descubrimientos microbianos, Pasteur hizo la gran revolución científica en relación al tratamiento contra la rabia, que es la vacuna. Las vacunas pueden actualmente ser de tipo nervioso o no, variando también el numero de dosis recomendadas. Se han desarrollado muchos estudios sobre vacunas, siendo la más utilizada en América Latina del tipo Fuenzalida y Palacios, y la recomendada actualmente por la OMS es la de cultivo celular.

  12. Tratamiento contra la rabia humana: un poco de su historia

    Directory of Open Access Journals (Sweden)

    Schneider Maria Cristina

    1994-01-01

    Full Text Available El presente trabajo es una revisión histórica del tratamiento utilizado contra la rabia humana, desde la antigüedad hasta el momento actual. Pretende hacer una analogía entre el concepto de causa predominante en la época y el tipo de tratamiento utilizado. Los griegos antiguos tenían la diosa Artemisa como sanadora de la rabia y ya utilizaban la cauterización de la herida. Los pueblos del siglo I conocían la capacidad infecciosa en la saliva de perros rabiosos, llamando a ese material de veneno virus (en latín. En la Edad Media, cuando prevalecía un concepto mágico y religioso de la salud, el gran protector era San Humberto. Con el Renacimiento surgen nuevamente muchos experimentos y avances en el conocimiento de la enfermedad, que sentaron las bases para los importantes hallazgos en el futuro próximo. En esa época predominaba la teoría miasmática y del contagio. Pasteur fue un grande opositor de la espontaneidad de la rabia. A finales del siglo XIX, con los descubrimientos microbianos, Pasteur hizo la gran revolución científica en relación al tratamiento contra la rabia, que es la vacuna. Las vacunas pueden actualmente ser de tipo nervioso o no, variando también el numero de dosis recomendadas. Se han desarrollado muchos estudios sobre vacunas, siendo la más utilizada en América Latina del tipo Fuenzalida y Palacios, y la recomendada actualmente por la OMS es la de cultivo celular.

  13. Nivel de conocimientos de médicos generales integrales de Las Tunas sobre nutrición humana

    Directory of Open Access Journals (Sweden)

    Eslhey Sánchez Domínguez

    2014-08-01

    Full Text Available La nutrición humana es un instrumento imprescindible a la hora de realizar intervenciones de salud, para ello se requiere de profesionales con un nivel adecuado de conocimientos sobre esta materia. Se realizó un estudio observacional, descriptivo, transversal, en las cuatro áreas de salud del municipio de Las Tunas, en el período comprendido entre septiembre de 2010 y febrero de 2011. El objetivo de la investigación fue caracterizar los niveles de conocimientos sobre nutrición humana que tienen los especialistas y los residentes en medicina general integral. La muestra quedó conformada por 162 profesionales, a los que se les aplicó un cuestionario estructurado en cinco temas. Se realizó el análisis porcentual de los resultados y, de acuerdo al análisis integral del cuestionario, el 56,2% demostró conocimientos en los niveles medio y alto, el resto evidenció insuficiencias significativas (71 profesionales. Por el tipo de pregunta, el 49,4% (80 profesionales reveló dificultades en diferentes aspectos que constituyen generalidades de nutrición humana. En contraste con ello, el 62,3% demostró niveles de conocimientos medios y altos acerca del empleo de la nutrición en la prevención y tratamiento de enfermedades. Por temas, las deficiencias se centraron en: Aspectos generales y Alimentos, con el 51,2 y 58,7%, respectivamente. Se concluye que en los profesionales incluidos en el estudio existió un discreto predominio de los que poseen niveles de conocimientos medios y altos sobre nutrición humana. Las mayores deficiencias cognoscitivas estuvieron al relacionar los nutrientes con los alimentos y en aspectos generales de nutrición, que es necesario tener presente a la hora de promocionar estilos de vida saludables

  14. Estudio EPIFARM

    Directory of Open Access Journals (Sweden)

    Martín Morales A

    2010-12-01

    Full Text Available INTRODUCCIÓN Los farmacéuticos comunitarios pueden ser un importante primer punto de contacto con los pacientes con disfunción eréctil (DE, pero hasta la fecha no hay ningún estudio sobre las características de los hombres que acuden a un farmacéutico solicitando consejo o tratamiento para la DE. OBJETIVO Caracterizar los perfiles de los hombres que solicitan tratamiento para la DE en la farmacia, con o sin receta de inhibidores de la fosfodiesterasa tipo 5 (iPDE5. MÉTODOS Entre septiembre y noviembre de 2008 se realizó un estudio observacional, transversal y multicéntrico en farmacias comunitarias de España. De aquellos hombres que solicitaban consejo o tratamiento para la DE, cada investigador reclutó un paciente que tenía receta médica de iPDE5 y otro que acudía sin receta médica. Los farmacéuticos del estudio completaron un cuestionario de datos demográficos, clínicos y conductuales del paciente, incluido el Cuestionario de salud sexual para varones (Sexual Health Inventory for Men. VARIABLES PRINCIPALES Características demográficas y respuestas a los cuestionarios. RESULTADOS 574 farmacéuticos seleccionaron a 1.147 pacientes, de los cuales 1.113 fueron incluidos en el análisis. No se observaron diferencias estadísticas entre los grupos en cuanto al peso, la hipertensión, la diabetes mellitus, la hipercolesterolemia, la dislipidemia, la depresión o el estrés. Tampoco se observaron diferencias estadísticas respecto a la gravedad de la DE (p = 0,7892 ni a la proporción de hombres sin DE en cada grupo (p = 0,5755. En ambos grupos, los pacientes habían presentado síntomas de DE durante una media de veintiséis meses antes de la primera consulta a un profesional sanitario. Para el 60,2% de los pacientes incluidos en el grupo sin receta, la visita a la farmacia fue la primera ocasión en la que habían hablado de su DE con un profesional sanitario, y el 50% de aquellos que habían hablado previamente de la DE lo hab

  15. Epidemiologia da raiva humana na Guanabara

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    Alfredo R. Matta B. da Silva

    1971-08-01

    Full Text Available A raiva humana se mantém como problema de Saúde Pública, especialmente nas áreas urbanas, onde o cão atua como principal reservatório e fonte imediata de infecção. A deficiência de programas de controle de cães vadios, de imunização sistemática e de educação sanitária, contribui para a perpetuação da cadeia epidemiológioa. O presente estudo analisa todos os casos de raiva humana, observados em habitantes do Estado da Guanabara, no período 1965-1969, segundo as variáveis: idade, sexo, côr, variação estacional, período de incubação e de duração da fase clínica, fonte de infecção, local de mordedura e uso de vacina posterior à exposição. Os principais resultados foram: 1. A ravia na Guanabara, parece ser mais comum nos grupos etários mais jovens e nos homens. 2. Não se observou variação estacional. 3. O período de incubação mediano foi de 45 dias e de duração da fase clínica de 3 dias. 4. Ocorreu uma associação entre período de incubação menor e vacinação incompleta.

  16. Relevancia de la anatomía humana en el ejercicio de la medicina de asistencia primaria y en el estudio de las asignaturas de segundo ciclo de la licenciatura en medicina Relevance of Gross Human Anatomy in health primary care and in clinical disciplines of medical studies

    Directory of Open Access Journals (Sweden)

    Blanca Mompeó

    2003-03-01

    Full Text Available El objetivo de este trabajo fue conocer la relevancia y la necesidad que de conocimientos en Anatomía macroscópica tenían los médicos de asistencia primaria y los alumnos del segundo ciclo de la licenciatura en Medicina. También nos interesó saber cual era su opinión sobre esta disciplina del curriculum médico. Para ello, médicos de asistencia primaria de los Centros de Salud de la provincia de las Palmas y alumnos de 6º curso de la Licenciatura en Medicina de la U.L.P.G.C., cumplimentaron un cuestionario en el que se valoraron los aspectos referidos. Ambos grupos consideraron que la Anatomía era fundamental para la exploración física y para la interpretación de técnicas de imagen. Los conocimientos más necesarios a la hora de su aplicación a la práctica y al estudio de las asignaturas clínicas fueron los de sistema nervioso y aparato locomotor. Modificarían la docencia que recibieron, incrementando el número de clases prácticas y dándole un mayor enfoque clínico. Los tres objetivos fundamentales de aprendizaje propuestos por los profesionales en ejercicio fueron: 1. Conocer las estructuras anatómicas y relaciones entre ellas 2. Reconocer estructuras anatómicas mediante técnicas de imagen y 3. Ser capaz de describir las bases anatómicas de la patología.The aim of this work was to highlight the relevance and necessity about gross anatomy knowledge had on family physicians and clinical-courses medical students. We also wanted to know their suggestions about the discipline Human Anatomy in Medical studies. To obtain our objective, physicians of Health Centres in Las Palmas and last-year medical students of U.L.P.G.C. were asked to fill a questionnaire. In this questionnaire the referred items were considered. The data obtained showed that both groups thought that Gross Anatomy was fundamental in the physical exploration and the image techniques interpretation. They considered that anatomical knowledge more necessary for

  17. Magnetic resonance imaging of placenta accreta

    Science.gov (United States)

    Varghese, Binoj; Singh, Navdeep; George, Regi A.N; Gilvaz, Sareena

    2013-01-01

    Placenta accreta (PA) is a severe pregnancy complication which occurs when the chorionic villi (CV) invade the myometrium abnormally. Optimal management requires accurate prenatal diagnosis. Ultrasonography (USG) and magnetic resonance imaging (MRI) are the modalities for prenatal diagnosis of PA, although USG remains the primary investigation of choice. MRI is a complementary technique and reserved for further characterization when USG is inconclusive or incomplete. Breath-hold T2-weighted half-Fourier rapid acquisition with relaxation enhancement (RARE) and balanced steady-state free precession imaging in the three orthogonal planes is the key MRI technique. Markedly heterogeneous placenta, thick intraplacental dark bands on half-Fourier acquisition single-shot turbo spin-echo (HASTE), and disorganized abnormal intraplacental vascularity are the cardinal MRI features of PA. MRI is less reliable in differentiating between different degrees of placental invasion, especially between accreta vera and increta. PMID:24604945

  18. Magnetic resonance imaging of placenta accreta

    Directory of Open Access Journals (Sweden)

    Binoj Varghese

    2013-01-01

    Full Text Available Placenta accreta (PA is a severe pregnancy complication which occurs when the chorionic villi (CV invade the myometrium abnormally. Optimal management requires accurate prenatal diagnosis. Ultrasonography (USG and magnetic resonance imaging (MRI are the modalities for prenatal diagnosis of PA, although USG remains the primary investigation of choice. MRI is a complementary technique and reserved for further characterization when USG is inconclusive or incomplete. Breath-hold T2-weighted half-Fourier rapid acquisition with relaxation enhancement (RARE and balanced steady-state free precession imaging in the three orthogonal planes is the key MRI technique. Markedly heterogeneous placenta, thick intraplacental dark bands on half-Fourier acquisition single-shot turbo spin-echo (HASTE, and disorganized abnormal intraplacental vascularity are the cardinal MRI features of PA. MRI is less reliable in differentiating between different degrees of placental invasion, especially between accreta vera and increta.

  19. Magnetic resonance imaging of placenta accreta

    International Nuclear Information System (INIS)

    Varghese, Binoj; Singh, Navdeep; George, Regi A.N; Gilvaz, Sareena

    2013-01-01

    Placenta accreta (PA) is a severe pregnancy complication which occurs when the chorionic villi (CV) invade the myometrium abnormally. Optimal management requires accurate prenatal diagnosis. Ultrasonography (USG) and magnetic resonance imaging (MRI) are the modalities for prenatal diagnosis of PA, although USG remains the primary investigation of choice. MRI is a complementary technique and reserved for further characterization when USG is inconclusive or incomplete. Breath-hold T2-weighted half-Fourier rapid acquisition with relaxation enhancement (RARE) and balanced steady-state free precession imaging in the three orthogonal planes is the key MRI technique. Markedly heterogeneous placenta, thick intraplacental dark bands on half-Fourier acquisition single-shot turbo spin-echo (HASTE), and disorganized abnormal intraplacental vascularity are the cardinal MRI features of PA. MRI is less reliable in differentiating between different degrees of placental invasion, especially between accreta vera and increta

  20. Transfer RNA methylases in rat placenta

    International Nuclear Information System (INIS)

    Jagtiani, S.K.; Narurkar, L.M.; Narurkar, M.V.

    1977-01-01

    Presence of tRNA methylases (5-adenosylmethionine : tRNA methyltransferases) was demonstrated at various stages of gestation in rat placenta, the enzyme being 50-100% higher than that of adult rat liver during early gestation. Placental tRNA methylases were shown to differ from those of liver in the extent of methylation. Glycine methyltransferase (S-adenosylmethionine : glycine methyltransferase), a regulatory enzyme in adult rat liver, was absent in placenta throughout gestation. The placental tRNA methylases could be inhibited in vitro by semipurified glycine methyltransferase from adult rat liver. The high placental tRNA methylase activity was comparable with the inhibitor-free enzyme activity of the adult rat liver. S-adenosyl-[Me- 14 C]-methionine was used in the investigation. (author)

  1. A novel scoring system for predicting adherent placenta in women with placenta previa.

    Science.gov (United States)

    Tanimura, Kenji; Morizane, Mayumi; Deguchi, Masashi; Ebina, Yasuhiko; Tanaka, Utaru; Ueno, Yoshiko; Kitajima, Kazuhiro; Maeda, Tetsuo; Sugimura, Kazuro; Yamada, Hideto

    2018-04-01

    Placenta previa (PP) is one of the most significant risk factors for adherent placenta (AP). The aim of this study was to evaluate the diagnostic efficacy of a novel scoring system for predicting AP in pregnant women with PP. This prospective cohort study enrolled 175 women with PP. The placenta previa with adherent placenta score (PPAP score) is composed of 2 categories: (1) past history of cesarean section (CS), surgical abortion, and/or uterine surgery; and (2) ultrasonography and magnetic resonance imaging findings. Each category is graded as 0, 1, 2, or 4 points, yielding a total score between 0 and 24. When women with PP had PPAP score ≥8, they were considered to be at a high risk for AP and received placement of preoperative internal iliac artery occlusion balloon catheters. If they were found to have AP during CS, they underwent hysterectomy or placenta removal using advanced bipolar with balloon catheter occlusion. The predictive accuracy of PPAP score was evaluated. In total, 23 of the 175 women with PP were diagnosed as having AP, histopathologically or clinically. Twenty-one of 24 women with PPAP score ≥8 had AP, whereas two of 151 women with PPAP score PPAP scoring system may be useful for predicting AP in women with PP. Copyright © 2018 Elsevier Ltd. All rights reserved.

  2. Escalating placenta invasiveness: repeated placenta accreta at the limit of viability

    Directory of Open Access Journals (Sweden)

    Greenbaum S

    2016-04-01

    Full Text Available Shirley Greenbaum,1 Alla Khashper,2 Elad Leron,1 Eric Ohana,1 Mihai Meirovitz,1 Reli Hershkovitz,1 Offer Erez1 1Department of Obstetrics and Gynecology, 2Department of Radiology, Soroka University Medical Center, School of Medicine, Ben-Gurion University of the Negev, Be’er Sheva, Israel Abstract: Placenta percreta is an obstetric condition in which the placenta invades through the myometrium. This is the most severe form of placenta accreta and may result in spontaneous uterine rupture, a rare complication that threatens the life of both mother and fetus. In this case report, we describe a 32-year-old woman in her fourth pregnancy, diagnosed with repeated placenta accreta, which was eventually complicated by spontaneous uterine rupture at 24 weeks’ gestation. This patient had a history of abnormal placentation in prior pregnancies and previous uterine injuries. This case demonstrates a pattern of escalating placental invasiveness, and raises questions regarding the process of abnormal placentation and the manifestation of uterine rupture in scarred uteri. Keywords: placenta percreta, uterine injury, laparoscopy, dilatation and curettage, residua, cesarean section scar, spontaneous uterine rupture

  3. The placenta of the salp (Tunicata: Thaliacea).

    Science.gov (United States)

    Bone, Q; Pulsford, A L; Amoroso, E C

    1985-01-01

    The morphology of the mature 'placenta' of the pelagic tunicate Salpa fusiformis is described, and it is shown that two syncytial layers, intimately connected by interdigitating microvilli, separate maternal and embryonic circulations. The central placental layer facing the maternal circulation is bordered by membrane infoldings; the cortical layer facing the embryonic circulation is bordered by extensively branching microvilli. Both layers are of maternal origin, although embryonic leucocytes pass into, and add to, the cortical layer.

  4. Magnetic resonance imaging of the normal placenta

    International Nuclear Information System (INIS)

    Blaicher, Wibke; Brugger, Peter C.; Mittermayer, Christoph; Schwindt, Jens; Deutinger, Josef; Bernaschek, Gerhard; Prayer, Daniela

    2006-01-01

    The goal of this study was to provide a representative description of the normal placenta with contrast medium-free magnetic resonance imaging (MRI) in order to determine a standard of reference. One hundred consecutive singleton pregnancies were investigated by MRI without application of a contrast medium. The mean gestational age (GA) at the time of investigation was 29.5 weeks (range 19-40). Patients with suspected utero-placental insufficiency (UPI) or placental anomalies were excluded. Signal intensities were assessed and correlated with the respective GA. Antenatal MRI without contrast medium was able to depict placental status and morphological changes during gestation. A regular homogeneous structure was found in weeks 19-23. Subsequently, sporadic, slightly marked lobules appeared, which increased in number and markedness with ongoing gestation. Stratification of the lobules was observed after 36 weeks. The ratio of placental and amniotic fluid signal intensities decreased significantly with higher GA and with placental grading. MRI is well suited as an imaging method for the placenta. Our data may be used as a reference in the assessment of the placenta on MRI, and may have further clinical impact with respect to the determination of UPI

  5. Magnetic resonance imaging of the normal placenta

    Energy Technology Data Exchange (ETDEWEB)

    Blaicher, Wibke [Department of Gynecology and Obstetrics, University Hospital Vienna (Austria)]. E-mail: wibke.blaicher@meduniwien.ac.at; Brugger, Peter C. [Center of Anatomy and Cell Biology, University Hospital of Vienna (Austria); Mittermayer, Christoph [Department of Pediatrics, Division of Neonatology and Intensive Care, University Hospital of Vienna (Austria); Schwindt, Jens [Department of Pediatrics, Division of Neonatology and Intensive Care, University Hospital of Vienna (Austria); Deutinger, Josef [Department of Gynecology and Obstetrics, University Hospital Vienna (Austria); Bernaschek, Gerhard [Department of Gynecology and Obstetrics, University Hospital Vienna (Austria); Prayer, Daniela [Department of Radiology, Division of Neuroradiology, University Hospital of Vienna (Austria)

    2006-02-15

    The goal of this study was to provide a representative description of the normal placenta with contrast medium-free magnetic resonance imaging (MRI) in order to determine a standard of reference. One hundred consecutive singleton pregnancies were investigated by MRI without application of a contrast medium. The mean gestational age (GA) at the time of investigation was 29.5 weeks (range 19-40). Patients with suspected utero-placental insufficiency (UPI) or placental anomalies were excluded. Signal intensities were assessed and correlated with the respective GA. Antenatal MRI without contrast medium was able to depict placental status and morphological changes during gestation. A regular homogeneous structure was found in weeks 19-23. Subsequently, sporadic, slightly marked lobules appeared, which increased in number and markedness with ongoing gestation. Stratification of the lobules was observed after 36 weeks. The ratio of placental and amniotic fluid signal intensities decreased significantly with higher GA and with placental grading. MRI is well suited as an imaging method for the placenta. Our data may be used as a reference in the assessment of the placenta on MRI, and may have further clinical impact with respect to the determination of UPI.

  6. VULNERACIONES DE LA DIGNIDAD HUMANA AL FINAL DE LA VIDA

    OpenAIRE

    ROBERTO GERMÁN ZURRIARÁIN

    2017-01-01

    La muerte es constitutiva a la naturaleza humana y por ello tiene que acontecer de forma natural. Pero hay dos realidades que, principalmente, la falsifican: la eutanasia y la obstinación terapéutica. Dos opciones erróneas que no aceptan la realidad humana de la muerte (la primera adelantándola y la otra retrasándola). Desde el punto de vista filosófico y ético ambas son rechazadas, porque atentan contra la dignidad humana al final de la vida. Aparte de estas, en este artículo también se rech...

  7. A thick placenta: a predictor of adverse pregnancy outcomes.

    Science.gov (United States)

    Miwa, Ichiro; Sase, Masakatsu; Torii, Mayumi; Sanai, Hiromi; Nakamura, Yasuhiko; Ueda, Kazuyuki

    2014-01-01

    The aim of this study is to evaluate the efficacy of an ultrasonographic measurement of placental thickness and the correlation of a thick placenta with adverse perinatal outcome. Placental thickness was measured in single gravidas, 16 to 40 weeks of gestation, between 2005 and 2009. Placentas were considered to be thick if their measured thickness were above the 95th percentile for gestational age. The incidence of thick placentas was 4.3% (138/3,183). Perinatal morbidity and neonatal conditions were worse in cases with thick placenta rather than without thick placenta. Ultrasonographic measurement of placental thickness is a simple method to estimate placental size. Thick placenta may be a useful predictor of adverse pregnancy outcomes.

  8. MATERNAL AND PERINATAL OUTCOME IN ABRUPTIO PLACENTA

    Directory of Open Access Journals (Sweden)

    Prabha Janakiram

    2017-08-01

    Full Text Available BACKGROUND Antepartum Haemorrhage (APH is the leading cause of vaginal bleeding. It is also the important cause of maternal morbidity as well as perinatal morbidity. APH is defined as bleeding per vagina occurring after 28 weeks of gestation and before the birth of the baby. Among APH, abruptio placenta and placenta previa are the leading cause that endanger the life of the mother and a great risk to high unfavourable perinatal outcome. Placental abruption is the bleeding from the premature separation of the normally implanted placenta after 20 weeks of gestations and prior to the birth of the foetus/foetuses. It is the major contribution of obstetric haemorrhage and complicates 0.8 to 1% of pregnancies worldwide. Placental abruption is the premature separation of implanted placenta before the delivery of foetus/foetuses. The aim of the study is to analyse the risk factors associated with abruption and hence methods can be formulated to prevent maternal mortality and morbidity. MATERIALS AND METHODS The present study is a retrospective study and was done in the Department of Obstetrics and Gynaecology from July to December, 2016, for a period of 6 months in the year 2016 at Government K.A.P.V. Medical College, Trichy, South India. RESULTS The total number of abruption placenta cases reported during the study period- June 2016 to November 2016 were 40. The total number of livebirth during same period was 5,348. The stillbirth rate was 42.5% and neonatal death rate was 22.5%. Clinical information were collected, maternal age, parity, gestational age at parity, prior history of abruption, clinical presentation like pain, bleeding, type of abruption like concealed or revealed amount of retroplacental clots and its size and degree of abruption associated with hypertensive disorders, mode of delivery, abruption-delivery interval, maternal complications, requirement of blood transfusions and immediate neonatal outcome. The results of studies were

  9. Prevalencia de anticuerpos contra leptospira en población urbana humana y canina del departamento del tolima

    OpenAIRE

    Romero, Marlyn H.; Sánchez, Jorge A.; Hayek, Linda C.

    2012-01-01

    Objetivo Determinar la seroprevalencia de anticuerpos contra Leptospira sp. y los serovares dominantes, en población urbana humana y canina de tres municipios del departamento del Tolima, Colombia. Materiales y Métodos Se realizó un estudio epidemiológico trasversal con selección de sujetos por conveniencia en 62 barrios. Se obtuvieron muestras de 850 personas.y 850 caninos durante los meses de junio, julio y agosto de 2007, las cuales fueron procesadas utilizando la prueba de microaglutinaci...

  10. La genética humana en Costa Rica situación actual y sus perspectivas

    OpenAIRE

    Barrantes Mesén, Ramiro

    1985-01-01

    Artículo científico -- Universidad de Costa Rica. Instituto de Investigaciones en Salud, 1985 Se analiza la situación de la genética humana en Costa Rica mediante un estudio de la literatura científica publicada entre 1964 y 1984. Se muestra que a partir de 1976 se ha incrementado el número de publicaciones en este campo, destacando las investigaciones sobre hemoglobinas anormales, la estructura genética de varias poblaciones y la caracterización de algunas enfermedades hereditarias. Se co...

  11. Morphological changes in human placenta of wet snuff users

    International Nuclear Information System (INIS)

    Ashfaq, M.; Malik, M.A.

    2008-01-01

    Wet snuff is commonly used by both males and females in different parts of Pakistan. Apart from other ingredients, tobacco is the major component of snuff. Adverse effects of smoking on morphology of human placenta have been shown by some previous studies. But snuff is not considered as dangerous as smoking during pregnancy. This study was designed to see the effects of snuff on morphology of human placenta. In present study total 80 human placentae, 40 from normal and 40 from snuff users were used. This study was carried out in the Department of Anatomy Basic Medical Sciences Institution (BSMI) Karachi. Duration of study was six months. Samples were obtained from Gynaecology and Obstetric unit-I JPMC. Placentae washed well with running tap water to remove blood clots. Umbilical cord and other membranes were removed and placenta gently squeezed to expel the foetal blood. Gross features like weight, diameters, central thickness and attachment of umbilical cord were noted in normal and snuff users' placentae. Then placentae were preserved in 10% formalin for at least five days before the sectioning for micromorphology. Placentae divided in two groups-A and B. 4 macro m thick sections of the tissue were taken on rotary microtome and stained with H and E, Mallorys trichrome and methanamine silver for different histological observations. Mircromorpholgical changes have been observed in placentae of snuff users leading to loss of functional components of placentae. This loss of functional component may have deleterious effects on outcome of pregnancy. No significant gross morphological changes were found in snuff user placentae. Wet snuff effect the micromorphology of placenta leading to loss of functional component and in turn effects the exchange of materials between mother and foetus which may leads to intrauterine growth retardation. Loss of trophoblasts may lead to hormonal imbalance necessary for normal pregnancy and this imbalance can cause premature labour

  12. Efectos tóxicos del paracetamol en la salud humana y el ambiente

    Directory of Open Access Journals (Sweden)

    Rosa Leonor Acevedo-Barrios

    2017-06-01

    Full Text Available En este artículo se detallan los efectos tóxicos del paracetamol en la salud humana y el ambiente, detallando las generalidades del paracetamol APAP. El metabolismo del APAP y factores potenciales que influyen en su toxicidad, pasando por estudios de toxicidad y por último el destino ambiental. El paracetamol es un analgésico de uso común, presenta alta hidrosolubilidad, eliminándose hasta un 90% por gluconación o sulfación; pero su metabólito N-acetil-para-benzoilquinoneimina en ocasiones se expulsa por medio de las heces y orina, volviéndose un compuesto toxico persistente. Se observan efectos crónicos principalmente en organismos acuáticos, a través de la exposición a diferentes concentraciones de APAP durante un prolongado período de tiempo.

  13. Paz y seguridad humana en África: una visión desde la Unión Africana

    Directory of Open Access Journals (Sweden)

    Jerónimo Delgado

    2009-11-01

    Full Text Available En este artículo se analizan las diferentes iniciativas que ha tenido el continente africano en materia de solución de conflictos y consolidación de la paz desde la perspectiva de la seguridad humana. En la primera parte, se identifican los componentes de la seguridad humana y los factores de inseguridad a los que se exponen los individuos en África, para luego examinar los avances del marco legal de la Unión Africana en la prevención de conflictos con énfasis en la seguridad de los individuos.La segunda parte contiene un estudio de las medidas enmarcadas dentro de la seguridad humana con las que cuentan los estados africanos y la comunidad internacional para la adecuada protección de los individuos, mientras se da un acercamiento entre las partes del conflicto para alcanzar el fin de las hostilidades. Finalmente, se afirma que África reconoce que la seguridad de sus ciudadanos es viable si se entienda que ésta es una responsabilidad compartida por todo el continente, en donde el individuo juega un papel central.

  14. Bladder Saving Hysterectomy for Placenta Praevia Percreta | Dahiya ...

    African Journals Online (AJOL)

    Background: Placenta accreta is an abnormally firm attachment of placental villi to the uterine wall, which may cause postpartum hemorrhage. Placenta Percreta with invasion of the urinary bladder is a rare condition, which carries a high morbidity and mortality risk for mother and fetus. Case Report: The present case is of ...

  15. Kinetics of silica nanoparticles in the human placenta

    DEFF Research Database (Denmark)

    Poulsen, Marie Sønnegaard; Mose, Tina; Maroun, Lisa Leth

    2015-01-01

    choriocarcinoma cell line and the ex vivo perfused human placenta. Nanotoxicity in BeWo cells was examined by the MTT assay which demonstrated decreased cell viability at concentrations >100 µg/mL. In the placental perfusion experiments, antipyrine crossed the placenta rapidly, with a foetal:maternal ratio of 0...

  16. Delivery of placenta before baby in ruptured uterus | Ameh | Annals ...

    African Journals Online (AJOL)

    An unusual case of ruptured uterus characterized by spontaneous delivery of the placenta while the foetus is retained in the abdomen is presented. The management and prevention of ruptured uterus in Sub- Saharan Africa is discussed. Key Words: Delivery of placenta, ruptured uterus. Annals of African Medicine Vol.3(3) ...

  17. Economic and reproductive consequences of retained placenta in dairy cattle.

    NARCIS (Netherlands)

    Joosten, I.; Stelwagen, J.; Dijkhuizen, A.A.

    1988-01-01

    The financial losses due to retained placenta in Dutch dairy cattle were estimated by using two different methods of calculation. A data-set containing the birth records of 160,188 Meuse-Rhine-Yssel cows provided data on the reproductive performance of cows with and without retained placenta. The

  18. Risk factors for placenta praevia in Southern Nigeria | Eniola | East ...

    African Journals Online (AJOL)

    Design: A prospective case control study. Setting: A tertiary center - Obafemi Awolowo ... Conclusions: From our study, the risk factors for placenta praevia are a history of retained placenta, previous caesarean section, previous abortion, grand multiparity and maternal age over 35 years. (East African Medical Journal: 2002 ...

  19. Oxygen diffusive conductance in placentae from control and diabetic women

    DEFF Research Database (Denmark)

    Mayhew, T M; Sørensen, Flemming Brandt; Klebe, J G

    1993-01-01

    . maternal erythrocytes and plasma, villous trophoblast, villous stroma, fetal plasma and fetal erythrocytes. From partial conductances and birthweights, total and specific conductances for each placenta were determined. No differences were detected between diabetic placentae in different classes (A, B, C, D...

  20. Endothelial and lipoprotein lipases in human and mouse placenta

    DEFF Research Database (Denmark)

    Lindegaard, Marie L S; Olivecrona, Gunilla; Christoffersen, Christina

    2005-01-01

    Placenta expresses various lipase activities. However, a detailed characterization of the involved genes and proteins is lacking. In this study, we compared the expression of endothelial lipase (EL) and LPL in human term placenta. When placental protein extracts were separated by heparin-Sepharos...

  1. Association of placenta praevia with repeat cesarean section in ...

    African Journals Online (AJOL)

    Background: Several risk factors for placenta praevia exist, including previous cesarean section(C/S). This association has been investigated long time ago, however in this hospital there is no documented evidence. This study was done to assess the risk of placenta praevia based on number of previous cesarean sections.

  2. ESTUDIO DE LA DIGESTION HUMANA CON ALUMNOS CON DIFICULTADES DE APRENDIZAJE

    Directory of Open Access Journals (Sweden)

    Mª Begoña Carretero Gómez

    2009-01-01

    Full Text Available En esta experiencia se han seleccionado una serie de actividades relacionadas con la digestión con el fin de lograr una reestructuración de ideas y cambios conceptuales, y así con la conseguir que el alumnado aprenda a construir sus propios conocimientos acerca de cómo y donde se dan los procesos de digestión necesarios para la nutrición del organismo. El trabajo se ha llevado a cabo con alumnos de 3º de Educación Secundaria Obligatoria, pertenecientesal programa de diversificación curricular. Hemos querido hacer la ciencia más cercana para que comprendan que algunos procesos tienen su explicación científica y que la ciencia forma parte de nuestro día a día, fomentando el interés del estudiante así como su implicación en el proceso de enseñanza-aprendizaje. Por ello hemos trabajado a base de pequeñas investigaciones, donde es el alumno el que marca su ritmo de trabajo, investiga y hace sus aportaciones. Han aprendido a trabajar de una forma meticulosa donde el rigor esfundamental, contagiándose del afán investigador de manera que al realizar las experiencias se han aproximado al trabajo científico a la vez que aclaran y reestructuran conocimientos.

  3. Distanciamientos epistémicos dentro de los estudios sobre discapacidades humanas

    Directory of Open Access Journals (Sweden)

    Dora Inés Munévar M.

    2013-07-01

    Full Text Available Disability has been pathologized by medical knowledge focused on the biological body as an object of rehabilitation with nonmedical knowledge that manage standardization. Based on the reflexiveness, the article proposes interactions between social critical studies before applying the expertise, in order to situate the representation and knowledge production from the perspective of social studies of science, technology and medicine, and from theexperiences, to revive discussions opened by postcolonial and feminist studies. As a result,epistemic distancing questions the ways of doing research and thinking / understanding the socio-political reality experienced by women and men with disabilities.

  4. Aportaciones de la paleohistología humana al estudio de biomateriales

    OpenAIRE

    Nacarino Meneses, C.; Cambra-Moo, O.; Rodríguez Barbero, M. A.; González Martín, A.

    2012-01-01

    The deep study of archaeological human bone could provide relevant information to biomaterials science, as it could tell how the implant process of bioglasses and bioresorbable ceramics is. In this paper, we propose to study, by means of different microscopic, spectroscopic, and X-ray diffraction techniques, the histological and mineral bone variability throughout ontogeny. Extrapolating this data, we could have a better knowledge of biodegradable materials implant. In different ages, we coul...

  5. Los procesos de ramificación como instrumentos para el estudio de la fecundidad humana

    Directory of Open Access Journals (Sweden)

    Manuel Ordorica

    2002-01-01

    Full Text Available El objetivo de este trabajo es presentar un análisis de los cambios de la fecundidad observados en México a través de la Teoría de la Ramificación, desarrollada por Galton y Watson a finales del siglo XIX. Con esta técnica es posible calcular la probabilidad de extinción de una descendencia. Esta metodología estadística basada en el cálculo de probabilidades permite utilizar indicadores de la fecundidad derivados de los censos de población, según el orden de nacimiento, lo cual permite hacer un análisis diferente de esta variable al realizado hasta la fecha en nuestro país. Es posible analizar a qué número de hijas e hijos está tendiendo la población mexicana.

  6. Isotopic location of the placenta. Experience of Lariboisiere Hospital

    International Nuclear Information System (INIS)

    Naccache, Gilbert.

    1974-01-01

    All isotopic placenta location techniques make use of the vascularisation difference between the placenta and the neighbouring tissues. The principle is based on the amount of blood in the intervillous space and the maternal blood circulation rate in the placenta area. The techniques, all based on this principle, differ by the nature of the radioelement and the performance of the instruments used. Mention is made of the qualities governing the choice of radioisotope injected, with emphasis on the need to reduce the foetal irradiation. Two kinds of scintigraphic equipment are used, one with a mobile detector moving above the woman's abdomen and the other using a fixed detector, the scintillation camera, which gives the placenta image very rapidly. The practical details of an experiment covering 49 cases of placenta location, using a scintillation camera and sup(99m)Tc-labelled red blood cells, are described in full [fr

  7. Conservative Management of Placenta Accreta in a Multiparous Woman

    Directory of Open Access Journals (Sweden)

    Jennifer C. Hunt

    2010-01-01

    Full Text Available Placenta accreta refers to any abnormally invasive placental implantation. Diagnosis is suspected postpartum with failed delivery of a retained placenta. Massive obstetrical hemorrhage is a known complication, often requiring peripartum hysterectomy. We report a case of presumed placenta accreta in a patient following failed manual removal of a retained placenta. We describe an attempt at conservative management with methotrexate in a stable patient desiring future fertility. Treatment was unsuccessful and led to the development of a disseminated intrauterine infection complicated by a bowel obstruction, requiring both a hysterectomy and small bowel resection. In hemodynamically stable patients, conservative management of placenta accreta may involve leaving placental tissue in situ with subsequent administration of methotrexate. However, ongoing close observation is required to identify complications.

  8. Endovascular Interventions for the Morbidly Adherent Placenta

    Directory of Open Access Journals (Sweden)

    Claire Kaufman

    2018-05-01

    Full Text Available Morbidly adherent placentas are a spectrum of abnormalities ranging from placental invasion of the myometrium to invasion past the myometrium and muscular layers into adjacent structures. This entity is becoming more prevalent recently with increased number of cesarean deliveries. Given the high risk of morbidity and mortality, this was traditionally treated with pre-term planned cesarean hysterectomy. However, recently, uterine preservation techniques have been implemented for those women wishing to preserve future fertility or their uterus. Early identification is crucial as studies have shown better outcomes for women treated at tertiary care facilities by a dedicated multidisciplinary team. Interventional radiologists are frequently included in the care of these patients as there are several different endovascular techniques which can be implemented to decrease morbidity in these patients both in conjunction with cesarean hysterectomy and in the setting of uterine preservation. This article will review the spectrum of morbidly adherent placentas, imaging, as well as the surgical and endovascular interventions implemented in the care of these complex patients.

  9. The Programming Power of the Placenta

    Science.gov (United States)

    Sferruzzi-Perri, Amanda N.; Camm, Emily J.

    2016-01-01

    Size at birth is a critical determinant of life expectancy, and is dependent primarily on the placental supply of nutrients. However, the placenta is not just a passive organ for the materno-fetal transfer of nutrients and oxygen. Studies show that the placenta can adapt morphologically and functionally to optimize substrate supply, and thus fetal growth, under adverse intrauterine conditions. These adaptations help meet the fetal drive for growth, and their effectiveness will determine the amount and relative proportions of specific metabolic substrates supplied to the fetus at different stages of development. This flow of nutrients will ultimately program physiological systems at the gene, cell, tissue, organ, and system levels, and inadequacies can cause permanent structural and functional changes that lead to overt disease, particularly with increasing age. This review examines the environmental regulation of the placental phenotype with particular emphasis on the impact of maternal nutritional challenges and oxygen scarcity in mice, rats and guinea pigs. It also focuses on the effects of such conditions on fetal growth and the developmental programming of disease postnatally. A challenge for future research is to link placental structure and function with clinical phenotypes in the offspring. PMID:27014074

  10. LA CONDICIÓN HUMANA, ESENCIA EN LA FORMACIÓN DE PROFESIONALES DE ENFERMERÍA

    Directory of Open Access Journals (Sweden)

    Luz Divia Mejía Reales

    2015-06-01

    Full Text Available Se develó el significado que docentes y estudiantes le dan a la condici6n humana como esencia en la formación de futuros profesionales de Enfermería. Se realizó un estudio cualitativo, interpretativo y fenomenológico. La muestra fue intencional o selectiva y, para el análisis e interpretación de los datos se utilizó la matriz des- criptiva. En la institución objeto de estudio, se evidenció un proceso curricular que condiciona el quehacer docente al logro de objetivos e influye en las caracteristicas actitudinales de estudiantes y docentes, así como la ausencia del valor de la condi- ción humana en el acto pedagógico del programa de Enfermería estudiado. AbstractA qualitative, interpretive, and phenomenology study was conducted making possi- ble to reveal the significance of human condition as the essence in Nursing profes- sionals training given by teachers and students. The sample was intentional or se- lective and a descriptive matrix was used for the analysis and interpretation of data. The institution taken as object of study, showed a curriculum process that conditions the teaching work to achieve goals and to influence students and teachers attitudinal characteristics, in like manner, the absence of human value in the pedagogical act in Nursing program.

  11. TRANSEXUALIDADE E DIGNIDADE DA PESSOA HUMANA

    Directory of Open Access Journals (Sweden)

    Edwirges Elaine Rodrigues

    2015-10-01

    Full Text Available Este artigo resume-se a uma investigação sobre a transsexualidade ou disforia de gênero, em que o indivíduo não se identifica com o sexo que lhe foi imposto, mas sim, com o  gênero oposto ao seu. Os indivíduos transexuais enfrentam inúmeros preconceitos e dificuldades ao longo de suas vidas, podendo-se afirmar que para alcançar sua completude, o transexual necessita reconhecer-se como titular do sexo oposto em todos os sentidos, médico (adequação do sexo biológico ao sexo psicológico, social (inclusão social deste indivíduo, para que seja aceito pela sociedade e jurídico (perante a lei. No Brasil, não existe legislação específica a respeito da transsexualidade, assim, a regulamentação da cirurgia de transgenitalização é responsabilidade do Conselho Federal de Medicina, e após o árduo procedimento de transgenitalização, o transexual poderá obter a retificação do seu nome e sexo no registro civil, através de requerimento judicial. De maneira inovadora, alguns Tribunais, de acordo com o princípio da dignidade humana, têm concedido tais modificações antes mesmo da cirurgia de redesignação sexual, entretanto, este entendimento não está pacificado, o que acarreta grande injustiça e sofrimento a estas pessoas. Assim, busca-se demonstrar de maneira cristalina, a necessidade de legislação específica,  a fim de facilitar o acesso dos transexuais, tanto à cirurgia de transgenitalização, quanto às retificações de nome e sexo no assento civil. 

  12. Teoria organizacional para la gerencia humana como factor de desarrollo a escala humana

    Directory of Open Access Journals (Sweden)

    Gregoria Polo de Lobatón

    2014-01-01

    Full Text Available Hoy, se debate en los países subdesarrollados y hasta en desarrollo caso América Latina el estancamiento económico rodeado de un mar de pobreza y exclusión social, en contrario, los paísesdesarrollados a partir de la crisis de 1929 muestran su crecimiento a partir de modelos de desarrollo económico como sustento teórico del pensamiento administrativo captado para las prácticas gerenciales; resultó útil identificar los aportes de la teoría del desarrollo como fundamentación de las teorías organizacionales y su incidencia en las prácticas gerenciales como factor de desarrollo. Metodológicamente la investigación se orientó en el enfoque cualitativo para el análisis fenomenológico de los datos encontrados en revisiones documentales. Los resultados determinaron que las prácticas gerenciales se fundamentan en teorías organizacionales clásicas y contemporáneas centradas en principios de eficiencia y productividad. A partir de las teorías contemporáneas un dinamismo con enfoques sociales y ambientales, su fundamento la escuela humana con los pensadores: Weber, Elton Mayo, reformistas y otros pensadores, que tenidas en cuenta para las prácticas gerenciales centradas en la suficiencia manifiestan interés por el acercamiento al desarrollo a escala humana.Palabras clave: Teorías organizacionales; paradigma de Gerencia Humana; Desarrollo a escala humana.Organizational theory for human management as a development factor to human scale AbstractToday, there are discussions in underdeveloped countries and even in developing ones, Latin American case, the economic halt surrounded by a sea of poverty and social exclusion, in contrast, developed countries starting from the crisis of 1929 show their growth from economic development models as a theoretical backup of the management thinking captured for management practices; proved useful to identify the contributions of development theory as the foundation of organizational theories and

  13. Disfunción tiroidea en adultos infectados por el virus de inmunodeficiencia humana

    Directory of Open Access Journals (Sweden)

    Erika Abelleira

    2014-08-01

    Full Text Available Los pacientes con infección por el virus de inmunodeficiencia humana (HIV tienen una mayor prevalencia de disfunción tiroidea cuando se los compara con la población general. Las manifestaciones más frecuentemente observadas son: el síndrome del eutiroideo enfermo, la enfermedad de Graves y el hipotiroidismo subclínico. La relación entre el uso de la terapia antirretroviral y el incremento en la prevalencia de alteraciones tiroideas fue demostrada en varias series de pacientes. La enfermedad de Graves se reconoce claramente como una consecuencia del síndrome de restitución inmune. Además, existen estudios que sugieren una relación entre hipotiroidismo y el uso de inhibidores nucleósidos de la transcriptasa reversa, en particular estavudina y el inhibidor no nucleósido de la transcriptasa reversa efavirenz. Nuevos estudios podrán aportar evidencia adicional sobre la necesidad de evaluaciones rutinarias de la función tiroidea en pacientes infectados por HIV.

  14. Placenta accreta: diagnosis, management and the molecular biology of the morbidly adherent placenta.

    Science.gov (United States)

    Goh, William A; Zalud, Ivica

    2016-01-01

    Placenta accreta is now the chief cause of postpartum hemorrhage resulting in maternal and neonatal morbidity. Prenatal diagnosis decreases blood loss at delivery and intra and post-partum complications. Ultrasound is critical for diagnosis and MRI is a complementary tool when the diagnosis is uncertain. Peripartum hysterectomy has been the standard of therapy but conservative management is increasingly being used. The etiology of accreta is due to a deficiency of maternal decidua resulting in placental invasion into the uterine myometrium. The molecular basis for the development of invasive placentation is yet to be elucidated but may involve abnormal paracrine/autocrine signaling between the deficient maternal decidua and the trophoblastic tissue. The interaction of hormones such as Relaxin which is abundant in maternal decidua and insulin-like 4, an insulin-like peptide found in placental trophoblastic tissue may play role in the formation of placenta accreta.

  15. Abnormal labyrinthine zone in the Hectd1-null placenta.

    Science.gov (United States)

    Sarkar, Anjali A; Sabatino, Julia A; Sugrue, Kelsey F; Zohn, Irene E

    2016-02-01

    The labyrinthine zone of the placenta is where exchange of nutrients and waste occurs between maternal and fetal circulations. Proper development of the placental labyrinth is essential for successful growth of the developing fetus and abnormalities in placental development are associated with intrauterine growth restriction (IUGR), preeclampsia and fetal demise. Our previous studies demonstrate that Hectd1 is essential for development of the junctional and labyrinthine zones of the placenta. Here we further characterize labyrinthine zone defects in the Hectd1 mutant placenta. The structure of the mutant placenta was compared to wildtype littermates using histological methods. The expression of cell type specific markers was examined by immunohistochemistry and in situ hybridization. Hectd1 is expressed in the labyrinthine zone throughout development and the protein is enriched in syncytiotrophoblast layer type I cells (SynT-I) and Sinusoidal Trophoblast Giant cells (S-TGCs) in the mature placenta. Mutation of Hectd1 results in pale placentas with frequent hemorrhages along with gross abnormalities in the structure of the labyrinthine zone including a smaller overall volume and a poorly elaborated fetal vasculature that contain fewer fetal blood cells. Examination of molecular markers of labyrinthine trophoblast cell types reveals increased Dlx3 positive cells and Syna positive SynT-I cells, along with decreased Hand1 and Ctsq positive sinusoidal trophoblast giant cells (S-TGCs). Together these defects indicate that Hectd1 is required for development of the labyrinthine zonethe mouse placenta. Copyright © 2015 Elsevier Ltd. All rights reserved.

  16. Study of placenta of children born with congenital malformations.

    Science.gov (United States)

    Stoll, Claude; Alembik, Yves; Dott, Béatrice; Roth, Marie-Paule

    2003-01-01

    The malformations in this study were observed in a series of 279,642 consecutive births of known outcome registered in our Registry of congenital anomalies. For each case, more than 50 factors included in the registration forms were studied. One of the factors studied was the placenta. For each malformed child, a control was chosen. Cases with maternal known factors impairing placenta function, i.e. vasculopathy and diabetes, were excluded. In each category of malformations studied, the malformed children were divided into isolated and non-isolated (multiple malformed) cases. The weight of placenta of isolated cases was not lower than the weight of placenta of the controls. In contrast, the weight of placenta of the cases with non-isolated malformations was lower than the weight of placenta of the controls and of the isolated cases, for all categories of malformations but gastroschisis and omphalocele. The mean weights at birth of the cases with multiple malformations were also lower than those of the controls. The human placenta discounts a principal functional part, the maternal blood in the intervillous space. Congenital malformations may interact with this function.

  17. D2-40/podoplanin expression in the human placenta

    Science.gov (United States)

    Wang, Yuping; Sun, Jingxia; Gu, Yang; Zhao, Shuang; Groome, Lynn J.; Alexander, J. Steven

    2011-01-01

    Placental tissue expresses many lymphatic markers. The current study was undertaken to examine if D2-40/podoplanin, a lymphatic endothelial marker, was expressed in the human placentas, and how it is altered developmentally and pathologically. We studied D2-40/podoplanin and VEGFR-3 expressions in placentas from normotensive pregnancies at different gestational ages and in placentas from women with clinically defined preeclampsia. D2-40 expression in systemic lymphatic vessel endothelium served as a positive control. Protein expression for D2-40, VEGFR-3, and β-actin were determined by Western blot in placentas from normotensive (n=6) and preeclamptic (n=5) pregnancies. Our results show that D2-40/podoplanin was strongly expressed in the placenta, mainly as a network plexus pattern in the villous stroma throughout gestation. CD31 was limited to villous core fetal vessel endothelium and VEGFR-3 was found in both villous core fetal vessel endothelium and trophoblasts. D2-40/podoplanin expression was significantly decreased, and VEGFR-3 significantly increased in preeclamptic placental tissues compared to normotensive placental controls. Placental villous stroma is a reticular-like structure, and the localization of D2-40 to the stroma suggests that a lymphatic-like conductive network may exist in the human placenta. D2-40/podoplanin is an O-linked sialoglycoprotein. Although little is known regarding biological functions of sialylated glycoproteins within the placenta, placental D2-40/podoplanin may support fetal vessel angiogenesis during placenta development and reduced D2-40/podoplanin expression in preeclamptic placenta may contribute to altered interstitial fluid homeostasis and impaired angiogenesis in this pregnancy disorder. PMID:21095001

  18. Cervical Length in Patients at Risk for Placenta Accreta.

    Science.gov (United States)

    Rac, Martha W F; McIntire, Donald D; Wells, C Edward; Moschos, Elysia; Twickler, Diane D

    2017-07-01

    To evaluate cervical length measurements in women with placenta accreta compared to women with a nonadherent low-lying placenta or placenta previa and evaluate this relationship in terms of vaginal bleeding, preterm labor, and preterm birth. We conducted a retrospective cohort study between 1997 and 2011 of gravidas with more than 1 prior cesarean delivery who had a transvaginal ultrasound examination between 24 and 34 weeks for a low-lying placenta or placenta previa. Cervical length was measured from archived images in accordance with national guidelines by a single investigator, who was blinded to outcomes and ultrasound reports. The diagnosis of placental accreta was based on histologic confirmation. For study purposes, preterm birth was defined as less than 36 weeks, and cervical lengths of 3 cm or less were considered short. Standard statistical analyses were used. A total of 125 patients met inclusion criteria. The cohort was divided into patients with (n = 43 [34%]) and without (n = 82 [66%]) placenta accreta and stratified by gestational age at the ultrasound examinations. Women with placenta accreta had shorter cervical length measurements during their 32- to 34-week ultrasound examinations (mean ± SD, 3.23 ± 0.98 versus 3.95 ± 1.0 cm; P accreta had shorter cervical lengths at 32 to 34 weeks than women with a nonadherent low-lying placenta or placenta previa, but this finding did not correlate with a higher risk of vaginal bleeding or preterm labor resulting in preterm birth before 36 weeks. © 2017 by the American Institute of Ultrasound in Medicine.

  19. Chorioallantoic placenta defects in cloned mice

    International Nuclear Information System (INIS)

    Wakisaka-Saito, Noriko; Kohda, Takashi; Inoue, Kimiko; Ogonuki, Narumi; Miki, Hiromi; Hikichi, Takafusa; Mizutani, Eiji; Wakayama, Teruhiko; Kaneko-Ishino, Tomoko; Ogura, Atsuo; Ishino, Fumitoshi

    2006-01-01

    Somatic cell nuclear transfer technology has been applied to produce live clones successfully in several mammalian species, but the success rates are very low. In mice, about half of the nuclear transfer embryos undergo implantation, but very few survive to term. We undertook detailed histological analyses of placentas from cloned mouse embryos generated from cumulus cells at 10.5 dpc of pregnancy, by which stage most clones have terminated their development. At 10.5 dpc, the extraembryonic tissues displayed several defined histological patterns, each reflecting their stage of developmental arrest. The most notable abnormality was the poor development of the spongiotrophoblast layer of diploid cells. This is in contrast to the placental hyperplasia frequently observed in somatic clones at 12.5 dpc or later stages. A variety of structural abnormalities were also observed in the embryos. Both placental and embryonic defects likely contribute to the low success rate of the mouse clones

  20. Placenta paraaortic with bladder invasion: A plea for multidisciplinary approach

    International Nuclear Information System (INIS)

    Shawish, Fahmy M. I.; Hammad, Fayez T.; Kazim, Essa M.

    2007-01-01

    Placenta previa percreta with the urinary bladder invasion is a rare but potentially lethal condition. It has an increasing clinical significance due to its association with previous cesarean sections and uterine curettage. Herein, we report on a patient with placenta percreta and bladder invasion, who presented with hematuria and in whom delivery was delayed to almost full term highlighting the potential catastrophic results and the need for a multidisciplinary approach with the need to involve surgeons who are familiar with vascular and urologic surgery. We also present an elegant MRI of placenta percreta invading the urinary bladder, which shows that MRI is potentially an excellent diagnostic diagnostic modality in this difficult condition. (author)

  1. Morphological aspects of placenta of the Bradypus variegatus Shinz, 1825

    OpenAIRE

    Amorin, Marleyne José Afonso Accyoli Lins; Miglino, Maria Angélica; Amorin Júnior, Adelmar Afonso; Santos, Tatiana Carlesso dos

    2003-01-01

    Estudaram-se os aspectos morfológicos da placenta e das membranas fetais de 03 placentas de bichos-preguiça (Bradypus variegatus), adultas e prenhes, originárias da Zona da Mata do Estado de Pernambuco. Essas estruturas foram obtidas de 03 fêmeas doadas pela Universidade Federal de Pernambuco, das quais duas encontravam-se congeladas e a terceira foi colhida mediante realização de cirurgia cesariana, onde mãe e feto foram preservados. Depois de descongeladas, as placentas foram fixadas em sol...

  2. The role of shear wave elastography in the assessment of placenta previa-accreta.

    Science.gov (United States)

    Alıcı Davutoglu, Ebru; Ariöz Habibi, Hatice; Ozel, Ayşegül; Yuksel, Mehmet Aytac; Adaletli, Ibrahim; Madazlı, Riza

    2018-06-01

    To evaluate the value of shear wave elastography (SWE) in the prediction of morbidly adherent placenta. Forty-three women with normal placental location and 26 women with anteriorly localized placenta previa were recruited for this case-control study. Placental elasticity values in both the groups were determined by SWE imaging. SWE values were higher in the placenta previa group in all regions than in normal localized placentas (p  .05). Placental stiffness is significantly higher in placenta previa than normal localized placentas. However, we could not demonstrate any statistically significant difference in the elasticity values between the placenta previa with and without accreta.

  3. A rare case report of hysterotomy for retained placenta accreta in bicornuate uterus

    OpenAIRE

    Reena Sharma; Amit Gupta; Usha K. Chaudhary; Ajay Sharma; Arvind Kumar

    2015-01-01

    Retained placenta is a common third stage complication. Placenta accreta is due to abnormal invasive placental implantation. Many cases of Post-partum haemorrhage (PPH) are caused by placenta accreta and may lead to peripartum hysterectomy. We here report a case of placenta accreta in a patient following two failed attempts of manual removal of retained placenta followed by conservative management with methotrexate in stable patient. Both attempts were unsuccessful and led to septicaemia, req...

  4. Septic Shock after Conservative Management for Placenta Accreta

    Directory of Open Access Journals (Sweden)

    Ying-Cheng Chiang

    2006-03-01

    Conclusion: At present, there is no consensus about the optimal treatment for placenta accreta. Conservative treatment appears to be an alternative in selected patients, but the complications such as sepsis should be carefully identified and appropriately managed.

  5. Morbidly Adherent Placenta: Interprofessional Management Strategies for the Intrapartum Period.

    Science.gov (United States)

    Baird, Suzanne McMurtry; Troiano, Nan H; Kennedy, Margaret Betsy Babb

    "Morbidly adherent placenta" is a term that describes the continuum of placenta accreta, increta, and percreta. The incidence of this type of abnormal placentation has increased significantly over recent decades. The reason is probably multifactorial but, partly, because of factors such as the increasing number of cesarean births. Women at greatest risk are those who have myometrial damage caused by a previous cesarean birth, with either anterior or posterior placenta previa overlying the uterine scar. This condition poses significant risks of morbidity and/or mortality to the pregnant woman and her fetus. A multidisciplinary approach to care throughout pregnancy is essential. This article describes the classification of morbidly adherent placenta, risk factors, methods of diagnosis, potential maternal and fetal complications, and intrapartum clinical management strategies to optimize outcomes.

  6. Research on human placenta-derived mesenchymal stem cells ...

    African Journals Online (AJOL)

    Research on human placenta-derived mesenchymal stem cells transfected with pIRES2-EGFP-VEGF165 using liposome. ... African Journal of Biotechnology. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue ...

  7. Mitochondrial pathway of apoptosis and related proteins in placenta ...

    African Journals Online (AJOL)

    eclampsia (PE).This study aimed at evaluating the mitochondrial pathway of apoptosis in placenta of pregnant women with pre-eclampsia and correlate it with severity and pregnancy outcome . Apoptosis was assessed by measuring DNA ...

  8. PLACENTA ACCRETA AND THE DEVELOPING WORLD – A REVIEW

    African Journals Online (AJOL)

    2010-12-12

    Dec 12, 2010 ... Conclusion: Optimal treatment of women with placenta accreta requires .... vascular endothelial damage which occurs with aging, .... been described as a potentially easier alternative to ... thereby leading to its necrosis.

  9. Is human placenta proteoglycan remodeling involved in pre-eclampsia?

    OpenAIRE

    Warda, Mohamad; Zhang, Fuming; Radwan, Moustafa; Zhang, Zhenqing; Kim, Nari; Kim, Young Nam; Linhardt, Robert J.; Han, Jin

    2007-01-01

    Impaired placento-fetal communication is a coherent symptom of exaggerated pre-eclampsia. The impact of the cellular expression of different glycosaminoglycans (GAGs) in this event on the placenta in pre-eclampsia is still obscure. This is the first study aimed at discovering the relationship between structural alterations of different sulfated GAGs at the molecular level and the development of pre-eclampsia in inflicted placenta. Sulfated GAGs were isolated and purified from control and pre-...

  10. Vascular corrosion casting of normal and pre-eclamptic placentas.

    Science.gov (United States)

    Yin, Geping; Chen, Ming; Li, Juan; Zhao, Xiaoli; Yang, Shujun; Li, Xiuyun; Yuan, Zheng; Wu, Aifang

    2017-12-01

    Pre-eclampsia is an important cause of maternal and fetal morbidity and mortality that is associated with decreased placental perfusion. In the present study, vascular corrosion casting was used to investigate the differences in structural changes of the fetoplacental vasculature between normal and pre-eclamptic placentas. An improved epoxy resin vascular casting technique was used in the present study. Casting media were infused into 40 normal and 40 pre-eclamptic placentas through umbilical arteries and veins in order to construct three dimensional fetoplacental vasculatures. The number of branches, diameter, morphology and peripheral artery-to-vein ratio were measured for each specimen. The results indicated that the venous system of normal placentas was divided into 5-7 grades of branches and the volume of the vascular bed was 155.5±45.3 ml. In severe pre-eclamptic placentas, the volume was 106.4±36.1 ml, which was significantly lower compared with normal placentas (P<0.01). The venous system of pre-eclamptic placentas was divided into 4-5 grades of branches, which was much more sparse compared with normal placentas. In additions, the diameters of grade 1-3 veins and grade 2-3 arteries were significantly smaller in severe pre-eclampsia (P<0.05). In conclusion, pre-eclamptic placentas displayed a decreased volume of vascular bed, smaller diameters of grade 1-3 veins and grade 2-3 arteries, and an increased peripheral artery-to-vein ratio, which may be a cause of the placental dysfunction during severe pre-eclampsia.

  11. Transplacental transfer of nitrosodimethylamine in perfused human placenta.

    OpenAIRE

    Annola, K.; Heikkinen, A.T.; Partanen, H.; Woodhouse, H.; Segerback, D.; Vahakangas, K.

    2009-01-01

    Nitrosodimethylamine (NDMA) is a carcinogenic compound present in tobacco smoke and food such as cured meat, smoked fish and beer. The O(6)-methylguanine formed in human cord blood in mothers highly exposed to such products implicates NDMA exposure of the fetus. Dual recirculating human placental perfusion was used to get direct evidence of the transplacental transfer of NDMA and DNA adduct formation in perfused human placenta. Eleven placentas from normal full-term pregnancies were collected...

  12. Histopathological, Ultrastructural and Apoptotic Changes in Diabetic Rat Placenta

    Directory of Open Access Journals (Sweden)

    Mehmet Gül

    2015-09-01

    Full Text Available Background: The exchange of substances between mother and fetus via the placenta plays a vital role during development. A number of developmental disorders in the fetus and placenta are observed during diabetic pregnancies. Diabetes, together with placental apoptosis, can lead to developmental and functional disorders. Aims: Histological, ultrastructural and apoptotic changes were investigated in the placenta of streptozotocin (STZ induced diabetic rats. Study Design: Animal experimentation. Methods: In this study, a total of 12 female Wistar Albino rats (control (n=6 and diabetic (n=6 were used. Rats in the diabetic group, following the administration of a single dose of STZ, showed blood glucose levels higher than 200 mg/dL after 72 hours. When pregnancy was detected after the rats were bred, two pieces of placenta and the fetuses were collected on the 20th day of pregnancy by cesarean incision under ketamine/xylazine anesthesia from in four rats from the control and diabetic groups. Placenta tissues were processed for light microscopy and transmission electron microscopy (TEM. Hematoxylin-eosin (HE and periodic acid Schiff-diastase (PAS-D staining for light microscopic and caspase-3 staining for immunohistochemical investigations were performed for each placenta. Electron microscopy was performed on thin sections contrasted with uranyl acetate and lead nitrate. Results: Weight gain in the placenta and fetuses of diabetic rats and thinning of the decidual layer, thickening of the hemal membrane, apoptotic bodies, congestion in intervillous spaces, increased PAS-D staining in decidual cells and caspase-3 immunoreactivity were observed in the diabetic group. After the ultrastructural examination, the apoptotic appearance of the nuclei of trophoblastic cells, edema and intracytoplasmic vacuolization, glycogen accumulation, dilation of the endoplasmic reticulum and myelin figures were observed. In addition, capillary basement membrane thickening

  13. Expression and function of endogenous retroviruses in the placenta.

    Science.gov (United States)

    Denner, Joachim

    2016-01-01

    Although the expression of endogenous retroviruses in the placenta of numerous species was observed a long time ago, their physiological function during gestation was demonstrated only very recently. Expression of retroviral envelope proteins, also called syncytins, in the placenta allows generation of the multinuclear syncytiotrophoblast as an outer cellular layer of the placenta by fusion of the trophoblast cells. This fusion process is crucial for the development of the placenta and for successful pregnancy. It is still unclear whether the immunosuppressive properties of the transmembrane envelope protein of the endogenous retroviruses expressed in the placenta contribute to immunosuppression to prevent the rejection of the semiallotransplant embryo. The presence of placenta cells expressing retroviral envelope proteins surrounded by immune cells deep in the maternal tissue supports an immunosuppressive function. It is important to emphasize that during evolution different species utilized ('enslaved') different endogenous retroviruses and that two or more endogenous retroviruses are involved in placentogenesis in each species. © 2016 APMIS. Published by John Wiley & Sons Ltd.

  14. Intrapartal resection of the bicornuete uterus for placenta membranacea percreta

    Directory of Open Access Journals (Sweden)

    Sparić Radmila

    2007-01-01

    Full Text Available Placenta membranacea is a rare anomaly characterized by failure of villous atrophy during early gestation, and 30% of cases involve some form of placental adherence. Placenta percreta is infrequent, but life-threatening condition. Antenatal diagnosis of these placental anomalies is very difficult, but essential for reduction of the number and extent of possible complications. A 19-year-old primigravida was referred to us with 31- week pregnancy complicated by preeclampsia. Upon admission, ultrasound scan revealed eutrophic fetus in breech presentation, without any signs of retroplacental clot. At laparotomy, hemoperitoneum without any trophoblastic tissue emerging to the peritoneal cavity was found and placental abruption with uteroplacental apoplexy was suspected. In addition, unicervical symmetric bicornuate uterus with pregnancy in the left uterine horn was found. The lower segment uterine section was performed and 1800 grams live baby was delivered. Delivery of the placenta was unusually difficult. It was very large and densely adherent to the posterior uterine wall, which appeared to be composed of serosa in that area only. After removal of placenta, the hemorrhage could not be controlled, and resection of the left uterine horn was performed. Placenta accreta, increta and percreta ought to be considered in all cases of uterine anomalies in pregnancy and in cases of prenatal diagnosis of placenta membranacea.

  15. The recurrence risk of placenta accreta following uterine conserving management.

    Science.gov (United States)

    Cunningham, K M; Anwar, A; Lindow, S W

    2015-01-01

    Placenta accreta is a condition of abnormal placental attachment that was usually treated by hysterectomy. Techniques to conserve the uterus are now commonly used and series of subsequent pregnancy outcomes have been reported. The recurrence risk of placenta accreta is now a relevant detail and is currently not known. This work was performed to calculate the recurrence risk by reviewing the published literature. A literature search using the terms "placenta accreta", "placenta percreta", "placenta increta", "abnormal placental attachment" and "placental attachment disorder" followed by hand-searching identified 6 papers that contained data concerning recurrence of placenta accreta in subsequent pregnancies following initial conservative treatment. Overall 407 pregnancies were recorded and 85.7% of women reported achieved a subsequent pregnancy following conservative treatment. The risk of recurrence of placental attachment disorder in a subsequent pregnancy was 19.9% (weighted mean, 95% CI 12.2-27.7). The recurrence risk of placental attachment disorder following uterine conservation treatments is 20% . This risk should be discussed with women with an antenatal diagnosis of a placental attachment disorder who may be considering uterine conservation in order to retain the option of a future pregnancy.

  16. Brucelosis, una zoonosis presente en la población: estudio de series de tiempo en México

    OpenAIRE

    Meztli Méndez-Lozano; Luisa María Sánchez-Zamorano

    2015-01-01

    Objetivo. Determinar el comportamiento de la incidencia de brucelosis humana en México durante el periodo 2000-2011 y su relación con la brucelosis en rumiantes domésticos. Material y métodos. En estudio ecológico de series de tiempo se analizaron, mediante regresión Poisson multinivel múltiple, la incidencia de brucelosis humanas durante 2000- 2011 y la incidencia en rumiantes, y su relación con índice de desarrollo humano. Resultados. La alta incidencia de brucelosis bovina aumenta 15% la i...

  17. Identificação imuno-histoquímica de Listeria monocytogenes em placentas fixadas em formol e embebidas em parafina

    Directory of Open Access Journals (Sweden)

    Schwab Jussara Pires

    2003-01-01

    Full Text Available OBJETIVOS: identificar Listeria monocytogenes (Lm em placentas humanas pela técnica de imuno-histoquímica (IHQ e relacionar sua presença com as alterações histológicas encontradas com as alterações histológicas encontradas no exame convencional, com o trimestre gestacional, a idade das gestantes, casos de aborto e parto prematuro e a ocorrência de aborto habitual. MÉTODOS: um estudo retrospectivo foi realizado no setor de patologia de um hospital-escola de Porto Alegre no ano 2000. O material dos blocos de parafina de 254 placentas (exames anatomopatológicos, provenientes de aborto, de parto prematuro e de nascimento a termo, foi analisado pela técnica histológica convencional com a coloração de hematoxilina e eosina (HE. A técnica de IHQ foi realizada no material de 148 exames anatomopatológicos, que apresentaram alterações inflamatórias, hemorragia, necrose e trombose, utilizando anticorpo policlonal Rabbit A "Listeria monocytogenes" B65420R (Biodesign® na diluição 1:1000 e complexo avidina-biotina-estreptavidina. O teste c² foi aplicado para a análise estatística. RESULTADOS: a presença de Lm foi identificada em 33,7% das placentas analisadas pela técnica IHQ. Corioamnionite e vilite foram as alterações inflamatórias que estiverem associadas a diferença significativa nas placentas positivas. Lm esteve presente nas placentas de 1º, 2º e 3º trimestre gestacional. Não houve associação entre idade das gestantes, casos de aborto e/ou parto prematuro e a presença ou ausência de Lm nas placentas. Abortos habituais ocorreram em pacientes com ou sem Lm no tecido placentário. CONCLUSÃO: a técnica de IHQ pode ser utilizada para confirmar o diagnóstico histopatológico de listeriose em todos os trimestres gestacionais.

  18. Entre negación y reconocimiento. Estudios sobre “homosexualidad” en Colombia

    Directory of Open Access Journals (Sweden)

    José Fernando Serrano A.

    1997-04-01

    Full Text Available A Ebel Botero, pionero de los estudios sobre homosexualidad en Colombia¿Qué se ha escrito en Colombia sobre la “homosexualidad”? ¿Existen estudios desde las ciencias sociales y humanas sobre las personas “homosexuales” en el país? Con este par de preguntas el autor presenta un recorrido inicial por algunos textos de autores colombianos al respecto y señala la necesidad de abordar la construcción de conocimiento especializado que ahonde en la comprensión de las diversas formas en que se expresan las sexualidades.

  19. Reliability of trans-abdominal ultrasonography in determining exact location of placenta in patients of placenta previa major

    International Nuclear Information System (INIS)

    Zafar, M.; Hayat, N; Gul, U.

    2017-01-01

    Objective: To determine the reliability of trans-abdominal ultrasonographical localization of placenta in cases of placenta previa major, by taking peroperative finding as gold standard. Study Design: Validation study. Place and Duration of Study: Maternity ward, Obstetrics and Gynecology department, Military Hospital Rawalpindi from 2007 to 2008. Patients and Methods: A total of 100 patients fulfilling the inclusion and exclusion criteria were recruited for the study. These patients were admitted to the maternity ward, where trans-abdominal ultrasound was performed, site of the placenta and its relation to the internal os was documented. These patients under went elective cesarean section, during which the site and relation of the placenta to the internal os was confirmed. Results: The mean age of patients was 34.23 +- 6.76 years. Transabdominal ultrasound had a sensitivity of 93.4 percent in localizing major placenta previa while the specificity was 83 percent. Positive predictive value was 94.7 percent, negative predictive value was 80 percent and accuracy 91 percent. Conclusion: Trans-abdominal ultrasound was found highly effective in diagnosing and localizing placenta previa. (author)

  20. Peripartal leukogram in cows with and without retained placenta

    Directory of Open Access Journals (Sweden)

    Lužajić Tijana

    2014-01-01

    Full Text Available The aim of this study was to investigate whether prepartal leukogram in cows with retained placenta could indicate the presence of subclinical systemic inflammatory response before the onset of disease. After calving, sixteen highly pregnant Holstein cows, aged 3 to 9 years, without clinical signs of the disease prior to calving were divided into two groups: the first group (n=9 were animals without retained placenta, or any visible inflammation after birth; the second group (n=7 were cows with retained placenta. Blood was sampled three times before parturition, at intervals of one week, and once 24 hours after birth. The number of total leukocytes, segmented and non segmented neutrophilic granulocytes (NG, lymphocytes and monocytes were determined by standard laboratory techniques. The results have shown that in the group of cows with retained placenta the number of mature neutrophils was slightly elevated in the third, second and last week before calving, and equal number of non segmented neutrophils in regard to the group with no retention. The results have also shown that, in both groups of cows, 24 hours after calving, the number of total leukocytes and the number of segmented neutrophils decreased, but the number of the non segmented neutrophils increased. Based on this, we can conclude that cows with retained placenta had no systemic inflammatory response during three weeks prepartal period, but 24 hours after calving, systemic inflammatory response was documented in all the cows. Moreover, the intensity of inflammatory response in cows with retained placenta was not more pronounced in comparison to cows without retained placenta. [Projekat Ministarstva nauke Republike Srbije, br. 175061

  1. Evaluación de las Virtudes y Fortalezas Humanas en Población de Habla Hispana

    Directory of Open Access Journals (Sweden)

    Alejandro C. Cosentino

    2015-09-01

    Full Text Available La Psicología Positiva es el estudio científico de las experiencias subjetivas positivas, los rasgos individuales positivos y las instituciones positivas. La comprensión de los rasgos individuales positivos consiste en el estudio de las virtudes y fortalezas del carácter. Luego de un prolongado hiato, nuevamente ha comenzado el estudio del carácter moral en la psicología científica. Se presenta el desarrollo de un instrumento para la evaluación de las virtudes y fortalezas humanas según la clasificación del carácter de 6 virtudes y 24 fortalezas de Peterson y Seligman [Peterson, C. & Seligman, M.E.P. (2004. Character strengths and virtues: A handbook and classification. Washington, DC, EE.UU. American Psychological Association; Oxford University Press]. Análisis psicométricos preliminares del Inventario de Virtudes y Fortalezas (IVyF sugieren que este inventario muestra una razonable confiabilidad y estructura factorial. 

  2. The cervix as a natural tamponade in postpartum hemorrhage caused by placenta previa and placenta previa accreta: a prospective study.

    Science.gov (United States)

    El Gelany, Saad A A; Abdelraheim, Ahmed R; Mohammed, Mo'men M; Gad El-Rab, Mohammed T; Yousef, Ayman M; Ibrahim, Emad M; Khalifa, Eissa M

    2015-11-11

    Placenta previa and placenta accreta carry significant maternal and fetal morbidity and mortality. Several techniques have been described in the literature for controlling massive bleeding associated with placenta previa cesarean sections. The objective of this study was to evaluate the efficacy and safety of the use of the cervix as a natural tamponade in controlling postpartum hemorrhage caused by placenta previa and placenta previa accreta. This prospective study was conducted on 40 pregnant women admitted to our hospital between June 2012 and November 2014. All participating women had one or more previous cesarean deliveries and were diagnosed with placenta previa and/or placenta previa accreta. Significant bleeding from the placental bed during cesarean section was managed by inverting the cervix into the uterine cavity and suturing the anterior and/or the posterior cervical lips into the anterior and/or posterior walls of the lower uterine segment. The technique of cervical inversion described above was successful in stopping the bleeding in 38 out of 40 patients; yielding a success rate of 95%. We resorted to hysterectomy in only two cases (5%). The mean intra-operative blood loss was 1572.5 mL, and the mean number of blood units transfused was 3.1. The mean time needed to perform the technique was 5.4 ± 0.6 min. The complications encountered were as follows: bladder injury in the two patients who underwent hysterectomy and wound infection in one patient. Postoperative fever that responded to antibiotics occurred in 1 patient. The mean duration of the postoperative hospital stay was 3.5 days This technique of using the cervix as a natural tamponade appears to be safe, simple, time-saving and potentially effective method for controlling the severe postpartum hemorrhage (PPH) caused by placenta previa/placenta previa accreta. This technique deserves to be one of the tools in the hands of obstetricians who face the life-threatening hemorrhage of placenta

  3. Perfil cognitivo en pacientes con infección por el virus de inmunodeficiencia humana neurológicamente asintomáticos

    OpenAIRE

    Erik Guevara-Silva

    2013-01-01

    Introducción: Diversos estudios han comunicado la presencia de deterioro cognitivo asociado al virus de inmunodeficiencia humana (VIH) tipo 1, aún en estadios tempranos de la infección. Las principales funciones comprometidas son la memoria a corto plazo, velocidad psicomotriz, atención y función ejecutiva. Objetivos: Describir el perfil cognitivo en pacientes con VIH neurológicamente asintomáticos, antes de iniciar terapia antirretroviral de gran actividad (TARGA), y determinar posibles fact...

  4. Eventos adversos supuestamente atribuibles a la vacunación e inmunización en hijos de madres infectadas con el virus de la inmunodeficiencia humana

    OpenAIRE

    González, Virginia; Gutiérrez, Stella; Quian, Jorge

    2013-01-01

    Resumen Introducción: las vacunas son una de las intervenciones sanitarias más importantes y difundidas. La monitorización de su seguridad a través del registro de eventos adversos es imprescindible. Los hijos de madre infectada por el virus de la inmunodeficiencia humana (VIH), expuestos, infectados o serorrevertidos son un grupo particular de individuos dentro del esquema de inmunización. El objetivo del presente estudio fue describir la frecuencia de eventos adversos supuestamente atribuib...

  5. Evolución durante el ingreso de recién nacidos de muy bajo peso alimentados al inicio exclusivamente con leche humana

    OpenAIRE

    Ginovart Galiana, Gemma

    2015-01-01

    INTRODUCCIÓN: La alimentación con leche humana (LH) se ha asociado con múltiples ventajas en el recién nacido de muy bajo peso (RNMBP). No obstante, diversos estudios efectuados antes de extenderse la práctica de la fortificación demostraron pobre crecimiento en recién nacidos (RN) alimentados con LH comparado con los alimentados con fórmula. El papel que juega el crecimiento posnatal en los resultados del RNMBP es crucial y puede ser un factor independiente para su mala evolución. El objetiv...

  6. Conocimientos y actitudes sobre sexualidad humana de alumnos de la Universidad Nacional de la Amazonía Peruana; lineamientos para el programa de educación sexual

    OpenAIRE

    Ríos Pérez, Rodolfo

    2003-01-01

    El estudio tuvo como objetivo evaluar los conocimientos y actitudes sobre sexualidad humana según el sexo y tipo de colegio de procedencia de los alumnos de las facultades de la Universidad Nacional de la Amazonía Peruana y plantear lineamientos para un programa de educación sexual de alumnos universitarios. El estudio fue una investigación no experimental , cuyo diseño fue transeccional correlacional La población estuvo conformada por todos los alumnos del sistema presencial, de todas las fa...

  7. ALIMENTAÇÃO DE CRIANÇAS NASCIDAS EXPOSTAS AO VÍRUS DA IMUNODEFICIÊNCIA HUMANA

    Directory of Open Access Journals (Sweden)

    Julyana Gomes Freitas

    2014-01-01

    Full Text Available El objetivo fue caracterizar aspectos de la alimentación de niños nacidos expuestos al Virus de Inmunodeficiencia Humana. Estudio transversal realizado en un hospital de referencia para enfermedades infecciosas en Fortaleza-Ceará, entre enero y junio de 2010. La muestra fue de 62 madres que proporcionaron información sobre 64 niños nacidos expuestos al virus. En la consulta de enfermería fue utilizada la Escala de Evaluación de Capacidad del Cuidar de Niños Expuestos al Virus de Inmunodeficiencia Humana, y un formulario de caracterización sociodemográfica y alimentaria. Se encontró que 57,8% de los niños tenían ingesta inadecuada de leche, 55,0% tenía alimentación complementaria inadecuada, 87,0% de las madres tenía alta capacidad de suministro de leche en polvo, y en relación con la alimentación complementaria, la capacidad varió de moderado (45,7% a alta (48,5%. Fueron identificados 13 diagnósticos de enfermería que mostraron problemas de alimentación y déficit de atención que requieren intervenciones de enfermería apropiadas para el contexto social de cada paciente.

  8. Responsabilidad social y gestión del conocimiento como estrategias de gestión humana1

    Directory of Open Access Journals (Sweden)

    Juan Guillermo Saldarriaga Ríos

    2013-01-01

    Full Text Available Este artículo aborda la responsabilidad social y la gestión del conocimiento como estrategias de gestión humana, conexas e inseparables, en las organizaciones. Estas estrategias hacen posible que la organización mire hacia sí misma y reconozca los impactos que estas prácticas tienen sobre sus miembros, asumiéndolas no solo exclusivamente como actividades que le genera ganancias económicas y visibilidad en el escenario social, sino como parte integral de su forma de concebir y administrar su talento humano. El artículo es producto de 2 investigaciones que pretenden analizar las tendencias y estrategias de gestión humana utilizadas tanto en el ámbito nacional como internacional, y en las cuales se recurre a un diseño metodológico flexible en el que se aborda el objeto de estudio tanto desde la perspectiva cuantitativa como desde la cualitativa.

  9. Responsabilidad social y gestión del conocimiento como estrategias de gestión humana

    Directory of Open Access Journals (Sweden)

    Juan Guillermo Saldarriaga Ríos

    2013-01-01

    Full Text Available Este artículo aborda la responsabilidad social y la gestión del conocimiento como estrategias de gestión humana, conexas e inseparables, en las organizaciones. Estas estrategias hacen posible que la organización mire hacia sí misma y reconozca los impactos que estas prácticas tienen sobre sus miembros, asumiéndolas no solo exclusivamente como actividades que le genera ganancias económicas y visibilidad en el escenario social, sino como parte integral de su forma de concebir y administrar su talento humano. El artículo es producto de 2 investigaciones que pretenden analizar las tendencias y estrategias de gestión humana utilizadas tanto en el ámbito nacional como internacional, y en las cuales se recurre a un diseño metodológico flexible en el que se aborda el objeto de estudio tanto desde la perspectiva cuantitativa como desde la cualitativa.

  10. Invasive placenta previa. Placental bulge with distorted uterine outline and uterine serosal hypervascularity at 1.5T MRI - useful features for differentiating placenta percreta from placenta accreta

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Xin; Zhang, Xinjuan; Wang, Shanshan; Shi, Honglu; Gao, Fei; Wang, Guangbin [Shandong University, Department of MR, Shandong Medical Imaging Research Institute, Jinan, Shandong (China); Shan, Ruiqin [Jinan Maternity and Child Care Hospital, Department of Obstetrics, Jinan (China); Zhao, Lianxin [Qilu Hospital of Shandong University, Department of Radiology, Jinan, Shandong (China); Song, Qingxu [Qilu Hospital of Shandong University, Department of Radiation Oncology, Jinan, Shandong (China); Zuo, Changting [Shandong Provincial Hospital Affiliated to Shandong University, Department of Obstetrics and Gynaecology, Jinan, Shandong (China); Qian, Tianyi [MR Collaborations NE Asia, Siemens Healthcare, Beijing (China); Limperopoulos, Catherine [Children' s National Health System, Division of Diagnostic Imaging and Radiology, Washington, DC (United States); George Washington University School of Medicine, Department of Radiology, Washington, DC (United States)

    2018-02-15

    To characterise MRI features of invasive placenta previa and to identify specific features for differentiating placenta percreta (PP) from placenta accreta (PA). Forty-five women with PP and 93 women with PA who underwent 1.5T placental MRI were included. Two radiologists independently evaluated the MRI features of invasive placenta previa, including our novel type of placental bulge (i.e. placental bulge type-II, characterized by placental bulge with distorted uterine outline). Pearson's chi-squared or Fisher's two-sided exact test was performed to compare the MRI features between PP and PA. Logistic stepwise regression analysis and the area under the receiver operating characteristic curve (AUC) were performed to select the optimal features for differentiating PP from PA. Significant differences were found in nine MRI features between women with PP and those with PA (P <0.05). Placental bulge type-II and uterine serosal hypervascularity were independently associated with PP (odds ratio = 48.618, P < 0.001; odds ratio = 4.165, P = 0.018 respectively), and the combination of the two MRI features to distinguish PP from PA yielded an AUC of 0.92 for its predictive performance. Placental bulge type-II and uterine serosal hypervascularity are useful MRI features for differentiating PP from PA. (orig.)

  11. Invasive placenta previa: Placental bulge with distorted uterine outline and uterine serosal hypervascularity at 1.5T MRI - useful features for differentiating placenta percreta from placenta accreta.

    Science.gov (United States)

    Chen, Xin; Shan, Ruiqin; Zhao, Lianxin; Song, Qingxu; Zuo, Changting; Zhang, Xinjuan; Wang, Shanshan; Shi, Honglu; Gao, Fei; Qian, Tianyi; Wang, Guangbin; Limperopoulos, Catherine

    2018-02-01

    To characterise MRI features of invasive placenta previa and to identify specific features for differentiating placenta percreta (PP) from placenta accreta (PA). Forty-five women with PP and 93 women with PA who underwent 1.5T placental MRI were included. Two radiologists independently evaluated the MRI features of invasive placenta previa, including our novel type of placental bulge (i.e. placental bulge type-II, characterized by placental bulge with distorted uterine outline). Pearson's chi-squared or Fisher's two-sided exact test was performed to compare the MRI features between PP and PA. Logistic stepwise regression analysis and the area under the receiver operating characteristic curve (AUC) were performed to select the optimal features for differentiating PP from PA. Significant differences were found in nine MRI features between women with PP and those with PA (P Placental bulge type-II and uterine serosal hypervascularity were independently associated with PP (odds ratio = 48.618, P Placental bulge type-II and uterine serosal hypervascularity are useful MRI features for differentiating PP from PA. • Placental bulge type-II demonstrated the strongest independent association with PP. • Uterine serosal hypervascularity is a useful feature for differentiating PP from PA. • MRI features associated with abnormal vessels increase the risk of massive haemorrhage.

  12. Invasive placenta previa. Placental bulge with distorted uterine outline and uterine serosal hypervascularity at 1.5T MRI - useful features for differentiating placenta percreta from placenta accreta

    International Nuclear Information System (INIS)

    Chen, Xin; Zhang, Xinjuan; Wang, Shanshan; Shi, Honglu; Gao, Fei; Wang, Guangbin; Shan, Ruiqin; Zhao, Lianxin; Song, Qingxu; Zuo, Changting; Qian, Tianyi; Limperopoulos, Catherine

    2018-01-01

    To characterise MRI features of invasive placenta previa and to identify specific features for differentiating placenta percreta (PP) from placenta accreta (PA). Forty-five women with PP and 93 women with PA who underwent 1.5T placental MRI were included. Two radiologists independently evaluated the MRI features of invasive placenta previa, including our novel type of placental bulge (i.e. placental bulge type-II, characterized by placental bulge with distorted uterine outline). Pearson's chi-squared or Fisher's two-sided exact test was performed to compare the MRI features between PP and PA. Logistic stepwise regression analysis and the area under the receiver operating characteristic curve (AUC) were performed to select the optimal features for differentiating PP from PA. Significant differences were found in nine MRI features between women with PP and those with PA (P <0.05). Placental bulge type-II and uterine serosal hypervascularity were independently associated with PP (odds ratio = 48.618, P < 0.001; odds ratio = 4.165, P = 0.018 respectively), and the combination of the two MRI features to distinguish PP from PA yielded an AUC of 0.92 for its predictive performance. Placental bulge type-II and uterine serosal hypervascularity are useful MRI features for differentiating PP from PA. (orig.)

  13. Gestión humana: tendencias y perspectivas

    Directory of Open Access Journals (Sweden)

    Juan Guillermo Saldarriaga Ríos

    2008-04-01

    Full Text Available En este artículo se hace referencia a las tendencias y las perspectivas de gestión humana que se imponen en el mundo en la actualidad y que, a su manera, pretenden optimizar la administración del personal de la organización y contribuir al desarrollo e incremento de la productividad y la competitividad. Mediante la realización de un Estado del Arte se logran determinar algunas de las tendencias más relevantes en la actualidad y se concluye que, cada vez con mayor fuerza, dichas tendencias se sustentan en discursos que pretenden “rescatar” al ser humano dentro de la organización, lo que no necesariamente se traduce en los procesos de gestión humana que se realizan en las organizaciones nacionales e internacionales.

  14. Differential expression of GPR30 in preeclampsia placenta tissue and normal placenta tissue and its clinical significance

    Directory of Open Access Journals (Sweden)

    Ben-Zhou Feng

    2016-04-01

    Full Text Available Objective: To study the differential expression of GPR30 in preeclampsia placenta tissue and normal placenta tissue and its clinical significance. Methods: Preeclampsia placenta tissue and normal placenta tissue were collected and GPR30 expression levels were detected; human umbilical vein endothelial cells were cultured and processed with GRP30 inhibitor and GRP30 agonist combined with hypoxia-reoxygenation respectively, and cell apoptosis as well as pro-angiogenesis molecule and apoptosis molecule contents were detected. Results: mRNA content and protein content of GRP30 in preeclampsia placenta tissue were significantly lower than those in normal placenta tissue; apoptosis rate of G15 group was significantly higher than that of control group, VEGF and bFGF contents in supernatant were significantly lower than those of control group, and mRNA contents of Bax, Caspase-3 and Caspase-9 in cells were significantly higher than those of control group; apoptosis rate of H/R group was significantly higher than that of control group, VEGF and bFGF contents in supernatant were significantly lower than those of control group, and mRNA contents of Bax, Caspase-3 and Caspase-9 in cells were significantly higher than those of control group; apoptosis rate of G1 group was significantly lower than that of H/R group, VEGF and bFGF contents in supernatant were significantly higher than those of H/R group, and mRNA contents of Bax, Caspase-3 and Caspase-9 in cells were significantly lower than those of H/R group. Conclusions: Low expression of GPR30 in placenta tissue is closely associated with the occurrence of preeclampsia, enhancing GPR function can reduce endothelial cell apoptosis and increase the contents of pro-angiogenesis factors, and it has endothelial protection effect.

  15. ECOLOCACIÓN HUMANA: REVISIÓN HISTÓRICA DE UN FENÓMENO PARTICULAR - PRIMERA PARTE

    Directory of Open Access Journals (Sweden)

    CLAUDIA ARIAS

    2010-01-01

    Full Text Available La ecolocación humana es una habilidad genuina, inexplorada y vinculada con la localización de sonidos reflejados, que resulta crucial en la movilidad independiente de la persona ciega. Se inscribe en el área poco estudiada de la audición cotidiana de sonidos no verbales e implica autoproducir sonidos para obtener información (reflexiones a fin de localizar y reconocer objetos que no se ven. Se presenta una revisión histórica de estudios realizados sobre la temática, que refleja cambios paradigmáticos del devenir científico. Las conceptualizaciones históricas de la ecolocación resultan ejemplificadoras: al comienzo se la consideraba como un fenómeno paranormal mientras que en la actualidad, se la trata como una habilidad utilizada inconscientemente por la mayoría de las personas...

  16. Propuesta de la vinculación de medicina bioenergética en Anatomía Humana I

    OpenAIRE

    Hidalgo Gato Castillo, Iraida; Rivero Plasencia, Xiomara; Cabrera Vázquez, Niurka; Miranda Hernández, Karina; Vilaú Gil, Yaíma

    2007-01-01

    Se realizó en el actual curso académico 06/ 07 un análisis detallado del programa analítico y del plan temático de la asignatura Anatomía Humana I que se imparte en el primer semestre del primer año de la carrera de medicina, a los alumnos del Proyecto Policlínico Universitario (PPU) como método tradicional. Debido a las exigencias actuales y las tendencias dentro de la Educación Médica Superior es necesario incorporar al plan de estudio la Medicina Bioenergética y dentro de sus ramas la Acup...

  17. Mitos y tabúes en la sexualidad humana

    Directory of Open Access Journals (Sweden)

    Ignacio González Labrador

    2002-06-01

    Full Text Available Se realizan consideraciones muy generales sobre el origen de los géneros y cómo esta formación favorece la presencia de mitos y tabúes en la expresión de la sexualidad de la pareja humana.Very general considerations are presented on the origin of genders and how this formation has favored myths and taboos in the expression of the human couple's sexuality.

  18. Anesthesia for cesarean section in pregnancies complicated by placenta previa

    International Nuclear Information System (INIS)

    Imarengiaye, Charles O.; Osaigbovo, Etinosa P.; Tudjegbe, Sampson O.

    2008-01-01

    Objective was to evaluate the factors affecting the choice of anesthetic technique for cesarean section in women with placenta previa. In this retrospective study, the records of the labor Ward Theatre of the University of Benin Teaching Hospital, Benin City, Nigeria were examined from January 2000 to December 2004 to identify all the women who had cesarean section for placenta previa. The patient's socio-demographic characteristics, type of placenta previa, anesthesia technique, estimated blood loss, maternal and fetal outcomes were recorded. One hundred and twenty-six patients had cesarean section for placenta previa, however, only 81 patients 64.3% were available for analysis. General anesthesia was administered to 52/81 patients 64.2% and 29/81 patients 35.8% received spinal anesthesia. A history of antepartum bleeding was recorded in 61.7% n=50. Of 31 patients without antepartum hemorrhage APH, 15/31 had general anesthesia and 16/31 had spinal anesthesia. The patients who had APH, 37/50 had general anesthesia and 1/50 had spinal anesthesia. There was an increased chance of using general anesthesia and if APH were present p=0.03, odds ratio=3.1, 95% confidence interval=1.2-7.7. Spinal anesthesia may useful in patients with placenta previa. The presence of APH may encourage the use of general anesthesia for cesarean delivery. (author)

  19. Evaluation of placenta in foetal demise and foetal growth restriction.

    Science.gov (United States)

    Ch, Ujwala; Guruvare, Shyamala; Bhat, Sudha S; Rai, Lavanya; Rao, Sugandhi

    2013-11-01

    The study objective was to evaluate the pathological changes of the placenta in foetal death and foetal growth restriction and to find correlation of the findings with clinical causes. Prospective study at a tertiary care hospital. Gross and histopathological examinations of the placentae were carried out in pregnancies with foetal demise (IUD) and Foetal Growth Restriction (FGR). SPSS, version 11.5. Placentae of twenty seven women with foetal demise and of equal number of women with foetal growth restriction were studied. Placental weight was less than 10(th) percentile in 61.5% women in IUD group and in 93% women in the FGR group. Gross examination of placentae showed abnormalities in 12 (44%) women of IUD group and in 16 (59%) women of FGR group. Histopathological abnormalities were observed in 74.1% women of the IUD group and in 66.7% women of FGR group. Placental histopathology correlated with clinical risk factors in 60% women of IUD group and in 40% women of FGR group. Among the women with no clinically explainable cause for IUD and FGR, 86% and 57% had placental histopathological abnormalities respectively. The histopathological abnormalities of the placenta can be used to document the clinical causes of foetal demise and growth restriction; it may explain the causes in cases of clinically unexplained foetal demise and foetal growth restriction.

  20. Conservative Management of Placenta Accreta/Increta after Vaginal Birth

    Science.gov (United States)

    Peiffer, S.; Reinhard, J.; Reitter, A.; Louwen, F.

    2012-01-01

    Aim: Aim of the study was to show that conservative management with preservation of the uterus and of fertility is possible in patients with placenta accreta/increta after vaginal delivery. Method: A retrospective analysis of patients with placental attachment disorders after vaginal delivery was done in a perinatal centre between November 2009 and April 2011. The patient collective was identified using the ICD-10 codes for placenta accreta/increta/percreta, and patient records were analysed for risk factors, maternal morbidity, preservation of the uterus and of fertility, and neonatal outcome. Results: Three cases of placenta increta were identified in the last 1.5 years out of a total of 1457 vaginal deliveries, and all 3 cases were treated conservatively. Mean maternal age was 35.3 years; gestational age ranged from 39 to 41 weeks, and mean duration between delivery of the child and delivery of the placenta was 44.67 days (range: 14–100 days). Two patients developed symptoms of endomyometritis, including fever, leukocytosis and increased CRP levels. All 3 women were successfully managed with preservation of the uterus. Conclusion: In selected cases with placenta accreta/increta after vaginal delivery, it is possible to avoid surgical procedures, particularly hysterectomy procedures, and successfully manage these patients conservatively with preservation of the uterus. PMID:25308979

  1. Ultrasound predictors of placental invasion: the Placenta Accreta Index.

    Science.gov (United States)

    Rac, Martha W F; Dashe, Jodi S; Wells, C Edward; Moschos, Elysia; McIntire, Donald D; Twickler, Diane M

    2015-03-01

    We sought to apply a standardized evaluation of ultrasound parameters for the prediction of placental invasion in a high-risk population. This was a retrospective review of gravidas with ≥1 prior cesarean delivery who received an ultrasound diagnosis of placenta previa or low-lying placenta in the third trimester at our institution from 1997 through 2011. Sonographic images were reviewed by an investigator blinded to pregnancy outcome and sonography reports. Parameters assessed included loss of retroplacental clear zone, irregularity and width of uterine-bladder interface, smallest myometrial thickness, presence of lacunar spaces, and bridging vessels. Diagnosis of placental invasion was based on histologic confirmation. Statistical analyses were performed using linear logistic regression and multiparametric analyses to generate a predictive equation evaluated using a receiver operating characteristic curve. Of 184 gravidas who met inclusion criteria, 54 (29%) had invasion confirmed on hysterectomy specimen. All sonographic parameters were associated with placental invasion (P placental location, yielded an area under the curve of 0.87 (95% confidence interval, 0.80-0.95). Using logistic regression, a predictive equation was generated, termed the "Placenta Accreta Index." Each parameter was weighted to create a 9-point scale in which a score of 0-9 provided a probability of invasion that ranged from 2-96%, respectively. Assignment of the Placenta Accreta Index may be helpful in predicting individual patient risk for morbidly adherent placenta. Copyright © 2015 Elsevier Inc. All rights reserved.

  2. Fertility and obstetric outcome after conservative management of placenta accreta.

    Science.gov (United States)

    Provansal, Magali; Courbiere, Blandine; Agostini, Aubert; D'Ercole, Claude; Boubli, Léon; Bretelle, Florence

    2010-05-01

    To determine the fertility and obstetric outcomes after conservative management of placenta accreta. A retrospective observational cohort study of all identified cases of placenta accreta from 1993 to 2007 in 2 tertiary university hospitals in France. For patients treated conservatively, maternal and fetal morbidity, reproductive function, fertility, and subsequent pregnancies were recorded. During the study period, 46 patients were treated by conservative management; 6 patients underwent a secondary hysterectomy. Of the remaining 40 patients, 35 were followed up for a median of 65 months (range 18-156 months). Patients resumed their menstrual cycles after a median of 130 days (range 48-176 days). Menses were irregular in 11 patients (31%), but none had amenorrhea. Twelve of the 14 patients desiring another pregnancy achieved a total of 15 pregnancies; 2 patients had recurrent placenta accreta. Five spontaneous abortions and 1 termination of pregnancy occurred during the first trimester. The median term at delivery was 37 weeks (range, 35-40 weeks). Four patients delivered prematurely. Conservative management of placenta accreta can preserve fertility, although the risk of recurrent placenta accreta appears to be high. Copyright 2010 Elsevier Ireland Ltd. All rights reserved.

  3. En torno a la realidad humana en Xavier Zubiri

    Directory of Open Access Journals (Sweden)

    Espinoza Lolas, Ricardo

    2016-08-01

    Full Text Available This article inquires into the nature of human reality and its connection to the concept of person in the philosophy of Xavier Zubiri(1898-1983. The methodology of the analysis consists in reviewing the nature of human reality through the prism of noology, i.e., the final period of this author’s work, in order to introduce man from its always incarnate, prominently physical, dimension of human reality. This allows individual development and the historical and social display of the human being from a physical perspective to be represented.Este artículo indaga acerca del carácter de la realidad humana y su relación al concepto de persona en el pensamiento de Xavier Zubiri (1898-1983. La metodología de análisis consiste en revisar el carácter de la realidad humana desde la noología, esto es, la última etapa de la obra del autor, a fin de presentar al hombre desde su dimensión eminentemente física y siempre encarnada de la realidad humana, permitiendo repensar desde una perspectiva física el desarrollo individual, así como también, el despliegue social e histórico del ser humano.

  4. DIGNIDAD HUMANA, DIVERSIDAD CULTURAL Y CALIDAD DE VIDA

    Directory of Open Access Journals (Sweden)

    Édgar Antonio López López

    2009-01-01

    Full Text Available En este artículo, se propone la calidad de vida como una expresión concreta de la dignidad humana que permite superar el relativismo en la discusión bioética sobre la diversidad cultural y los límites de una concepción universalista de los derechos humanos. Después de hacer referencia al proceso mediante el cual las nociones cristianas de dignidad humana y de derecho natural fueron secularizadas, se hace examen de la conservadora crítica culturalista de Lee Kwan yew y de la crítica comunitarista de Charles Taylor a la concepción universal de los derechos humanos. A partir de las respuestas de Thomas Pogge y de Amartya Sen a dichas críticas, fi nalmente se establece la relación que hay entre libertad, calidad de vida y capacidades humanas en la teoría de Sen.

  5. La tarea hermenéutica de las ciencias humanas

    Directory of Open Access Journals (Sweden)

    Rafael Ávila Penagos

    2012-01-01

    Full Text Available En este trabajo el autor sustenta la importancia y pertinencia de la tradición hermenéutica para todos los investigadores de las ciencias humanas. Dos casos paradigmáticos sirven para abrir y cerrar el texto. En ellos se muestra, de manera contundente, el impacto de las actividades hermenéuticas sobre la configuración de nuevos sentidos, el cambio en las maneras de mirar y el acceso a nuevas formas de vida en el universo social. En el intermedio, el autor describe el progresivo distanciamiento de las ciencias humanas respecto al paradigma positivista. Se detiene en la conceptualización de cuatro categorías fundamentales de la actividad hermenéutica: la comprensión, la explicación, la interpretación y la traducción. Sostiene que la traducción del comprender es la tarea complementaria de la comprensión del comprender, e incorpora la propuesta de Paul Ricoeur para una nueva comprensión de la explicación en este ámbito. Finalmente, argumenta que la autocomprensión y la autovaloración de las ciencias humanas dependen de su capacidad reflexiva para considerar sus teorías y sus prácticas como textos susceptibles de autoexamen.

  6. La gestión humana en colombia: características y tendencias de la práctica y de la investigación

    Directory of Open Access Journals (Sweden)

    Gregorio Calderón Hernández

    2007-04-01

    Full Text Available El presente estudio de revisión aborda de manera sintética las relaciones entre la modernización empresarial y la gestión humana en el país, se describen las características de las áreas de gestión humana y de las prácticas de recursos humanos, se realiza una descripción del mercado laboral y las relaciones laborales en concordancia con la gestión de los recursos humanos, y por último se aborda la generación de conocimiento en Colombia, considerando las tres perspectivas más sobresalientes: la sociológica, la humanística y la estratégica, siendo desde esta última de donde se vincula el área de gestión humana y sus prácticas al logro de objetivos y metas estratégicas de la organización, en consideración de sus activos intangibles como fuente de ventaja competitiva sostenible.

  7. Responsabilidad social empresarial y gestión humana: una relación estratégica aplicada desde un modelo explicativo

    Directory of Open Access Journals (Sweden)

    Juan David Peláez-León

    2014-01-01

    Full Text Available El presente trabajo tiene como objetivo explicar la relación entre la Responsabilidad Social Empresarial (RSE y la Gestión Humana, aplicando un modelo explicativo en una empresa colombiana. La empresa corresponde a un caso de estudio elaborado por el grupo de investigación Humanismo y Gestión (2012, mediante entrevistas en profundidad a personal directivo y cuestionarios dirigidos a los trabajadores. Los resultados, producto de la revisión bibliográfica, el análisis del caso y la aplicación del modelo, permiten por un lado, evidenciar y describir las condiciones y dimensiones que explican la relación entre la RSE y la Gestión Humana desde una perspectiva estratégica, y por otro lado, identificar alternativas de investigación para validar las relaciones establecidas en el modelo propuesto, así como abarcar nuevas cuestiones. Finalmente, la contribución de estos resultados son en el campo académico y empresarial, especialmente para investigadores en gestión humana y RSE que deseen explorar alternativas de investigación, así como para el empresariado colombiano y estudiantes que estén interesados en generar estrategias desde estos dos enfoques para las empresas.

  8. Induced abortion and placenta complications in the subsequent pregnancy

    DEFF Research Database (Denmark)

    Zhou, Wei Jin; Nielsen, Gunnar Lauge; Larsen, Helle

    2001-01-01

    Background. To study the risk of placenta complications following an induced abortion as a function of the interpregnancy interval. Methods. This study is based on three Danish national registries; the Medical Birth Registry, the Hospital Discharge Registry, and the Induced Abortion Registry. All...... primigravida women from 1980 to 1982 were identified in these three registries. A total of 15,727 women who terminated the pregnancy with a first trimester induced abortion were selected to the abortion cohort, and 46,026 women who did not terminate the pregnancy with an induced abortion constituted...... or the Medical Birth Registry records. Results. A slightly higher risk of placenta complications following an abortion was found. Retained placenta occurred more frequently in women with one, two or more previous abortions, compared with women without any previous abortion of similar gravidity. Adjusting...

  9. A Case of Placenta Increta Mimicking Submucous Leiomyoma

    Directory of Open Access Journals (Sweden)

    Ali Ekiz

    2014-01-01

    Full Text Available In recent years with the increase in cesarean section rates, the frequency of placenta accreta cases rises. It causes 33–50% of all emergency peripartum hysterectomies. We present a 42-year-old case who was caught with early postpartum hemorrhage due to retained placental products. The ultrasonography showed a 65 × 84 mm mass in the uterine cavity after the delivery. Due to presence of early postpartum hemorrhage which needs transfusion, an intervention decision was made. The patient underwent curettage but the mass could not be removed so that placental retention was ruled out. Submucous leiomyoma was made as first-prediagnosis. Hysterectomy operation was performed as a curative treatment. Placenta increta diagnosis was made as a final diagnosis with pathological examination. As a result, placental attachment disorders may be overlooked if it is not a placenta previa case.

  10. Ultrasound detection of placenta accreta in the first trimester of pregnancy

    OpenAIRE

    Fatemeh Rahimi-Sharbaf; Ashraf Jamal; Elaheh Mesdaghinia; Masoumeh Abedzadeh- Kalahroudi; Shirin Niroomanesh; Fatemeh Atoof

    2014-01-01

    Background: Placenta accreta is considered a life-threatening condition and the main cause of maternal mortality. Prenatal diagnosis of placenta accreta usually is made by clinical presentation, imaging studies like ultrasound and MRI in the second and third trimester. Objective: To determine accuracy of ultrasound findings for placenta accreta in the first trimester of pregnancy. Materials and Methods: In a longitudinal study 323 high risk patients for placenta accreta were assessed. The eli...

  11. Scaling of the surface vasculature on the human placenta

    Science.gov (United States)

    Leonard, A. S.; Lee, J.; Schubert, D.; Croen, L. A.; Fallin, M. D.; Newschaffer, C. J.; Walker, C. K.; Salafia, C. M.; Morgan, S. P.; Vvedensky, D. D.

    2017-10-01

    The networks of veins and arteries on the chorionic plate of the human placenta are analyzed in terms of Voronoi cells derived from these networks. Two groups of placentas from the United States are studied: a population cohort with no prescreening, and a cohort from newborns with an elevated risk of developing autistic spectrum disorder. Scaled distributions of the Voronoi cell areas in the two cohorts collapse onto a single distribution, indicating common mechanisms for the formation of the complete vasculatures, but which have different levels of activity in the two cohorts.

  12. Characterization and partial purification of phospholipase D from human placenta

    DEFF Research Database (Denmark)

    Vinggaard, Anne Marie; Hansen, Harald S.

    1995-01-01

    We report the existence in the human placenta of a phosphatidylcholine- hydrolyzing phospholipase D (PLD) activity, which has been characterized and partially purified. Triton X-100 effectively solubilized PLD from the particulate fraction of human placenta in a dose-dependent manner. However......, Triton X-100 caused decreasing enzyme activities. Maximum transphosphatidylation was obtained with 2% ethanol. The enzyme was found to have a pH optimum of 7.0-7.5 and an apparent K(m) of 33 mol% (or 0.8 mM). Ca and Mg was not required for the enzyme activity. Addition of phosphatidyl-4,5-bisphosphate...

  13. A 3D co-culture microtissue model of the human placenta for nanotoxicity assessment

    DEFF Research Database (Denmark)

    Muoth, Carina; Wichser, Adrian; Monopoli, Marco

    2016-01-01

    and functionality of the placental tissue. The effects of NPs on the human placenta are not well studied or understood, and predictive in vitro placenta models to achieve mechanistic insights on NP-placenta interactions are essentially lacking. Using the scaffold-free hanging drop technology, we developed a well...

  14. Brucelosis, una zoonosis presente en la población: estudio de series de tiempo en México

    Directory of Open Access Journals (Sweden)

    Meztli Méndez-Lozano

    2015-11-01

    Full Text Available Objetivo. Determinar el comportamiento de la incidencia de brucelosis humana en México durante el periodo 2000-2011 y su relación con la brucelosis en rumiantes domésticos. Material y métodos. En estudio ecológico de series de tiempo se analizaron, mediante regresión Poisson multinivel múltiple, la incidencia de brucelosis humanas durante 2000- 2011 y la incidencia en rumiantes, y su relación con índice de desarrollo humano. Resultados. La alta incidencia de brucelosis bovina aumenta 15% la incidencia de brucelosis humana. La alta incidencia en caprinos aumenta 33% la incidencia de brucelosis humana. La presencia de casos nuevos de brucelosis ovina aumenta 13% la incidencia de brucelosis humana. Conclusiones. La brucelosis es un problema de salud pública; la presencia de la brucelosis en los rumiantes domésticos y el nivel de control de la enfermedad en ellos afecta la presencia de la enfermedad en humanos.

  15. Evaluación de la prueba de inmunofluorescencia indirecta para el diagnóstico de leptospirosis humana.

    Directory of Open Access Journals (Sweden)

    Piedad Agudelo Flórez

    2006-06-01

    Full Text Available Introducción. El diagnóstico de la leptospirosis es difícil debido al amplio espectro de síntomas clínicos que presenta. Varias pruebas diagnósticas serológicas se han desarrollado, pero su aplicación y utilidad en Colombia no han sido determinadas. Objetivos. Evaluar la prueba de inmunofluorescencia indirecta para el diagnóstico de leptospirosis humana y determinar así los anticuerpos de las clases inmunoglobulina G y M producidos contra Leptospira. Materiales y métodos. Se establecieron tres grupos de estudio. El primero incluyó 19 muestras positivas para leptospirosis de pacientes con diagnóstico clínico y prueba de microaglutinación positiva; el segundo, 40 muestras de personas sin antecedentes de leptospirosis y con microaglutinación negativa, y el tercero con 96 muestras de pacientes con otras enfermedades diferentes a leptospirosis. Todas las muestras fueron procesadas por inmunofluorescencia indirecta. Resultados. Se determinó que la inmunofluorescencia indirecta tiene sensibilidad de 89,47%, especificidad de 100%, valor predictivo negativo de 95,2% (IC95%82,6 a 99,2 y valor predictivo positivo de 100%. En forma paralela, un estudio exploratorio en 27 muestras de suero que habían sido remitidas para diagnóstico de diferentes síndromes febriles encontró que 11% de ellas fueron positivas por inmunofluorescencia indirecta para anticuerpos IgM contra Leptospira. Conclusiones. La inmunofluorescencia indirecta es una alternativa que complementa el diagnóstico de leptospirosis y los estudios seroepidemiológicos. La presencia de anticuerpos dirigidos contra Leptospira en las muestras de síndrome febril del estudio indica que la leptospirosis es una de las causas de este síndrome que el clínico debe explorar.

  16. ¿Agregan valor las áreas de gestión humana a las organizaciones del sector industrial de Duitama y Sogamoso (Boyacá?

    Directory of Open Access Journals (Sweden)

    César Augusto Torres Gómez

    2011-01-01

    Full Text Available El objetivo de esta investigación es determinar si las áreas de gestión humana aportan a los resultados finales de las empresas ubicadas en el corredor industrial de Duitama Sogamoso, Boyacá. El enfoque que se utilizó es deductivo cuantitativo. La muestra del estudio corresponde a diezempresas, cinco nacionales y cinco multinacionales, que tuvieran más de 150 trabajadores y cuyas áreas de recursoshumanos estuvieran estructuradas. Los instrumentos que se utilizaron fueron: encuesta, entrevista personalestructurada y observación directa desarrollada a los jefes del área de recursos humanos. Como resultado se observa que la dimensión de liderazgo crea unambiente en la organización que permite aprender, crecer y desarrollarse, así como desarrollar competenciasalineadas con la estrategia de la organización, también se evidencia que la proyección organizacional asegura prácticas de recursos humanos alineadas con la cultura deseada, así como la identificación de la misma para cumplir la estrategia de las empresas del presente estudio. La investigación permite concluir que las áreas de gestión humana agregan valor en las empresas ubicadas en el corredor industrial de Duitama y Sogamoso, Boyacá.

  17. Citotoxicidad y genotoxicidad en células humanas expuestas in vitro a glifosato.

    Directory of Open Access Journals (Sweden)

    Claudia Milena Monroy

    2005-09-01

    Full Text Available Introducción. El glifosato es un herbicida de amplio espectro, no selectivo, utilizado para eliminar malezas indeseables en ambientes agrícolas y forestales. La acción herbicida corresponde a la inhibición de la biosíntesis de aminoácidos aromáticos en las plantas. Al no ser este mecanismo compartido por los seres humanos es considerado como de bajo riesgo para la salud de los mismos. Sin embargo, investigaciones recientes indican que puede alterar otros procesos celulares en animales lo que puede presentar un factor de riesgo a nivel ambiental y de salud en las zonas donde se emplea este herbicida. Objetivo. El objetivo del presente estudio fue evaluar la citotoxicidad y la genotoxicidad del glifosato en células humanas normales (GM38 y en células humanas de fibrosarcoma (HT1080. Materiales y métodos. La citotoxicidad aguda y crónica se determinó al exponer las células en cultivo a diferentes concentraciones de glifosato, y se analizó la viabilidad celular con cristal violeta y colorante de exclusión azul de tripano, respectivamente. La genotoxicidad se determinó por medio del ensayo del cometa y los datos se analizaron usando la prueba de Dunnet. Resultados. En la citotoxicidad crónica las células GM38 y las HT1080 presentaron un efecto dependiente de la dosis después del tratamiento con glifosato en concentraciones de 5,2 a 8,5 mM y 0,9 a 3,0 mM, respectivamente. En la citotoxicidad aguda, las células GM38 y las HT1080 expuestas a un rango de concentraciones de 4,0 a 7,0 mM, 4,5 a 5,75 mM y 4,0 a 7,0 mM, respectivamente, presentaron una viabilidad mayor al 80%. Se evidenció daño en el ADN después del tratamiento con glifosato en concentraciones de 4,0 a 6,5 mM para las células GM38 y de 4,75 a 5,75 mM para las células HT1080. Conclusiones. Se sugiere que el mecanismo de acción del glifosato no se limita únicamente a las plantas sino que puede alterar la estructura del ADN en otros tipos de células como son las de

  18. [The conservative treatment of placenta accreta. A clinical case report].

    Science.gov (United States)

    Artuso, A; Rocchi, B; Garbo, S; Baudino, G; Repetti, F

    1993-09-01

    The following description is a clinical case of placenta accreta and its conservative treatment. According to some authors, abnormal adhesion of the placenta depends on the alteration of the equilibrium between the trophoblastic tissue invasion and the reaction of the decidua. Consequently we have various degrees of penetration of the myometrium by chorionic villi into areas of deficit, sparse or absent decidua. Whatever the pathogenetic mechanism, the final clinical picture is slight to deep penetration of the trophoblastic tissue into the uterine wall. That causes absence of the normal plane of cleavage between placenta and maternal decidua, no spontaneous placental detachment during the third stage of labour and no possible manual removal. The patient, primigravida, was admitted at the 36th Week of gestation with PROM and physiologically delivered a neonate weighing 1820 g, after she spontaneously began labour. The newborn was admitted in the neonatal-pathology ward because it was premature although the Apgar score at 1-5 minutes after birth was 5-9. Placental ejection was awaited for 1 hour, then manual exploration of the uterine cavity was undertaken. The normal plane of cleavage between placental tissue and decidua was absent and therefore manual extraction of the placenta was impossible. Surgery was stopped and, after informed consensus was obtained from the patient, a conservative treatment was tried. After cutting the umbilical cord as short as possible and checking for vaginal bleeding, the patient was moved to obstetrics ward.(ABSTRACT TRUNCATED AT 250 WORDS)

  19. Placenta as a source of hematopoietic stem cells

    NARCIS (Netherlands)

    E.A. Dzierzak (Elaine); C. Robin (Catherine)

    2010-01-01

    textabstractThe placenta is a large, highly vascularised hematopoietic tissue that functions during the embryonic and foetal development of eutherian mammals. Although recognised as the interface tissue important in the exchange of oxygen, nutrients and waste products between the foetus and mother,

  20. Placenta accreta: MRI antenatal diagnosis and surgical correlation.

    Science.gov (United States)

    Ha, T P; Li, K C

    1998-01-01

    We describe a case of a placenta previa accreta that was diagnosed antenatally by MRI with subsequent surgical confirmation. We show the advantages of ultrafast MRI single shot (SS) fast spin echo (FSE) techniques for accurate diagnosis with minimal scan time and fetal motion artifacts.

  1. Histopathological Study of Placentae in Low Birth Weight Babies in ...

    African Journals Online (AJOL)

    Histopathological Study of Placentae in Low Birth Weight Babies in India. JS Nigam, V Misra, P Singh, PA Singh, S Chauhan, B Thakur. Abstract. Background: The antenatal health-care given to pregnant women has great influence on the rates of perinatal death and morbidity. Amongst the different causes of perinatal ...

  2. Can venous ProBNP levels predict placenta accreta?

    Science.gov (United States)

    Ersoy, Ali Ozgur; Oztas, Efser; Ozler, Sibel; Ersoy, Ebru; Erkenekli, Kudret; Uygur, Dilek; Caglar, Ali Turhan; Danisman, Nuri

    2016-12-01

    Placenta previa (PP) is a potential life-threatening pregnancy complication. Pro-brain natriuretic peptide (ProBNP), creatine kinase (CK), cardiac form of CK (CK-MB) and Troponin I are circulatory biomarkers related to cardiac functions. We aimed to determine whether these biomarkers are related to PP and placenta accreta. In this case-control study, fifty-four pregnant women who attended our tertiary care center for perinatology with the diagnosis of PP totalis, and of them, 14 patients with placenta accreta were recruited as the study groups. Forty-six uncomplicated control patients who were matched for age, BMI were also included. Maternal venous ProBNP, CK, CK-MB and Troponin I levels were compared between the three groups. Obstetric history characteristics were comparable among groups, generally. CK and CK-MB levels were similar among three groups. Troponin I levels in the previa and accreta groups were significantly higher than the controls. ProBNP levels in the accreta group were significantly higher than other two groups. The multivariate regression model revealed that ProBNP could predict placental adhesion anomalies. Troponin I and ProBNP levels in PP cases were higher than controls and ProBNP could predict placenta accreta.

  3. Placenta Praevia: Incidence, Risk Factors, Maternal and Fetal ...

    African Journals Online (AJOL)

    Maternal complications included post-partum anaemia, postpartum haemorrhage & operative site infection. There were two maternal deaths (1.48%) and the perinatal mortality rate was 18.7%. Conclusion: The incidence of Placenta praevia was relatively high and associated with high maternal and perinatal complications.

  4. Nitrate Promotes Capsaicin Accumulation in Capsicum chinense Immobilized Placentas

    Directory of Open Access Journals (Sweden)

    Jeanny G. Aldana-Iuit

    2015-01-01

    Full Text Available In chili pepper’s pods, placental tissue is responsible for the synthesis of capsaicinoids (CAPs, the compounds behind their typical hot flavor or pungency, which are synthesized from phenylalanine and branched amino acids. Placental tissue sections from Habanero peppers (Capsicum chinense Jacq. were immobilized in a calcium alginate matrix and cultured in vitro, either continuously for 28 days or during two 14-day subculture periods. Immobilized placental tissue remained viable and metabolically active for up to 21 days, indicating its ability to interact with media components. CAPs contents abruptly decreased during the first 7 days in culture, probably due to structural damage to the placenta as revealed by scanning electron microcopy. CAPs levels remained low throughout the entire culture period, even though a slight recovery was noted in subcultured placentas. However, doubling the medium’s nitrate content (from 40 to 80 mM resulted in an important increment, reaching values similar to those of intact pod’s placentas. These data suggest that isolated pepper placentas cultured in vitro remain metabolically active and are capable of metabolizing inorganic nitrogen sources, first into amino acids and, then, channeling them to CAP synthesis.

  5. Management Outcomes of Abruptio Placentae at Nnamdi Azikiwe ...

    African Journals Online (AJOL)

    BACKGROUND: The objective of this study is to determine incidence, risk factors and management outcomes of abruptio placentae (AP) and comparing them with cases without AP who delivered within the same period. METHODS: A 10 year retrospective study of AP managed at Nnamdi Azikiwe University Teaching ...

  6. Risk factors for severe abruptio placenta in Mulago Hospital ...

    African Journals Online (AJOL)

    They were followed up and compared to five hundred women (controls) who had normal deliveries. Outcome variables: Socio-demographic characteristics, familial history, medical history, gynaecological and obstetric history. Results: The risk factors for severe abruptio placenta were low socio economic status (OR 10.5 ...

  7. Histopathological Study of Placentae in Low Birth Weight Babies in ...

    African Journals Online (AJOL)

    Chi‑square test with or without yate's correction was used as and when required. P < 0.05 was taken as .... For fixation, the placenta was cut into the multiple longitudinal slices of on-2 cm and kept ..... Source of Support: Nil. Conflict of Interest: ...

  8. Rnas inhibidores frente al virus de la inmunodeficiencia humana

    OpenAIRE

    Sánchez Luque, Francisco José

    2013-01-01

    En la presente tesis se describe la generaci??n de peque??as mol??culas de RNA con funci??n inhibidora frente al Virus de la Inmunodeficiencia Humana de Tipo 1 (VIH-1). Este virus es el agente causal del S??ndrome de Inmunodeficiencia Adquirida y perteneciente al g??nero Lentivirus de la familia Retroviridae. El virus presenta una alternancia en cuanto al tipo de material gen??tico en su ciclo de vida, siendo RNA en las part??culas virales y DNA en el provirus (durante la fase de latencia o e...

  9. Leonardo da Vinci y la nutrición humana

    OpenAIRE

    Mª Begoña Carretero Gómez

    2011-01-01

    En esta experiencia trabajamos el tema la nutrición humana con una perspectiva diferente. Para ello hemos utilizado el libro de cocina "Notas de cocina de Leonardo da Vinci" de Shelagh and Routh, como texto base del que hemos extraído diferentes fragmentos, recetas y variada información de cómo era la forma de alimentarse y nutrirse en el Renacimiento. Se han realizado comparaciones entre la época actual y la de Leonardo. Para redondear la experiencia hemos cocinado algunas recetas extraídas ...

  10. Leonardo da Vinci y la nutrición humana

    Directory of Open Access Journals (Sweden)

    Mª Begoña Carretero Gómez

    2011-01-01

    Full Text Available En esta experiencia trabajamos el tema la nutrición humana con una perspectiva diferente. Para ello hemos utilizado el libro de cocina “Notas de cocina de Leonardo da Vinci” de Shelagh and Routh, como texto base del que hemos extraído diferentes fragmentos, recetas y variada información de cómo era la forma de alimentarse ynutrirse en el Renacimiento. Se han realizado comparaciones entre la época actual y la de Leonardo. Para redondear la experiencia hemos cocinado algunas recetas extraídas del libro.

  11. Leonardo da Vinci y la nutrición humana

    Directory of Open Access Journals (Sweden)

    Mª Begoña Carretero Gómez

    2011-01-01

    Full Text Available En esta experiencia trabajamos el tema la nutrición humana con una perspectiva diferente. Para ello hemos utilizado el libro de cocina "Notas de cocina de Leonardo da Vinci" de Shelagh and Routh, como texto base del que hemos extraído diferentes fragmentos, recetas y variada información de cómo era la forma de alimentarse y nutrirse en el Renacimiento. Se han realizado comparaciones entre la época actual y la de Leonardo. Para redondear la experiencia hemos cocinado algunas recetas extraídas del libro.

  12. Leonardo da Vinci y la nutrición humana

    OpenAIRE

    Carretero Gómez, Mª Begoña

    2011-01-01

    En esta experiencia trabajamos el tema la nutrición humana con una perspectiva diferente. Para ello hemos utilizado el libro de cocina “Notas de cocina de Leonardo da Vinci” de Shelagh and Routh, como texto base del que hemos extraído diferentes fragmentos, recetas y variada información de cómo era la forma de alimentarse y nutrirse en el Renacimiento. Se han realizado comparaciones entre la época actual y la de Leonardo. Para redondear la experiencia hemos cocinado algunas receta...

  13. La tarea hermenéutica de las ciencias humanas

    OpenAIRE

    Rafael Ávila Penagos

    2012-01-01

    En este trabajo el autor sustenta la importancia y pertinencia de la tradición hermenéutica para todos los investigadores de las ciencias humanas. Dos casos paradigmáticos sirven para abrir y cerrar el texto. En ellos se muestra, de manera contundente, el impacto de las actividades hermenéuticas sobre la configuración de nuevos sentidos, el cambio en las maneras de mirar y el acceso a nuevas formas de vida en el universo social. En el intermedio, el autor describe el progresivo distanciamien...

  14. VALORACIÓN DE LA TRADICIÓN ORAL COMO FUENTE EN EL ESTUDIO DE NUBES Y TIPOS DE TIEMPO

    Directory of Open Access Journals (Sweden)

    Alfredo Ramón Morte

    1991-01-01

    Full Text Available La tradición oral puede aportar informaciones complementarias e incluso decisivas en el estudio del clima; además, su cualidad de sintetizar la percepción empírica durante siglos de experiencias humanas en el medio natural, incrementa su valor para la Geografía. En este trabajo se pretende analizar las apreciaciones populares sobre las formaciones nubosas y su relación con determinados tipos de tiempo.

  15. VALORACIÓN DE LA TRADICIÓN ORAL COMO FUENTE EN EL ESTUDIO DE NUBES Y TIPOS DE TIEMPO

    OpenAIRE

    Alfredo Ramón Morte

    1991-01-01

    La tradición oral puede aportar informaciones complementarias e incluso decisivas en el estudio del clima; además, su cualidad de sintetizar la percepción empírica durante siglos de experiencias humanas en el medio natural, incrementa su valor para la Geografía. En este trabajo se pretende analizar las apreciaciones populares sobre las formaciones nubosas y su relación con determinados tipos de tiempo.

  16. [Histopathological changes in human placentas related to hypertensive disorders].

    Science.gov (United States)

    Artico, Luciano Guimarães; Madi, José Mauro; Godoy, Alessandra Eifler Guerra; Coelho, Celso Piccoli; Rombaldi, Renato Luís; Artico, Graziela Rech

    2009-01-01

    to determine the prevalence of histopathological changes, in human placentas, related to hypertensive syndromes. a transversal study that compares histopathological changes identified in 43 placentae from hypertensive pregnant women (HypPr), with the ones from 33 placentae from normotensive pregnant women (NorPr). The weight, volume and macroscopic and microscopic occurrence of infarctions, clots, hematomas, atherosis (partial obliteration, thickness of layers and presence of blood vessels hyalinization) and Tenney-Parker changes (absent, discreet and prominent), as well as the locating of infarctions and clots (central, peripheral or the association of both) have been analyzed. The chi2 and t Student tests have been used for the statistical analysis, as well as medians, standard deviations and ratios. It has been considered as significant, p<0.05. the macroscopic study of HypPr placentae have presented lower weight (461.1 versus 572.1 g) and volume (437.4 versus 542.0 cm(3)), higher infarction (51.2 versus 45.5%; p<0.05: OR=1.15) and clots (51.2 versus 15.1%; p<0.05; OR=5.4) ratios, as compared to the NorPr's. In the HypPr and NorPr, microscopic clots have occurred in 83.7 versus 45.5% (p<0.05; OR=4.3), respectively. Atherosis and Tenney-Parker changes have been statistically associated to the hypertensive syndromes (p<0.05). the obtained data allow us to associate lower placentary weight and volume, higher ratio of macro and microscopic infarction, clots, atherosis and Tenney-Parker changes to placentae of gestations occurring with hypertensive syndromes.

  17. Creatine biosynthesis and transport by the term human placenta.

    Science.gov (United States)

    Ellery, Stacey J; Della Gatta, Paul A; Bruce, Clinton R; Kowalski, Greg M; Davies-Tuck, Miranda; Mockler, Joanne C; Murthi, Padma; Walker, David W; Snow, Rod J; Dickinson, Hayley

    2017-04-01

    Creatine is an amino acid derivative that is involved in preserving ATP homeostasis. Previous studies suggest an important role for the creatine kinase circuit for placental ATP turnover. Creatine is obtained from both the diet and endogenous synthesis, usually along the renal-hepatic axis. However, some tissues with a high-energy demand have an inherent capacity to synthesise creatine. In this study, we determined if the term human placenta has the enzymatic machinary to synthesise creatine. Eleven placentae were collected following elective term caesarean section. Samples from the 4 quadrants of each placenta were either fixed in formalin or frozen. qPCR was used to determine the mRNA expression of the creatine synthesising enzymes arginine:glycine amidinotransferase (AGAT) and guanidinoacetate methyltransferase (GAMT), and the creatine transporter (SLC6A8). Protein expression of AGAT and GAMT was quantified by Western blot, and observations of cell localisation of AGAT, GAMT and SLC6A8 made with immunohistochemistry. Synthesis of guanidinoacetate (GAA; creatine precursor) and creatine in placental homogenates was determined via GC-MS and HPLC, respectively. AGAT, GAMT and SLC6A8 mRNA and protein were detected in the human placenta. AGAT staining was identified in stromal and endothelial cells of the fetal capillaries. GAMT and SLC6A8 staining was localised to the syncytiotrophoblast of the fetal villi. Ex vivo, tissue homogenates produce both GAA (4.6 nmol mg protein -1 h -1 ) and creatine (52.8 nmol mg protein -1 h -1 ). The term human placenta has the capacity to synthesise creatine. These data present a new understanding of placental energy metabolism. Copyright © 2017 Elsevier Ltd. All rights reserved.

  18. Cesarean scar pregnancy and early placenta accreta share common histology.

    Science.gov (United States)

    Timor-Tritsch, I E; Monteagudo, A; Cali, G; Palacios-Jaraquemada, J M; Maymon, R; Arslan, A A; Patil, N; Popiolek, D; Mittal, K R

    2014-04-01

    To determine, by evaluation of histological slides, images and descriptions of early (second-trimester) placenta accreta (EPA) and placental implantation in cases of Cesarean scar pregnancy (CSP), whether these are pathologically indistinguishable and whether they both represent different stages in the disease continuum leading to morbidly adherent placenta in the third trimester. The database of a previously published review of CSP and EPA was used to identify articles with histopathological descriptions and electronic images for pathological review. When possible, microscopic slides and/or paraffin blocks were obtained from the original researchers. We also included from our own institutions cases of CSP and EPA for which pathology specimens were available. Two pathologists examined all the material independently and, blinded to each other's findings, provided a pathological diagnosis based on microscopic appearance. Interobserver agreement in diagnosis was determined. Forty articles were identified, which included 31 cases of CSP and 13 cases of EPA containing histopathological descriptions and/or images of the pathology. We additionally included six cases of CSP and eight cases of EPA from our own institutions, giving a total of 58 cases available for histological evaluation (37 CSP and 21 EPA) containing clear definitions of morbidly adherent placenta. In the 29 cases for which images/slides were available for histopathological evaluation, both pathologists attested to the various degrees of myometrial and/or scar tissue invasion by placental villi with scant or no intervening decidua, consistent with the classic definition of morbidly adherent placenta. Based on the reviewed material, cases with a diagnosis of EPA and those with a diagnosis of CSP showed identical histopathological features. Interobserver correlation was high (kappa = 0.93). EPA and placental implantation in CSP are histopathologically indistinguishable and may represent different stages in

  19. La vulnerabilidad humana a la transmisión vectorial de Trypanosoma cruzi a través de los procesos de salud-enfermedad y la apropiación social del territorio

    Directory of Open Access Journals (Sweden)

    Alba Rocío Valdez Tah

    2015-01-01

    Full Text Available Los estudios sobre el riesgo de la transmisión vectorial de Trypanosoma cruzi a población humana han desatendido el rol del comportamiento y de la subjetividad de las relaciones sociales en el marco del paisaje natural y el contexto social. A través de una revisión y síntesis de la bibliografía sobre los factores biológicos, ecoepidemiológicos y socioculturales que intervienen en el fenómeno, en conjunto con un estudio etnográfico, se propone un modelo de análisis del riesgo que distingue los componentes de peligro y de la vulnerabilidad humana. Los conocimientos, prácticas y representaciones sociales respecto del proceso salud-enfermedad-atención y de la apropiación social del territorio se plantean como elementos explicativos de la vulnerabilidad humana. Los componentes de la vulnerabilidad propuestos se exploran en el marco de un análisis etnográfico, que permite identificar opciones y medidas preventivas o de control integral del riesgo más adecuadas.

  20. Mulheres doadoras de leite humano Mujeres donantes de leche humana Reasons women donate breast milk

    Directory of Open Access Journals (Sweden)

    Marli Teresinha Gimeniz Galvão

    2006-06-01

    Full Text Available OBJETIVO: verificar algumas variáveis do perfil sócio-demográfico de doadoras de leite humano no Banco de Leite e identificar as razões que as fazem doar seu leite. MÉTODOS: estudo exploratório de caráter descritivo, com abordagem qualitativa, realizado em maio de 2003 com 11 doadoras de leite humano em maternidade pública de Fortaleza-CE. Para coleta de dados utilizou-se formulário semi-estruturado. RESULTADOS: a maioria apresentava idade entre 16 e 20 anos, eram casadas, possuíam instrução do ensino fundamental até o universitário. O motivo que levou as nutrizes a doar seu leite era o ingurgitamento mamário e eram encaminhadas por profissionais de saúde. A maioria desconhecia os benefícios proporcionados pelo aleitamento materno para a mãe e filho, bem como a importância do Banco de Leite. CONSIDERAÇÕES FINAIS: sugere-se que as mulheres em geral devem receber informações a respeito dos benefícios e importância do aleitamento natural, incluindo informações sobre doação do leite humano, mediante os bancos de leite.OBJETIVO: se tuvo como objetivos verificar algunas variables del perfil socio-demográfico de donantes de leche humana en el Banco de Leche e identificar las razones que las llevan a donar su leche. MÉTODOS: estudio exploratorio de carácter descriptivo, con abordaje cualitativo, realizado en mayo del 2003 con 11 donantes de leche humana en una maternidad pública de Fortaleza-CE. Para la recolección de datos se utilizó un formulario semi-estructurado. RESULTADOS: la mayoría tenía edades comprendidas entre los 16 y 20 años, casadas, poseían instrucción de enseñanza fundamental. El motivo que llevó a las nutrices a donar su leche fue la turgencia mamaria siendo encaminadas por profesionales de salud. La mayoría desconocía los beneficios proporcionados por la lactancia materna tanto para la madre como para el hijo, así como la importancia del Banco de Leche. CONSIDERACIONES FINALES: se sugiere

  1. Complement inhibitory proteins expression in placentas of thrombophilic women Complement inhibitory proteins expression in placentas of thrombophilic women

    Directory of Open Access Journals (Sweden)

    Przemysław Krzysztof Wirstlein

    2012-10-01

    Full Text Available Factors controlling complement activation appear to exert a protective effect on pregnancy. This is
    particularly important in women with thrombophilia. The aim of this study was to determine the transcript and
    protein levels of complement decay-accelerating factor (DAF and membrane cofactor protein (MCP in the
    placentas of women with acquired and inherited thrombophilia. Also, we assessed immunohistochemistry staining
    of inhibitors of the complement cascade, DAF and MCP proteins, in the placentas of thrombophilic women.
    Placentas were collected from eight women with inherited thrombophilia and ten with acquired thrombophilia.
    The levels of DAF and MCP transcripts were evaluated by qPCR, the protein level was evaluated by Western
    blot. We observed a higher transcript (p < 0.05 and protein (p < 0.001 levels of DAF and MCP in the placentas
    of thrombophilic women than in the control group. DAF and MCP were localized on villous syncytiotrophoblast
    membranes, but the assessment of staining in all groups did not differ. The observed higher expression level of
    proteins that control activation of complement control proteins is only seemingly contradictory to the changes
    observed for example in the antiphospholipid syndrome. However, given the hitherto known biochemical changes
    associated with thrombophilia, a mechanism in which increased expression of DAF and MCP in the placentas is
    an effect of proinflammatory cytokines, which accompanies thrombophilia, is probable.Factors controlling complement activation appear to exert a protective effect on pregnancy. This is
    particularly important in women with thrombophilia. The aim of this study was to determine the transcript and
    protein levels of complement decay-accelerating factor (DAF and membrane cofactor protein (MCP in the
    placentas of women with acquired and inherited thrombophilia. Also, we assessed immunohistochemistry

  2. Antioxidative Defense Enzymes in Placenta Protect Placenta and Fetus in Inherited Thrombophilia from Hydrogen Peroxide

    Directory of Open Access Journals (Sweden)

    Jelena Bogdanovic Pristov

    2009-01-01

    Full Text Available Our aim was to investigate the activities of antioxidative defense enzymes in the placenta, fetal blood and amnion fluid in inherited thrombophilia. Thrombophilia was associated with nearly threefold increase of activity (p < 0.001 of the placental catalase (81.1 ± 20.6 U/mg of proteins in controls and 270.0 ± 69.9 U/mg in thrombophilic subjects, glutathione (GSH peroxidase (C: 20.2 ± 10.1 U/mg; T: 60.0 ± 15.5 U/mg, and GSH reductase (C: 28.9 ± 5.6 U/mg; T: 72.7 ± 23.0 U/mg. The placental activities of superoxide dismutating enzymes—MnSOD and CuZnSOD, did not differ in controls and thrombophilia. Likewise, the activities of catalase and SOD in the fetal blood, and the level of ascorbyl radical which represents a marker of oxidative status of amniotic fluid, were similar in controls and thrombophilic subjects. From this we concluded that in thrombophilia, placental tissue is exposed to H2O2-mediated oxidative stress, which could be initiated by pro-thrombic conditions in maternal blood. Increased activity of placental H2O2-removing enzymes protects fetus and mother during pregnancy, but may increase the risk of postpartum thrombosis.

  3. de estudios observacionales

    Directory of Open Access Journals (Sweden)

    Erik von Elm

    2008-01-01

    un documento de explicación y elaboración al que puede accederse libremente en los sitios web de PLoS Medicine, Annals of Internal Medicine y Epidemiology. Esperamos que la declaración STROBE contribuya a mejorar la calidad de la publicación de los estudios observacionales.

  4. 75 FR 70703 - Humana Insurance Company a Division of Carenetwork, Inc. Front End Operations and Account...

    Science.gov (United States)

    2010-11-18

    ... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-74,281] Humana Insurance Company... negative determination regarding the eligibility of workers and former workers of Humana Insurance Company... workers in the group threatened with total or partial separation from employment on date of certification...

  5. Prevalencia y presentación de la parálisis del sueño en estudiantes de Medicina Humana de la UNMSM

    Directory of Open Access Journals (Sweden)

    Charles Huamaní

    2006-06-01

    Full Text Available Objetivo: Determinar la prevalencia de vida y las características de parálisis de sueño en estudiantes de 4º año de medicina humana de la UNMSM. Diseño: Estudio observacional, descriptivo, transversal. Lugar: Facultad de Medicina, Universidad Nacional Mayor de San Marcos. Pacientes: Ciento treinta y nueve estudiantes de 4º año de medicina humana de la UNMSM. Intervenciones: Estudio de la prevalencia de vida y características, de tipo longitudinal no concurrente para la prevalencia de un mes, ejecutado en agosto de 2005, mediante una encuesta tipo cuestionario validada por juicio de expertos. Principales medidas de resultado: Prevalencia de vida, características y prevalencia de un mes de la parálisis del sueño en estudiantes de medicina. Resultados: La prevalencia de vida fue de 56% y la prevalencia en el último mes fue de 33 eventos por cada 100 estudiantes. El 83,2% tuvo alucinaciones durante los eventos de parálisis del sueño. El 58,8% tuvo ansiedad junto al evento. La forma de remisión más frecuente fue de manera espontánea (64,4%. Conclusiones: La prevalencia de parálisis del sueño es mayor en nuestro estudio que en las informadas en otras investigaciones, con un alto porcentaje de presentación de alucinaciones y ansiedad.

  6. Flujo y concentración de proteínas en saliva total humana

    Directory of Open Access Journals (Sweden)

    BANDERAS-TARABAY JOSÉ ANTONIO

    1997-01-01

    Full Text Available Objetivo. Determinar los promedios de flujo salival y la concentración de proteínas totales en una población joven del Estado de México. Material y métodos. Se seleccionaron 120 sujetos a quienes se les colectó saliva total humana (STH no estimulada y estimulada, la cual se analizó por medio de gravimetría y espectrofotometría (LV/LU; se calcularon medidas de tendencia central y de dispersión; posteriormente, se correlacionaron estos datos con los índices CPOD y CPITN. Resultados. Los sujetos estudiados mostraron un promedio de flujo salival (ml/min ± DE en STH no estimulada de 0.397±.26, y en STH estimulada, de 0.973±.53. El promedio en la concentración de proteínas (mg/ml ± DE fue de 1.374±.45 en STH no estimulada y de 1.526±.44 en STH estimulada. Las mujeres presentaron un menor porcentaje de flujo salival y mayor concentración de proteínas. No se observaron correlaciones entre el flujo y la concentración de proteínas totales y el CPOD y CPITN; sin embargo, sí las hubo con otras variables. Conclusiones. Estos hallazgos podrían estar asociados con el grado de nutrición, las características genéticas y los niveles de salud bucal en nuestra población. El presente estudio representa la fase inicial de la creación de una base de datos en sialoquímica, cuya meta será identificar los parámetros que indiquen el riesgo de enfermedades sistémicas o bucodentales.

  7. Componentes prenatal y postnatal de la diferenciación craneofacial entre dos poblaciones humanas

    Directory of Open Access Journals (Sweden)

    Sardi, Marina Laura

    2007-01-01

    Full Text Available Parte importante de la diferenciación craneofacial interpoblacional ya está presente en etapas tempranas de la ontogenia postnatal. Sin embargo, se desconoce qué parte de la diferenciación se produce en la etapa prenatal. El objetivo de este estudio es evaluar la diferenciación craneofacial entre dos poblaciones humanas en dos etapas ontogénicas: menores de 1 año de edad y adultos, a fin de determinar que parte de la diferenciación se produce en la etapa prenatal y en la postnatal. Se estudiaron cráneos adultos y menores a 1 año de edad, de origen europeo (EUR y de poblaciones nativas sudafricanas (SAF. Se registraron 32 landmarks. Las coordenadas tridimensionales se analizaron mediante Análisis Generalizado de Procrustes (AGP y con las coordenadas obtenidas, se realizó Análisis de Componentes Principales (ACP. El análisis discriminante hecho con los escores AGP/ACP indicó que hay diferenciación entre EUR y SAF en adultos (Wilks=0.12** y en sub-adultos (Wilks= 0.07**. Según las grillas de deformación, los adultos SAF presentan cráneos mas largos en sentido anteroposterior y prognatismo facial y landmarks laterales del neurocráneo ubicados mas superiormente respecto de EUR; en los sub-adultos se observa diferenciación similar en el neurocráneo, pero poca diferenciación en la cara. Esto indica que la diferenciación en la forma neurocraneana se produce en la ontogenia prenatal y se acentúa posteriormente. La diferenciación facial, en cambio, se produce principalmente durante la ontogenia postnatal.

  8. Robot con figura humana para la realización de tareas de mercadeo y publicidad

    Directory of Open Access Journals (Sweden)

    Gustavo Ruiz Duarte

    2009-07-01

    Full Text Available Resumen:En el presente trabajo se describe una propuesta destinada a desarrollar un sistema robotizado con figura humana,especie de humanoide, capacitado para realizar diferentes tareas. Inicialmente, se preparara para la realizaciónde la tarea específica de mercadeo y publicidad en diferentes sectores de la población y para una variadagama de productos y servicios. Dentro del desarrollo del mismo se asegura el estudio científico de las diferentesfases de la robótica y las telecomunicaciones y sus interrelaciones con la ingeniería de sistemas, no solo comoun complemento de este programa, sino además como un énfasis de la misma. Se definen las posibles etapas ymétodos que se van a emplear en su desarrollo y las múltiples aplicaciones tecnológicas del trabajo.Palabras claves:Interrelaciones, microcontroles, tiempo real, Robótica, dispositivoAbstract:This job describes a proposal to develop a robotic system with a human image, like a humanoid, able to performdifferent tasks. First at all, be prepared to perform the specific task of marketing and advertising and for a widerange of products and services. Within the development, it ensures the scientific study of the different phases ofrobotics and telecommunications and their relationships with systems engineering, not only as a supplement to thisdiscipline also as a focus of it. Possible stages are defined and methods to be used in its development and the manytechnological applications of the job.Key Words:Interrelations, microcontrollers, real-time, robotic, device.

  9. Placenta Maps: In Utero Placental Health Assessment of the Human Fetus.

    Science.gov (United States)

    Miao, Haichao; Mistelbauer, Gabriel; Karimov, Alexey; Alansary, Amir; Davidson, Alice; Lloyd, David F A; Damodaram, Mellisa; Story, Lisa; Hutter, Jana; Hajnal, Joseph V; Rutherford, Mary; Preim, Bernhard; Kainz, Bernhard; Groller, M Eduard

    2017-06-01

    The human placenta is essential for the supply of the fetus. To monitor the fetal development, imaging data is acquired using (US). Although it is currently the gold-standard in fetal imaging, it might not capture certain abnormalities of the placenta. (MRI) is a safe alternative for the in utero examination while acquiring the fetus data in higher detail. Nevertheless, there is currently no established procedure for assessing the condition of the placenta and consequently the fetal health. Due to maternal respiration and inherent movements of the fetus during examination, a quantitative assessment of the placenta requires fetal motion compensation, precise placenta segmentation and a standardized visualization, which are challenging tasks. Utilizing advanced motion compensation and automatic segmentation methods to extract the highly versatile shape of the placenta, we introduce a novel visualization technique that presents the fetal and maternal side of the placenta in a standardized way. Our approach enables physicians to explore the placenta even in utero. This establishes the basis for a comparative assessment of multiple placentas to analyze possible pathologic arrangements and to support the research and understanding of this vital organ. Additionally, we propose a three-dimensional structure-aware surface slicing technique in order to explore relevant regions inside the placenta. Finally, to survey the applicability of our approach, we consulted clinical experts in prenatal diagnostics and imaging. We received mainly positive feedback, especially the applicability of our technique for research purposes was appreciated.

  10. Placenta previa; MRI as an adjunct to ultrasound in assessment of suspected placental invasion

    Directory of Open Access Journals (Sweden)

    Asmaa M. Abdel Magied

    2018-03-01

    Full Text Available Objective: Evaluate adding MRI to ultrasound in imaging of placenta previa with suspected placenta accreta. Patients and methods: evaluation of 23 pregnant females presenting with placenta previa was done. The age ranged from 20 to 39 years (mean = 30.9. All of the patients were subjected to ultrasonography (US and magnetic resonance imaging (MRI of the pelvis at gestational age of 25–37 weeks prior to elective delivery. Results: 11 out of 23 patients were proved placenta accreta based on surgical and pathological reports. US suggested diagnosis of placenta previa/accreta in 8 patients and placenta previa without accreta in 15 cases. 7/8 was true positive (87.5% & one was false positive (12.5% with sensitivity 63.64%, accuracy 78.26%, and specificity 91.67%. MRI has suggested diagnosis of placenta previa/accreta in 8/23 & placenta previa with no accreta in 15/23 patients. MRI was found to give true positive results in 8/8 patients proved to be accreta. MRI gave true negative in 12 patients (80% & false negative in 3 (20% with sensitivity 72.73%, accuracy 86.96%, and specificity 100%. Conclusion: Combining MRI and ultra sound provide more diagnostic information and may reduce unnecessary interventions with favorable outcome. Keywords: Ultra sound, MRI, Placenta previa, Placenta accreta

  11. Toxocariosis humana: seroprevalencia en población de Lima mediante la técnica de ELISA

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    Yrma Espinoza

    2003-12-01

    Full Text Available OBJETIVO: Estimar la seroprevalencia de toxocariosis humana en población de la ciudad de Lima. Diseño: estudio transversal, la selección fue no aleatoria. MATERIAL Y MÉTODOS: En pobladores de la ciudad de Lima que pertenecían a comunidades urbano marginales, se realizó entrevista y examen clínico, y se obtuvo una muestra de suero para procesar la técnica de ELISA para detectar anticuerpos contra Toxocara. También, se solicitó muestras de heces para buscar parásitos intestinales que pudieran originar reacciones cruzadas en la serología. RESULTADOS: Se examinó 553 personas, siendo 23,3% de ellos reactivos. No hubo diferencias en cuanto a sexo ni entre el resultado de ELISA y la presencia de anemia, leucocitosis, eosinofilia y parásitos intestinales. Los mayores de 15 años tuvieron doble probabilidad de resultar reactivos que los menores de 15 años. Disminución de la agudeza visual fue el síntoma más frecuente en los sujetos reactivos. Los parásitos intestinales más frecuentes fueron Blastocystis hominis, Entamoeba coli, Giardia lamblia. CONCLUSIONES: La toxocariosis humana es frecuente en la población de Lima. No se observa asociación estadística entre el hallazgo de anemia y alteraciones de la fórmula leucocitaria con el resultado de ELISA. Es necesario desarrollar programas de difusión para detectar precozmente la infección y así prevenirla.

  12. Scintigraphy of the Placenta With {sup 113m}In

    Energy Technology Data Exchange (ETDEWEB)

    Lewitus, Z.; Lubin, E.; Rechnic, J.; Laor, J.; Eckerling, E. [Beilinson Medical Centre, University of Tel Aviv School of Medicine (Israel)

    1969-05-15

    The paper describes the merits of using {sup 113m}In in scintigraphic placental localization. The {sup 113m}In, generated from a commercial {sup 113}Sn cow, eluted with 0.05N HC1, stabilized with gelatin at pH 4.0 and autoclaved in the carrier-free form, becomes bound to the plasma proteins after being injected intravenously and stays in the vascular system long enough to enable scanning of the placental blood pools. The short physical half-life and the decay by isomeric transition reduces the radiation dose compared with other scanning agents. The minimal elimination of the molecule into the bladder during scanning has the advantage over the use of {sup 99m}Tc because it diminishes the possible confusion of activity in this area with a low-lying placenta. The placentography has been found of value in the diagnosis of placenta praevia, twins and hydatidiform mole. (author)

  13. Gene expression profiling of placentas affected by pre-eclampsia

    DEFF Research Database (Denmark)

    Hoegh, Anne Mette; Borup, Rehannah; Nielsen, Finn Cilius

    2010-01-01

    Several studies point to the placenta as the primary cause of pre-eclampsia. Our objective was to identify placental genes that may contribute to the development of pre-eclampsia. RNA was purified from tissue biopsies from eleven pre-eclamptic placentas and eighteen normal controls. Messenger RNA...... expression from pooled samples was analysed by microarrays. Verification of the expression of selected genes was performed using real-time PCR. A surprisingly low number of genes (21 out of 15,000) were identified as differentially expressed. Among these were genes not previously associated with pre-eclampsia...... as bradykinin B1 receptor and a 14-3-3 protein, but also genes that have already been connected with pre-eclampsia, for example, inhibin beta A subunit and leptin. A low number of genes were repeatedly identified as differentially expressed, because they may represent the endpoint of a cascade of events...

  14. Trophoblast cells of ruminant placentas - A mini review

    International Nuclear Information System (INIS)

    Igwebuike, U.M.

    2004-09-01

    Understanding of ruminant placental structure and function is essential for veterinarians and researchers. The ruminant placenta is classified as cotyledonary and synepitheliochorial on the bases of its gross anatomical features and histological characteristics respectively. The richly vascularized embryonic chorioallantois is lined on its outer surface by cells of the trophectodermal epithelium. These cells which assume specialized functions are referred to as trophoblast cells. Two morphologically and functionally distinct cell types have been recognized in the trophectoderm of the placenta of ruminant animals. These are the mononucleate trophoblast cells and the binucleate trophoblast cells. The occurrence, morphological characteristics, and specialized functions of these trophoblast cells, in relation to conceptus nutrition and survival in utero are discussed in this review. (author)

  15. From Placenta to Polycystic Ovarian Syndrome: The Role of Adipokines

    Directory of Open Access Journals (Sweden)

    Chiara Sartori

    2016-01-01

    Full Text Available Adipokines are cytokines produced mainly by adipose tissue, besides many other tissues such as placenta, ovaries, peripheral-blood mononuclear cells, liver, muscle, kidney, heart, and bone marrow. Adipokines play a significant role in the metabolic syndrome and in cardiovascular diseases, have implications in regulating insulin sensitivity and inflammation, and have significant effects on growth and reproductive function. The objective of this review was to analyze the functions known today of adiponectin, leptin, resistin, and visfatin from placenta throughout childhood and adolescence. It is well known now that their serum concentrations during pregnancy and lactation have long-term effects beyond the fetus and newborn. With regard to puberty, adipokines are involved in the regulation of the relationship between nutritional status and normal physiology or disorders of puberty and altered gonadal function, as, for example, premature pubarche and polycystic ovarian syndrome (PCOS. Cytokines are involved in the maturation of oocytes and in the regular progression of puberty and pregnancy.

  16. The human placenta--an alternative for studying foetal exposure

    DEFF Research Database (Denmark)

    Myren, Maja; Mose, Tina; Mathiesen, Line

    2007-01-01

    Pregnant women are daily exposed to a wide selection of foreign substances. Sources are as different as lifestyle factors (smoking, daily care products, alcohol consumption, etc.), maternal medication or occupational/environmental exposures. The placenta provides the link between mother and foetus......, and though its main task is to act as a barrier and transport nutrients and oxygen to the foetus, many foreign compounds are transported across the placenta to some degree and may therefore influence the unborn child. Foetal exposures to environmental and medicinal products may have impact on the growth...... of the foetus (e.g. cigarette smoke) and development of the foetal organs (e.g. methylmercury and thalidomide). The scope of this review is to give insight to the placental anatomy, development and function. Furthermore, the compounds physical properties and the transfer mechanism across the placental barrier...

  17. Placenta-derived exosomes: potential biomarkers of preeclampsia

    Directory of Open Access Journals (Sweden)

    Pillay P

    2017-10-01

    Full Text Available Preenan Pillay,1,2 Kogi Moodley,1 Jagidesa Moodley,3 Irene Mackraj3 1Discipline of Human Physiology, Nelson R Mandela School of Medicine, School of Laboratory Medicine and Medical Sciences, University of KwaZulu-Natal, Durban, South Africa; 2Pearson Institute of Higher Education, Midrand, South Africa; 3Women’s Health and HIV Research Group, Nelson R Mandela School of Medicine, School of Laboratory Medicine and Medical Sciences, University of KwaZulu-Natal, Durban, South Africa Abstract: Preeclampsia remains a leading cause of maternal and fetal mortality, due to ineffective treatment and diagnostic strategies, compounded by the lack of clarity on the etiology of the disorder. Although several clinical and biological markers of preeclampsia have been evaluated, they have proven to be ineffective in providing a definitive diagnosis during the various stages of the disorder. Exosomes have emerged as ideal biomarkers of pathological states, such as cancer, and have more recently gained interest in pregnancy-related complications, due to their role in cellular communication in normal and complicated pregnancies. This occurs as a result of the specific placenta-derived exosomal molecular cargo, which may be involved in normal pregnancy-associated immunological events, such as the maintenance of maternal–fetal tolerance. This review provides perspectives on placenta-derived exosomes as possible biomarkers for the diagnosis/prognosis of preeclampsia. Using keywords, online databases were searched to identify relevant publications to review the potential use of placenta-derived exosomes as biomarkers of preeclampsia. Keywords: placenta-derived exosomes, preeclampsia, biomarkers

  18. Changes in mitochondrial respiration in the human placenta over gestation.

    Science.gov (United States)

    Holland, Olivia J; Hickey, Anthony J R; Alvsaker, Anna; Moran, Stephanie; Hedges, Christopher; Chamley, Lawrence W; Perkins, Anthony V

    2017-09-01

    Placental mitochondria are subjected to micro-environmental changes throughout gestation, in particular large variations in oxygen. How placental mitochondrial respiration adapts to changing oxygen concentrations remains unexplored. Additionally, placental tissue is often studied in culture; however, the effect of culture on placental mitochondria is unclear. Placental tissue was obtained from first trimester and term (laboured and non-laboured) pregnancies, and selectively permeabilized to access mitochondria. Respirometry was used to compare respiration states and substrate use in mitochondria. Additionally, explants of placental tissue were cultured for four, 12, 24, 48, or 96 h and respiration measured. Mitochondrial respiration decreased at 11 weeks compared to earlier gestations (p = 0.05-0.001), and mitochondrial content increased at 12-13 weeks compared to 7-10 weeks (p = 0.042). In term placentae, oxidative phosphorylation (OXPHOS) through mitochondrial complex IV (p Respiration was increased (p ≤ 0.006-0.001) in laboured compared to non-laboured placenta. After four hours of culture, respiration was depressed compared to fresh tissue from the same placenta and continued to decline with time in culture. Markers of apoptosis were increased, while markers of autophagy, mitochondrial biogenesis, and mitochondrial membrane potential were decreased after four hours of culture. Respiration and mitochondrial content alter over gestation/with labour. Decreased respiration at 11 weeks and increased mitochondrial content at 12-13 weeks may relate to onset of maternal blood flow, and increased respiration as a result of labour may be an adaptation to ischaemia-reperfusion. At term, mitochondria were more susceptible to changes in respiratory function relative to first trimester when cultured in vitro, perhaps reflecting changes in metabolic demands as gestation progresses. Metabolic plasticity of placental mitochondria has relevance to placenta

  19. Risk factors for placenta praevia presenting with severe vaginal ...

    African Journals Online (AJOL)

    Results: Significant predictors for severe bleeding in parturients with placenta praevia were: previous history of evacuation of the uterus or dilation and curettage (O.R. 3.6, CI: 1.1-12.5), delivery by caesarean section in previous pregnancy (O.R. 19.9, CI: 6.4-61.7), residing more than ten kilometres from Mulago hospital (O.R. ...

  20. Maternal outcome after conservative management of abnormally invasive placenta

    Directory of Open Access Journals (Sweden)

    Hsiu-Wei Su

    2017-06-01

    Conclusion: In this small series, we observed a low successful uterine preservation rate and a high maternal complication rate. We recommend that primary cesarean hysterectomy should be used as the treatment of choice for mild to severe abnormally invasive placenta. Conservative management should be reserved for women with a strong fertility desire and women with extensive disease that precludes primary hysterectomy due to surgical difficulty.

  1. Pregnancy Complicated with Maternal Pulmonary Hypertension and Placenta Accreta

    Directory of Open Access Journals (Sweden)

    Jeng-Hsiu Hung

    2007-06-01

    Full Text Available Pregnancy is contraindicated in cases of maternal pulmonary hypertension, a highly morbid disease affecting young women of childbearing age. The rate of heart failure increases gradually with the severity of pulmonary hypertension. In certain instances, the severity of maternal pulmonary hypertension in rheumatic heart diseases can be higher than in congenital heart diseases. Placenta accreta is an important cause of bleeding in the second half of pregnancy and in labor. In severe cases, hysterectomy is the only way to manage the bleeding during cesarean section. A 33-year-old gravida, G2P0AA1, suffering from rheumatic heart disease with mitral valve stenosis and pulmonary hypertension, was referred to our high-risk pregnancy center at 10+3 weeks of gestation due to lower abdominal pain and brownish vaginal bleeding. She had received 2 mitral valve replacements in Shenzhen, China, at the ages of 22 and 26, respectively. Ultrasound scan of the abdomen at 12+2 gestational weeks showed that the internal cervix was completely covered with the placenta, and a retroplacental hypoechoic space measuring 35 × 13 mm was observed at the upper posterior margin of the placenta. On color Doppler scan, an area of lacunar lake flow was observed in the hypoechoic space of the placenta and a spiral artery with low blood flow resistance was detected. The pulsation of the placental flow was synchronized with the maternal pulse rate. Team specialists, including neonatologists, pulmonary physicians, pediatric cardiologists, hema-tologists, anesthesiologists, psychiatrists and social workers, as well as high-risk obstetricians were consulted in an effort to minimize fetal and maternal morbidity and mortality. At 29+2 weeks, the patient developed preeclampsia and delivered a healthy newborn by cesarean section, the uterus being preserved by square compression sutures. The gravida tolerated the procedures and was discharged in stable condition.

  2. Human Placenta Extract Therapy for Feline Hepatic Lipidosis

    OpenAIRE

    2018-01-01

    Feline hepatic lipidosis (HL), the most common hepatobiliary disease in cats, is characterized by the accumulation of excessive triglycerides (TGs) in more than 80% of hepatocytes. Forced oral feeding is recommended as the only therapy for this disease but the prognosis is often poor. As human placenta extract (Laennec) has been used to improve hepatic metabolism, we investigated the efficacy of this drug for the treatment of cats with HL. Ten cats diagnosed with HL in this study were treated...

  3. PRESENCIA DE RESIDUOS Y CONTAMINANTES EN LECHE HUMANA

    Directory of Open Access Journals (Sweden)

    Guadalupe Prado Flores

    2002-01-01

    Full Text Available La contaminación de la leche humana por xenobióticos es un problema generalizado a nivel mundial, que se ve afectado por las variaciones geográficas, climáticas, culturales y socioeconómicas de cada lugar. Las políticas de salud pública han enfrentado la situación mediante una vigilancia sostenida y legislaciones restrictivas con el objeto de reducir los efectos perjudiciales sobre las poblaciones y el ambiente, sin embargo se registran datos objetivables, sobre todo en los países en desarrollo. En esta revisión se destacan aspectos generales y particulares de los residuos y contaminantes organoclorados, organofosforados, antibióticos, metales pesados, bifenilos policlorados, dioxinas y furanos, valores de sus contenidos, efectos tóxicos estudiados y los límites máximos permitidos por las legislaciones internacionales.

  4. Presencia de residuos y contaminantes en leche humana

    Directory of Open Access Journals (Sweden)

    Prado Flores Guadalupe

    2002-01-01

    Full Text Available La contaminación de la leche humana por xenobióticos es un problema generalizado a nivel mundial, que se ve afectado por las variaciones geográficas, climáticas, culturales y socioeconómicas de cada lugar. Las políticas de salud pública han enfrentado la situación mediante una vigilancia sostenida y legislaciones restrictivas con el objeto de reducir los efectos perjudiciales sobre las poblaciones y el ambiente, sin embargo se registran datos objetivables, sobre todo en los países en desarrollo. En esta revisión se destacan aspectos generales y particulares de los residuos y contaminantes organoclorados, organofosforados, antibióticos, metales pesados, bifenilos policlorados, dioxinas y furanos, valores de sus contenidos, efectos tóxicos estudiados y los límites máximos permitidos por las legislaciones internacionales.

  5. Realidad humana y mundos de ficción

    OpenAIRE

    González Fernández, Ángel

    2007-01-01

    Una filosofía de la literatura ha de ocuparse de dos problemas de honda significación para la Antropología Filosófica; por un lado, la dimensión existencial de la literatura: el porqué de la inveterada afición humana a crear y a instalarse en mundos de ficción. Por otra parte, la cuestión de la onticidad de las realidades literarias: en palabras de Unamuno,”¿quién es más real, Cervantes o don Quijote”? A philosophy of literature must address two problems of deep significance for Philosophi...

  6. Notas sobre o autotelismo discursivo em ciências humanas

    Directory of Open Access Journals (Sweden)

    Paulo Eduardo Lopes

    1994-12-01

    Full Text Available O Ateliê de Semiótica Discursiva, coordenado por Denis Bertrand, propôs focalizar, no ano letivo 1991-1992, a " Estética do Discurso Erudito", no quadro da temática "Estética da Ética" do Seminário de Semântica Geral, de A.J . Greimas, na Escola de Altos Estudos em Ciências Sociais de Paris (E. H. E. S. S.. Bertrand distribuiu cópias de trechos de textos célebres em ciências humanas (Lévi-Strauss, Deleuze e Guattari, Greimas, Barthes, Foucault e outros, sobre os quais os participantes deveriam realizar análises que tomassem como modelo, por exemplo, aquelas praticadas por Greimas e Landowski em lntroduction à L 'Analyse du Discours en Sciences Sociales ( 1979.

  7. Placenta-derived exosomes: potential biomarkers of preeclampsia.

    Science.gov (United States)

    Pillay, Preenan; Moodley, Kogi; Moodley, Jagidesa; Mackraj, Irene

    2017-01-01

    Preeclampsia remains a leading cause of maternal and fetal mortality, due to ineffective treatment and diagnostic strategies, compounded by the lack of clarity on the etiology of the disorder. Although several clinical and biological markers of preeclampsia have been evaluated, they have proven to be ineffective in providing a definitive diagnosis during the various stages of the disorder. Exosomes have emerged as ideal biomarkers of pathological states, such as cancer, and have more recently gained interest in pregnancy-related complications, due to their role in cellular communication in normal and complicated pregnancies. This occurs as a result of the specific placenta-derived exosomal molecular cargo, which may be involved in normal pregnancy-associated immunological events, such as the maintenance of maternal-fetal tolerance. This review provides perspectives on placenta-derived exosomes as possible biomarkers for the diagnosis/prognosis of preeclampsia. Using keywords, online databases were searched to identify relevant publications to review the potential use of placenta-derived exosomes as biomarkers of preeclampsia.

  8. Branchial placenta in the viviparous teleost Ilyodon whitei (Goodeidae).

    Science.gov (United States)

    Uribe, Mari Carmen; De la Rosa-Cruz, Gabino; García-Alarcón, Adriana

    2014-12-01

    Intraluminal gestation, as it occurs in viviparous goodeids, allows a wide diversity of embryo-maternal metabolic exchanges. The branchial placenta occurs in embryos developing in intraluminal gestation when ovarian folds enter through the operculum, into the branchial chamber. The maternal ovarian folds may extend to the embryonic pharyngeal cavity. A branchial placenta has been observed in few viviparous teleosts, and there are not previous histological analyses. This study analysis the histological structure in the goodeid Ilyodon whitei. The moterno ovarian folds extend through the embryonic operculum and reach near the gills, occupying part of the branchial chamber. These folds extend also into the pharyngeal cavity. In some regions, the epithelia of the ovarian folds and embryo were in apposition, developing a placental structure in which, maternal and embryonic capillaries lie in close proximity. The maternal epithelium has desquamated cells which may enter through the branchial chamber to the pharyngeal cavity and the alimentary tract. The complex processes that occur in the ovaries of viviparous teleosts, and its diverse adaptations for viviparity, as the presence of branchial placenta, are relevant in the study of the evolution of vertebrate viviparity. © 2014 Wiley Periodicals, Inc.

  9. Management of Amniotic Sheet with a Hammock-like Placenta

    Directory of Open Access Journals (Sweden)

    Liangcheng Wang

    2016-09-01

    Full Text Available An amniotic sheet is a septation in the amniotic cavity with a perforation that allows amniotic fluid to pass through. Although the incidence of abnormal placental implantation is higher in such cases, the management recommendations remain unclear. We report a case of an amniotic sheet with a hammock-like placenta located in the center of the uterine cavity. A 25-year-old woman with a history of two dilation and curettage procedures was found to have an amniotic cavity separated by a septum that contained part of the placenta. At gestational Week 32, magnetic resonance images revealed that the placenta was attached from the anterior to posterior uterine walls and resembled a hammock hanging in the center of the uterus. Subsequently, continuous intravenous administration of ritodrine hydrochloride and magnesium sulfate were given. The pregnancy was extended to Week 36. Elective cesarean section was performed, and a 3212-g female infant was delivered. Thus, owing to the risk of umbilical cord complications and placental injury secondary to premature rupture of membranes, aggressive and careful perinatal management is required in such cases.

  10. Caesium transfer to placenta, urine and human milk

    International Nuclear Information System (INIS)

    Risica, S.; Rogani, A.; Tancredi, F.; Grisanti, A.; Grisanti, G.; Baronciani, D.; Del Prete, A.; Zanini, R.

    1997-01-01

    After the Chernobyl accident few measurements on radioactive contamination of maternal milk, placenta and urine of nursing mothers were carried out. Two previous studies on breast milk contamination were conducted in different Italian areas by the Physics Department of the National Institute of Health (Laboratorio di Fisica, Istituto Superiore di Sanita). In the first study conducted in collaboration with the Epidemiological Unit of the Lazio District, I-131, Cs-134 and Cs-137 concentrations were measured in mixed breast milk samples pooled from 5-10 women in the first week after delivery, from May 1986 to December 1987, in the Rome area. The second research was conducted, in collaboration with the Lecco Hospital, in 1989 on a group of women living in the Como Lake area (Lombardia), which was one of the areas of Northern Italy most heavily affected by Chernobyl fallout, because of intensive rainfall in the first few days after the accident. The specific diet and caesium content in maternal milk were studied recruiting pregnant women at the ''respiratory autogen training'' course. In this case, Cs-l37, Cs-134 and K-40 concentration in placenta and urine of the mothers under study had also been measured. Aim of this paper is to discuss these data and investigate the relationship between Cs-137 contamination of maternal milk, placenta and urine as a contribution to a better understanding of caesium metabolism in pregnant and nursing women

  11. Risk factors for unscheduled delivery in patients with placenta accreta.

    Science.gov (United States)

    Bowman, Zachary S; Manuck, Tracy A; Eller, Alexandra G; Simons, Marilee; Silver, Robert M

    2014-03-01

    Patients with suspected placenta accreta have improved outcomes with scheduled delivery. Our objective was to identify risk factors for unscheduled delivery in patients with suspected placenta accreta. This was a cohort study of women with antenatally suspected placenta accreta. Women who delivered prior to a planned delivery date were compared with women who had a scheduled delivery. Data were analyzed using a Student t test, χ(2), logistic regression, and survival analyses. Variables included in the analyses were episodes of antenatal vaginal bleeding, preterm premature rupture of membranes (PPROM), uterine contractions, prior cesarean deliveries, interpregnancy interval, parity, and patient demographic factors. A value of P accreta were identified. Thirty-eight (49.4%) had an unscheduled delivery. Demographics were similar between groups. Unscheduled patients delivered earlier (mean 32.3 vs 35.7 weeks, P accreta, those with antenatal vaginal bleeding were more likely to require unscheduled delivery. This risk increases further in the setting of PPROM and/or uterine contractions. These clinical factors should be considered when determining the optimal delivery gestational age for women with placental accreta. Copyright © 2014 Mosby, Inc. All rights reserved.

  12. Sclerotherapy with 6% polidocanol solution in patients with placenta accreta.

    Science.gov (United States)

    Malagón Reyes, Ricardo Mauricio; Castorena de Ávila, Rubén; Ángeles Vázquez, María de Jesús; Núñez Monteagudo, César Augusto; Mendieta Zerón, Hugo

    2016-10-01

    Placenta accreta is one of the main obstetrical complications worldwide. The aim of this study was to report the experience of managing placenta accreta with a 6% polidocanol solution sclerotherapy. We selected patients between 37 weeks of gestation and 38 weeks of gestation, diagnosed with placenta accreta, treated at the Maternal Perinatal Hospital "Monica Pretelini Sáenz", Toluca, Mexico, during the period from November 2013 to August 2014. The surgical technique has two steps: (1) fundic-arciform caesarean section followed by a 6% polidocanol sclerosing solution through a 6Fr neonatal feeding tube upon its reaching the placental bed; (2) total abdominal hysterectomy with internal hypogastric artery ligation. Data were collected from 11 patients with a mean age of 33.9 years (range, 26-42 years) and 2.8±0.6 days of hospitalization in the obstetrical intensive care unit. The majority of patients were classified as having pregnancies at an advanced age. All women were multigravidas. Bleeding volume exhibited a range between 2.5 L and 3 L without any case of neonatal death but one mother died because of coagulopathy. We conclude that the technique that we are reporting is feasible for implementation in obstetric hospitals, with technical and economic feasibility. Copyright © 2016. Published by Elsevier B.V.

  13. Modeling the variability of shapes of a human placenta.

    Science.gov (United States)

    Yampolsky, M; Salafia, C M; Shlakhter, O; Haas, D; Eucker, B; Thorp, J

    2008-09-01

    Placentas are generally round/oval in shape, but "irregular" shapes are common. In the Collaborative Perinatal Project data, irregular shapes were associated with lower birth weight for placental weight, suggesting variably shaped placentas have altered function. (I) Using a 3D one-parameter model of placental vascular growth based on Diffusion Limited Aggregation (an accepted model for generating highly branched fractals), models were run with a branching density growth parameter either fixed or perturbed at either 5-7% or 50% of model growth. (II) In a data set with detailed measures of 1207 placental perimeters, radial standard deviations of placental shapes were calculated from the umbilical cord insertion, and from the centroid of the shape (a biologically arbitrary point). These two were compared to the difference between the observed scaling exponent and the Kleiber scaling exponent (0.75), considered optimal for vascular fractal transport systems. Spearman's rank correlation considered pcentroid) was associated with differences from the Kleiber exponent (p=0.006). A dynamical DLA model recapitulates multilobate and "star" placental shapes via changing fractal branching density. We suggest that (1) irregular placental outlines reflect deformation of the underlying placental fractal vascular network, (2) such irregularities in placental outline indicate sub-optimal branching structure of the vascular tree, and (3) this accounts for the lower birth weight observed in non-round/oval placentas in the Collaborative Perinatal Project.

  14. Cuerpo y naturaleza humana en la obra de Hannah Arendt

    Directory of Open Access Journals (Sweden)

    Nicolás Patierno

    2016-06-01

    Full Text Available http://dx.doi.org/10.5007/1807-1384.2016v13n2p1 Comúnmente suele asociarse a Hannah Arendt con temas como la filosofía política, los totalitarismos y una postura crítica hacia los pilares de la modernidad, heredada de su vinculación teórica con Jaspers y Heidegger. Pese a esa lectura tradicional, la obra de la autora abarca diversas cuestiones histórico-políticas emparentadas con las nociones de cuerpo y naturaleza; entre otras problemáticas de interés social. Asumiendo una metodología histórica-hermenéutica basada en la revisión documental de fuentes primarias y secundarias, el objetivo del presente artículo radica en el rastreo de dichos conceptos a través de sus principales obras. Entre éstas se encuentran Los orígenes del totalitarismo y La condición humana como escritos fundamentales a la hora de interpretar el concepto de cuerpo subordinado a la esfera política. Arendt desmiente la existencia de una naturaleza humana innata, prescrita e incuestionable. Es a partir de la experiencia de los campos de concentración, que la idea de naturaleza, de origen “natural” de los pueblos, quedó relegada a la interpretación e instrumentación en manos del orden político imperante, concluyendo que el totalitarismo, es el mayor exponente de esta pretensión absoluta de apropiación de “lo natural”.

  15. Estudio de validez predictiva

    OpenAIRE

    Barquero-Segura, José Antonio

    2003-01-01

    Proyecto de investigación Este documento es un informe ejecutivo de la información obtenida de los estudios sobre la validez predictiva de los parámetros de selección de estudiantes y su relación con el rendimiento académico. En él se presenta una síntesis de información más relevante obtenida en los últimos 17 años.

  16. Informe científico de Beca de Estudio y Perfeccionamiento: Levoratti, Alejo (2012-2016)

    OpenAIRE

    Levoratti, Alejo

    2016-01-01

    A lo largo de la beca se cumplimentaron los estudios de Maestría en Antropología Social y se cumplementaron la totalidad de los creditos del Doctorado con mención en Ciencias Sociales y Humanas de la Universidad Nacional de Quilmes, tesis que actulmente se encuentra en proceso de escritura. En el período de beca, se procedió a realizar trabajo de archivo en las dependencias centrales de la Dirección General de Cultura y Educación de la provincia de Buenos Aires, de los Institutos Su...

  17. Estudio transversal de leptospirosis y muerte fetal en Yucatán, México

    OpenAIRE

    María Fidelia Cárdenas-Marrufo; Ignacio Vado-Solis; Gaspar Fernando Peniche-Lara; Carlos Perez-Osorio; José Correa-Segura

    2016-01-01

    Introducción: Leptospirosis es una enfermedad zoonótica que afecta principalmente la población humana de bajos recursos. Infección aguda por leptospirosis durante el embarazo se ha asociado con aborto espontáneo y muerte fetal durante el primer trimestre del embarazo.Objetivo: Estimar la frecuencia de infección por Leptospira interrogans en mujeres con aborto espontáneo en el estado de Yucatán, México.Métodos: Se efectuó un estudio trasversal en 81 mujeres con aborto espontáneo. La prueba de ...

  18. Leaving the placenta in situ versus conservative and radical surgery in the treatment of placenta accreta spectrum disorders.

    Science.gov (United States)

    Kutuk, Mehmet S; Ak, Mehmet; Ozgun, Mahmut T

    2018-03-01

    To compare different treatment methods in the management of placenta accreta spectrum (PAS) disorders. In a retrospective cohort study, medical records were retrieved for patients who underwent elective surgery at 24 weeks of pregnancy or more after a diagnosis of PAS disorder (creta, increta, or percreta) at a center in Turkey between May 2, 2010, and August 10, 2016. The final analysis included patients whose diagnosis was confirmed intraoperatively and for whom complete data were available. Patients were divided into three groups: group 1 included those who underwent hysterectomy without placental removal, group 2 included patients whose placenta was left in situ, and group 3 included those who underwent placental removal and conservative surgery. Among 79 included patients (33 creta, 18 increta, 28 percreta), 27 (34%) were in group 1, 15 (19%) in group 2, and 37 (47%) in group 3. Total blood loss and the amounts of blood products transfused were lowest in group 2; significant differences between groups were noted (all P ≤ 0.001). Surgical complication rates were similar between groups (4/27 [15%], 1/15 [7%], and 11/37 [30%], respectively; P=0.119). Overall uterine preservation rates were not significantly different between groups 2 and 3 (14/15 [93%] vs 33/37 [89%]; P>0.99). Leaving the placenta in situ could become the treatment of choice for PAS disorders. © 2017 International Federation of Gynecology and Obstetrics.

  19. Assessment of total placenta previa by magnetic resonance imaging and ultrasonography to detect placenta accreta and its variants.

    Science.gov (United States)

    Peker, Nuri; Turan, Volkan; Ergenoglu, Mete; Yeniel, Ozgur; Sever, Ahmet; Kazandi, Mert; Zekioglu, Osman

    2013-03-01

    To evaluate the importance of ultrasonography (US) and magnetic resonance imaging (MRI) in detecting placental adherence defects. Patients diagnozed with total placenta previa (n = 40) in whom hysterectomy was performed due to placental adherence defects (n = 20) or in whom the placenta detached spontaneously after a Cesarean delivery (n = 20) were included into the study between June 2008 and January 2011, at the Department of Obstetrics and Gynecology Ege University (lzmir Turkey). Gray-scale US was used to check for any placental lacunae, sub-placental sonolucent spaces or a placental mass invading the vesicouterine plane and bladder Intra-placental lacunar turbulent blood flow and an increase in vascularization in the vesicouterine plane were evaluated with color Doppler mode. Subsequently all patients had MRI and the results were compared with the histopathologic examinations. The sensitivity of MRI for diagnosis of placental adherence defects before the operation was 95%, with a specificity of 95%. In the presence of at least one diagnostic criterion, the sensitivity and specificity of US were 87.5% and 100% respectively, while the sensitivity of color Doppler US was 62.5% with a specificity of 100%. Currently MRI appears to be the gold standard for the diagnosis of placenta accreta. None of the ultrasonographic criteria is solely sufficient to diagnose placental adherence defects, however they assist in the diagnostic process.

  20. Real increasing incidence of hysterectomy for placenta accreta following previous caesarean section.

    LENUS (Irish Health Repository)

    Higgins, Mary F

    2013-11-01

    Placenta accreta, morbid adherence to the uterus to the myometrium, is commonest in association with placenta previa in women previously delivered by caesarean section (CS). It has become proportionally a greater cause of major maternal morbidity and mortality as the frequency of other serious obstetric complications has declined. The aim of this study was to examine the incidence of placenta accreta in the context of a rising caesarean delivery rate.

  1. Placenta accreta located in the posterior wall of the uterus: a case report

    OpenAIRE

    Ozler, Sibel; Oztas, Efser; Kadioglu, Nezaket; Sirvan, Levent; Uzunlar, Ozlem; Caglar, Turhan

    2016-01-01

    Abnormal invasive implantation of the placenta is thought to occur as a result of the defect in the decidua basalis of the women who have a history of cesarean delivery. Massive obstetric hemorrhage incidence is increased in placenta accreta cases. Although ultrasonographic and doppler examinations, and magnetic resonance imaging (MRI) are widely used, the diagnosis of placenta accreta in the early pregnancy weeks is poor. Therefore, the presence of life-threatening vaginal bleeding in the ea...

  2. MRI of placenta percreta: differentiation from other entities of placental adhesive disorder.

    Science.gov (United States)

    Thiravit, Shanigarn; Lapatikarn, Sukanya; Muangsomboon, Kobkun; Suvannarerg, Voraparee; Thiravit, Phakphoom; Korpraphong, Pornpim

    2017-01-01

    To retrospectively review the MRI findings of placenta percreta and identify those helpful for differentiation from non-placenta percreta. The MRI images of 21 patients with a preliminary diagnosis of placental adhesive disorder scanned between 2005 and 2014 were evaluated. Radiologists blinded to the final diagnosis evaluated six previously described MRI findings of placenta adhesive disorder. The sensitivity, specificity, accuracy, negative predictive value (NPV), and positive predictive value (PPV) of MRI for the diagnosis of placenta percreta were also calculated. The study included 12 cases of placenta percreta and 9 cases of non-placenta percreta. Invasion of placental tissue outside the uterus was found only in placenta percreta (p = 0.045; sensitivity 41.7 %; specificity 100 %). All placenta percreta cases also had a moderate to marked degree of heterogeneous placental signal intensity (p = 0.063; sensitivity 100 %; specificity 33.3 %). The size of the dark bands on T2-weighted imaging, and the presence of disorganized intra-placental vessels, showed no statistically significant difference between placenta percreta and non-placenta percreta. The sensitivity, specificity, NPV, PPV, and accuracy of MRI for detection of placenta percreta were 91.7, 44, 80, 68, and 71.4 %, respectively. MRI is recommended for the evaluation of placenta percreta, with the most specific signs including the invasion of placental tissue outside the uterus on B-FFE sequences, and consideration of the degree of placental signal heterogeneity. The size of the T2 dark band alone, or bizarre disorganized intra-placental vessels, did not correlate with the severity of invasion.

  3. Relationship between first trimester aneuploidy screening test serum analytes and placenta accreta.

    Science.gov (United States)

    Büke, Barış; Akkaya, Hatice; Demir, Sibel; Sağol, Sermet; Şimşek, Deniz; Başol, Güneş; Barutçuoğlu, Burcu

    2018-01-01

    The aim of this study is to determine whether there is a relationship between first trimester serum pregnancy-associated plasma protein A (PAPP-A) and free beta human chorionic gonadotropin (fβhCG) MoM values and placenta accreta in women who had placenta previa. A total of 88 patients with placenta previa who had first trimester aneuploidy screening test results were enrolled in the study. Nineteen of these patients were also diagnosed with placenta accreta. As probable markers of excessive placental invasion, serum PAPP-A and fβhCG MoM values were compared in two groups with and without placenta accreta. Patients with placenta accreta had higher statistically significant serum PAPP-A (1.20 versus 0.865, respectively, p = 0.045) and fβhCG MoM (1.42 versus 0.93, respectively, p = 0.042) values than patients without accreta. Higher first trimester serum PAPP-A and fβhCG MoM values seem to be associated with placenta accreta in women with placenta previa. Further studies are needed to use these promising additional tools for early detection of placenta accreta.

  4. Aspectos Bioéticos Relacionados con el Comienzo y el Valor de la Vida Humana

    OpenAIRE

    León C, A

    2000-01-01

    Los opiniones acerca del comienzo de la vida humana han seguido dos vías de acción: 1. En términos de las conclusiones acerca del comienzo real de la vida humana, las cuales comprenden desde el momento de la concepción y hasta los diversos estados del desarrollo fetal, viabilidad y hasta cierto tiempo luego del nacimiento; 2. En términos de los criterios utilizados para determinar el comienzo de la vida humana: a) biológico-individual, b) racional, c) múltiple y d) la concesión de derechos po...

  5. Seroprevalencia de infección por virus de la hepatitis B y por virus de la inmunodeficiencia humana en una población de pacientes con múltiples transfusiones en cuatro hospitales, Colombia, Sur América

    Directory of Open Access Journals (Sweden)

    Mauricio Beltrán

    2009-06-01

    Conclusiones. Este es el primer estudio epidemiológico realizado en Colombia con un número significativo de pacientes con múltiples transfusiones. El hallazgo más relevante es la elevada prevalencia de infección por virus de la hepatitis B y virus de la inmunodeficiencia humana observado en la población de hemofílicos, comparado con los otros cuatro grupos de pacientes con múltiples transfusiones.

  6. Estudio transversal de comorbilidades y medicaciones concomitantes en una cohorte de pacientes infectados por el virus de la inmunodeficiencia humana

    Directory of Open Access Journals (Sweden)

    Maria Asunción García Gonzalo

    2017-05-01

    Conclusiones: Nuestros pacientes con infección por VIH son cada vez mayores, con mayor número de comorbilidades, con uso muy frecuente de tratamientos concomitantes y elevada prevalencia de episodios adversos. Esto obliga a un abordaje multidisciplinar y a una labor coordinada con atención primaria.

  7. Contributions of human paleohistology to the study of biomaterials; Aportaciones de la paleohistologia humana al estudio de biomateriales

    Energy Technology Data Exchange (ETDEWEB)

    Nacarino Meneses, C.; Cambra-Moo, O.; Rodriguez Barbero, M. A.; Gonzalez Martin, A.

    2012-07-01

    The deep study of archaeological human bone could provide relevant information to biomaterials science, as it could tell how the implant process of bio glasses and bioresorbable ceramics is. In this paper, we propose to study, by means of different microscopic, spectroscopic, and X-ray diffraction techniques, the histological and mineral bone variability throughout ontogeny. Extrapolating this data, we could have a better knowledge of biodegradable materials implant. In different ages, we could notice different tissues in cortical bone: fibrolamellar bone is characteristic of early stages of life while secondary or harvesian bone is in adult individuals. Raman and infrared spectroscopy suggest an increase of critallinity in the inorganic matrix during live. Finally, the X-ray diffraction study of bone tissue shows {beta}-calcium phosphate and hydroxyapatite as the main mineral bone components. (Author) 31 refs.

  8. Study of a Case Involving Accidental Irradiation of a Human Being; Estudio de un Caso de Irradiacion Humana Accidental

    Energy Technology Data Exchange (ETDEWEB)

    Beninson, D.; Placer, A.; Vander Elst, E. [Comision Nacional de Energia Atomica, Buenos Aires (Argentina)

    1969-10-15

    A description is given of an accident involving extremely uneven irradiation (ranging from 50 rads to 1.7 Mrads), in which a worker carried a {sup 137}Cs source belonging to an industrial gamma radiography unit in his trouser pockets for a total period of 18 hours on 3 and 4 May 1968. Low irradiation of the haematopoietic and gastrointestinal organs inhibited the occurrence of the acute syndrome. The front of the thighs, the inguinoscrotal region, and to a lesser extent the hands, were the areas most affected by lesions. The radiation doses delivered to the affected areas were estimated from biological radiation dosimetry parameters (the extent and chronological order of some of the lesions) and from experimental data on the dose as a function of distance and depth of the tissues, obtained by reconstructing the accident with a phantom and a set of thermoluminescent dosimeters. The paper describes the appearance a few days later of wet radiation dermatitis covering areas which gradually grew until they reached approximately the limit represented by the 1000 rads isodose line. Progression of the radiation dermatitis was complete towards the end of May. At the beginning of June dry epidermal desquamation extending approximately as far as the 500 rads line was observed. With the passage of time there occurred muscular atrophy of both legs and extensive oedema of the inguinoscrotal area. The appearance of extensive femoral haemorrhages in November 1968 and January 1969 made it necessary to amputate first the lower left limb, and then the right. The rate of chromosomal aberrations in the peripheral blood confirms the low doses absorbed by the blood system (about 50 rads). A summary of results of the analyses made is given, together with comments on the prognosis of the patient's development, based on the distribution of the radiation dose received. (author) [Spanish] Se describe un accidente de irradiacion fuertemente inhomogenea (del orden de 50 rad a 1,7 Mrad) en el cual un obrero llevo en los bolsillos de su pantalon una fuente de {sup 137}Cs, perteneciente a un equipo de gammagrafia industrial, durante un lapso fraccionado de unas 18 h, los dfas 3 y 4 de mayo de 1968. La baja irradiacion de los organos hematopoyeticos y gastrointestinal impidio la aparicion de sindrome agudo. Las caras anteriores de los muslos, la region inguinoescrotal y en menor grado las manos, fueron las zonas mas lesionadas. Se han estimado las dosis de radiacion recibidas en las zonas afectadas a partir de parametros de radiodosimetrfa biologica.( extension y secuencia temporal de algunas lesiones) y datos experimentales sobre la variacion de las dosis con la distancia y la profundidad de los tejidos, obtenidos mediante la reconstruccion del accidente con un 'fantomas' y un conjunto de dosimetros termo- luminescentes. Se describe la aparicion a los pocos dfas de zonas de radiodermitis humeda que se extendieron paulatinamente hasta aproximadamente el limite representado por la linea de isodosis de 1000 rad. La progresion de la radiodermitis se completo hacia fines del mes de mayo. A principios de junio se observo la aparicion de una descamacion epidermica seca hasta aproximadamente la linea de 500 rad. Con el transcurso del tiempo se observo la atrofia muscular de ambas piernas y un edema importante de la zona inguinoescrotal. La aparicion de hemorragias femorales importantes en noviembre de 1968 y enero de 1969 motivo la amputacion primero del miembro inferior izquierdo, luego del derecho. El indice de frecuencia de aberraciones cromosomicas en sangre periferica confirma las bajas dosis recibidas por el compartimiento sanguineo (alrededor de 50 rad). Se presenta un resumen de los resultados de los analisis realizados y se comenta el pronostico de la evolucion del paciente en base a la distribucion de la dosis de radiacion recibida. (author)

  9. Calidad de los análisis de riesgo e inseguridad de los transgénicos para la salud ambiental y humana

    Directory of Open Access Journals (Sweden)

    Rubens Onofre Nodari

    2009-01-01

    Full Text Available Las plantas transgénicas, en general, cargan genes de resistencia a antibióticos y secuencias que favorecen la transferencia de genes y la inestabilidad. Además es imprevisible el sitio de inserción del transgene, los efectos colaterales y los efectos a los organismos no blancos o en la cadena alimentaria. Tampoco es posible controlar la expresión de los transgenes insertados o la diseminación de los transgenes. Estas características requieren estudios de base científica para la toma de decisión. Los proponentes de la tecnología prefieren utilizar el criterio de equivalencia substancial, que no tiene base científica como será argumentado en este artículo, pero que está siendo aceptado por las agencias reguladoras. Los pocos estudios presentados por los interesados, en general son de calidad muy baja y por eso, difícilmente serían publicados en revistas de prestigio. Ejemplos de estos estudios son aquí discutidos como el bajo número de repeticiones y la corta duración de los ensayos. Así, la sociedad no tiene conocimiento de lo que pasa durante la fase de análisis y aprobación de transgénicos para uso comercial. Estudios de investigadores independientes ya indican daños a salud humana y al medio ambiente. Parte de estos estudios son presentados y discutidos en este artículo. Finalmente, frente a la falta de evaluaciones de riesgo de base científica, se sugiere el empleo del principio precautorio.

  10. Asociación entre los niveles de zinc intracelular y el estado nutricional de los niños infectados por el virus de la inmunodeficiencia humana (VIH) y los niños expuestos al virus no infectados

    OpenAIRE

    Gómez G, Erika María; Maldonado C, María Elena; Rojas L, Mauricio; Posada J, Gladys

    2015-01-01

    Introducción: Desnutrición, retardo en el crecimiento e infecciones oportunistas sobrevienen a alteraciones metabólicas, inmunológicas y gastrointestinales que produce el virus de la inmunodeficiencia humana (VIH). La deficiencia de zinc se ha asociado con deterioro nutricional, falla en el crecimiento y riesgo de infecciones. El objetivo de este estudio fue asociar los niveles de zinc en células mononucleares de sangre periférica (PBMC) con el estado nutricional en niños infectados por el VI...

  11. Laboratorio de ecología humana e impacto tecnológico: Investigación para el desarrollo sustentable - Human ecology laboratory and its technological impact: Research for sustainable development

    OpenAIRE

    Belinda Elena Colina Arenas; Sofía Elena Storey Contreras

    2017-01-01

    Parte de la vinculación necesaria entre la academia y el sector externo, lo representa la actividad creativa que se genera en los laboratorios de investigación académica, la cual constituye un aspecto poco valorado y subutilizado de las labores de investigación de las universidades autónomas venezolanas. El objetivo es analizar los aspectos contextuales que impulsaron la creación del Laboratorio de Ecología Humana e Impacto Tecnológico (LEHIT). Se realizó un estudio de caso único con observac...

  12. Placenta accreta: pathogenesis of a 20th century iatrogenic uterine disease.

    Science.gov (United States)

    Jauniaux, E; Jurkovic, D

    2012-04-01

    Placenta accreta refers to different grades of abnormal placental attachment to the uterine wall, which are characterised by invasion of trophoblast into the myometrium. Placenta accreta has only been described and studied by pathologists for less than a century. The fact that the first detailed description of a placenta accreta happened within a couple of decades of major changes in the caesarean surgical techniques is highly suggestive of a direct relationship between prior uterine surgery and abnormal placenta adherence. Several concepts have been proposed to explain the abnormal placentation in placenta accreta including a primary defect of the trophoblast function, a secondary basalis defect due to a failure of normal decidualization and more recently an abnormal vascularisation and tissue oxygenation of the scar area. The vast majority of placenta accreta are found in women presenting with a previous history of caesarean section and a placenta praevia. Recent epidemiological studies have also found that the strongest risk factor for placenta praevia is a prior caesarean section suggesting that a failure of decidualization in the area of a previous uterine scar can have an impact on both implantation and placentation. Ultrasound studies of uterine caesarean section scar have shown that large and deep myometrial defects are often associated with absence of re-epithelialisation of the scar area. These findings support the concept of a primary deciduo-myometrium defect in placenta accreta, exposing the myometrium and its vasculature below the junctional zone to the migrating trophoblast. The loss of this normal plane of cleavage and the excessive vascular remodelling of the radial and arcuate arteries can explain the in-vivo findings and the clinical consequence of placenta accreta. Overall these data support the concept that abnormal decidualization and trophoblastic changes of the placental bed in placenta accreta are secondary to the uterine scar and thus

  13. un estudio comparativo

    Directory of Open Access Journals (Sweden)

    Federico Varona

    2007-01-01

    Full Text Available La comunicación efectiva es uno de los mayores retos que tienen hoy las organizaciones y empresas tanto a nivel nacional como internacional (global. Este artículo presenta los resultados de la investigación realizada por un equipo internacional de investigadores interesados en descubrir y comparar las conductas comunicativas o estilos de comunicación de los empleados finlandeses y mexicanos cuando interactúan con sus superiores. Para ello presentamos: primero, un breve marco teórico del estudio; segundo, la metodología; tercero, los resultados del análisis estadístico comparativo entre los empleados de Finlandia y México; cuarto, las conclusiones generales y su explicación cultural; y quinto, las implicaciones teóricas y prácticas de este estudio con respecto a las competencias comunicativas necesarias para la comunicación efectiva entre empleados y superiores tanto en organizaciones nacionales como internacionales (globales.

  14. Androgen receptor and histone lysine demethylases in ovine placenta.

    Directory of Open Access Journals (Sweden)

    Ellane R Cleys

    Full Text Available Sex steroid hormones regulate developmental programming in many tissues, including programming gene expression during prenatal development. While estradiol is known to regulate placentation, little is known about the role of testosterone and androgen signaling in placental development despite the fact that testosterone rises in maternal circulation during pregnancy and in placenta-induced pregnancy disorders. We investigated the role of testosterone in placental gene expression, and focused on androgen receptor (AR. Prenatal androgenization decreased global DNA methylation in gestational day 90 placentomes, and increased placental expression of AR as well as genes involved in epigenetic regulation, angiogenesis, and growth. As AR complexes with histone lysine demethylases (KDMs to regulate AR target genes in human cancers, we also investigated if the same mechanism is present in the ovine placenta. AR co-immunoprecipitated with KDM1A and KDM4D in sheep placentomes, and AR-KDM1A complexes were recruited to a half-site for androgen response element (ARE in the promoter region of VEGFA. Androgenized ewes also had increased cotyledonary VEGFA. Finally, in human first trimester placental samples KDM1A and KDM4D immunolocalized to the syncytiotrophoblast, with nuclear KDM1A and KDM4D immunostaining also present in the villous stroma. In conclusion, placental androgen signaling, possibly through AR-KDM complex recruitment to AREs, regulates placental VEGFA expression. AR and KDMs are also present in first trimester human placenta. Androgens appear to be an important regulator of trophoblast differentiation and placental development, and aberrant androgen signaling may contribute to the development of placental disorders.

  15. Transplacental pharmacokinetics of diclofenac in perfused human placenta.

    Science.gov (United States)

    Shintaku, Kyohei; Hori, Satoko; Tsujimoto, Masayuki; Nagata, Hideaki; Satoh, Shoji; Tsukimori, Kiyomi; Nakano, Hitoo; Fujii, Tomoyuki; Taketani, Yuji; Ohtani, Hisakazu; Sawada, Yasufumi

    2009-05-01

    The aims of this study were to evaluate the transplacental transfer properties of diclofenac and to determine the effect of L-lactic acid on the transplacental transfer of diclofenac. The maternal and fetal vessels of human placenta were perfused in a single-pass mode with a solution containing diclofenac and antipyrine. The transplacental pharmacokinetic model was fitted to the time profiles of the drug concentrations in the effluent and placenta to obtain transplacental pharmacokinetic parameters. In addition, chloride ion in the perfusate was partially replaced with L-lactic acid to see the change in the transplacental transfer properties of diclofenac. The TPT(ss) value (ratio of the rate of amount transferred across the placenta to that infused in the steady state) of diclofenac was 2.22%, which was approximately one-third that of antipyrine and was significantly reduced in the presence of L-lactic acid. The transplacental pharmacokinetic model could adequately explain the transplacental transfer of diclofenac with influx clearances from maternal and fetal perfusates to placental tissue of 0.276 and 0.0345 ml/min/g cotyledon and efflux rate constants from placental tissue to maternal and fetal perfusates of 0.406 and 0.0337 min(-1), respectively. By taking into account protein binding, the placental tissue/plasma concentration ratio in humans for diclofenac was estimated to be 0.108 ml/g of cotyledon and was smaller than that of antipyrine. In conclusion, human placental perfusion and transplacental pharmacokinetic modeling allowed us to determine the transplacental transfer properties of diclofenac quantitatively. Diclofenac may share transplacental transfer system(s) with L-lactic acid.

  16. Developmental peculiarities in placentae of ovine uniparental conceptuses.

    Directory of Open Access Journals (Sweden)

    Roberta Arena

    Full Text Available Genomic imprinting is an epigenetic phenomenon regulating mono-allelic expression of genes depending on their parental origin. Defective genomic imprinting is involved in several placental disorders, such as intrauterine growth restriction and pre-eclampsia. Uniparental embryos, having maternal-only or paternal-only genomes (parthenogenotes [PAR] and androgenotes [AND], respectively, are useful models to study placentation. The aim of this work was to reveal the effect of parental genome (maternal and paternal on placentation. To do this, uniparental (AND and PAR and biparental (CTR in vitro produced sheep embryos transferred to recipient females were collected at day 20 of pregnancy and their placentae were analyzed. qPCR analysis showed that imprinted genes (H19, IGF2R and DLK1 were expressed accordingly to their parental origin while the expression f DNA methyltransferases ( was disregulated, especially in PAR (P < 0.05. AND placentae were significantly hypomethylated compared to both PAR and CTR (P = 0.023. Chorion-allantoid of AND showed impaired development of vessels and reduced mRNA expression of vasculogenetic factors (ANG2 P = 0.05; VEGFR2 P< 0.001; TIE2 P < 0.001. Morphologically, PAR placentae were characterized by abnormal structure of the trophoectodermal epithelium and reduced total number (P<0.03 of Trophoblastic Binucleate Cells. A reduced implantation rate of both classes of uniparental embryos (P<0.03 was also noted. Our results provide new insights into the characterization of uniparental embryos and demonstrate the complementary role of parental genomes for the correct establishment of pregnancy. Thus, our findings may suggest new targets to improve our understanding of the origin of imprinting-related placental dysfunction.

  17. Mineral deficiency predisposes occurrence of retention of placenta in crossbred

    Directory of Open Access Journals (Sweden)

    S. K. Sheetal

    2014-12-01

    Full Text Available Aim: The present study was carried out to investigate the relationship between blood serum concentrations of macro and micro minerals and development of retention of placenta (ROP in crossbred cattle. Materials and Methods: The present study was carried out at Instructional Livestock Farm, Bihar Veterinary College and local Khatals in and around Patna. A total of 20 crossbred cattle (n=10 with normal expulsion of the placenta as control and n=10 with ROP were selected in the present study. Blood samples were collected from these animals and serum was separated and stored in the deep freezer at −20°C till further analysis. The estimation of serum macro-minerals (Ca, P, Ca/P ratio was done by Span diagnostic Kits (Surat, India and trace minerals or micro-minerals (Zn, Cu, and Fe were analyzed by atomic absorption spectrophotometer (Perkin Elmer AAS 220. Mean values were compared between both the groups at 0 h (at parturition and 12 h after parturition. Results: The mean values of serum calcium and zinc were found significantly lower in cattle having ROP than control at both 0 h and 12 h after parturition. The mean values of serum Ca and P ratio obtained at 0 hour were significantly lower in ROP groups as compared to control groups and non-significant at 12 h. The mean values of serum inorganic phosphorus, copper and iron was found non-significantly lower in ROP cases as compared to control. Conclusions: Macro and micro mineral deficiency such as calcium, iron, zinc and copper in blood serum may be predisposing factor for the occurrence of retention of placenta in crossbred cattle.

  18. Landscape of transcriptional deregulations in the preeclamptic placenta.

    Directory of Open Access Journals (Sweden)

    Daniel Vaiman

    Full Text Available Preeclampsia is a pregnancy disease affecting 5 to 8% of pregnant women and a leading cause of both maternal and fetal mortality and morbidity. Because of a default in the process of implantation, the placenta of preeclamptic women undergoes insufficient vascularization. This results in placental ischemia, inflammation and subsequent release of placental debris and vasoactive factors in the maternal circulation causing a systemic endothelial activation. Several microarray studies have analyzed the transcriptome of the preeclamptic placentas to identify genes which could be involved in placental dysfunction. In this study, we compared the data from publicly available microarray analyses to obtain a consensus list of modified genes. This allowed to identify consistently modified genes in the preeclamptic placenta. Of these, 67 were up-regulated and 31 down-regulated. Assuming that changes in the transcription level of co-expressed genes may result from the coordinated action of a limited number of transcription factors, we looked for over-represented putative transcription factor binding sites in the promoters of these genes. Indeed, we found that the promoters of up-regulated genes are enriched in putative binding sites for NFkB, CREB, ANRT, REEB1, SP1, and AP-2. In the promoters of down-regulated genes, the most prevalent putative binding sites are those of MZF-1, NFYA, E2F1 and MEF2A. These transcriptions factors are known to regulate specific biological pathways such as cell responses to inflammation, hypoxia, DNA damage and proliferation. We discuss here the molecular mechanisms of action of these transcription factors and how they can be related to the placental dysfunction in the context of preeclampsia.

  19. Accuracy of ultrasound for the prediction of placenta accreta.

    Science.gov (United States)

    Bowman, Zachary S; Eller, Alexandra G; Kennedy, Anne M; Richards, Douglas S; Winter, Thomas C; Woodward, Paula J; Silver, Robert M

    2014-08-01

    Ultrasound has been reported to be greater than 90% sensitive for the diagnosis of accreta. Prior studies may be subject to bias because of single expert observers, suspicion for accreta, and knowledge of risk factors. We aimed to assess the accuracy of ultrasound for the prediction of accreta. Patients with accreta at a single academic center were matched to patients with placenta previa, but no accreta, by year of delivery. Ultrasound studies with views of the placenta were collected, deidentified, blinded to clinical history, and placed in random sequence. Six investigators prospectively interpreted each study for the presence of accreta and findings reported to be associated with its diagnosis. Sensitivity, specificity, positive predictive, negative predictive value, and accuracy were calculated. Characteristics of accurate findings were compared using univariate and multivariate analyses. Six investigators examined 229 ultrasound studies from 55 patients with accreta and 56 controls for 1374 independent observations. 1205/1374 (87.7% overall, 90% controls, 84.9% cases) studies were given a diagnosis. There were 371 (27.0%) true positives; 81 (5.9%) false positives; 533 (38.8%) true negatives, 220 (16.0%) false negatives, and 169 (12.3%) with uncertain diagnosis. Sensitivity, specificity, positive predictive value, negative predictive value, and accuracy were 53.5%, 88.0%, 82.1%, 64.8%, and 64.8%, respectively. In multivariate analysis, true positives were more likely to have placental lacunae (odds ratio [OR], 1.5; 95% confidence interval [CI], 1.4-1.6), loss of retroplacental clear space (OR, 2.4; 95% CI, 1.1-4.9), or abnormalities on color Doppler (OR, 2.1; 95% CI, 1.8-2.4). Ultrasound for the prediction of placenta accreta may not be as sensitive as previously described. Copyright © 2014 Mosby, Inc. All rights reserved.

  20. REFERENCIA TEMPORAL EN EL CEREBRO: UNA REVISIÓN CRÍTICA DE LAS CONTRIBUCIONES DE LA NEUROECONOMÍA AL ESTUDIO DE LA ELECCIÓN INTERTEMPORAL

    OpenAIRE

    René San Martín; Pablo Isla; Camilo Melis

    2012-01-01

    Resumen: Las decisiones humanas suelen implicar costos y beneficios distribuidos en el tiempo. Este artículo revisa el estado actual de la investigación con neuroimagen acerca de la manera en que el cerebro produce decisiones intertemporales. Se propone que mientras resulta poco probable que la neurociencia sea el terreno adecuado para decidir entre los modelos formales propuestos por la economía conductual, los recientes avances en el estudio del cerebro ofrecen la posibilidad de enriquecer ...

  1. The placenta as a compensatory iodine storage organ.

    LENUS (Irish Health Repository)

    Burns, Robert

    2011-05-01

    The production of iodine-containing thyroid hormones necessary for brain development in the fetus depends not only on maternal dietary intake but also on placental iodine transport. The optimum level of iodine nutrition during pregnancy and the proportion of the pregnant population reaching this level have previously been evaluated. Little information exists on the ability of the placenta to either accumulate or store iodine. This study aims to investigate iodine uptake and tissue iodine content within placental tissue obtained from women delivering at term.

  2. Human placenta secretes apolipoprotein B-100-containing lipoproteins

    DEFF Research Database (Denmark)

    Munk-Madsen, Eva; Lindegaard, Marie Louise Skakkebæk; Andersen, Claus B

    2004-01-01

    Supply of lipids from the mother is essential for fetal growth and development. In mice, disruption of yolk sac cell secretion of apolipoprotein (apo) B-containing lipoproteins results in embryonic lethality. In humans, the yolk sac is vestigial. Nutritional functions are instead established very...... lipoproteins secreted from placental tissue showed spherical particles with a diameter of 47 +/- 10 nm. These results demonstrate that human placenta expresses both apoB and MTP and consequently synthesize and secrete apoB-100-containing lipoproteins. Placental lipoprotein formation constitutes a novel pathway...

  3. Gestational diabetes insipidus: a morphological study of the placenta.

    Science.gov (United States)

    Castiglione, F; Buccoliero, A M; Garbini, F; Gheri, C F; Moncini, D; Poggi, G; Saladino, V; Rossi Degl'Innocenti, D; Gheri, R G; Taddei, G L

    2009-12-01

    Gestational diabetes insipidus (GDI) refers to the state of excessive water intake and hypotonic polyuria. Those cases manifesting in pregnancy and referred to as GDI may persist thereafter or may be a transient latent form that resolves after delivery. Microscopic examination of affected subjects has not been previously reported. In the literature, there are various case reports and case series on diabetes insipidus in pregnancy. In this study, we present a case that had transient diabetes insipidus during pregnancy in which the placenta was examined.

  4. Toxocariosis humana: ¿problema de salud pública?

    Directory of Open Access Journals (Sweden)

    Pedro Huapaya H

    2009-12-01

    Full Text Available Se realizó una revisión bibliográfica para actualizar y sistematizar la información existente sobre la infección humana por el género Toxocara. Se describe los mecanismos de transmisión, epidemiología, formas clínicas, métodos de diagnóstico, esquemas de tratamiento. Además, se resalta su importancia como causa infecciosa de ceguera, en población joven, que resulta potencialmente prevenible y curable mediante el diagnóstico precoz. Por lo cual, se plantea propuestas para implementar la vigilancia epidemiológica. Asimismo, algunas sugerencias para mejorar la legislación existente que permita disminuir el riesgo de la transmisión a la población en general e incrementar el conocimiento que existe sobre esta infección en nuestro país.

  5. Estrategia educativa no ensino de anatomia humana aplicada à enfermagem

    Directory of Open Access Journals (Sweden)

    Raissa Cláudia Eufrázio de Oliveira

    2018-01-01

    Full Text Available Objetivo: avaliar a eficácia de uma estratégia educativa no ensino de anatomia humana aplicada à enfermagem. Metodologia: estudo descritivo, do tipo pré e pós-teste. A amostra foi composta por alunos do primeiro período do curso de enfermagem de uma universidade do nordeste do Brasil, durante o ano de 2014. A estratégia educativa foi composta por aulas expositivas dialogadas, com a utilização de casos clínicos. Resultados: foram abordados os seguintes conteúdos: miologia e aplicações intramusculares; sistema nervoso e reflexos; sistema cardiovascular, punção venosa e pressão arterial; sistema geniturinário, exame ginecológico e sondagem vesical. Verificou-se evolução quantitativa no período pós-teste em todas as aulas da estratégia educativa. Conclusão: a estratégia educativa foi considerada positiva, expressa pelo número de acertos no pós-teste e por associações estatísticas significativas. Destaca-se ainda a contribuição dessa estratégia no processo de formação crítica e reflexiva dos futuros enfermeiros.

  6. A dignidade da pessoa humana na doutrina social da igreja

    Directory of Open Access Journals (Sweden)

    Manzone, Gianni

    2010-01-01

    Full Text Available O texto faz uma análise panorâmica sobre a compreensão da dignidade humana nos diversos textos da Doutrina Social da Igreja, mostrando o entendimento da mesma nos diversos documentos dos Papas, notadamente Leão XII, Pio XI, Pio XII e João Paulo II, além de apontar aspectos históricos e culturais que influenciaram cada pronunciamento, o que foi determinante para a evolução do pensamento do Magistério na questão social. O ponto de partida é a visão antropológica da Doutrina Social da Igreja, resumida em termos de “homem criado por Deus a sua imagem e resgatado pelo sangue de Jesus Cristo” (Sollicitudo Rei Socialis 29. A partir daí, há a defesa do primado do ser humano sobre o social e reivindicações totalitaristas que perpassaram a história recente da humanidade, embora a pessoa seja sempre um ser-em-relação e situado em uma sociedade determinada

  7. CIENCIAS HUMANAS Y EMERGENCIA DE LA EDAD DIGITAL

    Directory of Open Access Journals (Sweden)

    Fischer, Hervé

    2013-06-01

    Full Text Available Estamos pasando de la era del fuego a la era digital, o sea, de la era de la energía, que incluye el fuego, el viento, el agua, la electricidad y la energía nuclear, a la era de la información. Pasamos así del binomio energía-materia a un nuevo paradigma epistemológico e instrumental, el de una codificación binaria y de una programación algorítmica con las cuales pretendemos reinterpretar el universo e instrumentarlo con una nueva potencia humana superior a la de las leyes habituales de la naturaleza. El hombre ha escogido marcar con su sello nuestra evolución y hablamos aquí de lo antropoceno. McLuhan fue el último gran pensador de la era del fuego, de los medios de difusión eléctricos; pero no podría ser el nuevo gurú de la era digital. La energía destruye le información. Lo digital la crea y la difunde.

  8. FORMACIÓN DE INVESTIGADORES DE LAS CIENCIAS SOCIALES Y HUMANAS EN EL ENFOQUE FENOMENOLÓGICO HERMENÉUTICO (DE VAN MANEN EN EL CONTEXTO HISPANOAMERICANO

    Directory of Open Access Journals (Sweden)

    Raquel Ayala Carabajo

    2016-01-01

    Full Text Available Esta investigación explora las condiciones (teórico-metodológicas y formativas para la introducción de la metodología fenomenológico-hermenéutica práctica (de Max van Manen en el contexto hispanoamericano. Siguiendo el método Descriptivo (interpretativo y el enfoque de la teoría fundamentada para el análisis e interpretación de los datos, se realizaron entrevistas a profesores universitarios e investigadores del campo de las ciencias humanas y sociales; y cuestionario abierto a expertos en el método. El estudio lleva a considerar la centralidad del sujeto de la formación y de la práctica fenomenológico-hermenéutica, atribuyéndosele (como punto de partida determinadas actitudes, aptitudes y destrezas. Al mismo tiempo, apunta a la necesidad de un contexto con espacios permanentes de estudio, formación, intercambio y difusión del trabajo fenomenológico-hermenéutico, preferentemente en las propias universidades. La formación supone centrarse en la experiencia vivida desde el inicio, diseñando una estrategia didáctica que (sin dejar de aportar los fundamentos teóricos y filosóficos de base no caiga en la teorización excesiva del enfoque. Una propuesta formativa adecuada puede contribuir a la generación de grupos de investigadores que aporten de forma singular a una práctica investigadora más humana y humanizadora; centrada en el mundo de la vida y en el significado y sentido de la experiencia.

  9. The role of prenatal alcohol exposure in abruptio placentae | du Toit ...

    African Journals Online (AJOL)

    Objective. To investigate the association between preconception and prenatal alcohol use and abruptio placentae. Methods. A case-control study of women with the clinical diagnosis of abruptio placentae, 65 cases and 66 controls, at Tygerberg Academic Hospital, Western Cape, South Africa. Women in whom a ...

  10. A genome-wide comparison of mesenchymal stem cells derived from human placenta and umbilical cord

    Directory of Open Access Journals (Sweden)

    Sen-Wen Teng

    2017-10-01

    Conclusion: We identified the consistence and specific DEGs of human placenta and umbilical cord based on the genome-wide comparison. Our results indicated that hMSCs derived from umbilical cord and placenta have different gene expression patterns, and most of specific genes are involved in the cell cycle, cell division, cell death, and cell developmental processes.

  11. Clinics in diagnostic imaging (133). Retained placenta from an intra-abdominal pregnancy.

    Science.gov (United States)

    Win, T; Tang, P H; Lim, T Y

    2011-01-01

    A 29-year-old Indonesian woman presented with abdominal pain seven months after an intra-abdominal pregnancy. Ultrasonography revealed a cystic mass in the pelvis and magnetic resonance imaging showed an umbilical stump within it, indicating a retained placenta. This was removed surgically, and on histology, an infarcted placenta was confirmed.

  12. An appraisal of retained placentae in Ibadan: a five year review ...

    African Journals Online (AJOL)

    During the study period, 4980 deliveries took place at the University College Hospital, Ibadan and 106 cases of retained placenta were managed making the incidence 2.13 per cent of all births. Results: During the five year period, there were 106 patients with retained placenta; of these, 90 (84.9%) case notes were ...

  13. [Placenta accreta: can prenatal diagnosis be performed? Ultrasound and MRI interests. About 27 cases].

    Science.gov (United States)

    Bauwens, J; Coulon, C; Azaïs, H; Bigot, J; Houfflin-Debarge, V

    2014-05-01

    To list ultrasonography signs identified when a placenta accreta is suspected. Secondary objectives are to analyze the relevance of diagnosis with ultrasonography and magnetic resonance imaging, and to know diagnosis circumstances in order to identify main risk factors. We present a monocentric retrospective study. All the cases of placentas accreta, observed from 2005 to 2010 at Lille University Hospital (France), have been included. Twenty-seven patients had a placenta accreta during this period. There was an antenatal suspicion for 22 cases and 21 were confirmed after delivery. Six cases were discovered per-partum. Diagnosis was suspected after metrorrhagia for 41% of women. In case of antenatal diagnosis, 100% of the patients had an anterior placenta praevia and an uterine scare. Fifty percent of the placentas accreta diagnosed per-partum were posterior. The most frequently ultrasonography signs are "intra-placental lacuna" (85.7%), "abnormal vascularization" (71.4%), "loss of normal hypoechoic retroplacental myometrial zone" (66.7%), "irregularity of the vesical wall" (66.7%). Sensibility of ultrasonography screening is 78%. Twenty-one magnetic resonance imaging examinations executed secondarily confirmed the diagnosis in 66.7% of the cases. Ultrasonography is a relevant exam for the diagnosis of placenta accreta. Posterior placenta should not be forsaken. Anterior placenta praevia in multiparous patients with a uterine scare should be a warning. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  14. Another look at ultrasound and magnetic resonance imaging for diagnosis of placenta accreta.

    Science.gov (United States)

    Budorick, Nancy E; Figueroa, Reinaldo; Vizcarra, Michael; Shin, James

    2017-10-01

    To compare the ability of magnetic resonance imaging (MRI) and ultrasound (US) in the diagnosis of placenta accreta, to examine the success of various sonographic and MRI features to correctly predict invasive placenta, and to define a specific role for MRI in placenta accreta. After Institutional Review Board approval, a blinded retrospective review was undertaken of US and MRI findings from 45 patients who had an obstetrical US and placental MRI between August 2006 and January 2012. Correlation with clinical history and pathologic findings was performed. US and MRI had similar sensitivity, specificity and positive and negative predictive values for placenta accreta. The best predictors of invasion by US were loss of the myometrial mantle, increased intraplacental vascularity and loss of the bladder wall echogenicity. The best predictors of invasion by MRI were loss of retroplacental myometrial mantle, a heterogeneous placenta, and intraplacental hemorrhage. Body mass index (BMI) did not affect the ability to make a diagnosis by either US or MRI. MRI proved effective in better evaluation of a posterior placenta with suspicion of placenta accreta. There was modality disagreement in 11 of 45 cases and MRI was correct in 9 of these 11 cases, all true negative (TN) cases. MRI should be considered in any case with posterior placenta previa and suspicion of accreta, in any case with clinical suspicion for accreta and discordant US findings, and in any case in which percreta is suspected.

  15. Tumorigenic Factor CRIPTO-1 Is Immunolocalized in Extravillous Cytotrophoblast in Placenta Creta

    Directory of Open Access Journals (Sweden)

    Carla Letícia Bandeira

    2014-01-01

    Full Text Available CRIPTO-(CR1 is a protein associated with tumorigenesis and metastasis. Here we demonstrate that CR-1 expression in normal and creta placentas is associated with various degrees of uterine invasion. Cytokeratin (CK and CR-1 protein expression was visualized by immunohistochemical staining of formalin-fixed, paraffin-embedded placental specimens (control placentas, n=9; accreta, n=6; increta, n=10; percreta, n=15. The pattern of extravillous trophoblast (EVT cell morphology was distinctive in creta placentas: densely-compacted cell columns and large star-shaped cells with a typically migratory phenotype, not common among third trimester control placentas. Quantification revealed higher CR-1 immunoreactivities in accreta (P=0.001, increta (P=0.0002, and percreta placentas (P=0.001 than in controls. In contrast to controls, there was a significant positive relationship between CR-1 and CK reactivity in all creta placentas (accreta, P=0.02; increta, P=0.0001, and percreta, P=0.025. This study demonstrated CR-1 expression in the placental bed, its increased expression in creta placentas, and EVT cells as the main CR-1-producing cell type. Morphological examination revealed an immature and invasive trophoblast profile in creta placentas, suggesting impairment of the trophoblast differentiation pathway. These findings provide important new insights into the pathophysiology of abnormal creta placentation and its gestational consequences.

  16. Gray scale and Doppler ultrasound in placenta accreta: Optimization of ultrasound signs

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    Mohamed Shawky

    2016-09-01

    Conclusion: Ultrasound and Doppler examinations of placenta have signs highly suggestive of placenta accreta due to high sensitivity and specificity with placental lacunae of turbulent flow and retro-placental myometrial thickness ⩽1 mm are of the highest specificity.

  17. Anticuerpos monoclonales contra la Gonadotropina Corionica Humana (HCG y su empleo en el diagnóstico precoz del embarazo.

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    Torres E

    2006-03-01

    Full Text Available Se describe la obtención y caracterización de anticuerpos monoclonales contra la hormona gonadotropina cariónica humana (HCG, seleccionados de la inmunización subcutánea en ratones BALB/c. Se reporta también el desarrollo del sistema rápido HeberFast Line® Embarazo, para la detección de la hormona en muestras de orina, basado en los anticuerpos obtenidos y la tecnología del flujo lateral desarrollada en membranas de nitrocelulosa como soporte sólido. El nivel de sensibilidad alcanzado con este sistema diagnóstico es de 20 UI/L de HCG en muestra de orina, y no se observó reactividad cruzada en analitos similares conteniendo concentraciones de las glicohormonas relacionadas; 1000 IU de LH, 5000 IU de FSH, y 1000 µIU de TSH respectivamente. Los estudios de estabilidad arrojaron, que el diagnosticador mantine las características de funcionalidad por un tiempo de 15 meses a temperaturas entre 2 y 30 ºC, conformando este el tiempo de vigencia del sistema. De poseer en Farmacias, Consultorios Médicos de la Familia y Hospital Gineco-Obstétricos, un sistema rápido y sencillo como el establecido en este trabajo, se pueden evitar todos los riesgos e inconvenientes que acarrean los procesos de interrupción del embarazo en la mujer.

  18. Exposure to air pollutants during the early weeks of pregnancy, and placenta praevia and placenta accreta in the western part of Japan.

    Science.gov (United States)

    Michikawa, Takehiro; Morokuma, Seiichi; Yamazaki, Shin; Fukushima, Kotaro; Kato, Kiyoko; Nitta, Hiroshi

    2016-01-01

    Placenta praevia is an obstetric complication involving placental implantation in the lower uterine segment. Given the suggested aetiology of placenta praevia, adverse biological effects of air pollutants, such as plasma viscosity increment, endothelial dysfunction, and systemic inflammation, have the potential to induce low implantation. We explored the association between exposure to air pollutants during the pregnancy period up to implantation, and placenta praevia, in pregnant Japanese women. The outcome also included placenta accreta, which often exists in combination with placenta praevia. From the Japan Perinatal Registry Network database, we obtained data on 40,573 singleton pregnant women in western Japan (Kyushu-Okinawa Districts) between 2005 and 2010. We assigned pollutant concentrations (suspended particulate matter [SPM], ozone, nitrogen dioxide [NO2], and sulphur dioxide [SO2]), measured at the nearest monitoring station to the respective delivery hospital of each woman. A logistic regression model was used to adjust for several covariates. The odds ratios (ORs) of placenta praevia per 10 units increase were 1.12 (95% confidence interval (CI)=1.01-1.23) for SPM over 0-4weeks of gestation, and 1.08 (1.00-1.16) for ozone. The association between exposure to NO2 and SO2, and praevia, was in the direction of increased risk. SPM exposure during 0-4weeks was associated with placenta accreta without praevia (OR=1.33, 95% CI=1.07-1.66). We found no association with exposure to air pollutants during 5-12weeks and the second trimester. Exposure to air pollutants through to implantation was positively associated with placenta praevia and accreta. Copyright © 2016 Elsevier Ltd. All rights reserved.

  19. Utility of ultrasound and magnetic resonance imaging in prenatal diagnosis of placenta accreta: A prospective study

    International Nuclear Information System (INIS)

    Satija, Bhawna; Kumar, Sanyal; Wadhwa, Leena; Gupta, Taru; Kohli, Supreethi; Chandoke, Rajkumar; Gupta, Pratibha

    2015-01-01

    Placenta accreta is the abnormal adherence of the placenta to the uterine wall and the most common cause for emergency postpartum hysterectomy. Accurate prenatal diagnosis of affected pregnancies allows optimal obstetric management. To summarize our experience in the antenatal diagnosis of placenta accreta on imaging in a tertiary care setup. To compare the accuracy of ultrasound (USG) with color Doppler (CDUS) and magnetic resonance imaging (MRI) in prenatal diagnosis of placenta accreta. Prospective study in a tertiary care setup. A prospective study was conducted on pregnant females with high clinical risk of placenta accreta. Antenatal diagnosis was established based on CDUS and MRI. The imaging findings were compared with final diagnosis at the time of delivery and/or pathologic examination. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated for both CDUS and MRI. The sensitivity and specificity values of USG and MRI were compared by the McNemar test. Thirty patients at risk of placenta accreta underwent both CDUS and MRI. Eight cases of placenta accreta were identified (3 vera, 4 increta, and 1 percreta). All patients had history of previous cesarean section. Placenta previa was present in seven out of eight patients. USG correctly identified the presence of placenta accreta in seven out of eight patients (87.5% sensitivity) and the absence of placenta accreta in 19 out of 22 patients (86.4% specificity). MRI correctly identified the presence of placenta accreta in 6 out of 8 patients (75.0% sensitivity) and absence of placenta accreta in 17 out of 22 patients (77.3% specificity). There were no statistical differences in sensitivity (P = 1.00) and specificity (P = 0.687) between USG and MRI. Both USG and MRI have fairly good sensitivity for prenatal diagnosis of placenta accreta; however, specificity does not appear to be as good as reported in other studies. Both modalities have complimentary

  20. Placenta Prévia: Fatores de risco para o Acretismo Placenta Previa: Risk Factors for Accretion

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    Maria Regina Torloni

    2001-08-01

    Full Text Available Objetivo: investigação dos fatores de risco associados ao acretismo em pacientes com placenta prévia (PP. Métodos: foi realizada uma análise retrospectiva caso-controle de todos os prontuários de pacientes com diagnóstico de PP que tiveram seus partos na Maternidade Escola Vila Nova Cachoeirinha (São Paulo entre 1986 e 1998. O grupo com acretismo foi comparado ao grupo sem acretismo quanto à idade, paridade, antecedentes de abortamentos, curetagens e cesarianas, o tipo de PP e a área predominante de inserção placentária. Para avaliar a associação entre a variável dependente (acretismo placentário e as variáveis independentes (características maternas e placentária foram utilizados o teste do chi², análise univariada e multivariada, considerando-se significantes os valores de p Purpose: to investigate risk factors associated with accretion in placenta previa (PP patients. Methods: this was a retrospective case-control study of all the records of patients who delivered between 1986-1998 at Maternidade Escola de Vila Nova Cachoeirinha (São Paulo with a diagnosis of placenta previa. The groups with and without accretion were compared regarding age, parity, previous history of miscarriage, curettage and cesarean section, type of PP and predominant area of placental attachment. Possible associations between the dependent (accretion and independent (maternal and placental characteristics variables were evaluated using the chi² test, univariate and multivariate analyses. Results: reviewing 245 cases of PP, two risk factors were significantly associated with accretion: central placenta previa (odds ratio (OR: 2.93 and two or more previous cesarean sections(OR: 2.54. Based on these data, a predictive model was constructed, according to which a patient with central PP and two more previous cesarean sections has a 44.4% risk for accretion. Conclusions: results of the current study may help obstetricians in the classification of their

  1. Dos estudios de casos

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    Hernán Guillermo Salazar Morales

    1989-04-01

    Full Text Available RESUMEN A continuación se presenta dos casos de estudio en donde se puede apreciar a la forma  como se establecen  las relaciones en una organización y lo que una DECISION  puede llegar a incidir en el desarrollo de las operaciones de una empresa. Decisiones basadas en la intuición, o en corazonadas, frecuentemente conducen en dirección equivocada, ocasionando pérdidas en tiempo, personal y dinero. El proceso de toma de decisiones deben ser TAREAS ESTRUCTURADAS que se sustenten con hechos. Su ejecución debe hacerse secuencialmente y cumplir con cada uno de sus pasos. El diseño de los  casos está orientado para que  sirvan como material de aplicación en la asignatura de  taller de planeación.

  2. DE AGUA. ESTUDIO PRELIMINAR

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    Esther E. Pellizzari

    2015-01-01

    Full Text Available El objetivo del presente estudio fue investigar la resistencia al arsénico en cultivos puros de Pseudomonas aeruginosa , aislada de aguas subterráneas de Presidencia Roque Sáenz Peña, provincia de Chaco y evaluar la posibilidad de su uso para la remoción de este contaminante presente en las aguas subterráneas. Las cepas fueron inmovilizadas en piedra natural y se cu ltivaron en caldo de sales y 1 mgAs/L . Se observó la resistencia al arsénico y la formación de biofilm , logrando la interacción entre la s células, roca y arsénico . L a remoción de arsénico se evaluó durante 3 meses y el porcentaje de eliminación de arsénico al final del experimento fue 60%.

  3. The Case Report of Trigger Finger Improved with Hominis Placenta Pharmacopuncture Treatment

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    Jeong-Won Kim

    2010-12-01

    Full Text Available Objectives : The Purpose of this study is to investigate and report the effectiveness of Hominis Placenta using Pharmacopuncture treatment for trigger finger. Methods : 3 Patients are admitted at Dept. of Oriental Rehabilitation, Bu-Chun Jaseng Oriental Medicine Hospital, diagnosed as Trigger finger and treated with Hominis Placenta Pharmacopuncture. Each cases are measured and assessed by Quinnell's classification of triggering and VAS (Visual Analogue Scale scores. Results : 3 Patients of trigger finger have a different kind of cause and fingers lesion they have, but nodules are not significantly found up, so we could classify all of 3 patients to diffuse type. After treatment of Hominis placenta Pharmacopuncture, spontaneous pain and tenderness, grades of triggering are decreased significantly. We would expect that Hominis placenta Pharmacopuncture has a effect on degenerative diseases of diffuse type's tendon sheath. Conclusions : Trigger finger is generally divided into two stages, inflammatory and degenerative stage, and when degenerative stage, Hominis placenta pharmacopuncture appears to be effective.

  4. The Effect of Hominis Placenta Herbal Acupuncture on Bell's palsy

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    Yun Jeong-hun

    2000-07-01

    Full Text Available This report was done to observe the effect of Hominis placenta herbal acupuncture on Bell's palsy. The study group comprised 16 patients who arrived at Woo-suk university oriental hospital from January, 1999 till January, 2000 for Bell's palsy. All patients were divided into two group. One was herbal acupunture group, and the other was control group. Acupunture group was done herbal acupuncture therapy on the facial acupuncture points. Followings are achievement and a term of each group. In herbal acupuncture group, 100% motor recovery was 7 case, 75% was 1 case, and 25% motor recovery term was 7.38±5.21 days, 50% was 11.00±6.16 days, 75% was 15.13±9.55 days, 100% was 23.14±7.97 days. In control group, 100% motor recovery was 4 case, 75% was 2 case, 25% below was 2 case and 25% motor recovery term was 11.17±4.96days, 50% was 18.17±6.82 days, 75% was 29.50±6.95 days, 100% was 44.00±11.49 days. The above results indicate that Hominis placenta herbal acupuncture is a useful effect on Bell's palsy. thus, continuous herbal acupunture study will be needed for more clinical application on Bell' palsy.

  5. DNA flow cytometric analysis in variable types of hydropic placentas

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    Fatemeh Atabaki pasdar

    2015-05-01

    Full Text Available Background: Differential diagnosis between complete hydatidiform mole, partial hydatidiform mole and hydropic abortion, known as hydropic placentas is still a challenge for pathologists but it is very important for patient management. Objective: We analyzed the nuclear DNA content of various types of hydropic placentas by flowcytometry. Materials and Methods: DNA ploidy analysis was performed in 20 non-molar (hydropic and non-hydropic spontaneous abortions and 20 molar (complete and partial moles, formalin-fixed, paraffin-embedded tissue samples by flow cytometry. The criteria for selection were based on the histopathologic diagnosis. Results: Of 10 cases histologically diagnosed as complete hydatiform mole, 9 cases yielded diploid histograms, and 1 case was tetraploid. Of 10 partial hydatidiform moles, 8 were triploid and 2 were diploid. All of 20 cases diagnosed as spontaneous abortions (hydropic and non-hydropic yielded diploid histograms. Conclusion: These findings signify the importance of the combined use of conventional histology and ploidy analysis in the differential diagnosis of complete hydatidiform mole, partial hydatidiform mole and hydropic abortion.

  6. Contents and localization of heavy metals in human placentae

    Energy Technology Data Exchange (ETDEWEB)

    Reichrtova, E.; Ursinyova, M.; Palkovicova, L.; Wsolova, L. [Institute of Preventive and Clinical Medicine, Bratislava (Slovakia)

    1998-06-01

    The placenta was used as an exposure index for the risk evaluation of prenatal fetal chemical exposure. Full-term placenta samples collected at maternity hospitals in 4 regions of different environmental pollutants and traffic density were examined for lead and cadmium contents using atomic absorption spectrometry (AAS). The results showed similar lead contents in placental samples from all selected regions, except for a small town with a lower traffic density. The findings may implicate traffic-related environmental lead pollution, rather than industrial sources. The highest concentration of cadmium was shown to be in the samples collected from the region with the highest proportion of smoking mothers (including passive smoking). Simultaneously, the placental samples were processed histochemically to determine the location of lead in the placental tissue (using light microscopy). The degree of placental metal contamination was done semiquantitatively, and the difference between the rural and industrial region was statistically compared. Parallel quantitative AAS analyses and semiquantitative histochemical lead analyses of human placental samples revealed analogous results regarding the level of placental contamination with metals. (orig.) (orig.) With 4 figs., 12 refs.

  7. Suspected invasive placenta: evaluation with magnetic resonance imaging

    International Nuclear Information System (INIS)

    Bour, Laurence; Place, Vinciane; Bendavid, Sandra; Fargeaudou, Yann; Portal, Jean-Jacques; Ricbourg, Aude; Sebbag, Delphine; Dohan, Anthony; Soyer, Philippe; Vicaut, Eric

    2014-01-01

    To determine the utility of magnetic resonance imaging (MRI) in diagnosing invasive placenta (IP). MRI findings in 32 women with suspected IP were evaluated independently by four readers. Interobserver agreement was calculated with kappa (κ) statistics. Associations between MRI findings and IP were assessed by univariate and multivariate analyses. Sensitivity, specificity and accuracy of MRI for the diagnosis of IP were estimated. Sixteen women (16/32; 50 %) had confirmed IP. Interobserver correlation for the diagnosis of IP was fair (κ = 0.40). Univariate analysis revealed that thinning or focal defect of the uteroplacental interface (P < 0.0001) was the most discriminating MRI variable in the differentiation between normal and IP. Overall sensitivity and specificity of MRI for the diagnosis of IP were 84 % [95 % CI: 75-94 %] and 80 % [95 % CI: 66-93 %], respectively. Thinning or focal defect of the uteroplacental interface was the most accurate finding (88 %) in the diagnosis of IP. Multivariate analysis revealed that thinning or focal defect of the uteroplacental interface was the single independent predictor of IP (P = 0.0006; OR = 64.99). MR imaging has 84 % sensitivity [95 % CI: 75-94 %] and 80 % specificity [95 % CI: 66-93 %] for the diagnosis of IP. Thinning or focal defect of the uteroplacental interface is the most discriminating independent MR variable in differentiating between normal placenta and IP. (orig.)

  8. Drug interactions at the human placenta: what is the evidence?

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    Miriam eRubinchik-Stern

    2012-07-01

    Full Text Available Pregnant women (and their fetuses are treated with a significant number of prescription and nonprescription medications. Interactions among those drugs may affect their efficacy and toxicity in both mother and fetus. Whereas interactions that result in altered drug concentrations in maternal plasma are detectable, those involving modulation of placental transfer mechanisms are rarely reflected by altered drug concentrations in maternal plasma. Therefore, they are often overlooked. Placental-mediated interactions are possible because the placenta is not only a passive diffusional barrier, but also expresses a variety of influx and efflux transporters and drug metabolizing enzymes. Current data on placental-mediated drug interactions are limited. In rodents, pharmacological or genetic manipulations of placental transporters significantly affect fetal drug exposure. In contrast, studies in human placentae suggest that the magnitude of such interactions is modest in most cases. Nevertheless, under certain circumstances, such interactions may be of clinical significance. This review describes currently known mechanisms of placental-mediated drug interactions and the potential implications of such interactions in humans. Better understanding of those mechanisms is important for minimizing fetal toxicity from drugs while improving their efficacy when directed to treat the fetus.

  9. Placenta-an alternative source of stem cells

    International Nuclear Information System (INIS)

    Matikainen, Tiina; Laine, Jarmo

    2005-01-01

    The two most promising practical applications of human stem cells are cellular replacement therapies in human disease and toxicological screening of candidate drug molecules. Both require a source of human stem cells that can be isolated, purified, expanded in number and differentiated into the cell type of choice in a controlled manner. Currently, uses of both embryonic and adult stem cells are investigated. While embryonic stem cells are pluripotent and can differentiate into any specialised cell type, their use requires establishment of embryonic stem cell lines using the inner cell mass of an early pre-implantation embryo. As the blastocyst is destroyed during the process, ethical issues need to be carefully considered. The use of embryonic stem cells is also limited by the difficulties in growing large numbers of the cells without inducing spontaneous differentiation, and the problems in controlling directed differentiation of the cells. The use of adult stem cells, typically derived from bone marrow, but also from other tissues, is ethically non-controversial but their differentiation potential is more limited than that of the embryonic stem cells. Since human cord blood, umbilical cord, placenta and amnion are normally discarded at birth, they provide an easily accessible alternative source of stem cells. We review the potential and current status of the use of adult stem cells derived from the placenta or umbilical cord in therapeutic and toxicological applications

  10. Optoacoustic measurements of human placenta and umbilical blood oxygenation

    Science.gov (United States)

    Nanovskaya, T. N.; Petrov, I. Y.; Petrov, Y.; Patrikeeva, S. L.; Ahmed, M. S.; Hankins, G. D. V.; Prough, D. S.; Esenaliev, R. O.

    2016-03-01

    Adequate oxygenation is essential for normal embryogenesis and fetal growth. Perturbations in the intrauterine oxidative environment during pregnancy are associated with several pathophysiological disorders such as pregnancy loss, preeclampsia, and intrauterine growth restriction. We proposed to use optoacoustic technology for monitoring placental and fetal umbilical blood oxygenation. In this work, we studied optoacoustic monitoring of oxygenation in placenta and umbilical cord blood ex vivo using technique of placenta perfusion. We used a medical grade, nearinfrared, tunable, optoacoustic system developed and built for oxygenation monitoring in blood vessels and in tissues. First, we calibrated the system for cord blood oxygenation measurements by using a CO-Oximeter (gold standard). Then we performed validation in cord blood circulating through the catheters localized on the fetal side of an isolated placental lobule. Finally, the oxygenation measurements were performed in the perfused placental tissue. To increase or decrease blood oxygenation, we used infusion of a gas mixture of 95% O2 + 5% CO2 and 95% N2 + 5% CO2, respectively. In placental tissue, up to four cycles of changes in oxygenation were performed. The optoacoustically measured oxygenation in circulating cord blood and in placental lobule closely correlated with the actual oxygenation data measured by CO-Oximeter. We plan to further test the placental and cord blood oxygenation monitoring with optoacoustics in animal and clinical studies.

  11. Placenta accreta and the developing world--a review.

    Science.gov (United States)

    Umezurike, C C; Feyi-Waboso, P A

    2010-12-01

    The rising Caesarean section rate in the developing world implies that the incidence of placenta accreta might be on the increase and this might worsen the maternal mortality burden. To draw the attention of Obstetricians and other relevant professionals to this emerging but challenging trend. Original research findings and reviews published in the English literature. Additional information was obtained from texts and electronic books such as CD ROMS. Online searches of electronic database (Medline, Pubmed and Embase), requests for reprints from corresponding authors and institutional/private subscriptions. Information obtained was categorised accordingly. Optimal treatment of women with placenta accreta requires recognition of the clinical risk factors, accurate pre-operative diagnosis and meticulous planning to ensure safety at the time of delivery. In view of the rising incidence of this condition, and the absence of a highly reliable antenatal diagnostic method especially in developing countries, a high index of suspicion and advanced preparation is required to reduce its associated maternal morbidity and mortality.

  12. Identification and analysis of multi-protein complexes in placenta.

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    Fuqiang Wang

    Full Text Available Placental malfunction induces pregnancy disorders which contribute to life-threatening complications for both the mother and the fetus. Identification and characterization of placental multi-protein complexes is an important step to integratedly understand the protein-protein interaction networks in placenta which determine placental function. In this study, blue native/sodium dodecyl sulfate polyacrylamide gel electrophoresis (BN/SDS-PAGE and Liquid chromatography-tandem mass spectrometry (LC-MS/MS were used to screen the multi-protein complexes in placenta. 733 unique proteins and 34 known and novel heterooligomeric multi-protein complexes including mitochondrial respiratory chain complexes, integrin complexes, proteasome complexes, histone complex, and heat shock protein complexes were identified. A novel protein complex, which involves clathrin and small conductance calcium-activated potassium (SK channel protein 2, was identified and validated by antibody based gel shift assay, co-immunoprecipitation and immunofluorescence staining. These results suggest that BN/SDS-PAGE, when integrated with LC-MS/MS, is a very powerful and versatile tool for the investigation of placental protein complexes. This work paves the way for deeper functional characterization of the placental protein complexes associated with pregnancy disorders.

  13. Glucose metabolism in cultured trophoblasts from human placenta

    International Nuclear Information System (INIS)

    Moe, A.J.; Farmer, D.R.; Nelson, D.M.; Smith, C.H.

    1990-01-01

    The development of appropriate placental trophoblast isolation and culture techniques enables the study of pathways of glucose utilization by this important cell layer in vitro. Trophoblasts from normal term placentas were isolated and cultured 24 hours and 72 hours in uncoated polystyrene culture tubes or tubes previously coated with a fibrin matrix. Trophoblasts cultured on fibrin are morphologically distinct from those cultured on plastic or other matrices and generally resemble in vivo syncytium. Cells were incubated up to 3 hours with 14 C-labeled glucose and reactions were stopped by addition of perchloric acid. 14 CO 2 production by trophoblasts increased linearly with time however the largest accumulation of label was in organic acids. Trophoblasts cultured in absence of fibrin utilized more glucose and accumulated more 14 C in metabolic products compared to cells cultured on fibrin. Glucose oxidation to CO 2 by the phosphogluconate (PG) pathway was estimated from specific yields of 14 CO 2 from [1- 14 C]-D-glucose and [6- 14 C]-D-glucose. Approximately 6% of glucose oxidation was by the PG pathway when cells were cultured on fibrin compared to approximately 1% by cells cultured in the absence of fibrin. The presence of a fibrin growth matrix appears to modulate the metabolism of glucose by trophoblast from human placenta in vitro

  14. Interobserver variability of sonography for prediction of placenta accreta.

    Science.gov (United States)

    Bowman, Zachary S; Eller, Alexandra G; Kennedy, Anne M; Richards, Douglas S; Winter, Thomas C; Woodward, Paula J; Silver, Robert M

    2014-12-01

    The sensitivity of sonography to predict accreta has been reported as higher than 90%. However, most studies are from single expert investigators. Our objective was to analyze interobserver variability of sonography for prediction of placenta accreta. Patients with previa with and without accreta were ascertained, and images with placental views were collected, deidentified, and placed in random sequence. Three radiologists and 3 maternal-fetal medicine specialists interpreted each study for the presence of accreta and specific findings reported to be associated with its diagnosis. Investigator-specific sensitivity, specificity, and accuracy were calculated. κ statistics were used to assess variability between individuals and types of investigators. A total of 229 sonographic studies from 55 patients with accreta and 56 control patients were examined. Accuracy ranged from 55.9% to 76.4%. Of imaging studies yielding diagnoses, sensitivity ranged from 53.4% to 74.4%, and specificity ranged from 70.8% to 94.8%. Overall interobserver agreement was moderate (mean κ ± SD = 0.47 ± 0.12). κ values between pairs of investigators ranged from 0.32 (fair agreement) to 0.73 (substantial agreement). Average individual agreement ranged from fair (κ = 0.35) to moderate (κ = 0.53). Blinded from clinical data, sonography has significant interobserver variability for the diagnosis of placenta accreta. © 2013 by the American Institute of Ultrasound in Medicine.

  15. The omniscient placenta: Metabolic and epigenetic regulation of fetal programming.

    Science.gov (United States)

    Nugent, Bridget M; Bale, Tracy L

    2015-10-01

    Fetal development could be considered a sensitive period wherein exogenous insults and changes to the maternal milieu can have long-term impacts on developmental programming. The placenta provides the fetus with protection and necessary nutrients for growth, and responds to maternal cues and changes in nutrient signaling through multiple epigenetic mechanisms. The X-linked enzyme O-linked-N-acetylglucosamine transferase (OGT) acts as a nutrient sensor that modifies numerous proteins to alter various cellular signals, including major epigenetic processes. This review describes epigenetic alterations in the placenta in response to insults during pregnancy, the potential links of OGT as a nutrient sensor to placental epigenetics, and the implications of placental epigenetics in long-term neurodevelopmental programming. We describe the role of placental OGT in the sex-specific programming of hypothalamic-pituitary-adrenal (HPA) axis programming deficits by early prenatal stress as an example of how placental signaling can have long-term effects on neurodevelopment. Copyright © 2015 Elsevier Inc. All rights reserved.

  16. Retained placenta in Friesian mares : reproductive performance after foal heat breeding versus breeding in a subsequent heat

    NARCIS (Netherlands)

    Sevinga, M; Hesselink, JW; Barkema, H.W.

    2001-01-01

    Postpartum reproductive performance was studied in 54 Friesian brood mares with and 50 without retained placenta. Retained placenta was defined as failure to expel all fetal membranes within 3 hours after the delivery of the foal. The group of mares with retained placenta was subdivided into mares

  17. Reconocimiento alogénico: su papel protector durante la infección por el virus de la inmunodeficiencia humana tipo1 (VIH-1

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    María Teresa Rugeles López

    2004-03-01

    Full Text Available

    Varios estudios han señalado la importancia de la respuesta alogénica en la protección a la infección por el VIH-1; inclusive, se ha propuesto la aloinmunización como una vacuna profiláctica (1. Sin embargo, la evidencia más fuerte de que el aloreconocimiento contribuye a la protección contra la infección con el VIH-1 es aportada por un estudio de transmisión perinatal realizado en Nairobi. En este estudio la transmisión vertical se correlacionó con el grado de concordancia entre los alelos del CMH clase I entre la madre y el bebé: el máximo grado de concordancia se asoció con un 31% de incidencia de transmisión, mientras que la infección ocurrió solo en un 3% de niños que tenían el máximo grado de disparidad con su madre (2. La incidencia de la transmisión vertical del VIH-1 es del 25-30% en ausencia de terapia antirretroviral (3. El hecho de que el 70-75% de recién nacidos no nazca infectado, a pesar de haber estado expuesto en forma continua al virus, sugiere la existencia de barreras protectoras que previenen la transmisión vertical durante la gestación y el parto. Aunque existen reportes de inmunidad celular neonatal específica anti VIH-(4, otros mecanismos deben contribuir a la protección del feto y a prevenir la transmisión vertical. Recientemente, se reportó que factores solubles que se encuentran en la placenta, importantes para la implantación y el desarrollo del embrión, inhiben la replicación del VIH-1 in vitro.

    Entre estos factores se destacan: el factor inhibidor de leucemias (LIF (5, la hormona gonadotropina coriónica humana (hCG (6 y el factor derivado de células estromales tipo 1 (SDF-1 (7. Adicionalmente, en 1996 se describió la producción in vitro de un factor soluble que se genera en cultivos mixtos de linfocitos (CML conocido como ASF (8

  18. El virus de la inmunodeficiencia humana tipo 1 y el sistema nervioso central en desarrollo.

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    Jorge Alejandro Henao

    2005-03-01

    Full Text Available Actualmente, hay más de 42 millones de infectados con el virus de la inmunodeficiencia humana tipo 1 (VIH-1, de los cuales, 3,2 millones son niños y, de éstos, el 90% con transmisión vertical de la infección. Se considera que en Colombia más de 200.000 personas se han infectado desde el inicio de la pandemia y los estudios muestran una tendencia constante al aumento en las cifras de seroprevalencia en mujeres embarazadas y, por ende, en el número de recién nacidos infectados. El VIH-1 es primordialmente linfotrópico, pero su tropismo por el sistema nervioso central (SNC es bien conocido, lo que genera múltiples alteraciones neurológicas, particularmente prominentes en niños, de las cuales la más prevalerte es la encefalopatía. Clásicamente, se reconocen dos tipos de encefalopatía en esta población: encefalopatía temprana y tardía, ambas con diferentes características clínicas e inmunológicas. La infección por el VIH-1 en el SNC está limitada a los macrófagos, la microglía y los astrocitos en menor escala. Las neuronas, células principalmente afectadas en los pacientes con sida, raras veces son infectadas, por lo que se postula que factores solubles, provenientes tanto del huésped como del virus, son los principales causantes del daño neuronal. Los hallazgos presentados en esta revisión sugieren la posibilidad de que el SNC, en etapas tempranas del desarrollo, sea especialmente susceptible a la infección por el VIH-1. Las cifras epidemiológicas sugieren que este tipo de alteraciones clínicas serán cada vez más frecuentes; de ahí, la importancia de conocer la neuropatogénesis de la infección por el VIH-1.

  19. Abordaje multidisciplinario de la enfermedad humana por infiltración de sustancias modelantes

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    J. Gordillo-Hernández

    2013-09-01

    Full Text Available En la búsqueda por mejorar la apariencia del cuerpo y de la cara con fines estéticos o reconstructivos por alguna deformidad, han aparecido técnicas no quirúrgicas que consisten en inyectar diversas sustancias modelantes bajo la premisa de que son métodos sencillos, poco dolorosos, económicos y aparentemente seguros. La sociedad actual exige una mayor preocupación por los patrones estéticos, lo que ha motivado la práctica cada vez más frecuente de la aplicación de sustancias ilícitas con el fin de aumentar el volumen y modelar ciertas partes del cuerpo sin someterse a procedimientos quirúrgicos. La ignorancia que existe en algunos países como México y otros de Latinoamerica, ha propiciado que el número de pacientes que se somete a este tipo de tratamientos por personal no capacitado y en lugares no autorizados sea cada vez mayor, sin considerar el daño irreversible que causarán a su salud física, a su autoestima y finalmente a su calidad de vida futura. Los Servicios de Cirugía Plástica y Reumatología del Hospital General de México, han sido pioneros en el estudio integral y multidisciplinario de la enfermedad humana por modelantes, han ampliado el conocimiento de la historia natural de la enfermedad, de su tratamiento médico y quirúrgico, asi como de su pronóstico. El objetivo principal de este trabajo es concentrar toda esta información en un protocolo de manejo sistematizado, mediante búsqueda en el archivo del Servicio de Cirugia Plástica "Dr. Fernando Ortiz Monasterio" del Hospital General de Mexico. Esta búsqueda abarcó 35 pacientes de los cuales se obtuvieron resultados con datos durante el periodo 2006 a 2010, demostrando la importancia de diagnosticar a los pacientes, llevar un control estrecho, explicar paso a paso el proceso de su enfermedad, el tratamiento multidiciplinario, así como el pronóstico en cuanto a si es candidato a una reconstrucción o continuará con tratamiento médico.

  20. Topical application of recombinant activated factor VII during cesarean delivery for placenta previa.

    Science.gov (United States)

    Schjoldager, Birgit T B G; Mikkelsen, Emmeli; Lykke, Malene R; Præst, Jørgen; Hvas, Anne-Mette; Heslet, Lars; Secher, Niels J; Salvig, Jannie D; Uldbjerg, Niels

    2017-06-01

    During cesarean delivery in patients with placenta previa, hemorrhaging after removal of the placenta is often challenging. In this condition, the extraordinarily high concentration of tissue factor at the placenta site may constitute a principle of treatment as it activates coagulation very effectively. The presumption, however, is that tissue factor is bound to activated factor VII. We hypothesized that topical application of recombinant activated factor VII at the placenta site reduces bleeding without affecting intravascular coagulation. We included 5 cases with planned cesarean delivery for placenta previa. After removal of the placenta, the surgeon applied a swab soaked in recombinant activated factor VII containing saline (1 mg in 246 mL) to the placenta site for 2 minutes; this treatment was repeated once if the bleeding did not decrease sufficiently. We documented the treatment on video recordings and measured blood loss. Furthermore, we determined hemoglobin concentration, platelet count, international normalized ratio, activated partial thrombin time, fibrinogen (functional), factor VII:clot, and thrombin generation in peripheral blood prior to and 15 minutes after removal of the placenta. We also tested these blood coagulation variables in 5 women with cesarean delivery planned for other reasons. Mann-Whitney test was used for unpaired data. In all 5 cases, the uterotomy was closed under practically dry conditions and the median blood loss was 490 (range 300-800) mL. There were no adverse effects of recombinant activated factor VII and we did not measure factor VII to enter the circulation. Neither did we observe changes in thrombin generation, fibrinogen, activated partial thrombin time, international normalized ratio, and platelet count in the peripheral circulation (all P values >.20). This study indicates that in patients with placenta previa, topical recombinant activated factor VII may diminish bleeding from the placenta site without initiation

  1. Hexachlorocyclohexanes (HCHs) in placenta and umbilical cord blood and dietary intake for women in Beijing, China

    International Nuclear Information System (INIS)

    Yu, Yanxin; Wang, Bin; Wang, Xilong; Wang, Rong; Wang, Wentao; Shen, Guofeng; Shen, Huizhong; Li, Wei; Wong, Minghong; Liu, Wenxin; Tao, Shu

    2013-01-01

    Placenta and umbilical cord blood are important media for investigating maternal–fetal exposure to environmental pollutants. Historically hexachlorocyclohexanes (HCHs) were once widely-used in China. In this study, residues of HCHs were measured in placenta and umbilical cord blood samples for 40 women from Beijing. The measured median values of HCHs were 62.0 and 68.8 ng/g fat in placenta and umbilical cord blood, respectively. Concentrations of HCHs in placenta and umbilical cord blood of urban cohort were higher than those of rural group due to enhanced consumption of fish, meat, and milk. Residues of HCHs in placenta were significantly correlated with total food consumption, dietary intake, and maternal age, and could be predicted using the parameters dependent upon ingestion of meat and milk. The transplacental exposure of fetuses to HCHs was revealed by a close association between the residual levels in the paired placenta and the paired umbilical cord blood samples. -- Highlights: •Medians of HCH in placenta and umbilical cord blood of 40 puerperal women from Beijing were 62.0 and 68.8 ng/g⋅fat. •HCHs in placenta and umbilical cord blood of urban cohort were higher than those of rural one. •HCH residues in placenta were significantly correlated with total food consumption, daily dietary intake, and maternal age. •The transplacental exposure of fetus to HCHs was revealed. -- HCHs in placenta of women in Beijing were significantly correlated with total food consumption, dietary intake, and maternal age

  2. Contribution of placenta accreta to the incidence of postpartum hemorrhage and severe postpartum hemorrhage.

    Science.gov (United States)

    Mehrabadi, Azar; Hutcheon, Jennifer A; Liu, Shiliang; Bartholomew, Sharon; Kramer, Michael S; Liston, Robert M; Joseph, K S

    2015-04-01

    To quantify the contribution of placenta accreta to the rate of postpartum hemorrhage and severe postpartum hemorrhage. All hospital deliveries in Canada (excluding Quebec) for the years 2009 and 2010 (N=570,637) were included in a retrospective cohort study using data from the Canadian Institute for Health Information. Placenta accreta included placental adhesion to the uterine wall, musculature, and surrounding organs (accreta, increta, or percreta). Severe postpartum hemorrhage included postpartum hemorrhage with blood transfusion, hysterectomy, or other procedures to control bleeding (including uterine suturing and ligation or embolization of pelvic arteries). Rates, rate ratios, population-attributable fractions (ie, incidence of postpartum hemorrhage attributable to placenta accreta), and 95% confidence intervals (CIs) were estimated. Logistic regression was used to quantify associations between placenta accreta and risk factors. The incidence of placenta accreta was 14.4 (95% CI 13.4-15.4) per 10,000 deliveries (819 cases among 570,637 deliveries), whereas the incidence of placenta accreta with postpartum hemorrhage was 7.2 (95% CI 6.5-8.0) per 10,000 deliveries. Postpartum hemorrhage among women with placenta accreta was predominantly third-stage hemorrhage (41% of all cases). Although placenta accreta was strongly associated with postpartum hemorrhage (rate ratio 8.3, 95% CI 7.7-8.9), its low frequency resulted in a small population-attributable fraction (1.0%, 95% CI 0.93-1.16). However, the strong association between placenta accreta and postpartum hemorrhage with hysterectomy (rate ratio 286, 95% CI 226-361) resulted in a population-attributable fraction of 29.0% (95% CI 24.3-34.3). Placenta accreta is too infrequent to account for the recent temporal increase in postpartum hemorrhage but contributes substantially to the proportion of postpartum hemorrhage with hysterectomy.

  3. Early Developmental and Evolutionary Origins of Gene Body DNA Methylation Patterns in Mammalian Placentas.

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    Diane I Schroeder

    2015-08-01

    Full Text Available Over the last 20-80 million years the mammalian placenta has taken on a variety of morphologies through both divergent and convergent evolution. Recently we have shown that the human placenta genome has a unique epigenetic pattern of large partially methylated domains (PMDs and highly methylated domains (HMDs with gene body DNA methylation positively correlating with level of gene expression. In order to determine the evolutionary conservation of DNA methylation patterns and transcriptional regulatory programs in the placenta, we performed a genome-wide methylome (MethylC-seq analysis of human, rhesus macaque, squirrel monkey, mouse, dog, horse, and cow placentas as well as opossum extraembryonic membrane. We found that, similar to human placenta, mammalian placentas and opossum extraembryonic membrane have globally lower levels of methylation compared to somatic tissues. Higher relative gene body methylation was the conserved feature across all mammalian placentas, despite differences in PMD/HMDs and absolute methylation levels. Specifically, higher methylation over the bodies of genes involved in mitosis, vesicle-mediated transport, protein phosphorylation, and chromatin modification was observed compared with the rest of the genome. As in human placenta, higher methylation is associated with higher gene expression and is predictive of genic location across species. Analysis of DNA methylation in oocytes and preimplantation embryos shows a conserved pattern of gene body methylation similar to the placenta. Intriguingly, mouse and cow oocytes and mouse early embryos have PMD/HMDs but their placentas do not, suggesting that PMD/HMDs are a feature of early preimplantation methylation patterns that become lost during placental development in some species and following implantation of the embryo.

  4. Estandarización de la técnica de ELISA para el diagnóstico de Toxocariasis humana

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    Yrma Espinoza

    2003-03-01

    Full Text Available Objetivo: Estandarizar la técnica ELISA para el diagnóstico de infección humana por Toxocara canis con antígeno excretado-secretado preparado en nuestro medio. Material y Métodos: Se colectó huevos de T. canis y se les incubó con formol (2% a 28°C hasta obtener larvas de tercer estadio, las que luego de ser liberadas fueron incubadas en RPMI a 37°C por 7 días; se reemplazó el medio por otro similar y almacenó a -20°C. Se concentró el antígeno y se dosó proteínas. Para la técnica de ELISA se utilizó sueros de pacientes con toxocariasis y de niños recién nacidos, como controles positivos y negativos, respectivamente, diluidos desde ¼ hasta 1/1024. Se sensibilizó placas de poliestireno con varias concentraciones de antígeno, utilizándose conjugado de peroxidasa e IgG de carnero anti IgG humana y sustrato OPD. Se realizó lectura de absorbancia a 492 nm con espectrofotómetro (Multiskan plus labsystems, siendo el punto de corte el promedio aritmético de la absorbancia de los sueros negativos más 3 desviaciones estándar. Resultados: La concentración óptima del antígeno fue 50 ug/mL, la dilución del suero 1/128, la dilución del conjugado 1/1000 con densidad óptica mayor a 0,241. Conclusiones: La técnica de ELISA para diagnóstico serológico de infección humana por Toxocara canis podría ser utilizada en estudios epidemiológicos en nuestro país. Queda pendiente la evaluación de su eficacia en futuros estudios.

  5. Human action in a Genomic Era: debates on human nature Ação humana na Era do Genoma: debates sobre a natureza humana

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    Tatiana Gomes Rotondaro

    2009-03-01

    Full Text Available The supposed properties of 'genes' have led natural scientists to claim authority to explain the reasons of human action, behavior, and even human nature, which has traditionally been the object of study of the humanities. The aim of this paper is to discuss the possibilities of sociological theory dealing with the biological reductionism that establishes the strict articulation between 'human nature' and 'human action', presented in several speeches and papers by scientists and journalists and supported by features of 'genes'. I intend to argue that sociological theories may broaden their scope of analysis by encompassing biological dimensions, which does not necessarily mean adopting a biological reductionist approach.As supostas propriedades dos 'genes' levam os cientistas naturais a reivindicar autoridade para explicar as razões de atos, comportamentos e até a natureza humana, tradicional objeto de estudo das ciências humanas. O objetivo deste artigo é discutir as possibilidades de a teoria sociológica lidar com o reducionismo biológico, que estabelece uma articulação exata entre 'natureza humana' e 'ação humana'. Tal reducionismo está presente em discursos e artigos de cientistas e jornalistas, e é embasado por características dos 'genes'. Argumento que as teorias sociológicas podem ampliar suas possibilidades de análise se incorporarem dimensões biológicas, o que não implica necessariamente adotar uma abordagem reducionista.

  6. Indicadores de Criatividade no Desenho da Figura Humana

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    Karina da Silva Oliveira

    Full Text Available Resumo O objetivo deste estudo foi investigar evidências de precisão e de validade para um protocolo de análise de características criativas presentes no Desenho da Figura Humana (DFH. Para isso, realizaram-se dois estudos. A amostra foi composta por cinco juízes e 208 crianças de escolas públicas e particulares, com idades entre nove anos e 11 anos e 11 meses. O primeiro estudo referiu-se à precisão do protocolo, e o instrumento foi considerado adequado segundo os critérios de 75% de concordância e análise de Correlação de Pearson. Para o segundo estudo foram utilizados dois instrumentos, sendo um o protocolo de triagem criativa para o DFH e o Teste de Criatividade Figural Infantil. Os instrumentos foram comparados por meio de Correlação de Pearson e Análise Fatorial. Os resultados apontaram que indicadores tais como Elaboração, Expressão de Emoção e Movimento estão relacionados à características criativas no DFH. Foram observadas influências das variáveis tipo de escola e sexo para os itens de criatividade como movimento, perspectiva incomum e uso de contextos. Conclui-se que o protocolo de triagem criativa do DFH pode apresentar indicadores válidos de criatividade.

  7. Las Ciencias Humanas y el Paso de la Filogenia a la Ontogénesis Las Ciencias Humanas y el Paso de la Filogenia a la Ontogénesis

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    Rosalía S. Lastra B.

    2012-02-01

    Full Text Available El presente reporte es resultado de la labor de investigación realizada dentro del curso deCiencias Humanas, impartido por el Dr. Alain Chanlat, de la Universidad de Montreal (HEC, auspiciado por el Doctorado en Estudios Organizacionales de UAM Iztapalapa-CONACYT. Su objetivo es “intentar dar respuesta desde un enfoque interdisciplinario a la pregunta ¿Qué es el humano? Se buscan los principios básicos de las ciencias humanas que permitanhacer un balance de lo que somos como especie (perspectiva filogénica y como individuo único (perspectiva ontogénica. Esta doble perspectiva permite presentar, en un orden lógico, las dimensiones biológica, neurológica, lingüística, psicológica y social, mostrandolas interacciones que existen entre ellas”. El contenido se basa en la ilación sintética de los principales postulados y nociones adyacentes a la parte de la obra revisada de cada autor presentado que, dentro de su propia perspectiva, contribuyen a responder la pregunta meta. El fin último es que el lector encuentre motivos para consultar las obras completas,apoyando esta síntesis con breves formulaciones críticas y propositivas.This report is a summary of research carried out as part of the Human Sciences course taught by Prof. Alain Chanlat, of the Université de Montréal (HEC, in the Doctorate program in Organizational Studies, under the aegis of UAM Iztapalapa. Its objective is “to try to answer, from an interdisciplinary standpoint, the question: What is man? We try to establish the basic principles of human sciences necessary for an understanding of who we are as a species (phylogenical perspective as well as unique individuals (ontogenical perspective. This double perspective allows us to present, in sequence, the biological, neurological, linguistic, psychological and social dimensions of the human being, and the ways in which these dimensions interact.” The content is a synthesis of the principal postulates and

  8. [Accuracy of placenta accreta prenatal diagnosis by ultrasound and MRI in a high-risk population].

    Science.gov (United States)

    Daney de Marcillac, F; Molière, S; Pinton, A; Weingertner, A-S; Fritz, G; Viville, B; Roedlich, M-N; Gaudineau, A; Sananes, N; Favre, R; Nisand, I; Langer, B

    2016-02-01

    Main objective was to compare accuracy of ultrasonography and MRI for antenatal diagnosis of placenta accreta. Secondary objectives were to specify the most common sonographic and RMI signs associated with diagnosis of placenta accreta. This retrospective study used data collected from all potential cases of placenta accreta (patients with an anterior placenta praevia with history of scarred uterus) admitted from 01/2010 to 12/2014 in a level III maternity unit in Strasbourg, France. High-risk patients beneficiated antenatally from ultrasonography and MRI. Sonographic signs registered were: abnormal placental lacunae, increased vascularity on color Doppler, absence of the retroplacental clear space, interrupted bladder line. MRI signs registered were: abnormal uterine bulging, intraplacental bands of low signal intensity on T2-weighted images, increased vascularity, heterogeneous signal of the placenta on T2-weighed, interrupted bladder line, protrusion of the placenta into the cervix. Diagnosis of placenta accreta was confirmed histologically after hysterectomy or clinically in case of successful conservative treatment. Twenty-two potential cases of placenta accreta were referred to our center and underwent both ultrasonography and MRI. All cases of placenta accreta had a placenta praevia associated with history of scarred uterus. Sensibility and specificity for ultrasonography were, respectively, 0.92 and 0.67, for MRI 0.84 and 0.78 without significant difference (p>0.05). The most relevant signs associated with diagnosis of placenta accreta in ultrasonography were increased vascularity on color Doppler (sensibility 0.85/specificity 0.78), abnormal placental lacunae (sensibility 0.92/specificity 0.55) and loss of retroplacental clear space (sensibility 0.76/specificity 1.0). The most relevant signs in MRI were: abnormal uterine bulging (sensitivity 0.92/specificity 0.89), dark intraplacental bands on T2-weighted images (sensitivity 0.83/specificity 0.80) or

  9. Increased Levels of Cell-Free Human Placental Lactogen mRNA at 28-32 Gestational Weeks in Plasma of Pregnant Women With Placenta Previa and Invasive Placenta

    Science.gov (United States)

    Sekizawa, Akihiko; Ventura, Walter; Koide, Keiko; Hori, Kyouko; Okai, Takashi; Masashi, Yoshida; Furuya, Kenichi; Mizumoto, Yoshifumi

    2014-01-01

    We compared the levels of cell-free human placental lactogen (hPL) messenger RNA (mRNA) in maternal plasma at 28 to 32 weeks of gestation between women with diagnosis of placenta previa or invasive placenta and women with an uneventful pregnancy. Sensitivity and specificity of hPL mRNA for the prediction of invasive placenta were further explored. Plasma hPL mRNA were quantified by real-time reverse-transcriptase polymerase chain reaction in women with placenta previa (n = 13), invasive placenta (n = 5), and normal pregnancies (n = 92). Median (range) hPL mRNA was significantly higher in women with placenta previa, 782 (10-2301) copies/mL of plasma, and in those with invasive placenta, 615 (522-2102) copies/mL of plasma, when compared to normal pregnancies, 90 (4-4407) copies/mL of plasma, P < .01 and P < .05, respectively. We found a sensitivity of 100% and a specificity of 61.5% for the prediction of invasive placenta among women with placenta previa. In conclusion, expression of hPL mRNA is increased in plasma of women with placenta previa and invasive placenta at 28 to 32 weeks of gestation. PMID:23744883

  10. Risk Factors and Consequent Outcomes of Placenta Previa: Report From a Referral Center

    Directory of Open Access Journals (Sweden)

    Soraya Saleh Gargari

    2016-12-01

    Full Text Available  Because of an unknown factor, the frequency of complicated pregnancy with placenta previa has been raised during past decade. This study was designed to deepen our understanding of risk factors and outcomes of placenta previa in our country. This study investigated 694 cases of placenta previa comparing with 600 healthy pregnant women with not overlie placenta in two referral and tertiary Obstetrics and Gynecological Hospital in Iran on the basis of the clinical and para-clinical analysis, in order to find the probable risk factors for occurrence of placenta previa and its effect on maternal and neonatal complications. The most important risk factor for the occurrence of placenta previa was advanced maternal age (P<0.001 and history of stillbirth (OR=117.2, CI=58.3-236.0. In the other hand, the most substantial outcome of this disorder was a reduction of gestational age (P<0.001 and low birth weight neonatally (P<0.001. The conservative follow-up should be programmed for women with placenta previa based on the type of risk factors which can provide the best possible management to decrease the morbidity and mortality of their related complications.

  11. Expression of human placental lactogen and variant growth hormone genes in placentas.

    Science.gov (United States)

    Martinez-Rodriguez, H G; Guerra-Rodriguez, N E; Iturbe-Cantu, M A; Martinez-Torres, A; Barrera-Saldaña, H A

    1997-01-01

    Previous studies comparing the expression levels of human placental lactogen (hPL) genes have shown varying results, due to, perhaps, the fact that in all of them only one placenta was being analyzed. Here, the expression of hPL and growth hormone variant (hGH-V) genes in fifteen term placentas was comparatively analyzed at the RNA level, using reverse transcription coupled to polymerase chain reaction (RT-PCR). The abundance of the combined RNA transcripts derived from these genes varied from one placenta to another. The authors found that hPL-4 transcripts were more abundant than those of hPL-3 in most samples (ratios from 1:1 to 6:1), transcripts from the putative hPL-1 pseudogene were more abundant at the unprocessed stage while those of the hGH-V gene were mostly processed. Again, the authors of this study observed wide variation from placenta to placenta in the abundance of both of these types of transcripts. The same was observed when a group of six placentas from abortuses and nine from pregnancies complicated by preclampsia, diabetes and hypertension was studied. The authors conclude that the disagreeing results reported in the literature which are not in agreement concerning the expression levels of hPL genes could be explained by normal variations of their expression levels among the different placentas analyzed.

  12. Myostatin in the placentae of pregnancies complicated with gestational diabetes mellitus.

    Science.gov (United States)

    Peiris, H N; Lappas, M; Georgiou, H M; Vaswani, K; Salomon, C; Rice, G E; Mitchell, M D

    2015-01-01

    Gestational diabetes mellitus (GDM) is characterised by maternal glucose intolerance and insulin resistance during pregnancy. Myostatin, initially identified as a negative regulator of muscle development may also function in the regulation of placental development and glucose uptake. Myostatin expression in placentae of GDM complicated pregnancies is unknown. However, higher myostatin levels occur in placentae of pregnancies complicated with preeclampsia. We hypothesise that myostatin will be differentially expressed in GDM complicated pregnancies. Myostatin concentrations (ELISA) were evaluated in plasma of presymptomatic women who later developed GDM and compared to plasma of normal glucose tolerant (NGT) women. Furthermore, myostatin protein expression (Western blot) was studied in placentae of pregnant women with GDM (treated with diet or insulin) compared to placentae of NGT women. No significant difference in myostatin concentration was seen in plasma of pre-symptomatic GDM women compared to NGT women. In placenta significant differences in myostatin protein expressions (higher precursor; p myostatin dimer expression (p Myostatin expression in placental tissue is altered under stress conditions (e.g. obesity and abnormal glucose metabolism) found in pregnancies complicated with GDM. We hypothesise that myostatin is active in these placentae and could affect glucose homoeostasis and/or cytokine production thereby altering the function of the placenta. Copyright © 2014 Elsevier Ltd. All rights reserved.

  13. Ultrasound detection of placenta accreta in the first trimester of pregnancy.

    Science.gov (United States)

    Rahimi-Sharbaf, Fatemeh; Jamal, Ashraf; Mesdaghinia, Elaheh; Abedzadeh-Kalahroudi, Masoumeh; Niroomanesh, Shirin; Atoof, Fatemeh

    2014-06-01

    Placenta accreta is considered a life-threatening condition and the main cause of maternal mortality. Prenatal diagnosis of placenta accreta usually is made by clinical presentation, imaging studies like ultrasound and MRI in the second and third trimester. To determine accuracy of ultrasound findings for placenta accreta in the first trimester of pregnancy. In a longitudinal study 323 high risk patients for placenta accreta were assessed. The eligible women were examined by vaginal and abdominal ultrasound for gestational sac and placental localization and they were followed up until the end of pregnancy. The ultrasound findings were compared with histopathological examinations as a gold standard. The sensitivity, specificity, positive and negative predictive value of ultrasound were estimated for the first trimester and compared with other 2 trimesters in the case of repeated ultrasound examination. Ultrasound examinations in the first trimester revealed that 28 cases had the findings in favor of placenta accreta which ultimately was confirmed in 7 cases. The ultrasound sensitivity and specificity for detecting placenta accreta in the first trimester was 41% [95% CI: 16.2-62.7] and 88% [95% CI: 88.2-94.6] respectively. Ultrasound screening for placenta accreta in the first trimester of pregnancy could not achieve the high sensitivity as second and third trimester of pregnancy.

  14. Manual Removal of the Placenta after Vaginal Delivery: An Unsolved Problem in Obstetrics

    Science.gov (United States)

    Zimmermann, Roland

    2014-01-01

    The third stage of labor is associated with considerable maternal morbidity and mortality. The major complication is postpartum hemorrhage (PPH), which is the leading cause of maternal morbidity and mortality worldwide. Whereas in the event of PPH due to atony of the uterus there exist numerous treatment guidelines; for the management of retained placenta the general consensus is more difficult to establish. Active management of the third stage of labour is generally accepted as standard of care as already its duration is contributing to the risk of PPH. Despite scant evidence it is commonly advised that if the placenta has not been expelled 30 minutes after delivery, manual removal of the placenta should be carried out under anaesthesia. Pathologic adhesion of the placenta in the low risk situation usually is diagnosed at the time of delivery; therefore a pre- or intrapartum screening opportunity for placenta accreta would be desirable. But diagnosis of abnormalities of placentation other than placenta previa remains a challenge. Nevertheless the use of ultrasound and doppler sonography might be helpful in the third stage of labor. An improvement might be the implementation of standardized operating procedures for retained placenta which could contribute to a reduction of maternal morbidity. PMID:24812585

  15. Conservative surgical management of placenta accreta: a report of 3 cases.

    Science.gov (United States)

    Pliskow, Steven; Dai, Xiaorong; Kohner, Andrew; Kapnick, Jason

    2009-10-01

    Placenta accreta is often diagnosed at the time of delivery and is a cause of postpartum hemorrhage, morbidity and mortality. The standard treatment for placenta accreta is hysterectomy to avoid acute blood loss and shock. A conservative surgical approach to the treatment of placenta accreta will allow immediate cure while preserving the patient's future fertility. A 39-year-old woman with placenta accreta diagnosed at the time of vaginal delivery was successfully treated with resection of the placental implantation site. A 33-year-old woman and a 35-year-old woman with placenta accreta/increta diagnosed at the time of cesarean section were successfully treated with resection of the placental implantation site. One patient has since conceived and given birth. Placenta accreta and placenta increta can be safely and successfully treated, in some well-selected cases, by resection of the placental implantation site and uterine repair. This conservative surgical management provides immediate therapy, reduces blood loss and preserves fertility.

  16. Dificultades en los métodos de estudio de exposiciones ambientales y defectos del tubo neural Methodological challenges to assess environmental exposures related to neural tube defects

    Directory of Open Access Journals (Sweden)

    Víctor Hugo Borja-Aburto

    1999-11-01

    Full Text Available Objetivo. Discutir las actitudes en la evaluación de las exposiciones ambientales como factores de riesgo para defectos de riesgo del tubo neural, al tiempo que se presentan los principales factores estudiados hasta la fecha. Resultados. Las exposiciones ambientales se citan muy a menudo como causa de malformaciones congénitas; sin embargo, ha sido difícil establecer esta asociación en los estudios de poblaciones humanas, debido a problemas en su diseño y conducción. Lo anterior es particularmente marcado en el caso del estudio de los defectos del cierre del tubo neural (DTN, que es una de las principales malformaciones y que incluye anencefalia, espina bífida y encefalocele, y su asociación con exposiciones ambientales. Las dificultades en los métodos surgen de: a la medida de frecuencia para realizar comparaciones espacio-temporales; b la clasificación y heterogeneidad de las malformaciones; c la consideración de los factores relacionados con la madre, el padre y el producto, de manera conjunta, y d la evaluación de las exposiciones ambientales. Conclusiones. Hipotéticamente las exposiciones ambientales tanto del padre como de la madre pueden producir daño genético antes y/o después de la concepción por la acción directa sobre el embrión o sobre el complejo fetoplacentario, de tal manera que en la evaluación de exposiciones ambientales: a deben tomarse en cuenta las exposiciones maternas y paternas; b debe considerarse el periodo crítico de exposición, esto es, tres meses anteriores a la concepción para el padre y un mes alrededor de la concepción para la madre; c en la medida de lo posible, la evaluación de la exposición deberá ser cuantitativa, evitando clasificar a los grupos únicamente como expuestos y no expuestos, y d es recomendable emplear marcadores biológicos de exposición siempre que sea posible, así como utilizar marcadores biológicos que permitan clasificar a la población en grupos con distinta

  17. Management of Placenta Invasion Anomaly and Cesarean Hysterectomy: Eight-year Experience of A Tertiary Center

    Directory of Open Access Journals (Sweden)

    İbrahim Kalelioğllu

    2013-09-01

    Full Text Available Objective: We aimed to present our experience with the management of placenta invasion anomaly by reviewing clinical and operative features of the cases of cesarean hysterectomy performed due to placenta invasion anomaly. Methods: In this retropective study, the charts of all patients who underwent cesarean hysterectomy with an indication of placenta invasion anomaly in Istanbul Faculty of Medicine Department of Obstetrics and Gynecology between 2005 and 2012 were reviewed. Results: In this period a total of 85 patients underwent cesarean hysterectomy. 81 (95.3% cases had experienced at least one cesarean delivery before. Majority of the operations (82.4% were performed in elective conditions. In 16 (18.8% cases bilateral hypogastric artery ligation was carried out because of profuse bleeding. There were no mortalities in the intra- or postoperative period. In 18 (21.2% cases, intraoperative urology consultation was needed. Full- thickness bladder laceration occured in 17 patients, and partial cyctectomy was performed in one patient due to the placenta percreata invading posterior wall of the bladder. Transfusion was needed in 72 (84.7% cases during and 50 (58.8% patients after operation. Dilutional trombocytopenia developed in 17 (20% patients due to massive transfusion. Histopathologically the diganosis was placenta accreata in 55 (64.7%, placenta increata in 1 (1.2% and placenta percreata in 25 (29.4% patients. The incidence of placenta invasion anomaly rose from 0.2% (7/3435 in 2005-2006 up to 0.8% (37/4344 in 2011-2012. Conclusion: The incidence of placenta invasion anomaly is increasing progressively. Cesarean hysterectomy being its classical treatment is an operation with a high risk of morbidity and it should be performed by experienced teams after appropriate preparations in tertiary centers where multidiciplinary approach is possible.

  18. Macroscopic and histological characteristics of retained placenta: A prospectively collected case-control study.

    Science.gov (United States)

    Endler, Margit; Saltvedt, Sissel; Papadogiannakis, Nikos

    2016-05-01

    Retained placenta is a potentially fatal obstetric disorder due to postpartum hemorrhage, its pathophysiology is however unknown. We aimed to assess if retained placenta was associated with increased macroscopic and histological signs of placental maternal underperfusion, a pattern otherwise seen in preeclampsia and other disorders of defective placentation. This was a case-control study of retained (n = 49) and non-retained (n = 47) placentas, collected from full-term singleton and otherwise healthy pregnancies, carried out at a tertiary level obstetric department. Macroscopic and histological analysis was performed. Signs of maternal placental underperfusion and signs of placental inflammation, fetal vascular thrombo-occlusive disease and increased placental attachment were recorded in a primary and secondary analysis respectively. Variables were compared groupwise using unconditional logistic regression or comparison of median or mean values. Compared to non-retained placentas retained placentas had a significantly smaller surface area (p = 0.05), were more oblong in shape (OR 5.24 95% CI:1.34-20.21) and showed overall more signs of maternal underperfusion (OR 2.52 95% CI: 1.07-5.87). There was no significant difference in signs of placental inflammation, fetal vascular thrombo-occlusive disease or placenta accreta but basal plate myometrial fibers were more common among retained placentas. In regard to shape, surface area and histological signs of maternal placental underperfusion, retained placentas showed a histological pattern similar to that seen in preeclamptic placentas. Copyright © 2016 Elsevier Ltd. All rights reserved.

  19. Antenatal Sonographic Diagnosis and Clinical Significance of Placenta Previa Accreta after Cesarean Section.

    Science.gov (United States)

    Liu, Zhen-Zhen; Wei, Yao; Wang, Ruo-Jiao; Xu, Wen; Shi, Zhi-Min; Dai, Qing

    2017-10-30

    Objective To investigate the clinical and antenatal sonographic characteristics of placenta previa accreta after cesarean section. Methods The data of 21 inpatients diagnosed as placenta previa accreta after cesarean section in PUMC Hospital from 2006 to 2016 were retrospectively reviewed. The clinical and ultrasound features were recorded and compared among three placental accreta groups,including placenta accrete group(n=5),increta group(n=12),and percreta group(n=4). The relationship between the placental thickness at the uterine anterior lower segment level and the blood loss of the following cesarean section was tested. Results Of 21 patients,placenta previa was diagnosed by ultrasound in 20 cases(95.2%) and placenta previa accreta was diagnosed in 9 cases(42.9%). Antenatal ultrasound findings included following signs:loss of "clear zone"(15/18,83.3%),myometrial thinning(12/18,66.7%),abnormal placental lacunae(12/19,63.2%),bladder wall interruption(2/18,11.1%),and uterovesical hypervascularity(4/9,44.4%). Myometrial thinning(J-T=64.000,P=0.036),abnormal placental lacunae(J-T=74.500,P=0.032) and the placental thickness at the uterine anterior lower segment level(U=83.000,P=0.010) showed significant difference among different placenta accreta groups. Placental thickness at the uterine anterior lower segment level showed linear correlation with the blood loss of the following cesarean section(r=0.669,P=0.002). The blood loss of the following cesarean section showed significant difference among different placenta accreta groups(U=118.500,P=0.000). Conclusions The clinical and sonographic manifestations of placenta previa accreta after cesarean section show a spectrum of demographic characteristics. The measurement of thickness of placenta at the anterior lower segment may help the evaluation of the clinical prognosis of this special pathology.

  20. A comparison of morbidity associated with placenta previa with and without previous caesarean sections

    International Nuclear Information System (INIS)

    Baqai, S.; Siraj, A.; Noor, N.

    2018-01-01

    To compare the morbidity associated with placenta previa with and without previous caesarean sections. Study Design: Retrospective comparative study. Place and Duration of Study: From March 2014 till March 2016 in the department of Obstetrics and Gynaecology at PNS Shifa hospital Karachi. Material and Methods: After the approval from hospital ethical committee, antenatal patients with singleton pregnancy of gestational age >32 weeks, in the age group of 20-40 years diagnosed to have placenta previa included in the study. All patients with twin pregnancy less than 20 years and more than 40 years of age were excluded. The records of all patients fulfilling the inclusion criteria were reviewed. Data had been collected for demographic and maternal variables, placenta previa, history of previous lower segment caesarean section (LSCS), complications associated with placenta previa and techniques used to control blood loss were recorded. Results: During the study period, 6879 patients were delivered in PNS Shifa, out of these, 2060 (29.9%) had caesarean section out of these, 47.3% patients had previous history of LSCS. Thirty three (1.6%) patients were diagnosed to have placenta previa and frequency of placenta previa was significantly higher in patients with previous history of LSCS than previous normal delivery of LSCS i.e. 22 vs. 11 (p=0.023). It was observed that the frequency of morbidly adherent placenta (MAP) and Intensive care unit (ICU) stay were significantly higher in patients with previous history of LSCS than previous history of normal delivery. Conclusion: Frequency of placenta previa was significantly higher in patients with history of LSCS. Also placenta previa remains a major risk factor for various maternal complications. (author)

  1. Effect of ethanol on placenta and liver of mice

    International Nuclear Information System (INIS)

    Tarachand, U.; Eapen, Jacob

    1977-01-01

    Chronic ingestion of ethanol in drinking water for 15 days induces fatty liver in non-pregnant female mice. A similar regimen fails to produce the same effect in liver and placenta of pregnant mice. In vivo incorporation of 14 C-chlorella protein hydrolysate into hepatic proteins, however, is impaired in both the pregnant and the non-pregnant mice following ethanol treatment. Placental and foetal liver protein syntheses remain unaffected by the treatment. A single intraperitoneal dose of ethanol in fed and fasted non-pregnant mice elicits a differential response with respect to incorporation of the labelled precursor. The results are discussed with reference to the apparent metabolic alterations due to pregnancy. (author)

  2. Inhibition of placenta growth factor with TB-403

    DEFF Research Database (Denmark)

    Nielsen, Dorte Lisbet; Sengeløv, Lisa

    2012-01-01

    INTRODUCTION: There is clinical evidence that therapies targeting the vascular endothelial growth factor pathway are effective in delaying cancer progression. However, tumors may be either intrinsically resistant or evolve resistance to such therapies. Hence, there is a need for new therapies...... targeting angiogenesis. AREAS COVERED: The data are obtained by searching in the PubMed database. The search terms used included antiangiogenic therapy, TB-403 (RO5323441), placenta growth factor (PlGF) and VEGFR-1 (Flt-1). We review preclinical data concerning the function and inhibition of Pl......GF and summarize data on expression of PlGF in cancer patients. Data from early-phase clinical trials of TB-403 (RO5323441), a monoclonal antibody inhibiting PlGF, are discussed. Future development strategies, therapeutic potentials and limitations of TB-403 are further evaluated. EXPERT OPINION: There are some...

  3. Intentional placental removal on suspicious placenta accreta spectrum: still prohibited?

    Science.gov (United States)

    Matsubara, Shigeki; Takahashi, Hironori

    2018-01-01

    Intentional placental removal for abnormally invasive placenta (AIP) is fundamentally abandoned at planned surgery for it. Whether this holds true even after recent introduction of various hemostatic procedures is unclear. We discussed on this issue based on our own experiences and also on the recent reports on various hemostatic procedures. Studies directly answering this question have been lacking. We must weigh the balance between the massive bleeding and possibility of uterus-preservation when intentional placental removal strategy is employed. An almost forgotten strategy, the "intentional placental removal" for planned AIP surgery may regain its position when appropriate hemostatic procedures are concomitantly used depending on the situation. Even employing this strategy, quick decision to perform hysterectomy under multidisciplinary team may be important.

  4. Adiaspiromicose humana. Relato de um caso tratado com cetoconazol

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    Ricardo Luiz M. Martins

    1997-12-01

    Full Text Available É descrito um caso de adiaspiromicose humana, da forma pulmonar disseminada, no qual se empregou o cetoconazol. O paciente, oriundo de Goianésia, GO, referia tosse produtiva, dispnéia e emagrecimento. Doente há dois meses, já fizera uso do esquema tríplice tuberculostático, devido a um radiograma do tórax ter acusado lesões sugestivas de tuberculose miliar. Esse tratamento não surtiu o efeito esperado, pelo que foi ele submetido a uma biópsia pulmonar a céu aberto. A medida permitiu o reconhecimento da natureza fúngica da doença. Passou-se, então, ao emprego do cetoconazol, quando o processo já completara três meses de evolução. Dois meses depois, foi o paciente novamente visto, para controle do tratamento: todas as manifestações respiratórias haviam cessado e um novo radiograma mostrou regressão completa das alterações pulmonares. Apesar disso, é discutida a eficácia do cetoconazol contra C. parvum var crescens, tendo-se em conta o fato de o microrganismo não se reproduzir no hospedeiro.A case of human disseminated pulmonary adiaspiromycosis is reported. The patient, from Goianesia, GO, was admitted to the Brasilia University Hospital, in November 1992, with wet cough, dyspnea and weight loss3/4manifestations that had appeared two months before. Prior to admission, he had been treated for a suspected miliary tuberculosis, because a chest roentgenogram had shown a diffuse reticulonodular infiltrate in both lungs. This therapy brought no improvement to the patient status. An open chest biopsy was then performed, and the microscopic examination of the lung tissue revealed the fungal nature of the disease. Ketoconazole, 400mg/day, was started and the patient discharged from the hospital. He was seen again two months later: the respiratory manifestations had disappeared and a new chest roentgenogram showed complete resolution of the pulmonary lesions. The usefulness of ketoconazole is, however, questioned, since, as there

  5. MSX2 Induces Trophoblast Invasion in Human Placenta.

    Directory of Open Access Journals (Sweden)

    Hao Liang

    Full Text Available Normal implantation depends on appropriate trophoblast growth and invasion. Inadequate trophoblast invasion results in pregnancy-related disorders, such as early miscarriage and pre-eclampsia, which are dangerous to both the mother and fetus. Msh Homeobox 2 (MSX2, a member of the MSX family of homeobox proteins, plays a significant role in the proliferation and differentiation of various cells and tissues, including ectodermal organs, teeth, and chondrocytes. Recently, MSX2 was found to play important roles in the invasion of cancer cells into adjacent tissues via the epithelial-mesenchymal transition (EMT. However, the role of MSX2 in trophoblastic invasion during placental development has yet to be explored. In the present study, we detected MSX2 expression in cytotrophoblast, syncytiotrophoblast, and extravillous cytotrophoblast cells of first or third trimester human placentas via immunohistochemistry analysis. Furthermore, we found that the in vitro invasive ability of HTR8/SVneo cells was enhanced by exogenous overexpression of MSX2, and that this effect was accompanied by increased protein expression of matrix metalloproteinase-2 (MMP-2, vimentin, and β-catenin. Conversely, treatment of HTR8/SVneo cells with MSX2-specific siRNAs resulted in decreased protein expression of MMP-2, vimentin, and β-catenin, and reduced invasion levels in a Matrigel invasion test. Notably, however, treatment with the MSX2 overexpression plasmid and the MSX2 siRNAs had no effect on the mRNA expression levels of β-catenin. Meanwhile, overexpression of MSX2 and treatment with the MSX2-specific siRNA resulted in decreased and increased E-cadherin expression, respectively, in JEG-3 cells. Lastly, the protein expression levels of MSX2 were significantly lower in human pre-eclamptic placental villi than in the matched control placentas. Collectively, our results suggest that MSX2 may induce human trophoblast cell invasion, and dysregulation of MSX2 expression may

  6. Hysterectomy as a Management Option for Morbidly Adherent Placenta

    International Nuclear Information System (INIS)

    Ansar, A; Shuja, S.; Khan, S.; Malik, T.

    2014-01-01

    Objective: To determine the outcome of interval (delayed) hysterectomy as compared to cesarean (immediate) hysterectomy in cases of placental invasion in previous cesarean sections. Study Design: Comparative study. Place and Duration of Study: Department of Obstetrics and Gynecology, Unit II, Jinnah Postgraduate Medical Centre, Karachi, Pakistan, from January 2008 to June 2011. Methodology: The study subjects included 28 women with history of previous cesarean section who had low lying as well as morbidly adherent placenta (MAP) of variable degree. Patients were classified into two groups (group A and B) according to whether cesarean or interval hysterectomy was needed at time of delivery. Demographic data, obstetrical risk factors such as parity and number of previous cesarean sections were compared as well as radiological and histopathological findings, and details of the management. Chi-square, Fisher's exact and t-tests were used to compare proportions and mean values. Results: The frequency of MAP in previous cesarean sections turned out to be 1.83/1000 (28/15,340) deliveries. Mean maternal age (26.54 vs. 29.13 years, p=0.05), mean gestational age (33.8 vs. 36 weeks, p=0.05), estimated blood loss (2615.38 vs. 1506.6 mL, p=0.001), volume of blood transfused (9.76 vs. 2.9 pints, p=0.001) and the duration of hospital stay (10.69 vs. 32.86 days, p=0.001) differed significantly between group A and group B. One maternal death occurred in each group. Eight patients had other complications in group A compared to 3 patients in group B. Three neonatal deaths occurred in group A compared to nil in group B. Conclusion: The frequency of morbidly adherent placenta was 1.83/1000 deliveries. The management and outcome differed markedly according to emergency and scheduled antenatal diagnosis. Counselling and antenatal radiological screening can reduce the high morbidity and mortality associated with it. (author)

  7. COMPARISON OF ULTRASONOGRAPHIC PLACENTA EXAMINATION WITH PATHOHISTOLOGIC VERIFICATION OF FETAL ANOMALIES

    Directory of Open Access Journals (Sweden)

    Dragan Loncar

    2007-04-01

    Full Text Available Ultrasonographic diagnostics is a sovereign diagnostic method of discovering disorders in growth and development of embryo. The main aim of this research is The Comparison of Ultrasonographic Placenta Examination with Pathohistologic Treatment of Placenta considering those pregnancies previously verified to have embryo anomalies and which were ended by the procedure of feticide. During the period of 2001 – 2004, 15 pregnant women, with gestation between the 24th and 28th week, were hospitalized in our clinic. Ultrasonographic placenta examination was carried out during the expertise sonography immediately before deciding to commit feticide. The descriptive medical findings were divided into the clinical entities estimating the continuity of basal body, insertion, volume, and echo-structure of placenta substance. The procedure of feticide was carried out in regular treatments using intracardial application of 7,4 % KCl or transabdominal, intra-amnial instillation of 20 % NaCl under the control of ultrasound.The patients with the embryo anomalies were divided into three groups:I – the group with the diagnosis of embryo hydrocephalusII – the group with the diagnosis of other anomalies of growth of embryo's CNSIII – the group of patients with other embryo anomaliesPathohistologic placenta examinations were carried out in the Department of Pathology and Forensic Medicine in CC Kragujevac.The ultrasonographic placenta finding of the patients with the different embryo anomalies was not statistically very different (x2 – test; p=0,073. However, besides the lack of significant difference, what is reasonable considering the size of the sample, we notice quite different ultrasonographic findings of the placenta examination of the patients having the embryo with hydrocephalus in comparison to those patients having the other embryo anomalies of CNS. The ultrasonographic placenta examination of the patients having the other embryo anomalies was

  8. Placenta accreta spectrum: pathophysiology and evidence-based anatomy for prenatal ultrasound imaging.

    Science.gov (United States)

    Jauniaux, Eric; Collins, Sally; Burton, Graham J

    2018-01-01

    Placenta accreta spectrum is a complex obstetric complication associated with high maternal morbidity. It is a relatively new disorder of placentation, and is the consequence of damage to the endometrium-myometrial interface of the uterine wall. When first described 80 years ago, it mainly occurred after manual removal of the placenta, uterine curettage, or endometritis. Superficial damage leads primarily to an abnormally adherent placenta, and is diagnosed as the complete or partial absence of the decidua on histology. Today, the main cause of placenta accreta spectrum is uterine surgery and, in particular, uterine scar secondary to cesarean delivery. In the absence of endometrial reepithelialization of the scar area the trophoblast and villous tissue can invade deeply within the myometrium, including its circulation, and reach the surrounding pelvic organs. The cellular changes in the trophoblast observed in placenta accreta spectrum are probably secondary to the unusual myometrial environment in which it develops, and not a primary defect of trophoblast biology leading to excessive invasion of the myometrium. Placenta accreta spectrum was separated by pathologists into 3 categories: placenta creta when the villi simply adhere to the myometrium, placenta increta when the villi invade the myometrium, and placenta percreta where the villi invade the full thickness of the myometrium. Several prenatal ultrasound signs of placenta accreta spectrum were reported over the last 35 years, principally the disappearance of the normal uteroplacental interface (clear zone), extreme thinning of the underlying myometrium, and vascular changes within the placenta (lacunae) and placental bed (hypervascularity). The pathophysiological basis of these signs is due to permanent damage of the uterine wall as far as the serosa, with placental tissue reaching the deep uterine circulation. Adherent and invasive placentation may coexist in the same placental bed and evolve with advancing

  9. Gray scale and Doppler ultrasound in placenta accreta: Optimization of ultrasound signs

    OpenAIRE

    Mohamed Shawky; Essam AbouBieh; Alaa Masood

    2016-01-01

    Aim of work: To optimize ultrasound and Doppler signs in placenta accreta, and to clarify sensitivity and specificity. Patients & methods: This study included 50 pregnant women. The examinations were done in private center from January 2013 to November 2013. Patients have anterior low lying placenta or anterior placenta previa with history of previous CS. US was done using curvilinear or endovaginal transducer at frequency 3–5 MHz and 3–9 MHz. Results: This study included 50 pregnants w...

  10. Aspectos morfológicos da placenta da preguiça, Bradypus variegatus Shinz, 1825

    OpenAIRE

    Marleyne José Afonso Accyoli Lins Amorin; Maria Angélica Miglino; Adelmar Afonso Amorin Júnior; Tatiana Carlesso dos Santos

    2003-01-01

    Estudaram-se os aspectos morfológicos da placenta e das membranas fetais de 03 placentas de bichos-preguiça (Bradypus variegatus), adultas e prenhes, originárias da Zona da Mata do Estado de Pernambuco. Essas estruturas foram obtidas de 03 fêmeas doadas pela Universidade Federal de Pernambuco, das quais duas encontravam-se congeladas e a terceira foi colhida mediante realização de cirurgia cesariana, onde mãe e feto foram preservados. Depois de descongeladas, as placentas foram fixadas em sol...

  11. MEXCODE* CASO DE ESTUDIO

    Directory of Open Access Journals (Sweden)

    Gabriel Arturo García Gómez

    2000-01-01

    Full Text Available El caso plantea la reactivación de un proyecto que se presentó en el año 1995 como alternativa para el desarrollo del centro del Valle y mejora de la eficiencia en el manejo del comercio exterior de la Cuenca Pacífica. El proyecto se revivió a raíz de la necesidad de la compañía patrocinadora de mejorar sus flujos de caja proyectados y la reciente autorización para su funcionamiento. El proyecto es el popularmente denominado “Puerto Seco” de la ciudad de Guadalajara de Buga, internamente nombrado Mexcode. Los estudios iniciales estaban encaminados a que el proyecto fuera manejado por el municipio de Buga, sin embargo, posteriormente se vio la necesidad de buscar que pasara a manos de la empresa privada. El municipio, después de analizar las propuestas de varios inversionistas de la región en las cuales se evaluaba la ubicación dentro de la zona de los predios de sus empresas, su área, proximidad a la línea férrea y a la doble calzada Buga-Tuluá (sitio de paso del 80% de la carga de importación y exportación por Buenaventura y evaluar aspectos relativos a su trayectoria empresarial y compromiso con el desarrollo de la región, decidió otorgarle el proyecto al Grupo Empresarial Agri-Supplies S.A.

  12. Estudio del CH interestelar

    Science.gov (United States)

    Olano, C.; Lemarchand, G.; Sanz, A. J.; Bava, J. A.

    El objetivo principal de este proyecto consiste en el estudio de la distribución y abundancia del CH en nubes interestelares a través de la observación de las líneas hiperfinas del CH en 3,3 GHz. El CH es una molécula de amplia distribución en el espacio interestelar y una de las pocas especies que han sido observadas tanto con técnicas de radio como ópticas. Desde el punto de vista tecnológico se ha desarrollado un cabezal de receptor que permitirá la realización de observaciones polarimétricas en la frecuencia de 3,3 GHz, con una temperatura del sistema de 60 K y un ancho de banda de 140 MHz, y que será instalado en el foco primario de la antena parabólica del IAR. El cabezal del receptor es capaz de detectar señales polarizadas, separando las componentes de polarización circular derecha e izquierda. Para tal fin el cabezal consta de dos ramas receptoras que amplificarán la señal y la trasladarán a una frecuencia más baja (frecuencia intermedia), permitiendo de esa forma un mejor transporte de la señal a la sala de control para su posterior procesamiento. El receptor además de tener características polarimétricas, podrá ser usado en el continuo y en la línea, utilizando las ventajas observacionales y de procesamiento de señal que actualmente posee el IAR.

  13. Cultura científica: questões de marginalização, legitimação e avaliação das Humanas

    Directory of Open Access Journals (Sweden)

    Rita Terezinha Schmidt

    2017-01-01

    Full Text Available Teniendo en cuenta la creciente marginación de las Humanidades en las universidades del país y en el exterior debido a la tecnificación del saber bajo el signo de la innovación científica, la competitividad y de la internacionalización, presento las posiciones en defensa de las Humanas y de las Letras por parte de algunos pensadores contemporáneos y propongo algunas reflexiones sobre: el sentido dominante del término "ciencia" en el contexto de los vínculos entre universidades y políticas de estado; la fijación de parámetros de validación de la producción científica por parte de las agencias de fomento que regulan bajo el cálculo de la razón eficiente; los efectos de tales parámetros cuando miden la producción en el campo de los estudios literarios; la necesidad de evaluación de mérito que no descaractericen la relevancia y singularidad de los estudios de literatura, en términos de actividades de enseñanza y de investigación. En ese contexto, pongo en relieve algunas consideraciones sobre los textos presentados durante el XXX Encuentro de Anpoll, realizado en julio de 2015.

  14. Instrumento de consulta de enfermagem para pessoas com coinfecção pelo vírus da imunodeficiência humana/tuberculose

    Directory of Open Access Journals (Sweden)

    Alexsandra Rodrigues Feijão

    2015-01-01

    Full Text Available Objetivo: verificar opiniones de jueces acerca de instrumento para consulta de enfermería a personas con coinfección por el virus de la inmunodeficiencia humana y tuberculosis. Métodos: estudio metodológico, involucrando la construcción de instrumento basado en la teoría del autocuidado de Orem, y sumisión de esto a evaluación de expertos jueces en el área, que evaluaron organización, claridad y relevancia. Resultados: el instrumento obtuvo evaluación positiva para los criterios de evaluación, con concordancia mayor que 75,0% e Índice de Validez el Contenido mayor que 0,80 en la mayoría de los ítems. Según pareceres, tres artículos fueron excluidos y dos modificados. Conclusión: hubo adecuación de la herramienta de consulta de enfermería para personas con coinfección VIH/tuberculosis cuanto a la organización en subdivisiones e ítems. Se percibió reducido desacuerdo entre jueces en el análisis de las cuestiones. La mayoría de los ítems fueron evaluados positivamente, pero otros estudios de validación son necesarios.

  15. Bases fisiológicas experimentales para el estudio de la patogenia de los temblores en la enfermedad de Parkinson

    Directory of Open Access Journals (Sweden)

    Alfonso Esguerra Gómez

    1944-07-01

    Full Text Available Se presenta un estudio experimental sobre el fenómeno de la "contracción prosténica" del músculo gastrocnemio de la rana o "tétanos rítmico" de C. Richet. Finalmente, se presenta un análisis comparativo de las condiciones halladas en Fisiología humana para sugerir la posibilidad de encontrar en los casos clínicos de temblores una patogenia semejante al mecanismo de producción del tétanos rítmico experimental.

  16. Estudio de la capacidad de los hidroxiapatitos como reactivos para la eliminación de metales

    OpenAIRE

    Toribio Jiménez, Eva

    2015-01-01

    El Trabajo de Fin de Grado se ha centrado en el estudio de la capacidad que tienen los hidroxiapatitos, como materiales reactivos para eliminar metales de disoluciones acuosas. En el mismo, se evaluaran diferentes formas de hidroxiapatitos, tanto sintetizados siguiendo rutas a alta temperatura y a temperatura ambiente, así como un tipo de hidroxiapatita natural de origen animal y se han elegido dos metales pesados de interés ambiental, bien por su impacto sobre la salud humana o sobre los ...

  17. Estudios estructurales de la proteína mayoritaria de la cápsida de lentivirus

    OpenAIRE

    Yélamos López, María Belén

    1998-01-01

    Los Lentivirus son un grupo de virus, subfamilia de los Retrovirus. Incluyen virus de gran importancia tanto veterinaria, como el virus de la anemia infecciosa equina (EIAV) o el virus de la inmunodeficiencia felina (FIV), como clínica como el virus de la inmunodeficiencia humana (HIV). Nuestro sistema de estudio es la proteína mayoritaria de la cápsida de lentivirus. Las proteínas de las cápsidas lentivirales tienen una gran homología de secuencia. Este alto grado de similitud, junto con la ...

  18. Estudio biocenótico en Huaylas y alrededores del Departamento de Ancash – Perú

    Directory of Open Access Journals (Sweden)

    Wenceslao Medina Ch.

    2014-06-01

    Full Text Available El estudio biocenótico de la zona andina de Huaylas representa originalmente, el tratamiento unificado de plantas y animales y la influencia de los diversos factores ecológicos y antropogénicos, tanto en el área antropocenótica como en el sector biocenótico propiamente dicho el cual abarca los campos vitales de influencia humana mínima. Todo ello, se realiza en base a las colecciones de flora y fauna, además de los aspectos climatológicos, físico-químicos, etológicos y de diversidad.

  19. Las ONG's y el Marketing Social. El caso del CERAI. Centro de Estudios Rurales y de Agricultura Internacional

    OpenAIRE

    RODRIGUEZ MESA, JORGE ROWELT

    2013-01-01

    El estudio se aborda en base a una sucinta reflexión histórica para evidenciar que el fenómeno de excrencia es atemporal en la historia humana y de ahí surge la necesidad de crear instituciones capaces de conseguir su aceptación y representación en el seno de las relaciones sociales. Las formas de exclusión, opresión o sufrimiento humano son muy diversas y responden a causas dispares. Relacionado con las sociedades rurales, los principales problemas pueden ser la deforestación,...

  20. La consultoría de gestión humana en empresas medianas1

    Directory of Open Access Journals (Sweden)

    Esteban López Zapata

    2010-01-01

    Full Text Available El artículo es resultado de una investigación que busca describir el mercado de la consultoría de gestión humana para empresas medianas de Medellín. Se identifican el concepto y las características de la consultoría gerencial y se plantea su pertinencia para cada proceso de gestión humana. Con una muestra de 57 empresas medianas y 19 empresas consultoras, se analiza el comportamiento de la demanda y la oferta en el contexto local. Se identifican los atributos de las empresas demandantes y sus dependencias de gestión humana, la composición de las empresas consultoras, las necesidades y ofertas de consultoría actuales y futuras, el proceso de compra y las dificultades frecuentes de los proyectos de consultoría.

  1. El Principio de la Dignidade Humana como Concepto de Interpretación

    Directory of Open Access Journals (Sweden)

    Fernanda Sartor Meinero

    2016-10-01

    Full Text Available Transformaciones sociales y nuevas tecnologías terminan por modificar la comprensión sobre los derechos humanos. La dignidad de la persona humana es, así, un concepto interpretativo que se modificará de acuerdo con los desafíos del futuro. Por lo tanto, esta investigación tiene como objetivo analizar la evolución histórica del principio de dignidad de la persona humana, con enfoque jurídico-constitucional y discutir de qué modo los desafíos contemporáneos influyen en la interpretación y aplicación de este principio. De este modo, se muestra importante la contribución de la hermenéutica jurídica para reinterpretar el contenido de la dignidad humana, actualizándolo.

  2. LA CONSULTORÍA DE GESTIÓN HUMANA EN EMPRESAS MEDIANAS

    Directory of Open Access Journals (Sweden)

    ESTEBAN LÓPEZ ZAPATA

    2010-01-01

    Full Text Available El artículo es resultado de una investigación que busca describir el mercado de la consultoría de gestión humana para empresas medianas de Medellín. Se identifi can el concepto y las características de la consultoría gerencial y se plantea su pertinencia para cada proceso de gestión humana. Con una muestra de 57 empresas medianas y 19 empresas consultoras, se analiza el comportamiento de la demanda y la oferta en el contexto local. Se identifi can los atributos de las empresas demandantes y sus dependencias de gestión humana, la composición de las empresas consultoras, las necesidades y ofertas de consultoría actuales y futuras, el proceso de compra y las difi cultades frecuentes de los proyectos de consultoría.

  3. Fundamentos filosóficos de la dignidad humana y su incidencia en los derechos humanos

    OpenAIRE

    Torres Bardales, Coloníbol

    2015-01-01

    El ser humano tiene dos vidas. Una física y otra humana. Ambas son diferentes pero están íntimamente relacionadas. La vida humana no es biológica, no es la persona de carne y huesos; no son los músculos ni la masa encefálica, ni los demás órganos que le dan existencia física. Su origen se encuentra en la organización de la sociedad, en las instituciones sociales, y entre ellas, la familia es clave fundamental. La dignidad humana es el epicentro de la constitución política del Estado, base fil...

  4. LA GERENCIA DEL TALENTO HUMANO BAJO LA PERSPECTIVA DE LA CONDICIÓN HUMANA

    Directory of Open Access Journals (Sweden)

    OMAR CABRALES SALAZAR

    2009-01-01

    Full Text Available El artículo destaca la importancia de los atributos de la condición humana y del desarrollo del potencial humano en la optimización de las competencias de los gerentes de hoy. Se plantea que con el propósito de mejorar la gestión del talento humano y poder comprender y gestionar mejor a su equipo de trabajo, el gerente debe conocer cuáles son los atributos de la condición humana y cómo desarrollar las competencias para trabajarlos con optimismo, de manera tal que implemente estrategias para la mejora del talento de su gente. En este marco el talento se observa como una variable inagotable y susceptible de permanente desarrollo. El documento concluye haciendo un llamado al reconocimiento de la condición humana en las organizaciones, como estrategia necesaria para afrontar las inequidades de la sociedad actual.

  5. Infectious complications in morbidly adherent placenta treated with leaving placenta in situ: a cohort series and suggested approach.

    Science.gov (United States)

    Kutuk, Mehmet Serdar; Kilic, Aysegul; Ak, Mehmet; Ozgun, Mahmut

    2018-04-26

    The aim of this study is to assess the clinical and microbiological features of infections in patients with morbidly adherent placenta (MAP) treated by leaving placenta in situ (LPIS). Retrospective analysis of MAP cases who were treated by LPIS between 2 May 2010 and 15 March 2017. The inclusion criteria were gestational age at or above 24 weeks, prenatal diagnosis, elective operation, and complete data. Nineteen MAP cases were treated by LPIS during the study period. The mean ± SD duration for total placental resorbtion was 145 ± 47 days. Three patients were readmitted to the hospital because of fever (3/19). A total of 65 culture samples were taken from the patients during their follow- up periods. In four cases (4/12) cervical cultures showed positive growth [Escherichia coli (2), Klebsiella pneumoniae (1), mixed culture with Enterococcus spp. and E. coli (1)]. Fifteen (15/26) urine samples were sterile, three were polymicrobial. In eight cases, urine culture revealed E. coli growth (one E. coli and Enterococcus spp.). Three out of 16 (3/16) surgical incision samples revealed growth of E. coli. No bacterial growth was detected in blood cultures. Susceptibility results of Gram-negatives indicate that the resistance rates of beta-lactam antibiotics are high (14/20, 70%). No secondary surgical intervention occurred during the study period due to infection. Majority of postpartum cervical discharge, fever, and increased CRP levels do not represent morbid infections and/or sepsis. With early detection, and implementation of antibiotherapy (combination of an aminoglycoside and clindamycin), they can be easily controlled and secondary surgical interventions can be prevented.

  6. O corpo diferente: representações das raças humanas nos manuais escolares de zoologia - The different body: representations of the human races in zoology textbooks

    Directory of Open Access Journals (Sweden)

    Bento Filipe Barreiras Pinto Cavadas, Portugal

    2013-04-01

    Full Text Available  Este trabalho visou comparar o modo como os autores dos manuais escolares de Zoologia, da segunda metade do século 19 e do início do século 20, realizaram a transposição didática dos estudos antropológicos sobre as raças humanas para essas obras. Constataram-se diferenças na tipologia e nos carateres antropológicos utilizados para descrever as raças humanas. Aferiu-se, ainda, a existência de afirmações que vincularam o determinismo biológico porque alguns autores valorizaram física, moral e intelectualmente a raça caucasiana em detrimento das outras raças.Palavras-chave: manuais escolares, raças humanas, zoologia. The different body: representations of the human races in zoology textbooksAbstractThe aim of this study is to compare how the authors of Zoology textbooks of the second half of 19th century and early 20th century made the didactic transposition of anthropological studies on the human races for these textbooks. The results show differences in the typology and anthropological characteristics used to describe the human races. It was also noticed the presence of statements related to the concept of biological determinism because the authors valued physic, morally and intellectually the Caucasian race instead other races.Key-words: textbooks, human races, zoology. El cuerpo diferente: representaciones de las razas humanas en los manuales escolares de zoologiaResumenEste estudio tuvo como objetivo comparar la forma en que los autores de los manuales escolares de Zoología de la segunda mitad del siglo 19 y principios del siglo 20 hizo la transposición didáctica de los estudios antropológicos sobre las razas humanas para estos manuales. Se encontraron diferencias en las características de la tipología y las características antropológicas utilizadas para describir las razas humanas. También se señaló que hay declaraciones que vinculaban el determinismo biológico debido a que algunos autores han valorizado f

  7. Aspectos médico legales de la clonación humana

    OpenAIRE

    Marco Mairena Navarro; Ramón Zamora Montes

    2002-01-01

    Las técnicas de reproducción asistida, y entre ellas la clonación humana, suscitan interrogantes éticas. Su empleo promete beneficios para la humanidad y, específicamente para parejas infértiles la satisfacción de ser madres y padres. En este artículo se debaten las regulaciones y las implicaciones jurídicas de dicha actividad, actualizándonos en el acontecer mundial y nacional del tema. Se argumenta que la clonación humana ya es una realidad y como si esta técnica se regula promueve la vida ...

  8. Actitudes del personal sanitario ante la clonación humana

    OpenAIRE

    Lupiani Giménez, María Mercedes

    2006-01-01

    Las Ciencias Biosanitarias -como la Física en su día- se han convertido en TECNOLOGÍA, adquiriendo el poder de manipular la estructura de la vida y producirla artificialmente por CLONACIÓN. ¡ Presumiblemente incluso la humana!. Pero en este campo, como sucede con las Tecnologías poderosas, existen FUERTES CONTRADICCIONES, habiéndose abierto un DEBATE SOCIAL áspero y apasionante que ha alcanzado a todos los tejidos sociales, incluido el político. Sin duda, la Clonación Humana, junto con la Ing...

  9. MUROS ABSURDOS E CONDIÇÃO HUMANA NA OBRA DE ALBERT CAMUS

    Directory of Open Access Journals (Sweden)

    Patrícia Oliveira Machado

    2015-04-01

    Full Text Available Albert Camus descreve a condição humana como sendo contingente, frágil e absurda, para isso ele utiliza a noção de “muros absurdos”, que são situações que enfrentamos e contra as quais não podemos escapar. Se a princípio, a morte, a velhice, a desumanidade parecem experiências banais, no pensamento camusiano, elas se revelam como possibilidade de tomada de consciência do absurdo de nossa condição. Palavras-chave: absurdo; condição humana; consciência.

  10. Estenosis traqueal: Estudio preliminar

    Directory of Open Access Journals (Sweden)

    Rafael Pinilla González

    2000-12-01

    Full Text Available Se realizó un estudio retrospectivo y descriptivo con la utilización de los expedientes clínicos de 5 pacientes con estenosis traqueal, mayoritariamente como consecuencia de intubación prolongada, y en el que se tuvo en cuenta aspectos relacionados con el diagnóstico, el tratamiento y las complicaciones. Existió un predominio del sexo femenino y edad media de 44,6 años. La intubación prolongada de origen diverso fue la causa de la estenosis en 4 de los 5 pacientes y en 1 fue posterior a la reparación de lesión traqueal yatrógena. La instalación de la estenosis tuvo lugar entre 8 días y 3 meses. La tomografía lineal en 3 pacientes y en 2 la radiografía simple de tráquea anteroposterior y lateral verificaron el diagnóstico. La endoscopia traqueobronquial preoperatoria fue de utilidad en la caracterización de la estenosis. En todos los pacientes se realizó tratamiento quirúrgico al resecar el área estenótica con posterior anastomosis terminoterminal y fijación del cuello en flexión durante 8 días como promedio. Dos pacientes mostraron granulomas en el nivel de la línea de sutura, los cuales fueron tratados por vacuolización con láser. No se reportó mortalidad en la muestra estudiadaA retrospective and descriptive study was conducted by using the medical histories of 5 patients with tracheal stenosis, mostly as a result of prolongued intubation. Aspects connected with the diagnosis, treatment and complications were taken into account. It was observed a predominance of females and an average age of 44.6. Prolongued intubation of different origin was the cause of stenosis in 4 of the 5 patients, whereas in the other it occurred after the reparation of the tracheal and athrogenous lesion. The installation of stenosis took place between 8 days and 3 months. Lineal tomography in 3 patients and anteroposterior and lateral simple X-ray of the trachea in 2 confirmed the diagnosis. Preoperative tracheobronchial endoscopy was

  11. The placenta and foetal membranes of the lesser yellow house bat ...

    African Journals Online (AJOL)

    A discoidal hemodichorial placenta is present in Scotophilus borbonicus. Evidence is presented which suggests that histotrophic nutrition, in addition to hemotrophic nutrition, occurs. The foetal trophospongium phagocytoses cell debris and glandular secretions derived from the maternal endometrium (decidua basalis).

  12. Role of Doppler US and MRI in diagnosis of placenta accreta

    African Journals Online (AJOL)

    Manal Hamisa

    2014-10-19

    Oct 19, 2014 ... loss of retroplacental clear zone and disruption of bladder–uterine serosa interface with smallest ... Placenta accreta occurs when there is an abnormal adherence ... Those have or gave history of third trimester bleeding.

  13. Evolution of the placenta during the early radiation of placental mammals

    DEFF Research Database (Denmark)

    Mess, Andrea; Carter, Anthony M

    2007-01-01

    The chorioallantoic placenta is an organ of gaseous exchange that exhibits a high degree of structural diversity. One factor determining oxygen transfer across the placenta, the diffusion distance, is in part dependent on the number of cell layers separating maternal from fetal blood. This interh......The chorioallantoic placenta is an organ of gaseous exchange that exhibits a high degree of structural diversity. One factor determining oxygen transfer across the placenta, the diffusion distance, is in part dependent on the number of cell layers separating maternal from fetal blood...... of placental mammals, derived from molecular phylogenetics. We show that epitheliochorial placentation, the least invasive type, is a derived state and discuss factors that may have determined its evolution with reference to conflict theory, as applied to the allocation of resources between mother and fetus...

  14. Participation in environmental health research by placenta donation - a perception study

    DEFF Research Database (Denmark)

    Lind, Uffe; Mose, Tina; Knudsen, Lisbeth E

    2007-01-01

    background information but no follow up. METHODS: Nineteen semi-structured qualitative interviews were conducted with participants in the placenta perfusion study after donation of placenta. Observation studies were made of recruitment sessions. RESULTS: The interviewed participants are generally in favour......, but trust is something which needs to be created through "trust-work". Face-to-face interaction, written information material and informed consent forms play important parts in creating trusting relationships in medical research. CONCLUSION: Medical research ethics do not only amount to specific types......BACKGROUND: Much environmental health research depends on human volunteers participating with biological samples. The perception study explores why and how people participate in a placenta perfusion study in Copenhagen. The participation implies donation of the placenta after birth and some...

  15. Role of Doppler US and MRI in diagnosis of placenta accreta

    Directory of Open Access Journals (Sweden)

    Manal Hamisa

    2015-09-01

    Conclusion: In conclusion, data of the present study show that the use of transabdominal color Doppler ultrasonography complemented by MRI in suspected cases improves the diagnostic accuracy in prediction of placenta accreta in patients with previous cesarean delivery.

  16. Maternal Buprenorphine Dose, Placenta Buprenorphine and Metabolite Concentrations and Neonatal Outcomes

    Science.gov (United States)

    Concheiro, Marta; Jones, Hendreé E.; Johnson, Rolley E.; Choo, Robin; Shakleya, Diaa M.; Huestis, Marilyn A.

    2010-01-01

    Buprenorphine is approved as pharmacotherapy for opioid dependence in non-pregnant patients in multiple countries, and is currently under investigation for pregnant women in the US and Europe. This research evaluates the disposition of buprenorphine, opiates, cocaine, and metabolites in 5 term placentas from a US cohort. Placenta and matched meconium concentrations were compared, and relationships between maternal buprenorphine dose, placenta concentrations, and neonatal outcomes following controlled administration during gestation were investigated. Buprenorphine and/or metabolites were detected in all placenta specimens and were uniformly distributed across this tissue (CV<27.5%, 4 locations), except for buprenorphine in 3 placentas. In 2 of these, buprenorphine was not detected in some locations and, in the 3rd placenta, was totally absent. Median (range) concentrations were buprenorphine 1.6ng/g (not detected to 3.2), norbuprenorphine 14.9ng/g (6.2 to 24.2), buprenorphine-glucuronide 3ng/g (1.3 to 5.0) and norbuprenorphine-glucuronide 14.7ng/g (11.4 to 25.8). Placenta is a potential alternative matrix for detecting in utero buprenorphine exposure, but at lower concentrations (15–70 fold) than in meconium. Statistically significant correlations were observed for mean maternal daily dose from enrollment to delivery and placenta buprenorphine-glucuronide concentration, and for norbuprenorphine-glucuronide concentrations and time to neonatal abstinence syndrome (NAS) onset and duration, and for norbuprenorphine/norbuprenorphine-glucuronide ratio and maximum NAS score, and newborn length. Analysis of buprenorphine and metabolites in this alternative matrix, an abundant waste product available at the time of delivery, may be valuable for prediction of neonatal outcomes for clinicians treating newborns of buprenorphine-exposed women. PMID:20216119

  17. Placenta previa and risk of major congenital malformations among singleton births in Finland.

    Science.gov (United States)

    Kancherla, Vijaya; Räisänen, Sari; Gissler, Mika; Kramer, Michael R; Heinonen, Seppo

    2015-06-01

    Placenta previa has been associated with adverse birth outcomes, but its association with congenital malformations is inconclusive. We examined the association between placenta previa and major congenital malformations among singleton births in Finland. We performed a retrospective population register-based study on all singletons born at or after 22+0 weeks of gestation in Finland during 2000 to 2010. We linked three national health registers: the Finnish Medical Birth Register, the Hospital Discharge Register, and the Register of Congenital Malformations, and examined several demographic and clinical characteristics among women with and without placenta previa, in association with major congenital malformations. We estimated adjusted odds ratios and 95% confidence intervals using multivariable logistic regression models. The prevalence of placenta previa was estimated as 2.65 per 1000 singleton births in Finland (95% confidence interval, 2.53-2.79). Overall, 6.2% of women with placenta previa delivered a singleton infant with a major congenital malformation, compared with 3.8% of unaffected women (p ≤ 0.001). Placenta previa was positively associated with almost 1.6-fold increased risk of major congenital malformations in the offspring, after controlling for maternal age, parity, fetal sex, smoking, socio-economic status, chorionic villus biopsy, In vitro fertilization, pre-existing diabetes, depression, preeclampsia, and prior caesarean section (adjusted odds ratio = 1.55; 95% confidence interval, 1.27-1.90). Using a large population-based study, we found that placenta previa was weakly, but significantly associated with an increased risk of major congenital malformations in singleton births. Future studies should examine the association between placenta previa and individual types of congenital malformations, specifically in high-risk pregnancies. © 2015 Wiley Periodicals, Inc.

  18. Differential Expression of Growth-, Angiogenesis- and Invasion-Related Factors in The Development of Placenta Accreta

    OpenAIRE

    Jenn-Jhy Tseng; Min-Min Chou

    2006-01-01

    Placenta accreta is the major cause of maternal death complicated by massive peripartum hemorrhage. Its development is traditionally considered to be related to a decidual defect caused by previous cesarean deliveries or uterine curettages. Usually, placental villi firmly adhere to the superficial myometrium and deeply invade, or even penetrate, the uterine wall. Abnormal uteroplacental neovascularization is another characteristic. Therefore, we hypothesized that placenta accreta develops as ...

  19. Clearance of α-aminoisobutyric acid during in-situ perfusion of the guinea pig placenta

    International Nuclear Information System (INIS)

    Kelman, B.J.; Sikov, M.R.

    1983-05-01

    Extensive investigation of the transport of α-aminoisobutyric acid (AIB; a nonmetabolized amino acid) has shown that AIB is actively transported from mother to fetus across the hemochorial placenta of the guinea pig. As a step towards clarifying the relative rolls of active and passive movements of amino acids across the placenta, it would be useful to obtain concurrent measurements of transplacental movements of a substance which crosses the placenta rapidly by simple diffusion (water) and of a substance which is actively transported across the placenta (AIB). In our study, placentas from guinea pigs between 59 and 61 days of gestation were perfused in situ through cannulated umbilical vessels with the maternal circulation left intact. Tritiated water and 14 C-AIB were injected into a maternal jugular vein and maternal blood samples were obtained at 1 to 10 minute intervals; perfusate samples were collected sequentially after one pass through the placenta. Clearance of 14 C-AIB from mother to fetus (AIB/sub MF/) and AIB concentrations in placental tissue, maternal plasma, and perfusate were consistent in magnitude with data obtained by other invetigators who have clearly shown an active transport of AIB in the placenta. On the other hand, in this study AIB/sub MF/ ranged from approximately 50% to 96% of the clearance of 3 H-labeled water from mother to fetus (T/sub MF/) and that changes in AIB/sub MF/ correlated closely with changes in T/sub MF/ in all perfusions. Thus, it appears that AIB/sub MF/ closely paralleled T/sub MF/ and these data suggest that a relatively large component of AIB/sub MF/ is of passive origin in the in situ placenta

  20. INCIDENCE OF ABRUPTIO PLACENTAE IN PREECLAMPSIA IN A RURAL TERTIARY CARE HOSPITAL

    Directory of Open Access Journals (Sweden)

    Ratna Bulusu

    2016-11-01

    Full Text Available BACKGROUND Preeclampsia is a pregnancy specific disorder commonly defined as de novo hypertension and proteinuria after 20 weeks of gestational age. It occurs in 3-5% of pregnancies and is still a major cause of both foetal and maternal morbidity and mortality worldwide. One of the most serious and dreaded complication of preeclampsia is abruptio placentae. Placental separation from its implantation site before delivery of the foetus has been called abruption placentae or accidental haemorrhage. Various studies have shown that there is 2-2.5 fold increase in incidence of abruption in hypertensive disorder of pregnancy. The aim of the study is to study the incidence of abruptio placentae in women with preeclampsia. MATERIALS AND METHODS 100 pregnant women with preeclampsia attending the antenatal OPD as well as admitted to the antenatal ward and labour room fulfilling the inclusion criteria were enrolled in the study. The incidence of abruption placenta among these 100 women was studied. RESULTS Among the 100 women with preeclampsia enrolled in the study, abruptio placentae was noted in 14 women (14%. Maternal complications were seen in the form of anaemia (78.57%, need for blood transfusion (57.14%, shock (28.57%, postpartum haemorrhage (14.28% and puerperal sepsis (7.14%. Perinatal complications were seen in the form of low birth weight (57.14%, prematurity (35.71%, NICU admission (71.43% and intrauterine death (28.57%. CONCLUSION Abruptio placentae affects approximately 1% of all deliveries. However, the incidence significantly increases in cases of preeclampsia and other hypertensive disorders of pregnancy. Association of abruptio placentae in cases of preeclampsia varies from 10-50%. In our study, incidence of abruption placenta in preeclampsia is 14%.

  1. Altered gene expression in human placentas after IVF/ICSI.

    Science.gov (United States)

    Nelissen, Ewka C M; Dumoulin, John C M; Busato, Florence; Ponger, Loïc; Eijssen, Lars M; Evers, Johannes L H; Tost, Jörg; van Montfoort, Aafke P A

    2014-12-01

    Is gene expression in placental tissue of IVF/ICSI patients altered when compared with a spontaneously conceived group, and are these alterations due to loss of imprinting (LOI) in the case of imprinted genes? An altered imprinted gene expression of H19 and Pleckstrin homology-like domain family A member 2 (PHLDA2), which was not due to LOI, was observed in human placentas after IVF/ICSI and several biological pathways were significantly overrepresented and mostly up-regulated. Genomic imprinting plays an important role in placental biology and in placental adaptive responses triggered by external stimuli. Changes in placental development and function can have dramatic effects on the fetus and its ability to cope with the intrauterine environment. An increased frequency of placenta-related problems as well as an adverse perinatal outcome is seen in IVF/ICSI derived pregnancies, but the role of placental epigenetic deregulation is not clear yet. In this prospective cohort study, a total of 115 IVF/ICSI and 138 control couples were included during pregnancy. After applying several exclusion criteria (i.e. preterm birth or stillbirth, no placental samples, pregnancy complications or birth defects), respectively, 81 and 105 placentas from IVF/ICSI and control pregnancies remained for analysis. Saliva samples were collected from both parents. We quantitatively analysed the mRNA expression of several growth-related imprinted genes [H19, insulin-like growth factor 2 (IGF2), PHLDA2, cyclin-dependent kinase inhibitor 1C (CDKN1C), mesoderm-specific transcript homolog (MEST) isoform α and β by quantitative PCR] after standardization against three housekeeping genes [Succinate dehydrogenase A (SDHA), YWHAZ and TATA-binding protein (TBP)]. A quantitative allele-specific expression analysis of the differentially expressed imprinted genes was performed to investigate LOI, independent of the mechanism of imprinting. Furthermore, a microarray analysis was carried out (n = 10 in

  2. The association between maternal smoking and placenta abruption: a meta-analysis.

    Science.gov (United States)

    Shobeiri, Fatemeh; Masoumi, Seyedeh Zahra; Jenabi, Ensiyeh

    2017-08-01

    Several epidemiological studies have determined that maternal smoking can increase the risk of placenta abruption. To date, only a meta-analysis has been performed for assessing the relationship between smoking and placenta abruption. This meta-analysis was conducted to estimate the association between smoking and the risk of placenta abruption. A literature search was conducted in major databases such as PubMed, Web of Science, and Scopus from the earliest possible year to April 2016. The heterogeneity across studies was explored by Q-test and I 2 statistic. The publication bias was assessed using Begg's and Egger's tests. The results were reported using odds ratio (OR) estimate with its 95% confidence intervals (CI) using a random effects model. The literature search yielded 1167 publications until April 2016 with 4 309 610 participants. Based on OR estimates obtained from case-control and cohort studies, there was a significant association between smoking and placenta abruption (1.80; 95% CI: 1.75, 1.85). Based on the results of cohort studies, smoking and placenta abruption had a significant association (relative risk ratio: 1.65; 95% CI: 1.51, 1.80). Based on reports in epidemiological studies, we showed that smoking is a risk factor for placenta abruption.

  3. Prototype and Chimera-Type Galectins in Placentas with Spontaneous and Recurrent Miscarriages.

    Science.gov (United States)

    Unverdorben, Laura; Haufe, Thomas; Santoso, Laura; Hofmann, Simone; Jeschke, Udo; Hutter, Stefan

    2016-04-28

    Galectins are galactose binding proteins and, in addition, factors for a wide range of pathologies in pregnancy. We have analyzed the expression of prototype (gal-1, -2, -7, -10) and chimera-type (gal-3) galectins in the placenta in cases of spontaneous abortions (SPA) and recurrent abortions (RA) in the first trimester. Fifteen placental samples from healthy pregnancies were used as a control group. Nine placentas were examined for spontaneous abortions, and 12 placentas for recurrent abortions. For differentiation and evaluation of different cell types of galectin-expression in the decidua, immunofluorescence was used. For all investigated prototype galectins (gal-1, -2, -7, -10) in SPA and RA placenta trophoblast cells the expression is significantly decreased. In the decidua/extravillous trophoblast only gal-2 expression was significantly lowered, which could be connected to its role in angiogenesis. In trophoblasts in first-trimester placentas and in cases of SPA and RA, prototype galectins are altered in the same way. We suspect prototype galectins have a similar function in placental tissue because of their common biochemical structure. Expression of galectin 3 as a chimera type galectin was not found to be significantly altered in abortive placentas.

  4. Efficacy and Safety of Prophylactic Uterine Artery Embolization in Pregnancy Termination with Placenta Previa

    Energy Technology Data Exchange (ETDEWEB)

    Pei, Renguang, E-mail: mediprg@bjmu.edu.cn; Wang, Guoxiang; Wang, Heping; Huang, Xinyu; Yan, Xiaoxing; Yang, Xiaohua [Yijishan Hospital of Wannan Medical College, Department of Interventional Therapy (China)

    2017-03-15

    PurposeTo appraise the efficacy and safety of prophylactic uterine artery embolization in pregnancy termination with placenta previa.MethodsA cohort of 54 consecutive patients with placenta previa underwent prophylactic uterine artery embolization before vaginal delivery from February 2012 to March 2015. Vaginal delivery was attempted in all patients. Cesarean section or hysterectomy was introduced when vaginal delivery failed.ResultsVaginal delivery succeeded in 50 patients (93.6%) and failed in 4 patients (6.4%), thereupon converted to cesarean delivery. No patients resorted to hysterectomy. Six patients (11.1%) underwent blood transfusion. None of clinical characteristics, including maternal age, gestational age, history of abortion, history of cesarean delivery, and volume of vaginal bleeding, was significantly associated with complete placenta previa (P > 0.05). However, patients with complete placenta previa had a significantly lower successful rate of vaginal delivery than did patients without complete placenta previa (81 vs 100%, P = 0.038). The rate of complications was 3.7%. No major complications were observed.ConclusionUterine artery embolization is an effective and safe technique to assist pregnancy termination with placenta previa, which may lower the risk of cesarean section, hysterectomy, and blood transfusion.

  5. Placenta Accreta at 15 Weeks of Gestational Age and Uterus Preservation with Hysterectomy Abortion

    Directory of Open Access Journals (Sweden)

    Farahnaz Farzaneh

    2017-10-01

    Full Text Available Placenta accrete refers to an abnormality of placental implantation in which the anchoring placental villi attached to myometrium rather than decidua resulting in a morbidity adherent placenta. Placenta increta (chorionic villi penetrate into the myometrium and placenta percreta (chorionic villi penetrate through the myometrium to the uterine serosa or adjacent organs are related, but more severe, abnormalities of placental implantation. The pathogenesis is primarily attributed to defective decasualization of the implantation site. Placenta accreta has been recognized mostly in the third trimester however may also present in second trimester. It has very heavy, life-threatening hemorrhage to both the mother and fetus. The authors’ report a patient with two previous cesarean deliveries, who had been referred for pregnancy termination from Iranian legal medicine organization with 15 weeks of gestational age and placenta acctera. In this patient, uterus preservation and hysterectomy abortion was performed. The case totally lost 1500 cc blood and she was discharged from hospital two days later, with feeling of well- being. We have examined this patient after 1.5 months, she wasn’t vaginal bleeding and the uterus was in the pelvic and serum BHCG (with titer was negative.

  6. Efficacy and Safety of Prophylactic Uterine Artery Embolization in Pregnancy Termination with Placenta Previa

    International Nuclear Information System (INIS)

    Pei, Renguang; Wang, Guoxiang; Wang, Heping; Huang, Xinyu; Yan, Xiaoxing; Yang, Xiaohua

    2017-01-01

    PurposeTo appraise the efficacy and safety of prophylactic uterine artery embolization in pregnancy termination with placenta previa.MethodsA cohort of 54 consecutive patients with placenta previa underwent prophylactic uterine artery embolization before vaginal delivery from February 2012 to March 2015. Vaginal delivery was attempted in all patients. Cesarean section or hysterectomy was introduced when vaginal delivery failed.ResultsVaginal delivery succeeded in 50 patients (93.6%) and failed in 4 patients (6.4%), thereupon converted to cesarean delivery. No patients resorted to hysterectomy. Six patients (11.1%) underwent blood transfusion. None of clinical characteristics, including maternal age, gestational age, history of abortion, history of cesarean delivery, and volume of vaginal bleeding, was significantly associated with complete placenta previa (P > 0.05). However, patients with complete placenta previa had a significantly lower successful rate of vaginal delivery than did patients without complete placenta previa (81 vs 100%, P = 0.038). The rate of complications was 3.7%. No major complications were observed.ConclusionUterine artery embolization is an effective and safe technique to assist pregnancy termination with placenta previa, which may lower the risk of cesarean section, hysterectomy, and blood transfusion.

  7. Tratamiento con eritropoyetina humana recombinante Human recombinant erythropoietin therapy

    Directory of Open Access Journals (Sweden)

    Hugo Donato

    2006-02-01

    Full Text Available La eritropoyetina recombinante (rHuEPO se ha transformado en la citoquina más utilizada terapéuticamente en el mundo. Luego del éxito obtenido en pacientes con insuficiencia renal terminal, se pudo establecer la utilidad de la terapia con rHuEPO para mejorar otras anemias, incluso en pacientes pediátricos y neonatos. El tratamiento o la prevención de la anemia del prematuro mediante el uso de rHuEPO llevó a una significativa reducción en cantidad de transfusiones y en exposición a dadores. Aún debe establecerse una clara definición sobre cuáles niños prematuros deben recibir tratamiento rutinariamente. Otras indicaciones en período neonatal incluyen anemias hiporregenerativas y hemolíticas. La eficacia de la rHuEPO en niños mayores, con excepción de la insuficiencia renal crónica, no ha sido tan exhaustivamente evaluada como en adultos. Mientras que durante los últimos años se han realizado gran cantidad de estudios en adultos con anemia asociada al cáncer o a infección por HIV, permitiendo establecer conclusiones claras sobre su eficacia, sólo escasa cantidad de estudios con pequeño número de pacientes han sido realizados en niños. Hasta la fecha, los resultados sugieren que la terapia con rHuEPO en niños es tan útil como en adultos, pero la realización de estudios aleatorizados prospectivos incluyendo gran número de pacientes es esencial para alcanzar conclusiones definitivas. Los resultados de estudios dirigidos a evaluar la eficacia de la rHuEpo para mantener una dosis adecuada de ribavirina en pacientes en tratamiento por hepatitis C son alentadores. La utilización potencial de los efectos no hemopoyéticos de la rHuEPO en neonatos es un terreno novedoso y apasionante. El rol de la Epo como citoprotector para sistema nervioso central y mucosa intestinal está bajo investigación exhaustiva.Recombinant human erythropoietin (rHuEpo has become the most widely used cytokine in the world. Following the success of

  8. Estudios Experimentales 2 Parte: Estudios Cuasi-Experimentales

    OpenAIRE

    Manterola, Carlos; Otzen, Tamara

    2015-01-01

    Los estudios experimentales, se caracterizan por la valoración del efecto de una o más intervenciones, habitualmente de forma comparativa con otra intervención, o un placebo; y el carácter prospectivo, de la recolección de datos y seguimiento. Agrupados bajo esta denominación, existe una diversidad de diseños, entre los que se encuentran los estudios cuasi-experimentales (ECE), que se caracterizan especialmente por la ausencia de asignación aleatoria. El objetivo de este manuscrito, es report...

  9. Inductores de lágrimas: andrógenos y gammaglobulinas humanas Tears inducers: androgens and human gammaglobulinas

    Directory of Open Access Journals (Sweden)

    María Nila Santos Lagresa

    2000-06-01

    Full Text Available Se comparan las respuestas terapéuticas en pacientes con diagnóstico de Síndrome de Sjögren que padecen de queratoconjuntivitis seca resistentes a los tratamientos tradicionales de lágrimas artificiales, lentes y otros, en dos grupos de pacientes de 18 y 32 casos con tratamientos de gammaglobulina humana: intacglobín (100 mg por kilo de peso cada 15 días por vía subcutánea interescapular por 3 meses y andrógenos de depósito (100 mg cada 15 días por vía im durante 3 meses. Se evaluaron los niveles de inmunoglobulinas IgG, IgA, IgM e IgE, recuento de células sanguíneas factor reumatoideo, proteína C reactiva y estudio microbiológico. Ambas terapéuticas muestran una mejoría estadísticamente significativa p Therapeutical responses are compared in patients diagnosed of Sjögren syndrome, presenting with keratoconjunctivitis sicca resistant to traditional treatments of artificial tears, lenses and others in two groups of patients (18 and 32 cases treated with human gammaglobulin: intacglobin (100 mg/body weight every 15 days in a intercapsular subcutaneos way for 3 months, and depot androgens (100 mg every 15 days in an intramuscular way for three months. Level of IgG, IgA, IgM, and IgE immunoglobulins, count of blood cells-rheumatoid factor, C-reactive protein, and microbiological study. Both treatments show an significant statistically improve p < 0,001 in results obtained in Shirmer I test, and in negative corneal injuries, assessed using slit lamp after fluorescein staining. We propose advantageous use of gammaglobulins because of contraindications on utilization of androgens.

  10. Todos iguais, todos diferentes : a variabilidade genética humana.

    OpenAIRE

    Lima, Manuela

    2010-01-01

    A secção Biologia é coordenada pelo Professor Universitário Armindo Rodrigues. O estudo da variabilidade genética humana revela informações cruciais que permitem, ao nível biomédico, avanços nos conhecimentos acerca de várias doenças.

  11. El cambio climático, la salud humana y el desarrollo sostenible

    Directory of Open Access Journals (Sweden)

    Martens W. J. M.

    1998-01-01

    Full Text Available El cambio climático debido a actividades humanas pone en peligro los ecosistemas y la salud humana a escala mundial. Con el fin de hacer frente a las amenazas que se ciernen sobre los ecosistemas en todo el mundo, en el decenio de 1980 se introdujo el concepto del desarrollo sostenible. Desde entonces, ese concepto se ha aplicado ampliamente para guiar y enfocar la formulación de políticas. En el presente artículo se examinan las consecuencias sanitarias que tiene el cambio climático debido a actividades humanas para el desarrollo sostenible, en particular su posible efecto en el abastecimiento de alimentos, los desastres naturales, las enfermedades infecciosas, los ecosistemas y la elevación del nivel del mar. Se discute un modelo integrado que contiene los principales indicadores del desarrollo sostenible. También se examina la importancia que tienen el cambio climático, la salud humana y el desarrollo sostenible para las políticas internacionales pertinentes.

  12. La comunicación humana : principios básicos

    OpenAIRE

    Viana Orta, María Isabel

    2012-01-01

    Principios básicos de la comunicación humana. Comunicación oral, no verbal y persuasiva. El material forma parte de cursos de formación en temas de resolución de conflictos, comunicación y mediación.

  13. Zur Genese der niederländischen Typoxylographien des Speculum humanae salvationis

    DEFF Research Database (Denmark)

    Robbe, Joost Roger

    2013-01-01

    This article aims to reconstruct the genesis of the four typo-xylographic editions of the Speculum Humanae Salvationis (two in Latin and two in Dutch), which, from the 16th century onwards, have informed the debate on the origin of printing. The article first summarises the relevant philological...

  14. Ocorrência de um novo caso de singamose humana em São Paulo, Brasil

    Directory of Open Access Journals (Sweden)

    V. A. Santos

    1986-10-01

    Full Text Available Os autores relatam um caso de Singamose humana pela espécie Syngamus laryngeus, RAILLIET, 1899, eliminada espontaneamente durante forte acesso de tosse. A presente nota registra o 12° caso humano dessa parasitose no Brasil e o 2." em São Paulo.

  15. Ocorrência de fascioliasis humana no município de Volta Redonda, RJ, Brasil

    Directory of Open Access Journals (Sweden)

    E Pile

    2000-08-01

    Full Text Available Através do resultado de exames coprológicos realizados em pacientes atendidos em postos de saúde e hospitais do município de Volta Redonda, assinala-se a primeira ocorrência da fascioliasis humana no Estado do Rio de Janeiro, Brasil.

  16. Ocorrência de fascioliasis humana no município de Volta Redonda, RJ, Brasil

    Directory of Open Access Journals (Sweden)

    Pile E

    2000-01-01

    Full Text Available Através do resultado de exames coprológicos realizados em pacientes atendidos em postos de saúde e hospitais do município de Volta Redonda, assinala-se a primeira ocorrência da fascioliasis humana no Estado do Rio de Janeiro, Brasil.

  17. Oligosacáridos de la leche humana. Crecimiento y desarrollo

    OpenAIRE

    José Armando Madrazo de la Garza

    2017-01-01

    La leche humana es considerada como un tejido en forma líquida, compuesto por células vivas y múltiples factores bioquímicos funcionales que aportan, más que ninguna otra fórmula, grandes ventajas al crecimiento y desarrollo del ser humano al inicio de la vida.

  18. Postura Scanner - Mapeamento e Interpretação da postura humana

    Directory of Open Access Journals (Sweden)

    João Ricardo R. de Moraes

    2015-07-01

    Full Text Available Este trabalho tem a finalidade de projetar um software capaz de mapear e interpretar a condição clínica da postura humana por meio de imagens, tendo como foco a identificação de patologias que atuam sobre o formato das curvas fisiológicas da coluna vertebral humana. Além disso, será um banco de informações a ser consultado por médicos e pacientes, através de exames que exerceram interações com o software segundo a sua natureza. Neste estudo, relatase como são definidas a postura humana, a coluna vertebral e as medidas das curvas fisiológicas e apresentam-se as técnicas de processamento de imagens que permitem a obtenção dos dados requeridos para o processo. Finalmente, mostra-se a modelagem e implementação do software, bem como a forma de mapeamento e a interpretação da postura humana.

  19. Indicadores de homosexualidad en el dibujo de la figura humana: comparación entre homosexuales y heterosexuales

    Directory of Open Access Journals (Sweden)

    Percy Fernández Dávila

    2013-09-01

    Full Text Available El estudio revisa los indicadores gráficos (IG sobre homosexualidad en el Dibujo de la Figura Humana descritos en diversos textos sobre pruebas proyectivas. Participaron 36 hombres homosexuales y 30 hombres heterosexuales de clase media (18-50 años, quienes realizaron tres dibujos (hombre, mujer y sí mismo. Se analizaron los IG resultantes del estudio, la información de la literatura y lo que señalan un grupo de psicólogos sobre los IG que describen homosexualidad. Los resultados revelan que no existen mayores diferencias entre los IG de los dibujos de los hombres homosexuales y de los heterosexuales; sólo se encontraron tres indicadores característicos en los hombres homosexuales (Boca Arco de Cupido en la Figura Femenina, Ojos Grandes/Remarcados en la Figura Sí Mismo y Figura Semidesnuda en las figuras Femenina y Sí Mismo y un indicador en los hombres heterosexuales (Ojos Vacíos en la Figura Masculina. Casi todos los IG que señala la literatura no resultan válidos para describir las homosexualidades y los clínicos manejan concepciones estereotipadas sobre la homosexualidad.   This study reviews graphic indicators (GI of homosexuality in the Human Figure Drawing Test (HFDT which have been described in various texts on projective tests. 36 homosexual and 30 heterosexual men were enrolled, all middle-class and aged 18-50. Each participant drew three figures (man, woman and themselves. Information from the literature, the GIs from the study, and the expertise of a group of psychologists concerning which Gis describe homosexuality in HFDTs were analyzed. Results show that large differences do not exist between GIs of drawings by homosexual men and heterosexual men. However, three characteristic indicators were found in the drawings of homosexual men (Semi-Nude Female and Self Figures, Female Figure with Cupid Arch Mouth, and Self Figure with Large/ Emphasized Eyes and one indicator in those by heterosexual males (Male Figure with

  20. HCH and DDT residues in human placentas in Murcia (Spain)

    International Nuclear Information System (INIS)

    Falcon, M.; Oliva, J.; Osuna, E.; Barba, A.; Luna, A.

    2004-01-01

    Organochlorinated insecticides are ubiquitous toxicants that are transplacentally transferred from mother to fetus and are reported to produce adverse health effects in pregnant woman and neonates. To investigate hexachlorocyclohexane (HCH) and 1,1,1-trichloro-2,2-bis(4-chlorophenyl)ethane (DDT) exposure in pregnant woman, a total of 102 placentas were analyzed by a gas chromatograph equipped with electron capture detector. Organochlorine residues were found in 69.6% of the samples. Lindane was detected in 24.5%, α-HCH in 2.9%, β-HCH in 6.9%, p,p'-DDE in 44.1%, p,p'-DDT in 14.7% and p,p'-DDD in 10.8% of the samples. The pattern of dispersal by these substances in Murcia is similar to that described by different authors in other countries. Therefore, the past use of DDT and the present employment of lindane seem to be reflected in body tissues of the residents of this area

  1. Characterization of a cocaine binding protein in human placenta

    International Nuclear Information System (INIS)

    Ahmed, M.S.; Zhou, D.H.; Maulik, D.; Eldefrawi, M.E.

    1990-01-01

    [ 3 H]-Cocaine binding sites are identified in human placental villus tissue plasma membranes. These binding sites are associated with a protein and show saturable and specific binding of [ 3 H]-cocaine with a high affinity site of 170 fmole/mg protein. The binding is lost with pretreatment with trypsin or heat. The membrane bound protein is solubilized with the detergent 3-(3-cholamidopropyl)dimethyl-ammonio-1-propane sulphonate (CHAPS) with retention of its saturable and specific binding of [ 3 H]-cocaine. The detergent-protein complex migrates on a sepharose CL-6B gel chromatography column as a protein with an apparent molecular weight of 75,900. The protein has an S 20,w value of 5.1. The binding of this protein to norcocaine, pseudococaine, nomifensine, imipramine, desipramine, amphetamine and dopamine indicates that it shares some, but not all, the properties of the brain cocaine receptor. The physiologic significance of this protein in human placenta is currently unclear

  2. Increased levels of metallothionein in placenta of smokers

    International Nuclear Information System (INIS)

    Ronco, Ana Maria; Arguello, Graciela; Suazo, Myriam; Llanos, Miguel N.

    2005-01-01

    Experiments were designed to evaluate and compare metallothionein (MT), zinc and cadmium levels in human placentas of smoking and non-smoking women. Smoking was assessed by self-reported cigarette consumption and urine cotinine levels before delivery. Smoking pregnant women with urine cotinine levels higher than 130 ng/ml were included in the smoking group. Determination of placental MT was performed by western blot analysis after tissue homogenization and saturation with cadmium chloride (1000 ppm). Metallothionein was analyzed with a monoclonal antibody raised against MT-1 and MT-2 and with a second anti mouse antibody conjugated to alkaline phosphatase. Zinc and cadmium were determined by neutron activation analysis and atomic absorption spectrometry respectively. Smokers showed higher placental MT and cadmium levels, together with decreased newborn birth weights, as compared to non-smokers. The semi-quantitative analysis of western blots by band densitometry indicated that darker bands corresponded to MT present in smokers' samples. This study confirms that cigarette smoking increases cadmium accumulation in placental tissue and suggests that this element has a stimulatory effect on placental MT production

  3. Morphometric Evaluation of Preeclamptic Placenta Using Light Microscopic Images

    Directory of Open Access Journals (Sweden)

    Rashmi Mukherjee

    2014-01-01

    Full Text Available Deficient trophoblast invasion and anomalies in placental development generally lead to preeclampsia (PE but the inter-relationship between placental function and morphology in PE still remains unknown. The aim of this study was to evaluate the morphometric features of placental villi and capillaries in preeclamptic and normal placentae. The study included light microscopic images of placental tissue sections of 40 preeclamptic and 35 normotensive pregnant women. Preprocessing and segmentation of these images were performed to characterize the villi and capillaries. Fisher’s linear discriminant analysis (FLDA, hierarchical cluster analysis (HCA, and principal component analysis (PCA were applied to identify the most significant placental (morphometric features from microscopic images. A total of 10 morphometric features were extracted, of which the villous parameters were significantly altered in PE. FLDA identified 5 highly significant morphometric features (>90% overall discrimination accuracy. Two large subclusters were clearly visible in HCA based dendrogram. PCA returned three most significant principal components cumulatively explaining 98.4% of the total variance based on these 5 significant features. Hence, quantitative microscopic evaluation revealed that placental morphometry plays an important role in characterizing PE, where the villous is the major component that is affected.

  4. Poor agreement between operators on grading of the placenta.

    LENUS (Irish Health Repository)

    Moran, M

    2011-01-01

    Abnormal placental grading is associated with poor pregnancy outcome. The aim of this study was to measure intra- and interobserver variability in placental grading. Five expert sonographers independently graded 90 images on two occasions, each viewing separated by 1 week. A number of measures were employed to standardise assessment and minimise potential for variation: prior agreement was established between observers on the classifications for placental grading; a controlled viewing laboratory was used for all viewings; ambient lighting was optimal and monitors were calibrated to the GSDF standard. Kappa (κ) analysis was used to measure observer agreement. Substantial variations between individuals\\' scores were observed. A mean κ-value of 0.34 (range from 0.19 to 0.50) indicated fair interobserver agreement over the two occasions and only nine of the 90 images were graded the same by all five observers. Intraobserver agreement had a moderate mean κ-value of 0.52, with individual comparisons ranging from 0.45 to 0.66. This study demonstrates that, despite standardised viewing conditions, Grannum grading of the placenta is not a reliable technique even among expert observers. The need for new methods to assess placental health is required and work is ongoing to develop 2D and 3D software-based methods.

  5. The sonographic appearance and obstetric management of placenta accreta

    Science.gov (United States)

    Cheung, Charleen Sze-yan; Chan, Ben Chong-pun

    2012-01-01

    Placenta accreta is a condition of abnormal placental implantation in which the placental tissue invades beyond the decidua basalis. It may invade into or even through the myometrium and adjacent organs, such as the urinary bladder. The incidence has been rising in recent years. It is one of the important obstetric complications nowadays, leading to significant maternal morbidity and mortality. In the past, this condition was often diagnosed at the time of delivery when massive and unexpected hemorrhage occurred. Hysterectomy, associated with significant physical and psychological consequences, was usually the only management option. As more obstetricians have become aware of this condition, early identification with antenatal imaging diagnostic technology has become possible. Ultrasound scan plays an important role in the antenatal diagnosis. Various sonographic features with different specificity and sensitivity have been described in the literature. In equivocal cases, magnetic resonance imaging may be helpful. With such information, more accurate counseling can be offered to the mothers and their families before delivery. The delivery can also be arranged at a favorable time and in an institution where multidisciplinary support is available. Input from a hematologist, interventional radiologist, intensive care physician, urology surgeon, and/or other specialist are desirable. Apart from hysterectomy, various forms of conservative management can also be considered when the diagnosis is made prior to delivery. Fertility can therefore be preserved. After delivery, with or without hysterectomy performed, psychological support to the mothers and their families is essential. PMID:23239929

  6. mRNA related to insulin family in human placenta

    International Nuclear Information System (INIS)

    Younes, M.A.; D'Agostino, J.B.; Frazier, M.L.; Besch, P.K.

    1986-01-01

    The authors have previously reported that human term placenta contains mRNA displaying sequence homology to a rat preproinsulin I cDNA clone (p119). When placental poly(A + ) RNA was analyzed for homology to p119 by RNA/DNA blot hybridization, prominent hybridization was observed which was found by densitometric analysis to be three-fold higher than control. To further characterize this insulin-like message, a cDNA library was generated (approx.7000 transformants) using normal term cesarean-sectioned tissue to prepare placental poly(A + ) RNA templates. Five hundred transformants were initially screened by colony hybridization using a 32 P-labeled rat preproinsulin I cDNA as probe. Of the ten initial positives obtained, three were found to be true positives based on Southern hybridization analyses of the recombinant plasmids. Using Taq I digested pBr322 as a size marker, the cDNAs were found to be approximately 300 bp in length. Preliminary DNA sequencing using the Sanger dideoxy chain termination method has revealed that one of these clones displays significant homology to the 5' region of human insulin-like growth factors I and II

  7. mRNA related to insulin family in human placenta

    Energy Technology Data Exchange (ETDEWEB)

    Younes, M.A.; D' Agostino, J.B.; Frazier, M.L.; Besch, P.K.

    1986-03-01

    The authors have previously reported that human term placenta contains mRNA displaying sequence homology to a rat preproinsulin I cDNA clone (p119). When placental poly(A/sup +/) RNA was analyzed for homology to p119 by RNA/DNA blot hybridization, prominent hybridization was observed which was found by densitometric analysis to be three-fold higher than control. To further characterize this insulin-like message, a cDNA library was generated (approx.7000 transformants) using normal term cesarean-sectioned tissue to prepare placental poly(A/sup +/) RNA templates. Five hundred transformants were initially screened by colony hybridization using a /sup 32/P-labeled rat preproinsulin I cDNA as probe. Of the ten initial positives obtained, three were found to be true positives based on Southern hybridization analyses of the recombinant plasmids. Using Taq I digested pBr322 as a size marker, the cDNAs were found to be approximately 300 bp in length. Preliminary DNA sequencing using the Sanger dideoxy chain termination method has revealed that one of these clones displays significant homology to the 5' region of human insulin-like growth factors I and II.

  8. Decreased placental and maternal serum TRAIL-R2 levels are associated with placenta accreta.

    Science.gov (United States)

    Oztas, Efser; Ozler, Sibel; Ersoy, Ali Ozgur; Ersoy, Ebru; Caglar, Ali Turhan; Uygur, Dilek; Yucel, Aykan; Ergin, Merve; Danisman, Nuri

    2016-03-01

    TNF-related apoptosis-inducing ligand receptor-2 (TRAIL-R2) is produced both by decidual and trophoblast cells during pregnancy and known to participate in apoptosis. In this study, we aimed to determine and to compare maternal serum and placental TRAIL-R2 levels in patients with placenta accreta, non-adherent placenta previa and in healthy pregnancies. We also aimed to analyze the association of placenta accreta with the occurrence of previous C-sections. A total of 82 pregnant women were enrolled in this case-control study (27 placenta accreta patients, 26 non-adherent placenta previa patients and 29 age-, and BMI-matched healthy, uncomplicated pregnant controls). TRAIL-R2 levels were studied in both maternal serum and placental tissue homogenates. Determining the best predictor(s) which discriminate placenta accreta was analyzed by multiple logistic regression analyses. Adjusted odds ratios and 95% confidence intervals were also calculated. Both placental and serum TRAIL-R2 levels were significantly lower in placenta accreta group (median 34.82 pg/mg and 19.85 pg/mL, respectively) when compared with both non-adherent placenta previa (median 39.24 pg/mg and 25.99 pg/mL, respectively) and the control groups (median 41.62 pg/mg and 25.87 pg/mL, respectively) (p Placental TRAIL-R2 levels and previous cesarean section were found to be significantly associated with placenta accreta (OR: 0.934 95% CI 0.883-0.987, p = 0.016 and OR:7.725 95% CI: 2.717-21.965, p Placental and serum TRAIL-R2 levels were positively correlated. Decreased levels of placental TRAIL-R2 and previous history of cesarean section were found to be significantly associated with placenta accreta, suggesting a possible role of apoptosis in abnormal trophoblast invasion. Copyright © 2016 Elsevier Ltd. All rights reserved.

  9. [Severe Adverse Pregnancy Outcomes in Placenta Previa and Prior Cesarean Delivery].

    Science.gov (United States)

    Zhou, Mi; Chen, Meng; Zhang, Li; He, Guo-Lin; He, Lei; Wei, Qiang; Li, Tao; Liu, Xing-Hui

    2017-09-01

    To investigate the severe adverse pregnancy outcomes in pregnancies with placenta previa and prior cesarean delivery and its risk factors. This retrospective casecontrol study reviewed all pregnancies with placenta previa and prior cesarean delivery delivered by repeat cesarean section in our institution between January 2005 and June 2015,and investigated the incidence of severe adverse pregnancy outcome. A composite of severe adverse pregnancy outcomes (including transfusion of 10 units or more red blood cells,maternal ICU admission,unanticipated injuries,repeat operation,hysterectomy,and maternal death) and other maternal and neonatal outcomes were described. Univariate and multivariable logistic regression analysis were used to quantify the effects of risk factors on severe adverse pregnancy outcomes. There were 478 women with placenta previa and prior cesarean delivery in our hospital over the last decade. The average age of them was 32.5±4.8 years old,most women were beyond 30 years old,the average gravidity and parity were 4 and 1,131 cases (27.4%) had severe adverse pregnancy outcomes. Transfusion of 10 units or more red blood cells happened in 75 cases (15.7%,75/478); 44 cases (9.2%,44/478) necessitated maternal ICU admission; unanticipated bladder injury occurred in 11 cases,but non ureter or bowel injury happened; All 4 repeat operations were due to delayed hemorrhage after conservative management during cesarean delivery,and an emergent hysterectomy was performed for all of the 4 cases. Hysterectomy (107 cases,22.4%) was the most common severe adverse pregnancy outcome. Among all 311 morbidly adherent placenta cases finally confirmed by pathological or surgical findings or both,only 172 (55.3%) were suspected before delivery. Multivariable logistic regression analysis showed that the risk of severe adverse pregnancy outcomes was significantly increased by pernicious placenta previa (i.e. anterior placenta overlying the prior cesarean scar),suspicion of

  10. Gerente de projetos: habilidades humanas e comportamentais / Project manager: human and behaviours skills

    Directory of Open Access Journals (Sweden)

    Edson Coutinho da Silva

    2016-04-01

    Full Text Available Um gerente de projetos deve priorizar as habilidades humanas e comportamentais do que as habilidades técnicas para a obtenção de êxito de projetos; uma vez que são as pessoas e a equipe que compõem um projeto. O artigo tem o propósito de descrever as habilidades humanas requeridas para um gestor conduzir a implementação de um projeto em uma organização, na busca de mitigar os conflitos com os stakeholders. Foi elaborada uma pesquisa descritiva alicerçadas por técnicas como a pesquisa-ação e estudo de caso. Os dados foram obtidos por meio da experiência de um dos pesquisadores deste artigo no projeto e por meio de seis entrevistas com membros da equipe. Os pesquisadores estabeleceram cinco habilidades humanas e comportamentais que são requeridas aos gerentes: liderança, comunicação, gestão de mudança, motivação e gestão de conflito; e as usou para fins de análise e discussão dos resultados. Concluiu-se, pelo projeto de implementação do ERP pesquisado neste estudo, que esta organização considerou prioritariamente as habilidades técnicas do que as humanas ao selecionar alguns de seus gestores; e foi exatamente a ausência de repertório de habilidades humanas que comprometeu o gerenciamento do projeto.

  11. Dianthus chinensis L.: The Structural Difference between Vascular Bundles in the Placenta and Ovary Wall Suggests Their Different Origin.

    Science.gov (United States)

    Guo, Xue-Min; Yu, Ying-Ying; Bai, Lan; Gao, Rong-Fu

    2017-01-01

    Dianthus chinensis is a perennial herbaceous plant with great ornamental, botanical, ecological, and medicinal value. The pistil of D. chinensis is composed of two fused carpels with free central placenta and two separate styles. The placenta is a columnar structure extending about two-thirds the length of the maturing fruit, which is typical of the Caryophyllaceous. Traditionally, free central placenta is thought to have evolved from axial placenta by septal disappearance, and axial placenta to have occurred through fusion of conduplicate carpels with marginal placenta. However, the traditional opinion is becoming more and more inconsistent with the new data gained in recent research of angiosperm systematics. To clarify the origin of D. chinensis pistil, the present anatomical study was carried out. The results show that the vascular system of placenta is independent to that of the ovary wall in D. chinensis . Moreover, in the central part of placenta there are one or two amphicribral bundles, and correspondingly numerous ones in the pistil which supply the ovules/seeds. It is obvious that the central amphicribral bundles in placenta are comparable to the counterparts in branches but not to those in leaves or their derivatives. Therefore, it is reasonable to deduce that the placenta of D. chinensis was not derived from conduplicate carpels through fusion of collateral vascular bundles, and actually a floral axis with ovules/seeds laterally adhering. On the contrary, the ovary wall was the lateral appendages of the floral axis. The result of the present study is completely in agreement with Unifying Theory, in which the placenta is taken as an ovule-bearing branch. Except for D. chinensis , the similar vascular organization has been observed in placenta of numerous isolated taxa. But till now, it is uncertain that whether this vascular organization pattern is popular in the whole angiosperms or not. More intensive and extensive investigations are needed.

  12. Evaluation of glycosaminoglycans and heparanase in placentas of women with preeclampsia.

    Science.gov (United States)

    Famá, Eduardo Augusto Brosco; Souza, Renan Salvioni; Melo, Carina Mucciolo; Melo Pompei, Luciano; Pinhal, Maria Aparecida Silva

    2014-11-01

    Preeclampsia is a multisystem disorder whose etiology remains unclear. It is already known that circulation of soluble fms-like tyrosine kinase-1 (sFlt-1) is directly involved in pre-eclampsia development. However, the molecular mechanisms involved with sFlt-1 shedding are still unidentified. We identified, quantified glycosaminoglycans and determined the enzymatic activity of heparanase in placentas of women with preeclampsia, in order to possibly explain if these compounds could be related to cellular processes involved with preeclampsia. A total of 45 samples collected from placentas, 15 samples from placentas of preeclampsia women and 30 samples from non-affected women. Heparan sulfate and dermatan sulfate were identified and quantified by agarose gel electrophoresis, whilst hyaluronic acid was quantified by an ELISA like assay. Heparanase activity was determined using biotynilated heparan sulfate as substrate. The results showed that dermatan sulfate (P=0.019), heparan sulfate levels (P=0.015) and heparanase activity (P=0.006) in preeclampsia were significantly higher than in the control group. There was no significant difference between the groups for hyaluronic acid expression in placentas (P=0.110). The present study is the first to demonstrate directly the increase of heparan sulfate in human placentas from patients with preeclampsia, suggesting that endogenous heparan sulfate could be involved in the release of sFlt-1 from placenta, increasing the level of circulating sFlt-1. Alterations of extracellular matrix components in placentas with preeclampsia raise the possibility that heparan sulfate released by heparanase is involved in mechanisms of preeclampsia development. Published by Elsevier B.V.

  13. Measurement of elasticity of normal placenta using the Virtual Touch quantification technique

    Energy Technology Data Exchange (ETDEWEB)

    Wu, Size; Nan, Ruixia; Cui, Xiao Jing; Liang, Xian; Zhao, Yanan [Dept. of Ultrasound, Affiliated Hospital of Hainan Medical College, Haikou (China); Li, Yueping [Dept. of Obstetrics and Gynecology, Affiliated Hospital of Hainan Medical College, Haikou (China)

    2016-07-15

    The aim of this study was to measure the elasticity of normal placentas using the Virtual Touch quantification (VTQ) technique. This study was approved by the Institutional Ethics Committee. Fifty randomly selected, healthy pregnant women in their second trimester and 50 randomly selected, healthy pregnant women in their third trimester with a single fetus were included, and their placentas underwent VTQ through shear wave velocity (SWV) measurements. The measurements were performed at different locations to sample different areas of the placenta. Measurements were performed 3-4 times in each location, the mean shear wave velocities were calculated without the highest and lowest values of measurements in each region, and the results were compared. The SWV of the placenta was 0.983±0.260 m/sec, and the minimal and maximal speed was 0.63 m/sec and 1.84 m/sec, respectively. There was no significant difference between the second and third trimester of VTQ of the placenta in terms of SWV (0.978±0.255 m/sec vs. 0.987±0.266 m/sec, P=0.711). The maternal age between second and third trimester was 27.9±4.3 years and 29.2±4.4 years, respectively; there was no significant difference between them (P=0.159). The results of this study show that the SWV of normal placenta tissue is 0.983±0.260 m/sec, it has little variation between the second and third trimesters, and the VTQ technique may potentially play an additional role in placenta evaluation.

  14. Measurement of elasticity of normal placenta using the Virtual Touch quantification technique

    International Nuclear Information System (INIS)

    Wu, Size; Nan, Ruixia; Cui, Xiao Jing; Liang, Xian; Zhao, Yanan; Li, Yueping

    2016-01-01

    The aim of this study was to measure the elasticity of normal placentas using the Virtual Touch quantification (VTQ) technique. This study was approved by the Institutional Ethics Committee. Fifty randomly selected, healthy pregnant women in their second trimester and 50 randomly selected, healthy pregnant women in their third trimester with a single fetus were included, and their placentas underwent VTQ through shear wave velocity (SWV) measurements. The measurements were performed at different locations to sample different areas of the placenta. Measurements were performed 3-4 times in each location, the mean shear wave velocities were calculated without the highest and lowest values of measurements in each region, and the results were compared. The SWV of the placenta was 0.983±0.260 m/sec, and the minimal and maximal speed was 0.63 m/sec and 1.84 m/sec, respectively. There was no significant difference between the second and third trimester of VTQ of the placenta in terms of SWV (0.978±0.255 m/sec vs. 0.987±0.266 m/sec, P=0.711). The maternal age between second and third trimester was 27.9±4.3 years and 29.2±4.4 years, respectively; there was no significant difference between them (P=0.159). The results of this study show that the SWV of normal placenta tissue is 0.983±0.260 m/sec, it has little variation between the second and third trimesters, and the VTQ technique may potentially play an additional role in placenta evaluation

  15. LABOUR TERMINATION AND PERINATAL OUTCOME IN PREGNANT WOMEN WITH PLACENTA ABRUPTION WITH PPROM AND PROM

    Directory of Open Access Journals (Sweden)

    Ranko Kutlesic

    2007-10-01

    Full Text Available Placenta abruption is an obstetric accident which endangers life and health of both mother and embryo. It is one of the most serious obstetric complications, whose incidence ranges from 4.9-12.9 per 1,000 labours, and according to frequency, it represents the second cause of perinatal death. Retrospective analysis included the interval from 1996 to 2005. Total number of labours was analyzed and it was 32358. In addition, the number of labours complicated by placenta abruption was analyzed, and it was 119 or 0.37%. It analyzed the incidence of placenta abruption according to age of pregnancy and the integrity of embryonic membranes. It is established that there is no statistically significant difference in the incidence of placenta abruption appearing in pregnant women, with and without the disruption of embryonic membranes. The age of pregnant women was also analyzed, and it was found out that the pregnant women with placenta abruption and PPROM were 5 years older than those with placenta abruption without PPROM, and that this difference was very significant. Disruption duration was analyzed as well as the time from the first uterus bleeding to labour. The difference between PPROM and PROM duration was statistically significant, as well as the difference in duration between spontaneous and artificial rupture of embryonic membranes. The way of labour termination was analyzed in pregnant women with verified placenta abruption. In 80% of pregnant women, the labour was terminated by Caesarian section, and only 20% by vaginal labour. Also, the perinatal outcome was analyzed, according to Apgar score in the first and fifth minute. Apgar score showed that out of the total number of abruptions, 7 neonatuses was born dead (11.66%, 13 (21.66% was born in good condition (Apgar score>7, 26 (43.33% was marked with 4-7, while 14 (23.33% was in hard asphyxia (Apgar score 1-5.

  16. Measurement of elasticity of normal placenta using the Virtual Touch quantification technique

    Directory of Open Access Journals (Sweden)

    Size Wu

    2016-07-01

    Full Text Available Purpose: The aim of this study was to measure the elasticity of normal placentas using the Virtual Touch quantification (VTQ technique. Methods: This study was approved by the Institutional Ethics Committee. Fifty randomly selected, healthy pregnant women in their second trimester and 50 randomly selected, healthy pregnant women in their third trimester with a single fetus were included, and their placentas underwent VTQ through shear wave velocity (SWV measurements. The measurements were performed at different locations to sample different areas of the placenta. Measurements were performed 3-4 times in each location, the mean shear wave velocities were calculated without the highest and lowest values of measurements in each region, and the results were compared. Results: The SWV of the placenta was 0.983±0.260 m/sec, and the minimal and maximal speed was 0.63 m/sec and 1.84 m/sec, respectively. There was no significant difference between the second and third trimester of VTQ of the placenta in terms of SWV (0.978±0.255 m/sec vs. 0.987±0.266 m/sec, P=0.711. The maternal age between second and third trimester was 27.9±4.3 years and 29.2±4.4 years, respectively; there was no significant difference between them (P=0.159. Conclusion: The results of this study show that the SWV of normal placenta tissue is 0.983±0.260 m/sec, it has little variation between the second and third trimesters, and the VTQ technique may potentially play an additional role in placenta evaluation.

  17. Placenta Increta after First-Trimester Dilatation and Curettage Manifesting as an Unusual Uterine Mass: Magnetic Resonance Findings

    Energy Technology Data Exchange (ETDEWEB)

    Ju, W.; Kim, S.C. [Dept. of Obstetrics and Gynecology, and Medical Research Inst., School of Medicine, Ewha Womens Univ., Seoul (Korea)

    2007-10-15

    Placenta increta during the first trimester of pregnancy is extremely rare. Only a few cases of placenta accreta during the latter half of pregnancy manifesting as a uterine mass have been published. This report describes a case of placenta increta that caused prolonged bleeding after a first-trimester abortion, and was identified by magnetic resonance imaging (MRI) as a heterogeneous mass in the myometrium. This is the first report of a placenta increta detected as a uterine mass after first-trimester dilatation and curettage, and its MRI findings.

  18. Cell-free placental mRNA in maternal plasma to predict placental invasion in patients with placenta accreta.

    Science.gov (United States)

    El Behery, Manal M; Rasha L, Etewa; El Alfy, Yehya

    2010-04-01

    To evaluate whether measuring cell-free placental mRNA in maternal plasma improves the diagnostic accuracy of ultrasound and color Doppler in detecting placental invasion in patients at risk for placenta accreta. Thirty-five singleton pregnant women of more than 28 weeks of gestation and at risk for placenta accreta underwent ultrasound and color Doppler assessment. Cell-free placental mRNA in maternal plasma was measured using real-time reverse-transcription polymerase chain reaction. Patients were classified into 2 groups based on the findings at cesarean delivery and histological examination: women with placenta accreta (n=7) and women without placenta accreta (n=28). The median MoM (multiples of the median) value of cell-free placental mRNA was significantly higher in patients with placenta accreta than in those without placenta accreta (6.50 vs 2.60; Pplacental mRNA was significantly elevated in patients with placenta increta and percreta than in those with simple accreta. Six false-positive results were found on ultrasound, all from patients without placenta accreta and an insignificant rise in cell-free placental mRNA levels. Measuring cell-free placental mRNA in maternal plasma may increase the accuracy of ultrasound and color Doppler in prenatal prediction of placental invasion in patients with suspected placenta accreta. Copyright 2009 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

  19. Biomoléculas interactivas a escala humana

    Directory of Open Access Journals (Sweden)

    José C. Diez

    2013-11-01

    Full Text Available En el proyecto “MolecularPlayground @ UAH.es” se ha instalado una exposición que muestra modelos de diferentes estructuras moleculares de forma programada, en un espacio de acceso común dentro de una facultad. Los estudiantes –y visitantes– pueden controlar la rotación del modelo proyectado moviéndose frente a la pantalla o moviendo sus manos, lo que proporciona interactividad y permite, en cierta medida, la manipulación de la imagen para el análisis e investigación de la estructura. Por ejemplo, el control de la molécula permite analizar los sitios de interacción con receptores u otras dianas, o considerar las fuerzas que definen las interacciones intermoleculares. Cada modelo se presenta de acuerdo a un guión, con diferentes vistas y estilos de representación de la molécula, combinados con breves textos explicativos de su relevancia y enfocando los aspectos notables de la estructura. Los objetivos pueden resumirse en: - Atraer la atención de los alumnos, la comunidad universitaria y el público en general hacia la estructura de las moléculas y su aplicación en campos de interés general: salud, industria, materiales... - Promover, especialmente en los alumnos, el interés por la investigación y la exploración personales. - Promover el análisis de las estructuras de interés bioquímico y farmacológico en la interacción con sus dianas. - Complementar la docencia y el estudio de las ciencias moleculares con materiales multimedia, de comprensión más rápida y eficaz. Proporcionar a los profesores un formato y un medio de difusión de material relacionado con sus asignaturas. Proporcionar a los alumnos material y actividades para el trabajo no presencial.   El proyecto se ha instalado con financiación de la Universidad de Alcalá, proyecto de innovación docente UAH/EV493.

  20. «Sangres» para propiciar la vida: metáforas y creencias sobre la concepción «humana» en el altiplano andino

    Directory of Open Access Journals (Sweden)

    Vicente Martín, Patricia

    2016-06-01

    Full Text Available This article reflects on the participation of telluric entities in regulating and propitiating fertility in general and «human» fertility in particular in the Andes region. The first part of this study deals with the participation of telluric forces in the breeding of livestock and the propitiation of plant life, as well as resources in general. In view of the visibility of these propitiatory rites, the genesis of new individuals is couched in a language in which references to «blood» and excessive heat abound. This study of the notions relating to conception and human fertility in the Andes involves the systematization of references found in ethnographic literature, and presentation of my own research in rural areas of southern Potosi (Bolivia. I then go on to consider the bodily rhetoric of life-promoting pregnant bodies and their specificities with a view to probing more deeply into the concept of fertility of the people of the Andean plateau.Este artículo tiene como objetivo la reflexión sobre la participación de las entidades tutelares en la regulación y propiciación de la fertilidad en general y de la «humana» en particular en los Andes. La primera parte del estudio aborda la participación de las fuerzas telúricas en la multiplicación del ganado y la propiciación de la vida vegetal, así como de las riquezas en general. Frente a la visibilidad de estos ritos propiciatorios, la génesis de los nuevos individuos se enmascara en un lenguaje en el cual abundan las referencias a las «sangres» y al exceso de calor. El estudio de las ideas acerca de la concepción y la fertilidad humana en los Andes pasa por una sistematización de las referencias halladas en la literatura etnográfica, y por la exposición de mis propias investigaciones en áreas rurales de Potosí. Tras ello se abordan las retóricas corporales de los cuerpos gestantes que propician la vida y sus especificidades con el fin de ahondar en la compresión de los

  1. Cribado del cáncer de cérvix en Canarias: estudio poblacional

    OpenAIRE

    Vega Guedes, Begoña

    2016-01-01

    Programa de doctorado: Patología Quirúrgica, Reproducción Humana y Factores Psicológicos y el Proceso de Enfermar. La fecha de publicación es la fecha de lectura [ES]Los estudios de prevalencia del virus del papiloma humano (VPH) son necesarios para la prevención del cáncer de cérvix dado que nos dan información sobre la utilidad del cribado con test VPH y nos permiten predecir el impacto de la vacunación profiláctica. Además, conocer los factores de riesgo relacionados con la infección es...

  2. Aspectos morfológicos da placenta da preguiça, Bradypus variegatus Shinz, 1825

    Directory of Open Access Journals (Sweden)

    Marleyne José Afonso Accyoli Lins Amorin

    2003-01-01

    Full Text Available Estudaram-se os aspectos morfológicos da placenta e das membranas fetais de 03 placentas de bichos-preguiça (Bradypus variegatus, adultas e prenhes, originárias da Zona da Mata do Estado de Pernambuco. Essas estruturas foram obtidas de 03 fêmeas doadas pela Universidade Federal de Pernambuco, das quais duas encontravam-se congeladas e a terceira foi colhida mediante realização de cirurgia cesariana, onde mãe e feto foram preservados. Depois de descongeladas, as placentas foram fixadas em solução aquosa de formol 10,00%. Da placenta obtida da cesariana colheram-se pequenos fragmentos da região placentária e do funículo umbilical, os quais foram fixados em paraformoldeido 4,00%, tampão fosfato pH 7,4. Os fragmentos passaram pela rotina histológica, onde foram coradas em Hematoxilina e Eosina e Tricrômio de Masson. A placenta da preguiça é corioamniótica, com o cório viloso constituindo os lobos placentários, que se localizam na região fúndica do útero, e o cório liso relacionando-se com a face interna do útero. Nas placentas de final de prenhez os lobos aglomeram-se e fundem-se aumentando de tamanho, formando uma massa principal discóide, caracterizando uma placenta zonária discoidal, que se une ao feto pelo funículo umbilical, constituído por duas artérias e uma veia umbilical. Os resultados histológicos demonstraram que a placenta desses animais é labiríntica e endoteliocorial. Assim, a placenta da preguiça pode ser classificada como labiríntica, endoteliocorial, múltipla, discóide (a termo e corioamniótica.

  3. A placenta clinic approach to the diagnosis and management of fetal growth restriction.

    Science.gov (United States)

    Kingdom, John C; Audette, Melanie C; Hobson, Sebastian R; Windrim, Rory C; Morgen, Eric

    2018-02-01

    Effective detection and management of fetal growth restriction is relevant to all obstetric care providers. Models of best practice to care for these patients and their families continue to evolve. Since much of the disease burden in fetal growth restriction originates in the placenta, the concept of a multidisciplinary placenta clinic program, managed primarily within a maternal-fetal medicine division, has gained popularity. In this context, fetal growth restriction is merely one of many placenta-related disorders that can benefit from an interdisciplinary approach, incorporating expertise from specialist perinatal ultrasound and magnetic resonance imaging, reproductive genetics, neonatal pediatrics, internal medicine subspecialties, perinatal pathology, and nursing. The accurate diagnosis and prognosis for women with fetal growth restriction is established by comprehensive clinical review and detailed sonographic evaluation of the fetus, combined with uterine artery Doppler and morphologic assessment of the placenta. Diagnostic accuracy for placenta-mediated fetal growth restriction may be enhanced by quantification of maternal serum biomarkers including placenta growth factor alone or combined with soluble fms-like tyrosine kinase-1. Uterine artery Doppler is typically abnormal in most instances of early-onset fetal growth restriction and is associated with coexistent preeclampsia and underlying maternal vascular malperfusion pathology of the placenta. By contrast, rare but potentially more serious underlying placental diagnoses, such as massive perivillous fibrinoid deposition, chronic histiocytic intervillositis, or fetal thrombotic vasculopathy, may be associated with normal uterine artery Doppler waveforms. Despite minor variations in placental size, shape, and cord insertion, placental function remains, largely normal in the general population. Consequently, morphologic assessment of the placenta is not currently incorporated into current screening

  4. Porcine placenta mitigates protein-energy malnutrition-induced fatigue.

    Science.gov (United States)

    Han, Na-Ra; Kim, Kyu-Yeop; Kim, Myong-Jo; Kim, Min-Ho; Kim, Hyung-Min; Jeong, Hyun-Ja

    2013-01-01

    Fatigue can be caused by a deficiency of nutrition or immune function. The goal of this study was to identify the effects of porcine placenta extract (PPE) and its constituents, amino acids (glutamic acid, glycine, arginine, and proline), on protein-energy malnutrition (PEM)-induced fatigue. Mice were administered a PEM diet and came to immunodeficient status. Simultaneously, the mice were administered PPE or amino acids and a forced swimming test (FST) was performed. We analyzed the levels of fatigue-related factors in serum, splenocytes, and muscles. In the FST, PPE or amino acids significantly decreased immobility times compared with the PEM diet. PPE or amino acids also significantly decreased the serum levels of fatigue-related factors after the FST. Additionally, PPE significantly decreased the levels of fatigue-related muscle parameters after the FST. In this in vitro study, PPE increased the mRNA and protein expression of Ki-67 and promoted the proliferation of splenocytes. PPE or amino acids significantly increased the levels of intracellular calcium and the translocation into the nucleus of nuclear factor of activated T-cells cytoplasmic in stimulated splenocytes. PPE or amino acids significantly decreased the production of fatigue-related inflammatory cytokines in the stimulated splenocytes. Additionally, the translocated levels of nuclear factor-κB in the nucleus and the degradation of the inhibitory protein, IκBα, in the cytosol were inhibited by PPE or amino acids. These results demonstrate that PPE and its constituents regulate PEM-induced fatigue through improving levels of immunity and decreasing fatigue-related factors. PPE may be a potential agent for a recovery from fatigue. Copyright © 2013 Elsevier Inc. All rights reserved.

  5. The sonographic appearance and obstetric management of placenta accreta

    Directory of Open Access Journals (Sweden)

    Cheung CS

    2012-11-01

    Full Text Available Charleen Sze-yan Cheung, Ben Chong-pun ChanDepartment of Obstetrics and Gynaecology, Queen Mary Hospital, Hong KongAbstract: Placenta accreta is a condition of abnormal placental implantation in which the placental tissue invades beyond the decidua basalis. It may invade into or even through the myometrium and adjacent organs, such as the urinary bladder. The incidence has been rising in recent years. It is one of the important obstetric complications nowadays, leading to significant maternal morbidity and mortality. In the past, this condition was often diagnosed at the time of delivery when massive and unexpected hemorrhage occurred. Hysterectomy, associated with significant physical and psychological consequences, was usually the only management option. As more obstetricians have become aware of this condition, early identification with antenatal imaging diagnostic technology has become possible. Ultrasound scan plays an important role in the antenatal diagnosis. Various sonographic features with different specificity and sensitivity have been described in the literature. In equivocal cases, magnetic resonance imaging may be helpful. With such information, more accurate counseling can be offered to the mothers and their families before delivery. The delivery can also be arranged at a favorable time and in an institution where multidisciplinary support is available. Input from a hematologist, interventional radiologist, intensive care physician, urology surgeon, and/or other specialist are desirable. Apart from hysterectomy, various forms of conservative management can also be considered when the diagnosis is made prior to delivery. Fertility can therefore be preserved. After delivery, with or without hysterectomy performed, psychological support to the mothers and their families is essential.Keywords: ultrasonography, hemorrhage, hysterectomy

  6. Increased autophagy in placentas of intrauterine growth-restricted pregnancies.

    Directory of Open Access Journals (Sweden)

    Tai-Ho Hung

    Full Text Available Unexplained intrauterine growth restriction (IUGR may be a consequence of placental insufficiency; however, its etiology is not fully understood. We surmised that defective placentation in IUGR dysregulates cellular bioenergic homeostasis, leading to increased autophagy in the villous trophoblast. The aims of this work were (1 to compare the differences in autophagy, p53 expression, and apoptosis between placentas of women with normal or IUGR pregnancies; (2 to study the effects of hypoxia and the role of p53 in regulating trophoblast autophagy; and (3 to investigate the relationship between autophagy and apoptosis in hypoxic trophoblasts.Compared with normal pregnant women, women with IUGR had higher placental levels of autophagy-related proteins LC3B-II, beclin-1, and damage-regulated autophagy modulator (DRAM, with increased p53 and caspase-cleaved cytokeratin 18 (M30. Furthermore, cytotrophoblasts cultured under hypoxia (2% oxygen in the presence or absence of nutlin-3 (a p53 activity stimulator had higher levels of LC3B-II, DRAM, and M30 proteins and increased Bax mRNA expression compared with controls cultured under standard conditions. In contrast, administration of pifithrin-α (a p53 activity inhibitor during hypoxia resulted in protein levels that were similar to those of the control groups. Moreover, cytotrophoblasts transfected with LC3B, beclin-1, or DRAM siRNA had higher levels of M30 compared with the controls under hypoxia. However, transfection with Bcl-2 or Bax siRNA did not cause any significant change in the levels of LC3B-II in hypoxic cytotrophoblasts.Together, these results suggest that there is a crosstalk between autophagy and apoptosis in IUGR and that p53 plays a pivotal and complex role in regulating trophoblast cell turnover in response to hypoxic stress.

  7. Determinación de los parámetros cinéticos de la plasmina porcina y comparación con la humana = Porcine plasmin: determination of kinetic parameters and comparison with human plasmin

    Directory of Open Access Journals (Sweden)

    Arbeláez Ramírez, Luis Fernando

    2012-04-01

    Full Text Available El plasminógeno es el zimógeno de la plasmina, enzima relacionada con la disolución del coágulo sanguíneo. Estudios con plasminas de diferentes especies animales han demostrado mayor afinidad que la plasmina humana por sustratos análogos hechos exclusivamente para ella. Así lo confirman la activación y cinética del sistema plasminógeno/plasmina porcino, que hasta el presente no se habían determinado ni comparado con el humano. En este trabajo se utilizaron, para la purificación del plasminógeno, cromatografía de afinidad y cambio iónico; se utilizó urocinasa para la activación del plasminógeno a plasmina y se determinaron los parámetros cinéticos con el sustrato cromógeno S-2251. Los terminales-N se determinaron por el método de degradación de Edman. La plasmina porcina demostró mayor afinidad (Km por el sustrato que la plasmina humana, 1,55 y 5,3 mM respectivamente, mientras que la plasmina humana mostró mayor velocidad de conversión del sustrato a producto (0,1 UA/ seg que la porcina (0,033 UA/seg. Los terminales-N se diferenciaron en los aminoácidos 1 y 3, DPPDDY (porcino y EPLDDY (humano.

  8. The association between uterine leiomyoma and placenta abruption: A meta-analysis.

    Science.gov (United States)

    Jenabi, Ensiyeh; Ebrahimzadeh Zagami, Samira

    2017-11-01

    Some epidemiological studies have found that uterine leiomyoma can increase the risk of placenta abruption. To date, the meta-analysis has not been performed for assessing the relationship between uterine leiomyoma and placenta abruption. This meta-analysis was conducted to estimate the association between uterine leiomyoma and the risk of placenta abruption. A literature search was conducted out in major databases PubMed, Web of Science, and Scopus from the earliest possible year to October 2016. The heterogeneity across studies was explored by Q-test and I 2 statistic. The publication bias was assessed by Begg's and Egger's tests. The results were showed using odds ratio (OR) estimate with its 95% confidence intervals (CI) using a random-effects model. The literature search included 953 articles until October 2016 with 232,024 participants. Based on OR estimates obtained from case-control and cohort studies, there was significant association between uterine leiomyoma and placenta abruption (2.63; 95% CI: 1.38, 3.88). We showed based on reports in observational studies that uterine leiomyoma is a risk factor for placenta abruption.

  9. Participation in environmental health research by placenta donation - a perception study.

    Science.gov (United States)

    Lind, Uffe; Mose, Tina; Knudsen, Lisbeth E

    2007-11-22

    Much environmental health research depends on human volunteers participating with biological samples. The perception study explores why and how people participate in a placenta perfusion study in Copenhagen. The participation implies donation of the placenta after birth and some background information but no follow up. Nineteen semi-structured qualitative interviews were conducted with participants in the placenta perfusion study after donation of placenta. Observation studies were made of recruitment sessions. The interviewed participants are generally in favour of medical research. They participated in the placenta perfusion study due to a belief that societal progress follows medical research. They also felt that participating was a way of giving something back to the Danish health care system. The participants have trust in medical science and scientists, but trust is something which needs to be created through "trust-work". Face-to-face interaction, written information material and informed consent forms play important parts in creating trusting relationships in medical research. Medical research ethics do not only amount to specific types of written information material but should also be seen as a number of trust making performances involving researchers as well as research participants.

  10. Organochlorine pesticide residues in human breast milk and placenta in Tohoku, Japan

    Energy Technology Data Exchange (ETDEWEB)

    Nakai, K.; Suzuki, K.; Oka, T.; Sugawara, N.; Ohba, T.; Kameo, S.; Satoh, H. [Environmental Heath Sciences, Tohoku Univ. Graduate School of Medicine, Sendai (Japan); Nakamura, T.; Saitoh, Y. [Miyagi Prefectural Inst. of Piblic Health and Environment (Japan); Okamura, K. [Dept. of Obstetrics, Tohoku Univ. Graduate School of Medicine, Sendai (Japan)

    2004-09-15

    Recently, we have started a birth cohort study to examine the effects of exposure to persistent organochemical pollutants and heavy metals on neurodevelopment in Japanese children, The Tohoku Study of Child Development. In this cohort study, biological samples, including maternal peripheral blood, cord blood, placenta, cord tissue, and breast milk have been collected from more than six hundred mother-infant pairs for chemical determinations. The growth of infants has been monitored using neurodevelopmental tests, including the Brazelton Neonatal Behavioral Assessment Scale, the Bayley Scale of Infant Development, the Kyoto Scale of Psychological Development, and others. Exposures to dioxin and related compounds, polychlorinated biphenyls, methylmercury, and several heavy metals were assessed. Additionally, since perinatal exposure to organochlorine pesticides may affect the neurodevelopment of children, we examined the effects of those pesticides in the cohort study. In the present study, several organochlorine pesticides were analyzed in human breast milk and placenta from 20 mothers to identify the major pesticide compounds found in the cohort subjects. The relationship between pesticides in breast milk and the placenta was analyzed to examine the utilization of the placenta as the material for exposure assessment. Some information regarding the factors affecting the contamination of breast milk and the placenta with organochlorine pesticides are also discussed.

  11. Metabolic development of the porcine placenta in response to alterations in maternal or fetal homeostasis

    International Nuclear Information System (INIS)

    Namsey, T.G.; kasser, T.R.; Hausman, G.J.; Martin, R.J.

    1986-01-01

    Porcine placenta has been utilized as a model for elucidating contributions of both fetal and maternal tissues to metabolic activity of the placenta in response to a variety of stresses. Alloxan diabetes, food restriction and genetic obesity all produced alterations in placental metablolism with differences in responses of fetal and maternal placentas. Further analysis of nutrient untilization by the placenta produced dramatic differences in the partitioning of substrates by fetal and maternal tissues during placental development. Metabolic activity of maternal tissue contributed to overall placental metabolic activity to a greater degree than fetal tissue. However, experiments with in utero fetal decapitation indicated that some of differences between fetal and maternal placental metabolic activity may be due to the influence of fetal regulatory mechanisms. Maternal endometrium plays a critical role in metabolic response of uteroplacenta and thus availability of nutrients to the fetus and fetal placenta. Differences in metabolic development of fetal and maternal tissues suggested that regulation of placental metabolism may originate from fetal as well as maternal sources

  12. Growth and maturation of villi in placentae from well-controlled diabetic women

    DEFF Research Database (Denmark)

    Mayhew, T M; Sørensen, Flemming Brandt; Klebe, J G

    1994-01-01

    Placentae from controls and two groups of diabetic women (one White classes A, B, C and the other classes D, F/R) were collected at 37-42 weeks of gestation. Tissue sections were analysed using stereological methods in order to quantify the growth and maturational status of villi. Birth and place......Placentae from controls and two groups of diabetic women (one White classes A, B, C and the other classes D, F/R) were collected at 37-42 weeks of gestation. Tissue sections were analysed using stereological methods in order to quantify the growth and maturational status of villi. Birth...... with group, mode of delivery and sex of newborn as the principal effects. Mean weights were similar in controls and diabetic groups. Diabetic placentae had a more voluminous fetal capillary bed of greater length, diameter and surface area. In addition, the diffusion distances across fetal plasma (erythrocyte...... on the fetal side of the diabetic placenta. They show that changes can affect the placentae of appropriate-for-age as well as large-for-age babies and provide no evidence that they increase with the severity and duration of diabetes....

  13. Rising frequency of placenta previa and associated morbidity in women with previous casearean section

    International Nuclear Information System (INIS)

    Akhter, F.; Nawaz, Q.; Mushtaq, Q.U.A.

    2015-01-01

    To determine rising frequency of placenta previa and its associated morbidity in women with previous caesarean section. Study Design: Cross sectional study. Place and Duration of Study: This study was conducted in the Department of Obstetrics and Gynecology at CMH Kohat from Jul 2010 to Jun 2011. Patients and Methods: This study included all pregnant women undergoing repeat caesarean sections. Of these, total 74 patients were admitted with placenta previa. The frequency and associated morbidity were determined. Results: In our study 74 patients with placenta previa were included. 71.62% were less than 35 yrs of age, while 28.38% were equal to or more than 35 years. The gestational age at presentation was 24-36 weeks in 74.3% and 37 + weeks in 5.7% at presentation, 89% patients were symptomatic and 11% were asympyomatic. The morbidities observed were placenta accrete 47%, urinary tract trauma in 63.51%, caesarean hysterectomy in 62.16%, post operative febrile morbidity in 77.03%, maternal mortality was nil, paralytic ileus in 28.38%, PPH in 82.43%, surgical site infection in 16.21%. Conclusion: Frequency of placenta previa and its associated morbidity was raised due to repeated caesarean section rate which must be reduced to decrease maternal morbidity and mortality. (author)

  14. Uterine artery embolization for the management of secondary postpartum haemorrhage associated with placenta accreta

    International Nuclear Information System (INIS)

    Li, X.; Wang, Z.; Chen, J.; Shi, H.; Zhang, X.; Pan, J.; Liu, W.; Yang, N.; Jin, Z.; Lang, J.

    2012-01-01

    Aim: To evaluate the efficacy and safety of uterine artery embolization for the management of secondary postpartum haemorrhage associated with placenta accreta. Materials and methods: Between January 2005 and August 2011, 45 women with placenta accreta, which was discovered during delivery, were managed conservatively in Peking Union Medical College Hospital. They did not experience severe bleeding during delivery. Ten patients (mean age 31 ± 6.4 years) developed secondary postpartum haemorrhage and underwent uterine artery embolization. The complications, control of haemorrhage, and outcome of the placenta left inside the uterus were retrospectively reviewed. Results: All patients underwent transcatheter embolization of bilateral uterine arteries. The median time between delivery and uterine artery embolization was 11 days (range 3–76 days). The technical success rate of embolization was 100%. Bleeding was controlled in all patients during follow-up (11 ± 6.9 months; range 3–24 months), and no further bleeding occurred. One patient developed lower-extremity deep venous thrombosis after uterine artery embolization, and no other major complications occurred. The placentae that were left inside the uteri gradually decreased in size during follow-up, except in one case. Nine patients resumed normal menstruation. One patient subsequently became pregnant and had an uneventful intrauterine pregnancy carried to term. Conclusion: Uterine artery embolization is safe and effective for the management of secondary postpartum haemorrhage associated with placenta accreta.

  15. Analysis of placenta vascularization in patients with uterine altered artery Doppler flow velocity exams.

    Science.gov (United States)

    Gilio, Daniel Bruno; Miranda Corrêa, Rosana Rosa; Souza de Oliveira Guimarães, Camila; Peres, Luiz Cesar; Marques Salge, Ana Karina; Cavellani, Camila Lourencini; de Paula Antunes Teixeira, Vicente; Costa da Cunha Castro, Eumenia

    2009-08-01

    One of the frequent questions in obstetric practice is to determine placental vascular changes that may account for abnormal Doppler flow velocity alterations in maternal uterine vessels from women and fetuses without pregnancy pathology. A retrospective morphometric study was realized using 27 placentas from patients submitted for Doppler flow velocity exam during pregnancy. The placentas were morphologically examined using hematoxylin-eosin staining. Measurements of villi were made with the use of a video camera coupled to a common light microscope and a computer with automatic image analyzing software. Of the 27 placentas, 13 (48%) were of patients showing unaltered Doppler and 14 (52%) showing altered Doppler. The number of stem villi vessels was significantly larger in the placentas of patients with Doppler exam alterations (P = 0.003). This group also presented greater stem villi vessel thickness, although without significant difference. The number of intermediary and terminal villi vessels was greater in the placentas of patients with altered Doppler exams (P < 0.001), and a greater terminal villi area was observed in these cases (P < 0.001). The morphological proof that uterine artery Doppler flow velocity exam alterations are associated with placental vascular alterations demonstrates the importance of this exam during prenatal care, even in the absence of maternal-fetal alterations.

  16. Histological features of the placenta and their relation to the gross and data from Thoroughbred mares

    Directory of Open Access Journals (Sweden)

    Fernanda M. Pazinato

    Full Text Available Abstract: The placenta is a transitory organ that originates from maternal and fetal tissues, the function of which is transporting nutrients from the mother to the fetus. The aim of this study was describe the histological features of placentas in healthy Thoroughbred mares at foaling and evaluate their relation with the gross placental and data of these mares. For this study 188 Thoroughbred mares were used. It was performed clinical observation for signs of placentitis during daily health checks and ultrasonic examination monthly to assess the fetus and placenta. All of the mares that exhibited clinical signs of placentitis were treated during gestation. The parturition was assisted, the placentas were grossly evaluated and samples were collected immediately after expulsion. The following data were considered for each mare: age, gestational age, number of parturition, time for placental expulsion, umbilical-cord length, placental weight and clinical signs of placentitis. Histological evaluation of the placentas revealed extensive cytoplasmic vacuolization of the epithelial areolar cells, presence of inflammatory infiltrates and hypoplasia-atrophy of the microcotyledons. Most of the gross placental findings were consistent with the histological results. In conclusion the mares with a vacuolated placental chorionic epithelium were older and had experienced a larger number of births. Great part of the mares with inflammatory infiltrates did not showed any clinical signs of placentitis during gestation.

  17. Primary observation of clinical curative effect of superselective uterine artery embolization for treatment of placenta increta

    International Nuclear Information System (INIS)

    Wang Changfu; Zhang Heping; Zhang Hongxia; Jin Haiying; Wang Binjie; He Xiang; Zhang Jie; Li Changbo

    2008-01-01

    Objective: To explore the curative effect on superselective uterine artery embolization for treatment of placenta increta. Methods: Pelvic arteriography was performed to confirm bleeding vessels. Then a 5 F Cobra catheter was inserted superselectively into uterine artery ipsilateral to bleeding, through which methotrexatum (MTX) and gelatin sponge were injected for embolization. After the procedure, bleeding, blood pressure, dischargement of placenta tissue, uterine recuperation, and plasma β-HCG were monitored. Results: Bleeding vessels were confirmed in all of the 5 cases of placenta increta. Uterine artery embolization was successful at sole procedure. The operation time was 25.0 to 60.0 min, with the mean time (37.4 ± 5.8) min. Vaginal bleeding stoped in 3.0 to 12.0 minutes after embolization and the mean time was (5.7 ± 2.4) min. Blood pressure returned to normal after operation and vital signs were stable. Placenta tissue discharged on the 5th day to the 4th week after embolization and the mean time was 17 d. The uterus recuperated and blood β-HCG recovered simutaneously. The menstruation and ovulation during follow-up returned to normal. Conclusion: Superselective uterine artery embolization for treatment of placenta increta has advantages such as short operation time, minimal invasion, definite curative effect and reservation of uterus, which is worthy in clinical application. (authors)

  18. Retrospective analysis of obstetric and anesthetic management of patients with placenta accreta spectrum disorders.

    Science.gov (United States)

    Riveros-Perez, Efrain; Wood, Cristina

    2018-03-01

    To assess the management and maternal outcomes of placenta accreta spectrum (PAS) disorders. A retrospective chart review was conducted of patients diagnosed with PAS disorders (placenta creta, increta, or percreta) who were treated at a US tertiary care center between February 1, 2011, and January 31, 2016. Obstetric management, anesthetic management, and maternal outcomes were analyzed. A total of 43 cases were identified; placenta previa was diagnosed among 33 (77%). Median age was 33 years (range 23-42). Median blood loss was 1500 mL (interquartile range 1000-2500); blood loss was greatest among the 10 patients with placenta percreta (3250 mL, interquartile range 2200-6000). Transfusion of blood products was necessary among 14 (33%) patients, with no difference in frequency according to the degree of placental invasion (P=0.107). Surgical complications occurred among 10 (23%) patients. Overall, 30 (70%) patients received combined spinal-epidural plus general anesthesia, 4 (9%) received only general anesthesia, and 9 (21%) underwent surgery with combined spinal-epidural anesthesia. One patient experienced difficult airway and another experienced accidental dural puncture. Placenta previa and accreta coexist in many patients, leading to substantial bleeding related to the degree of myometrial invasion. An interdisciplinary team approach plus the use of combined spinal-epidural anesthesia, transitioning to general anesthesia, were advisable and safe. © 2017 International Federation of Gynecology and Obstetrics.

  19. Differential Expression of Growth-, Angiogenesis- and Invasion-Related Factors in The Development of Placenta Accreta

    Directory of Open Access Journals (Sweden)

    Jenn-Jhy Tseng

    2006-06-01

    Full Text Available Placenta accreta is the major cause of maternal death complicated by massive peripartum hemorrhage. Its development is traditionally considered to be related to a decidual defect caused by previous cesarean deliveries or uterine curettages. Usually, placental villi firmly adhere to the superficial myometrium and deeply invade, or even penetrate, the uterine wall. Abnormal uteroplacental neovascularization is another characteristic. Therefore, we hypothesized that placenta accreta develops as a result of abnormal expressions of growth-, angiogenesis- and invasion-related factors in trophoblast populations. We have found, in pregnancies complicated by placenta accreta: upregulated epidermal growth factor receptor and downregulated c-erbB-2 oncoprotein in syncytiotrophoblasts; downregulated vasculoendothelial growth factor receptor-2 expression in syncytiotrophoblasts and increased vasculoendothelial growth factor in placental lysates; and downregulated Tie-2 expression in syncytiotrophoblasts and enhanced angiopoietin-2 level in placental lysates. However, matrix metalloproteinase expression was not upregulated, so the association of these invasion-related molecules with placenta accreta is less likely. Taken together, these findings imply that complex factors, either alone or in combination, might be responsible for the development of placenta accreta. Further studies are needed to understand the signaling pathways and possible genetic events.

  20. Hemoperitoneum Caused by Placenta Percreta in the Third Trimester of Pregnancy

    Directory of Open Access Journals (Sweden)

    Maryam Asgharnia

    2009-06-01

    Full Text Available The placental adhesive disorders such as placenta accreta andplacenta percreta are the rare causes of serious obstetric hemorrhages.They are associated with high maternal morbidity andmortality. Placenta percreta is usually diagnosed in the thirdtrimester of pregnancy as a massive postpartum hemorrhagewhen an attempt to remove the placenta reveals lack of acleavage plane. Here we report an unusual presentation of placentapercreta as hemoperitoneum and hemorrhagic shock inthe third trimester of pregnancy. A 33-year-old woman wasadmitted to hospital at the 35th weeks of gestation with abdominalpain and hemorrhagic shock. Laparotomy was immediatelyperformed because of intra-abdominal bleeding. Uponinspection, a posterior laceration of the uterus was noted.Pathologic investigation of the uterus showed placenta percreta.The patient recovered uneventfully. Spontaneous ruptureof the uterus can be occured in the absence of uterinetrauma. In the differential diagnosis of a pregnant woman presentingwith hypotension, abdominal pain, and fetal death, ruptureof the uterus caused by placenta percreta should be considered.Rapid diagnosis, blood transfusion, and emergency laparotomyare the key steps in successful management.

  1. 3'-Azido-3'-deoxythymidine (AZT) induces apoptosis and alters metabolic enzyme activity in human placenta

    International Nuclear Information System (INIS)

    Collier, Abby C.; Helliwell, Rachel J.A.; Keelan, Jeffrey A.; Paxton, James W.; Mitchell, Murray D.; Tingle, Malcolm D.

    2003-01-01

    The anti-HIV drug 3'-azido-3'-deoxythymidine (AZT) is the drug of choice for preventing maternal-fetal HIV transmission during pregnancy. Our aim was to assess the cytotoxic effects of AZT on human placenta in vitro. The mechanisms of AZT-induced effects were investigated using JEG-3 choriocarcinoma cells and primary explant cultures from term and first-trimester human placentas. Cytotoxicity measures included trypan blue exclusion, MTT, and reactive oxygen species (ROS) assays. Apoptosis was measured with an antibody specific to cleaved caspase-3 and by rescue of cells by the general caspase inhibitor Boc-D-FMK. The effect of AZT on the activities of glutathione-S-transferase, β-glucuronidase, UDP-glucuronosyl transferase, cytochrome P450 (CYP) 1A, and CYP reductase (CYPR) in the placenta was assessed using biochemical assays and immunoblotting. AZT increased ROS levels, decreased cellular proliferation rates, was toxic to mitochondria, and initiated cell death by a caspase-dependent mechanism in the human placenta in vitro. In the absence of serum, the effects of AZT were amplified in all the models used. AZT also increased the amounts of activity of GST, β-glucuronidase, and CYP1A, whereas UGT and CYPR were decreased. We conclude that AZT causes apoptosis in the placenta and alters metabolizing enzymes in human placental cells. These findings have implications for the safe administration of AZT in pregnancy with respect to the maintenance of integrity of the maternal-fetal barrier

  2. Residential proximity to major roads and placenta/birth weight ratio.

    Science.gov (United States)

    Yorifuji, Takashi; Naruse, Hiroo; Kashima, Saori; Murakoshi, Takeshi; Tsuda, Toshihide; Doi, Hiroyuki; Kawachi, Ichiro

    2012-01-01

    Exposure to air pollution has been demonstrated to increase the risk of preterm birth and low birth weight. We examined whether proximity to major roads (as a marker of exposure to air pollution) is associated with increased placenta/birth weight ratio (as a biomarker of the placental transport function). Data on parental characteristics and birth outcomes were extracted from the database maintained by a major hospital in Shizuoka Prefecture, Japan. We restricted the analysis to mothers who delivered liveborn single births from 1997 to 2008 (n = 14,189). Using geocoded residential information, each birth was classified according to proximity to major roads. We examined the association between proximity to major roads and the placenta/birth weight ratio, using multiple linear regression. Proximity to major roads was associated with higher placenta/birth weight ratio. After adjusting for potential confounders, living within 200 m of a major road increased the ratio by 0.48% (95% CI = 0.15 to 0. 80). In addition, proximity to major roads was associated with lower placenta weight and birth weight. These observed associations were stronger among participants living closer to major roads. Exposure to traffic-related air pollution is associated with higher placenta/birth weight ratio. Impaired placental oxygen and nutrient transport function might be a mechanism for explaining the observed association between air pollution and low birth weight as well as preterm birth. Copyright © 2011 Elsevier B.V. All rights reserved.

  3. The placenta shed from goats with classical scrapie is infectious to goat kids and lambs.

    Science.gov (United States)

    Schneider, David A; Madsen-Bouterse, Sally A; Zhuang, Dongyue; Truscott, Thomas C; Dassanayake, Rohana P; O'Rourke, Katherine I

    2015-08-01

    The placenta of domestic sheep plays a key role in horizontal transmission of classical scrapie. Domestic goats are frequently raised with sheep and are susceptible to classical scrapie, yet potential routes of transmission from goats to sheep are not fully defined. Sparse accumulation of disease-associated prion protein in cotyledons casts doubt about the role of the goat's placenta. Thus, relevant to mixed-herd management and scrapie-eradication efforts worldwide, we determined if the goat's placenta contains prions orally infectious to goat kids and lambs. A pooled cotyledon homogenate, prepared from the shed placenta of a goat with naturally acquired classical scrapie disease, was used to orally inoculate scrapie-naïve prion genotype-matched goat kids and scrapie-susceptible lambs raised separately in a scrapie-free environment. Transmission was detected in all four goats and in two of four sheep, which importantly identifies the goat's placenta as a risk for horizontal transmission to sheep and other goats.

  4. Impact of maternal diabetes type 1 on proliferative potential, differentiation and apoptotic activity in villous capillaries of term placenta.

    Science.gov (United States)

    Jirkovská, Marie; Kučera, Tomáš; Dvořáková, Veronika; Jadrníček, Martin; Moravcová, Milena; Žižka, Zdeněk; Krejčí, Vratislav

    2016-04-01

    Maternal diabetes mellitus changes morphology and impairs function of placental capillaries. Here, quantitative parameters characterizing cell proliferation using detection of Ki67, differentiation reflected by nestin expression and apoptosis in placental capillary bed with active caspase 3 as a marker were compared in normal term placentas and placentas from pregnancies complicated by Type 1 maternal diabetes mellitus. Specimens of sixteen diabetic placentas and eight control placentas were collected by systematic uniform random sampling. Immunohistochemical detections of Ki67, nestin, and active caspase 3 were performed in histological sections of five haphazardly chosen blocks per placenta. Twenty fields of view per section, i.e. one hundred fields of view per placenta, were used for analysis of proliferation as well as of apoptosis, and in approximately 70 capillary cross-sections per placenta the nestin-positive segments of their circumference were measured. The percentage of Ki67-positive cells counted in the capillary wall was significantly lower in diabetic group. The counts of Ki67-labelled nuclei per villous area unit were significantly lower in cytotrophoblast and capillary wall of terminal villi in diabetic placenta. The proportion of nestin-labeled segments of capillary circumference was significantly higher in placentas of diabetic group. No differences in the numbers of apoptotic cells were found between studied groups. The results show that the term placenta in Type 1 diabetes has lower potential to enlarge the surface area of structures involved in maternofetal transport, and that the villous capillary bed displays delayed differentiation. Those factors may participate in decreased ability of diabetic placenta to comply with fetal requirements in the final stage of pregnancy. Copyright © 2016 Elsevier Ltd. All rights reserved.

  5. Desenho da figura humana e a avaliação da imagem corporal Dibujo de la figura humana y la evaluación de la imagen corporal Human figure drawing and the evaluation of the body image

    Directory of Open Access Journals (Sweden)

    Adriana Martins Saur

    2010-09-01

    Full Text Available O Desenho da Figura Humana (DFH é uma das técnicas de avaliação psicológica mais conhecidas e utilizadas no Brasil, podendo informar sobre características da imagem corporal do indivíduo, tema relevante na atualidade, quando a representação do corpo tem assumido grande destaque social. Neste contexto, objetivou-se avaliar a representação da imagem corporal expressa no DFH (proposta de Machover de adultos de diferentes índices de massa corporal (IMCs. Participaram do estudo 120 voluntários, de idades entre 18 e 55 anos, dos sexos masculino e feminino, saudáveis, residentes em Ribeirão Preto (SP, distribuídos em quatro grupos de IMC (abaixo do peso, peso normal, sobrepeso e acima do peso. Os desenhos foram classificados por juízes independentes, adotando-se o sistema proposto por Van Kolck. Os resultados indicaram poucas diferenças significativas entre os itens avaliativos do DFH e os diferentes grupos de IMC, apontando limites informativos na investigação da imagem corporal de adultos por meio desta técnica.El Dibujo de la Figura Humana (DFH es una de las técnicas de evaluación psicológica más conocidas y utilizadas en Brasil que puede informar sobre características de la imagen corporal del individuo, tema relevante en la actualidad cuando la representación del cuerpo ha asumido gran destaque social. En este contexto, se buscó evaluar la representación de la imagen corporal, expresa en el DFH (propuesta de Machover, de adultos de diferentes índices de masa corporal (IMC. Participaron del estudio 120 voluntarios, de 18 a 55 años, de los sexos femenino y masculino, saludables, residentes en Ribeirão Preto (SP, distribuidos en cuatro grupos de IMC (abajo del peso, peso normal, sobrepeso y exceso de peso. Los dibujos fueron clasificados por jueces independientes, adoptándose el sistema propuesto por Van Kolck. Los resultados indicaron pocas diferencias significativas entre los ítems evaluadores del DFH y los

  6. Efeito protetor da lactoferrina humana no trato gastrintestinal Efecto protector de la lactoferrina humana en el sistema gastrointestinal Protective effect of human lactoferrin in the gastrointestinal tract

    Directory of Open Access Journals (Sweden)

    Valterlinda Alves de O. Queiroz

    2013-03-01

    Full Text Available OBJETIVO: Descrever os mecanismos de ação da lactoferrina humana na proteção de morbidades gastrintestinais. FONTES DE DADOS: Revisão não sistemática da literatura utilizando como estratégia de busca pesquisa bibliográfica em bases de dados, as quais incluíram SciELO, Lilacs e MedLine entre 1990 e 2011. Os descritores utilizados foram: lactoferrina, leite materno/humano, gastrintestinal e imunidade, nos idiomas português e inglês. SÍNTESE DOS DADOS: A lactoferrina é a segunda proteína predominante no leite humano, com concentrações mais elevadas no colostro (5,0 a 6,7mg/mL em relação ao leite maduro (0,2 a 2,6mg/mL. Em contraste, o leite de vaca contém teores inferiores, 0,83mg/mL no colostro e 0,09mg/mL no leite maduro. A lactoferrina desempenha diversas funções fisiológicas na proteção do trato gastrintestinal. A atividade antimicrobiana está relacionada à capacidade de sequestrar ferro dos fluidos biológicos e/ou de desestruturar a membrana de micro-organismos. A lactoferrina possui também a capacidade de estimular a proliferação celular. A ação anti-inflamatória desempenhada pela lactoferrina está associada à capacidade de penetrar no núcleo do leucócito e bloquear a transcrição do fator nuclear Kappa B. Diante da importância da lactoferrina na prevenção de doenças infecciosas em crianças aleitadas ao peito, a indústria vem, por meio da engenharia genética, desenvolvendo tecnologias para expressar esta proteína recombinante humana em plantas e animais, na tentativa de adequar a composição das fórmulas infantis àquela do leite humano. CONCLUSÕES: A lactoferrina humana é um peptídeo com potencial para prevenir morbidades, especialmente às gastrintestinais. Evidências científicas dos efeitos protetores da lactoferrina humana fortalecem ainda mais a recomendação para prática do aleitamento materno.OBJETIVO: Describir los mecanismos de acción de la lactoferrina humana en la protecci

  7. Validación de la punción aspiración con aguja fina (PAAF) en el diagnóstico de linfadenitis tuberculosa en pacientes con infección por el virus de la inmunodeficiencia humana (VIH)

    OpenAIRE

    Cabrera, Susana G; Ortega, Virginia; Medina, Julio C; Gualco, Gabriela; Viola, Marcelo; Pérez, Graciela; Musto, María L.; Zeballos, Justino; Savio, Eduardo

    2009-01-01

    Resumen Introducción: la punción aspiración aguja fina (PAAF) de ganglio linfático es una técnica sencilla, rápida y de bajo costo para la obtención de muestras para diagnóstico. Objetivo: el objetivo del estudio fue validar la PAAF en el diagnóstico de linfadenitis tuberculosa (TB) en pacientes infectados por el virus de la inmunodeficiencia humana (VIH), utilizando como "gold standard" el cultivo de Mycobacterium tuberculosis en biopsia ganglionar o la histopatología más la respuesta al tra...

  8. Orientaciones metodológicas de la disciplina anatomía humana en las sedes universitarias municipales Methodological directions on human anatomy discipline in the municipal university venues

    Directory of Open Access Journals (Sweden)

    Iraida Hidalgo Gato Castillo

    2007-06-01

    Full Text Available El proceso docente educativo en las sedes universitarias municipales se encuentran a cargo de médicos generales integrales, por lo que el colectivo de Anatomía Humana trazó orientaciones metodológicas que caracterizan la disciplina Anatomía Humana, explicando las formas de organización de la enseñanza a través de cinco sistemas: objetivos, conocimientos, habilidades, clases y evaluación. Se recomienda la bibliografía básica, complementaria, auxiliar y de consulta, así como el estudio independiente. De manera que garantizan la preparación metodológica de todos los facilitadores que están comprometidos con el proceso docente educativo del actual modelo de formación.The educative teaching process in the municipal university venues is in charge of the family doctors, so the teaching staff of Human Anatomy gave methodological directions characterizing the Human Anatomy discipline, explaining the ways of organization of Teaching by means of five systems: objectives, knowledge, training, classes and evaluation. The basic, complementary, auxiliary and consultation bibliography is recommended, as well as the individual study, so it will guarantee the methodological training of all the providers involved in the educative teaching process of the current training model.

  9. Anticuerpos monoclonales contra la gonadotropina coriónica humana (hCG para su uso en la detección de embarazo Monoclonal antibodies against human chorionic gonadotropin (HCG for their use in pregnancy detection

    Directory of Open Access Journals (Sweden)

    Bertha V. Rodríguez Pendás

    2004-12-01

    Full Text Available Se reporta la generación de 2 anticuerpos monoclonales (AcM de ratón dirigidos contra la hormona gonadotropina coriónica humana (hCG, a partir de la inmunización de ratones BALB/c con hCG humana, purificada en el Instituto Nacional de Endocrinología (INEN. Los AcM obtenidos son de la clase IgG y fueron purificados a partir de líquido ascítico, mediante cromatografía de afinidad en proteína G Sepharosa. El estudio de afinidad y especificidad demostró que estos anticuerpos podían ser útiles en ensayos inmunoenzimáticos, con el uso de uno de ellos en el sistema microELISA, de nuestra institución, para la detección cualitativa de embarazo en orina.The generation of 2 mouse monoclonal antibodies directed against the human chorionic gonadotropin hormone (CGh, starting from the immunization of BALB/c mice with human CGh purified at the National Institute of Endocrinology (NIEN is reported. IgG monoclonal antibodies were obtained. They were purified starting from the ascitic fluid by affinity chromatography in protein G Sepharose. The affinity and specificity study showed that these antibodies could be useful in immunoenzimatic assays, using one of them in the microELISA system of our institution for the qualitative detection of pregnancy in urine.

  10. Reseña del libro: No hay dos iguales. Individualidad humana y naturaleza humana || Review of the book: No two alike. Human Nature and Human Individuality

    Directory of Open Access Journals (Sweden)

    Silvia López-Larrosa

    2015-11-01

    Full Text Available Reseña de: Harris. J.R. (2015. No hay dos iguales. Individualidad humana y naturaleza humana. Madrid: Funambulista. 482 pp. ISBN: 978-84-943026-6-4. Depósito legal: M -36933-2041. [Original: No Two Alike. Human Nature and Human Individuality (2006.] El libro “No hay dos iguales” de Judith Rich Harris trata de responder a una pregunta difícil: por qué somos como somos, por qué incluso los hermanos, habiendo recibido una educación similar y compartiendo una dotación genética similar, son diferentes entre sí. Si alguien se había hecho antes esta pregunta, la autora, tras un recorrido casi detectivesco, le dará algunas respuestas basadas en nuestras dotaciones genéticas, en nuestras únicas interacciones con los demás y en la elaboración que como humanos hacemos de la información que nos proporcionan los que nos rodean.

  11. Endoplasmic reticulum stress is induced in the human placenta during labour.

    Science.gov (United States)

    Veerbeek, J H W; Tissot Van Patot, M C; Burton, G J; Yung, H W

    2015-01-01

    Placental endoplasmic reticulum (ER) stress has been postulated in the pathophysiology of pre-eclampsia (PE) and intrauterine growth restriction (IUGR), but its activation remains elusive. Oxidative stress induced by ischaemia/hypoxia-reoxygenation activates ER stress in vitro. Here, we explored whether exposure to labour represents an in vivo model for the study of acute placental ER stress. ER stress markers, GRP78, P-eIF2α and XBP-1, were significantly higher in laboured placentas than in Caesarean-delivered controls localised mainly in the syncytiotrophoblast. The similarities to changes observed in PE/IUGR placentas suggest exposure to labour can be used to investigate induction of ER stress in pathological placentas. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

  12. GATM, the human ortholog of the mouse imprinted Gatm gene, escapes genomic imprinting in placenta

    Directory of Open Access Journals (Sweden)

    Toshinobu Miyamoto

    2005-03-01

    Full Text Available The GATM gene encodes L-arginine:glycine amidinotransferase, which catalyzes the conversion of L-arginine into guanidinoacetate, the rate-limiting step in the synthesis of creatine. Since, deficiencies in creatine synthesis and transport lead to certain forms of mental retardation in human, the human GATM gene appears to be involved in brain development. Recently it has been demonstrated that the mouse Gatm is expressed during development and is imprinted with maternal expression in the placenta and yolk sac, but not in embryonic tissues. We investigated the imprinting status of the human GATM by analyzing its expression in four human placentas. GATM was biallelically expressed, thus suggesting that this gene escapes genomic imprinting in placentas, differently from what has been reported in mouse extra-embryonic tissues.

  13. Morphology, histochemistry and glycosylation of the placenta and associated tissues in the European hedgehog (Erinaceus europaeus)

    DEFF Research Database (Denmark)

    Jones, Carolyn J P; Carter, A M; Allen, W R

    2016-01-01

    glycosylated. Yolk sac inner and outer endoderm expressed similar glycans except for N-acetylgalactosamine residues in endodermal acini. DISCUSSION: New features of near-term hedgehog placenta and associated tissues are presented, including their glycosylation, and novel yolk sac acinar structures......INTRODUCTION: There are few descriptions of the placenta and associated tissues of the European hedgehog (Erinaceus europaeus) and here we present findings on a near-term pregnant specimen. METHODS: Tissues were examined grossly and then formalin fixed and wax-embedded for histology...... and immunocytochemistry (cytokeratin) and resin embedded for lectin histochemistry. RESULTS: Each of four well-developed and near term hoglets displayed a discoid, haemochorial placenta with typical labyrinth and spongy zones. In addition there was a paraplacenta incorporating Reichert's membrane and a largely detached...

  14. Flame retardants in placenta and breast milk and cryptorchidism in newborn boys

    DEFF Research Database (Denmark)

    Main, Katharina Maria; Kiviranta, Hannu; Virtanen, Helena Eeva

    2007-01-01

    of PBDEs in breast milk was significantly higher in boys with cryptorchidism than in controls (sum of BDEs 47, 153, 99, 100, 28, 66, and 154: median, 4.16 vs. 3.16 ng/g fat; p luteinizing hormone (p ..., 1997-2001, all boys were examined for cryptorchidism. We analyzed whole placentas (for 95 cryptorchid/185 healthy boys) and individual breast milk samples (62/68) for 14 PBDEs and infant serum samples for gonadotropins, sex-hormone binding globulin, testosterone, and inhibin B. RESULTS: In 86 placenta-milk...... pairs, placenta PBDE concentrations in fat were lower than in breast milk, and a larger number of congeners were nondetectable. There was no significant difference between boys with and without cryptorchidism for individual congeners, the sum of 5 most prevalent, or all 14 congeners. The concentration...

  15. ¿Qué pasa en el cerebro de los perros cuando ven caras humanas?

    Directory of Open Access Journals (Sweden)

    Laura V. Cuaya

    2016-05-01

    Full Text Available Cuando tu perro te ve, no sólo se iluminan sus ojos, también su cerebro. Aquí resumimos un experimento que realizamos para conocer el procesamiento cerebral de las caras humanas en perros, utilizando imágenes de resonancia magnética funcional, en el que encontramos actividad en la corteza temporal, frontal y el núcleo caudado. La actividad en la corteza temporal sugiere que los perros procesan las caras de manera similar a nosotros. Fue inesperado encontrar actividad en el núcleo caudado, porque sugiere que los perros procesan las caras humanas como recompensas, incluso si son caras de humanos desconocidos.

  16. Contra a "violência de inexistir": psicologia crítica e diversidade humana

    Directory of Open Access Journals (Sweden)

    Nuno Santos Carneiro

    2013-01-01

    Full Text Available Ancorado numa perspectiva crítica, este artigo propõe uma revisão teórica sobre as abordagens psicológicas em torno da diversidade humana. Num primeiro momento, são examinadas as evoluções conceptuais que a noção de diversidade foi assumindo na psicologia. Posteriormente, elencamos algumas propostas epistemológicas consonantes com a perspectiva crítica adoptada. Por fim, procedemos a uma sistematização de princípios orientadores de uma praxis crítica celebrante da diversidade humana e combativa do que sugerimos ser a "violência de inexistir", representada pela rejeição das inumeráveis realidades subjectivas e relacionais que sempre nos caracterizam na diversidade.

  17. Seguridad humana en Colombia: donde no hay bienestar no puede haber paz

    Directory of Open Access Journals (Sweden)

    María Teresa Aya Smitmans

    2006-11-01

    Full Text Available Este artículo trata sobre los retos que amenazan a la soberanía clásica en el sistema internacional y, en especial, a la seguridad humana. Ésta, entendida como una concepción ampliada de la seguridad tradicional, refuerza la idea del individuo como centro de las relaciones internacionales y pone su seguridad por encima de la seguridad estatal. Asimismo, el surgimiento de nuevos actores hacen que la gobernabilidad estatal se vea debilitada a menos que se piense en aumentar la responsabilidad estatal para con sus ciudadanos. Es así como la seguridad humana constituye un concepto importante en el siglo XXI para una gobernabilidad responsable. El artículo examina el caso colombiano.

  18. Interdisciplinaridade e complexidade: uma construção em ciências humanas

    Directory of Open Access Journals (Sweden)

    Carlos Alberto Severo Garcia Jr.

    2015-12-01

    Full Text Available http://dx.doi.org/10.5007/1807-1384.2015v12n2p1 O presente ensaio é um percurso de reflexão em torno de conceitos relacionados à construção e produção de conhecimentos interdisciplinar em ciências humanas. Parte-se de ponderações sobre os conceitos de disciplinaridade, multidisciplinaridade, interdisciplinaridade, transdisciplinaridade e desdobra-se na discussão do pensamento complexo proposto por Edgar Morin. Compreende-se que a partir da aventura interdisciplinar é possível ponderações acerca das relações e transformações da condição humana frente aos novos alicerces de saberes na modernidade e suas consequências sociais, econômicas e subjetivas.

  19. Investigation on possible risks to human health by exposure to the radiation of electromagnetic waves produced by the radio communications; Investigacion sobre posibles riesgos a la salud humana por exposicion a la radiacion de ondas electromagneticas producidas por las radiocomunicaciones

    Energy Technology Data Exchange (ETDEWEB)

    Garcia Hernandez, Carlos Felipe; Ibarguengoytia Gonzalez, Pablo Hector; Flores Garcia, Andres; Franco Campos, Laura Elena [Instituto de Investigaciones Electricas, Cuernavaca, Morelos (Mexico)

    2011-06-13

    This verification procedure is based on a research work on the possible risks to human health by exposure to the radiation of electromagnetic waves produced by the radio communications, cases of study: cellular telephony, radio digital troncalized and wireless telephony IP of Voice on IP (wireless local area network). The revision of all the international standards and the applicable national standardization was included, as well as the verification of fulfillment. [Spanish] Este procedimiento de verificacion esta basado en un trabajo de investigacion sobre posibles riesgos a la salud humana por exposicion a la radiacion de ondas electromagneticas producidas por la radiocomunicaciones, casos de estudio: telefonia celular, radio troncalizado digital y telefonia IP inalambrica de Voz sobre IP (red de area local inalambrica). Se incluyo la revision de todos los estandares internacionales y de la normatividad nacional aplicable, asi como la verificacion de cumplimiento.

  20. FORMAÇÃO HUMANA: CURRÍCULO PARA O DESENVOLVIMENTO HUMANO

    Directory of Open Access Journals (Sweden)

    Adreana Dulcina Platt

    2009-09-01

    Full Text Available No presente artigo pretendemos debater a análise crítico-reflexiva das premissas que sustentam a práxis da formação humana perpassando transversalmente os conceitos de desenvolvimento humano e o currículo. Entendemos o currículo de formação humana a partir da filosofia da práxis. Coadunando com nossas perspectivas epistemológicas, concordamos com a leitura de Semeraro (2001b, quando aponta que Gramsci melhor desvela o processo de elaboração da filosofia da práxis a partir de novas relações sociais; ou seja, desligado das puras abstrações, o filósofo italiano observa na “unidade das tensões dualistas e as contradições ricas e complexas” (“entre teoria/prática, intelectuais/massa, organização/espontaneidade, sociedade política/sociedade civil, ocidente/oriente, norte/sul, história do mundo/história particular”, a articulação para o desenvolvimento da atividade humana plena. A partir destes pressupostos colocados aqui enquanto premissas para a sistematização de nossos estudos, nos debruçaremos sobre dois grandes objetivos: (1 compreender o processo de humanização a partir da esfera das objetivações sociais e (2 a constituição do currículo de formação humana atrelado aos diferentes modos de produção, uma vez que demanda em diferentes formações sociais.

  1. La energía humana el esfuerzo físico

    Directory of Open Access Journals (Sweden)

    Luis Suárez Flórez

    1991-01-01

    Full Text Available Se llama la atención sobre la energía humana, su importancia como elemento de productividad y como principio ó quizás como fin de la actividad deportiva. Se estudia el máximo esfuerzo físico, así como también algunos conceptos acerca de la energía aeróbica y la energía anaeróbica.

  2. Relevancia e Inferencia: Procesos cognitivos propios de la comunicación humana

    Directory of Open Access Journals (Sweden)

    Moya Pardo Constanza

    2006-06-01

    Full Text Available Este artículo pretende mostrar los planteamientos cognitivos más representativos de la Teoría de la Relevancia propuesta por Spelber & Wilson con respecto al modelo ostensivoinferencial. Este modelo plantea un mecanismo deductivo explícito que da cuenta de los procesos y estrategias que permiten el paso del significado literal a la interpretación pragmática de los mensajes en el proceso de comunicación humana.

  3. Ocorrência de fascioliasis humana no município de Volta Redonda, RJ, Brasil

    OpenAIRE

    Pile,E; Gazeta,G; Santos,JAA; Coelho,B; Serra-Freire,NM

    2000-01-01

    Através do resultado de exames coprológicos realizados em pacientes atendidos em postos de saúde e hospitais do município de Volta Redonda, assinala-se a primeira ocorrência da fascioliasis humana no Estado do Rio de Janeiro, Brasil.Through the result of coprologics exams, accomplished in patients assisted in Volta Redonda hospitals, the first occurrence of the human fascioliasis is marked in the State of Rio de Janeiro, Brazil.

  4. Manifestaciones psiquiátricas desencadenadas por el virus de la inmunodeficiencia humana

    OpenAIRE

    Roberto Anselmo Ramos Valverde

    2014-01-01

    La alta morbilidad de perturbaciones mentales y del comportamiento, desencadenada por el virus de la inmunodeficiencia humana (VIH), asombra a colaboradores cubanos en la ciudad de Maputo, capital de Mozambique. Solo apelando a los conocimientos actuales de la Psicoendocrinoneuroinmunologia, que describe la vinculación basada en la teoría de la complejidad de este suprasistema, que comparte receptores y mediadores químicos, se puede disipar el asombro y llegar a comprender la esencia científi...

  5. Effects of environmental pollution with aromatic hydrocarbons on endocrine and metabolic functions of the human placenta.

    Science.gov (United States)

    Wierzba, Waldemar; Radowicki, Stanisław; Bojar, Iwona; Pinkas, Jarosław

    2018-03-14

    Phenol and 1-hydroxypyrene are biological markers of exposure to polycyclic aromatic hydrocarbons (PAH) that have certain negative effects on parenchymal organs such as the human placenta. The literature presents only few reports regarding the effects of elevated PAH levels on the functions of the human placenta. The aim of the work is to assess the effects of elevated PAH levels in excreted urine on the endocrine and metabolic functions of the human placenta obtained from a normal pregnancy. Tissue material from 50 afterbirths from Płock constituted a study group, whereas 50 afterbirths from Kutno constituted a control group. Immunohistochemical reactions with the peroxidase method using LSAB kits (DAKO, Denmark) were performed. The extent and intensity of reactions were analysed. The levels of phenols and 1-hydroxypyrene in the excreted urine of pregnant women (undergoing delivery) were detected using gas chromatography and colorimetry. The statistical analysis used the PQStat v.1.6.2 software; moreover, t-student and chi-square tests were used. Differences were considered to be significant at the significance level of 95% (p<0.05). The levels of phenol and 1-hydroxypyrene in the excreted urine were demonstrated to be statistically significantly higher in patients living in the area of Płock. Statistically lower expression of placental glutathione transferase and lower immunohistochemical demonstration of the placental phosphatase activity were observed in placentas from Płock. It has been demonstrated that the expression of the oestrogen receptor activity and placental gonadotropin is significantly higher in placentas from areas not contaminated with aromatic hydrocarbons (Kutno). The course of pregnancy in the environment with elevated levels of aromatic hydrocarbons leads to impaired placental functioning and reduced endocrine and metabolic activity of the placenta.

  6. Structure and Steroidogenesis of the Placenta in the Antarctic Minke Whale (Balaenoptera bonaerensis)

    Science.gov (United States)

    SASAKI, Motoki; AMANO, Yoko; HAYAKAWA, Daisuke; TSUBOTA, Toshio; ISHIKAWA, Hajime; MOGOE, Toshihiro; OHSUMI, Seiji; TETSUKA, Masafumi; MIYAMOTO, Akio; FUKUI, Yutaka; BUDIPITOJO, Teguh; KITAMURA, Nobuo

    2012-01-01

    Abstract There are few reports describing the structure and function of the whale placenta with the advance of pregnancy. In this study, therefore, the placenta and nonpregnant uterus of the Antarctic minke whale were observed morphologically and immunohistochemically. Placentas and nonpregnant uteri were collected from the 15th, 16th and 18th Japanese Whale Research Programme with Special Permit in the Antarctic (JARPA) and 1st JARPA II organized by the Institute of Cetacean Research in Tokyo, Japan. In the macro- and microscopic observations, the placenta of the Antarctic minke whale was a diffuse and epitheliochorial placenta. The chorion was interdigitated to the endometrium by primary, secondary and tertiary villi, which contained no specialized trophoblast cells such as binucleate cells, and the interdigitation became complicated with the progress of gestation. Furthermore, fetal and maternal blood vessels indented deeply into the trophoblast cells and endometrial epithelium respectively with fetal growth. The minke whale placenta showed a fold-like shape as opposed to a finger-like shape. In both nonpregnant and pregnant uteri, many uterine glands were distributed. The uterine glands in the superficial layer of the pregnant endometrium had a wide lumen and large epithelial cells as compared with those in the deep layer. On the other hand, in the nonpregnant endometrium, the uterine glands had a narrower lumen and smaller epithelial cells than in the pregnant endometrium. In immunohistochemical detection, immunoreactivity for P450scc was detected in most trophoblast cells, but not in nonpregnant uteri, suggesting that trophoblast epithelial cells synthesized and secreted the sex steroid hormones and/or their precursors to maintain the pregnancy in the Antarctic minke whale. PMID:23269486

  7. Efficacy of Intrauterine Bakri Balloon Tamponade in Cesarean Section for Placenta Previa Patients.

    Directory of Open Access Journals (Sweden)

    Hee Young Cho

    Full Text Available The aims of this study were to analyze the predictive factors for the use of intrauterine balloon insertion and to evaluate the efficacy and factors affecting failure of uterine tamponade with a Bakri balloon during cesarean section for abnormal placentation.We reviewed the medical records of 137 patients who underwent elective cesarean section for placenta previa between July 2009 and March 2014. Cesarean section and Bakri balloon insertion were performed by a single qualified surgeon. The Bakri balloon was applied when blood loss during cesarean delivery exceeded 1,000 mL.Sixty-four patients (46.7% required uterine balloon tamponade during cesarean section due to postpartum bleeding from the lower uterine segment, of whom 50 (78.1% had placenta previa totalis. The overall success rate was 75% (48/64 for placenta previa patients. Previous cesarean section history, anterior placenta, peripartum platelet count, and disseminated intravascular coagulopathy all significantly differed according to balloon success or failure (all p<0.05. The drainage amount over 1 hour was 500 mL (20-1200 mL in the balloon failure group and 60 mL (5-500 mL in the balloon success group (p<0.01.Intrauterine tamponade with a Bakri balloon is an adequate adjunct management for postpartum hemorrhage following cesarean section for placenta previa to preserve the uterus. This method is simple to apply, non-invasive, and inexpensive. However, possible factors related to failure of Bakri balloon tamponade for placenta previa patients such as prior cesarean section history, anterior placentation, thrombocytopenia, presence of DIC at the time of catheter insertion, and catheter drainage volume more than 500 mL within 1 hour of catheter placement should be recognized, and the next-line management should be prepared in advance.

  8. DNA methylation of amino acid transporter genes in the human placenta.

    Science.gov (United States)

    Simner, C; Novakovic, B; Lillycrop, K A; Bell, C G; Harvey, N C; Cooper, C; Saffery, R; Lewis, R M; Cleal, J K

    2017-12-01

    Placental transfer of amino acids via amino acid transporters is essential for fetal growth. Little is known about the epigenetic regulation of amino acid transporters in placenta. This study investigates the DNA methylation status of amino acid transporters and their expression across gestation in human placenta. BeWo cells were treated with 5-aza-2'-deoxycytidine to inhibit methylation and assess the effects on amino acid transporter gene expression. The DNA methylation levels of amino acid transporter genes in human placenta were determined across gestation using DNA methylation array data. Placental amino acid transporter gene expression across gestation was also analysed using data from publically available Gene Expression Omnibus data sets. The expression levels of these transporters at term were established using RNA sequencing data. Inhibition of DNA methylation in BeWo cells demonstrated that expression of specific amino acid transporters can be inversely associated with DNA methylation. Amino acid transporters expressed in term placenta generally showed low levels of promoter DNA methylation. Transporters with little or no expression in term placenta tended to be more highly methylated at gene promoter regions. The transporter genes SLC1A2, SLC1A3, SLC1A4, SLC7A5, SLC7A11 and SLC7A10 had significant changes in enhancer DNA methylation across gestation, as well as gene expression changes across gestation. This study implicates DNA methylation in the regulation of amino acid transporter gene expression. However, in human placenta, DNA methylation of these genes remains low across gestation and does not always play an obvious role in regulating gene expression, despite clear evidence for differential expression as gestation proceeds. Copyright © 2017. Published by Elsevier Ltd.

  9. Impact of antenatal diagnosis and management strategies in morbidly adherent placenta

    International Nuclear Information System (INIS)

    Choudry, A.; Choudry, H.; Shukr, I.; Ahmad, S

    2011-01-01

    Objectives: To study the pattern, demography and management options in placenta accreta in a tertiary care centre. Duration and settings: January 1, 2004 to August 15, 2008 at Military Hospital, Rawalpindi and between Sep 1, 2008 to Oct 30, 2009 at Combined Military Hospital, Multan. Patients and Methods All cases of placenta accreta seen during the study period were included in the study. Placenta accreta was defined as placenta being adherent to uterine wall without easy separation. Patient's demography, presence or absence of prenatal diagnosis and the management strategy i.e. conservative or otherwise was documented on a proforma. Success or failure of surgical approach used was noted. Assessment of maternal morbidity in the form of amount of blood/blood product transfused and early and late complications was made and compared with other cases that were antenatally diagnosed or were undiagnosed. Results: A total of 28 cases were analyzed during study period. The incidence of placenta accreta was 6.3/10000. Mean maternal age was 30.7 years. Placenta praevia obstetrical hysterectomy was performed in 17(61%) cases and had to be backed up by internal iliac artery ligation in 7(25%) Requirement for blood transfusion in antenatally diagnosed cases was almost 50% less than those of undiagnosed cases and the same was true for fresh frozen plasma (3.75 +- 4.18 versus 6.75 +- 5.41), platelet transfusion (P=0.04), stay in intensive care unit (1.56 +- 1.82 versus 3.41 +- 3.28)and use of mechanical ventilation (7% versus 11%). There was no mortality in this series. Conclusions: Intra-operative internal iliac artery ligation reduces blood loss before and after hysterectomy and should be done in cases with placents accreta to reduce morbidity and mortality. (author)

  10. Role of the placenta in fetal programming: underlying mechanisms and potential interventional approaches.

    Science.gov (United States)

    Jansson, Thomas; Powell, Theresa L

    2007-07-01

    Adverse influences during fetal life alter the structure and function of distinct cells, organ systems or homoeostatic pathways, thereby 'programming' the individual for an increased risk of developing cardiovascular disease and diabetes in adult life. Fetal programming can be caused by a number of different perturbations in the maternal compartment, such as altered maternal nutrition and reduced utero-placental blood flow; however, the underlying mechanisms remain to be fully established. Perturbations in the maternal environment must be transmitted across the placenta in order to affect the fetus. Here, we review recent insights into how the placenta responds to changes in the maternal environment and discuss possible mechanisms by which the placenta mediates fetal programming. In IUGR (intrauterine growth restriction) pregnancies, the increased placental vascular resistance subjects the fetal heart to increased work load, representing a possible direct link between altered placental structure and fetal programming of cardiovascular disease. A decreased activity of placental 11beta-HSD-2 (type 2 isoform of 11beta-hydroxysteroid dehydrogenase) activity can increase fetal exposure to maternal cortisol, which programmes the fetus for later hypertension and metabolic disease. The placenta appears to function as a nutrient sensor regulating nutrient transport according to the ability of the maternal supply line to deliver nutrients. By directly regulating fetal nutrient supply and fetal growth, the placenta plays a central role in fetal programming. Furthermore, perturbations in the maternal compartment may affect the methylation status of placental genes and increase placental oxidative/nitrative stress, resulting in changes in placental function. Intervention strategies targeting the placenta in order to prevent or alleviate altered fetal growth and/or fetal programming include altering placental growth and nutrient transport by maternally administered IGFs (insulin

  11. Impacto do diabetes mellitus gestacional sobre a massa placentária humana

    Directory of Open Access Journals (Sweden)

    Cleiton Jonei Reginatto

    2016-05-01

    Full Text Available Introdução: O diabetes mellitus gestacional (DMG é uma alteração patológica do metabolismo energético materno desencadeado pela incapacidade da gestante produzir quantidades suficientes de insulina para compensar a intolerância à glicose desencadeada pela ação do hormônio lactogênio placentário (HPL. Tendo em vista que os níveis plasmáticos do HPL são proporcionais à massa da placenta e que eles são máximos próximo ao período em que a placenta adquire seu maior tamanho e período que a hiperglicemia se manifesta na gestante com DMG, é possível inferir que talvez exista correlação entre a massa placentária e essa doença. Objetivo: Avaliar se existe correlação entre o DMG e a massa placentária. Métodos: Pesquisa descritiva, transversal e com abordagem quantitativa, que foi realizada em um hospital público de Santa Catarina, Brasil. A pesquisa incluiu 20 mulheres grávidas, 10 com e 10 sem DMG, que concordaram em participar do estudo. Resultados: A média das massas das placentas do Grupo Controle foi de 505,63±12,18 g, enquanto a do grupo com DMG foi de 561,00 ±14,25 g. Conclusão: Este estudo sugere que a massa placentária das gestantes com DMG é significativamente maior do que a massa das placentas das gestantes hígidas.

  12. Validation of the Ultra Micro Elisa for certification of human placenta as a source of pharmaceuticals and cosmetics

    International Nuclear Information System (INIS)

    Trujillo Alfonso, Maydelin; Rodriguez Garcia, Sisley; Perez Guevara, Maria Teresa

    2014-01-01

    The Viral Control Laboratory of the Placenta Derivatives Production Plant certifies the human placenta as pharmaceutical and cosmetic raw material by means of the microultra analytic system. To validate the Ultra Micro System for determination of hepatitis B surface antigen, antibodies to Hepatitis C Virus, and Immunodeficiency Human Virus Type 1 and 2 in umbilical cord serum samples

  13. Parturition in gilts: duration of farrowing, birth intervals and placenta expulsion in relation to maternal, piglet and placental traits

    NARCIS (Netherlands)

    Rens, van B.T.T.M.; Lende, van der T.

    2004-01-01

    Large White×Meishan F2 crossbred gilts (n=57) were observed continuously during farrowing while the placentae of their offspring were labeled in order to examine the duration of farrowing and placenta expulsion in relation to maternal-, piglet- and placental traits and the duration of birth interval

  14. Estudios sobre plantas andinas,- V

    Directory of Open Access Journals (Sweden)

    Cuatrecasas José

    1943-12-01

    Full Text Available Desde hace diez años, he venido interesándome por el conocimiento y clasificación del género Diplostephium, distribuido abundantemente en las zonas frías de los Andes, desde Venezuela al norte de Chile con un enclave en Costa Rica. Las excursiones realizadas en 1932 me permitieron descubrir dos nuevas especies colombianas (1 y el estudio de la colección Isern me dio oportunidad de conocer otras especies ecuatorianas y peruanas (2. A raíz del abundante material recogido en mis excursiones por Colombia desde el año 1938, decidí llevar a cabo el estudio monográfico del género; para ella diversos centros de los Estados Unidos pusieron a mi disposición sus coIecciones: Smithsonian Institution (United States National Herbarium, Field Museum of Natural History de Chicago y New York Botanical Garden, los cuales me remitieron el material para este fin al Instituto de Ciencias Naturales de Bogotá; el trabajo fue iniciado en este centro, pero al trasladarme a la Escuela Superior de Agricultura Tropical de Cali, la dirección del Instituto me permitió llevar para el Valle todos los ejemplares, incluso los del Herbario Nacional Colombiano, y así pude concluir el estudio provisional, en mi nuevo lugar de trabajo.

  15. PROPUESTA DE UN MODELO DE GESTION HUMANA Y CULTURA ORGANIZACIONAL PARA PyMES INNOVADORAS

    Directory of Open Access Journals (Sweden)

    RAFAEL IGNACIO PEREZ URIBE

    2003-07-01

    Full Text Available La gestión humana y cultura organizacional son conceptos inseparables en cualquier tipo de organización y han sido tratados extensamente en el ámbito académico general, pero no en el caso de las PyMES. Las condiciones sociales, económicas y culturales de este nuevo siglo hacen imprescindible que las empresas medianas y pequeñas sean altamente creativas, innovadoras, se adapten ágilmente a los cambios, sobrevivan y crezcan, y para lograrlo necesariamente deben contar con una fuerza laboral comprometida, capacitada y motivada, que trabaje en busca del logro de la misión de la organización, pero que a la vez sienta que están logrando satisfacer sus deseos, expectativas y necesidades más profundas. En este artículo se revisan algunos planteamientos que profundizan sobre gestión humana y cultura organizacional de manera integral y que sirven de guía básica temática para el diseño de un modelo de gestión humana.

  16. Antecedentes filosóficos e teológicos do conceito pascaliano de natureza humana

    Directory of Open Access Journals (Sweden)

    Luís C. G. Oliva

    2006-12-01

    Full Text Available O artigo pretende examinar os antecedentes do conceito pascaliano de natureza humana, desde a matriz aristotélica da idéia de natureza, passando pela absorção do conceito pelo pensamento cristão de Agostinho e Tomás, pela constituição do conceito teológico de pura natureza na escolástica tardia e sua crítica por Jansenius. Pascal aprofunda essa crítica, mostrando que a completude e a suficiência pressupostas na idéia de pura natureza são incompatíveis com a atual condição do homem, embora a infelicidade humana aponte para o fato de que a natureza humana permanece relevante como uma exigência irrealizável.The paper intends to examine the antecedents of the Pascalian concept of human nature, from the Aristotelian matrix of the idea of nature, going through the Christian absorption of this concept in Augustine and Thomas, to the elaboration of the theological concept of pure nature in Late Scholastics and its critic by Jansenius. Pascal deepens this criticism, showing that the completeness and sufficiency presupposed in the idea of pure nature are incompatible with the present human condition, though human unhappiness points to the fact that human nature remains relevant as an non-achievable demand.

  17. Noninvasive monitoring of placenta-specific transgene expression by bioluminescence imaging.

    Directory of Open Access Journals (Sweden)

    Xiujun Fan

    Full Text Available BACKGROUND: Placental dysfunction underlies numerous complications of pregnancy. A major obstacle to understanding the roles of potential mediators of placental pathology has been the absence of suitable methods for tissue-specific gene manipulation and sensitive assays for studying gene functions in the placentas of intact animals. We describe a sensitive and noninvasive method of repetitively tracking placenta-specific gene expression throughout pregnancy using lentivirus-mediated transduction of optical reporter genes in mouse blastocysts. METHODOLOGY/PRINCIPAL FINDINGS: Zona-free blastocysts were incubated with lentivirus expressing firefly luciferase (Fluc and Tomato fluorescent fusion protein for trophectoderm-specific infection and transplanted into day 3 pseudopregnant recipients (GD3. Animals were examined for Fluc expression by live bioluminescence imaging (BLI at different points during pregnancy, and the placentas were examined for tomato expression in different cell types on GD18. In another set of experiments, blastocysts with maximum photon fluxes in the range of 2.0E+4 to 6.0E+4 p/s/cm(2/sr were transferred. Fluc expression was detectable in all surrogate dams by day 5 of pregnancy by live imaging, and the signal increased dramatically thereafter each day until GD12, reaching a peak at GD16 and maintaining that level through GD18. All of the placentas, but none of the fetuses, analyzed on GD18 by BLI showed different degrees of Fluc expression. However, only placentas of dams transferred with selected blastocysts showed uniform photon distribution with no significant variability of photon intensity among placentas of the same litter. Tomato expression in the placentas was limited to only trophoblast cell lineages. CONCLUSIONS/SIGNIFICANCE: These results, for the first time, demonstrate the feasibility of selecting lentivirally-transduced blastocysts for uniform gene expression in all placentas of the same litter and early

  18. Glucocorticoid stimulates expression of corticotropin-releasing hormone gene in human placenta

    International Nuclear Information System (INIS)

    Robinson, B.G.; Emanuel, R.L.; Frim, D.M.; Majzoub, J.A.

    1988-01-01

    Primary cultures of purified human cytotrophoblasts have been used to examine the expression of the corticotropin-releasing hormone (CRH) gene in placenta. The authors report here that glucocorticoids stimulate placental CRH synthesis and secretion in primary cultures of human placenta. This stimulation is in contrast to the glucocorticoid suppression of CRH expression in hypothalamus. The positive regulation of CRH by glucocorticoids suggests that the rise in CRH preceding parturition could result from the previously described rise in fetal glucocorticoids. Furthermore, this increase in placental CRH could stimulate, via adrenocorticotropic hormone, a further rise in fetal glucocorticoids, completing a positive feedback loop that would be terminated by delivery

  19. Combined measurement of maternal serum FE3 and HPL for determination of fetus-placenta function

    International Nuclear Information System (INIS)

    Peng Yangshui; Li Gefang; Xia Dingwen

    2003-01-01

    Objective: To investigate the clinical application of combined measurement of maternal serum FE 3 and HPL for determination of fetus-placenta function. Methods: Maternal serum FE 3 and HPL levels were measured with RIA in 86 complicated and 39 non-complicated pregnant women. Results: Serum FE 3 contents in pregnant women complicated with hypertensive syndrome, intrauterine fetal distress, gestation above 33 wks complicated with diabetes and 3rd grade placenta were significantly lower than those in non-complicated ones (p 3 and HPL could improve the early diagnosis of high-risk pregnancies

  20. The human placenta from heavy smokers: evaluation of vasoactive peptides by immunohistochemistry

    DEFF Research Database (Denmark)

    Clausen, H V; Larsen, L Grupe; Jørgensen, A

    2007-01-01

    The study aimed to demonstrate the expression of nitric oxide converting enzyme, nitric oxide synthase (e-NOS), and endothelin-1 (Et-1) in formalin-fixed paraffin-embedded placental tissue, and to demonstrate a difference in staining intensity between heavy smokers and non-smokers. Term placentas...... from pregnancies from otherwise healthy women smoking 15 or more cigarettes per day (heavy smokers) and term placentas from a matching group of non-smokers were included. The antibodies for Et-1 and e-NOS are recommended for cryostat sections. We evaluated the antibodies on paraffin-embedded tissue...