998 resultados para Otitis media con derrame
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Negli ultimi anni i documenti web hanno attratto molta attenzione, poiché vengono visti come un nuovo mezzo che porta quello che sono le esperienze ed opinioni di un individuo da una parte all'altra del mondo, raggiungendo quindi persone che mai si incontreranno. Ed è proprio con la proliferazione del Web 2.0 che l’attenzione è stata incentrata sul contenuto generato dagli utenti della rete, i quali hanno a disposizione diverse piattaforme sulle quali condividere i loro pensieri, opinioni o andare a cercarne di altrui, magari per valutare l’acquisto di uno smartphone piuttosto che un altro o se valutare l’opzione di cambiare operatore telefonico, ponderando quali potrebbero essere gli svantaggi o i vantaggi che otterrebbe modificando la sia situazione attuale. Questa grande disponibilità di informazioni è molto preziosa per i singoli individui e le organizzazioni, che devono però scontrarsi con la grande difficoltà di trovare le fonti di tali opinioni, estrapolarle ed esprimerle in un formato standard. Queste operazioni risulterebbero quasi impossibili da eseguire a mano, per questo è nato il bisogno di automatizzare tali procedimenti, e la Sentiment Analysis è la risposta a questi bisogni. Sentiment analysis (o Opinion Mining, come è chiamata a volte) è uno dei tanti campi di studio computazionali che affronta il tema dell’elaborazione del linguaggio naturale orientato all'estrapolazione delle opinioni. Negli ultimi anni si è rilevato essere uno dei nuovi campi di tendenza nel settore dei social media, con una serie di applicazioni nel campo economico, politico e sociale. Questa tesi ha come obiettivo quello di fornire uno sguardo su quello che è lo stato di questo campo di studio, con presentazione di metodi e tecniche e di applicazioni di esse in alcuni studi eseguiti in questi anni.
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Moraxella catarrhalis is an exclusively human commensal and mucosal pathogen. Its role as a disease-causing organism has long been questioned. Today, it is recognized as one of the major causes of acute otitis media in children, and its relative frequency of isolation from both the nasopharynx and the middle ear cavity has increased since the introduction of the heptavalent pneumococcal conjugate vaccine, which is associated with a shift in the composition of the nasopharyngeal flora in infants and young children. Although otitis media caused by M. catarrhalis is generally believed to be mild in comparison with pneumococcal disease, numerous putative virulence factors have now been identified and it has been shown that several surface components of M. catarrhalis induce mucosal inflammation. In adults with chronic obstructive pulmonary disease (COPD), M. catarrhalis is now a well-established trigger of approximately 10% of acute inflammatory exacerbations.Although the so-called cold shock response is a well-described bacterial stress response in species such as Escherichia coli, Bacillus subtilis or - more recently - Staphylococcus aureus, M. catarrhalis is the only typical nasopharyngeal pathogen in which this response has been investigated. Indeed, a 3-h 26°C cold shock, which may occur physiologically, when humans inspire cold air for prolonged periods of time, increases epithelial cell adherence and enhances proinflammatory host responses and may thus contribute to the symptoms referred to as common cold, which typically are attributed to viral infections.
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A novel non-culture based 16S rRNA Terminal Restriction Fragment Length Polymorphism (T-RFLP) method using the restriction enzymes Tsp509I and Hpy166II was developed for the characterization of the nasopharyngeal microbiota and validated using recently published 454 pyrosequencing data. 16S rRNA gene T-RFLP for 153 clinical nasopharyngeal samples from infants with acute otitis media (AOM) revealed 5 Tsp509I and 6 Hpy166II terminal fragments (TFs) with a prevalence of >10%. Cloning and sequencing identified all TFs with a prevalence >6% allowing a sufficient description of bacterial community changes for the most important bacterial taxa. The conjugated 7-valent pneumococcal polysaccharide vaccine (PCV-7) and prior antibiotic exposure had significant effects on the bacterial composition in an additive main effects and multiplicative interaction model (AMMI) in concordance with the 16S rRNA 454 pyrosequencing data. In addition, the presented T-RFLP method is able to discriminate S. pneumoniae from other members of the Mitis group of streptococci, which therefore allows the identification of one of the most important human respiratory tract pathogens. This is usually not achieved by current high throughput sequencing protocols. In conclusion, the presented 16S rRNA gene T-RFLP method is a highly robust, easy to handle and a cheap alternative to the computationally demanding next-generation sequencing analysis. In case a lot of nasopharyngeal samples have to be characterized, it is suggested to first perform 16S rRNA T-RFLP and only use next generation sequencing if the T-RFLP nasopharyngeal patterns differ or show unknown TFs.
Resumo:
Moraxella catarrhalis (M. catarrhalis) is a human-restricted commensal of the normal bacterial flora in the upper respiratory tract of children, and - during the previous two decades - has been recognised as a true human pathogen. M. catarrhalis is the third most common pathogen causing acute otitis media in children, which is the most common reason to visit a paediatrician during childhood. Acute otitis media thus causes a high clinical and economical burden. With the introduction of the conjugate pneumococcal vaccines the microbiomic pattern in the nasopharyngeal flora of children has changed, and the frequency of isolation of M. catarrhalis has increased. Compared to adults, children are more often colonised with M. catarrhalis. Over the last three decades there has been a dramatic increase in the acquisition of β-lactam resistance in M. catarrhalis. Today 95-100% of clinically isolated M. catarrhalis produce β-lactamase. It is thus desirable to reduce the burden of M. catarrhalis disease by developing a vaccine. There are several potential vaccine antigen candidates in different stages of development, but none of them has entered clinical trials at the present time.
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The pathologic process of otosclerosis is characterized by an inflammatory lytic phase followed by an abnormal bone remodeling at very specific sites of predilection. There is a clear genetic predisposition with about half of all cases occurring in families with more than one affected member. Females are affected more frequently than males with an approximate 2:1 ratio. N, H, and F measles proteins as well as measles virus RNA have been demonstrated in osteoblasts, chondroblasts, and macrophages of the inflammatory phase of the disease. These observations merely show an association between measles viruses and otosclerosis. In the present study, we tried to prove that there is a causal relationship: voluntary measles vaccination has been available in Germany since 1974. In the absence of official data, we reconstructed the rate of vaccination coverage between 1974 and 2004 using information from the Robert Koch Institute (RKI, Berlin) and from the literature. From the German Federal Office of Statistics, we received the data of 64,112 patients who had been hospitalized between 1993 and 2004 and in whom otosclerosis (ICD-9: 387; ICD-10: H80) had been confirmed. We calculated the effect of measles vaccination on the incidence of hospital treatments for otosclerosis in the period from 1993 to 2004 in Germany. For this purpose, we divided the female and male otosclerosis patients treated as inpatients each year in the observation period into two age groups: those up to 25 years, who had in most cases been vaccinated (designated below as "vaccinated patients") and those over 25 years who mostly could not have been vaccinated (designated below as "unvaccinated patients"). We calculated the incidence of otosclerosis requiring inpatient treatment for the two age groups in each year in the period of observation. For external validation of the study results, the same analysis was carried out in all patients who received inpatient treatment for otitis media in the same period. Between 1993 and 2004 the incidence of hospital treatments for otosclerosis decreased to a significantly greater extent in the vaccinated patients than in the unvaccinated patients. The decline is much greater in men than in women. A comparable effect cannot be demonstrated in patients with otitis media. The results indicate that measles vaccination in Germany has resulted in a significant reduction in the number of hospital treatments for otosclerosis in the vaccinated age groups. We conclude that there is a causal relationship between measles viruses and the development of otosclerosis.
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The surveillance of pneumococcal antibiotic resistance and serotype distribution is hampered by the relatively low numbers of invasive pneumococcal infections. In Switzerland, a nationwide sentinel surveillance network was used to assess antibiotic resistance and serotype distribution among 1179 pneumococcal isolates cultured from 2769 nasopharyngeal swabs obtained from outpatients with acute otitis media or pneumonia during 1998 and 1999. The proportion of penicillin-susceptible pneumococcal isolates overall (87%) and among infants <2 years old (81%) was comparable to that of invasive isolates (90% and 81%, respectively). The high number of nasopharyngeal isolates allowed for the detection of a rapid increase in the number of penicillin-nonsusceptible pneumococcal (PNSP) strains in the West region of Switzerland, partly because of an epidemic caused by the 19F clone of Streptococcus pneumoniae. Clustering of risk factors for the carriage of PNSP isolates further explained the geographic variation in resistance rates. The nationwide sentinel surveillance of nasopharyngeal pneumococcus proved to be valuable for the monitoring of antibiotic resistance, risk factors for carriage of PNSP isolates, and serotype distribution and for the detection of the emergence of a new epidemic clone.
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In 2006, 115 children hospitalized with measles in Germany were reported. Detailed information could be obtained for 96 cases from a pediatric hospital surveillance system. The most frequent symptoms and complications were pneumonia, respiratory insufficiency, other respiratory disorders, otitis media, feeding problems, and other gastrointestinal symptoms. Two children died of measles inclusion body encephalitis.
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Rhinoviruses and enteroviruses are leading causes of respiratory infections. To evaluate genotypic diversity and identify forces shaping picornavirus evolution, we screened persons with respiratory illnesses by using rhinovirus-specific or generic real-time PCR assays. We then sequenced the 5 untranslated region, capsid protein VP1, and protease precursor 3CD regions of virus-positive samples. Subsequent phylogenetic analysis identified the large genotypic diversity of rhinoviruses circulating in humans. We identified and completed the genome sequence of a new enterovirus genotype associated with respiratory symptoms and acute otitis media, confirming the close relationship between rhinoviruses and enteroviruses and the need to detect both viruses in respiratory specimens. Finally, we identified recombinants among circulating rhinoviruses and mapped their recombination sites, thereby demonstrating that rhinoviruses can recombine in their natural host. This study clarifies the diversity and explains the reasons for evolution of these viruses.
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OBJECTIVES Cone beam computed tomography (CBCT) is frequently used in treatment planning for alveolar bone grafting (ABG) and orthognathic surgery in patients with cleft lip and palate (CLP). CBCT images may depict coincident findings. The aim of this study was to assess the prevalence of incidental findings on CBCT scans in CLP patients. SUBJECTS AND METHODS Initial CBCTs taken from consecutive patients (n = 187; mean age 11.7 years, range 6.9-45) with a non-syndromic orofacial cleft from January 2006 until June 2012 were systematically evaluated. Twenty-eight patients (mean age 19.3 years, range 13.2-30.9) had been subjected to ABG before their first CBCT was taken; 61 patients had a CBCT before and after ABG. Sinuses, nasopharynx, oropharynx, throat, skull, vertebrae, temporomandibular joint (TMJ), maxilla and mandible were checked for incidental findings. RESULTS On 95.1 % of the CBCTs, incidental findings were found. The most prevalent were airway/sinus findings (56.1 %), followed by dental problems, e.g. missing teeth (52 %), nasal septum deviation (34 %), middle ear and mastoid opacification, suggestive for otitis media (10 %) and (chronic) mastoiditis (9 %), abnormal TMJ anatomy (4.9 %) and abnormal vertebral anatomy (1.6 %). In the 28 patients whose first CBCT was taken at least 2 years after ABG, bone was still present in the reconstructed cleft area except in 2 out of 12 patients with a bilateral CLP. The ABG donor site (all bone grafts were taken from the chin area) was still recognizable in over 50 % of the patients. Based on the CBCT findings, 10 % of the patients were referred for further diagnosis and 9 % for further treatment related to dental problems. CONCLUSION Incidental findings are common on CBCTs. Compared with the literature, CLP patients have more dental, nasal and ear problems. Thus, whenever a CBCT is available, this scan should be reviewed by all specialists in the CLP team focusing on their specific background knowledge concerning symptoms and treatment of these patients. CLINICAL RELEVANCE The high number of findings indicates that CBCT imaging is a helpful tool in the treatment of CLP patients not only related to alveolar bone grafting and orthognathic surgery but it also provides diagnostic information for almost all specialties involved in CLP treatment.
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Mycobacterium avium subsp. avium (Maa) is an intracellular pathogen belonging to the Mycobacterium avium-intracellulare complex (MAC). Reservoirs of MAC are the natural environment, wildlife and domestic animals. In adult bovine, MAC infections are typically caused by Mycobacterium avium subsp. paratuberculosis (Map). Maa infections in bovine are rarely reported but may cause clinical disease and pathological lesions similar to those observed in paratuberculosis or those induced by members of the Mycobacterium tuberculosis complex (MTBC). Therefore, differentiation of MAC from MTBC infection should be attempted, especially if unusual mycobacterial lesions are encountered. Four veal calves from a fattening farm dying with clinical signs of otitis media, fever, and weight loss were submitted for necropsy. Samples from affected organs were taken for histologic investigation, bacteriologic culture, and bacterial specification using PCR. Macroscopic thickening of the intestinal mucosa was induced by granulomatous enteritis and colitis. Intracytoplasmic acid-fast bacteria were detected by Ziehl-Neelsen stains and PCR revealed positive results for Mycobacterium avium subsp. avium. Clinical and pathological changes of Maa infection in veal calves had features of Mycobacterium avium subsp. paratuberculosis and the MTBC. Therefore, Mycobacterium tuberculosis complex infection should be considered in cases of granulomatous enteritis in calves.
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La Editorial de este número “Proyectos Bienales 2013-2015: ante las puertas de un nuevo desafío", escrita por el Prof. Dr. Roberto Miatello, analiza la importancia de generar conocimiento a través de la investigación. En Historias de la Medicina, el Dr. Fernando Saraví, desarrolla la segunda parte de la historia de Laennec, y la invención del estetoscopio en el artículo: “Laennec, el método anatomoclínico y la invención del estetoscopio Parte 2: la auscultación, de la controversia a la aceptación". En la sección Artículos Originales, presentamos la investigación inédita “Consumo de drogas adictivas en alumnos de la U.N.Cuyo. Mendoza. Argentina". Trabajo que muestra los resultados de una encuesta realizada en 2010 sobre consumo de drogas adictivas en alumnos de 7 Facultades de la UNCUYO y los compara con los resultados obtenidos 12 años antes con una encuesta equivalente. En los Artículos de Revisión, publicamos “Rol del laboratorio inmunológico en el estudio de pacientes con derrame pleural" y “Perspectiva bioética de la detección temprana de hipoacusias y el implante coclear en edad pediátrica en la Argentina". En Casos clínicos compartimos el caso de un varón de 54 años con “Hipertricosis adquirida y localizada en Fascitis Eosinofílica".
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La actividad universitaria conforma un triángulo simbólico cuyos lados son las tres acciones fundamentales: investigación, docencia y extensión. Este último término indica una voluntad deliberada de la institución universitaria para vincularse con la sociedad en la que se desenvuelve. La extensión, entonces, debería constituir un puente entre las actividades de investigación y docencia con las demandas educativas de la sociedad. En el presente trabajo expondremos algunas de las actividades de extensión llevadas a cabo por los autores, pertenecientes al Gabinete de Desarrollo de Metodologías de la Enseñanza (GDME) de la Facultad de Ingeniería (UBA), durante el período 2000-2006. Tales actividades han estado orientadas, en principio, a la difusión del conocimiento e investigación universitaria hacia el ámbito de los colegios secundarios -articulación universidad-escuela media-, con el objetivo de que los jóvenes se acerquen a la ciencia y a la tecnología. Para ampliar la difusión del conocimiento hacia toda la comunidad se han realizado además actividades de divulgación científica, implicando la inclusión de sectores populares y la articulación universidad-comunidad. La extensión, pensada como interrelación, presupone una confrontación de realidades, cuya síntesis establecerá modificaciones sustanciales entre las partes involucradas, por constituir en esencia un aspecto de recíproco aprendizaje. De este modo, una doble vía de comunicación se establecerá, enriqueciendo las actividades de docencia e investigación desarrolladas dentro del ámbito educativo universitario.
Resumo:
La actividad universitaria conforma un triángulo simbólico cuyos lados son las tres acciones fundamentales: investigación, docencia y extensión. Este último término indica una voluntad deliberada de la institución universitaria para vincularse con la sociedad en la que se desenvuelve. La extensión, entonces, debería constituir un puente entre las actividades de investigación y docencia con las demandas educativas de la sociedad. En el presente trabajo expondremos algunas de las actividades de extensión llevadas a cabo por los autores, pertenecientes al Gabinete de Desarrollo de Metodologías de la Enseñanza (GDME) de la Facultad de Ingeniería (UBA), durante el período 2000-2006. Tales actividades han estado orientadas, en principio, a la difusión del conocimiento e investigación universitaria hacia el ámbito de los colegios secundarios -articulación universidad-escuela media-, con el objetivo de que los jóvenes se acerquen a la ciencia y a la tecnología. Para ampliar la difusión del conocimiento hacia toda la comunidad se han realizado además actividades de divulgación científica, implicando la inclusión de sectores populares y la articulación universidad-comunidad. La extensión, pensada como interrelación, presupone una confrontación de realidades, cuya síntesis establecerá modificaciones sustanciales entre las partes involucradas, por constituir en esencia un aspecto de recíproco aprendizaje. De este modo, una doble vía de comunicación se establecerá, enriqueciendo las actividades de docencia e investigación desarrolladas dentro del ámbito educativo universitario.
Resumo:
La actividad universitaria conforma un triángulo simbólico cuyos lados son las tres acciones fundamentales: investigación, docencia y extensión. Este último término indica una voluntad deliberada de la institución universitaria para vincularse con la sociedad en la que se desenvuelve. La extensión, entonces, debería constituir un puente entre las actividades de investigación y docencia con las demandas educativas de la sociedad. En el presente trabajo expondremos algunas de las actividades de extensión llevadas a cabo por los autores, pertenecientes al Gabinete de Desarrollo de Metodologías de la Enseñanza (GDME) de la Facultad de Ingeniería (UBA), durante el período 2000-2006. Tales actividades han estado orientadas, en principio, a la difusión del conocimiento e investigación universitaria hacia el ámbito de los colegios secundarios -articulación universidad-escuela media-, con el objetivo de que los jóvenes se acerquen a la ciencia y a la tecnología. Para ampliar la difusión del conocimiento hacia toda la comunidad se han realizado además actividades de divulgación científica, implicando la inclusión de sectores populares y la articulación universidad-comunidad. La extensión, pensada como interrelación, presupone una confrontación de realidades, cuya síntesis establecerá modificaciones sustanciales entre las partes involucradas, por constituir en esencia un aspecto de recíproco aprendizaje. De este modo, una doble vía de comunicación se establecerá, enriqueciendo las actividades de docencia e investigación desarrolladas dentro del ámbito educativo universitario.
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El 1 de marzo, tras atravesar tierras castellanas cubiertas por una ligera nevada, realizamos en Balisa (Segovia) una prueba de campo con el tractor Kubota M135GX,un tractor de potencia media con una tecnología accesible y fácil de emplear. Mediante la grabación de los parámetros de funcionamiento del motor más destacados (con una frecuencia de muestreo de 10 Hz), se compararon dos estrategias de conducción manual frente a la implementación del sistema de cambio automático que incorpora este modelo,en dos operaciones de laboreo (chísel y rotocultor) y en una de transporte con remolque (conjunto tractor-remolque: 24.229 kg). En este ensayo también hemos tenido ocasión de registrar los parámetros de funcionamiento del motor durante los procesos de regeneración pasiva y activa del filtro de partículas.