439 resultados para Esclerosis tuberosa


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Estudio descriptivo en el que se evaluaron 40 pacientes con diagnostico de esclerosis múltiple en la ciudad de Bogotá y se realizo un análisis de sus aspectos demográficos, características clínicas, curso de la enfermedad, estudios diagnósticos y aspectos del tratamiento.

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A pesar del amplio uso de la resonancia magnética en la esclerosis múltiple no se ha logrado una adecuada correlación clínico-imagenológica en esta enfermedad. Objetivo: Determinar la correlación del volumen normalizado de sustancia gris y del volumen de lesiones hipointensas en T1 obtenidos a partir de la resonancia magnética cerebral con la escala de discapacidad extendida en pacientes con diagnóstico de esclerosis múltiple. Materiales y métodos: Estudio retrospectivo en pacientes con diagnóstico de esclerosis múltiple de la Fundación Cardioinfantil. Se obtuvieron los resultados de la escala de discapacidad expandida así como análisis cuantitativo de las imágenes correspondientes de resonancia magnética por medio de la herramienta SIENA. Se cuantificaron el volumen del parénquima cerebral, sustancia gris, sustancia blanca y volumen de lesiones hipointensas en T1. Posteriormente, se relacionaron estos resultados con la escala de discapacidad extendida de Kurtzke previamente obtenida. Para el análisis estadístico se emplearon el test correlación de Spearman y t de Student y Hotelling. Resultados: Se incluyeron 58 pacientes, encontrándose correlaciones estadísticamente significativas entre la escala de discapacidad extendida y volumen de parénquima cerebral, volumen de sustancia gris y volumen de lesiones hipointensas en T1; de 0.384, 0.386 y 0.39. No se encontró una relación entre el volumen de sustancia blanca y la escala de discapacidad. Conclusiones: Existe una correlación clínico-imagenológica moderada en la esclerosis múltiple. La cuantificación de los parámetros propuestos en este estudio podría ser utilizada como herramienta en el seguimiento de la enfermedad y monitorización de nuevos tratamientos.

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La esclerosis múltiple (EM) es una enfermedad desmielinizante del sistema nervioso central. Varias características de la EM son comunes a muchas enfermedades autoinmunes, como la mayor prevalencia en las mujeres (razón mujer:hombre 3:1), mecanismos fisiopatológicos comunes, heterogeneidad clínica, factores ambientales, herencia poligénica moderada, susceptibilidad génica, co-ocurrencia de diferentes enfermedades autoinmunes en un individuo y en los miembros de la familia, y respuesta a la terapia inmunosupresora. El objetivo de este estudio es evaluar la EM como una enfermedad parte de la tautología autoinmune. Metodología Estudio analítico de corte transversal con 201 pacientes del Centro de Estudio de Enfermedades Autoinmunes (CREA) pertenecientes a regiones de Antioquia y Cundiboyaca, con diagnóstico definido de Esclerosis múltiple por medio de los criterios de Mc Donald. Resultados La poliautoinmunidad (OR 13.445 (1.772–102.009), la autoinmunidad familiar (OR 2.164(1.085-4.316), la región ( OR 2,891 (1.31-6.40), los cursos progresivos (OR 4.695-5.984) de esclerosis múltiple se encontraron significativamente asociados a la discapacidad y el género. Discusión Las características comunes de la esclerosis múltiple con otras enfermedades autoiunmunes, soportan la teoría del origen comun de estas condiciones.

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El dolor es un síntoma muy común en pacientes con Esclerosis Múltiple, pues del 42 al 65% de los enfermos lo presentan, y es calificado como el síntoma más severo entre el 8 y el 32%. Todos los síndromes dolorosos centrales se presentan por lesión o disfunción del sistema nervioso central, causando discapacidad severa y deterioro de la calidad de vida de los pacientes.

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The brazilian-plum (Spondias tuberosa, His) is a tropical fruit tree that has been consolidated in the market for agribusiness processing, due to its characteristic flavor of fruit. Accordingly, studies to optimize the propagation of plants are necessary for production of seedlings with agronomic and quality assurance measures. This study aimed at determining the efficient techniques for uniform seed germination, as brazilian-plum seed present mechanical dormancy, and establish optimal culture media for multiplication of shoots from the in vitro micropropagation. Firstly, in a greenhouse at the Universidade Federal do Rio Grande do Norte, was evaluated the influence of different methods of breaking dormancy in the emergence of seedlings of brazilian-plum and speed of germination (IVG) of seeds. After 60 days of cultivation, it was found that splay in the distal portion of the seed was the best treatment, with rates of 85.33% in germinability and 3.415 of IVG, compared with the treatment of seed-soaking in water for 12h + humus and the control group. Subsequently, new sources of seedling explants were obtained in studies of tissue culture. Laboratory of Plant Biotechnology that the university, was used stem apex, nodal segments and internodes in search of decontamination with various concentrations of calcium hypochlorite [Ca(OCl)2] and micropropagation, inoculating them in half WPM (1980) with various concentrations of 6-benzylaminopurine (BAP). We used 10 sample units with three replications for different concentrations of [Ca(OCl)2], BAP and explants type. After thirty days, which was observed for the control of contamination, during the establishment in vitro, concentrations of [Ca(OCl)2] between 0.5% and 2.0% were effective in combating exogenous contamination of the apex. In nodal segments and internodes, concentrations of [Ca(OCl)2] between 1.0% and 2.0% and 1.5% and 2.0% were respectively, sufficient to reduce the percentage of losses in these infestations explants. For micropropagation, the culture medium supplemented with 0.1 mg.L-1 BAP promotes better development of multiple shoots per explants from nodal segment. However, success does not get to shoot training in internodal segment

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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The objective of this work was to evaluate sweet potato cultivars with starch processing capability, on two cultivation periods, in the western region of Parana (Brazil). Sweet potato was grown at Marechal Candido Rondon, Parana State (24 degrees 33'40 '' S and 54 degrees 4'12 '' W), at a mean annual temperature between 14 and 28 degrees C. The experiment was designed in complete randomized blocks, in a factorial scheme of 4 cultivars (CNPH 003, CNPH 004, Brazlandia Roxa, and Brazlandia Rosada) and 2 cultivation periods (115 and 183 days), with four repetitions. The evaluated parameters were the root productivities (t ha(-1)) and the physical and chemical root composition (humidity, pH, acidity, starch, total soluble sugars and fibers). Data was submitted to all analysis of variance (Anova) and the means were compared by the Tukey test at 5% of probability, Results indicated that sweet potato yield at the cultivars was higher during the 183 day cultivation period (average of 9.14 t ha(-1)) than during the 115 day cultivation period (average of 4.25 t ha(-1)). Thus the CNPH 003 cultivar seems to be a better indication for starch extraction, due to the lowest fiber content in the root, the driest mass content and the largest yield of starch per area.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Eliminadas las páginas en blanco

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Objetivos: analizar la experiencia obtenida y evaluar los resultados urodinámicos del estudio de 18 pacientes con esclerosis múltiple. Material y Métodos: se estudiaron 18 casos, valorándose la historia clínica, ecografía vesical y renal, analizándolos urodinámicamente con uroflujometría, residuo post miccional (RPM), cistotonometría y electromiografía esfinteriana. Urocultivo y antibiograma de orina. Resultados: del análisis de todas las variables se desprende que la vejiga hiperactiva se presentó en 10 casos con un predominio del síndrome frecuencia-urgencia, vejiga hipotónica-hiporrefléxica en 5 pacientes, disinergia detrusor-esfínter en 4 casos y 9 pacientes con infección urinaria que desencadenaban crisis de espasticidad. Todos fueron tratados con anticolinérgicos de acción vesical inmuno-modulación (brotes-recaídas) e inmuno-supresión en la enfermedad progresiva, de rehabilitación y terapia de apoyo psicológico. Conclusión: la vejiga hiperactiva es el tipo de consecuencia urinaria de la esclerosis en placa con los síntomas de frecuencia-urgencia y que, con tratamiento multimodal mejoran en un alto porcentaje.

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The umbu tree (Spondias tuberosa Arruda) is a fruit native to the northeast of Brazil with great economic, social and ecological importance for the northeastern semi-arid region. Despite its role, the umbu tree has suffered negative pressure thanks to cluttered extractivism and to negative selection of its fruits, which as the deforestation and the dormancy of seeds contribute to the decrease of its production year after year, making necessary studies that contribute to the improvement of this specie and its conservation. Given the risks to the conservation of the specie and its usefulness to the population, the association between plant biotechnology, for being a tool that can be used to increase its production. and the perception of gathering communities, by valuing the point of view and the knowledge of the population, can facilitate its conservation. This work aimed to develop methods of propagation for umbu tree as well as contribute to its conservation by using biotechnology, with specific objectives to contribute to the conservation of this species; determine concentrations of BAP and ANA in the formation of buds; testing the efficiency of different substrates and concentrations of gibberellic acid on germination in vitro and ex vitro, as well as capture the perception of families in communities that engage in the gathering of umbu. To study the germination, the seeds were inoculated in different substrates (vermiculite, vermiculite + clay, clay, clay + manure and manure + vermiculite) and in different concentrations of gibberellic acid (0 mg, 250 g and 500 mg). For the formation of buds BAP to 0.1 mg-1 was associated with different concentrations of ANA (0.2; 0.4; 0.8mg.L-1). The study of perception was conducted by applying semi-structured questionnaire with Malhada Vermelha community. The experiments resulted in vermiculite and concentration of 500 mg gibberellic acid as the best for germination. The association of 0.1 mg.L-1 of BAP to 0.2 mg.L-1 of ANA provided better formation of buds. As to the application of questionnaires, they revealed that the population understands the decreased amount of umbu plants and umbu fruit in the region, as well as shows concern for its conservation.