Evento cerebrovascular y acidosis metabólica

Paciente de sexo femenino, de 59 años, educadora; llevada a institución hospitalaria por alteración súbita del estado de conciencia. Antecedente de hipotiroidismo en manejo con levotiroxina, 50 microgramos al día. Al examen físico de ingreso se encontraba en mal estado general, FC: 88 x min., TA 170/110, FR: 8 x min., temp.: 35 Cº, Glasgow: 6/15; estuporosa, con apertura ocular al estímulo doloroso, sin respuesta verbal, movimiento de retirada en hemicuerpo izquierdo al estímulo doloroso. Plejia de miembro superior derecho, paresia 2/5 en miembro inferior derecho y Babinski bilateral. Las imágenes diagnósticas confirmaron evento cerebrovascular tipo hemorragia intraparenquimatosa, de extensión parietotemporal e insular del hemisferio cerebral izquierdo. Se le realizó cirugía de drenaje de hematoma intraparenquimatoso e intraventricular, sin complicaciones. En el primer día postoperatorio la paciente cursó con hipokalemia, que persistió a pesar de reposición de potasio y presentó acidemia metabólica sin causa aparente que empeoró a pesar de manejo médico.

Sala de estimulación basal en un centro de educación especial para alumnos gravemente afectados.

A través de este proyecto se pretende conectar al alumno con el medio que le rodea a través de sistemas sensoriales. Partiendo de esta premisa se tratará de: 1.- Descubrir las sensaciones táctiles que puede recibir el propio cuerpo a través de una estimulación intencionada. 2.- Ayudar al alumno a desarrollar la posibilidad de explorar la textura de las cosas, a integrarla y diferenciarla. 3.- Estimular zonas del cuerpo ignoradas por el sistema nervioso central o desensibilizar áreas hiperestésicas. 4.- Aprender a captar fenómenos acústicos de manera corporal. Asimilar las oscilaciones de frecuencia como cambios vibratorios en niños que tienen afectado su sistema auditivo pero integran las sensaciones táctiles profundas. 5.- Capacita de forma gradual a los alumnos para que adopten actitudes posturales adecuadas a actividades cotidianas, para un control progresivo del cuerpo y de las funciones, tolerando el cambio y establecimiento postural. 6.- Adquirir una orientación acústica en el espacio. 7.- Aprender a dirigir los movimientos visuales de una manera coordinada. 8.- Sensibilizar la boca ante nuevas impresiones gustativas y aprender a utilizar la boca para discriminar objetos o alimentos. 9.- Manifestar reacciones ante los estímulos olfativos. 10.- etc. Las actividades tendrán la asistencia de los técnicos del centro. Se desarrollarán actividades en entornos temáticos que permitan dar una información al alumno que de otro modo no podría captar..

El concepto de estimulación basal en educación.

Resumen tomado del autor

Nuevo modelo de intervención para alumnos con necesidades educativas graves y permanentes : proyecto de estimulación basal y sensorial.

Convocatoria de Premios Nacionales de Innovación Educativa del CIDE 2006. Mención Honorífica. Modalidad Innovación Educativa

Melanoníquia em pacientes HIV positivos utilizando zidovudina

Um dos eventos adversos da zidovudina, um fármaco anti-retroviral, é o desenvolvimento de melanoníquia. Foram avaliados 19 pacientes adultos tratados com zidovudina evidenciando linhas ungueais, um efeito colateral incomum por vezes relatado. As funções hepática, renal, pancreática, bem como a função metabólica destes doentes também foram avaliados. Foram também obtidos marcadores imunológicos e a taxa de adesão ao tratamento.Os nossos resultados sugerem que a melanoníquia, como a macrocitose, podem estar associadas à utilização de terapia anti-retroviral.

Avaliação da taxa de fertilidade em éguas da raça puro sangue lusitano : efeito da idade da égua e do tipo de cobrição (cobrição natural vs inseminação artificial)

Ao longo dos meses de estágio acompanhei diversos procedimentos médicos veterinários, sendo que a maior parte deles diziam respeito à área da reprodução equina. A Raça Puro Sangue Lusitano (PSL) é a mais importante raça portuguesa autóctone de equinos. Contudo, não existem muitos estudos no que respeita à sua eficiência reprodutiva. Este trabalho pretende fazer um estudo sobre o efeito da idade da égua e do tipo de cobrição (natural e inseminação artificial - IA) na taxa de fertilidade de éguas PSL, através do cálculo das diferentes taxas de gestação. Neste estudo, verificou-se que a percentagem de éguas gestantes no final da época reprodutiva foi de 90%, encontrando-se dentro dos valores esperados (71% - 96%). Os dados foram recolhidos durante a época reprodutiva de 2011/2012 e permitiram-me elaborar um estudo retrospectivo para melhor perceber a prática do maneio reprodutivo equino e a influência de alguns parâmetros na taxa de fertilidade das éguas. Relativamente aos diferentes tipos de sémen, verificou-se que a taxa de fertilidade em éguas cobertas por cobrição natural (n=14) foi de 78,6% e por IA (n=36) foi de 94,4%, resultado que se situa dentro dos valores esperados. No que respeita à IA, a taxa de fertilidade com sémen fresco (n=16) foi de 93,8%, com sémen refrigerado (n=19) foi de 94,7% e com sémen congelado (n=1) foi de 100%. Os valores para sémen fresco e refrigerado encontram-se dentro do esperado, sendo que para sémen congelado este é muito superior aos valores reportados na bibliografia, visto ser o tipo de sémen com menores taxas de fertilidade. Este facto deve-se, provavelmente, à dimensão da amostra, e ao facto de o sémen congelado ser de elevada qualidade. Neste estudo verificamos também que não há relação estatística entre a idade das éguas e a taxa de gestação, contrariamente ao que é referido na bibliografia, o que se deverá provavelmente ao tamanho da amostra (n=50).

Analysis of the consistency of alphabet symbol/speech sound correspondence in three basal reader series

This paper reviews a study to analyze the number of times alphabet symbols occur in three commonly used basal reader series.

Nonbreeding-Season Drivers of Population Dynamics in Seasonal Migrants: Conservation Parallels Across Taxa

For seasonal migrants, logistical constraints have often limited conservation efforts to improving survival and reproduction during the breeding season only. Yet, mounting empirical evidence suggests that events occurring throughout the migratory life cycle can critically alter the demography of many migrant species. Herein, we build upon recent syntheses of avian migration research to review the role of non-breeding seasons in determining the population dynamics and fitness of diverse migratory taxa, including salmonid fishes, marine mammals, ungulates, sea turtles, butterflies, and numerous bird groups. We discuss several similarities across these varied migrants: (i) non-breeding survivorship tends to be a strong driver of population growth; (ii) non-breeding events can affect fitness in subsequent seasons through seasonal interactions at individual- and population-levels; (iii) broad-scale climatic influences often alter non-breeding resources and migration timing, and may amplify population impacts through covariation among seasonal vital rates; and (iv) changes to both stationary and migratory non-breeding habitats can have important consequences for abundance and population trends. Finally, we draw on these patterns to recommend that future conservation research for seasonal migrants will benefit from: (1) more explicit recognition of the important parallels among taxonomically diverse migratory animals; (2) an expanded research perspective focused on quantification of all seasonal vital rates and their interactions; and (3) the development of detailed population projection models that account for complexity and uncertainty in migrant population dynamics.

Bone morphogenetic proteins (BMP)-4,-6, and-7 potently suppress basal and luteinizing hormone-induced androgen production by bovine theca interna cells in primary culture: Could ovarian hyperandrogenic dysfunction be caused by a defect in thecal BMP signaling?

We reported recently that bovine theca interna cells in primary culture express several type-I and type-II receptors for bone morphogenetic proteins (BMPs). The same cells express at least two potential ligands for these receptors (BMP-4 and - 7), whereas bovine granulosa cells and oocytes express BMP-6. Therefore, BMPs of intrafollicular origin may exert autocrine/paracrine actions to modulate theca cell function. Here we report that BMP-4, - 6, and - 7 potently suppress both basal ( P < 0.0001; respective IC50 values, 0.78, 0.30, and 1.50 ng/ml) and LH-induced ( P < 0.0001; respective IC50 values, 5.00, 0.55, and 4.55 ng/ml) androgen production by bovine theca cells while having only a moderate effect on progesterone production and cell number. Semiquantitative RT-PCR showed that all three BMPs markedly reduced steady-state levels of mRNA for P450c17. Levels of mRNA encoding steroidogenic acute regulatory protein, P450scc, and 3 beta-hydroxysteroid dehydrogenase were also reduced but to a much lesser extent. Immunocytochemistry confirmed a marked reduction in cellular content of P450c17 protein after BMP treatment ( P < 0.001). Exposure to BMPs led to cellular accumulation of phosphorylated Smad1, but not Smad2, confirming that the receptors signal via a Smad1 pathway. The specificity of the BMP response was further explored by coincubating cells with BMPs and several potential BMP antagonists, chordin, gremlin, and follistatin. Gremlin and chordin were found to be effective antagonists of BMP-4 and - 7, respectively, and the observation that both antagonists enhanced ( P < 0.01) androgen production in the absence of exogenous BMP suggests an autocrine/paracrine role for theca-derived BMP- 4 and - 7 in modulating androgen production. Collectively, these data indicate that an intrafollicular BMP signaling pathway contributes to the negative regulation of thecal androgen production and that ovarian hyperandrogenic dysfunction could be a result of a defective autoregulatory pathway involving thecal BMP signaling.

Detecting recombination in 4-taxa DNA sequence alignments with Bayesian hidden Markov models and Markov chain Monte Carlo

This article presents a statistical method for detecting recombination in DNA sequence alignments, which is based on combining two probabilistic graphical models: (1) a taxon graph (phylogenetic tree) representing the relationship between the taxa, and (2) a site graph (hidden Markov model) representing interactions between different sites in the DNA sequence alignments. We adopt a Bayesian approach and sample the parameters of the model from the posterior distribution with Markov chain Monte Carlo, using a Metropolis-Hastings and Gibbs-within-Gibbs scheme. The proposed method is tested on various synthetic and real-world DNA sequence alignments, and we compare its performance with the established detection methods RECPARS, PLATO, and TOPAL, as well as with two alternative parameter estimation schemes.

Purification and characterization of the flagellar basal body of Rhodobacter sphaeroides

Flagellar hook-basal body (HBB) complexes were purified from Rhodobacter sphaeroides. The HBB was more acid labile but more heat stable than that of Salmonella species, and protein identification revealed that HBB components were expressed only from one of the two sets of flagellar gene clusters on the R. sphaeroides genome, under the heterotrophic growth conditions tested here.

Supramolecular hydrogen-bond structures and magnetic interactions in basal-apical, dinuclear, azide-bridged copper(II) complexes

The synthesis, characterisation, X-ray single crystal structures and magnetic properties of three new basal-apical mu(2)-1,1-azide-bridged complexes [(CuLN3)-N-1](2) (1), [(CuLN3)-N-2](2) (2) and [(CuLN3)-N-3](2) (3) with very similar tridentate Schiff-base blocking ligands {HL1 = N-[2-(ethylamino) ethyl] salicylaldimine; HL2 = 7-(ethylamino)-4-methyl-5-azahept-3-en-2-one; HL3 = 7-amino-4-methyl-5-azaoct-3-en-2-one} have been reported [complex 1: monoclinic, P2(1)/c, a = 8.390(2), b = 7.512(2), c = 19.822(6) Angstrom, beta = 91.45(5)degrees; complex 2: monoclinic, P2(1)/c, a = 8.070(9), b = 9.787(12), c = 15.743(17) A, beta = 98.467(10)degrees; complex 3: monoclinic, P2(1)/n, a = 5.884(7), b = 16.147(18), c = 11.901(12) Angstrom, beta = 90.050(10)degrees]. The structures consist of neutral dinuclear entities resulting from the pairing of two mononuclear units through end-on azide bridges connecting an equatorial position of one copper centre to an axial position of the other, The copper ions adopt a (4+1) square-based geometry in all the complexes. In complex 2, there is no inter-dimer hydrogen-bonding. However, complexes 1 and 3 form two different supramolecular structures in which the dinuclear entities are linked by H-bonds giving one-dimensional systems. Variable temperature (300-2 K) magnetic-susceptibility measurements and magnetisation measurements at 2 K reveal that all three complexes have antiferromagnetic coupling. Magneto-structural correlations have been made taking into consideration both the azido bridging ligands and the existence of intermolecular hydrogen bonds. ((C) Wiley-VCH Verlag GmbH & Co. KGaA, 69451 Weinheim, Germany, 2004).