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Torres MI, Farelo H, Otero P, Di Cugno M, Kozak A, Ruibal G, Rodriguez P, Fenili C, Sequera A, Álvarez G, Anselmo C, Araque S, Barrios V, Belloni J, Blanco C, Burakowski D, Cabral F, Cãceres L, Castillo MS, Cateura M, Cepero MI, Corbatta C, De La Colina A, De Miguel L, Delgado V, Dominguez C, Dragani V, Fillipini S, Foglino E, Gasparin A, Gerosa P, Golinelli B, Herrero D, Isaack K, Laguarde M, Lalosa L, López M, Lucero V, Mallo MV, Marina C, Minotti F, Mora ME, Palacios M, Paz Pacheco J, Perez Bonetti L, Podadas Gaspa S, Rios E, Rossi O, Sanhueza N, Sosa S, Surbando L, Vargas R. ODP109 PARATHYROID HORMONE AND 25 OH VITAMINA D IN PREGNANCY: DATA FROM AN ARGENTINEAN COHORT SUPPORTING SUPPLEMENTATION. J Endocr Soc 2022. [PMCID: PMC9625022 DOI: 10.1210/jendso/bvac150.352] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Vitamin D (Vit D) deficiency has become a global health care issue, as it affects a great number of women during pregnancy and lactation. Vit D levels are critical during pregnancy, being the mother the only source of them for the developing fetus; an enzymatic system for conversion of 25OH VitD into 1-25(OH) 2 VitD is present in the placenta, thus reinforcing the importance of VitD during gestation. VitD deficiency has been associated with obstetric complications and adverse outcomes in offspring, affecting skeletal, immunological and respiratory systems. It is known that prenatal supplements available do not contain enough VitD to fulfil requirements. It is generally accepted that elevated PTH is an indicator of VitD deficiency, and Hysaj O et al (2021) showed that 25OH VitD is a statistically significant determinant of PTH levels in early and late pregnancy. Aim To evaluateVitD status and its relationship to parathyroid hormone (PTH) in a cohort of pregnant women representative of multiple Argentinian regions. Subjects and Methods Data from samples of 423 pregnant women in 1st and 2nd trimester were collected between 2016 and 2021. VitD was measured in different platforms: DiaSorin Liaison CLIA (n=184), Roche COBAS ECLIA (n=166), Abbott ARCHITECT CMIA (n=33), Biomérieux VIDAS ELFA (n=18) and Siemens CENTAUR CLIA (n=16). PTH (ng/L) was measured in 162 samples by SIEMENS IMMULITE CLIA and Roche COBAS ECLIA. As VitD is light-exposure dependent, we considered warm and high light-exposure season period from December to March and cold and low light season from April to September. VITD (ng/L) levels were classified as Deficient (<20), Insufficient (between 21 and 29) and Sufficient (>30) (Endocrine Society, 2014). Results From 423 data collected, 102 were excluded because of lacking information on VitD supplementation. From the remaining non supplemented 321 samples, 48% resulted insufficient, 30% deficient and 22% sufficient for VitD (groups comparison: p< 0. 05, Kruskal Wallis-Dunn test). The seasonal period and pregnancy trimester distributions didn't show significant differences. Similar results of VitD insufficiency were found in the major used platforms, regardless the seasonal period considered. PTH results expressed as median and interquartile range were (ng/L): 32. 0 (13.7-169. 0) in Deficient pregnancies (N=92), 23.7(13.3-88. 0) in Insufficient (n=50) and 18.7 (9.8-55.7) in Sufficient (n=20). Conclusions This study shows VitD inadequate levels in 78% in non-supplemented pregnancies, regardless season or measurement platform. Relative elevated levels of PTH were associated to pregnancies with VitD deficiency, evidenciating a regulatory role according to published data. To improve VitD status during pregnancy it would be advisable to pose new strategies for prenatal supplements developed by a multidisciplinary professional team. Presentation: No date and time listed
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Martínez-López E, Herrero D, López-Berenguer G, Peñalver J. Total Arsenic Concentrations in Sea Turtle Tissues from the Mediterranean Coast of Spain. Bull Environ Contam Toxicol 2021; 107:820-826. [PMID: 33978774 DOI: 10.1007/s00128-021-03255-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Accepted: 05/03/2021] [Indexed: 06/12/2023]
Abstract
In this work we studied total arsenic concentrations in liver, muscle and kidney of 49 individuals of two sea turtle species (loggerhead sea turtles, n = 45; leatherback turtles, n = 4) stranded in Murcia (South-eastern Spain) coastline between 2009 and 2018. In accordance with the literature, muscle was the tissue with the highest concentrations in both species, followed by liver and kidney. Although differences in arsenic concentrations were not statistically significant between the study species, loggerhead sea turtles showed concentrations two or three times higher than those of leatherback turtles, which we attribute to differences on feeding behavior and habitat preferences. Arsenic concentrations in turtles from this area increase evidence of western Mediterranean Sea as a hotspot for metal pollution. Based on the scarce existing knowledge on arsenic toxicity in sea turtles, those levels found in our study are below those responsible for liver damage.
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Affiliation(s)
- E Martínez-López
- Area of Toxicology, Department of Health Sciences, Faculty of Veterinary Medicine, University of Murcia, 30100, Murcia, Spain.
- Toxicology and Risk Assessment Group, Biomedical Research Institute of Murcia (IMIB-Arrixaca), University of Murcia, 30100, Murcia, Spain.
| | - D Herrero
- Area of Toxicology, Department of Health Sciences, Faculty of Veterinary Medicine, University of Murcia, 30100, Murcia, Spain
| | - G López-Berenguer
- Area of Toxicology, Department of Health Sciences, Faculty of Veterinary Medicine, University of Murcia, 30100, Murcia, Spain
| | - J Peñalver
- Fisheries and Aquaculture Service (CARM), 30100, Murcia, Spain
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Massetti T, Herrero D, Alencar J, Silva T, Moriyama C, Gehrke F, Tonks J, Fonseca F, Watson S, Monteiro C, Voos M. Clinical characteristics of children with congenital Zika syndrome: a case series. Arq Neuropsiquiatr 2020; 78:403-411. [PMID: 32627805 DOI: 10.1590/0004-282x20200020] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/17/2019] [Accepted: 02/13/2020] [Indexed: 11/22/2022]
Abstract
BACKGROUND The congenital Zika syndrome involves structural brain changes, including ventriculomegaly, thin cerebral cortices, abnormal gyral pattern, cortical malformations, hypoplasia of the corpus callosum, myelination delay, subcortical diffuse calcifications, brainstem hypoplasia, and microcephaly in newborns. OBJECTIVE This study aimed to describe the clinical characteristics of children with congenital Zika syndrome; to compare the outcomes of infants infected in the first (1T, n=20) and second trimesters of pregnancy (2T, n=11); to investigate correlations between birth weight, birth and follow-up head circumference, birth gestational age, and gross motor scores. METHODS Participants were evaluated with Alberta Infant Motor Scale (AIMS) and part A of the Gross Motor Function Measure (GMFM-A). ANOVA compared head circumference, birth gestational age, birth weight, and gross motor performance of 1T and 2T. RESULTS The correlations were investigated by Pearson correlation coefficients. ANOVA showed differences in birth and follow-up head circumferences. Head circumference was smaller in 1T, compared to 2T. Motor performance was classified as below the fifth percentile in AIMS in all children and 1T showed lower scores in prone, sitting, and total AIMS score, compared to 2T. Children ranged from 8 to 78% on GMFM-A and there was a poorer motor performance of 1T. Nineteen children showed hypertonia, six showed normal tone and six showed hypotonia. Birth head circumference was correlated with AIMS prone postural control. Follow-up head circumference was correlated to prone, supine and total AIMS scores. Smaller head circumference at birth and follow-up denoted poorer postural control. DISCUSSION Children with congenital Zika syndrome showed microcephaly at birth and follow-up. Smaller head circumferences and poorer motor outcomes were observed in 1T. Infants showed poor visual and motor outcomes. Moderate positive correlations between birth and follow-up head circumference and gross motor function were found.
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Affiliation(s)
- Thais Massetti
- Programa de Pós-Graduação em Ciências da Reabilitação, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Dafne Herrero
- Programa de Pós-Graduação em Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brazil
| | | | - Talita Silva
- Programa de Pós-Graduação em Cardiologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil
| | - Cristina Moriyama
- Programa de Pós-Graduação em Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Flavia Gehrke
- Instituto de Assistência Médica ao Servidor Público Estadual de São Paulo, São Paulo, SP, Brazil
| | - James Tonks
- Paediatric Neuropsychology, University of Exeter, United Kingdom
| | | | - Suzanna Watson
- The Cambridge Centre for Paediatric Neurorehabilitation, Cambridge, United Kingdom
| | - Carlos Monteiro
- Programa de Pós-Graduação em Ciências da Reabilitação, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Mariana Voos
- Departamento Teorias e Métodos em Fisioterapia e Fonoaudiologia, Curso de Fisioterapia, Pontifícia Universidade Católica de São Paulo, São Paulo, SP, Brazil
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Moriyama CH, Mustacchi Z, Pires S, Massetti T, da Silva T, Herrero D, de Abreu L, Monteiro C, Leone C. Functional skills and caregiver assistance of Brazilian children and adolescents with Down syndrome. NeuroRehabilitation 2019; 45:1-9. [PMID: 31450519 DOI: 10.3233/nre-192763] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Research into the evolution of the functional performance of children and adolescents with DS enables parents and professionals involved in their follow-up to promote their development. OBJECTIVE To evaluate the functional abilities of children and adolescents with Down syndrome and the assistance offered by their parents/caregivers. METHOD A cross-sectional study, with 100 children and adolescents with DS whom parents or caregivers were interviewed to complete the Paediatric Evaluation of Disability Inventory (PEDI). Linear regression analyses were performed with the software MedCalc version 16.8.4 and GraphPad Prism version 6.07. RESULTS Children and adolescents with DS need more time to acquire skills of self-care, mobility and social function. Their parents were able to better identify the difficulties before the children reached 8-years of age. CONCLUSION Parents can identify the difficulties of their children when they are younger and offer more assistance, but this does not happen when the children are of elementary school age. This suggests that they need professional support that is not restricted to the guidelines and the schools.
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Affiliation(s)
| | | | - Sandra Pires
- School of Speech-Language Pathology and Audiology, Santa Casa de São Paulo School of Medical Sciences, São Paulo, Brazil
| | - Thaís Massetti
- Medical School, University of São Paulo, São Paulo, Brazil
| | - Talita da Silva
- School of Arts, Sciences and Humanities, University of São Paulo, São Paulo, Brazil
| | - Dafne Herrero
- School of Public Health, University of São Paulo, São Paulo, Brazil
| | - Luiz de Abreu
- Studies Design and Scientific Writing Laboratory, ABC Medical School, São Paulo, SP, Brazil
| | - Carlos Monteiro
- School of Arts, Sciences and Humanities, University of São Paulo, São Paulo, Brazil.,Medical School, University of São Paulo, São Paulo, Brazil
| | - Claudio Leone
- School of Public Health, University of São Paulo, São Paulo, Brazil
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Ayala P, Cacicedo J, Delgado D, Nieto-Guerrero J, Herrero D, Praena J, Quintana L, Borrega P, Ortiz M, López-Guerra J. EP-2306: Prognostic value of PCI and single nucleotide polymorphism rs4803455 of TGFß1 gene in SCLC. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)32615-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Delgado-León B, Enguix M, Cacicedo J, Nieto-Guerrero J, Herrero D, Praena J, Cabrera P, Ortiz Gordillo M, López Guerra J. OC-0581: SNPs at rs7459185 and rs11466353 of the TGFβ1 Gene are associated with esophagitis in lung cancer. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)30891-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Tomantschger I, Herrero D, Einspieler C, Hamamura C, Voos MC, Marschik PB. The general movement assessment in non-European low- and middle-income countries. Rev Saude Publica 2018; 52:6. [PMID: 29412374 PMCID: PMC5802721 DOI: 10.11606/s1518-8787.2018052000332] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2016] [Accepted: 04/10/2017] [Indexed: 11/13/2022] Open
Abstract
Abnormal general movements are among the most reliable markers for cerebral palsy. General movements are part of the spontaneous motor repertoire and are present from early fetal life until the end of the first half year after term. In addition to its high sensitivity (98%) and specificity (91%), the assessment of general movements is non-invasive and time- and cost-efficient. It is therefore ideal for assessing the integrity of the young nervous system, most notably in lowresource settings. Studies on the general movements assessment in low- and middle-income countries such as China, India, Iran, or South Africa are still rare but increasing. In Brazil, too, researchers have demonstrated that the evaluation of general movements adds to the functional assessment of the young nervous system. Applying general movements assessment in vulnerable populations in Brazil is therefore highly recommended.
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Affiliation(s)
- Iris Tomantschger
- Medical University of Graz. Research Unit Interdisciplinary Developmental Neuroscience. Department of Phoniatrics. Graz, Austria
| | - Dafne Herrero
- Universidade de São Paulo. Faculdade de Saúde Pública. Departamento de Saúde Materno Infantil. São Paulo, SP, Brasil
| | - Christa Einspieler
- Medical University of Graz. Research Unit Interdisciplinary Developmental Neuroscience. Department of Phoniatrics. Graz, Austria
| | - Cristina Hamamura
- Universidade de São Paulo. Faculdade de Saúde Pública. Departamento de Saúde Materno Infantil. São Paulo, SP, Brasil
| | - Mariana Calil Voos
- Universidade de São Paulo. Faculdade de Medicina. Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional. São Paulo, SP, Brasil
| | - Peter B Marschik
- Medical University of Graz. Research Unit Interdisciplinary Developmental Neuroscience. Department of Phoniatrics. Graz, Austria.,Karolinska Institutet. Center of Neurodevelopmental Disorders. Stockholm, Sweden
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Herrero D, Einspieler C, Panvequio Aizawa CY, Mutlu A, Yang H, Nogolová A, Pansy J, Nielsen-Saines K, Marschik PB. The motor repertoire in 3- to 5-month old infants with Down syndrome. Res Dev Disabil 2017; 67:1-8. [PMID: 28586709 PMCID: PMC5515547 DOI: 10.1016/j.ridd.2017.05.006] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/18/2017] [Revised: 04/21/2017] [Accepted: 05/21/2017] [Indexed: 05/20/2023]
Abstract
BACKGROUND Even though Down syndrome is the most common chromosomal cause of intellectual disability, studies on early development are scarce. AIM To describe movements and postures in 3- to 5-month-old infants with Down syndrome and assess the relation between pre- and perinatal risk factors and the eventual motor performance. METHODS AND PROCEDURES Exploratory study; 47 infants with Down syndrome (26 males, 27 infants born preterm, 22 infants with congenital heart disease) were videoed at 10-19 weeks post-term (median=14 weeks). We assessed their Motor Optimality Score (MOS) based on postures and movements (including fidgety movements) and compared it to that of 47 infants later diagnosed with cerebral palsy and 47 infants with a normal neurological outcome, matched for gestational and recording ages. OUTCOMES AND RESULTS The MOS (median=13, range 10-28) was significantly lower than in infants with a normal neurological outcome (median=26), but higher than in infants later diagnosed with cerebral palsy (median=6). Fourteen infants with Down syndrome showed normal fidgety movements, 13 no fidgety movements, and 20 exaggerated, too fast or too slow fidgety movements. A lack of movements to the midline and several atypical postures were observed. Neither preterm birth nor congenital heart disease was related to aberrant fidgety movements or reduced MOS. CONCLUSIONS AND IMPLICATIONS The heterogeneity in fidgety movements and MOS add to an understanding of the large variability of the early phenotype of Down syndrome. Studies on the predictive values of the early spontaneous motor repertoire, especially for the cognitive outcome, are warranted. WHAT THIS PAPER ADDS The significance of this exploratory study lies in its minute description of the motor repertoire of infants with Down syndrome aged 3-5 months. Thirty percent of infants with Down syndrome showed age-specific normal fidgety movements. The rate of abnormal fidgety movements (large amplitude, high/slow speed) or a lack of fidgety movements was exceedingly high. The motor optimality score of infants with Down syndrome was lower than in infants with normal neurological outcome but higher than in infants who were later diagnosed with cerebral palsy. Neither preterm birth nor congenital heart disease were related to the motor performance at 3-5 months.
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Affiliation(s)
- Dafne Herrero
- School of Public Health, University of São Paulo, São Paulo, Brazil
| | - Christa Einspieler
- Research Unit iDN, Interdisciplinary Developmental Neuroscience, Department of Phoniatrics, Medical University of Graz, Graz, Austria.
| | - Carolina Y Panvequio Aizawa
- Department of Physical Therapy, Communication Science & Disorders and Occupational Therapy, School of Medicine, University of São Paulo, São Paulo, Brazil
| | - Akmer Mutlu
- Developmental and Early Physiotherapy Unit, Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey
| | - Hong Yang
- Rehabilitation Department, Children's Hospital of Fudan University, Shanghai, China
| | - Alice Nogolová
- Children's Department, City Hospital of Ostrava, Ostrava, Czech Republic
| | - Jasmin Pansy
- Division of Neonatology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria
| | - Karin Nielsen-Saines
- Division of Infectious Diseases, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA
| | - Peter B Marschik
- Research Unit iDN, Interdisciplinary Developmental Neuroscience, Department of Phoniatrics, Medical University of Graz, Graz, Austria; Center of Neurodevelopmental Disorders (KIND), Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden
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Brandt R, Herrero D, Massetti T, Crocetta TB, Guarnieri R, de Mello Monteiro CB, da Silveira Viana M, Bevilacqua GG, de Abreu LC, Andrade A. The Brunel Mood Scale Rating in Mental Health for Physically Active and Apparently Healthy Populations. Health (London) 2016. [DOI: 10.4236/health.2016.82015] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Olavarria V, Brunser A, Herrero D, Cárcamo D, López J, Valenzuela M, Hoppe A, Sujima E, Mansilla E, Illanes S, Reccius A, Díaz V, Lavados P. Clínica Alemana de Santiago cerebrovascular disease registry (Recca): a single center seventeen-year prospective project. J Neurol Sci 2015. [DOI: 10.1016/j.jns.2015.08.1420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Brunser A, Lavados P, Cárcamo D, Hoppe A, Olavarría V, Sujima E, Herrero D, López J. Role of transcranial Doppler in a multimodal imaging stroke protocol for the evaluation of hyperacute stroke: a prospective observational study. J Neurol Sci 2015. [DOI: 10.1016/j.jns.2015.08.1306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Diaz V, Hoppe A, Brunser A, Sujima E, Olavarria V, Valenzuela M, Lopez M, Carcamo D, Herrero D, Lavados P. Etiology and functional outcome by gender in acute ischemic stroke in a tertiary care hospital: clinica Alemana stroke registry: 1997-2014. J Neurol Sci 2015. [DOI: 10.1016/j.jns.2015.08.1329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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González-Lobato L, Real R, Herrero D, de la Fuente A, Prieto J, Marqués M, Álvarez A, Merino G. Novelin vitrosystems for prediction of veterinary drug residues in ovine milk and dairy products. Food Addit Contam Part A Chem Anal Control Expo Risk Assess 2014; 31:1026-37. [DOI: 10.1080/19440049.2014.908261] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
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Auzeric A, Herrero D, Dragon M, Boniteau B, Combret D, Chambrier C. P166 Évaluation de la prise en charge diététique des patients hospitalisés dénutris. NUTR CLIN METAB 2013. [DOI: 10.1016/s0985-0562(13)70498-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Herrero D, Gallo PR, Fujimori M, de Mello Monteiro CB, Valenti VE, Tavares CM, Gallo SM, Macedo CC, Oliveira AG, de Abreu LC. Motor development of infants exposed to maternal human immunodeficiency virus (HIV) but not infected. Int Arch Med 2013; 6:45. [PMID: 24171763 PMCID: PMC3904463 DOI: 10.1186/1755-7682-6-45] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2012] [Accepted: 10/28/2013] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND To assess the motor development of infants exposed to maternal human immunodeficiency virus (HIV). METHODS Thirty infants were assessed in the period from November 2009 to March 2010 at the AIDS Reference and Training Centre, in São Paulo, Brazil. The assessment instrument used in the research was the Alberta Infant Motor Scale (AIMS). All 30 infants used the antiretroviral drug properly for 42 consecutive days, in accordance with the protocol of the World Health Organization. RESULTS Out of the total number of infants, 27 (90%) had proper motor performance and 3 (10%) presented motor delay, according to the AIMS. DISCUSSION This study demonstrated that only 10% of the assessed group had developmental delay and no relation with environmental variables was detected, such as maternal level of education, social and economic issues, maternal practices, attendance at the day care center, and drug use during pregnancy. It is important to emphasize the necessity of studies with a larger number of participants.
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Affiliation(s)
| | | | | | | | | | | | | | | | | | - Luiz Carlos de Abreu
- Departamento de Saúde Materno-Infantil da Faculdade de saúde, Pública da Universidade de São Paulo, São Paulo, Brasil.
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Silva SB, de Abreu LC, Valenti VE, Nogueira DV, Moraes ER, Natividade V, Gallo PR, Herrero D, Zacaro PMD. Verbal and visual stimulation effects on rectus femoris and biceps femoris muscles during isometric and concentric. Int Arch Med 2013; 6:38. [PMID: 24099489 PMCID: PMC3973804 DOI: 10.1186/1755-7682-6-38] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2013] [Accepted: 10/06/2013] [Indexed: 11/10/2022] Open
Abstract
Background Coactivation may be both desirable (injury prevention) or undesirable (strength measurement). In this context, different styles of muscle strength stimulus have being investigated. In this study we evaluated the effects of verbal and visual stimulation on rectus femoris and biceps femoris muscles contraction during isometric and concentric. Methods We investigated 13 men (age =23.1 ± 3.8 years old; body mass =75.6 ± 9.1 kg; height =1.8 ± 0.07 m). We used the isokinetic dynamometer BIODEX device and an electromyographic (EMG) system. We evaluated the maximum isometric and isokinetic knee extension and flexion at 60°/s. The following conditions were evaluated: without visual nor verbal command (control); verbal command; visual command and; verbal and visual command. In relation to the concentric contraction, the volunteers performed five reciprocal and continuous contractions at 60°/s. With respect to isometric contractions it was made three contractions of five seconds for flexion and extension in a period of one minute. Results We found that the peak torque during isometric flexion was higher in the subjects in the VVC condition (p > 0.05). In relation to muscle coactivation, the subjects presented higher values at the control condition (p > 0.05). Conclusion We suggest that this type of stimulus is effective for the lower limbs.
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Affiliation(s)
- Sidney B Silva
- Universidade do Vale do Paraíba, Av, Shishima Hifumi, 2911 Urbanova, 12244-000 São José dos Campos, SP, Brasil.
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de Almeida JC, Alves CL, de Abreu LC, Sato MA, Fonseca FL, de Mello Monteiro CB, Vanderlei LCM, Macedo H, Tavares CM, Herrero D, Rodrigues LM, Valenti VE. Involvement of the atrial natriuretic peptide in cardiovascular pathophysiology and its relationship with exercise. Int Arch Med 2012; 5:4. [PMID: 22313592 PMCID: PMC3395876 DOI: 10.1186/1755-7682-5-4] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2011] [Accepted: 02/07/2012] [Indexed: 12/29/2022] Open
Abstract
In this minireview we describe the involvement of the atrial natriuretic peptide (ANP) in cardiovascular pathophysiology and exercise. The ANP has a broad homeostatic role and exerts complex effects on the cardio-circulatory hemodynamics, it is produced by the left atrium and has a key role in regulating sodium and water balance in mammals and humans. The dominant stimulus for its release is atrial wall tension, commonly caused by exercise. The ANP is involved in the process of lipolysis through a cGMP signaling pathway and, as a consequence, reducing blood pressure by decreasing the sensitivity of vascular smooth muscle to the action of vasoconstrictors and regulate fluid balance. The increase of this hormone is associated with better survival in patients with chronic heart failure (CHF). This minireview provides new evidence based on recent studies related to the beneficial effects of exercise in patients with cardiovascular disease, focusing on the ANP.
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Affiliation(s)
- Júlio C de Almeida
- Departamento de Morfologia e Fisiologia, Faculdade de Medicina do ABC, Av, Príncipe de Gales, 821, 09060-650, Santo André, SP, Brazil.
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Gil-Carcedo E, Gil-Carcedo LM, Vallejo LA, Herrero D, Ortega C. Diagnóstico y tratamiento de los paragangliomas carotídeos. Presentación de nueve casos y revisión de la literatura. Acta Otorrinolaringológica Española 2006; 57:412-8. [PMID: 17184010 DOI: 10.1016/s0001-6519(06)78739-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Carotid body paragangliomas (CBP) are relatively rare tumors arising from the carotid body paraganglion. Clinical signs and images are necessary to establish the diagnosis. Surgery is the preferred method of treatment, paying special attention to the carotid artery. Nine patients with carotid body tumors were identified, three of them with complicated diagnosis. One patient is treated with radiotherapy. Out of the eight surgical patients, three preserved the whole arterial structure, the external carotid artery is resected in two patients, the carotid artery is replaced (safen graft, gore tex prosthesis) in other two patients, and the common carotid was tied in the remaining patient. Our objective is to show the decisions taken in the patients from our casuistic, comparing them to the literature data. We conclude that the diagnosis may be deceptive, and that the attitude forward the carotid is variable, always being prepared to do arterial replacement techniques.
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Affiliation(s)
- E Gil-Carcedo
- Hospital Universitario Río Hortega, Cátedra de Otorrinolaringología y Patología Cérvico Facial, Valladolid.
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García F, Blanco JG, Garcés M, Juste S, Fuentes M, Herrero D. Freezing protects against allergy to Anisakis simplex. J Investig Allergol Clin Immunol 2002; 11:49-52. [PMID: 11436972] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/20/2023] Open
Abstract
BACKGROUND Allergic reactions to Anisakis simplex have been described following ingestion of fish and were thought to be possible even if seafood is frozen or well-cooked. OBJECTIVE This study aimed to confirm, by challenge test, that dead A. simplex larvae are not able to trigger allergic reactions in patients with proven hypersensitivity to this parasite. METHODS Simple-blind, placebo-controlled, oral challenge tests with frozen A. simplex larvae were performed in 12 patients who had suffered severe anaphylactic reactions after ingestion of seafood and diagnosed of A. simplex hypersensitivity by skin prick test and specific IgE. If no reaction appeared, they were told to eat frozen seafood. 63 patients who had suffered urticaria or urticaria/angioedema by demonstratred hypersensitivity to A. simplex were also advised to eat frozen seafood. All of them were reevaluated 6 months later. RESULTS All patients tolerated the dead larvae challenge test. After eating previously frozen seafood at least two times per week, all patients, including those who had suffered anaphylactic reactions and those who had only presented cutaneous manifestations, remained asymptomatic. CONCLUSIONS Anisakis simplex-allergic patients tolerate ingestion of dead larvae. It is probable that these patients can eat frozen fish and that a seafood-free diet is not necessary.
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Affiliation(s)
- F García
- Section of Allergy, Hospital General Yagüe, Burgos, Spain.
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Blanco J, Ramirez M, Garcia F, Herrero D, Fuentes M, Pérez R. Localized aquagenic urticaria. Contact Dermatitis 2000; 42:303-4. [PMID: 10789864] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/16/2023]
Affiliation(s)
- J Blanco
- Sección de Alergología, Hospital General Yagüe, Burgos, Spain
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Affiliation(s)
- F García
- Sección de Alergología, Hospital General Yagüe, Burgos, Spain
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Garcia F, Juste S, Garces MM, Carretero P, Blanco J, Herrero D, Perez R. Occupational allergic contact dermatitis from ceftiofur without cross-sensitivity. Contact Dermatitis 1998; 39:260. [PMID: 9840267 DOI: 10.1111/j.1600-0536.1998.tb05923.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- F Garcia
- Sección de Alergología, Hospital General Yagüe, Burgos, Spain
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Marcos ML, Garcés MM, Alonso L, Juste S, Carretero P, Blanco J, Garcia F, Perez R, Herrero D. Occupational allergic contact dermatitis from homatropine and phenylephrine eyedrops. Contact Dermatitis 1997; 37:189. [PMID: 9385525 DOI: 10.1111/j.1600-0536.1997.tb00204.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Affiliation(s)
- M L Marcos
- Sección de Alergología, Hospital General Yagüe, Burgos, Spain
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Abstract
BACKGROUND Cirrhotic patients have been reported to have leukocyte impaired function as well as a high incidence of infectious diseases. Granulocyte-macrophage colony-stimulating factor (GM-CSF) increases the number and function of phagocytic cells, and clinical applications are under study. We tested in vitro effects of GM-CSF on phagocytosis, phagocytic index, and chemotaxis in polymorphonuclear leukocytes from 21 cirrhotic patients (12 with compensated cirrhosis and 9 with spontaneous bacterial peritonitis). METHODS Polymorphonuclear leukocyte functions were tested under basal conditions and after incubation with GM-CSF (10 ng/mL). Phagocytosis was tested against a clinical strain of Candida albicans, and chemotaxis was evaluated using a Boyden chamber. Results were compared with those obtained from 14 healthy donors. RESULTS Leukocytes from cirrhotics displayed lower basal functional activity than control cells in phagocytosis (P < 0.01) and chemotaxis (P < 0.01). After GM-CSF stimulation, the percentage of phagocytic polymorphonuclear leukocytes in noninfected patients increased from 60% +/- 2.5% to 69.9% +/- 2.42% (P < 0.01), phagocytic index from 0.79 +/- 0.07 to 1.02 +/- 0.07 (P < 0.001), and chemotaxis from 61.2 +/- 12.6 to 82.3 +/- 10.2 cells/high power field (P < 0.05). In patients with peritonitis, the phagocytic index increased from 0.87 +/- 0.08 to 1.08 +/- 0.05 (P < 0.01), phagocytosis from 57.8 +/- 3.57 to 64.7 +/- 2.34 and chemotaxis from 83.3 +/- 17.8 to 110.2 +/- 24.1. CONCLUSIONS Our results indicate that a defective leukocyte function is present both in compensated and infected cirrhotic patients. An in vitro improvement was observed after GM-CSF stimulation.
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Affiliation(s)
- M Garcia-González
- Servicio de Gastroenterologia, Hospital Ramón y Cajal, Madrid, Spain
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García Frade J, Burgaleta C, Alava I, Tolón R, Navarro JL, Obispo T, Herrero D. [Fibronectin and the ability of plasma to induce adhesion and phagocytosis in acute myeloid leukemia]. Med Clin (Barc) 1986; 86:454-6. [PMID: 3458988] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
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De Miguel J, Del Rioo J, Herrero D, Anta A. [Variations in the use of proximal gastric vagotomy without drainage]. Rev Esp Enferm Apar Dig 1974; 42:485-8. [PMID: 4825329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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