RESUMO
Abstract The prevalence of pregnancy in adolescent women is high in Mexico and represents a public health problem. The pregnant teenager with heart disease has a high probability of complications during pregnancy and the delivery, which carries a risk of death of both the mother and the product. In many cases the pregnancy should have been avoided, planned or interrupted, however the majority at this age is vulnerable and although certain cases must be interrupted by their high risk of maternal-fetal death, prevention and legal aspects should be considered. In some cases the woman wants a pregnancy although her health condition does not allow it, but there are options of adoption or recourse to a surrogate belly. In response to this growing social problem, the National Cardiology Institute Ignacio Chávez and National Institute of Perinatology, with the coordination of Ministry of Health in Mexico, started a pregnancy prevention module within a clinic of follow-up of cardiopathy and pregnancy. This review raises the global problem in our country that occupies the first place in pregnancies in adolescents, with more than 400,000 pregnancies a year and the form of immediate response in a multidisciplinary way.
Resumen La prevalencia de embarazo en mujeres adolescentes es muy alta en México, y representa un problema de salud pública. La adolescente embarazada con cardiopatía tiene altas posibilidades de complicaciones durante el embarazo y su resolución, lo que pone en riesgo la vida tanto de la madre como del producto. En muchos casos el embarazo debió ser evitado, planeado o interrumpido, sin embargo la mayoría a esta edad es vulnerable y si bien ciertos casos deben ser interrumpidos por su alto riesgo de muerte materno-fetal, es fundamental considerar la prevención y los aspectos legales. En algunos casos la mujer desea un embarazo aunque su condición de salud no se lo permite, pero existen opciones de adopción o recurrir a un vientre subrogado. Atendiendo este problema social cada vez más creciente, el Instituto Nacional de Cardiología Ignacio Chávez, en coordinación con la Comisión Coordinadora de la Secretaría de Salud y el Instituto Nacional de Perinatología, echaron a andar un módulo de prevención de embarazo dentro de una clínica de seguimiento de cardiopatía y embarazo. Esta revisión plantea el problema global en nuestro país, que ocupa el primer lugar en embarazos en adolescentes, con más de 400 mil embarazos al año y la forma de dar respuesta inmediata de manera multidisciplinaria.
Assuntos
Humanos , Feminino , Gravidez , Adolescente , Complicações Cardiovasculares na Gravidez/fisiopatologia , Gravidez na Adolescência , Cardiopatias/fisiopatologia , Prevalência , MéxicoRESUMO
The prevalence of pregnancy in adolescent women is high in Mexico and represents a public health problem. The pregnant teenager with heart disease has a high probability of complications during pregnancy and the delivery, which carries a risk of death of both the mother and the product. In many cases the pregnancy should have been avoided, planned or interrupted, however the majority at this age is vulnerable and although certain cases must be interrupted by their high risk of maternal-fetal death, prevention and legal aspects should be considered. In some cases the woman wants a pregnancy although her health condition does not allow it, but there are options of adoption or recourse to a surrogate belly. In response to this growing social problem, the National Cardiology Institute Ignacio Chávez and National Institute of Perinatology, with the coordination of Ministry of Health in Mexico, started a pregnancy prevention module within a clinic of follow-up of cardiopathy and pregnancy. This review raises the global problem in our country that occupies the first place in pregnancies in adolescents, with more than 400,000 pregnancies a year and the form of immediate response in a multidisciplinary way.
La prevalencia de embarazo en mujeres adolescentes es muy alta en México, y representa un problema de salud pública. La adolescente embarazada con cardiopatía tiene altas posibilidades de complicaciones durante el embarazo y su resolución, lo que pone en riesgo la vida tanto de la madre como del producto. En muchos casos el embarazo debió ser evitado, planeado o interrumpido, sin embargo la mayoría a esta edad es vulnerable y si bien ciertos casos deben ser interrumpidos por su alto riesgo de muerte materno-fetal, es fundamental considerar la prevención y los aspectos legales. En algunos casos la mujer desea un embarazo aunque su condición de salud no se lo permite, pero existen opciones de adopción o recurrir a un vientre subrogado. Atendiendo este problema social cada vez más creciente, el Instituto Nacional de Cardiología Ignacio Chávez, en coordinación con la Comisión Coordinadora de la Secretaría de Salud y el Instituto Nacional de Perinatología, echaron a andar un módulo de prevención de embarazo dentro de una clínica de seguimiento de cardiopatía y embarazo. Esta revisión plantea el problema global en nuestro país, que ocupa el primer lugar en embarazos en adolescentes, con más de 400 mil embarazos al año y la forma de dar respuesta inmediata de manera multidisciplinaria.
Assuntos
Cardiopatias/fisiopatologia , Complicações Cardiovasculares na Gravidez/fisiopatologia , Gravidez na Adolescência , Adolescente , Feminino , Humanos , México , Gravidez , PrevalênciaAssuntos
Artralgia/imunologia , Hipergamaglobulinemia/diagnóstico , Hipergamaglobulinemia/imunologia , Imunoglobulina M/imunologia , Anti-Infecciosos/uso terapêutico , Pré-Escolar , Diagnóstico Diferencial , Seguimentos , Humanos , Hipergamaglobulinemia/tratamento farmacológico , Imunoglobulinas/uso terapêutico , Louisiana , Masculino , Recidiva , Índice de Gravidade de Doença , Sulfametoxazol/uso terapêutico , Resultado do Tratamento , Trimetoprima/uso terapêuticoRESUMO
A partial deficiency in protoporphyrinogen oxidase (PPOX) produces the acute/cutaneous (or mixed) variegate porphyria (VP), the third most frequent porphyria in Argentina. This autosomal dominant disorder is clinically characterized by skin lesions and/or acute neurovisceral attacks. The precise diagnosis of patients with a symptomatic VP is essential to provide accurate treatment. It is also critical to identify asymptomatic relatives to avoid precipitating factors and prevent acute attacks.Functional consequences of five PPOX missense mutations were evaluated in a prokaryotic expression system. Three mutations were found in families previously reported c.101A>T (p.E34V), c.670T>G (W224G), c.995G>C (G332A) and two were novel findings c.227C>T (p.S76F), c.1265A>G (p.Y422C). All mutations were identified in heterozygotes with reduced PPOX activity and variable clinical expression of the disease, including asymptomatic cases. Prokaryotic expression showed that all five missense mutations decreased the PPOX activity, demonstrating their detrimental effect on enzyme function, and thus, providing evidence for their causative role in VP. These results reinforce the importance of molecular genetic analysis for VP diagnosis and especially the usefulness of prokaryotic expression of missense mutations to assess their deleterious effect on PPOX activity.MM and BXG contributed equally to the publication. RES and MVR share senior authorship.
RESUMO
The main objective of the work was to determine the antioxidant capacity of the flavonoids in red apples with and without skin, strawberries, tomatoes and fresh onions and thermally treated: humid heat (boiled and vapor), dry heat (oven) and high frequency (microwaves). The measurement was carried out in a fluorescence spectroscopy and the statistical analysis through the Variance and Test of Duncan. The results indicate that the antioxidant capacity of the flavonoids of red apples with and without skin, strawberries, tomatoes and onions were of 0.259, 0.267, 0.278, 0.165 and 0.223 Equivalent uM Trolox. These values diminished after the thermal treatment at a higher degree by dry heat at 0.128, 0.072, 0.077 and 0.048 Equivalent uM Trolox respectively and 0.146 Equivalent uM Trolox in the boiled onion. The flavonoids showed a higher antioxidant activity in fresh state, and their activity diminished under heat (cooking).
Assuntos
Antioxidantes/análise , Flavonoides/análise , Manipulação de Alimentos , Frutas/química , Verduras/química , Antioxidantes/metabolismo , Flavonoides/metabolismo , Frutas/metabolismo , Temperatura Alta , Verduras/metabolismoRESUMO
El objetivo del trabajo fue desarrollar panes fortificados con calcio y estudiar la incidencia de su consumo en los niveles de calcio sanguíneos en pacientes con Insuficiencia Renal Crónica (IRC), hemodializados con respecto a los de pastillas con carbonato de calcio. Se concluye que los panes fortificados con calcio pueden reemplazar a las pastillas de carbonato de calcio en los pacientes con IRC hemodializados y contribuyen a mejorar su calidad de vida. (AU)
Assuntos
Estudo Comparativo , Humanos , Diálise Renal , Carbonato de Cálcio/administração & dosagem , Insuficiência Renal Crônica/terapiaRESUMO
El objetivo del trabajo fue desarrollar panes fortificados con calcio y estudiar la incidencia de su consumo en los niveles de calcio sanguíneos en pacientes con Insuficiencia Renal Crónica (IRC), hemodializados con respecto a los de pastillas con carbonato de calcio. Se concluye que los panes fortificados con calcio pueden reemplazar a las pastillas de carbonato de calcio en los pacientes con IRC hemodializados y contribuyen a mejorar su calidad de vida.