45 results on '"Hipòxia"'
Search Results
2. Intermittent hypoxia in sport nutrition, performance, health status and body composition.
- Author
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Urdampilleta, Aritz and Roche, Enrique
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BODY composition , *SPORTS nutrition , *NUTRITION , *TYPE 2 diabetes , *VASCULAR endothelial growth factors , *HYPOXEMIA , *INSULIN sensitivity , *PHYSICAL mobility , *GLUCOSE transporters - Abstract
Intermittent hypoxia refers to the discontinuous use of low oxygen levels in normobaric environment. These conditions can be reproduced in hypoxic tents or chambers while the individual is training in different physical activity protocols. Intermittent hypoxia can affect several body systems, impacting nutrition, physical performance, health status and body composition. Therefore, it is necessary to assess protocols, regarding time and frequency of exposure, passive exposure or training in hypoxia, and the simulated altitude. At the molecular level, the hypoxia-inducible factor-1α is the primary factor mediating induction of target genes, including vascular endothelial growth factor and erythropoietin. The goal of these molecular changes is to preserve oxygen supply for cardiac and neuronal function. In addition, hypoxia produces a sympathetic adrenal activation that can increase the resting metabolic rate. Altogether, these changes are instrumental in protocols designed to improve physical performance as well as functional parameters for certain pathological disorders. In addition, nutrition must adapt to the increased energy expenditure. In this last context, performing physical activity in intermittent hypoxia improves insulin sensitivity by increasing the presence of the glucose transporter GLUT-4 in muscle membranes. These changes could also be relevant for obesity and type 2 diabetes treatment. Also, the anorectic effect of intermittent hypoxia modulates serotonin and circulating leptin levels, which may contribute to regulate food intake and favor body weight adaptation for optimal sport performance and health. All these actions suggest that intermittent hypoxia can be a very effective tool in sports training as well as in certain clinical protocols. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
3. Combined effects of protein deficiency and hypoxia on bone mechanical properties in growing rats.
- Author
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PICASSO, MARIA CONSTANZA, PICASSO, EMILIO, MARIA ALIPPI, ROSA, LEZÓN, CHRISTIAN, and BOZZINI, CLARISA
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BONE physiology ,BIOMECHANICS ,RISK assessment ,BONES ,RATS ,ANIMAL experimentation ,COMPARATIVE studies ,PROTEIN deficiency ,HYPOXEMIA ,DISEASE complications - Abstract
Copyright of Revista Mexicana de Endocrinología, Metabolismo y Nutrición is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2024
- Full Text
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4. The Role of MMP-9 in Regulating Degradation of the Splenic Microvascular Basement Membrane Induced by High Altitude Hypoxia.
- Author
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Yi Ma, Li-Ming Zhu, Wen-Ling Liu, Yu-Juan Yin, Xiao Chun Peng, and Ming-Ming Zhu
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BASAL lamina , *MATRIX metalloproteinases , *SPRAGUE Dawley rats , *HYPOXEMIA , *ERYTHROCYTES - Abstract
To investigate changes of MMP-9 in the rat spleen and hypoxia-induced microvascular basement membrane under high altitude hypoxia. Thirty male specific pathogen-free Sprague Dawley rats were randomly divided into control and hypoxia groups, with 15 rats in each group. The rats in the control group were placed in Dingxi City, Gansu Province (2080 m above sea level) for 30 days. Rats in the hypoxia group were raised in a hypoxic environment in Maduo County, Qinghai Province (4300 m above sea level), for 30 days to establish a hypoxic rat model. Routine blood tests, MMP-9 mRNA, MMP-9 protein, and the spleen microvascular basement membrane were detected. (1) Compared with the control group, the red blood cell count, hemoglobin, and hematocrit levels of the rats in the hypoxia group were all increased; thus, a hypoxia model was successfully established. (2) Compared with the control group, the expression of MMP-9 mRNA and protein was significantly higher in the spleen of rats in the hypoxic group, and the difference was statistically significant (P <0.05). (3) Compared with the control group, the blood vessel basement membrane in the spleen of the hypoxia group was degraded. Under natural low air pressure and high altitude conditions, the expression of MMP-9 in rat spleen tissue increases and participates in the degradation of the microvascular basement membrane. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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5. Effect of Chronic Altitude Hypoxia on Redox Balance in Preadolescents and Adolescents.
- Author
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Ramos-Caballero, Diana Marcela, Rodríguez-Rodríguez, Pilar, Mancera-Soto, Erica, Martins, Sandra, Arribas, Silvia M., Magalhães, José, and Cristancho-Mejía, Edgar
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GLUTATHIONE ,INTERLEUKINS ,INFLAMMATION ,CROSS-sectional method ,ANTIOXIDANTS ,SUPEROXIDE dismutase ,MOUNTAIN sickness ,OXIDATIVE stress ,MALONDIALDEHYDE ,CATALASE ,DESCRIPTIVE statistics ,TUMOR necrosis factors ,URIC acid ,HYPOXEMIA ,OXIDATION-reduction reaction ,SPECTROPHOTOMETRY ,DISEASE complications ,ADOLESCENCE - Abstract
Copyright of Revista Ciencias de la Salud is the property of Colegio Mayor de Nuestra Senora del Rosario and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2022
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6. Role of the hypoxia-inducible factor (HIF) in the process of neurogenesis at the hippocampal level.
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Ramirez-Rincón, Clara L.
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HYPOXEMIA , *NEOVASCULARIZATION , *HIPPOCAMPUS (Brain) , *DEVELOPMENTAL neurobiology , *ENERGY metabolism , *ERYTHROPOIESIS , *CENTRAL nervous system , *CATENINS - Abstract
Hypoxia-induced factor 1 (HIF-1) plays a fundamental role in the response to low oxygen tension, since it regulates the expression of a wide variety of genes, whose products participate in processes such as angiogenesis, energy metabolism, erythropoiesis, and cell proliferation as well as in the process of neurogenesis, which involves various stages, such as proliferation of neuronal stem cells, migration, differentiation, survival of new neurons, and integration of the same. Among the many intrinsic and extrinsic molecular signals that regulate the production of new neurons from progenitor cells in the adult in the central nervous system (CNS), hypoxic damage plays an important role in the maintenance and function of stem cells in development and disease. [ABSTRACT FROM AUTHOR]
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- 2022
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7. ANÁLISE DA INFLUÊNCIA DE SESSÕES DE TREINAMENTO EM CONDIÇÕES DE HIPÓXIA NORMOBÁRICA INTERMITENTE E NORMÓXIA SOBRE PARÂMETROS HEMATOLÓGICOS E APTIDÃO AERÓBICA.
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da Silva Pereira, Eduardo, Marques Sousa, Aline Mara, and Ferreira Paz, Francisco Edson
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AEROBIC capacity ,ABILITY testing ,OXYGEN saturation ,HYPOXEMIA ,BLOOD testing ,LONG-distance running - Abstract
Copyright of Revista Brasileira de Prescrição e Fisiologia do Exercício is the property of Instituto Brasileiro de Pesquisa e Ensino em Fisiologia do Exercicio and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
8. Cuidados de enfermería ante la necesidad de oxigenación en adultos con enfermedad por COVID-19: revisión integrativa.
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Santiago-González, Nicolás, García-Hernández, María de Lourdes, Cruz Bello, Patricia, and Chaparro-Díaz, Olivia Lorena
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ADULT respiratory distress syndrome treatment , *ONLINE information services , *COVID-19 , *NURSING , *SYSTEMATIC reviews , *VITAL signs , *OXYGEN saturation , *OXYGEN therapy , *HEMODYNAMICS , *MEDLINE , *REACTIVE oxygen species , *HYPOXEMIA , *LYING down position , *COMORBIDITY , *OXYGEN in the body - Abstract
Introduction: COVID-19 disease generates acute respiratory distress syndrome, affects the need for oxygenation and demands nursing care to maintain hemodynamic stability and to prevent respiratory complications. Objective: To analyze the scientific evidence on nursing care facing the need for oxygenation in hospitalized adults with COVID-19 disease. Methods: Integrative review of a universe of 518 scientific articles published from 2020 to 2021 in the following databases: PubMed, EBSCO, CUIDEN and ScienceDirect. N=6 studies were analyzed. These address what the nursing care implies facing the need for oxygenation in adults with COVID-19. Results: Nursing care includes oxygen therapy strategies, recommendations on care in the first line of care, use of high-flow oxygen, early awake prone positioning, control of saturation and vital signs, through a nursing care process. Conclusion: Nursing care satisfies the need for oxygenation through oxygen therapy interventions, control of comorbidities and prevention of hospital risks. [ABSTRACT FROM AUTHOR]
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- 2022
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9. The use of masks in sport: an integrative review during Covid-19.
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Prieto Andreu, Joel Manuel
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MEDICAL masks ,SPORTS ,COVID-19 pandemic ,SAMPLING errors ,HYPOXEMIA - Abstract
Copyright of Cultura, Ciencia y Deporte is the property of Cultura, Ciencia y Deporte and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
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10. ANÁLISE DA INFLUÊNCIA DE SESSÕES DE TREINAMENTO EM CONDIÇÕES DE HIPÓXIA NORMOBÁRICA INTERMITENTE E NORMÓXIA SOBRE PARÂMETROS HEMATOLÓGICOS E APTIDÃO AERÓBICA.
- Author
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Marques Sousa, Aline Mara, Ferreira Paz, Francisco Edson, and Pereira, Eduardo da Silva
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LONG-distance running ,ABILITY testing ,HYPOXEMIA ,BLOOD testing ,CARDIOPULMONARY fitness - Abstract
Copyright of Revista Brasileira de Prescrição e Fisiologia do Exercício is the property of Instituto Brasileiro de Pesquisa e Ensino em Fisiologia do Exercicio and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
11. Fish die-off in river and reservoir: A review on anoxia and gas supersaturation.
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Agostinho, Angelo Antonio, Alves, Diego Correa, Gomes, Luiz Carlos, Dias, Rosa Maria, Jr, Miguel Petrere, and Pelicice, Fernando Mayer
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FISH kills , *SUPERSATURATION , *HYPOXEMIA , *FISH mortality , *EPHEMERAL streams , *GASES , *FISH conservation - Abstract
Albeit massive fish mortality has an extraordinary visual impact and is certainly a fatality, we still have rudimentary understanding on how addressing this problem in the Neotropical region. The processes that lead to fish die-off events are complex and sometimes ephemeral, which can lead to incorrect diagnosis. In this review, we discuss these events in Neotropical freshwaters, both in areas impacted by dams and natural environment, with a focus on deaths mediated by the lack of oxygen (anoxia) or the excess of dissolved gases (gas supersaturation). We examine the available knowledge about the related mechanisms, lethal thresholds for dissolved oxygen (DO) and total dissolved gases (TDG) for fish, and the sequelae of gas bubble disease (GBD). An assessment of the main mortality events in Brazil in the last 10 years is also presented, as well as the best practices for monitoring, prevention, and mitigation. Finally, it is concluded that the proliferation of hydroelectric plants in the Neotropical region might contribute to the expansion of these events and, consequently, increasing of impacts on fish conservation. We consider urgent the inclusion of this topic in the licensing processes for new hydropower projects by the environmental agencies. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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12. Heart rate variability as a predictor of hypobaric hypoxia in aircraft pilots.
- Author
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Castro-Herrera, Juan M., Cedeño-Serna, Juan C., Tuta-Quintero, Eduardo, and Botero-Rosas, Daniel A.
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HEART beat ,OXYGEN saturation ,HYPOXEMIA ,FAST Fourier transforms ,AUTOREGRESSIVE models - Abstract
Copyright of Revista Latinoamericana de Hipertension is the property of Revista Latinoamericana de Hipertension and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
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13. Seizures in patients with respiratory disease - a retrospective single center study.
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AYDIN, Senay, ÖZDEMIR, Cengiz, GÜNDÜZ, Ayşegül, and KIZILTAN, Meral E.
- Abstract
Copyright of Arquivos de Neuro-Psiquiatria is the property of Thieme Medical Publishing Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2020
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14. Chlorophyll fluorescence and other physiological parameters as indicators of waterlogging and shadow stress in lulo (Solanum quitoense var. septentrionale) seedlings.
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SÁNCHEZ-REINOSO, ALEFSI DAVID, JIMÉNEZ-PULIDO, YULIETH, PAUL MARTÍNEZ-PÉREZ, JEAN, SALVADOR PINILLA, CARLOS, and FISCHER, GERHARD
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OXIDATIVE stress ,CHLOROPHYLL ,HYPOXEMIA ,WATERLOGGING (Soils) ,PLANTS - Abstract
Copyright of Revista Colombiana de Ciencias Hortícolas is the property of Revista Colombiana de Ciencias Horticolas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2019
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15. Physiological potential of soybean seeds under hypoxia and salinity stress.
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CHICHANOSKI, Carolina, FERREIRA, Bruno Ribeiro, MOTERLE, Lia Mara, and Frederico dos SANTOS, Renato
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SOYBEAN ,HYPOXEMIA ,SALINITY ,OSMOTIC potential of plants ,SOYBEAN farming - Abstract
Copyright of Cientifica is the property of Fundacao de Apoio a Pesquisa e Extensao and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2019
- Full Text
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16. MAXIMUM EFFORT TRAINING PERFORMED IN HYPOXIA ALTERS THE MOOD PROFILE.
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de Campos Giampá, Sara Quaglia, de Souza, Jorge Fernando Tavares, de Mello, Marco Túlio, Tufik, Sergio, dos Santos, Ronaldo Vagner Thomatieli, and Antunes, Hanna Karen Moreira
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HYPOXEMIA ,PHYSICAL activity ,ANXIETY ,PHYSICAL fitness ,MOOD (Psychology) - Abstract
Copyright of Revista Brasileira de Medicina do Esporte is the property of Redprint Editora Ltda. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2018
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17. Effect of Hypoxia on Information Integration Capacities.
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Fruchart, Eric, Raberin, Antoine, and Fabienne, Durand
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HYPOXEMIA , *INFORMATION theory , *COGNITION , *THOUGHT & thinking , *INFLUENCE of altitude , *PHYSIOLOGICAL effects of oxygen - Abstract
The effect of hypoxia on cognitive processes is an undisputed finding but its extent remains difficult to predict in each particular circumstance. The present study examined the impact of hypoxia on information integration capacities in daily life settings. A sample of 14 students was presented with a series of cards depicting an object a) having a given volume and made of a given substance, and asked to infer its mass;or b) having a given mass and density, and asked to infer its volume; or c) having a given volume and mass, and asked to infer its density. There were three levels of hypoxia situations. In a baseline situation, participants were instructed to put a mask connected with an AltiTrainer (equipment that regulates the oxygen partial pressure provided through the mask) and to perform the three judgment tasks in close succession. The two other situations were similar to the baseline situation except that the AltiTrainer was configured to simulate altitude levels either 1100 m or 3100 m higher than the one in the baseline situation. Contrary to our expectations, no difference in performance was found between the three experimental situations. People's information integration capacities are not affected by hypoxia, even if acclimatization to it has not taken place, and as far as it is not too severe. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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18. As-needed endotracheal suctioning protocol vs a routine endotracheal suctioning in Pediatric Intensive Care Unit: A randomized controlled trial.
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Lema-Zuluaga, Gloria Lucía, Fernandez-Laverde, Mauricio, Correa-Varela, Ana Marverin, and Zuleta-Tobón, John J.
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ENDOTRACHEAL tubes , *PEDIATRIC intensive care , *HYPOXEMIA , *ARRHYTHMIA , *ARTIFICIAL respiration , *CARDIAC arrest , *CONFIDENCE intervals , *DISEASES , *LENGTH of stay in hospitals , *INTENSIVE care units , *MEDICAL protocols , *PEDIATRICS , *RANDOMIZED controlled trials , *RELATIVE medical risk , *DISEASE incidence , *EXTUBATION , *ODDS ratio , *ENDOTRACHEAL suctioning , *VENTILATOR-associated pneumonia , *CHILDREN - Abstract
Objective: To compare two endotracheal suctioning protocols according to morbidity, days of mechanical ventilation, length of stay in the Pediatric Intensive Care Unit (PICU), incidence of Ventilator-Associated Pneumonia (VAP) and mortality. Methods: A Pragmatic randomized controlled trial performed at University Hospital Pablo Tobón Uribe, Medellin-Colombia. Fortyfive children underwent an as-needed endotracheal suctioning protocol and forty five underwent a routine endotracheal suctioning protocol. Composite primary end point was the presence of hypoxemia, arrhythmias, accidental extubation and heart arrest. A logistic function trough generalized estimating equations (GEE) were used to calculate the Relative Risk for the main outcome. Results: Characteristics of patients were similar between groups. The composite primary end point was found in 22 (47%) of intervention group and 25 (55%) children of control group (RR= 0.84; 95% CI: 0.56-1.25), as well in 35 (5.8%) of 606 endotracheal suctioning performed to intervention group and 48(7.4%) of 649 performed to control group (OR= 0.80; 95% CI: 0.5-1.3). Conclusions: There were no differences between an as-needed and a routine endotracheal suctioning protocol. [ABSTRACT FROM AUTHOR]
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- 2018
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19. Valor diagnóstico del signo de 'cabeceo' en hipoxemia secundaria a neumonía en niños
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Miguel Ángel Martínez-Medina, Gerardo Álvarez-Hernández, and Ana B Contreras-Mendoza
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neumonia ,hipoxia ,diagnostico ,lactante ,Mexico ,pneumonia ,hypoxemia ,diagnosis ,infants ,Public aspects of medicine ,RA1-1270 - Abstract
Objetivo. Evaluar el signo del " cabeceo" como indicador de hipoxemia en ninos con neumonia. Material y metodos. Se estudiaron 62 menores de 5 anos de edad. Se definio hipoxemia a la saturacion de oxigeno Objective. To assess the clinical usefulness of the head nodding sign (HN) in children with pneumonia. Material and Methods. Cross-sectional study that included 62 children aged 2-59 months. Hypoxemia was defined as arterial oxygen saturation
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- 2010
20. Altitud y deportes de equipo: métodos tradicionales desafiados por un entrenamiento innovador y específico en hipoxia.
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Brocherie, Franck, Girard, Olivier, Faiss, Raphaël, and Millet, Grégoire P.
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ALTITUDE training ,HYPOXEMIA ,TECHNOLOGICAL innovations ,ATHLETIC ability ,TEAM sports ,THERAPEUTICS - Abstract
Copyright of RICYDE. Revista Internacional de Ciencias del Deporte is the property of Revista Internacional de Ciencias del Deporte and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2016
- Full Text
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21. Effect of High Altitude Hypoxia on the Postnatal Development of Rat Testis: Histological and Histometric Study.
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Mohammed, Heitham Mutwakil and Tingari, M. D.
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PHYSIOLOGICAL effects of altitudes , *TESTIS development , *HYPOXEMIA , *SPERMATOZOA , *LABORATORY rats - Abstract
The study was carried out at two different altitudes in the southern region of Saudi Arabia: Abha, 2,800 meters above sea level, the high altitude (HA) area and Jazan, 40 meters above sea level the low altitude (LA) area. Following exposure to high altitude, and up to the third week of postnatal development, some of the seminiferous tubules showed detachment from the basal lamina, spaces of different sizes within the epithelial layer with vacuoles in the center and Pyknotic nuclei were noted in the spermatogonia and primordial germ cells. Rounded spermatids were seen in the lumen only on day 35 of hypoxic group, no spermatozoa were recognized until day 45 of postnatal development. On day 45 hypoxic rat testes revealed various types of atrophy and degeneration in the seminiferous tubules and in the interstitial tissue, there was detachment of the basal laminae of the tubules and a profound decrease in cellularity. Significant decrease in epithelial height was noticed in these animals (P <0.05). Also, the diameter of the tubules showed slight decrease with concomitant increase in interstitial spaces in all hypoxic rats. [ABSTRACT FROM AUTHOR]
- Published
- 2016
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22. Dessaturação induzida pelo exercício em pacientes com bronquiectasia não fibrocística: testes laboratoriais versus testes clínicos de campo
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de Oliveira, Cristiane Helga Yamane, José, Anderson, de Camargo, Anderson Alves, Feltrim, Maria Ignez Zanetti, Athanazio, Rodrigo Abensur, Rached, Samia Zahi, Stelmalch, Rafael, and Corso, Simone Dal
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Adult ,Male ,medicine.medical_specialty ,Oxigênio ,Exercise test ,Walking ,Field tests ,Hypoxemia ,Teste de esforço ,Diseases of the respiratory system ,Oxygen Consumption ,Bronquiectasia ,Forced Expiratory Volume ,Internal medicine ,medicine ,Humans ,Field based ,Hipóxia ,Treadmill ,Hypoxia ,Peak exercise ,Exercise Tolerance ,Bronchiectasis ,RC705-779 ,business.industry ,Non cystic fibrosis bronchiectasis ,Cardiorespiratory fitness ,Middle Aged ,medicine.disease ,Oxygen ,Cross-Sectional Studies ,Cardiology ,Original Article ,medicine.symptom ,Laboratories ,business - Abstract
Objective: To investigate the validity of field walking tests to identify exercise-induced hypoxemia and to compare cardiorespiratory responses and perceived effort between laboratory-based and field-based exercise tests in subjects with bronchiectasis. Methods: This was a cross-sectional study involving 72 non-oxygen-dependent participants (28 men; mean age = 48.3 ± 14.5 years; and mean FEV1 = 54.1 ± 23.4% of the predicted value). The participants underwent cardiopulmonary exercise testing (CPET) on a treadmill and constant work-rate exercise testing (CWRET) on the same day (1 h apart). In another visit, they underwent incremental shuttle walk testing (ISWT) and endurance shuttle walk testing (ESWT; 1 h apart). Desaturation was defined as a reduction in SpO2 ≥ 4% from rest to peak exercise. Results: CPET results were compared with ISWT results, as were CWRET results with ESWT results. There was no difference in the magnitude of desaturation between CPET and ISWT (−7.7 ± 6.3% vs. −6.6 ± 5.6%; p = 0.10) and between CWRET and ESWT (−6.8 ± 5.8% vs. −7.2 ± 6.3%; p = 0.50). The incremental tests showed an agreement in the magnitude of desaturation in the desaturation and no desaturation groups (42 and 14 participants, respectively; p < 0.01), as did the endurance tests (39 and 16 participants; p < 0.01). The magnitude of desaturation was similar among the participants who did or did not reach at least 85% of the maximum predicted HR. Conclusions: Field exercise tests showed good precision to detect desaturation. Field tests might be an alternative to laboratory tests when the clinical question is to investigate exercise-induced desaturation in subjects with bronchiectasis. RESUMO Objetivo: Investigar a validade dos testes de caminhada de campo para identificar dessaturação durante o exercício, comparando os testes de exercício laboratoriais e clínicos de campo quanto às respostas cardiorrespiratórias e percepção de esforço em indivíduos com bronquiectasia não fibrocística. Métodos: Estudo transversal com 72 participantes não dependentes de oxigênio (28 homens; média de idade: 48,3 ± 14,5 anos; média do VEF1: 54,1 ± 23,4% do previsto). Os participantes foram submetidos ao teste de exercício cardiopulmonar (TECP) incremental em esteira e ao constant work-rate exercise testing (CWRET, teste de exercício com carga constante) em esteira, com intervalo de 1 h. Em outra visita, foram submetidos ao incremental shuttle walk test (ISWT, teste de caminhada incremental) e ao endurance shuttle walk test (ESWT, teste de caminhada de resistência), com intervalo de 1 h. A definição de dessaturação foi uma redução da SpO2 ≥ 4% do repouso ao pico do exercício. Resultados: O TECP e o ISWT resultaram em dessaturação de magnitude comparável (−7,7 ± 6,3% vs. −6,6 ± 5,6%; p = 0,10), assim como o fizeram o CWRET e o ESWT (−6,8 ± 5,8% vs. −7,2 ± 6,3%; p = 0,50). Houve concordância entre o TECP e o ISWT quanto ao número de participantes que apresentaram e não apresentaram dessaturação, respectivamente (42 e 14; p < 0,01), bem como entre o CWRET e o ESWT (39 e 16; p < 0,01). A magnitude da dessaturação foi semelhante nos participantes que atingiram ≥ 85% da FC máxima prevista ou não. Conclusões: Os testes de exercício de campo apresentaram boa precisão para detectar dessaturação. Os testes de campo podem ser uma alternativa aos testes de laboratório quando o objetivo é investigar a dessaturação durante o exercício em indivíduos com bronquiectasia.
- Published
- 2021
23. GASOMETRÍA ARTERIAL EN ADULTOS CLÍNICAMENTE SANOS A 3350 METROS DE ALTITUD.
- Author
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Pereira-Victorio, César J., Huamanquispe-Quintana, John, and Castelo-Tamayo, Luis E.
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BLOOD gases analysis , *PHYSIOLOGICAL effects of altitudes , *ARTERIES , *HEALTH of adults , *HYPOXEMIA , *INFLUENCE of altitude - Abstract
Objectives. To determine the normal values of arterial blood gases in clinically healthy adults living at 3,350 meters of altitude. Materials and methods. The study was conducted in the Santiago district of Cusco, Peru at 3,350 meters of altitude with a sample of 118 subjects determined in a previous pilot study and selected by convenience sampling. The sample included individuals between 20-59 years old with no pulmonary, cardiovascular and hematological medical history, who practice sports less than 60 minutes per day, non smoking, have resided at least 5 years prior to the study in Cusco and were characterized through clinical examination by two internists and pulmonologists as "clinically healthy". The arterial blood gas collection was standardized for statistical analysis measures of central tendency and dispersion. Student's t-tests and analysis of variance, linear correlation and multiple linear regression were applied. Results. Women comprised 57.6% of the sample. Respiratory rate averaged 16.2 per minute and BMI 24.8. The blood gas results were: pH 7.42 mEq/L; pO2 61.08 mm Hg; pCO2 30.62 mm Hg; pAO2 62.52 mm Hg; SO2 91.13%; AaDO2 0.0 mm Hg; Hto 44.22%; Hb 14.74 mg/dL; CaO2 18.18 vol%; HCO3 19.74 mmol/L; pO2/FiO2 290.79 and Anion Gap 20.99. Using linear regression, it was observed that each year from the age of 20, there was a decrease in pO2 (0.122 mm Hg), pAO2 (0.08 mm Hg), SO2 (0.05%), index pO2/FiO2 (0.571 mm Hg) and an increase in pCO2 (0.056 mm Hg). Conclusions. The results found with respect to blood gases in this population are different from those residing at sea level and can be used to study other populations residing at a similar altitude. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
- View/download PDF
24. Is Carotid Body Infection Responsible for Silent Hypoxemia in COVID-19 Patients?
- Author
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Jose L. Labandeira-Garcia, Fernando Cala, José López-Barneo, Mariano Esteban, Reposo Ramírez-Lorca, Juan José Toledo-Aral, Javier Villadiego, Ministerio de Ciencia, Innovación y Universidades (España), Agencia Estatal de Investigación (España), Red de Terapia Celular (España), European Research Council, European Commission, Cala-Fernández, Fernando, Labandeira-García, José L., Universidad de Sevilla. Departamento de Fisiología Médica y Biofísica, [Villadiego,J, Ramírez-Lorca,R, Cala,F, Toledo-Aral,JJ, López-Barneo,J] Institute of Biomedicine of Seville (IBiS), Hospital Universitario Virgen del Rocío/CSIC/Universidad de Sevilla, Seville, Spain. [Villadiego,J, Labandeira-García,JL, López-Barneo,J] Networking Research Center on Neurodegenerative Diseases (CIBERNED), Madrid, Spain. [Labandeira-García,JL] Research Center for Molecular Medicine and Chronic Diseases (CIMUS), Universidad de Santiago de Compostela, Santiago de Compostela, Spain. [Esteban,M] Centro Nacional de Biotecnología, CSIC, Madrid, Spain., and Experimental work in the authors’ laboratories is supported by the Spanish Ministries of Science and Health (grants PID2019-106410RBI00, PID2019-105995RB-I00, and Red Temática de Investigación Cooperativa 'Terapia Celular' RD16/0011/0025) and the European Research Council (ERC Advanced Grant PRJ201502629).
- Subjects
AcademicSubjects/SCI01360 ,medicine.medical_specialty ,Coronavirus disease 2019 (COVID-19) ,Phenomena and Processes::Chemical Phenomena::Biochemical Phenomena::Biochemical Processes::Electron Transport [Medical Subject Headings] ,Infections ,Phenomena and Processes::Physical Phenomena::Physical Processes::Motion::Acceleration [Medical Subject Headings] ,Hypoxemia ,Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings] ,Internal medicine ,Neumonía ,medicine ,Humans ,Hipoxia ,Cuerpo carotídeo ,Hypoxia ,Anatomy::Cells::Neurons::Neurons, Afferent::Sensory Receptor Cells::Chemoreceptor Cells::Paraganglia, Nonchromaffin::Carotid Body [Medical Subject Headings] ,Carotid Body ,Infecciones ,AcademicSubjects/SCI01270 ,business.industry ,SARS-CoV-2 ,Chemicals and Drugs::Chemical Actions and Uses::Pharmacologic Actions::Molecular Mechanisms of Pharmacological Action::Neurotransmitter Agents [Medical Subject Headings] ,COVID-19 ,Pneumonia ,Angiotensin-converting enzyme 2 ,Chemicals and Drugs::Enzymes and Coenzymes::Enzymes::Oxidoreductases::Oxygenases::Mixed Function Oxygenases::Tyrosine 3-Monooxygenase [Medical Subject Headings] ,Enzima convertidora de la angiotensina 2 ,Diseases::Virus Diseases::RNA Virus Infections::Nidovirales Infections::Coronaviridae Infections::Coronavirus Infections [Medical Subject Headings] ,Carotid body ,medicine.anatomical_structure ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Physical Examination::Vital Signs::Heart Rate [Medical Subject Headings] ,Cardiology ,Chemicals and Drugs::Amino Acids, Peptides, and Proteins::Peptides::Serpins::Angiotensinogen [Medical Subject Headings] ,AcademicSubjects/SCI00960 ,AcademicSubjects/MED00772 ,medicine.symptom ,Phenomena and Processes::Cell Physiological Phenomena::Cell Physiological Processes::Cell Respiration::Cell Hypoxia [Medical Subject Headings] ,business ,Perspectives - Abstract
The pathogenic mechanisms underlying the symptomatology of coronavirus disease 2019 (COVID-19) patients are not well understood. An atypical and bewildering clinical manifestation found in many COVID-19 patients is that they exhibit severe hypoxemia, with arterial levels of oxygen (O2) tension even below 50 mmHg, without clear signs of distress (dyspnea) or significant acceleration of breathing.1,2 Under these conditions, patients with COVID-19 pneumonia may decompensate and as a consequence undergo a rapid deterioration of their clinical state that can eventually lead to death. The pathophysiology of this so-called “silent hypoxemia”3 or “happy hypoxia” is unknown.1,3,4 A decline in arterial O2 tension is normally detected by O2-sensing cells in the carotid body (CB), the main arterial chemoreceptor, which rapidly activates sensory fibers impinging on neurons in the brainstem to induce compensatory hyperventilation and increased heart rate. In this way, both O2 uptake and its distribution to the tissues are enhanced. Bilateral removal of the CB in humans leaves individuals unaware of hypoxemia, with complete abolition of the hypoxic ventilatory response.5 Therefore, inhibition of CB responsiveness to hypoxia could be a plausible explanation for the impaired respiratory drive and reduced dyspnea that characterizes the “silent hypoxemia” observed in COVID-19 patients, Experimental work in the authors’ laboratories is supported by the Spanish Ministries of Science and Health (grants PID2019-106410RBI00, PID2019-105995RB-I00, and Red Tema´tica de Investigacio´n Cooperativa “Terapia Celular” RD16/0011/0025) and the European Research Council (ERC Advanced Grant PRJ201502629)
- Published
- 2020
25. The impact of a strong natural hypoxic event on the toadfish Aphos porosus in Coliumo Bay, south-central Chile.
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Hernández-Miranda, Eduardo, Quiñones, Renato A., Aedo, Gustavo, Díaz-Cabrera, Ernesto, and Cisterna, José
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HYPOXEMIA ,POPULATION ,BENTHOS ,FISHES ,SEGREGATION ,INTERTIDAL zonation - Abstract
The article discusses a study that assesses the inter-annual effects of hypoxia on the population of A. porosus inhabiting the soft-bottom benthos in Coliumo Bay, Chile. It evaluates the inter-annual dynamics of density and biomass, identifies the inter-annual recruitment dymanics and discusses the results within the context of an Allee effect and its ecological implications. Dead and dying fish were gathered from Coliumo Bay on January 3, 2008 and 396 individuals of A. porosus were sampled from a sandy, rocky intertidal zone fronting Villarrica Cove, Dichato in Coliumo Bay. It suggests the possibility that after the natural hypoxic event, the abundance of A. porosus within the bay shifted towards a low or unstable condition thus increasing the spatial segregation of individuals.
- Published
- 2012
26. COMPARACIÓN HISTOLÓGICA DEL ESPESOR DE LA CAPA MEDIA DE LAS ARTERIOLAS PULMONARES EN POLLOS DE CARNE COBB-VANTRESS Y ROSS EXPUESTOS A HIPOXIA.
- Author
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Rodríguez G., José, Vásquez C., María, Cueva M., Sergio, Ayón S., Milder, Lira M., Boris, Chavera C., Alfonso, Angulo H., Pedro, and Falcón P., Néstor
- Subjects
SMOOTH muscle ,HYPOXEMIA ,PHOSPHOTUNGSTIC acids ,CHICKS ,HISTOLOGY - Abstract
Copyright of Revista de Investigaciones Veterinarias del Peru is the property of Universidad Nacional Mayor de San Marcos (UNMSM) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2012
27. Impact of adherence to long-term oxygen therapy on patients with COPD and exertional hypoxemia followed for one year
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Carolina Mesquita, Caroline Knaut, Suzana Erico Tanni, Renata Ferrari, Laura Caram, Silméia Garcia Zanati Bazan, Irma Godoy, and Universidade Estadual Paulista (Unesp)
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Male ,Oxigenoterapia ,Time Factors ,medicine.medical_treatment ,Pulmonary disease, chronic obstructive ,Severity of Illness Index ,Hypoxemia ,0302 clinical medicine ,Oxygen therapy ,Doença pulmonar obstrutiva crônica ,030212 general & internal medicine ,Oximetry ,Hypoxia ,Cooperação do paciente ,COPD ,medicine.diagnostic_test ,Middle Aged ,Original Article ,Female ,Insuficiência respiratória ,medicine.symptom ,Respiratory insufficiency ,Pulmonary and Respiratory Medicine ,Spirometry ,BODE index ,medicine.medical_specialty ,Physical Exertion ,Walk Test ,Chronic obstructive ,03 medical and health sciences ,Internal medicine ,Severity of illness ,medicine ,Humans ,Hipóxia ,Aged ,lcsh:RC705-779 ,business.industry ,Oxygen inhalation therapy ,Patient compliance ,lcsh:Diseases of the respiratory system ,Hypoxia (medical) ,medicine.disease ,respiratory tract diseases ,Treatment Adherence and Compliance ,Dyspnea ,030228 respiratory system ,Quality of Life ,Pulmonary disease ,Blood Gas Analysis ,business ,Body mass index ,Follow-Up Studies - Abstract
Objective: To determine the impact of adherence to long-term oxygen therapy (LTOT) on quality of life, dyspnea, and exercise capacity in patients with COPD and exertional hypoxemia followed for one year. Methods: Patients experiencing severe hypoxemia during a six-minute walk test (6MWT) performed while breathing room air but not at rest were included in the study. At baseline and after one year of follow-up, all patients were assessed for comorbidities, body composition, SpO2, and dyspnea, as well as for anxiety and depression, having also undergone spirometry, arterial blood gas analysis, and the 6MWT with supplemental oxygen. The Saint George’s Respiratory Questionnaire (SGRQ) was used in order to assess quality of life, and the Body mass index, airflow Obstruction, Dyspnea, and Exercise capacity (BODE) index was calculated. The frequency of exacerbations and the mortality rate were noted. Treatment nonadherence was defined as LTOT use for < 12 h per day or no LTOT use during exercise. Results: A total of 60 patients with COPD and exertional hypoxemia were included in the study. Of those, 10 died and 11 experienced severe hypoxemia during follow-up, 39 patients therefore being included in the final analysis. Of those, only 18 (46.1%) were adherent to LTOT, showing better SGRQ scores, higher SpO2 values, and lower PaCO2 values than did nonadherent patients. In all patients, SaO2, the six-minute walk distance, and the BODE index worsened after one year. There were no differences between the proportions of adherence to LTOT at 3 and 12 months of follow-up. Conclusions: Quality of life appears to be lower in patients with COPD and exertional hypoxemia who do not adhere to LTOT than in those who do. In addition, LTOT appears to have a beneficial effect on COPD symptoms (as assessed by SGRQ scores). (Brazilian Registry of Clinical Trials - ReBEC; identification number RBR-9b4v63 [http://www.ensaiosclinicos.gov.br]) RESUMO Objetivo: Determinar o impacto da adesão à oxigenoterapia de longa duração (OLD) na qualidade de vida, dispneia e capacidade de exercício em pacientes com DPOC e hipoxemia decorrente do esforço acompanhados durante um ano. Métodos: Foram incluídos no estudo pacientes que apresentaram hipoxemia grave durante um teste de caminhada de seis minutos (TC6) realizado enquanto respiravam ar ambiente, mas não em repouso. No início e após um ano de acompanhamento, todos os pacientes foram avaliados quanto a comorbidades, composição corporal, SpO2 e dispneia, bem como quanto a ansiedade e depressão, além de terem sido submetidos a espirometria, gasometria arterial e TC6 com oxigênio suplementar. O Saint George’s Respiratory Questionnaire (SGRQ) foi usado para avaliar a qualidade de vida, e o índice Body mass index, airflow Obstruction, Dyspnea, and Exercise capacity (BODE; índice de massa corporal, obstrução do fluxo aéreo, dispneia e capacidade de exercício) foi calculado. A frequência de exacerbações e a taxa de mortalidade foram registradas. Usar OLD durante < 12 h por dia ou não usar OLD durante o exercício caracterizaram não adesão ao tratamento. Resultados: Foram incluídos no estudo 60 pacientes com DPOC e hipoxemia decorrente do esforço. Destes, 10 morreram e 11 apresentaram hipoxemia grave durante o acompanhamento; portanto, foram incluídos na análise final 39 pacientes. Destes, apenas 18 (46,1%) aderiram à OLD, apresentando melhor pontuação no SGRQ, maior SpO2 e menor PaCO2 do que os pacientes que não aderiram à OLD. Em todos os pacientes, a SaO2, a distância percorrida no TC6 e o índice BODE pioraram após um ano. Não houve diferenças entre as proporções de adesão à OLD aos 3 e 12 meses de acompanhamento. Conclusões: A qualidade de vida parece ser menor em pacientes com DPOC e hipoxemia decorrente do esforço que não aderem à OLD do que naqueles que o fazem. Além disso, a OLD parece ter efeito benéfico nos sintomas da DPOC (avaliados pela pontuação obtida no SGRQ). (Registro Brasileiro de Ensaios Clínicos - ReBEC; número de identificação RBR- 9b4v63 [http://www.ensaiosclinicos.gov.br])
- Published
- 2018
28. Valor diagnóstico del signo de "cabeceo" en hipoxemia secundaria a neumonía en niños.
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Martínez-Medina, Miguel Ángel, Álvarez-Hernández, Gerardo, and Contreras-Mendoza, Ana B.
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HYPOXEMIA , *PNEUMONIA in children , *PEDIATRIC diagnosis , *INFANT disease diagnosis , *OXIMETRY , *PHYSIOLOGICAL effects of oxygen - Abstract
Objective. To assess the clinical usefulness of the head nodding sign (HN) in children with pneumonia. Material and Methods. Cross-sectional study that included 62 children aged 2-59 months. Hypoxemia was defined as arterial oxygen saturation <94% measured by pulse oximetry. HN was examined with regard to three levels of hypoxemia (<94%, ≤ 90%, ≤ 84%). Results. The overall prevalence of hypoxemia was 56.5 %. HN was observed in 64.5% (40) of the patients, 48.4% (30) of those had pneumonia and 73.1% were hypoxemic. HN showed a sensitivity of 73.2% and a specificity of 52.4%. Accuracy of HN was better when a cut off level <94% was used. HN in infants was a better index for hypoxemia than for older children. Conclusions. HN was a good predictor of hypoxemia in children with pneumonia. It seems that HN is an easily recognizable sign, and it could be easily taught to parents and health workers. [ABSTRACT FROM AUTHOR]
- Published
- 2010
29. Aerobic and anaerobic metabolism for the zebrafish, Danio rerio, reared under normoxic and hypoxic conditions and exposed to acute hypoxia during development.
- Author
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Barrionuevo, W. R., Fernandes, M. N., and Rocha, O.
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HYPOXEMIA ,ANAEROBIC bacteria ,ZEBRA danio ,OXYGEN ,HEART beat ,LACTATES - Abstract
Copyright of Brazilian Journal of Biology is the property of Instituto Internacional de Ecologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2010
- Full Text
- View/download PDF
30. Efeitos da exposição à altitude sobre os aspectos neuropsicológicos: uma revisão da literatura.
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Lemos, Valdir de Aquino, Antunes, Hanna Karen Moreira, Santos, Ronaldo Vagner Thomatieli dos, Prado, Juliana Martuscelli da Silva, Tufik, Sérgio, and De Mello, Marco Túlio
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- *
HYPOXEMIA , *NEUROPSYCHOLOGY , *INFLUENCE of altitude , *ACCLIMATIZATION , *PHYSIOLOGICAL effects of oxygen - Abstract
Objective: Discuss the effects of altitude exposure on neuropsychological functions. Methods: We have conducted a literature review using a source indexed articles at Pubmed in the period from 1921 to 2008, using the following key words: "cognition and hypoxia", "hypoxia and neuropsychology", "acute hypoxia", "chronic hypoxia", and "acclimatization and hypoxia", as well as specific books on the subject. Discussions: Acute and chronic effects of Hypoxia can alter many of the neuropsychological functions in different altitudes due to physiological changes resulted by the oxygen (02) partial decrease that can lead to neuropsychological alterations in individuals exposed to high altitudes. Conclusion: Individuals exposed to high altitudes must use an O2 supplementation and the practice of acclimatization, among other strategy ways that can be used in order to minimize the negative effects of hypoxia on neuropsychological aspects. [ABSTRACT FROM AUTHOR]
- Published
- 2010
31. THE STUDY OF THE HYPOXIA AND HYPOBARISM EFFECTS CORRELATED WITH THE SATURATION LEVEL OF OXYGEN IN ARTERIAL BLOOD AT PILOTS DURING FLIGHT.
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Hurubean, Daniel and Munteanu, Bogdan
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PHYSIOLOGICAL effects of atmospheric pressure ,HYPOXEMIA ,HYPOBARISM ,OXYGEN consumption ,AIR pilots ,AERONAUTICAL flights ,ACCIDENT prevention ,SPACE vehicle accidents prevention ,AIRCRAFT accidents ,PHYSIOLOGY ,SAFETY - Abstract
The physiological answer of the human body under pressure such as the one generated by flying, where numerous stimuli act simultaneously upon the pilot, has begun being studied and researched since the beginning of 1918. Meanwhile, the studies have proved crucial in enhancing the flight security, in the limitations of the accidents through a better adjustment capacity, a timely intervention of the body to compensate the effects generated by the variations of the atmospheric pressure, of temperature, of the body oxygen level and of the effects caused by accelerations, vestibular and visual illusions. The study is meant, on the one hand, to point out to what degree hypoxia and hypobarism affect the function of the correct body oxygen intake, that is its implications at the mental status level and the pilot's capacity of taking the right decision during the flight, and on the other hand, the explanation in terms of statistics of the measured experimental data. [ABSTRACT FROM AUTHOR]
- Published
- 2009
32. High-altitude hypoxia. A challenging strain targeting cellular redox homeostasis.
- Author
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Magalhães, José and Ascensão, António
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CELLULAR mechanics ,PHYSIOLOGICAL oxidation ,HYPOXEMIA ,HOMEOSTASIS ,REACTIVE oxygen species ,BIOACCUMULATION ,ECOPHYSIOLOGY ,CELL death ,APOPTOSIS - Abstract
Copyright of Revista Portuguesa de Ciências do Desporto is the property of Universidade do Porto, Faculdade de Desporto and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2008
33. Nuevo papel de los radicales libres de oxígeno en el ejercicio: ¿otra paradoja?
- Author
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del Pilar Urbina-Bonilla, Adriana
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FREE radicals , *OXIDATIVE stress , *EXERCISE , *TRAINING , *ANTIOXIDANTS , *HYPOXEMIA - Abstract
Introduction: Physical activity conduces to oxidative stress, which produces undesirable effects. However, it is well known that free radicals, when present in low concentrations, also have physiological effects in the exercise adaptation process. In addition, the majority of antioxidant supplementation studies, in spite of the fact of decreases oxidative stress, have failed to show a performance improving. Objectives: The goals of this review are to reinterpret the available evidence about the role of free radicals in exercise, and to analyze why antioxidant supplementation have not shown the expectable ergogenic effect. Methods: The following topics were reviewed: i) the free radical biology; ii) antioxidant systems; iii) exercise induced-oxidative stress; iv) oxidative stress and physical performance; and v) antioxidant supplementation and physical performance. Results: There is evidence that physical exercise is associated with excessive free radical production. Deleterious effects of free radicals in physical performance have been shown by in situ studies, although evidence in humans is also available. Physical exercise results in muscular hypoxia, which conduces to adaptative responses, probably through free radical-mediated HIF-1α stabilization. Moreover, a certain level of free radicals is necessary for optimal muscle contractility. Conclusions: Free radicals are necessary for exercise-induced hypoxia adaptation and muscle contraction, for that reason long term antioxidant supplementation interfere with its physiological role. This, explain why antioxidants decrease oxidative stress markers but fail to improve physical performance. [ABSTRACT FROM AUTHOR]
- Published
- 2008
34. Contribución de la hipoxia en la remodelación del tejido pulmonar en procesos asmáticos.
- Author
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J. Baay Guzmán, Guillermina, Hernández Cueto, Ángeles, and Huerta Yepez, Sara
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ASTHMA , *NEOVASCULARIZATION , *HYPOXEMIA , *TRANSCRIPTION factors , *GENETIC transcription - Abstract
Asthma is a chronic airway inflammatory disease that is associated with pulmonary remodelling of respiratory tissue. During asthma, lung structure changes due to persistent inflammation and causes obstruction of the air flow, which leads to a paradoxical hypoxic condition in the affected pulmonary tissue. Angiogenesis, which is one of the main components of the remodelling process, is mainly regulated by the vascular endothelial growth factor (VEGF), although other less influential factors are also involved. It is known that VEGF is up-regulated by hypoxia inducible factor 1 (HIF-1) during hypoxia. The transcription factor HIF-1 is a dimeric protein composed of two subunits: HIF-1α (inducible by hypoxia) and HIF-1β (constitutive). HIF-1 activates the transcription of genes during hypoxia by translocating to the nucleus and binding to hypoxia response elements (HREs) on the promoter regions of target genes. Recently the expression of HIF has been documented during angiogenesis in lung remodelling during asthma, thus suggesting that it may play a role in this process. The objective of this review is to give to the reader an overview of the literature in hypoxia and its role in remodelling and the pathogenesis of asthma. [ABSTRACT FROM AUTHOR]
- Published
- 2008
35. Transcatheter Closure of Patent Foramen Ovale in Patients With Platypnea-Orthodeoxia.
- Author
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Ortega Trujillo, José R., Suárez de Lezo Herreros de Tejada, Javier, García Quintana, Antonio, Melián Nuez, Francisco, Rodríguez Delgado, Raquel, and Medina Fernández-Aceytuno, Alfonso
- Subjects
DYSPNEA ,HYPOXEMIA ,ECHOCARDIOGRAPHY ,PULMONARY manifestations of general diseases ,ASPHYXIA ,CARDIAC imaging - Abstract
Copyright of Revista Española de Cardiología (18855857) is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2006
- Full Text
- View/download PDF
36. Use of CPAP as an alternative to the apnea test during the determination of brain death in hypoxemic patients. Report of two cases
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Verônica Westphal, Luciano Rodrigues da Silva, Jessica Cangussu Fonseca, Veviani Fernandes, Jorge Luis dos Santos Valiatti, and Glauco Adrieno Westphal
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Adult ,Male ,Brain Death ,Subarachnoid hemorrhage ,Apnea ,Partial Pressure ,Continuous positive airway pressure ,Encephalopathy ,Apneia ,Case Report ,Critical Care and Intensive Care Medicine ,Hypoxemia ,Impedância elétrica ,Teste de apneia ,medicine ,Humans ,Hipóxia ,Hypoxia ,Child ,Morte encefálica ,Sleep apnea syndromes ,Oxygen saturation (medicine) ,Coma ,Pressão positiva contínua nas vias aéreas ,business.industry ,Apnea testing ,General Medicine ,Oxygenation ,Carbon Dioxide ,Hypothermia ,medicine.disease ,Respiration, Artificial ,Tomografia/métodos ,Transcranial Doppler ,Síndromes da apneia do sono ,Oxygen ,Electrical impedance ,Anesthesia ,Female ,Insuficiência respiratória ,Blood Gas Analysis ,medicine.symptom ,Respiratory insufficiency ,business ,Tomography/methods - Abstract
The apnea test, which involves disconnection from the mechanical ventilator, presents risks during the determination of brain death, especially in hypoxemic patients. We describe the performance of the apnea test without disconnection from the mechanical ventilator in two patients. The first case involved an 8-year-old boy admitted with severe hypoxemia due to pneumonia. He presented with cardiorespiratory arrest, followed by unresponsive coma due to hypoxic-ischemic encephalopathy. Two clinical exams revealed the absence of brainstem reflexes, and transcranial Doppler ultrasound revealed brain circulatory arrest. Three attempts were made to perform the apnea test, which were interrupted by hypoxemia; therefore, the apnea test was performed without disconnection from the mechanical ventilator, adjusting the continuous airway pressure to 10cmH2O and the inspired fraction of oxygen to 100%. The oxygen saturation was maintained at 100% for 10 minutes. Posttest blood gas analysis results were as follows: pH, 6.90; partial pressure of oxygen, 284.0mmHg; partial pressure of carbon dioxide, 94.0mmHg; and oxygen saturation, 100%. The second case involved a 43-year-old woman admitted with subarachnoid hemorrhage (Hunt-Hess V and Fisher IV). Two clinical exams revealed unresponsive coma and absence of all brainstem reflexes. Brain scintigraphy showed no radioisotope uptake into the brain parenchyma. The first attempt at the apnea test was stopped after 5 minutes due to hypothermia (34.9°C). After rewarming, the apnea test was repeated without disconnection from the mechanical ventilator, showing maintenance of the functional residual volume with electrical bioimpedance. Posttest blood gas analysis results were as follows: pH, 7.01; partial pressure of oxygen, 232.0mmHg; partial pressure of carbon dioxide, 66.9mmHg; and oxygen saturation, 99.0%. The apnea test without disconnection from the mechanical ventilator allowed the preservation of oxygenation in both cases. The use of continuous airway pressure during the apnea test seems to be a safe alternative in order to maintain alveolar recruitment and oxygenation during brain death determination.
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- 2020
- Full Text
- View/download PDF
37. Hypoxia and hypercapnia during respiration into an artificial air pocket in snow: implications for avalanche survival
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Brugger, Hermann, Sumann, Günther, Meister, Roland, Adler-Kastner, Liselotte, Mair, Peter, Gunga, Hanns Christian, Schobersberger, Wolfgang, Falk, Markus, and Sumann, Günther
- Subjects
- *
HYPOXEMIA , *HYPERCAPNIA , *SKIERS , *ACCIDENTS , *AIR , *COMPARATIVE studies , *CROSSOVER trials , *DISASTERS , *HYPOTHERMIA , *LONGITUDINAL method , *RESEARCH methodology , *RESPIRATORY acidosis , *MEDICAL cooperation , *RESEARCH , *RESPIRATION , *SNOW , *SURVIVAL , *EVALUATION research , *RANDOMIZED controlled trials , *DISEASE complications - Abstract
Snow avalanche case reports have documented the survival of skiers apparently without permanent hypoxic sequelae, after prolonged complete burial despite there being only a small air pocket on extrication. We investigated the underlying pathophysiological changes in a prospective, randomised 2×2 crossover study in 12 volunteers (28 tests) breathing into an artificial air pocket (1- or 2-l volume) in snow. Peripheral SpO2, ETCO2, arterialised capillary blood variables, air pocket O2 and CO2, snow density, and snow conditions at the inner surface of the air pocket were determined. SpO2 decreased from a median of 99% (93–100%) to 88% (71–94%; P<0.001) within 4 min of breathing into the air pocket; the reduction was greater at 1 l, than 2 l, volume air pocket (P=0.013, intention to treat P=0.003) and correlated to snow density (r=0.50, P=0.021, partial correlation coefficient). ETCO2 rose simultaneously from median 5.07 kPa (3.47–6.93 kPa) to 6.8 kPa (5.87–8.27 kPa; P<0.001), with consequent respiratory acidosis. Despite premature interruption due to hypoxia (SpO2≤75%) in 17 of 28 tests (61%), a respiratory steady state prevailed in five tests until protocol completion (30 min). We conclude that the degree of hypoxia following avalanche burial is dependent on air pocket volume, snow density and unknown individual personal characteristics, yet long-term survival is possible with only a small air pocket. Hence, the definition of an air pocket, “any space surrounding mouth and nose with the proviso of free air passages” is validated as the main criterion for triage and management of avalanche victims. Our experimental model will facilitate evaluating the interrelation between volume and inner surface area of an air pocket for survival of avalanche victims, whilst the present findings have laid the basis for future investigation of possible interactions between hypoxia, hypercapnia, and hypothermia (triple H syndrome) in snow burial. [Copyright &y& Elsevier]
- Published
- 2003
- Full Text
- View/download PDF
38. Biochemical tissue monitoring during hypoxia and reoxygenation
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Klaus, Stephan, Heringlake, Matthias, Gliemroth, Jan, Pagel, Horst, Staubach, Karl, and Bahlmann, Ludger
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HYPOXEMIA , *RESUSCITATION - Abstract
Oxygen deficiency during critical illness may cause profound changes in cellular metabolism and subsequent tissue and organ dysfunction. Clinical treatment in these cases targets rapid reoxygenation to avoid a prolonged impaired synthesis of cellular high-energy phosphates (ATP). However, the effect of this therapeutic intervention on tissue metabolism has not been determined yet. Thus the present study was designed to determine the effects of hypoxia and reoxygenation with either room air or 100% oxygen on variables of interstitial metabolism in different tissues using in vivo microdialysis. Twenty-seven adult, male CD-rats (407–487 g; Ivanovas, Kisslegg, Germany) were studied during general anesthesia. Following preparation and randomization, rats were normoventilated for 45 min (FiO2 0.21), followed by induction of hypoxia (FiO2 0.1, 40 min) and reoxygenated for 50 min either with FiO2 1.0 (group 1, n=10) or FiO2 0.21 (group 2, n=10). Control animals (n=7) were ventilated with 21% oxygen during the observation period. Additional to invasive haemodynamic parameters, biochemical tissue monitoring was performed using CMA 20 microdialysis probes, inserted into muscle, subcutaneous space, liver, and the peritoneal cavity allowing analyses of lactate and pyruvate at short intervals. Hypoxia induced a significant reduction in mean arterial pressure (MAP) in group 1 and 2 compared with the control group (P<0.05) without any significant differences between both treatment groups. This was accompanied by a significant increase in blood lactate (10.5±3.1 mM (group 1) and 12.3±4.1 mM (group 2) vs. 1.5±0.3 mM (control); P<0.05) and severe metabolic acidosis (base excess (BE): −18.3±5 mM (1) and −17.3±7 mM (2) vs. −2.6±1.8 mM (control), P<0.05). During hypoxia, the interstitital lacate/pyruvate ratio in groups 1 and 2 increased to 455±199% (muscle), 468±148% (intraperitoneal), 770±218% (hepatic) and 855±432% (subcutaneous) (P<0.05 vs. control, respectively). No significant inter-organ or inter-group differences in interstitial dialysates were observed in the treatment groups, neither during hypoxia nor during reoxygenation. Our data suggest, that hypoxia induces comparable metabolic alterations in various tissues and that reoxygenation with 100% oxygen is not superior to 21% oxygen in restoring tissue metabolism after critical hypoxia. [Copyright &y& Elsevier]
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- 2003
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39. RESPOSTAS FISIOLÓGICAS EM CULTIVARES DE SOJA SUBMETIDAS AO ALAGAMENTO EM DIFERENTES ESTÁDIOS.
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FANTE, CAMILA ARGENTA, ALVES, JOSÉ DONIZETI, PEREIRA GOULART, PATRÍCIA DE FÁTIMA, DEUNER, SIDNEI, and SILVEIRA, NEIDIQUELE MARIA
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SOYBEAN ,HYPOXEMIA ,CARBOHYDRATES ,ENZYMES ,GLYCOLYSIS - Abstract
Copyright of Bragantia is the property of Instituto Agronomico de Campinas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2010
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40. Case 4/2017 - Double-Chambered Right Ventricle with Dextrocardia and Hypoxemia Due to Atrial Shunt in a 4-Year-Old Girl
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Edmar Atik and J F Cavalini
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Dextrocardia ,medicine.medical_specialty ,lcsh:Diseases of the circulatory (Cardiovascular) system ,business.industry ,Dupla Câmara de Ventrículo Direito ,medicine.disease ,Hypoxemia ,Shunt (medical) ,Clinicoradiological Session ,medicine.anatomical_structure ,Ventricle ,lcsh:RC666-701 ,Internal medicine ,Aortic valve stenosis ,medicine ,Cardiology ,Hipóxia ,Double Chambered Right Ventricle ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,business ,Hypoxia - Abstract
Dados clinicos Gemelar prematura de 33 semanas com peso ao nascer de 1935 g permaneceu internada por um mes com diagnostico de comunicacao interatrial (CIA) + comunicacao interventricular (CIV) + persistencia do canal arterial (PCA). Manteve-se com menor ganho de peso em relacao a media das criancas, mas em plena e semelhante atividade em uso de furosemida e captopril ate 3 anos de idade. Tornou-se cianotica recentemente, segundo a mae. […] Caso 4/2017 – Dupla Câmara de Ventriculo Direito, em [...]
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- 2017
41. Weaning from mechanical ventilation in ARDS : aspects to think about for better understanding, evaluation, and management
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Silvia Regina Rios Vieira, Josue Almeida Victorino, and Iuri Christmann Wawrzeniak
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ARDS ,Sindrome do desconforto respiratório ,Tratamento ,medicine.medical_treatment ,Desmame do respirador ,lcsh:Medicine ,Review Article ,Lung injury ,General Biochemistry, Genetics and Molecular Biology ,Hypoxemia ,03 medical and health sciences ,0302 clinical medicine ,Electric Impedance ,medicine ,Extracorporeal membrane oxygenation ,Humans ,Weaning ,In patient ,Hipóxia ,Epidemiologia ,Bloqueadores neuromusculares ,Monitoring, Physiologic ,Mechanical ventilation ,Respiratory Distress Syndrome ,General Immunology and Microbiology ,business.industry ,Diagnóstico ,lcsh:R ,030208 emergency & critical care medicine ,General Medicine ,medicine.disease ,Fisiopatologia ,Respiração artificial ,030228 respiratory system ,Modes of mechanical ventilation ,Anesthesia ,Lesão pulmonar induzida por ventilação mecânica ,medicine.symptom ,business ,Ventilator Weaning ,Biomarkers - Abstract
Acute respiratory distress syndrome (ARDS) is characterized by severe inflammatory response and hypoxemia. The use of mechanical ventilation (MV) for correction of gas exchange can cause worsening of this inflammatory response, called “ventilator-induced lung injury” (VILI). The process of withdrawing mechanical ventilation, referred to as weaning from MV, may cause worsening of lung injury by spontaneous ventilation. Currently, there are few specific studies in patients with ARDS. Herein, we reviewed the main aspects of spontaneous ventilation and also discussed potential methods to predict the failure of weaning in this patient category. We also reviewed new treatments (modes of mechanical ventilation, neuromuscular blocker use, and extracorporeal membrane oxygenation) that could be considered in weaning ARDS patients from MV.
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- 2018
42. New insights into the mechanisms of pulmonary edema in acute lung injury
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Gema Sánchez, Raquel Herrero, and José A. Lorente
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0301 basic medicine ,ARDS ,Pathology ,medicine.medical_specialty ,Alveolar Epithelium ,Inflammation ,Review Article ,Lung injury ,Hypoxemia ,03 medical and health sciences ,Edema ,medicine ,pulmonary edema ,Hipoxia ,mechanisms ,Tight junction ,Biología celular ,business.industry ,General Medicine ,tight junctions (TJs) ,respiratory system ,Pulmonary edema ,medicine.disease ,alveolar epithelial barrier ,030104 developmental biology ,Síndrome de dificultad respiratoria del adulto ,Edema pulmonar ,medicine.symptom ,business - Abstract
Appearance of alveolar protein-rich edema is an early event in the development of acute respiratory distress syndrome (ARDS). Alveolar edema in ARDS results from a significant increase in the permeability of the alveolar epithelial barrier, and represents one of the main factors that contribute to the hypoxemia in these patients. Damage of the alveolar epithelium is considered a major mechanism responsible for the increased pulmonary permeability, which results in edema fluid containing high concentrations of extravasated macromolecules in the alveoli. The breakdown of the alveolar-epithelial barrier is a consequence of multiple factors that include dysregulated inflammation, intense leukocyte infiltration, activation of pro-coagulant processes, cell death and mechanical stretch. The disruption of tight junction (TJ) complexes at the lateral contact of epithelial cells, the loss of contact between epithelial cells and extracellular matrix (ECM), and relevant changes in the communication between epithelial and immune cells, are deleterious alterations that mediate the disruption of the alveolar epithelial barrier and thereby the formation of lung edema in ARDS. Sin financiación 3.689 JCR (2018) Q1, 121/244 Oncology 0.958 SJR (2018) Q1, 602/2844 Medicine (miscellaneous) No data IDR 2018 UEM
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- 2018
43. Valor diagnóstico del signo de 'cabeceo' en hipoxemia secundaria a neumonía en niños
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Gerardo Álvarez-Hernández, Miguel Ángel Martínez-Medina, and Ana B Contreras-Mendoza
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Gynecology ,medicine.medical_specialty ,lactante ,hipoxia ,hypoxemia ,business.industry ,diagnosis ,infants ,lcsh:Public aspects of medicine ,Public Health, Environmental and Occupational Health ,lcsh:RA1-1270 ,diagnostico ,neumonia ,medicine ,Head movements ,pneumonia ,business ,Mexico - Abstract
Objetivo. Evaluar el signo del " cabeceo" como indicador de hipoxemia en ninos con neumonia. Material y metodos. Se estudiaron 62 menores de 5 anos de edad. Se definio hipoxemia a la saturacion de oxigeno Objective. To assess the clinical usefulness of the head nodding sign (HN) in children with pneumonia. Material and Methods. Cross-sectional study that included 62 children aged 2-59 months. Hypoxemia was defined as arterial oxygen saturation
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- 2010
44. Genetic modification of hypoxia signaling in animal models and its effect on cancer
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D. A. Cano, B. Felipe-Abrio, Amancio Carnero, José M. García-Heredia, Ministerio de Economía y Competitividad (España), Instituto de Salud Carlos III, Junta de Andalucía, Ministerio de Ciencia e Innovación (España), and European Commission
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Cancer Research ,Population ,Inflammation ,Tumor initiation ,Hypoxemia ,Neovascularization ,Mice ,Neoplasms ,medicine ,Animals ,Humans ,Hipoxia ,education ,Hypoxia ,education.field_of_study ,business.industry ,General Medicine ,Hypoxia (medical) ,Cáncer ,Genetically modified mouse models ,Disease Models, Animal ,Cell Transformation, Neoplastic ,Oncology ,Immunology ,Cancer research ,medicine.symptom ,Stem cell ,Signal transduction ,business ,Signal Transduction - Abstract
© 2014, Federación de Sociedades Españolas de Oncología (FESEO). Conditions that cause hypoxemia or generalized tissue hypoxia, which can last for days, months, or even years, are very common in the human population and are among the leading causes of morbidity, disability, and mortality. Therefore, the molecular pathophysiology of hypoxia and its potential deleterious effects on human health are important issues at the forefront of biomedical research. Generalized hypoxia is a consequence of highly prevalent medical disorders that can severely reduce the capacity for O2 exchange between the air and pulmonary capillaries. In recent years, some of the key O2-dependent signaling pathways have been characterized at the molecular level. In particular, the prolyl hydroxylase (PHD)-hypoxia-inducible factor (HIF) cascade has emerged as the master regulator of a general gene expression program involved in cell/tissue/organ adaptation to hypoxia. Hypoxia has emerged as a critical factor in cancer because it can promote tumor initiation, progression, and resistance to therapy. Beyond its role in neovascularization as a mechanism of tumor adaptation to nutrient and O2 deprivation, hypoxia has been linked to prolonged cellular lifespan and immortalization, the generation of “oncometabolites”, deregulation of stem cell proliferation, and inflammation, among other tumor hallmarks. Hypoxia may contribute to cancer through several independent pathways, the inter-connections of which have yet to be elucidated. Furthermore, the relevance of chronic hypoxemia in the initiation and progression of cancer has not been studied in depth in the whole organism. Therefore, we explore here the contributions of hypoxia to the whole organism by reviewing studies on genetically modified mice with alterations in the key molecular factors regulating hypoxia., The AC lab was supported by grants to from the Spanish Ministry of Economy and Competitivity, ISCIII (Fis: PI12/00137, RTICC: RD12/0036/0028), Consejeria de Ciencia e Innovacion (CTS-6844 and CTS-1848) and Consejeria de Salud of the Junta de Andalucia (PI-0135-2010 and PI-0306-2012). D. A. C. was supported by the grants from the Spanish Ministry of Science and Innovation (SAF2011-26805) and Andalusian Regional Ministry of Science and Innovation (CTS-7478).This work has been also possible thanks to the Grant PIE13/0004 co-funded by the ISCIII and FEDER funds. BFA was funded by an FPU fellowship from the Spanish Ministry of Economy and Competitivity.
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- 2014
45. Seizures in patients with respiratory disease - a retrospective single center study
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Cengiz Özdemir, Aysegul Gunduz, Şenay Aydın, Meral E. Kiziltan, and İÜC, Cerrahpaşa Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü
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hipercapnia ,Pediatrics ,medicine.medical_specialty ,Neurology ,hipóxia ,Hypoxemia ,lcsh:RC321-571 ,Epilepsy ,Seizures ,medicine ,Humans ,convulsões ,acidose respiratória ,lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry ,Aged ,Retrospective Studies ,seizures ,Aged, 80 and over ,hypoxemia ,respiratory diseases ,business.industry ,Respiratory disease ,hypercapnia ,Symptomatic seizures ,medicine.disease ,Respiratory acidosis ,doenças respiratórias ,Etiology ,Neurology (clinical) ,respiratory acidosis ,medicine.symptom ,business ,Hypercapnia - Abstract
Objective: Seizures are a neurological condition commonly experienced during the follow-up period after systemic or metabolic disorders. The aim of the present study was to determine the etiological factors of seizures in patients at a tertiary care chest clinic. Methods: We reviewed all neurology consultations that were requested due to seizures in inpatient clinics in a tertiary care hospital specializing in respiratory disorders between January 2011 and January 2018 were retrospectively reviewed. Results: The present study included 705 of 2793 (25.2%) patients who requested consultations for seizures during the study period. The mean age of the sample was 64.05±17.19 years. Of the 705 patients, 307 (43.5%) had a previous history of epilepsy (Group I) and 398 (56.5%) had a first-time seizure and were considered to have symptomatic seizures (Group II). Multiple factors played roles in the development of seizures in 54.8% of the patients. In most patients, metabolic causes, systemic infections, and drug use were identified and an intracranial metastatic mass lesion was the major cause in patients with lung cancer. Rates of hypoxemia and respiratory acidosis were significantly higher in patients with symptomatic seizures (Group II) than in patients with primary epilepsy (Group I). Conclusions: Blood gas changes such as hypoxemia and respiratory acidosis were among the factors statistically associated with the development of symptomatic seizures in patients with respiratory diseases. Additionally, hypoxemia, hypercapnia, and respiratory acidosis were correlated with mortality in patients hospitalized for respiratory system diseases who requested consultations for seizures. RESUMO Objetivo: Convulsões são uma condição neurológica comumente vivenciada durante o período de acompanhamento após distúrbios sistêmicos ou metabólicos. O objetivo do presente estudo foi determinar os fatores etiológicos das convulsões em pacientes de uma clínica torácica de atendimento terciário. Métodos: Foram revisadas retrospectivamente todas as consultas neurológicas solicitadas devido a convulsões em clínicas de internação em um hospital terciário especializado em distúrbios respiratórios entre janeiro de 2011 e janeiro de 2018. Resultados: O presente estudo incluiu 705 dos 2.793 (25,2%) pacientes que solicitaram consultas para convulsões durante o período do estudo. A idade média da amostra foi de 64,05±17,19 anos. Dos 705 pacientes, 307 (43,5%) tinham história prévia de epilepsia (Grupo I) e 398 (56,5%) tiveram uma convulsão inicial e foram considerados como tendo crises sintomáticas (Grupo II). Vários fatores desempenharam papel no desenvolvimento de convulsões em 54,8% dos pacientes. Na maioria dos pacientes, causas metabólicas, infecções sistêmicas e uso de drogas foram identificadas e uma lesão em massa metastática intracraniana foi a principal causa em pacientes com câncer de pulmão. As taxas de hipoxemia e acidose respiratória foram significativamente maiores em pacientes com crises sintomáticas (Grupo II) do que em pacientes com epilepsia primária (Grupo I). Conclusões: Alterações dos gases sanguíneos, como hipoxemia e acidose respiratória, foram alguns dos fatores estatisticamente associados ao desenvolvimento de convulsões sintomáticas em pacientes com doenças respiratórias. Além disso, hipoxemia, hipercapnia e acidose respiratória foram correlacionadas com a mortalidade em pacientes hospitalizados por doenças do sistema respiratório que solicitaram consultas para convulsões.
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