Estudio comparativo de la inmunoelectroforesis (IEF) y de la inmunoelectroosmoforesis-inmunodifusion (IEOF-ID) aplicadas al diagnostico de la paracoccidioidomicosis

Se diferencian 5 arcos de precipitatión en la técnica de inmunoelectroforesis (IEF) luego de enfrentar sueros de 16 pacientes de paracoccidioidomicosis a la paracoccidioidina. El arco l presente en todos los sueros es asimilado a arcos presuntamente específicos descritos previamente. En immunoelectroosmoforesis-inmunodifusión (IEOF-ID) se observaron bandas anódicas y bandas catódicas en todos los casos. La comparación de los resultados obtenidos con las 2 técnicas reveló siempre un mayor número de arcos en IEOF-ID lo que se debería a la aparición de los arcos de localizatión catódica 1 y 2 del inmunoelectroforegrama, tanto en el lado anódico como en el catódico de las láminas de IEOF-ID.

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Summary Immunoelectroporesis (IEF) and immunoelectroosmophoresis-immunodiffusion (IEOP-ID) (1) were comparatively used in the diagnosis of 16 patients with mycologically proved paracocidioidomycosis.In IEF, 5 different precipitin arcs were found and identified with arable numbers. Arc. 1, cathodic, present in all the patients, is assimilated to specific arcs previously described by other authors.In IEOP-ID both cathodic and anodic arcs were observed in all the sera.A high number of precipitin arcs were revealed by IEOP-ID technique in comparison to IEF in every case. This should be due to the presence of cathodic arcs 1 and 2 of the immunoelectrophoregram at both sides of the IEOP-ID preparate.

     

El fenómeno de las caídas en residencias e instituciones: revisión del Grupo de Trabajo de Osteoporosis,Caídas y Fracturas de la Sociedad Española de Geriatría y Gerontología (GCOF-SEGG)

The Workshop on Osteoporosis, Falls and Fractures (GCOF) of The Spanish Geriatrics and Gerontology Society (SEGG) formed a committee in order to review the state of the art on the detection, risk factors and assessment tools for falls, and intervention protocols when falls occurs in nursing homes, long-term hospitals or medium-stay units. The different patient profiles are described in order to make a comprehensive approach to this heterogeneous topic and population, offering a risk classification and specific advice according to these categories.     

Valores de referencia y estudio de la variabilidad de hormonas tiroideas en gestantes de El Bierzo

Background and objectivesEl Bierzo area is characterized by low urinary iodine levels in the pregnant population. Guidelines recommend that local reference values are established for the diagnosis of thyroid dysfunction in pregnancy. Our objectives were to establish reference values for thyroid-stimulating hormone (TSH), free thyroxine (FT4) and free triiodothyronine (FT3) in women in the first trimester of pregnancy and to explore the factors influencing variability in these hormones.Patients and methodsA retrospective study of 412 women in the first trimester of pregnancy who were measured serum levels of TSH, FT4, and FT3; 163 women with conditions with a potential influence on thyroid function were excluded. Thirty smoking pregnant women were also excluded from the study of reference values. Factors examined in the variability study included age, body mass index (BMI), and smoking. A multifactorial analysis of covariance was performed.ResultsReference values in first-trimester pregnant women were: TSH: 0.497-3.595 mIU/L; FT4: 0.90–1.42 ng/dL; FT3: 2.49–3.56 pg/mL. TSH levels depended on mother age and on interaction between age and smoking. FT3 levels depended on the mother's BMI and smoking, and there was also an interaction between both factors.ConclusionThe reference values found may be used to assess thyroid dysfunction in pregnant women from El Bierzo. TSH and FT3 levels are influenced by age and BMI of the mother and by smoking, in addition to the interaction of these factors.