Evaluación de la severidad de la incontinencia urinaria de esfuerzo con estudios urodinámicos: un estudio comparativo para detectar deficiencia intrínseca del esfínter uretral externo

ResumenObjetivoDeterminar la sensibilidad y especificidad del punto de presión de fuga abdominal (ALPP), para evaluar la presencia de deficiencia intrínseca del esfínter (DIE) comparativamente con la presión máxima de cierre uretral (MUCP, por sus siglas en inglés), estableciendo la correlación clínico-urodinámica correspondiente.ResultadosFueron evaluadas 34 pacientes con incontinencia urinaria de esfuerzo (IUE); 17 paciente (50%) fueron diagnosticadas urodinámicamente con DIE por punto de ALPP; 9 tuvieron IUE severa mientras que sólo 2 (5.8%) lo fueron por MUCP, de las cuales una tuvo IUE severa y otra, IUE moderada. Dieciocho pacientes fueron catalogadas clínicamente como IUE severa, de las cuales 17 tuvieron DIE por ALPP entre severa y moderada (94%).ConclusionesLa evaluación urodinámica de la IUE permite establecer de manera clara la fisiopatología de una disfunción del tracto urinario inferior concomitante, con la posibilidad de objetivar la presencia de IUE con el ALPP en al menos 85% de los casos, con una sensibilidad y especificidad para diagnosticar DIE muy superior a la MUCP.AbstractAimsTo determine the sensitivity and specificity of the abdominal leak point pressure (ALPP) in order to comparatively evalúate the presence of intrinsic sphincter deficiency (ISD) with máximum urethral closure pressure (MUCP) and establish the corresponding clinical and urodynamic correlation.ResultsThirty-four patients with stress urinary incontinence (SUI) were evaluated. Seventeen of those patients (50%) were urodynamically diagnosed with ISD through ALPP and 9 of them had severe SUI. Only 2 patients were diagnosed with ISD through MUCP; one of them had severe SUI and the other presented with modérate SUI. Eighteen patients were clinically classified with severe SUI, 17 of whom had moderate to severe ISD diagnosed through ALPP (94%).ConclusionsUrodynamic evaluation of SUI made it possible to clearly establish the pathophysiology of concomitant lower urinary tract dysfunction and to objectify the presence of SUI through ALPP in at least 85% of the cases. ALPP had a much higher sensitivity and specificity for diagnosing ISD than MUCP

Bounds on the dipole moments of the tau-neutrino via the process e+e−→ννˉγe^{+}e^{-}\rightarrow \nu \bar \nu \gamma in a 331 model

We obtain limits on the anomalous magnetic and electric dipole moments of the $\nu_{\tau}$ through the reaction $e^{+}e^{-}\rightarrow \nu \bar \nu \gamma$ and in the framework of a 331 model. We consider initial-state radiation, and neglect $W$ and photon exchange diagrams. The results are based on the data reported by the L3 Collaboration at LEP, and compare favorably with the limits obtained in other models, complementing previous studies on the dipole moments.Comment: 13 pages, 4 figures, to be published in The European Physical J C. arXiv admin note: substantial text overlap with arXiv:hep-ph/060527

Limits on the Electromagnetic and Weak Dipole Moments of the Tau-Lepton in E_6 Superstring Models

We obtain limits on the electromagnetic and weak dipole moments of the tau-lepton in the framework of a Left-Right symmetric model (LRSM) and a class of $E_6$ inspired models with an additional neutral vector boson $Z_\theta$. Using as an input the data obtained by the L3 and OPAL Collaborations for the reaction $e^+e^-\to \tau^+\tau^-\gamma$, we get a stringent limit on the LRSM mixing angle $\phi$, $-1.66\times 10^{-3}< \phi<1.22\times 10^{-3}$, which in turn induces bounds on the tau weak dipole moments which are consistent with the bounds obtained recently by the DELPHI and ALEPH Collaborations from the reaction $e^+e^-\to \tau^+\tau^-$. We also get similar bounds for the weak dipole moments of the tau lepton in the framework of $E_6$ superstring models.Comment: 18 pages, 5 figure

Bounds on the anomalous HZγHZ\gamma vertex arising from the process e+e−→τ+τ−γe^+e^-\to \tau^+ \tau^- \gamma

We obtain limits on the anomalous coupling $HZ\gamma$ through data published by the L3 Collaboration on the process $e^+e^-\to \tau^+\tau^- \gamma$. Our analysis leads to bounds on this coupling of order $10^{-2}$, for an intermediate mass Higgs boson $115 < M_H < 145$ $GeV$, two orders of magnitude above the Standard Model prediction.Comment: 10 pages, 3 figure

Influencia de la variabilidad en la virulencia de diferentes aislados de Toxoplasma gondii sobre las lesiones de encéfalos fetales ovinos

Trabajo presentado a la: XXXII Reunión de la Sociedad Española de Anatomía Patológica Veterinaria (SEAPV). 1 octubre. Congreso virtual.Peer reviewe