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2.
Obesity (Silver Spring) ; 31(6): 1644-1654, 2023 06.
Artigo em Inglês | MEDLINE | ID: mdl-37161883

RESUMO

OBJECTIVE: Prader-Willi syndrome (PWS) is a multisystem genetic disorder. Unfortunately, none of several mouse models carrying PWS mutations emulates the entirety of the human PWS phenotype, including hyperphagia plus obesity. METHODS: To determine whether housing at thermoneutrality (TN, 30 °C) permits the development of hyperphagia and obesity in the Snord116del PWS mouse model, the effects of housing three different ages of Snord116del and wild-type (WT) littermates at TN versus room temperature (RT, 22-24 °C) for 8 weeks were compared. RESULTS: Snord116del mice born and maintained at TN exhibited lower body weight curves, lower percentage fat mass, and lower food intake than WT mice at RT. In 4- to 6-month-old high-fat diet-fed female mice, TN raised the Snord116del body weight curve closer to that of RT-housed WT mice although the TN-housed Snord116del mice did not gain more adiposity or exhibit greater food intake. In 6- to 8-month-old high-fat diet-fed male mice, body weight, adiposity, and food intake of TN-housed Snord116del mice remained far below levels in RT-housed WT mice. TN elicited hypotonia in Snord116del adults and exacerbated mortality of Snord116del newborns. CONCLUSIONS: In none of three tested TN protocols were greater food intake, body weight, or adiposity induced in Snord116del mice compared with RT-housed WT mice.


Assuntos
Síndrome de Prader-Willi , Recém-Nascido , Humanos , Adulto , Masculino , Feminino , Animais , Camundongos , Lactente , Síndrome de Prader-Willi/genética , Hiperfagia , Peso Corporal , Obesidade/genética , Adiposidade , Ingestão de Alimentos , Composição Corporal
3.
J Psychiatr Ment Health Nurs ; 29(5): 624-629, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35876216

RESUMO

WHAT IS KNOWN ON THE SUBJECT?: There are individuals living with serious mental illness in both healthcare and academia. The high stress nature of these fields can worsen or trigger mental illness, burnout, moral injury, and compassion fatigue in employees. Mental health nurses have the needed skillset to foster change in these settings. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: This paper describes the holistic experiences of a nurse faculty member living with serious mental illness and highlights lessons learned in both healthcare and academic settings. In addition to insights from the experience, the paper also shares suggestions for moving forward, reducing burnout, and supporting employees in these fields. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: This lived experience narrative showcases the effect that high-pressure occupations have on individuals with serious mental illness. Mental health nurses have the training and experience to transform the experiences of employees in healthcare and academia. Through assessment, deep listening, and powerful questioning, these nurses in partnership with the employees themselves can design and implement interventions that have a lasting impact for these populations. ABSTRACT: Introduction First-hand accounts from clients living with mental health challenges deepen provider understanding and offer direct insight into the lives of those with chronic mental illness. There is a gap in the literature surrounding the lived experience of serious mental illness in the professional setting. Aim This narrative outlines the challenges and opportunities for those living with serious mental illness in healthcare and academia. Methods The author reviewed personal journals and reflected upon her years as both a nurse and faculty member to highlight the experience of living with serious mental illness in these professions. Findings These high-pressure fields place inordinate demands on faculty and staff; yet, there are few organizational supports in place for employees. Despite the push to improve resiliency and ease burnout, healthcare organizations and academic institutions still struggle to identify the best interventions and methods of support for staff. Discussion Mental health nurses and nurse coaches are uniquely positioned to ease this burden and help create inclusive workplaces for those with serious mental illness.


Assuntos
Esgotamento Profissional , Transtornos Mentais , Enfermeiras e Enfermeiros , Atenção à Saúde , Feminino , Humanos , Organizações , Local de Trabalho
4.
Vet Comp Orthop Traumatol ; 35(4): 239-245, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35580616

RESUMO

OBJECTIVE: The main aim of this study was to compare the accuracy of stifle exploratory using either a stifle distractor (SD method) or a combination of Hohmann and Senn retractors (HS method) for diagnosing canine medial meniscal tears in cranial cruciate ligament-deficient stifles. STUDY DESIGN: Fifteen pairs of canine cadaveric pelvic limbs were used and cranial cruciate ligament were transected in all stifles. Paired limbs were then randomly assigned to one of five groups based on the tears created in the caudal pole of the medial meniscus: no tear, peripheral detachment, or a variation in three vertical longitudinal tears. A craniomedial mini-arthrotomy was performed by two observers and diagnosis of the medial meniscal status was made utilizing the HS and SD methods. Correct diagnosis of the meniscal tear was compared for both methods and observers. RESULTS: Correct diagnoses were made using the HS and SD methods in 24/30 and 24/30 cases for observer 1 respectively; and in 17/30 and 19/30 cases for observer 2 respectively. There was no significant difference in the correct diagnosis of meniscal tears within each observer between the two methods. CONCLUSION: Both HS and SD methods have equal accuracy for the diagnosis of canine medial meniscal pathology for a board-certified surgeon. Unassisted surgeons using the SD method for the evaluation of the medial meniscus are at no diagnostic disadvantage compared with assisted surgeons utilizing the HS method.


Assuntos
Lesões do Ligamento Cruzado Anterior , Doenças das Cartilagens , Doenças do Cão , Animais , Cães , Ligamento Cruzado Anterior/cirurgia , Lesões do Ligamento Cruzado Anterior/diagnóstico , Lesões do Ligamento Cruzado Anterior/cirurgia , Lesões do Ligamento Cruzado Anterior/veterinária , Artroscopia/métodos , Artroscopia/veterinária , Doenças das Cartilagens/veterinária , Doenças do Cão/diagnóstico , Doenças do Cão/patologia , Doenças do Cão/cirurgia , Meniscos Tibiais/cirurgia , Joelho de Quadrúpedes/patologia , Joelho de Quadrúpedes/cirurgia
6.
Metab Brain Dis ; 36(6): 1135-1150, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-33813634

RESUMO

Epilepsy is a debilitating neurological disorder characterised by recurrent seizures for which 30% of patients are refractory to current treatments. The genetic and molecular aetiologies behind epilepsy are under investigation with the goal of developing new epilepsy medications. The transcriptional repressor REST (Repressor Element 1-Silencing Transcription factor) is a focus of interest as it is consistently upregulated in epilepsy patients and following brain insult in animal models of epilepsy and ischemia. This review analyses data from different epilepsy models and discusses the contribution of REST to epileptogenesis. We propose that in healthy brains REST acts in a protective manner to homeostatically downregulate increases in excitability, to protect against seizure through downregulation of BDNF (Brain-Derived Neurotrophic Factor) and its receptor, TrkB (Tropomyosin receptor kinase B). However, in epilepsy patients and post-seizure, REST may increase to a larger degree, which allows downregulation of the glutamate receptor subunit GluR2. This leads to AMPA glutamate receptors lacking GluR2 subunits, which have increased permeability to Ca2+, causing excitotoxicity, cell death and seizure. This concept highlights therapeutic potential of REST modulation through gene therapy in epilepsy patients.


Assuntos
Encéfalo/metabolismo , Epilepsia/metabolismo , Isquemia/metabolismo , Fatores de Transcrição/metabolismo , Animais , Epilepsia/genética , Humanos , Isquemia/genética , Neurônios/metabolismo , Receptores de AMPA/genética , Receptores de AMPA/metabolismo , Fatores de Transcrição/genética
7.
J Neurosci Methods ; 356: 109147, 2021 05 15.
Artigo em Inglês | MEDLINE | ID: mdl-33771654

RESUMO

Organotypic hippocampal slice cultures provide a useful platform maintaining hippocampal structure and synaptic connections of the brain over weeks in culture with ease of in vitro manipulations. Gene transfer is a particularly desirable tool for using with them but current difficulties with transformation of transgenes into these cultures is a barrier to their use in research. Previous quantifications of viral infections have shown low transformation rates and have relied upon invasive microinjections. In this paper we present an efficient way of infecting organotypic cultures with adenovirus at the acute slice stage that does not require injection. We use the adenoviral delivery system to introduce the transcription factor REST and a GFP marker, providing around 41 % cellular infection spread throughout the entire slice culture and promoting transgene expression for weeks in vitro. GFP expression was observed most intensely in the slices when they were infected just a few hours after plating and was shown to infect neurons and microglia. We decided to use the transcription factor REST/NRSF as an example transgene which was delivered into cells via the adenoviral construct, conferring overexpression of REST in addition to the GFP marker. This outlines a technique whereby adenoviral infection of organotypic cultures can infect neurons with good efficiency and confer successful manipulation of genetic factors within the cell.


Assuntos
Adenoviridae , Hipocampo , Adenoviridae/genética , Neurônios , Técnicas de Cultura de Órgãos , Transgenes
8.
Alcohol Clin Exp Res ; 43(10): 2134-2143, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31386210

RESUMO

BACKGROUND: Chronic ethanol (EtOH) exposure induces neurobehavioral maladaptations in the brain though the precise changes have not been fully explored. The central nucleus of the amygdala (CEA) regulates anxiety-like behavior induced by withdrawal from chronic intermittent EtOH (CIE) exposure, and the arginine vasopressin (AVP) system within the CEA regulates many anxiety-like behaviors. Thus, adaptations occur in the CEA AVP system due to chronic EtOH exposure, which lead to anxiety-like behaviors in rats. METHODS: Chronic exposure to a low-dose EtOH (4.5% wt/vol) induces anxiety-like behavior in rats. Wistar or Sprague Dawley rats were exposed to a modified CIE or CIE, while intra-CEA microinjections of AVP or a V1b receptor antagonist were used to elicit or block withdrawal-induced anxiety. Additionally, AVP microinjections into the CEA were given 24 hours following 15 days of continuous high-dose EtOH (7% wt/vol), a time period when rats no longer express anxiety. Chemogenetics was also used to activate the basolateral amygdala (BLA) or deactivate the dorsal periaqueductal gray=(dm/dlPAG) therefore PAG=periaqueductal gray to elicit or block withdrawal-induced anxiety. RESULTS: AVP microinjected into the CEA in lieu of exposure to the first 2 cycles of CIE was sufficient to induce anxiety-like behavior in these commonly used rat strains. The V1b receptor antagonist, but not an oxytocin receptor agonist, into the CEA during the first 2 withdrawal cycles suppressed anxiety. However, activation of the BLA in lieu of exposure to the first 2 cycles of CIE was insufficient to induce anxiety-like behavior. AVP microinjection into the CEA 24 hours into withdrawal reelicited anxiety-like behavior, and deactivation of the dm/dlPAG reduced this effect of CEA AVP. CONCLUSIONS: Taken together, this study demonstrates a role of CEA AVP and a CEA-dm/dlPAG circuit in the development of anxiety induced by CIE. Such information is valuable for identifying novel therapeutic targets for alcohol- and anxiety-associated disorders.


Assuntos
Tonsila do Cerebelo/efeitos dos fármacos , Ansiedade/psicologia , Arginina Vasopressina/farmacologia , Depressores do Sistema Nervoso Central , Etanol , Relações Interpessoais , Síndrome de Abstinência a Substâncias/psicologia , Animais , Ansiedade/etiologia , Ansiedade/fisiopatologia , Arginina Vasopressina/administração & dosagem , Comportamento Animal , Masculino , Microinjeções , Substância Cinzenta Periaquedutal/efeitos dos fármacos , Ratos , Ratos Sprague-Dawley , Ratos Wistar , Receptores de Vasopressinas/efeitos dos fármacos , Síndrome de Abstinência a Substâncias/complicações , Síndrome de Abstinência a Substâncias/fisiopatologia
9.
BMC Vet Res ; 14(1): 386, 2018 Dec 05.
Artigo em Inglês | MEDLINE | ID: mdl-30518361

RESUMO

BACKGROUND: Internal plate fixation and, more recently, locking plate fixation are commonly used in the repair of fractures in small animal surgery. This retrospective study reviewed the use of the String of Pearls locking plate system in the fixation/repair of appendicular long bone skeleton fractures in 31 small animal veterinary patients (33 fractures). RESULTS: Major complications necessitating revision surgery occurred in 7/33 (21%), with implant failure as the inciting cause in all cases. Variables corresponding to an unsuccessful outcome were evaluated, and a correlation was found with plates placed in a bridging manner (placed without rigid anatomic reconstruction, p = 0.02) and length of follow-up (p = 0.01). CONCLUSIONS: The SOP plating system can be used in the repair of appendicular longbone skeletal fractures, however, the authors propose that adjunct fixation, such as intramedullary pin, double plating, or external coaptation would likely improve results and should be considered imperative in cases in which anatomic reconstruction is either not desirable or achievable.


Assuntos
Placas Ósseas/veterinária , Ossos da Extremidade Inferior/cirurgia , Fraturas Ósseas/cirurgia , Animais , Placas Ósseas/normas , Gatos , Cães , Feminino , Masculino , Período Perioperatório , Estudos Retrospectivos , Fatores de Tempo , Falha de Tratamento , Resultado do Tratamento
10.
Brain Res ; 1678: 214-219, 2018 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-29107660

RESUMO

The amygdala is a bilateral temporal lobe brain region which plays an important role in emotional processing. Past studies on the amygdala have shown hemispheric differences in amygdalar processes and responses associated with specific pain and fear behaviors. Despite the functional differences in the amygdala, few studies have been performed to characterize whether anatomical differences exist between the left and right amygdala. Parvalbumin (PV) is a phenotypic marker for an inhibitory interneuronal population in cortical brain structures such as the basolateral amygdala complex (BLC). This study examined the number of PV-positive neurons in the left and right BLC of adult, male Long-Evans rats using unbiased stereology. Coronal sections through the rostral-caudal extent of the BLC were immunohistochemically-stained for PV and the optical fractionator method was used to obtain an unbiased estimate of the number of PV-positive neurons in subdivisions through the BLC. The lateral and basolateral amygdala divisions of the BLC were analyzed, were subdivided into the dorsolateral, ventrolateral and ventromedial and the posterior, anterior and ventral subdivisions, respectively. The results indicate that there are significantly more PV-positive neurons in the left basolateral amygdala compared to the right, with a significant difference specifically in the posterior subdivision. This difference in PV neuronal number could help explain the distinct hemispheric roles of the BLC in the behavioral processing following exposure to painful and fearful stimuli.


Assuntos
Complexo Nuclear Basolateral da Amígdala/citologia , Lateralidade Funcional/fisiologia , Neurônios/metabolismo , Parvalbuminas/metabolismo , Análise de Variância , Animais , Contagem de Células , Masculino , Ratos , Ratos Long-Evans
11.
Front Vet Sci ; 5: 349, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30761311

RESUMO

Laser therapy is becoming common place in veterinary medicine with little evidence proving efficacy or dosages. This study evaluated surgical wound healing in canines. Twelve Dachshunds underwent thoraco-lumbar hemilaminectomies for intervertebral disc disease (IVDD). Digital photographs were taken of their incisions within 24 h of surgery and 1, 3, 5, 7, and 21 days postoperatively. The first three dogs were used to create a standardized scar scale to score the other dogs' incision healing. The remaining 9 dogs were randomly assigned to either receive 8 J/cm2 laser therapy once a day for 7 days or the non-laser treated control group. Incision healing was scored based on the scar scale from 0 to 5, with zero being a fresh incision and five being completely healed with scar contraction and hair growth. All scar scores significantly improved with increasing time from surgery (<0.001). Good agreement was achieved for inter-rater reliability (p = 0.9). Laser therapy increased the scar scale score, showed improved cosmetic healing, by day seven and continued to be significantly increased on day 21 compared to control dogs (p < 0.001). Daily application of laser therapy at 8J/cm2 hastened wound healing in Dachshunds that received thoracolumbar hemilaminectomies for IVDD. It also improved the cosmetic appearance.

12.
Neurosci Lett ; 661: 11-17, 2017 Nov 20.
Artigo em Inglês | MEDLINE | ID: mdl-28916300

RESUMO

Fear-conditioned analgesia (FCA) is modulated by brain areas involved in the descending inhibitory pain pathway such as the basolateral (BLA) and central amygdala (CEA). The BLA contains Ca2+/calmodulin-dependent protein kinase II (CaMKII) and parvalbumin (PV) neurons. CEA neurons are primarily inhibitory (GABAergic) that comprise enkephalin (ENK) interneurons and corticotropin-releasing factor (CRF) - neurons that project to the periaqueductal grey. The purpose of our experiment was to determine the pattern of activation of CaMKII/PV and ENK/CRF neurons following the expression of acute pain, conditioned fear, and FCA. A significant reduction was observed in nociceptive behaviors in mice re-exposed to a contextually-aversive environment. Using NeuN and cFos as markers for activated neurons, CaMKII, PV, ENK, or CRF were used to identify neuronal subtypes. We find that mice expressing conditioned fear displayed an increase in c-Fos/CaMKII co-localization in the lateral amygdala and BLA compared to controls. Additionally a significant increase in cFos/CRF co-localization was observed in mice expressing FCA. These results show that amygdala processing of conditioned contextual aversive, nociceptive, and FCA behaviors involve different neuronal phenotypes and neural circuits between, within, and from various amygdala nuclei. This information will be important in developing novel therapies for treating pain and emotive disorders in humans.


Assuntos
Dor Aguda/fisiopatologia , Tonsila do Cerebelo/fisiopatologia , Núcleo Central da Amígdala/metabolismo , Medo/fisiologia , Neurônios/metabolismo , Analgesia/métodos , Animais , Condicionamento Psicológico/fisiologia , Masculino , Camundongos Endogâmicos C57BL , Manejo da Dor , Substância Cinzenta Periaquedutal/metabolismo , Substância Cinzenta Periaquedutal/fisiopatologia
13.
Pain ; 158(3): 457-462, 2017 03.
Artigo em Inglês | MEDLINE | ID: mdl-27918314

RESUMO

Chronic pain conditions are often comorbid with alcohol abuse. "Self-medication" with alcohol introduces a host of problems associated with the abuse of alcohol which over time has the potential of exacerbating the painful condition. Despite the prevalence of chronic pain being associated with alcohol abuse, rodent models which mimic the comorbid conditions are lacking. In this study, we model osteoarthritis (OA) in C57BL/6J mice by surgically destabilizing the medial meniscus (DMM). Sham-operated mice served as controls. Thirteen weeks after surgery, DMM but not sham-operated mice exhibited pronounced incapacitance of the surgically manipulated hind limb compared with the nonsurgically manipulated hind limb. At this time, the mice were exposed to the 2-bottle ethanol choice, beginning with 2.5% with a gradual increasing to 20%. Compared with sham controls, DMM mice consumed more EtOH and preferred EtOH over water at the 20% EtOH concentration. Histological analysis verified that the DMM mice exhibited significant damage to the articular cartilage and osteophyte growth compared with sham controls and these measures of the severity of OA correlated with the amount of ethanol intake. Thus, the combination of the DMM model of OA with the enhanced two-bottle ethanol choice is a potential preclinical approach in mice by which the basis of the comorbid association of alcohol abuse and chronic pain conditions can be explored.


Assuntos
Consumo de Bebidas Alcoólicas/fisiopatologia , Etanol/metabolismo , Osteoartrite do Joelho/fisiopatologia , Análise de Variância , Animais , Comportamento de Escolha/fisiologia , Modelos Animais de Doenças , Progressão da Doença , Masculino , Camundongos , Camundongos Endogâmicos C57BL
14.
Proc Natl Acad Sci U S A ; 113(42): 11883-11888, 2016 10 18.
Artigo em Inglês | MEDLINE | ID: mdl-27688768

RESUMO

The aryl hydrocarbon receptor (AhR) is now recognized as an important physiological regulator in the immune and reproductive systems, and in the development of the liver and vascular system. AhR regulates cell cycle, cell proliferation, and differentiation through interacting with other signaling pathways, like estrogen receptor α (ERα), androgen receptor (AR), and Notch signaling. In the present study, we investigated Notch and estrogen signaling in AhR-/- mice. We found low fertility with degenerative changes in the testes, germ cell apoptosis, and a reduced number of early spermatids. There was no change in aromatase, AR, ERα, or ERß expression in the testis and no detectable change in serum estrogen levels. However, expression of Notch receptors (Notch1 and Notch3) and their target Hairy and Enhancer of Split homolog 1 (HES1) was reduced. In addition, the testosterone level was slightly reduced in the serum. In the mammary fat pad, AhR appeared to regulate estrogen signaling because, in AhR-/- males, there was significant growth of the mammary ducts with high expression of ERα in the ductal epithelium. The enhanced mammary ductal growth appears to be related to overexpression of ERα accompanied by a high proliferation index, whereas the reduced fertility appears to be related defects in Notch signaling that leads to reduced expression of HES1 and, consequently, early maturation of spermatocytes and a depletion of primary spermatids. Previous reports have indicated that AhR pathway is associated with infertility in men. Our results provide a mechanistic explanation for this defect.


Assuntos
Fatores de Transcrição Hélice-Alça-Hélice Básicos/deficiência , Receptor alfa de Estrogênio/metabolismo , Receptores de Hidrocarboneto Arílico/deficiência , Receptores Notch/metabolismo , Transdução de Sinais , Animais , Apoptose/genética , Aromatase/metabolismo , Biomarcadores , Proliferação de Células , Receptor alfa de Estrogênio/genética , Receptor beta de Estrogênio/genética , Receptor beta de Estrogênio/metabolismo , Feminino , Fertilidade/genética , Deleção de Genes , Expressão Gênica , Células Germinativas/metabolismo , Imuno-Histoquímica , Masculino , Glândulas Mamárias Animais/crescimento & desenvolvimento , Glândulas Mamárias Animais/metabolismo , Camundongos , Camundongos Knockout , Receptores Androgênicos/genética , Receptores Androgênicos/metabolismo , Receptores de Progesterona/genética , Receptores de Progesterona/metabolismo , Espermatócitos/metabolismo , Testículo/metabolismo
15.
J Am Anim Hosp Assoc ; 52(3): 162-9, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27008322

RESUMO

Grade 4/4 medial patellar luxation (MPL) is a complex disease of the canine stifle that often requires surgical realignment of the patella to resolve clinical lameness. Outcome following surgery remains poorly described. Medical records were retrospectively reviewed for surgical correction of grade 4 MPL. Signalment and exam findings, surgical procedures performed, complications, and clinical outcome were reported. Data was statistically analyzed for association with major complication occurrence and unacceptable function following surgery. Forty-seven stifles from 41 dogs were included. The surgical procedures most frequently utilized for patellar realignment were the combination of femoral trochleoplasty, tibial tuberosity transposition, and joint capsule modification. Median in-hospital veterinary examination was performed at 69 days (range 30-179 days) following surgery. Full function was reported for 42.6% of cases (n=20). Acceptable function was reported for 40.4% of cases (n=19). Unacceptable function was reported for 17% of cases (n=8). The overall complication rate was 25.5% (n=12), with revision surgery for major complications required in 12.8% of cases (n=6). Corrective osteotomies were associated with major complications (P < 0.001). In general, pelvic limb function improves following surgical correction of grade 4 MPL; however, a return to full function should be considered guarded.


Assuntos
Doenças do Cão/cirurgia , Luxação Patelar/veterinária , Joelho de Quadrúpedes/cirurgia , Animais , Cães , Coxeadura Animal/etiologia , Patela/lesões , Luxação Patelar/cirurgia , Estudos Retrospectivos , Joelho de Quadrúpedes/lesões , Resultado do Tratamento
16.
Nurse Educ Today ; 47: 89-91, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26897318

RESUMO

Veterans are challenged with multiple unique healthcare issues related to their military service environment. Likewise, health care providers must understand the special concerns associated with military conflict and recognize how the veteran's care can be optimized by interprofessional care delivery. Little is taught didactically or clinically that supports nursing students in addressing the unique issues of the veteran or the student's need to work collaboratively with allied health team members to enhance the veteran's care. Because of limited exposure to the veteran's special conditions, nursing students who may seek a career with the veteran population often face challenges in rendering appropriate care. The VA offers an invaluable opportunity for health profession students to collaborate with VA interprofessional Patient Aligned Care Teams (PACT) ultimately optimizing veteran health outcomes. This academic partnership, that implements an interprofessional model, will prepare students to better embrace the veteran population. This article describes the immersion of health profession students in interprofessional collaborative practice (IPCP) using PACT team principles which ultimately promotes the students' ability to link theory content to patient care delivery.


Assuntos
Educação em Enfermagem/organização & administração , Relações Interprofissionais , Equipe de Assistência ao Paciente/organização & administração , Estudantes de Enfermagem , Feminino , Hospitais de Veteranos/organização & administração , Humanos , Masculino , Qualidade da Assistência à Saúde , Estados Unidos , United States Department of Veterans Affairs
17.
PLoS One ; 11(2): e0149121, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26871903

RESUMO

We investigated the effectiveness of integrating tissue engineered cartilage derived from human bone marrow derived stem cells (HBMSCs) to healthy as well as osteoarthritic cartilage mimics using hydroxyapatite (HA) nanoparticles immersed within a hydrogel substrate. Healthy and diseased engineered cartilage from human chondrocytes (cultured in agar gels) were integrated with human bone marrow stem cell (HBMSC)-derived cartilaginous engineered matrix with and without HA, and evaluated after 28 days of growth. HBMSCs were seeded within photopolymerizable poly (ethylene glycol) diacrylate (PEGDA) hydrogels. In addition, we also conducted a preliminary in vivo evaluation of cartilage repair in rabbit knee chondral defects treated with subchondral bone microfracture and cell-free PEGDA with and without HA. Under in vitro conditions, the interfacial shear strength between tissue engineered cartilage derived from HBMSCs and osteoarthritic chondrocytes was significantly higher (p < 0.05) when HA nanoparticles were incorporated within the HBMSC culture system. Histological evidence confirmed a distinct spatial transition zone, rich in calcium phosphate deposits. Assessment of explanted rabbit knees by histology demonstrated that cellularity within the repair tissues that had filled the defects were of significantly higher number (p < 0.05) when HA was used. HA nanoparticles play an important role in treating chondral defects when osteoarthritis is a co-morbidity. We speculate that the calcified layer formation at the interface in the osteoarthritic environment in the presence of HA is likely to have attributed to higher interfacial strength found in vitro. From an in vivo standpoint, the presence of HA promoted cellularity in the tissues that subsequently filled the chondral defects. This higher presence of cells can be considered important in the context of accelerating long-term cartilage remodeling. We conclude that HA nanoparticles play an important role in engineered to native cartilage integration and cellular processes.


Assuntos
Células-Tronco Adultas/transplante , Condrócitos/metabolismo , Matriz Extracelular/transplante , Hidroxiapatitas/uso terapêutico , Osteoartrite/terapia , Células-Tronco Adultas/fisiologia , Animais , Cartilagem Articular/fisiologia , Células Cultivadas , Matriz Extracelular/metabolismo , Humanos , Hidrogéis , Articulações/patologia , Nanopartículas , Coelhos , Alicerces Teciduais
18.
Behav Brain Res ; 304: 92-101, 2016 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-26821289

RESUMO

Rats exposed to the odor of a predator or to the elevated plus maze (EPM) express unique unconditioned fear behaviors. The extended amygdala has previously been demonstrated to mediate the response to both predator odor and the EPM. We seek to determine if divergent amygdalar microcircuits are associated with the different behavioral responses. The current experiments compared activation of corticotropin-releasing factor (CRF)-containing neuronal populations in the central amygdala and bed nucleus of the stria terminalis (BNST) of rats exposed to either the EPM (5 min) versus home cage controls, or predator (ferret) odor versus butyric acid, or no odor (30 min). Sections of the brains were prepared for dual-labeled immunohistochemistry and counts of c-Fos co-localized with CRF were made in the centrolateral and centromedial amygdala (CLA and CMA) as well as the dorsolateral (dl), dorsomedial (dm), and ventral (v) BNST. Ferret odor-exposed rats displayed an increase in duration and a decrease in latency of defensive burying versus control rats. Exposure to both predator stress and EPM induced neuronal activation in the BNST, but not the central amygdala, and similar levels of neuronal activation were seen in both the high and low anxiety groups in the BNST after EPM exposure. Dual-labeled immunohistochemistry showed a significant increase in the percentage of CRF/c-Fos co-localization in the vBNST of ferret odor-exposed rats compared to control and butyric acid-exposed groups as well as EPM-exposed rats compared to home cage controls. In addition, an increase in the percentage of CRF-containing neurons co-localized with c-Fos was observed in the dmBNST after EPM exposure. No changes in co-localization of CRF with c-Fos was observed with these treatments in either the CLA or CMA. These results suggest that predator odor and EPM exposure activates CRF neurons in the BNST to a much greater extent than CRF neurons of the central amygdala, and indicates unconditioned anxiogenic stimuli may activate unique anatomical circuits in the extended amygdala.


Assuntos
Núcleo Central da Amígdala/patologia , Hormônio Liberador da Corticotropina/metabolismo , Neurônios/metabolismo , Núcleos Septais/patologia , Estresse Psicológico/patologia , Análise de Variância , Animais , Modelos Animais de Doenças , Medo/psicologia , Masculino , Aprendizagem em Labirinto/fisiologia , Odorantes , Proteínas Oncogênicas v-fos/metabolismo , Comportamento Predatório , Ratos , Ratos Long-Evans , Estatísticas não Paramétricas
19.
J Am Anim Hosp Assoc ; 51(6): 385-91, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26535457

RESUMO

A 5 yr old, male, neutered mixed-breed dog was referred for persistent vomiting 2 wk following a pyloric biopsy for a pyloric outflow obstruction. Histopathology at the time of initial surgery was suggestive of pythiosis. Following referral, the dog underwent radical surgical treatment with a Billroth II procedure, partial pancreatectomy, and cholecystoduodenostomy. Histopathology and serology confirmed the diagnosis of pythiosis and medical treatment consisting of itraconazole and terbinafine was started postoperatively. Serology titers were checked again at 8, 12, and 24 wk postoperatively revealing a positive response to treatment and no reoccurrence of pythiosis. Since surgery, the patient experienced waxing and waning elevations of liver values and laparoscopic liver biopsies 10 mo postoperatively revealed hepatic cirrhosis with fibrosis, bile duct hyperplasia, and chronic inflammation. This report documents successful treatment of pyloric/duodenal pythiosis and the long-term (17 mo) consequences associated with the Billroth II, partial pancreatectomy, and biliary rerouting in the dog.


Assuntos
Doenças do Cão/terapia , Duodenopatias/veterinária , Pitiose/terapia , Gastropatias/veterinária , Animais , Antifúngicos/uso terapêutico , Suplementos Nutricionais , Doenças do Cão/patologia , Cães , Duodenopatias/tratamento farmacológico , Duodenopatias/patologia , Duodenopatias/cirurgia , Fármacos Gastrointestinais/uso terapêutico , Itraconazol/uso terapêutico , Masculino , Naftalenos/uso terapêutico , Pancrelipase/uso terapêutico , Piloro/patologia , Gastropatias/tratamento farmacológico , Gastropatias/patologia , Gastropatias/cirurgia , Terbinafina
20.
Can Vet J ; 56(4): 375-81, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25829557

RESUMO

The goal of this study was to retrospectively investigate the effect of incisional closure with either stainless steel skin staples or intradermal poliglecaprone 25 on the prevalence of surgical site infection following tibial plateau leveling osteotomy in dogs. Medical records were reviewed for dogs treated with unilateral tibial plateau leveling osteotomy at Memphis Veterinary Specialists between 2006 and 2013. Procedures (n = 306) from 242 dogs were included in the study. The association of potential risk factors with the occurrence of postoperative infection was assessed using logistic regression. A value of P < 0.05 was considered significant. Weight and administration of postoperative antimicrobials were found to significantly influence surgical site infection prevalence. No significant association was noted between closure method and prevalence of postoperative infection.


Effets de la méthode de fermeture de l'incision sur la prévalence d'infections après une ostéotomie de nivellement du plateau tibial chez les chiens. Le but de cette étude consistait à étudier rétrospectivement l'effet de la fermeture de l'incision soit avec des agrafes dermiques en acier inoxydable ou avec le poliglecaprone intradermique 25 sur la prévalence d'une infection au site de la chirurgie après une ostéotomie de nivellement du plateau tibial chez les chiens. Les dossiers médicaux ont été examinés pour les chiens traités pour une ostéotomie de nivellement du plateau tibial à l'établissement Memphis Veterinary Specialists entre 2006 et 2013. Les interventions (n = 306) de 242 chiens ont été incluses dans l'étude. L'association des facteurs de risques potentiels avec l'occurrence de l'infection postopératoire a été évaluée en utilisant la régression logistique. Une valeur de P < 0,05 était considérée significative. Il a été constaté que le poids et l'administration postopératoire d'antimicrobiens influençaient significativement la prévalence des infections au site chirurgical. Aucune association significative n'a été observée entre la méthode de fermeture et la prévalence d'infection postopératoire.(Traduit par Isabelle Vallières).


Assuntos
Dioxanos/uso terapêutico , Doenças do Cão/etiologia , Osteotomia/veterinária , Poliésteres/uso terapêutico , Infecção da Ferida Cirúrgica/veterinária , Suturas/veterinária , Animais , Doenças do Cão/cirurgia , Cães , Modelos Logísticos , Estudos Retrospectivos , Fatores de Risco , Suturas/efeitos adversos , Tíbia/cirurgia
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