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1.
Phys Rev Lett ; 119(2): 026403, 2017 Jul 14.
Artigo em Inglês | MEDLINE | ID: mdl-28753342

RESUMO

By combining bulk sensitive soft-x-ray angular-resolved photoemission spectroscopy and first-principles calculations we explored the bulk electron states of WTe_{2}, a candidate type-II Weyl semimetal featuring a large nonsaturating magnetoresistance. Despite the layered geometry suggesting a two-dimensional electronic structure, we directly observe a three-dimensional electronic dispersion. We report a band dispersion in the reciprocal direction perpendicular to the layers, implying that electrons can also travel coherently when crossing from one layer to the other. The measured Fermi surface is characterized by two well-separated electron and hole pockets at either side of the Γ point, differently from previous more surface sensitive angle-resolved photoemission spectroscopy experiments that additionally found a pronounced quasiparticle weight at the zone center. Moreover, we observe a significant sensitivity of the bulk electronic structure of WTe_{2} around the Fermi level to electronic correlations and renormalizations due to self-energy effects, previously neglected in first-principles descriptions.

2.
ACS Appl Mater Interfaces ; 16(35): 46897-46908, 2024 Sep 04.
Artigo em Inglês | MEDLINE | ID: mdl-39163018

RESUMO

In response to the escalating demand for flexible devices in applications such as wearables, sensors, and touch panels, there is a need for innovative fabrication approaches for devices made from nanomaterial-based inks. Subsequent to ink deposition, a pivotal stage in device manufacturing typically involves high-temperature sintering, posing challenges for heat-sensitive substrates. Nonthermal plasma jet sintering utilizing an atmospheric pressure dielectric barrier discharge (DBD) plasma jet enables sintering at room temperature and standard pressure, facilitating the sintering of printed nanoparticle films without compromising substrate or film surface integrity. However, determining optimal plasma jet sintering conditions can be challenging due to multiple processing variables with intricate interrelationships. This work employed Bayesian optimization (BO) and machine learning (ML) to identify optimal values for seven primary plasma jet sintering variables. Optimization yielded a 99.2% increase in the measured electrical conductivity for plasma jet-sintered indium tin oxide (ITO) films after five rounds of experiments. Moreover, the optimal sintering conditions achieved an electrical conductivity that was 81.4% of conventional furnace sintering at 300 °C, but was three times faster and with a peak substrate temperature below 47 °C. This result demonstrates the prospect of applying BO to optimize processing techniques for emerging low-temperature requirements.

3.
J Appl Microbiol ; 114(6): 1810-6, 2013 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23421744

RESUMO

AIMS: To evaluate two chromogenic media, Brilliance CRE and chromID CARBA, with stool samples referred to the Public Health Laboratories Division of the National Institute of Health in Islamabad, and assess the prevalence of carbapenemase-producing Enterobacteriaceae (CPE) in this population. METHODS AND RESULTS: One hundred and fifty-two stool samples from patients with diarrhoea were referred to the Microbiology Department and were investigated for the presence of CPE using two chromogenic culture media, Brilliance CRE and chromID CARBA. Thirteen patients (8·6%) were found to be colonized with CPE and all produced NDM-1 carbapenemase. Twelve of these patients (92%) were found to be colonized by culture on chromID CARBA compared with seven (54%) using Brilliance CRE. CONCLUSIONS: If only coloured colonies were considered as presumptive CPE, the sensitivity, specificity and positive predictive value were 54, 23 and 6% for Brilliance CRE and 85, 85 and 36% for chromID CARBA, respectively. SIGNIFICANCE AND IMPACT OF THE STUDY: We conclude that Enterobacteriaceae that produce NDM-1 carbapenemase can be found in patients from all major provinces of Pakistan and that chromID CARBA was the most effective of the two chromogenic media in this setting.


Assuntos
Proteínas de Bactérias/metabolismo , Meios de Cultura , Diarreia/microbiologia , Infecções por Enterobacteriaceae/microbiologia , Enterobacteriaceae/enzimologia , beta-Lactamases/metabolismo , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Compostos Cromogênicos , Enterobacteriaceae/isolamento & purificação , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Paquistão , Adulto Jovem
4.
Folia Morphol (Warsz) ; 69(4): 213-5, 2010 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-21120807

RESUMO

Different segments of the reproductive tract of 100 adult, non-pregnant, female African giant rats (AGR) were carefully examined, weighed, and measured. The ovaries were observed to be small, pinkish, and kidney-shaped. The uterus of the AGR was found to be uterus duplex. The live weight of the AGR was 999.7 ± 16.86 g. The weight, length, and width of the ovary were 0.095 ± 0.003 g, 0.750 ± 0.01 cm, and 0.01± 0.02 cm, respectively. The length of the oviduct, uterus, and vagina/vestibule were 4.44 ± 0.06 cm, 4.877 ± 0.11 cm, and 4.345 ± 0.07 cm, respectively. The weight and length of the entire tubular organs were 3.171 ± 0.01 g and 13.559 ± 0.18 cm with corresponding range values of 1.61-7.10 g and 7.80-17.40 cm, respectively.


Assuntos
Muridae/anatomia & histologia , Ovário/anatomia & histologia , Oviductos/anatomia & histologia , Útero/anatomia & histologia , Vagina/anatomia & histologia , Animais , Cruzamento , Feminino , Reprodução
5.
Sci Adv ; 5(4): eaav8575, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30972368

RESUMO

The spin Hall effect (SHE) is the conversion of charge current to spin current, and nonmagnetic metals with large SHEs are extremely sought after for spintronic applications, but their rarity has stifled widespread use. Here, we predict and explain the large intrinsic SHE in ß-W and the A15 family of superconductors: W3Ta, Ta3Sb, and Cr3Ir having spin Hall conductivities (SHCs) of -2250, -1400, and 1210 ℏ e ( S / cm ) , respectively. Combining concepts from topological physics with the dependence of the SHE on the spin Berry curvature (SBC) of the electronic bands, we propose a simple strategy to rapidly search for materials with large intrinsic SHEs based on the following ideas: High symmetry combined with heavy atoms gives rise to multiple Dirac-like crossings in the electronic structure; without sufficient symmetry protection, these crossings gap due to spin-orbit coupling; and gapped crossings create large SBC.

6.
Nat Commun ; 10(1): 648, 2019 02 06.
Artigo em Inglês | MEDLINE | ID: mdl-30728356

RESUMO

This Article contains an error in the spelling of the author A. Yazdani, which is incorrectly given as A. Yadzani. The error has not been fixed in the original PDF and HTML versions of the Article.

7.
Nat Commun ; 7: 10847, 2016 Feb 29.
Artigo em Inglês | MEDLINE | ID: mdl-26924386

RESUMO

The behaviour of electrons and holes in a crystal lattice is a fundamental quantum phenomenon, accounting for a rich variety of material properties. Boosted by the remarkable electronic and physical properties of two-dimensional materials such as graphene and topological insulators, transition metal dichalcogenides have recently received renewed attention. In this context, the anomalous bulk properties of semimetallic WTe2 have attracted considerable interest. Here we report angle- and spin-resolved photoemission spectroscopy of WTe2 single crystals, through which we disentangle the role of W and Te atoms in the formation of the band structure and identify the interplay of charge, spin and orbital degrees of freedom. Supported by first-principles calculations and high-resolution surface topography, we reveal the existence of a layer-dependent behaviour. The balance of electron and hole states is found only when considering at least three Te-W-Te layers, showing that the behaviour of WTe2 is not strictly two dimensional.

8.
J Am Coll Cardiol ; 33(1): 97-106, 1999 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-9935015

RESUMO

OBJECTIVES: The purpose of this study was to monitor the effects of chimeric 7E3 Fab (ReoPro) on leukocyte and platelet activation and interaction during coronary angioplasty. BACKGROUND: Increased expression of CD11b on monocytes and neutrophils promotes their adhesion to endothelial cells, extracellular matrix and smooth muscle cells. Thrombin-activated platelets adhere via P-selectin to monocytes and neutrophils. These cell interactions may affect the outcome of coronary angioplasty. METHODS: During coronary angioplasty, venous blood was obtained for flow cytometric detection of leukocyte CD11b; platelet CD41a, CD61a and CD62P; the percentage of leukocytes with adherent platelets and the intensity of bound platelet fluorescence. RESULTS: Leukocyte CD11b expression increased after angioplasty in control patients (neutrophils 171+/-25 to 255+/-31 mean fluorescence intensity [MFI, mean+/-SEM], n=25, p < 0.0001; monocytes 200+/-40 to 248+/-36 MFI, n=17, p < 0.05) and decreased in the patients selected to receive chimeric 7E3 Fab (neutrophils 146+/-30 to 82+/-22 MFI, n=25, p < 0.0001; monocytes 256+/- 53 to 160+/-38 MFI, n= 17, p < 0.05). Neutrophil CD11b decreased after in vitro incubation of whole blood with chimeric 7E3 Fab (n=5, p=0.01), but fMLP-induced increases in CD11b were not prevented. The CD11b expression was unchanged and increased with fMLP stimulation after in vitro incubation of isolated neutrophils with chimeric 7E3 Fab. Direct-labeled chimeric 7E3 Fab was not detected bound to neutrophils in whole blood or isolated cells using flow cytometric techniques. Adhesion of isolated neutrophils to protein-coated glass was not prevented by in vitro incubation with chimeric 7E3 Fab. Platelet activation increased after angioplasty in control patients (CD62P 8.9+/-0.8 to 12.3+/-1.2 MFI, n=25, p < 0.05; CD41a 382+/-25 to 454+/-26 MFI, n=25, p < 0.05, CD61a 436+/-52 to 529+/-58 MFI, n=11, p < 0.05); it did not increase in the patients selected to receive chimeric 7E3 Fab (CD62P 13.2+/-1.0 to 9.0+/-0.9 MFI, n=25, p < 0.05; CD61a 398+/-32 to 410+/-38 MFI, n=7, p=NS). Leukocytes with adherent platelets tended to increase in the control group of patients and decrease after the procedure in patients selected to receive chimeric 7E3 Fab; individual and procedure-related variability were marked. CONCLUSIONS: Despite standard aspirin and heparin therapy, leukocyte and platelet activation with platelet adherence to leukocytes occurs after coronary angioplasty. Although chimeric 7E3 Fab does not bind to leukocytes directly, it influences CD11b expression in whole blood. Modulation of platelet and leukocyte activation and interaction by chimeric 7E3 Fab may contribute to an improved outcome after coronary angioplasty.


Assuntos
Angioplastia Coronária com Balão , Anticorpos Monoclonais/farmacologia , Fragmentos Fab das Imunoglobulinas/farmacologia , Antígeno de Macrófago 1/sangue , Ativação de Neutrófilo/efeitos dos fármacos , Neutrófilos/efeitos dos fármacos , Ativação Plaquetária/efeitos dos fármacos , Abciximab , Doença das Coronárias/sangue , Feminino , Citometria de Fluxo , Humanos , Masculino , Pessoa de Meia-Idade , Neutrófilos/imunologia , Ativação Plaquetária/imunologia , Adesividade Plaquetária/efeitos dos fármacos , Adesividade Plaquetária/imunologia , Resultado do Tratamento
9.
Arch Intern Med ; 161(7): 937-48, 2001 Apr 09.
Artigo em Inglês | MEDLINE | ID: mdl-11295956

RESUMO

The potential armamentarium of agents used in the treatment of acute coronary syndromes continues to expand, including such well-tested agents as aspirin, unfractionated heparin, and earlier-generation fibrinolytic agents, and newer agents such as low-molecular-weight heparins, direct thrombin inhibitors, thienopyridines, platelet glycoprotein IIb/IIIa receptor inhibitors, and bolus-administration fibrinolytic agents. Older and newer antithrombotic agents have undergone and continue to undergo intensive clinical investigation in patients with the clinical spectrum of acute coronary syndromes, which includes unstable angina, non-Q-wave (non-ST-segment elevation) myocardial infarction, and ST-segment elevation myocardial infarction. These studies, often conducted on an international scope and involving thousands of patients, provide data allowing practitioners to optimize the care of patients with acute coronary syndromes. In this article, studies of these established and newer agents in the treatment of patients with acute coronary syndromes are reviewed critically and summarized. Recommendations regarding use of antithrombotic agents in patients with acute coronary syndromes are then given.


Assuntos
Angina Pectoris/tratamento farmacológico , Doença das Coronárias/tratamento farmacológico , Fibrinolíticos/uso terapêutico , Infarto do Miocárdio/tratamento farmacológico , Inibidores da Agregação Plaquetária/uso terapêutico , Doença Aguda , Angina Pectoris/mortalidade , Doença das Coronárias/mortalidade , Quimioterapia Combinada , Fibrinolíticos/farmacologia , Heparina/uso terapêutico , Humanos , Incidência , Infarto do Miocárdio/mortalidade , Inibidores da Agregação Plaquetária/farmacologia , Complexo Glicoproteico GPIIb-IIIa de Plaquetas/antagonistas & inibidores , Guias de Prática Clínica como Assunto , Análise de Sobrevida , Trombina/antagonistas & inibidores , Resultado do Tratamento
10.
J Phys Condens Matter ; 27(39): 395901, 2015 Oct 07.
Artigo em Inglês | MEDLINE | ID: mdl-26360383

RESUMO

Tris-sarcosine calcium chloride (TSCC) is a highly uniaxial ferroelectric with a Curie temperature of approximately 130 K. By suppressing ferroelectricity with bromine substitution on the chlorine sites, pure single crystals were tuned through a ferroelectric quantum phase transition. The resulting quantum critical regime was investigated in detail and was found to persist up to temperatures of at least 30-40 K. The nature of long-range dipole interactions in uniaxial materials, which lead to non-analytical terms in the free-energy expansion in the polarization, predict a dielectric susceptibility varying as 1/T(3)close to the quantum critical point. Rather than this, we find that the dielectric susceptibility varies as 1/T(2) as expected and observed in better known multi-axial systems. We explain this result by identifying the ultra-weak nature of the dipole moments in the TSCC family of crystals. Interestingly, we observe a shallow minimum in the inverse dielectric function at low temperatures close to the quantum critical point in paraelectric samples that may be attributed to the coupling of quantum polarization and strain fields. Finally, we present results of the heat capacity and electro-caloric effect and explain how the time dependence of the polarization in ferroelectrics and paraelectrics should be considered when making quantitative estimates of temperature changes induced by applied electric fields.

11.
Int J Radiat Oncol Biol Phys ; 36(4): 777-88, 1996 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-8960503

RESUMO

PURPOSE: We examined the effects of intracoronary irradiation delivered at a high dose rate on neointimal hyperplasia after injury induced by two methods: balloon overstretch injury, and stent implantation in a porcine model of coronary restenosis. METHODS AND MATERIALS: In 34 Hanford miniature swine, a segment of each coronary artery was targeted for injury and treatment. The artery segments were treated with 192Ir at doses of 10 Gy over 4 min (eight animals), 15 Gy over 6 min (nine animals), 25 Gy over 10 min (nine animals) or control (simulation wire only; eight animals). The treated segments were subjected to stent implantation (left anterior descending and right coronary artery) or balloon overstretch (circumflex) injury. Twenty-eight days later, repeat coronary angiography and sacrifice were done. Quantitative coronary angiography, morphometry, and extensive histopathologic analyses were carried out in a blinded fashion. RESULTS: The change in minimal lumen diameter from postinjury to presacrifice in the stent-injured left anterior descending was -0.79 +/- 0.34 (mean: +/- SD) mm in the control group, compared to -0.43 +/- 0.35 mm in the 15 Gy (p = 0.04) and -0.21 +/- 0.50 mm in the 25 Gy (p = 0.01) groups; and in the balloon-injured circumflex was -0.31 +/- 0.22 mm in the control group compared to -0.03 +/- 0.18 mm in the 10 Gy (p = 0.05) and 0.00 +/- 0.33 in the 15 Gy (p = 0.01) groups. Percent area stenosis in the left anterior descending was 36 +/- 9% in the control group compared to 18 +/- 12% in the 15 Gy (p = 0.003) and 11 +/- 11% in the 25 Gy (p < 0.001) groups; and in the circumflex was 16 +/- 10% in the control groups, compared to 5 +/- 5% in the 15 Gy (p = 0.02) and 2 +/- 2% in the 25 Gy (p = 0.009) groups. Histopathology showed a striking reduction in the amount of neointima in the irradiated arteries compared with control vessels. Other radiation effects were stromal fibrin exudate, thinning of the media, and adventitial fibrosis and leukocyte infiltration in the radiated arterial segments. CONCLUSIONS: High dose rate intracoronary irradiation with 192Ir effectively inhibits intimal proliferation after stent-induced as well as balloon-overstretch injury. This shorter treatment time (4 to 10 min) may provide a clinically practical approach to the prevention of restenosis after angioplasty.


Assuntos
Braquiterapia/métodos , Doença das Coronárias/radioterapia , Vasos Coronários/efeitos da radiação , Dosagem Radioterapêutica , Túnica Íntima/efeitos da radiação , Angioplastia Coronária com Balão , Animais , Doença das Coronárias/patologia , Doença das Coronárias/terapia , Vasos Coronários/lesões , Vasos Coronários/patologia , Recidiva , Stents , Suínos , Porco Miniatura , Túnica Íntima/lesões , Túnica Íntima/patologia
12.
Coron Artery Dis ; 7(11): 851-61, 1996 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-8993944

RESUMO

BACKGROUND: Thrombin-mediated vascular smooth muscle cell proliferation has been implicated in coronary restenosis. Attempts to inhibit this mitogenic activity have recently focused on non-physiologic direct thrombin inhibitors, whereas endogenous thrombin inhibitors such as antithrombin III (ATIII) have received little attention. ATIII is the main physiologic inhibitor of thrombin and may thus be a potential therapeutic agent for prevention of restenosis. METHODS: Human ATIII (125 U/kg) and heparin (200 U/kg) were administered to 12 atherosclerotic swine 30 min prior to inducing restenosis by oversized stent (left anterior descending and right coronary arteries; stent-to-artery ratio approximately 1.2) and balloon injury (circumflex; balloon artery ratio approximately 1.2). Eleven control swine received only heparin every 6 h for 24 h and were subjected to similar stent and balloon injury. Quantitative coronary angiography [change in minimal lumen diameter (delta MLD)] and morphometric analysis [percentage area stenosis (PAS)] were performed 4 weeks later. RESULTS: ATIII activity (mean +/- SD) of treated swine increased from a baseline of 103 +/- 10% to a peak of 266 +/- 48%, whereas trough levels were maintained at 259 +/- 55% for 72 h by drug infusions every 6 h. The delta MLD, the primary angiographic endpoint in the balloon injured vessel was -0.57 +/- 0.33 mm in heparin group versus -0.26 +/- 0.27 mm in the ATIII group (P < or = 0.03). For stented vessels the delta MLD was -0.61 +/- 0.33 mm in the heparin group versus -0.41 +/- 0.37 mm in the ATIII group (P < or = 0.06). The PAS for the balloon injured vessels was 30 +/- 12% in the heparin group versus 19 +/- 14 in the ATIII group (P < or = 0.06). In stented vessels the PAS was 45 +/- 16% in the heparin group versus 38 +/- 16% in the ATIII group (P < or = 0.1). CONCLUSION: Supraphysiologic ATIII levels in combination with heparin inhibits the reduction in MLD in coronary arteries subjected to oversized balloon injury and demonstrates a beneficial trend in arteries subjected to oversized stent injury. These data provide cautious optimism for further investigation with ATIII to prevent coronary restenosis.


Assuntos
Antitrombina III/administração & dosagem , Doença das Coronárias/tratamento farmacológico , Inibidores de Serina Proteinase/administração & dosagem , Túnica Íntima/patologia , Angioplastia com Balão/efeitos adversos , Animais , Antitrombina III/efeitos adversos , Arteriosclerose/sangue , Arteriosclerose/complicações , Arteriosclerose/patologia , Divisão Celular , Colesterol/sangue , Angiografia Coronária , Doença das Coronárias/diagnóstico , Doença das Coronárias/etiologia , Vasos Coronários/lesões , Vasos Coronários/patologia , Modelos Animais de Doenças , Relação Dose-Resposta a Droga , Quimioterapia Combinada , Fibrinolíticos/administração & dosagem , Fibrinolíticos/efeitos adversos , Seguimentos , Heparina/administração & dosagem , Heparina/efeitos adversos , Infusões Intravenosas , Recidiva , Segurança , Inibidores de Serina Proteinase/efeitos adversos , Suínos , Porco Miniatura , Túnica Íntima/lesões
13.
Bangladesh Med Res Counc Bull ; 4(2): 63-70, 1978 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-575036

RESUMO

One hundred and fortythree healthy Bengali women have received norethisterone enanthate, as injectable contraceptive in doses of 200 mg. intramuscularly at intervals of 10 to 12 weeks. The drug have been found to be almost 100 percent effective in the control of fertility. Menstrual disturbance, e.g. amenorrhoea, irregular bleeding and spotting, appeared to be the main complaints of the clients during the initial period of the therapy; but these did not persist long. There was no ill effect of the drug on lactation. No significant change in body weight, blood pressure, platelet count, fasting blood sugar, serum cholesterol and total plasma protein level was observed following administration of norethisterone enanthate over one year.


PIP: This study examines the effects of 4 injections of norethisterone enanthate (in doses of 200 mg) on 143 healthy Bengali women aged 18 to 40 years old. Functional parameters (body weight, blood pressure, platelet count, fasting blood sugar, serum cholesterol and total plasma protein) were determined before each injection. The methods of Ali et al. (1976), Khalique (1973) and Oser (1965) were used to measure fasting blood sugar and serum cholesterol levels, platelet count, and total plasma protein, respectively. The drug proved to be almost 100% effective in preventing pregnancy. Main complaints of the patients were amenorrhea, irregular bleeding, and spotting. These complaints did not last very long. There were no adverse effects on lactation (58.7% of subjects were lactating mothers). Crude dropout rate was 23.4%, with most of the dropouts occurring after the 1st injection. There were no significant changes observed in body weight, blood pressure, platelet count, fasting blood sugar, serum cholesterol, and total plasma protein level following administration of the injectable contraceptive over the year.


Assuntos
Anticoncepcionais Femininos/administração & dosagem , Noretindrona/administração & dosagem , Adolescente , Adulto , Amenorreia/induzido quimicamente , Glicemia/análise , Pressão Sanguínea/efeitos dos fármacos , Proteínas Sanguíneas/análise , Peso Corporal/efeitos dos fármacos , Colesterol/sangue , Feminino , Humanos , Injeções Intramusculares , Lactação/efeitos dos fármacos , Menstruação/efeitos dos fármacos , Noretindrona/efeitos adversos , Noretindrona/farmacologia , Contagem de Plaquetas , Gravidez
14.
Bangladesh Med Res Counc Bull ; 2(2): 139-43, 1976 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-1037372

RESUMO

Effects of Norethisterone Enanthate (an injectable contraceptive) on body weight, blood pressure, blood cell count, level of haemoglobin, fasting blood sugar and serum cholesterol were studied in 31 women. It was observed that in the successful acceptors the pregnancy rate was nil. No appreciable change could be found in the body functions studied.


Assuntos
Noretindrona/farmacologia , Adulto , Células Sanguíneas/efeitos dos fármacos , Glicemia , Pressão Sanguínea/efeitos dos fármacos , Peso Corporal/efeitos dos fármacos , Colesterol/sangue , Serviços de Planejamento Familiar , Feminino , Humanos , Injeções Intramusculares , Paridade , Gravidez
15.
Transplant Proc ; 45(9): 3284-8, 2013 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-24182801

RESUMO

BACKGROUND: Renal transplantation is the optimal treatment for suitable patients with end-stage renal disease (ESRD). However, acute graft dysfunction occurs in 5%-35% of patients. This is commonly due to acute rejection, drug toxicity, ureteric obstruction, or infection. Atypical hemolytic uremic syndrome (aHUS), either recurrent or de novo, is uncommon after transplantation. CASES: We highlight three cases of acute transplant dysfunction in which transplant biopsy revealed HUS without associated clinical or hematologic clues to the etiology. Two cases had recurrent HUS and 1 had de novo HUS secondary to tacrolimus therapy. Screenings for ADAMTS-13 and gene mutations of complement regulatory proteins were negative. Thrombocytopenia and red blood cell fragments on blood film appeared some days later. TREATMENT: Treatment comprised a combination of plasma exchange with fresh-frozen plasma and switching immunosuppressive therapy, which led to the recovery of the above hematologic features but salvaged graft function in only 1 case. CONCLUSIONS: Classical hematologic findings of HUS appeared late in these cases. HUS should be considered in cases of allograft dysfunction where there is no obvious cause, and biopsy should be performed. This enables early initiation of therapy to gain rapid recovery of hematologic parameters and potentially of transplant function.


Assuntos
Síndrome Hemolítico-Urêmica/fisiopatologia , Transplante de Rim , Adolescente , Adulto , Feminino , Humanos , Imunossupressores/administração & dosagem , Masculino , Tacrolimo/administração & dosagem
16.
Animal ; 5(2): 230-8, 2011 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-22440768

RESUMO

The impact of sequential feeding of whole or ground wheat on the performance of layer hen was investigated using ISABROWN hens from 19 to 42 weeks of age. In addition, the effect of reduced dietary energy content of a complete diet was also investigated. Four treatments were tested. Whole wheat was alternated with a protein-mineral concentrate (balancer diet) in a treatment (sequential whole wheat: SWW), while another treatment alternated ground wheat (sequential ground wheat: SGW) with the same balancer diet. The control (C) was fed a complete layer diet conventionally. Another treatment (low energy: LE) was fed a complete diet conventionally. The diet contained lower energy (10.7 v. 11.6 MJ/kg) compared to the C. Each treatment was allocated 16 cages and each cage contained five birds. Light was provided 16 h daily (0400 to 2000 h). Feed offered was controlled (121 g/bird per day) and distributed twice (2 × 60.5 g) at 4 and 11 h after lights on. In the sequential treatment, only wheat (whole or ground) was fed during the first distribution and the balancer diet during the second distribution. Left over feed was always removed before the next distribution. The total feed intake was not different between SWW and SGW, but the two were lower than C (P < 0.05). Wheat intake was however, lowered with SGW compared to SWW (P < 0.05). Egg production and egg mass (EM) were not different between treatments. Egg weight was lower with SGW than with SWW (P < 0.05), but the two were similar to C. Body weight (BW) was lowered (P < 0.01) with SGW relative to SWW and C, SWW BW being also lower than the C one. The efficiency of egg production was increased (P < 0.01) with the SWW and SGW relative to the control. Birds fed LE had higher feed intake (P < 0.05) but they had similar egg production and EM compared to the two sequential treatments. The efficiency of feed utilization was also reduced (P < 0.01) with LE compared to SWW and SGW. It was concluded that sequential feeding is more efficient than conventional feeding. In addition, whole wheat appeared more efficient than ground wheat in terms of egg and BW.

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