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1.
Med Teach ; 43(1): 101-107, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-32981408

RESUMO

PURPOSE: Training of compassionate and empathetic physicians requires commitment by educators to make it a priority. Chaplains typically have time and training to effectively demonstrate compassionate care in the clinical setting. This qualitative study aims to explore perceived benefits among medical students from pastoral care shadowing in integrating compassion and spirituality into education curricula. METHODS: Sixty-four written reflections from first- and second-year medical students were collected from December 2018 to January 2020 after shadowing with hospital chaplains. Unprompted reflections were analyzed using coding networks. RESULTS: Four major themes identified included (1) learned values within pastoral care, (2) learned roles of pastoral care in the healthcare setting, (3) practiced spiritual assessment tools and resource identification, and (4) reflected personal impact on future career. Within each major theme, three to four sub-themes were further identified. CONCLUSIONS: Reflections support chaplain shadowing as a model for emphasizing spiritual and compassionate care through role-modeling, hands-on learning and reflective practices.


Assuntos
Clero , Estudantes de Medicina , Currículo , Empatia , Humanos , Espiritualidade
2.
Eur J Vasc Endovasc Surg ; 51(2): 275-84, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26797052

RESUMO

OBJECTIVE: Positive external pressure is said to decrease transmural pressure; negative pressure in the pleural cavity is widely believed to result in negative pressure in systemic chest veins. The discrepancy between erect column height and foot venous pressure has been explained on this basis. METHODS: These core concepts rest on static closed models that may not be appropriate. This study examined the effects of external pressures in a dynamic open model that may better reflect in vivo conditions. Flow in a Penrose drain enclosed in a chamber that could be positively or negatively pressurized was used. Input and output reservoirs with pressures in the physiological range provided flow. Flow and pressure were monitored in horizontal and erect models with modifications to suit particular experiments. RESULTS: The discrepancy between foot venous pressure and erect venous column height was shown in this experimental model to be a result of two flows in opposite directions (superior and inferior vena cavae) meeting at the zero reference level at the heart; the upper column pressure therefore does not register at the foot. Positive external pressure results in slowing of velocity with conversion to pressure. Internal and transmural pressures therefore do not decrease. Negative external pressure has only a marginal effect on flow; importantly, internal pressure does not become negative. In an experimental set-up it was shown that negative pressure in chest veins was not necessary for air embolism to occur. CONCLUSION: Persistent negative pressure in systemic chest veins probably does not occur. The reason for the discrepant foot venous pressure is likely to be a result of dynamic flow and not negative pressure in chest veins. External positive pressure results in slowing of velocity but the transmural pressure remains largely unchanged.


Assuntos
Tontura/fisiopatologia , Embolia Aérea/fisiopatologia , Pé/irrigação sanguínea , Modelos Anatômicos , Modelos Cardiovasculares , Veias/fisiopatologia , Pressão Venosa , Velocidade do Fluxo Sanguíneo , Tontura/patologia , Embolia Aérea/patologia , Humanos , Postura , Pressão , Fluxo Sanguíneo Regional , Veias/patologia , Veia Cava Inferior/fisiopatologia , Veia Cava Superior/fisiologia , Veia Cava Superior/fisiopatologia
3.
Reprod Domest Anim ; 50 Suppl 2: 25-30, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-26174916

RESUMO

Efficient sperm production in boars has developmental and functional components. Factors affecting the developmental phase influence Sertoli cell mitosis, appear to be mostly stimulatory and have permanent effects on production of sperm. Birthweight appears to hold promise as a prospective screening tool as it appears to have a strong positive relationship with adult sperm production. Strategic cross-fostering shortly after birth and socialization to humans between 4 and 9 weeks of age are strategies during the developmental phase that have been shown to increase spermatogenesis in adults. Factors affecting the functional phase influence the release of sperm by Sertoli cells and their subsequent maturation in the epididymi, appear to be mainly inhibitory and have temporary effects on spermatogenesis which can be corrected. The most common of these include exposure to elevated ambient temperature, nutrition, photoperiod, collection frequency and housing. Multiple deficiencies in several of these areas are common in commercial studs and have additive, negative effects on sperm production. However, there also is evidence that enhancements in one of these areas may be capable of offsetting deficiencies in others.


Assuntos
Espermatogênese/fisiologia , Suínos , Animais , Animais Recém-Nascidos/fisiologia , Peso ao Nascer , Meio Ambiente , Masculino , Necessidades Nutricionais , Estado Nutricional , Fotoperíodo , Espermatozoides/fisiologia , Temperatura , Desmame
4.
Hosp Pharm ; 49(5): 458-65, 2014 May.
Artigo em Inglês | MEDLINE | ID: mdl-24958959

RESUMO

PURPOSE: To examine the impact of computerized provider order entry (CPOE) implementation on average time spent on medication order entry and the number of order actions processed. METHODS: An observational time and motion study was conducted from March 1 to March 17, 2011. Two similar community hospital pharmacies were compared: one without CPOE implementation and the other with CPOE implementation. Pharmacists in the central pharmacy department of both hospitals were observed in blocks of 1 hour, with 24 hours of observation in each facility. Time spent by pharmacists on distributive, administrative, clinical, and miscellaneous activities associated with order entry were recorded using time and motion instrument documentation. Information on medication order actions and order entry/verifications was obtained using the pharmacy network system. RESULTS: The mean ± SD time spent by pharmacists per hour in the CPOE pharmacy was significantly less than the non-CPOE pharmacy for distributive activities (43.37 ± 7.75 vs 48.07 ± 8.61) and significantly greater than the non-CPOE pharmacy for administrative (8.58 ± 5.59 vs 5.72 ± 6.99) and clinical (7.38 ± 4.27 vs 4.22 ± 3.26) activities. The CPOE pharmacy was associated with a significantly higher number of order actions per hour (191.00 ± 82.52 vs 111.63 ± 25.66) and significantly less time spent (in minutes per hour) on order entry and order verification combined (28.30 ± 9.25 vs 36.56 ± 9.14) than the non-CPOE pharmacy. CONCLUSION: The implementation of CPOE facilitated pharmacists to allocate more time to clinical and administrative functions and increased the number of order actions processed per hour, thus enhancing workflow efficiency and productivity of the pharmacy department.

5.
Anim Reprod Sci ; 246: 106840, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34518030

RESUMO

Production of acceptable quality ejaculates in boars is dependent upon the Sertoli cell population established before puberty and how effectively these cells function after sexual maturity. In general, factors affecting Sertoli cell mitosis tend to have a two-fold greater effect on sperm production compared with those affecting spermatogenesis. Birthweight is a reliable indicator of in utero testicular development and prepubertal growth rates are positively correlated with testis size and sperm production after sexual maturity. Colostrum intake and pre-weaning nutrition account for much of the variation associated with quality and quantity of ejaculates and represent opportunities to further enhance lifetime sperm production. Interactions between young boars and humans, shortly after weaning, have important effects on spermatogenesis after sexual maturity and need to be studied further. The seasonal effect on depression in semen quality is the most significant factor affecting production of acceptable quality ejaculates after puberty. Ambient temperatures, greater than those of the thermoneutral zone, have both acute and chronic effects that compromise all aspects of the male reproductive axis. Identification of genes associated with heat-tolerant phenotypes holds promise for addressing this challenge, especially in light of the current trend in global warming. Supplementation of vitamins, minerals and other compounds have positive effects on sperm production during periods in which other stressors, especially heat stress, are present and is an important mitigation strategy. Recent information on housing conditions and boar usage patterns indicate these cause relatively minor changes in sperm production, overall, but for some males can have significant, long-term effects.


Assuntos
Análise do Sêmen , Sêmen , Humanos , Suínos , Masculino , Animais , Análise do Sêmen/veterinária , Sêmen/fisiologia , Espermatozoides/fisiologia , Espermatogênese/fisiologia , Células de Sertoli
6.
J Med Educ Curric Dev ; 7: 2382120519899148, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32030354

RESUMO

BACKGROUND: The best pedagogical approach to teaching medical ethics is unknown and widely variable across medical school curricula in the United States. Active learning, reflective practice, informal discourse, and peer-led teaching methods have been widely supported as recent advances in medical education. Using a bottom-up teaching approach builds on medical trainees' own moral thinking and emotion to promote awareness and shared decision-making in navigating everyday ethical considerations confronted in the clinical setting. OBJECTIVE: Our study objective was to outline our methodology of grassroots efforts in developing an innovative, student-derived longitudinal program to enhance teaching in medical ethics for interested medical students. METHODS: Through the development of a 4-year interactive medical ethics curriculum, interested medical students were provided the opportunity to enhance their own moral and ethical identities in the clinical setting through a peer-derived longitudinal curriculum including the following components: lunch-and-learn didactic sessions, peer-facilitated ethics presentations, faculty-student mentorship sessions, student ethics committee discussions, hospital ethics committee and pastoral care shadowing, and an ethics capstone scholarly project. The curriculum places emphasis on small group narrative discussion and collaboration with peers and faculty mentors about ethical considerations in everyday clinical decision-making and provides an intellectual space to self-reflect, explore moral and professional values, and mature one's own professional communication skills. RESULTS: The Leadership through Ethics (LTE) program is now in its fourth year with 14 faculty-clinician ethics facilitators and 65 active student participants on track for a distinction in medical ethics upon graduation. Early student narrative feedback showed recurrent themes on positive curricular components including (1) clinician mentorship is key, (2) peer discussion and reflection relatable to the wards is effective, and (3) hands-on and interactive clinical training adds value. As a result of the peer-driven initiative, the program has been awarded recognition as a graduate-level certification for sustainable expansion of the grassroots curriculum for trainees in the clinical setting. CONCLUSIONS: Grassroots medical ethics education emphasizes experiential learning and peer-to-peer informal discourse of everyday ethical considerations in the health care setting. Student engagement in curricular development, reflective practice in clinical settings, and peer-assisted learning are strategies to enhance clinical ethics education. The Leadership through Ethics program augments and has the potential to transform traditional teaching methodology in bioethics education for motivated students by offering protected small group discussion time, a safe environment, and guidance from ethics facilitators to reflect on shared experiences in clinical ethics and to gain more robust, hands-on ethics training in the clinical setting.

7.
Anim Reprod Sci ; 104(1): 69-82, 2008 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-17303353

RESUMO

The escalated use of artificial insemination in swine has increased the importance of determining fertility of a semen sample before it is used. Multiple laboratory assays have been developed to assess fertilizing potential but they have yielded inconsistent results. This experiment sought to determine the relationship between in vitro competitive zona binding ability and in vivo fertility based on heterospermic inseminations and paternity testing. The zona pellucida binding ability and fertility of sperm from 15 boars was assessed by comparing sperm from one boar with sperm from other individual boars in a pairwise fashion using four ejaculates. The relationship of zona binding ability to the mean number of piglets sired per litter for each boar as well as historic fertility data (litter size and farrowing rate) was assessed. The in vitro competition assay consisted of labeling sperm from each boar of the pair with a different fluorophore and incubating an equal number of sperm from each boar in the same droplet with porcine oocytes. The competitive assay was highly effective in ranking boars by zona binding ability (R2=0.94). Paternity testing using microsatellite markers was used to determine the mean number of piglets sired per litter for each boar during heterospermic inseminations. The pairwise heterospermic insemination assay was effective in ranking boar fertility (R2=0.59). Using historical data from these boars, average litter size and farrowing rate were correlated (r=0.81, p<0.001). However, zona binding ability was not significantly correlated with historic farrowing rate data or historic average litter size. Boar sperm zona binding ability was also not correlated significantly with the mean number of piglets sired per litter following heterospermic insemination. But the number of piglets sired by each boar was related to a combination of zona binding ability, sperm motility, normal morphology, acrosomal integrity, and the presence of distal droplets (R2=0.70). These results suggest that zona binding ability is not an accurate predictor of fertilizing ability when used alone; however, when coupled with other sperm assessments, fertility may be predicted successfully.


Assuntos
Fertilidade/fisiologia , Interações Espermatozoide-Óvulo/fisiologia , Espermatozoides/fisiologia , Suínos , Zona Pelúcida/fisiologia , Animais , Feminino , Fertilização in vitro , Inseminação Artificial/veterinária , Tamanho da Ninhada de Vivíparos , Masculino , Óvulo/citologia , Óvulo/fisiologia , Valor Preditivo dos Testes , Gravidez , Prenhez , Sensibilidade e Especificidade , Espermatozoides/citologia
8.
Theriogenology ; 112: 44-52, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-28863964

RESUMO

A novel gel formulation was selected for intravaginal delivery of the GnRH agonist (triptorelin) for synchronizing ovulation in pigs. Studies with gilt models were used to assess LH response profiles. The lowest dose of triptorelin that induced the most gilts to show an LH surge was 100 µg in 1.2% methylcellulose gel. This formulation had a similar effect in weaned sows while also advancing ovulation. The timing of administration was evaluated in sows after weaning. Administration at 96 h induced more sows to ovulate (58%) by 48 h compared to treatment at estrus (45%) or for controls (34%), but the desired level of ovulation synchrony was not achieved. As a result, greater doses of triptorelin were tested and 200 µg given at 96 h after weaning, induced 81% of sows to ovulate within 48 h after treatment. The best synchrony of ovulation occurred when given at 96 h after weaning compared to earlier or later intervals. The optimum time to give a single fixed time AI (SFT-AI) after administration of 200 µg of triptorelin in 1.2% gel (OvuGel®) at 96 h after weaning was tested. A SFT-AI at 22 ± 2 h after OvuGel achieved the highest fertility and was practical for staff during the normal work day. In field trials, a SFT-AI 22 ± 2 h after all weaned sows were treated with OvuGel improved (P = 0.04) farrowing rate to 82.5% compared to control sows weaned (80.1%), with no effect on numbers of pigs born alive (12.1). Research continues for identifying the advantages for use of OvuGel in different production systems, and potential application for use in gilts.


Assuntos
Sincronização do Estro/métodos , Ovulação/efeitos dos fármacos , Suínos , Pamoato de Triptorrelina/administração & dosagem , Administração Intravaginal , Animais , Feminino , Fertilidade/efeitos dos fármacos , Fármacos para a Fertilidade Feminina , Inseminação Artificial/métodos , Inseminação Artificial/veterinária , Indução da Ovulação/métodos , Indução da Ovulação/veterinária , Gravidez , Cremes, Espumas e Géis Vaginais/química , Desmame
9.
Nat Biotechnol ; 15(10): 965-70, 1997 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-9335046

RESUMO

Patients with retinitis pigmentosa (RP) typically develop night blindness early in life due to loss of rod photoreceptors. The remaining cone photoreceptors are the mainstay of their vision; however, over years or decades, these cones slowly degenerate, leading to blindness. We created transgenic pigs that express a mutated rhodopsin gene (Pro347Leu). Like RP patients with the same mutation, these pigs have early and severe rod loss; initially their cones are relatively spared, but these surviving cones slowly degenerate. By age 20 months, there is only a single layer of morphologically abnormal cones and the cone electroretinogram is markedly reduced. Given the strong similarities in phenotype to that of RP patients, these transgenic pigs will provide a large animal model for study of the protracted phase of cone degeneration found in RP and for preclinical treatment trials.


Assuntos
Retina/fisiopatologia , Células Fotorreceptoras Retinianas Cones/fisiopatologia , Retinose Pigmentar/genética , Suínos/genética , Animais , Animais Geneticamente Modificados , Southern Blotting , Modelos Animais de Doenças , Eletrorretinografia , Transferência Embrionária , Regulação da Expressão Gênica/genética , Engenharia Genética , Microscopia Eletrônica , Dados de Sequência Molecular , Fenótipo , Reação em Cadeia da Polimerase , Retina/patologia , Retina/ultraestrutura , Células Fotorreceptoras Retinianas Cones/ultraestrutura , Degeneração Retiniana/fisiopatologia , Retinose Pigmentar/fisiopatologia , Rodopsina/química , Rodopsina/genética , Suínos/embriologia , Transgenes
10.
Atherosclerosis ; 258: 40-50, 2017 03.
Artigo em Inglês | MEDLINE | ID: mdl-28189040

RESUMO

BACKGROUND AND AIMS: Diabetes is a major risk factor for the development of atherosclerosis. Hyperglycemia stimulates vascular smooth muscle cells (VSMC) to secrete ligands that bind to the αVß3 integrin, a receptor that regulates VSMC proliferation and migration. This study determined whether an antibody that had previously been shown to block αVß3 activation and to inhibit VSMC proliferation and migration in vitro, inhibited the development of atherosclerosis in diabetic pigs. METHODS: Twenty diabetic pigs were maintained on a high fat diet for 22 weeks. Ten received injections of anti-ß3 F(ab)2 and ten received control F(ab)2 for 18 weeks. RESULTS: The active antibody group showed reduction of atherosclerosis of 91 ± 9% in the left main, 71 ± 11%, in left anterior descending, 80 ± 10.2% in circumflex, and 76 ± 25% in right coronary artery, (p < 0.01 compared to lesions areas from corresponding control treated arteries). There were significant reductions in both cell number and extracellular matrix. Histologic analysis showed neointimal hyperplasia with macrophage infiltration, calcifications and cholesterol clefts. Antibody treatment significantly reduced number of macrophages contained within lesions, suggesting that this change contributed to the decrease in lesion cellularity. Analysis of the biochemical changes within the femoral arteries that received the active antibody showed a 46 ± 12% (p < 0.05) reduction in the tyrosine phosphorylation of the ß3 subunit of αVß3 and a 40 ± 14% (p < 0.05) reduction in MAP kinase activation. CONCLUSIONS: Blocking ligand binding to the αVß3 integrin inhibits its activation and attenuates increased VSMC proliferation that is induced by chronic hyperglycemia. These changes result in significant decreases in atherosclerotic lesion size in the coronary arteries. The results suggest that this approach may have efficacy in treating the proliferative phase of atherosclerosis in patients with diabetes.


Assuntos
Doença da Artéria Coronariana/prevenção & controle , Diabetes Mellitus Experimental/tratamento farmacológico , Angiopatias Diabéticas/prevenção & controle , Fragmentos Fab das Imunoglobulinas/farmacologia , Integrina alfaVbeta3/antagonistas & inibidores , Músculo Liso Vascular/efeitos dos fármacos , Animais , Proliferação de Células/efeitos dos fármacos , Doença da Artéria Coronariana/etiologia , Doença da Artéria Coronariana/metabolismo , Vasos Coronários/efeitos dos fármacos , Vasos Coronários/metabolismo , Vasos Coronários/patologia , Diabetes Mellitus Experimental/complicações , Diabetes Mellitus Experimental/metabolismo , Angiopatias Diabéticas/etiologia , Angiopatias Diabéticas/metabolismo , Artéria Femoral/efeitos dos fármacos , Artéria Femoral/metabolismo , Artéria Femoral/patologia , Fragmentos Fab das Imunoglobulinas/administração & dosagem , Injeções Subcutâneas , Integrina alfaVbeta3/imunologia , Integrina alfaVbeta3/metabolismo , Ligantes , Macrófagos/efeitos dos fármacos , Macrófagos/metabolismo , Masculino , Músculo Liso Vascular/metabolismo , Músculo Liso Vascular/patologia , Neointima , Fosforilação , Placa Aterosclerótica , Ligação Proteica , Sus scrofa
11.
Anim Reprod Sci ; 174: 123-131, 2016 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-27707521

RESUMO

The objective of this study was to evaluate relationships between common semen quality estimates including sperm motility, sperm morphology, spontaneous capacitation status and seminal plasma proteins and boar fertility using heterospermic inseminations and subsequent paternity testing. All boars (n=12) used in the study had excellent semen quality (≥70% normal sperm) that resulted in average farrowing rates and litter sizes of 88.9±0.7% and 11.7±0.1 pigs, respectively. Their ejaculates were combined to make heterospermic insemination doses in such a way that each boar was tested against all of his contemporaries. The proportion of piglets sired by each individual was used to separate boars into three fertility groups: High (71.6±4.8%; n=3); Medium (51.6±3.8%; n=6); and Low (25.2%±5.3%; n=3). Ejaculates from High fertility boars had more motile sperm with normal acrosomes that moved faster in a straight-line and were more likely to undergo an acrosome reaction (p≤0.05) compared with their counterparts in the Low fertility group. Ejaculates from High fertility boars contained the greatest concentrations of three seminal plasma proteins (25.9kD/5.9pI; 55.1kD/4.8pI; and 70.1kD/5.2pI; p≤0.05), whereas concentrations of a 19.1kD/6.8pI were highest in semen from Low fertility boars (p≤0.05). Multiple regression analyses indicated that concentrations of the 25.9kD/5.9pI seminal plasma protein explained 66% of the variation observed in the proportion of pigs sired within a litter among boars (p≤0.00001). These results demonstrate that heterospermic inseminations and subsequent paternity testing is an effective technique for defining relationships between common semen quality tests and fertility, especially in situations where reproductive performance of all the boars is high. Motility, normal acrosome morphology, average linear velocity of motile sperm, and the proportion of sperm capable of an acrosome reaction were all positively associated with boar fertility. However, concentrations of a 25.9kD/5.9pI seminal plasma protein were the best single semen characteristic for ranking boars in terms of their fertility.


Assuntos
Fertilidade/fisiologia , Sêmen/fisiologia , Espermatozoides/fisiologia , Suínos/fisiologia , Animais , Feminino , Fertilidade/genética , Inseminação Artificial/veterinária , Masculino , Gravidez , Suínos/genética
13.
Anim Reprod Sci ; 85(1-2): 131-45, 2005 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-15556316

RESUMO

Incomplete uterine involution is the putative cause of the increased embryo mortality and reproductive failure often exhibited by sows that lactate for less than 21 days. Since such short lactation lengths are common in American swine production, an effective technique to monitor the postpartum involution process and test this hypothesis might be valuable. Rapid and extensive catabolism of uterine collagen is essential for normal postpartum involution. The objective of this study was to characterize postpartum excretion of two biochemical markers of collagen degradation. In experiment I, urine samples were collected from five sows every other day from the day before parturition (day -1), through a 21-day lactation, to day 8 postweaning. The collagen crosslinks hydroxylysyl pyridinoline (HP), which is present in many tissues, and lysyl pyridinoline (LP), which is primarily concentrated in bone, were assayed by both ELISA and HPLC. Urinary levels of both free (ELISA) and total (HPLC) HP and LP increased (P < 0.001) approximately two-fold during lactation. The mean molar ratio of total HP:LP increased (P < 0.001) from 6.6 +/- 1.6 at day 1 to a maximum of 10.2 +/- 1.5 at day 7 postpartum and averaged 9.1 +/- 0.3 for the entire sampling period. These data are consistent with a postpartum increase of soft tissue collagen catabolism since bone has a low HP:LP ratio of 4 and soft tissues like the uterus have a high HP:LP ratio of >/=20 because they contain only trace amounts of LP. Since HPLC (total) and ELISA (free) crosslinks estimates were highly correlated (r = 0.85-0.91, P < 0.001) in experiment I, only the less technical ELISA technique was used in experiment II. Urine samples were collected from 21 sows every third day from day 1 to 19 of lactation. Sows from this second group exhibited one of four distinct crosslinks excretion patterns: peak on day 1 (n = 3), peak on day 7 (n = 4), peak on day 10, 13 or 16 (n = 7), or no peak (n = 7). This variation of postpartum crosslinks excretion among sows was not related to parity, body weight, lactation body weight change, litter size, or litter birth weight. Overall, data from experiments I and II indicate that urinary HP does increase postpartum in a pattern temporally consistent with uterine involution. However, significant variation among sows in the magnitude and timing of peak HP excretion was evident.


Assuntos
Biomarcadores/urina , Colágeno/urina , Transtornos Puerperais/veterinária , Doenças dos Suínos/urina , Suínos , Doenças Uterinas/veterinária , Aminoácidos/urina , Animais , Cromatografia Líquida de Alta Pressão , Ensaio de Imunoadsorção Enzimática , Feminino , Transtornos Puerperais/urina , Doenças Uterinas/urina
14.
J Anim Sci ; 93(6): 2948-55, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-26115281

RESUMO

Forty-eight weanling barrows were used to determine the effects of amount and source of dietary Cu on Cu metabolism, oxidative stress in the duodenum, and VFA ratios in the cecum of weanling pigs in short-term feeding. At 21 d of age, newly weaned pigs were stratified by BW (7.03 ± 1.20 kg) and equally assigned to 1 of the following dietary treatments: 1) control (5 mg supplemental Cu/kg diet from CuSO4), 2) 225 mg supplemental Cu/kg diet from CuSO4, or 3) 225 mg supplemental Cu/kg diet from tribasic Cu chloride (TBCC). Pigs were housed 2 pigs per pen and were fed a complex diet until harvest on d 11 and 12. During harvest, bile and liver were obtained for mineral analysis, and liver samples were obtained for analysis of mRNA expression of Cu regulatory proteins. Digesta of duodenum, proximal jejunum, and ileum were collected for soluble Cu analysis. Mucosal scrapings of duodenum, proximal jejunum, and ileum were obtained for analysis of mucosal Cu concentration and mRNA expression of Cu regulatory proteins. Duodenal mucosal scrapings were also collected for analysis of malondialdehyde (MDA). Pigs fed high Cu had markedly greater (P < 0.0001) Cu concentrations in the duodenal, proximal jejunal, and ileal mucosa than controls. Copper in the duodenal mucosa was greater (P = 0.003) in CuSO4 than TBCC pigs. Duodenal MDA concentrations were greater (P = 0.003) in CuSO4 vs. control pigs and tended (P = 0.06) to be greater than in TBCC pigs. Duodenal antioxidant 1 (Atox1) mRNA was downregulated (P < 0.01) in pigs fed high Cu compared to controls and was not affected by Cu source. Compared with control pigs, those fed CuSO4 and TBCC had greater (P < 0.001) liver and bile Cu concentrations. Liver Cu was also greater (P = 0.0007) in TBCC than CuSO4-fed pigs. Hepatic Cu transporting ß-polypeptide ATPase (Atp7b) was upregulated (P = 0.02) in the Cu-supplemented pigs compared with controls and did not differ among Cu sources. The acetate:propionate ratio in cecal contents was much greater in pigs supplemented with 225 mg Cu/kg diet than in controls. When fed at 225 mg Cu/kg diet, TBCC may cause less oxidative stress in the duodenum than CuSO4. Feeding weanling pigs increased Cu resulted in modulation of duodenal and liver at the transcription level.


Assuntos
Sulfato de Cobre/farmacologia , Suínos/fisiologia , Ração Animal , Fenômenos Fisiológicos da Nutrição Animal , Animais , Antioxidantes/metabolismo , Cloretos/farmacologia , Cobre/metabolismo , Dieta/veterinária , Suplementos Nutricionais , Duodeno/metabolismo , Regulação da Expressão Gênica , Íleo/metabolismo , Mucosa Intestinal/metabolismo , Jejuno/metabolismo , Fígado/metabolismo , Masculino , Malondialdeído/metabolismo , Estresse Oxidativo/efeitos dos fármacos , RNA Mensageiro/genética , RNA Mensageiro/metabolismo
15.
Biomaterials ; 13(11): 764-70, 1992.
Artigo em Inglês | MEDLINE | ID: mdl-1391398

RESUMO

The effect of propranolol on the prevention of ventricular tachycardia/fibrillation (VT/VF) due to acute coronary ischaemia was studied in dogs. A series of propranolol-polymer controlled release matrices in slab configuration using various polyurethanes and a polyurethane-silicone rubber copolymer were formulated and characterized. In general, drug release in vitro occurred with an initial burst phase followed by an exponentially declining delivery rate; the silicone rubber containing copolymer preparation had more sustained release properties than did pure polyurethane matrices. In the animal studies, dogs underwent 5-hourly 10 min complete occlusions of the left anterior descending coronary artery (LAD), followed by 50 min normal perfusion. During non-drug occlusions VT occurred at a frequency of 1.22 +/- 0.12 episodes/min. A propranolol-polyurethane matrix (30% w/w, 28-42 mg) was placed on the ischaemic zone of the left ventricular epicardium immediately after the fifth occlusion. After an hour of drug delivery a sixth occlusion took place. The number of arrhythmia episodes both before and after drug were quantified and compared. The time to ventricular fibrillation (when present) and the mean blood pressure were also assessed. The drug patch delivered propranolol at a dose of 140 +/- 45 micrograms/kg by the conclusion of the 1 h study period. Therapeutic drug levels were achieved in the peripheral blood samples (8.7-43.7 ng/ml) and were enhanced in coronary venous samples (360.9-556.2 ng/ml). Reduction of blood pressure and proarrhythmic events following epicardial controlled release propranolol administration were noted but were not statistically significant. Arrhythmia episodes before and after propranolol were not found to be significantly different (VT/min 1.02 +/- 0.31 and 1.22 +/- 0.12).(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Arritmias Cardíacas/prevenção & controle , Propranolol/administração & dosagem , Taquicardia/prevenção & controle , Animais , Pressão Sanguínea/efeitos dos fármacos , Cromatografia Líquida de Alta Pressão , Circulação Coronária , Preparações de Ação Retardada , Cães , Ventrículos do Coração , Propranolol/sangue , Propranolol/uso terapêutico
16.
Obstet Gynecol Surv ; 38(11): 685-8, 1983 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-6358979

RESUMO

Hydramnios occurs in approximately 1:244 pregnancies. It has a known high association with congenital anomalies. Gastrointestinal atresias are common. The incidence, etiology, disease features, treatment, mortality, and prenatal diagnosis of gastrointestinal atresias are discussed here, along with other associated anomalies.


Assuntos
Atresia Esofágica/complicações , Atresia Intestinal/complicações , Poli-Hidrâmnios/complicações , Anormalidades Múltiplas , Atresia Esofágica/diagnóstico , Atresia Esofágica/cirurgia , Feminino , Humanos , Recém-Nascido , Atresia Intestinal/diagnóstico , Atresia Intestinal/cirurgia , Gravidez
17.
J Biomech ; 20(1): 19-28, 1987.
Artigo em Inglês | MEDLINE | ID: mdl-3558425

RESUMO

The mobility of above-knee amputees (A/K) is limited, in part, due to the performance of A/K prostheses during the stance phase. Currently stance phase control of most conventional A/K prostheses can only be achieved through leg alignment and choice of the SACH (Solid Ankle Cushioned Heel) foot. This paper examines the role of the knee controller in relation to a SACH foot during the stance phase of level walking. The three-dimensional gait mechanics were measured under two stance phase conditions. In the first set of trials, the amputee used a prosthesis with a conventional knee controller that allowed the amputee to maintain the knee joint in full extension during the stance phase. In the second set of trials, the prosthetic knee, during stance, echoed the modified kinematics of the amputee's sound (intact) knee that had been recorded during the previous sound stance phase. Analysis and interpretation of the data indicate the following: (1) SACH foot design can strongly influence the walking mechanics independent of the knee controller; (2) knee controller design and SACH foot design are mutually interdependent; and (3) normal kinematics imposed on the prosthetic knee does not necessarily produce normal hip kinematics (e.g. reduce the abnormal rise in the prosthetic side hip trajectory). Future research is necessary to explore and exploit the interdependency of prosthetic knee control and foot design.


Assuntos
Perna (Membro) , Próteses e Implantes , Coxa da Perna/cirurgia , Amputados , Tornozelo , Fenômenos Biomecânicos , Simulação por Computador , Desenho de Equipamento , , Marcha , Quadril/fisiologia , Humanos , Joelho , Pressão
18.
J Biomech ; 22(4): 295-308, 1989.
Artigo em Inglês | MEDLINE | ID: mdl-2745464

RESUMO

An electro-mechanical system to characterize the dynamic performance of a position measurement system was constructed. The system produced pure sine wave kinematics over the frequency range of 1-11 Hz. Synchronous measurements of the position (using infra-red light emitting diodes) and the acceleration were taken at discrete frequencies. The position signal was filtered and differentiated twice to obtain an estimated acceleration. The acceleration estimate was compared to the acceleration reading from the accelerometer, and both were compared to the theoretical acceleration. The comparison was based on extracting average features of the signal like amplitude, offset and noise. The results show that the accelerometer measurements matched the theoretical amplitude to within 1-3% over most of the range but showed significant offset drift. The acceleration estimates based on the position measurements were highly dependent on the filtering scheme, showed no significant offset but had higher levels of noise. The experimental measurements and the mathematical analysis quantitatively compared the dynamic performance of the position measurement system and the accelerometer. Such a system could be used to optimize the performance of position measurement devices, by comparing different filtering and/or differentiating schemes.


Assuntos
Engenharia Biomédica , Processamento de Sinais Assistido por Computador , Aceleração , Fenômenos Biomecânicos , Engenharia Biomédica/instrumentação , Calibragem , Movimento
19.
Anim Reprod Sci ; 81(1-2): 97-113, 2004 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-14749052

RESUMO

The present experiment was designed to characterize relationships between common semen quality and fertility estimates for three boars known to differ in farrowing rate, number of pigs born alive, and monospermic penetration rate. The approach chosen to accomplish this was to monitor semen quality from these boars and use their semen alternately for either artificial insemination or in vitro fertilization for 40 weeks. This strategy relied on the variability in semen quality parameters that normally occurs in an individual boar over time. When comparisons were made among boars, farrowing rates, numbers of pigs born alive, and monospermic penetration rates were significantly different, but progressive motility, normal head and tail morphology, and acrosome morphology were not. However, when comparisons were made among ejaculates within individual boars, there were significant effects of semen quality on both in vivo and in vitro fertility. For boar 3495, the proportion of spermatozoa exhibiting progressive motility and distribution of spermatozoa in a percoll gradient had a positive linear effect on number born alive and monospermic penetration rate, respectively. For boar 2901, quadratic equations best described changes in litter size as a function of progressive motility and normal acrosomes. In addition, monospermic penetration rate increased linearly as normal acrosomes and the proportion of spermatozoa recovered from a percoll gradient increased. For boar 4291, the relationship between progressive motility and number born alive and between normal acrosomes and number of pigs born alive were also quadratic. However, a significant linear relationship was present only between normal acrosomes and monospermic penetration rate. These results demonstrate that simply relying on the means of common semen quality estimates from some boars has limited value in terms of being used as a prospective indicator of their in vivo or in vitro fertility. In contrast, characterization of relationships between semen quality and fertility estimates is useful for estimating differences in the fertility of ejaculates from individual boars. However, both quantitative and qualitative differences in these relationships among boars are present and a given semen quality estimate that is a good predictor of in vivo or in vitro fertilization for one boar, may not be applicable for others.


Assuntos
Fertilidade , Sêmen/fisiologia , Suínos/fisiologia , Acrossomo/ultraestrutura , Animais , Feminino , Fertilização in vitro/veterinária , Inseminação Artificial/veterinária , Tamanho da Ninhada de Vivíparos , Masculino , Gravidez , Resultado da Gravidez , Cabeça do Espermatozoide/ultraestrutura , Motilidade dos Espermatozoides , Cauda do Espermatozoide/ultraestrutura , Interações Espermatozoide-Óvulo
20.
Anim Reprod Sci ; 84(3-4): 377-94, 2004 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-15302380

RESUMO

The main objective was to examine effects of season, parity, genotype, lactation length, and weaning-to-estrus interval on duration of estrus (DE) and onset of estrus-to-ovulation interval (EOI) in three sow farms. Detection of estrus and ovulation by the back-pressure test and transabdominal ultrasonography, respectively, were performed every 6 h from day 2-10 postweaning in 535 sows (approximately 89 per farm per season). The average weaning-to-estrus interval, DE, and EOI of the 501 sows that returned to estrus by day 10 postweaning were 4.6+/-0.1 days, 55.2+/-0.5 h, and 41.8+/-0.5 h, respectively. Farm x season (P<0.01), parity x season (P <0.05), and farm x weaning-to-estrus interval (P<0.05) interactions for DE and EOI were detected. Sows weaned in the summer had an 8 h longer (P<0.001) DE and EOI than those weaned in the spring on farms 1 and 3. On farm 2 however, DE and EOI did not differ (P=0.09) in sows weaned in summer versus spring. On each farm, parity 3 and > or =4 sows had a 4.5 h longer (P<0.05) DE and EOI than parity 1 and 2 sows in the summer, but there were no differences (P>0.11) in DE or EOI among parity classes in the spring. There was a linear decrease of DE (P<0.001) and EOI (P<0.05) as weaning-to-estrus interval increased from the 3 to the > or =7 day class on each farm. However, the range of weaning-to-estrus interval that exhibited a stepwise decrease of DE and EOI was narrower on farm 1 (3-5 days) than farms 2 and 3 (3-6 days). Only farms 1 and 3 had multiple genotypes. Genotype did not affect (P>0.14) DE on either farm, but the EOI of genotype B was 4 h shorter (P<0.05) than genotype C on farm 1. On each farm, DE decreased linearly (P<0.01) as lactation length increased from < or =13 to > or =20 days. In general, factors that affected EOI also affected (P<0.05) the percentage of inseminations that occurred within 24 h pre- to 3h post-ovulation. These data indicate that factors other than weaning-to-estrus interval, such as season and parity, can significantly alter DE and EOI. However, the effects of season and weaning-to-estrus interval on DE and EOI can be inconsistent among different farms.


Assuntos
Estro/fisiologia , Inseminação Artificial/fisiologia , Ovulação/fisiologia , Suínos/fisiologia , Criação de Animais Domésticos/métodos , Animais , Detecção do Estro , Feminino , Genótipo , Lactação/fisiologia , Análise dos Mínimos Quadrados , Masculino , Detecção da Ovulação/veterinária , Paridade/fisiologia , Gravidez , Estações do Ano , Fatores de Tempo , Desmame
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