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The objectives were to compare the effectiveness of poultry by-product meal (PBM) with xylose-treated soybean meal (x-SBM) as a conventional protein source and rumen-undegraded protein (RUP):rumen-degraded protein (RDP) ratio on nutrient digestibility, nitrogen metabolism, and production of early- to mid-lactation Holsteins. Twelve multiparous cows averaging (mean ± SD) 50 ± 9 days in milk were randomly assigned to a replicated 4 × 4 Latin square design within a 2 × 2 factorial arrangement of treatments. Each period was 28 days in length. Treatments were RUP sources (PBM or x-SBM) with either a high or a low RUP:RDP ratio (high ratio = 40:60 or low ratio = 36:64; based on % of crude protein (CP)). Experimental diets were balanced to be similar in protein and energy contents (CP = 16.7% of DM; NEL = 1.67 Mcal/kg DM). Prior to diet formulation, an in situ pilot experiment was conducted to estimate the RUP fractions of x-SBM and PBM as 63.9% and 54.1% of CP, respectively. Treatments had no effect on ruminal pH and total volatile fatty acid (VFA) and molar percentage of individual VFAs. Treatments had no effect on total tract apparent digestibility of DM, OM, and neutral detergent fiber (NDF), with the exception of N that was greater in diets with a low RUP:RDP ratio (68.2 vs. 70.1% of DM). DM consumption was 0.70 kg/day higher when cows were fed PBM diet compared with x-SBM diet. No treatment effect was observed on milk yield and milk composition; however, milk protein yield and milk urea N were greater in cows fed PBM. Inclusion of PBM in the diet in substitution to x-SBM resulted in increased blood levels of urea N, cholesterol, and non-esterified fatty acid (NEFA). There was no interaction between the RUP source and the RUP:RDP ratio for urinary and fecal N excretion. Efficiency of N utilization expressed as milk N secretion as a proportion of N intake tended to be greater in cows fed PBM. Feeding diets with a low ratio of RUP:RDP increased efficiency of milk production expressed as milk yield as a proportion of total N excretion (fecal and urinary N). Feeding a diet with PBM supported milk production comparable with x-SBM and had positive effects on feed intake, milk protein yield, and milk N efficiency.
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Bovinos/fisiologia , Dieta/veterinária , Proteínas Alimentares/administração & dosagem , Glycine max/metabolismo , Xilose/química , Fenômenos Fisiológicos da Nutrição Animal , Animais , Fibras na Dieta/metabolismo , Digestão , Feminino , Lactação , Leite/química , Proteínas do Leite/análise , Nutrientes , Projetos Piloto , Aves Domésticas/metabolismo , Rúmen/metabolismo , Glycine max/química , Ureia/metabolismoRESUMO
The objective of this study was to determine whether addition of water to starter would improve performance, rumen fermentation parameters, blood metabolites, and behavior in dairy calves. For this purpose, 30 Holstein male calves (3 d of age; 42.0 ± 4.2 kg of body weight) were randomly assigned to 1 of the following 3 starter diets differing in moisture content: (1) 90% dry matter (DM), (2) 75% DM, and (3) 50% DM. Weaning and final body weight values were found to increase linearly with increasing dietary water. Moreover, starter intake increased linearly during the preweaning and overall periods. Average daily gain also increased linearly in calves receiving the 75% and 50% DM diets compared with those receiving the 90% DM diet. However, treatments had no effects on gain-to-feed ratio. Adding water to a starter with 50% DM led to linear increases in both total volatile fatty acids and molar proportions of acetate and propionate in the rumen but it had no effect on the molar proportions of butyrate, isovalerate, or valerate, nor did it have any effect on acetate-to-propionate ratio. Similarly, times spent on eating, ruminating, standing, lying, and nonnutritive oral behavior exhibited no differences across treatments. Finally, addition of water to the starter diet led to no significant changes in the concentrations of selected blood metabolites, respiration rate, or rectal temperature. Results indicate that calves readily accept wetter feeds with a DM content of 50% and that adding water to starter diets improves calf performance during the hot months of summer.
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Ração Animal/análise , Dieta/veterinária , Estações do Ano , Água/análise , Animais , Análise Química do Sangue/veterinária , Metabolismo Energético/efeitos dos fármacos , Comportamento Alimentar/efeitos dos fármacos , Fermentação/efeitos dos fármacos , Masculino , Rúmen/metabolismo , Aumento de Peso/efeitos dos fármacosRESUMO
A growing body of evidence suggests health-promoting effects of kefir consumption on different nonruminant species, leading to the speculation that kefir may act as a probiotic and benefit calf performance and health. Our objectives were to determine effects of feeding kefir on performance and health of calves in the first 70d of life. Thirty 3-d-old female Holstein calves (body weight=38.2±3.1kg) were blocked by initial body weight and assigned randomly to 1 of 3 treatments (1 calf per pen; 10 pens per treatment). Kefir was added to whole milk (vol/vol) at 0:1 (control; KF0), 1:3 (KF1), or 1:1 (KF2) and fed twice per day (0800 and 1600h) from d3 through 45 and then once per day until weaning, which occurred on d50. Pre- and postweaning intake of starter, daily body weight gain, and gain-to-feed ratio exhibited no difference among treatments. Adding kefir to whole milk fed directly to calves had no effect on concentration of blood metabolites collected on d20, 40, and 70. Body length on d50 (weaning) and 70 was greater in kefir-fed calves. Kefir intake improved fecal scores and reduced days with diarrhea during the first 2wk of life. Apparent digestibility of organic matter, ether extract, crude protein, and neutral detergent fiber remained unaffected by treatment. Overall, it appears that directly feeding kefir to calves during the preweaning period did not improve the performance of calves under the conditions of the current study; however, its consumption marginally improved body length and fecal consistency in the first weeks of life, which is an important concern in intensive calf-rearing systems. Feeding kefir to neonatal calves may be a viable approach to improve the health of calves in commercial calf-rearing operations, although to validate its health-promoting effects additional research is needed to investigate its effects under different calf-rearing conditions.
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Ração Animal/análise , Dieta/veterinária , Kefir/microbiologia , Leite/química , Fenômenos Fisiológicos da Nutrição Animal , Animais , Animais Recém-Nascidos , Bovinos , Fezes , Feminino , Probióticos/administração & dosagem , Desmame , Aumento de PesoRESUMO
A batch system was employed to investigate the biosorption of strontium (II) on Sargassum sp. The biosorption of strontium on Sargassum sp was studied with response surface methodology to determine the combined effect of temperature, initial metal ion concentration, biomass treatment, biosorbent dosage and pH. Under optimal conditions, the algae's biosorption capacity for strontium (initial pH 7.2, initial strontium concentration 300 mg/l for Mg-treated biomass and biosorbent dosage 0.1 g in 100 mL metal solution) was measured at 103.95 mg/g. In our analysis, equilibrium data were fitted to Langmuir and Freundlich isotherms. Results show that the best fit is provided by the Freundlich model. Biosorption dynamics analysis of the experimental data indicated that strontium (II) was absorbed into algal biomass in accordance with the pseudo-second-order kinetics model well.
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AIM: In 1996, rectal cancer surgery in the Swedish county of Vstmanland was centralized to a single colorectal unit. At the same time, total mesorectal excision and multidisciplinary team meetings were introduced. The aim of this audit was to determine the long-term results before and after centralization. METHOD: All consecutive rectal cancer patients who underwent curative or palliative surgery at one of the county's four hospitals between 1993 and 1996 (n = 133, group 1) were compared with patients operated at the new centralized colorectal unit between 1996 and 1999 (n = 144, group 2). RESULTS: Preoperative radiotherapy was common in both groups, but in group 2, it was planned using MRI. Local recurrences were detected in 8% of all patients operated in group 1 vs 3.5% in group 2 (P = 0.043). The overall 5-year survival for all patients in group 1 was 38 vs 62% in group 2 (P = 0.003). According to multivariate analysis, the new colorectal unit was an independent predictor for improved long-term survival. CONCLUSION: This population-based audit shows reduced local recurrence rate and prolonged overall survival for rectal cancer patients after centralization to a single colorectal unit with multidisciplinary management and increased subspecialization.
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Serviços Centralizados no Hospital , Recidiva Local de Neoplasia/prevenção & controle , Neoplasias Retais/cirurgia , Encaminhamento e Consulta , Adulto , Idoso , Idoso de 80 Anos ou mais , Procedimentos Cirúrgicos do Sistema Digestório , Feminino , Hospitais de Condado , Humanos , Estimativa de Kaplan-Meier , Masculino , Auditoria Médica , Pessoa de Meia-Idade , Radioterapia Adjuvante , Neoplasias Retais/radioterapia , Estudos Retrospectivos , SuéciaRESUMO
recent studies have provided novel evidence regarding the effect of nicotine agonists on the prevention or modulation of cytokines storm and reduction of infection. In this study we tried to attempt to address these issues from a therapeutic perspective of nicotine agonists in this manner and we describe one of the most challenging theories of immunotherapy in coronavirus-19 (COVID-19). The analysis of the proposed mechanism goes beyond the physiological consequences of a way to design new strategies to provide anti-inflammatory drugs.
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Anti-Inflamatórios/administração & dosagem , Infecções por Coronavirus/tratamento farmacológico , Infecções por Coronavirus/imunologia , Sistema Imunitário/efeitos dos fármacos , Sistema Imunitário/virologia , Agonistas Nicotínicos/administração & dosagem , Pneumonia Viral/tratamento farmacológico , Pneumonia Viral/imunologia , Anti-Inflamatórios/uso terapêutico , Betacoronavirus , Biomarcadores/metabolismo , COVID-19 , Colinérgicos/uso terapêutico , Infecções por Coronavirus/mortalidade , Citocinas/metabolismo , Humanos , Imunoterapia , Inflamação , Nicotina/metabolismo , Pandemias , Pneumonia Viral/mortalidade , Receptores Nicotínicos/metabolismo , SARS-CoV-2 , Sobreviventes , Resultado do TratamentoRESUMO
OBJECTIVE: Trichophyton verrucosum is a slow growing dermatophyte responsible for a number of skin diseases such as ringworm, and is characterized by patches of hair loss and thick crusts on the host skin in domestic animals. In this study, we examined the immunomodulatory effects of crude extract of Trichophyton verrucosum (TV)cytoplasm in a mouse model. METHODS: The TV variate was cultured on Sabouraud dextrose agar and the mycelium was grinded by mechanical force. The purified protein was obtained from crude extract of the fungus, and protein concentration was measured by BradFord assay. Six to eight week-female BALB/c mice were divided into three groups: test group, receiving cytoplasmic crude extract plus defibrinated sheep blood; control group, receiving defibrinated sheep blood; and normal group, receiving normal saline. Injections were performed on days 0, 3, 5, 7 and 9 and the mice were sacrificed four days after the last injection. T lymphocyte metabolic activity was examined by methyl thiazol tetrazolium (MTT) assay, and also interleukin-4 (IL-4) and interferon-γ (IFNγ) levels were evaluated by enzyme-linked immunosorbent assay (ELISA). RESULTS: MTT assay showed that the TV extract stimulated lymphocyte metabolic activity. ELISA results showed that despite increase in the level of IFNγ, no changes were observed in IL-4 level. CONCLUSIONS: Results indicated that crude extract of TV cytoplasm may probably act as an immune modulator, which affects Th1 responses. The TV crude extract may be an appropriate agent to induce cellular immunity for combating dermatophytosis infection in animals; and therefore, TV extract may have some potential applications in vaccine/adjuvant technology.
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Extratos Celulares/farmacologia , Citoplasma/química , Imunidade Celular/efeitos dos fármacos , Trichophyton/química , Animais , Extratos Celulares/química , Células Cultivadas , Feminino , Hipersensibilidade Tardia/induzido quimicamente , Hipersensibilidade Tardia/imunologia , Hipersensibilidade Tardia/metabolismo , Hipersensibilidade Tardia/patologia , Imunidade Celular/fisiologia , Interferon gama/metabolismo , Interleucina-4/metabolismo , Linfócitos/citologia , Linfócitos/efeitos dos fármacos , Linfócitos/imunologia , Linfócitos/metabolismo , Camundongos , Camundongos Endogâmicos BALB CRESUMO
Very recently, we added water to a dry texturized starter diet and found substantial improvements in calf performance during summer, leading to the hypothesis that the wet starter diet would also benefit calf performance during winter. Forty-five 3-day-old male Holstein calves (BW 43.4±3.4 kg) were blocked by initial BW and distributed randomly to one of three starter diets (1 calf per pen; 15 pens per treatment) that differed only in moisture content as 90%, 75% and 50% dry matter (DM; DM90, DM75 and DM50, respectively). The starter diet comprised 55.1% ground ingredients (soybean meal, barley and corn gluten meal), 21.9% whole corn, 10% rolled barley and 10% chopped alfalfa hay. The mean ambient temperature averaged 2.1±0.9°C during the 70-day experiment. Calves were weaned at day 50 of the study. Although starter feed intake remained unaffected by treatment, the calves receiving DM75 and DM50 consumed more starter feed (DM basis) than those receiving DM90 diet during the first 20 days of the experiment. Body weight at weaning exhibited a quadratic response with the heaviest weaning weight (76.8 kg) occurring when calves consumed DM75 diet. Adding water to the dry starter diet tended to linearly increase final BW. Average daily gain during the pre- (0.67 kg/day) and post-weaning (1.22 kg/day) periods was the greatest for calves receiving DM75 and DM50, respectively. Although feed efficiency during the pre-weaning and overall periods did not differ across the treatments, a quadratic effect was detected in the post-weaning feed efficiency, with the lowest value being observed with DM75 diet. No difference was noted on skeletal growth parameters measured on days 50 and 70. Adding water to the dry starter diet linearly increased total volatile fatty acids concentration in the rumen. No difference among treatments existed in calf behavior recorded on days 35 and 70. As moisture content of the starter diet increased, the extent of sorting for long particles (>2 mm) and against fine particles (<0.125 mm) decreased. During the 70-day winter trial, adding water to the dry texturized starter diet with 10% chopped alfalfa hay resulted in a higher feed intake during the first weeks of life, a quadratic tendency toward improved growth rate during the pre-weaning period, and possibly a more functional rumen fermentation. A wet starter diet with 75% DM in the physical form offered in this study can be recommended to improve calf performance during winter.
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Bovinos/fisiologia , Ácidos Graxos Voláteis/metabolismo , Comportamento Alimentar/efeitos dos fármacos , Rúmen/metabolismo , Água/metabolismo , Ração Animal/análise , Animais , Bovinos/crescimento & desenvolvimento , Dieta/veterinária , Suplementos Nutricionais/análise , Masculino , Distribuição Aleatória , Água/administração & dosagemRESUMO
Heat stress is a major problem for dairy cows in hot climates, thus coping strategies are essential. This study evaluated the effects of increasing diet fermentability on intake, total tract digestibility, ruminal pH and volatile fatty acids (VFA) profile, blood metabolite profile and milk production and composition of lactating dairy cows managed under conditions of ambient heat stress. Nine multiparous cows (650 ± 56 kg BW; mean ± SD) averaging 102 ± 13 days in milk and producing 54 ± 6 kg/day were randomly assigned to a triplicate 3 × 3 Latin square. During each 21-day period, cows were offered one of three total mixed rations that varied in diet fermentability. The three levels of diet fermentability were achieved by increasing the proportion of pellets containing ground wheat and barley in the dietary DM from 11.7% (low), to 23.3% (moderate), and 35.0% (high) by replacing ground corn grain. Each period had 14 day of adaptation and 7 day of sampling. The ambient temperature-humidity index ( ≥ 72) indicated that the cows were in heat stress almost the entire duration of the study. Also, rectal temperature of cows was elevated at 39.2°C, another indication of heat stress. Increasing diet fermentability linearly decreased dry matter intake (22.8, 22.5, 21.8 kg/day for low, moderate and high, respectively; P ≤ 0.05) but increased non-fibre carbohydrate digestibility (P ≤ 0.05) and tended to increase digestibility of DM (P = 0.10) and crude protein (P = 0.06). As a result, the intake of digestible DM was not affected by the treatments. The production of 3.5% fat corrected milk (32.6, 33.7, and 31.5 kg/day) was quadratically (P ≤ 0.05) affected by diet fermentability with lower production for the high diet compared with the other two, which were similar. Rumen pH (ruminocentesis) and proportions of butyrate and isovalerate linearly decreased whereas propionate proportion linearly increased with increasing diet fermentability (P ≤ 0.05). The rumen concentration of NH3-N (11.0, 9.0, and 8.7 mg/dL) and blood concentration of urea linearly decreased with increasing diet fermentability (P ≤ 0.05). The activity of alkaline phosphatase increased (65.1, 83.2, and 84.9 U/l) and concentration of malondialdehyde decreased (2.39, 1.90 and 1.87 µmol/l) linearly with increasing diet fermentability (P ≤ 0.05), which indicated possible attenuation of the effects of oxidative stress with increasing diet fermentability. Overall, a modest increase of diet fermentability improved nitrogen metabolism, milk protein production and oxidative stress of heat-stressed dairy cows, but a further increase in diet fermentability decreased milk yield.
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Bovinos/fisiologia , Digestão/fisiologia , Ingestão de Alimentos/fisiologia , Resposta ao Choque Térmico/fisiologia , Lactação/fisiologia , Rúmen/metabolismo , Ração Animal/normas , Animais , Bovinos/sangue , Dieta/veterinária , Ácidos Graxos Voláteis/metabolismo , Feminino , Fermentação , Temperatura Alta , Leite/metabolismo , Proteínas do Leite/metabolismo , Distribuição AleatóriaRESUMO
Biosorption equilibrium, kinetics and thermodynamics of binding of uranium ions to Cystoseria indica were studied in a batch system with respect to temperature and initial metal ion concentration. Algae biomass exhibited the highest uranium uptake capacity at 15 degrees C at an initial uranium ion concentration of 500 mg l(-1) and an initial pH of 4. Biosorption capacity increased from 198 to 233 mg g(-1) with an decrease in temperature from 45 to 15 degrees C at this initial uranium concentration. The Langmuir isotherm model were applied to experimental equilibrium data of uranium biosorption depending on temperature. Equilibrium data fitted very well to the Langmuir model C. indica algae in the studied concentration range of Uranium ions at all the temperatures studied. The saturation type kinetic model was applied to experimental data at different temperatures changing from 15 to 45 degrees C to describe the batch biosorption kinetics assuming that the external mass transfer limitations in the system can be neglected and biosorption is chemical sorption controlled. The activation energy of biosorption (E(A)) was determined as -6.15 using the Arrhenius equation. Using the thermodynamic equilibrium coefficients obtained at different temperatures, the thermodynamic constants of biosorption (DeltaG degrees , DeltaH degrees and DeltaS degrees ) were also evaluated.
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Phaeophyceae/química , Urânio/química , Poluentes Radioativos da Água/química , Purificação da Água/métodos , Adsorção , Cinética , Modelos Químicos , Termodinâmica , Eliminação de Resíduos Líquidos/métodosRESUMO
The purpose of this study was to investigate the adsorption of uranium (VI) ions on the polypyrrole adsorbent. Polypyrrole was synthesized by a chemical method using polyethylene glycol, sodium dodecylbenzenesulfonate, and cetyltrimethylammonium bromide as the surfactant and iron (III) chloride as an oxidant in the aqueous solution. The effect of various surfactants on the synthesized polymers and their performance as the uranium adsorbent were investigated. Adsorbent properties were characterized by scanning electron microscopy (SEM) and Fourier transform infrared spectroscopy (FTIR) techniques. The effect of different parameters such as pH, contact time, initial metal ion concentrations, adsorbent dose, and the temperature was investigated in the batch system for uranium adsorption process. It has been illustrated that the adsorption equilibrium time is 7min. The results showed that the Freundlich model had the best agreement and the maximum adsorption capacity of polypyrrole for uranium (VI) was determined 87.72mg/g from Langmuir isotherm. In addition, the mentioned adsorption process was fast and the kinetic data were fitted to the Pseudo first and second order models. The adsorption kinetic data followed the pseudo-second-order kinetic model. Moreover, the thermodynamic parameters ΔG0, ΔH0 and ΔS0 showed that the uranium adsorption process by polypyrrole was endothermic and spontaneous.
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Two experiments were conducted to determine the effects of feeding equal quantities of milk during the pre-weaning period through different milk-feeding regimes on calf growth, starter intake and selected blood metabolites. In experiment 1, 44 female Holstein calves (3 days of age and 39.2±4.3 kg of BW) were distributed randomly to one of two milk-feeding programs (1 calf per pen; 22 pens per treatment group): (1) consistent (CONS; 6 l/day of milk from days 3 to 60 and 3 l/day from days 61 to 65 of age) or (2) step-up/step-down (SUSD; 5 l/day of milk from days 3 to 15, 8 l/day from days 16 to 40, 6 l/day from days 41 to 50, 3 l/day from days 51 to 60 and then 2 l/day from days 61 to 65 of age). No difference between treatments was observed in starter consumption, feed efficiency, hip width and heart girth. However, pre-weaning average daily gain (ADG) tended to be greater in CONS than in SUSD calves (0.78 v. 0.70 kg/day; P=0.07). Blood ß-hydroxybutyrate at day 45 (pre-weaning) was lower in SUSD than in CONS calves (0.14 v. 0.21±0.013 mmol/l). In experiment 2, 26 male Holstein calves (3 days of age and 39.4±4.1 kg of BW) were assigned at random to one of two milk-feeding protocols (1 calf per pen; 13 pens per treatment group): (1) consistent (CONS; (7 l/day of milk from days 3 to 40 and 2 l/day from days 41 to 45 of age) or (2) step-down (STD; 8 l/day of milk from days 3 to 30, 4 l/day from days 31 to 40 and 2 l/day from days 41 to 45 of age). The milk-feeding program had no effect on the performance measurements, with the exception that ADG (days 15 to 30), starter intake (days 30 to 45) and heart girth (day 45) were greater in STD than in CONS calves. In conclusion, it appears that if the total amount of milk intake is held constant over the course of milk-feeding period, the method of milk feeding would have negligible effects on calf performance.
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Bovinos/fisiologia , Ingestão de Alimentos , Leite/metabolismo , Ácido 3-Hidroxibutírico/sangue , Animais , Bovinos/crescimento & desenvolvimento , Dieta/veterinária , Feminino , Masculino , DesmameRESUMO
The publisher regrets that this was an accidental duplication of an article that has already been published in Eur. J. Echocardiogr., 4 (2003) 229-231, . The duplicate article has therefore been withdrawn.
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Analysis of family history and antidepressant drug response variables of 100 "neurotic" depressives followed up prospectively over three to four years disclosed that primary depressions (unipolar and bipolar) could be distinguished from nonprimary cases by (1) the early occurrence of "pharmacological-hypomania;" (2) family history of bipolar illness; (3) family history for affective disorder in two or three consecutive generations, especially when "loaded." Although each of these variables alone occurred in only one fifth to one third of the primary group, they individually displayed better than 95% specificity for it. Thus, the confidence with which the diagnosis of primary affective illness could be made in the presence of any of these variables ranged from 88% to 100%. These findings argue for considering such nonsymptomatological variables for their potential in strengthening the phenomenologic diagnostic criteria for depressive illness.
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Transtornos de Adaptação/diagnóstico , Transtorno Bipolar/diagnóstico , Transtornos de Adaptação/tratamento farmacológico , Transtornos de Adaptação/genética , Adolescente , Adulto , Idoso , Antidepressivos Tricíclicos/uso terapêutico , Transtorno Bipolar/tratamento farmacológico , Transtorno Bipolar/genética , Diagnóstico Diferencial , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , LinhagemRESUMO
The authors identified 46 cyclothymic probands from a random pool of 500 psychiatric outpatients and prospectively followed them over a 2-3 year period. They used 50 bipolar patients with a definite history of mania and 50 patients with personality disorders as control groups. Although 66% of the cyclothymic outpatients had previously received the diagnosis of hysteria or sociopathy, their pedigrees were similar to those seen in classical bipolar manic-depressive illness; furthermore, 44% of the cyclothymic group experienced brief hypomanic episodes while taking tricyclic drugs, and 35% developed full-blown hypomanic, manic, or depressive episodes during drug-free follow-up. The authors conclude that these findings provide evidence for a cyclothymic-bipolar spectrum.
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Transtorno Bipolar/classificação , Transtorno Ciclotímico/classificação , Transtornos da Personalidade/classificação , Adulto , Antidepressivos Tricíclicos/uso terapêutico , Transtorno Bipolar/diagnóstico , Transtorno Bipolar/genética , Transtorno Ciclotímico/diagnóstico , Transtorno Ciclotímico/genética , Diagnóstico Diferencial , Feminino , Humanos , Masculino , Linhagem , Estudos ProspectivosRESUMO
BACKGROUND: The optimal treatment strategy for patients with stage IV rectal cancer is unclear. The aim of the present study was to describe trends and compare the different treatment strategies for this group of patients at a national level and over time. METHODS: Data from 2758 rectal cancer patients with (stage IV) and 13,420 without metastases (stage I-III) were available from the Swedish Rectal Cancer Registry between January 1995 and December 2006. RESULTS: Patients with stage IV disease increased from 15% to 19% between 1995 and 2006 (p<0.001) and the frequency of patients not operated on increased from 13% to 26% (p<0.001). Postoperative 30 day mortality after bowel resection was 2% and after exploratory laparotomy 9%. Median survival for stage IV patients after bowel resection was 16.3 months, exploratory laparotomy 6.1 months and for patients having no surgery 4.6 months. Over time survival was improved for patients aged 60-69 years, irrespective of the treatment given. An increased risk of death was associated with: age >80 years, operation at a local hospital, treatment in earlier time periods, not receiving preoperative radio- or chemotherapy and not having a bowel resection. CONCLUSIONS: In the latest time period survival was improved for rectal cancer patients in stage IV despite the great increase in non-operated patients. Patients aged >80 years should be carefully assessed and staged before surgery. The survival advantage for stage IV rectal cancer patients who underwent primary tumour resection is probably due to selection to more favourable cases.
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Adenocarcinoma/cirurgia , Neoplasias Retais/cirurgia , Adenocarcinoma/mortalidade , Adenocarcinoma/patologia , Adenocarcinoma/terapia , Idoso , Idoso de 80 Anos ou mais , Terapia Combinada , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Metástase Neoplásica , Neoplasias Retais/mortalidade , Neoplasias Retais/patologia , Neoplasias Retais/terapiaRESUMO
INTRODUCTION: The biosorption characteristics of strontium ions using fungus Aspergillus terreus were investigated. Experimental parameters affecting the biosorption process such as pH, contact time, initial metal concentration, and temperature were studied. MATHEMATICAL DESCRIPTION: Fungus A. terreus exhibited the highest strontium uptake capacity at 15°C at an initial strontium ion concentration of 876 mg L(-1) and an initial pH of 9. Biosorption capacity increased from 219 to 308 mg g(-1) with a decrease in temperature from 45°C to 15°C at this initial strontium concentration. The equilibrium data fitted very well to the Langmuir adsorption model in the concentration range of strontium ions and at all the temperatures studied. CONCLUSION: Evaluation of the experimental data in terms of biosorption dynamics showed that the biosorption of strontium onto fungus followed the pseudo-second-order dynamics well (R(2) > 0.985). The calculated thermodynamics parameters (-1.64 < ∆G° < -1.93 kJ mol(-1) at temperatures of 45-15°C, ∆H° = -4.83 kJ mol(-1) and ∆S° = -0.01 kJ mol(-1) K(-1)) showed that the biosorption of strontium ions were feasible, spontaneous, and exothermic at the temperature ranges of 15-45°C.
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Aspergillus/metabolismo , Estrôncio/metabolismo , Absorção , Aspergillus/química , Concentração de Íons de Hidrogênio , Espectroscopia de Infravermelho com Transformada de Fourier , Estrôncio/análise , Termodinâmica , Poluentes Químicos da Água/análise , Poluentes Químicos da Água/metabolismoRESUMO
This report presents status of external and internal dose assessment of workers and introducing the structure of National Dose Registry System of Iran (NDRSI). As well as types of individual dosemeters in use, techniques for internal dose assessment are presented. Results obtained from the International Atomic Energy Agency intercomparison programme on measurement of personal dose equivalent H(p) (10) and consistency of the measured doses with the delivered doses are shown. Also, implementation of dosimetry standards, establishment of quality management system, authorisation and approval procedure of dosimetry service providers are discussed.