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1.
Br J Neurosurg ; : 1-4, 2024 Jul 17.
Artigo em Inglês | MEDLINE | ID: mdl-39016204

RESUMO

BACKGROUND: The essential tremor (ET) course to 54 months post-unilateral VIM/PSA magnetic resonance-guided focused ultrasound (MRgFUS) in the treated arm (TA) and non-treated arm (NTA) of 12 patients is reported. METHODS: Tremor severity was rated using Bain Findley spirography (BFS) scores in the TA and NTA. We divided follow-up into 'Early' (0-6 months) and 'Late' (6-54 months) phases, to minimise the effect of peri-lesion oedema resolution on the latter. RESULTS: The mean baseline BFS score was 6.2 in TA and 5.7 in the NTA. After unilateral VIM/PSA MRgFUS, mean BFS improved in TA at all subsequent time points (p < 0.001), with no significant differences between BFS scores at consecutive assessments or between 1 and 54 months, while the NTA BFS scores worsened between 12 and 24 months (p < 0.003). Three patients showed worsening of their TA BFS scores and an increasing NTA-TA BFS difference, indicating slower tremor worsening in TA compared to NTA, whilst one patient showed a greater rate of worsening in the TA compared to NTA BFS. CONCLUSION: After 54 months, the beneficial effect of MRgFUS is usually maintained with any worsening of BFS scores in TA slower than in NTA. Loss of treatment benefit is rare.

2.
BMC Neurol ; 22(1): 474, 2022 Dec 12.
Artigo em Inglês | MEDLINE | ID: mdl-36510237

RESUMO

BACKGROUND: Depressive symptoms are common in patients with Parkinson's disease and depression is a significant predictor of functional impairment, reduced quality of life and general well-being in Parkinson's disease. Despite the high prevalence of depression, evidence on the effectiveness and tolerability of antidepressants in this population is limited. The primary aim of this trial is to establish the clinical and cost effectiveness of escitalopram and nortriptyline for the treatment of depression in Parkinson's disease. METHODS: This is a multi-centre, double-blind, randomised placebo-controlled trial in 408 people with Parkinson's disease with subsyndromal depression, major depressive disorder or persistent depressive disorder and a Beck Depression Inventory-II (BDI-II) score of 14 or above. Participants will be randomised into one of three groups, receiving either escitalopram, nortriptyline or placebo for 12 months. Trial participation is face-to-face, hybrid or remote. The primary outcome measure is the BDI-II score following 8 weeks of treatment. Secondary outcomes will be collected at baseline, 8, 26 and 52 weeks and following withdrawal, including severity of anxiety and depression scores as well as Parkinson's disease motor severity, and ratings of non-motor symptoms, cognitive function, health-related quality of life, levodopa-equivalence dose, changes in medication, overall clinical effectiveness, capability, health and social care resource use, carer health-related quality of life, adverse effects and number of dropouts. DISCUSSION: This trial aims to determine the effectiveness of escitalopram and nortriptyline for reducing depressive symptoms in Parkinson's disease over 8 weeks, to provide information on the effect of these medications on anxiety and other non-motor symptoms in PD and on impact on patients and caregivers, and to examine their effect on change in motor severity. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT03652870 Date of registration - 29th August 2018.


Assuntos
Transtorno Depressivo Maior , Doença de Parkinson , Humanos , Doença de Parkinson/complicações , Doença de Parkinson/tratamento farmacológico , Transtorno Depressivo Maior/tratamento farmacológico , Qualidade de Vida , Escitalopram , Antidepressivos/uso terapêutico , Nortriptilina/uso terapêutico , Resultado do Tratamento , Método Duplo-Cego , Ensaios Clínicos Controlados Aleatórios como Assunto , Estudos Multicêntricos como Assunto
3.
Epidemiol Infect ; 145(7): 1339-1350, 2017 05.
Artigo em Inglês | MEDLINE | ID: mdl-28202088

RESUMO

In many regions of the world domestic dogs are free roaming and live in close relationship with humans. These free-roaming domestic dogs (FRDD) can cause public health problems such as dog bites and transmission of infectious diseases. To effectively control diseases transmitted by FRDD, knowledge on the dogs' behaviour is required. To identify predictors of home range (HR) size, we collected global positioning system data from 135 FRDD living in eight Aboriginal and Torres Strait Islander communities in Northern Australia. The core HR size ranged from 0·17 to 2·33 ha and the extended HR size from 0·86 to 40·46 ha. Using a linear mixed effect model with a Restricted Maximum Likelihood approach, the dog's sex and reproductive status were identified as predictors of roaming. Non-castrated males had the largest HRs, followed by neutered females. Also, FRDDs were found to roam further during the pre- than the post-wet season. These findings have implications for infectious disease spread. Identification of risk groups for disease spread within a population allows for more targeted disease response and surveillance. Further investigation of predictors of roaming in other FRDD populations worldwide would increase the external validity of such studies.


Assuntos
Cães/fisiologia , Comportamento de Retorno ao Território Vital , Animais , Animais Selvagens/fisiologia , Feminino , Sistemas de Informação Geográfica , Humanos , Funções Verossimilhança , Modelos Lineares , Masculino , Havaiano Nativo ou Outro Ilhéu do Pacífico , Northern Territory , Queensland
4.
Neuropathol Appl Neurobiol ; 42(5): 436-50, 2016 08.
Artigo em Inglês | MEDLINE | ID: mdl-26527105

RESUMO

AIMS: Our main objective was to determine the neuropathological correlates of dementia in patients with Lewy body disease (LBD). Furthermore, we used data derived from clinical, neuropathological and genetic studies to investigate boundary issues between Dementia with Lewy bodies (DLB) and Parkinson's disease with (PDD) and without (PDND) dementia. METHODS: One hundred and twenty-one cases with a neuropathological diagnosis of LBD and clinical information on dementia status were included in the analysis (55 PDD, 17 DLB and 49 PDND). We carried out topographical and semi-quantitative assessment of Lewy bodies (LB), Aß plaques and tau-positive neuropil threads (NT). The APOE genotype and MAPT haplotype status were also determined. RESULTS: The cortical LB (CLB) burden was the only independent predictor of dementia (OR: 4.12, P < 0.001). The total cortical Aß plaque burden was an independent predictor of a shorter latency to dementia from onset of motor signs (P = 0.001). DLB cases had a higher LB burden in the parietal and temporal cortex, compared to PDD. Carrying at least one APOE ϵ4 allele was associated with a higher cortical LB burden (P = 0.02), particularly in the neocortical frontal, parietal and temporal regions. CONCLUSIONS: High CLB burden is a key neuropathological substrate of dementia in LBD. Elevated cortical LB pathology and Aß plaque deposition are both correlated with a faster progression to dementia. The higher CLB load in the temporal and parietal regions, which seems to be a distinguishing feature of DLB, may account for the shorter latency to dementia and could be mediated by the APOE ϵ4 allele.


Assuntos
Córtex Cerebral/patologia , Demência/epidemiologia , Corpos de Lewy/patologia , Doença por Corpos de Lewy/patologia , Doença de Parkinson/patologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Peptídeos beta-Amiloides/metabolismo , Demência/etiologia , Demência/patologia , Feminino , Humanos , Doença por Corpos de Lewy/complicações , Masculino , Pessoa de Meia-Idade , Doença de Parkinson/complicações , Prevalência
5.
Indoor Air ; 26(2): 219-30, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25788118

RESUMO

This study characterized indoor volatile organic compounds (VOCs) and investigated the effects of the dwelling characteristics, building materials, occupant activities, and environmental conditions on indoor VOC concentrations in 40 dwellings located in Melbourne, Australia, in 2008 and 2009. A total of 97 VOCs were identified. Nine VOCs, n-butane, 2-methylbutane, toluene, formaldehyde, acetaldehyde, d-limonene, ethanol, 2-propanol, and acetic acid, accounted for 68% of the sum of all VOCs. The median indoor concentrations of all VOCs were greater than those measured outdoors. The occupant density was positively associated with indoor VOC concentrations via occupant activities, including respiration and combustion. Terpenes were associated with the use of household cleaning and laundry products. A petroleum-like indoor VOC signature of alkanes and aromatics was associated with the proximity of major roads. The indoor VOC concentrations were negatively correlated (P < 0.05) with ventilation. Levels of VOCs in these Australian dwellings were lower than those from previous studies in North America and Europe, probably due to a combination of an ongoing temporal decrease in indoor VOC concentrations and the leakier nature of Australian dwellings.


Assuntos
Poluentes Atmosféricos/análise , Poluição do Ar em Ambientes Fechados/análise , Monitoramento Ambiental , Compostos Orgânicos Voláteis/análise , Poluição do Ar em Ambientes Fechados/estatística & dados numéricos , Austrália , Butanos , Cicloexenos , Formaldeído , Habitação , Limoneno , Pentanos , Terpenos , Ventilação
6.
Ann Oncol ; 26(9): 1846-1858, 2015 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-25888610

RESUMO

BACKGROUND: This review focused on the identification of patient-reported outcome measures (PROMs) used in routine cancer clinical practice, the impact on patient, provider, and system outcomes, and the implementation factors influencing uptake. METHODS: A scoping review of the published health literature was conducted using empirical databases, namely, Ovid Medline (2003 to September 2013), CINAHL (2003-2013) and PsycINFO (2003-2013). Scoping reviews are systematic literature reviews in a broad topic area that provide relevant and quantified results about the knowledge available on a particular topic and aim to rapidly map and synthesize the evidence to emphasize what is known. RESULTS: From a total of 2447 unique publications, 30 articles that met eligibility criteria were reviewed. PRO use appears to be acceptable to patients, enables earlier detection of symptoms and may improve communication between clinicians and patients. However, the impact of routine PROMs collection on health outcomes is less clear and high-quality research is still warranted. CONCLUSION: PROMs use in routine cancer clinical practice is growing with improvements on essential care processes shown but a number of implementation barriers must still be addressed. The lack of standardization in PROMs used in cancer organizations may make it difficult to use these data for quality monitoring in the future.


Assuntos
Neoplasias/terapia , Avaliação de Resultados da Assistência ao Paciente , Relações Médico-Paciente , Autorrelato , Comunicação , Humanos , Satisfação do Paciente , Qualidade da Assistência à Saúde , Resultado do Tratamento
7.
J Fish Dis ; 36(1): 35-44, 2013 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-22957749

RESUMO

Infectious salmon anaemia (ISA), caused by ISA virus (ISAV), is a serious disease of farmed Atlantic salmon, Salmo salar L. Recently, molecular- and immunofluorescent-based techniques have become powerful diagnostic tools for ISAV detection, but culture-based techniques remain the gold standard. A disadvantage of ISAV culture is that the incubation time required before cytopathic effect (CPE) is observed in cell monolayers. To decrease time until CPE is observed, a low-speed centrifugation technique was applied to existing standard operating procedures for ISAV culture in three fish cell lines. Time until CPE observation was compared in CHSE, SHK and ASK cells, treated or not treated with low-speed centrifugation after inoculation with ISAV. Low-speed centrifugation treatment significantly enhanced observable cell infection. Compared to control cells, the length of time until ISAV CPE observation decreased in centrifuged ASK and CHSE cells. Low-speed centrifugation was also incorporated into a modified clinical shell vial assay. At 48 h post-inoculation with approximately 20 viral particles, ISAV was detected by an immunofluorescence antibody test in treated ASK and SHK1 cells but not in control cells. Finally, this enhanced viral adsorption assay performed in ASK cells demonstrated higher sensitivity than a real-time RT-PCR assay performed on RNA isolated from ISAV-spiked salmon kidney homogenates.


Assuntos
Pesqueiros/métodos , Isavirus/fisiologia , Infecções por Orthomyxoviridae/diagnóstico , Animais , Linhagem Celular , Centrifugação , Reação em Cadeia da Polimerase em Tempo Real , Salmão/virologia , Sensibilidade e Especificidade
8.
Brain Spine ; 3: 101713, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38021000

RESUMO

•Key anterior approaches differences in LSTV include vascular (aortic bifurcation/iliocaval confluence), muscular (psoas) and osseus anatomy (inter-crestal tangent/pubic symphysis), when compared to non-LSTV.•There are increased surgical deviations but not significantly greater complications for anterior approaches in LSTV.•Vascular awareness while accessing L45 will be in the presence of a more cephalad ABF and ICC with sacralized L5, and access to the deeper L56 level will be in the presence of a more caudal ABF and ICC in lumbarized S1.

9.
Epidemiol Infect ; 139(6): 946-54, 2011 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-20800006

RESUMO

A cross-sectional study was conducted to investigate risk factors for sporadic Cryptosporidium infection in a paediatric population in Nigeria. Of 692 children, 134 (19·4%) were infected with Cryptosporidium oocysts. Cryptosporidium spp. were identified in 49 positive samples using PCR-restriction fragment length polymorphism and direct sequencing of the glycoprotein60 (GP60) gene. Generalized linear mixed-effects models were used to identify risk factors for all Cryptosporidium infections, as well as for C. hominis and C. parvum both together and separately. Risk factors identified for all Cryptosporidium infections included malaria infection and a lack of Ascaris infection. For C. hominis infections, stunting and younger age were highlighted as risk factors, while stunting and malaria infection were identified as risk factors for C. parvum infection.


Assuntos
Criptosporidiose/epidemiologia , Cryptosporidium , Animais , Animais Domésticos/parasitologia , Ascaríase/epidemiologia , Estatura , Peso Corporal , Distribuição de Qui-Quadrado , Criança , Pré-Escolar , Estudos Transversais , Criptosporidiose/etiologia , Criptosporidiose/parasitologia , Cryptosporidium/genética , Cryptosporidium parvum/genética , Fezes/parasitologia , Feminino , Genótipo , Humanos , Lactente , Malária/epidemiologia , Masculino , Estado Nutricional , Reação em Cadeia da Polimerase , Fatores de Risco , Fatores Socioeconômicos
10.
Parkinsonism Relat Disord ; 90: 52-56, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34385007

RESUMO

INTRODUCTION: Reduced postsynaptic D3 dopaminergic receptor availability has been reported in the ventral striatum of pathological gamblers without Parkinson's disease (PD) and in patients with PD and impulse control disorders (ICD). However, a direct relationship between ventral striatum D3 dopaminergic receptors and the severity of ICD in PD patients has not yet been proven using a validated tool for ICD in PD, such as the Questionnaire for Impulsive-Compulsive Disorders in Parkinson's disease-Rating Scale (QUIP-RS). In this pilot study, we investigated the relationship between ventral striatum D3 dopamine receptor availability and severity of impulse control disorder (ICD) in Parkinson's disease (PD). METHODS: Twelve patients were assessed with PET and the high affinity dopamine D3 receptor radioligand [11C]-PHNO. Severity of ICD was assessed with the QUIP-RS. RESULTS: We found that lower ventral striatum D3 receptor availability measured with [11C]-PHNO PET was associated with greater severity of ICD, as measured by the QUIP-RS score (rho = -0.625, p = 0.03). CONCLUSION: These findings suggest that the occurrence and severity of ICD in Parkinson's disease may be linked to reductions in ventral striatum dopamine D3 receptor availability. Further studies in larger cohort of patients need to be performed in order to confirm our findings and clarify whether lower ventral striatum D3 receptor may reflect a pharmacological downregulation to higher dopamine release in ventral striatum of patients with ICD or a patients' predisposition to ICD.


Assuntos
Transtornos Disruptivos, de Controle do Impulso e da Conduta/metabolismo , Doença de Parkinson/metabolismo , Receptores de Dopamina D3/metabolismo , Estriado Ventral/metabolismo , Idoso , Estudos de Casos e Controles , Transtornos Disruptivos, de Controle do Impulso e da Conduta/etiologia , Feminino , Humanos , Comportamento Impulsivo/fisiologia , Masculino , Doença de Parkinson/psicologia , Projetos Piloto , Índice de Gravidade de Doença
11.
Trends Cell Biol ; 9(1): 28-35, 1999 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-10087614

RESUMO

Furin is a secretory pathway endoprotease that catalyses the maturation of a strikingly diverse group of proprotein substrates, ranging from growth factors and receptors to pathogen proteins, in multiple compartments within the trans-Golgi network (TGN)/endosomal system. This review focuses on recent developments in the biochemistry and cell biology of the endoprotease, including the mechanism of TGN localization, phosphorylation-dependent regulation of protein traffic, and novel insights into early embryogenesis, extracellular matrix formation and pathogen virulence.


Assuntos
Complexo de Golgi/metabolismo , Subtilisinas/metabolismo , Sequência de Aminoácidos , Animais , Sítios de Ligação , Matriz Extracelular/metabolismo , Furina , Concentração de Íons de Hidrogênio , Dados de Sequência Molecular , Virulência
12.
J Cell Biol ; 142(6): 1399-411, 1998 Sep 21.
Artigo em Inglês | MEDLINE | ID: mdl-9744873

RESUMO

The regulated sorting of proteins within the trans-Golgi network (TGN)/endosomal system is a key determinant of their biological activity in vivo. For example, the endoprotease furin activates of a wide range of proproteins in multiple compartments within the TGN/endosomal system. Phosphorylation of its cytosolic domain by casein kinase II (CKII) promotes the localization of furin to the TGN and early endosomes whereas dephosphorylation is required for efficient transport between these compartments (Jones, B.G., L. Thomas, S.S. Molloy, C.D. Thulin, M.D. Fry, K.A. Walsh, and G. Thomas. 1995. EMBO [Eur. Mol. Biol. Organ.] J. 14:5869-5883). Here we show that phosphorylated furin molecules internalized from the cell surface are retained in a local cycling loop between early endosomes and the plasma membrane. This cycling loop requires the phosphorylation state-dependent furin-sorting protein PACS-1, and mirrors the trafficking pathway described recently for the TGN localization of furin (Wan, L., S.S. Molloy, L. Thomas, G. Liu, Y. Xiang, S.L. Ryback, and G. Thomas. 1998. Cell. 94:205-216). We also demonstrate a novel role for protein phosphatase 2A (PP2A) in regulating protein localization in the TGN/endosomal system. Using baculovirus recombinants expressing individual PP2A subunits, we show that the dephosphorylation of furin in vitro requires heterotrimeric phosphatase containing B family regulatory subunits. The importance of this PP2A isoform in directing the routing of furin from early endosomes to the TGN was established using SV-40 small t antigen as a diagnostic tool in vivo. The role of both CKII and PP2A in controlling multiple sorting steps in the TGN/endosomal system indicates that the distribution of itinerant membrane proteins may be acutely regulated via signal transduction pathways.


Assuntos
Proteínas de Transporte , Endossomos/metabolismo , Isoenzimas/metabolismo , Fosfoproteínas Fosfatases/metabolismo , Subtilisinas/metabolismo , Sequência de Aminoácidos , Sítios de Ligação , Transporte Biológico , Capsídeo , Furina , Complexo de Golgi , Células HeLa , Humanos , Dados de Sequência Molecular , Fosforilação , Proteína Fosfatase 2 , Subtilisinas/genética , Proteínas de Transporte Vesicular
13.
Neuron ; 1(1): 63-72, 1988 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-2856087

RESUMO

Brain type II Ca2+/calmodulin-dependent protein kinase is a holoenzyme composed of several copies each of three subunits, alpha (50 kd), beta (60 kd), and beta' (58 kd), in varying proportions. The deduced amino acid sequences of alpha (reported here) and beta are highly similar but not identical. The major difference between them is the deletion from alpha of two short segments (residues 316-339 and 354-392 in beta). cDNAs that appear to encode beta' are identical to beta except for the deletion of a segment encoding residues 378-392. Thus, the structural differences among alpha, beta, and beta' arise primarily from deletions (or insertions) in a variable region lying immediately carboxyl to the protein kinase and calmodulin-binding domains. The alpha and beta subunits are encoded by distinct genes expressed primarily, if not exclusively, in brain. Rather than being encoded by a third gene, beta' may arise by alternative splicing of the beta gene transcript.


Assuntos
Encéfalo/enzimologia , Regulação Enzimológica da Expressão Gênica , Proteínas Quinases/genética , Sequência de Aminoácidos , Animais , Sequência de Bases , Proteínas Quinases Dependentes de Cálcio-Calmodulina , Dados de Sequência Molecular , Proteínas Quinases/análise , Ratos
14.
J Appl Microbiol ; 104(4): 998-1007, 2008 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-18042187

RESUMO

AIMS: To evaluate throughput of seeded Legionella pneumophila bacteria in domestic point-of-use filters. METHODS AND RESULTS: The filters were challenged with tap water seeded with Leg. pneumophila. After multiple challenge events (4.25 x 10(11) CFU per filter), the levels of Legionella were lower in the effluent from the filter containing both copper and silver (mean 4.48 x 10(3) CFU ml(-1)) than in the effluent from the filter containing copper only (1.26 x 10(4) CFU ml(-1); P < 0.001). After a single challenge event of approx. 5 x 10(9) CFU L. pneumophila per filter, there was no significant difference between the levels of Legionella in the effluents from a carbon filter containing copper and a carbon filter with no metals (mean 6.87 x 10(2) and 6.89 x 10(2) CFU ml(-1), respectively; P = 0.985). CONCLUSIONS: Legionella was detected in filter effluent up to 6 weeks after being challenged, indicating that while filters may reduce the levels during an initial contamination event, the exposure is extended as the accumulated bacteria slough off over time. SIGNIFICANCE AND IMPACT OF THE STUDY: This study has provided an understanding of the response of Legionella to the use of silver and copper in domestic point-of-use carbon filters.


Assuntos
Legionella , Microbiologia da Água , Purificação da Água/métodos , Biofilmes , Carbono , Cobre , Desinfecção , Filtração/instrumentação , Água Doce , Utensílios Domésticos , Íons , Prata , Temperatura , Testes de Toxicidade , Purificação da Água/instrumentação
15.
Eur Spine J ; 17(11): 1457-61, 2008 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-18795348

RESUMO

We have assessed the clinical observation that the angle of the contralateral lamina matches the angle required from the sagital plane for the placement of pedicle screws in the subaxial cervical spine. Fifty-four randomly chosen axial CT scans taken between December 2003 and December 2004 were examined. Subjects were excluded if the scan showed signs of fracture, tumour or gross abnormality. The digitised images were analysed on the Philips PACS system using SECTRA software. One hundred and sixty-eight individual vertebrae were assessed between C3 and C7. The following were measured; the angle of the pedicle relative to the sagital plane, the smallest internal and external diameter of the pedicles and the angle of the lamina. Angular measures had a CV% of 3.9%. The re-measurement error for distance was 0.5 mm. Three hundred and thirty-six pedicles were assessed in 25 females and 29 males. Average age was 48.2 years (range 17-85). Our morphologic data from live subjects was comparable to previous cadaveric data. Mean pedicle external diameter was 4.9 mm at C3 and 6.6 mm at C7. Females were marginally smaller than males. Left and right did not significantly differ. In no case was the pedicle narrower than 3.2 mm. Mean pedicle angle was 130 degrees at C3 and 140 degrees at C7. The contralateral laminar angle correlated well at C3, 4, 5 (R (2) = 0.9, C3 P = 0.002, C4 P = 0.06, C5 P = 0.0004) and was within 1 degrees of pedicle angle. At C6, 7 it was within 11 degrees . In all cases a line parallel to the lamina provided a safe corridor of 3 mm for a pedicle implant. The contralateral lamina provides a reliable intraoperative guide to the angle from the sagital plane for subaxial cervical pedicle instrumentation in adults.


Assuntos
Parafusos Ósseos/normas , Vértebras Cervicais/diagnóstico por imagem , Vértebras Cervicais/cirurgia , Fusão Vertebral/instrumentação , Fusão Vertebral/métodos , Feminino , Lateralidade Funcional/fisiologia , Humanos , Processamento de Imagem Assistida por Computador , Masculino , Monitorização Intraoperatória/métodos , Complicações Pós-Operatórias/prevenção & controle , Cuidados Pré-Operatórios/métodos , Estudos Retrospectivos , Caracteres Sexuais , Traumatismos da Medula Espinal/etiologia , Traumatismos da Medula Espinal/prevenção & controle , Tomografia Computadorizada por Raios X , Articulação Zigapofisária/anatomia & histologia , Articulação Zigapofisária/cirurgia
16.
Ann R Coll Surg Engl ; 100(6): e154-e157, 2018 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-29658340

RESUMO

Long-construct fixations can be complicated by proximal junctional kyphosis. In elderly, high-risk patients with numerous comorbidities, lengthy surgical times and increased blood loss associated with revision osteotomies and extension of fusions are not often tolerated and pose serious life-threatening risks. We present a salvage technique used in a patient with proximal junctional failure and demonstrate its role in improving symptoms and functionality in those not deemed fit for major surgery. Pre- and postoperative pain scores in accordance with the visual analogue scale, walking distances and radiographs were reviewed in a patient who underwent the salvage technique to ascertain the subjective and objective difference in pain and functionality. The patient showed marked improvement in pain scores and walking distances postoperatively. Additionally, the degree of proximal junctional kyphosis was lower on postoperative radiographs. While holding risks of its own, our described technique can be performed in select cases and is a good salvage procedure in high-risk patients. It prevents their exposure to the risks that accompany large revision operations and fusion models with further potential to fail. We recommend that our technique is performed only at specialist centres.


Assuntos
Cimentos Ósseos , Vértebras Lombares/cirurgia , Dor Pós-Operatória/terapia , Terapia de Salvação/métodos , Espondilolistese/cirurgia , Vértebras Torácicas/cirurgia , Feminino , Humanos , Cifose/complicações , Pessoa de Meia-Idade , Terapia de Salvação/instrumentação , Espondilolistese/complicações
17.
J Biomed Mater Res B Appl Biomater ; 106(2): 632-638, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-28276193

RESUMO

Recently the use of dissimilar metals in spine instrumentation has increased, especially in the case of adult deformities, where rods made from Cobalt Chrome alloys (CoCr) are used with Titanium (Ti) screws. The use of dissimilar metals increases the risk of galvanic corrosion and patients have required revision spine surgery due to severe metallosis that may have been caused by corrosion. We aimed to assess the presence of corrosion in spine implant retrievals from constructs with two types of material combinations: similar (Ti/Ti) and dissimilar (CoCr/Ti). First, we devised a grading score for corrosion of the rod-fixture junctions. Then, we applied this score to a collection of retrieved spine implants. Our proposed corrosion grading score was proven reliable (kappa > 0.7). We found no significant difference in the scores between 4 CoCr and 11 Ti rods (p = 0.0642). There was no indication that time of implantation had an effect on the corrosion score (p = 0.9361). We recommend surgeons avoid using implants designs with dissimilar metals to reduce the risk of corrosion whilst a larger scale study of retrieved spine implants is conducted. Future studies can now use our scoring system for spine implant corrosion. © 2017 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 106B: 632-638, 2018.


Assuntos
Ligas de Cromo/farmacologia , Remoção de Dispositivo , Próteses e Implantes/efeitos adversos , Coluna Vertebral/efeitos dos fármacos , Titânio/farmacologia , Adulto , Estudos de Coortes , Corrosão , Feminino , Humanos , Masculino , Parafusos Pediculares , Fatores de Risco , Coluna Vertebral/cirurgia , Fatores de Tempo
18.
Mol Biol Cell ; 11(4): 1257-73, 2000 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10749928

RESUMO

The mammalian proprotein convertases (PCs) are a family of secretory pathway enzymes that catalyze the endoproteolytic maturation of peptide hormones and many bioactive proteins. Two PCs, furin and PC6B, are broadly expressed and share very similar cleavage site specificities, suggesting that they may be functionally redundant. However, germline knockout studies show that they are not. Here we report the distinct subcellular localization of PC6B and identify the sorting information within its cytoplasmic domain (cd). We show that in neuroendocrine cells, PC6B is localized to a paranuclear, brefeldin A-dispersible, BaCl(2)-responsive post-Golgi network (TGN) compartment distinct from furin and TGN38. The 88-amino acid PC6B-cd contains sorting information sufficient to direct reporter proteins to the same compartment as full-length PC6B. Mutational analysis indicates that endocytosis is predominantly directed by a canonical tyrosine-based motif (Tyr(1802)GluLysLeu). Truncation and sufficiency studies reveal that two clusters of acidic amino acids (ACs) within the PC6B-cd contain differential sorting information. The membrane-proximal AC (AC1) directs TGN localization and interacts with the TGN sorting protein PACS-1. The membrane-distal AC (AC2) promotes a localization characteristic of the full-length PC6B-cd. Our results demonstrate that AC motifs can target proteins to distinct TGN/endosomal compartments and indicate that the AC-mediated localization of PC6B and furin contribute to their distinct roles in vivo.


Assuntos
Endossomos/metabolismo , Complexo de Golgi/metabolismo , Subtilisinas/metabolismo , Motivos de Aminoácidos , Sequência de Aminoácidos , Animais , Compostos de Bário/farmacologia , Brefeldina A/farmacologia , Proteínas de Transporte/metabolismo , Compartimento Celular , Linhagem Celular , Cloretos/farmacologia , Imunofluorescência , Furina , Complexo de Golgi/química , Dados de Sequência Molecular , Mutagênese Sítio-Dirigida , Pró-Proteína Convertase 5 , Estrutura Terciária de Proteína , Ratos , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Alinhamento de Sequência , Análise de Sequência de Proteína , Subtilisinas/química , Proteínas de Transporte Vesicular
19.
Mol Biol Cell ; 4(2): 159-72, 1993 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-8443414

RESUMO

We have visualized the distribution of autophosphorylated type II CaM kinase in neural tissue with the use of two complementary antibodies: a monoclonal antibody that binds to the alpha and beta subunits of the kinase only when they are autophosphorylated at threonine-286 (287 in beta) and affinity-purified rabbit antibodies that bind to both subunits only when they are not phosphorylated at these residues. We used these antibodies to double-label organotypic hippocampal cultures, detecting the mouse monoclonal antibody with rhodamine and the rabbit polyclonal antibodies with fluorescein. In double-exposed photographs, the ratios of intensities of the two fluorophores revealed the relative proportion of autophosphorylated and nonphosphorylated kinase in individual neurons throughout the cultures. We found that autophosphorylated and nonphosphorylated kinase are colocalized throughout most neurons rather than segregated within distinct cells or subcellular domains. However, the variations in intensity of the two fluorophores indicated that the proportion of autophosphorylated kinase is consistently higher in neuronal somas than in the neuropil. Incubation of the cultures in Ca2+ free medium dramatically reduced both the level of autophosphorylated kinase detected biochemically and the relative intensity of fluorescent staining with the phosphokinase specific monoclonal antibody. These results support the hypothesis that regulation of Ca(2+)-independent CaM kinase activity in vivo occurs by a dynamic equilibrium between autophosphorylation and dephosphorylation and that this equilibrium is maintained, at varying steady-state levels, in all parts of neurons.


Assuntos
Hipocampo/enzimologia , Proteínas Quinases/metabolismo , Sequência de Aminoácidos , Animais , Anticorpos Monoclonais/imunologia , Cálcio/metabolismo , Imunofluorescência , Técnicas In Vitro , Dados de Sequência Molecular , Neurônios/imunologia , Fosfoproteínas/imunologia , Fosfoproteínas/metabolismo , Fosforilação , Fosfotreonina/imunologia , Proteínas Quinases/imunologia , Ratos , Proteínas Recombinantes/imunologia
20.
Aust Vet J ; 95(3): 55-63, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28239863

RESUMO

OBJECTIVE: To estimate the home range (HR) and investigate the potential predictors for roaming of 58 dogs in four Aboriginal communities in the Northern Territory. DESIGN: Prospective study. PROCEDURE: Global positioning system (GPS) collars were attached to the dogs for 1-4 days, recording location fixes every 1-3 min. Utilisation distributions (UDs) and extended (95% isopleth) and core (50% isopleth) HRs of dogs were determined. Potential predictors of roaming were assessed. RESULTS: Estimated core (median, 0.27 ha) and extended (median, 3.1 ha) HRs differed significantly (P = 0.0225 and 0.0345, respectively) between the four communities; dogs in the coastal community travelled significantly (P < 0.0001) more per day than dogs in the three inland communities studied. Significant associations were found between extended HR size and sex (P = 0.0050) and sex + neuter (P = 0.0218), and between core HR size and sex (P = 0.0010), neuter status (P = 0.0255) and sex + neuter (P = 0.0025). Entire males roamed more than neutered females. The core HR of dogs with poor/fair body condition scores (BCSs) was larger than dogs with ideal/obese BCSs (P = 0.0394). Neutered male dogs also travelled more per day than entire female dogs (P = 0.0475). CONCLUSIONS: Roaming information can be used to inform the management of dogs in remote communities and to design disease control programs. Widespread data collection across the Northern Territory should be undertaken to further investigate the associations found in this study, considering that data were collected during relatively short periods of time in one season.


Assuntos
Cães/psicologia , Comportamento Espacial , Fatores Etários , Animais , Comportamento Animal , Feminino , Sistemas de Informação Geográfica , Humanos , Masculino , Havaiano Nativo ou Outro Ilhéu do Pacífico , Northern Territory , Densidade Demográfica , População Rural , Fatores Sexuais
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