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1.
Poult Sci ; 89(10): 2147-56, 2010 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-20852106

RESUMO

The objective of this research was to determine the efficacy of 2 types of adsorbents [hydrated sodium calcium aluminosilicates (HSCAS) vs. a combination of clay and yeast cell wall] in preventing aflatoxicosis in broilers. A total of 275 one-day-old birds were randomly divided into 11 treatments, with 5 replicate pens per treatment and 5 chicks per pen. The 11 treatments included 3 diets without any adsorbent containing either 0, 1, or 2 mg/kg of aflatoxin B1 (AFB1) plus 8 additional treatments employing 2 dietary levels of AFB1 (1 or 2 mg/kg), 2 different adsorbents [Solis (SO) and MTB-100 (MTB)], and 2 different levels of each absorbent (0.1 and 0.2%) in a 2×2×2 factorial arrangement. Solis is a mixture of different HSCAS and MTB is a combination of clay and yeast cell wall. Feed and water were provided ad libitum throughout the 21-d study period. Body weight gain and feed intake were depressed and relative liver weight was increased in chicks fed AFB1 compared with the positive control (P<0.05). Severe liver damage was observed in chicks fed 2 mg/kg of AFB1 with lesions consistent with aflatoxicosis, including fatty liver and vacuolar degeneration. Serum glucose, albumin, total protein, Ca, P, and alkaline phosphatase concentrations were reduced by AFB1 (P<0.05). The addition of either SO or MTB ameliorated the negative effects of 1 mg/kg of AFB1 on growth performance and liver damage (P<0.05). However, supplemental MTB failed to diminish the negative effects of 2 mg/kg of AFB1, whereas SO was more effective compared with MTB at 2 mg/kg of AFB1 (P<0.05). These data indicate that the HSCAS product effectively ameliorated the negative effect of AFB1 on growth performance and liver damage, whereas the yeast cell wall product was less effective especially at the higher AFB1 concentration.


Assuntos
Aflatoxinas/toxicidade , Silicatos de Alumínio/uso terapêutico , Parede Celular/química , Micotoxicose/prevenção & controle , Doenças das Aves Domésticas/prevenção & controle , Leveduras/citologia , Ração Animal , Fenômenos Fisiológicos da Nutrição Animal , Animais , Galinhas , Dieta/veterinária , Suplementos Nutricionais , Contaminação de Alimentos , Fígado/efeitos dos fármacos , Fígado/patologia , Doenças das Aves Domésticas/sangue
2.
Plant Cell ; 7(5): 499-506, 1995 May.
Artigo em Inglês | MEDLINE | ID: mdl-12242376

RESUMO

Promoter elements from the wheat Em gene have been characterized. These elements are inducible by abscisic acid (ABA) and by osmotic stress. In this study, we demonstrated that the same promoter elements function in a distantly related plant species, the moss Physcomitrella patens. Transient and stable expression of the [beta]-glucuronidase reporter gene was used to determine that the heterologous wheat promoter also responds to osmotic stress and ABA in moss. Mutational analysis of the promoter indicated that the mechanism of gene regulation is conserved in both species. Gel retardation and DNase I footprint analyses were conducted to characterize further the interaction of moss transcription factors with the Em promoter. In addition, the synthesis of stress-related polypeptides in moss was observed. The evolutionary significance of these data and the potential for studying the entire ABA perception-response pathway in moss are discussed.

3.
Poult Sci ; 86(5): 877-87, 2007 May.
Artigo em Inglês | MEDLINE | ID: mdl-17435021

RESUMO

Mintrex Zn, Mintrex Cu, and Mintrex Mn organic trace minerals contain 16% Zn, 15% Cu, and 13% Mn with 80, 78, and 76% 2-hydroxy-4-(methylthio)butanoic acid (HMTBA) by weight as the organic ligand, respectively. Our objective was to determine if HMTBA from Mintrex was fully available as a Met source. In experiment 1, thirty-six broilers (7 to 10 d old) were orally gavaged with methyl-(14)C-labeled HMTBA, either as free HMTBA (Alimet feed supplement) or Zn bis(-2-hydroxy-4-methylthiobutyrate) (Mintrex Zn). Radiolabel incorporation from either source into protein was measured as a marker of bioavailable Met activity. Results demonstrated that the HMTBA from Mintrex Zn was equally available as free HMTBA to support protein synthesis. In experiment 2, five hundred seventy-six 1-d-old broilers were allotted to 12 dietary treatments (TRT) for a 21-d growth assay. A TSAA-deficient diet containing 0.70% total TSAA (TRT 1) was supplemented with 0.05, 0.10, 0.15, and 0.20% free HMTBA (TRT 2 to 5) to establish the standard Met response curve. Treatment 6 was analogous to TRT 2 but had an additional 160 ppm Zn, 80 ppm Cu, and 160 ppm Mn as sulfates. Treatments 7 to 12 were identical to TRT 2 but supplemented with 40 or 160 ppm Zn from Mintrex Zn, 20 or 80 ppm Cu from Mintrex Cu, or 40 or 160 ppm Mn from Mintrex Mn, respectively. For TRT 1 through 6, growth performance increased due to increasing Met addition (P < 0.01) but not to increasing inorganic trace minerals. For Mintrex Zn, Cu, and Mn (TRT 7 to 12), there was a linear increase in cumulative gain:feed ratio (P < 0.04), and for Mintrex Zn and Mn, there was a linear increase in cumulative gain (P < 0.03) to increasing Mintrex addition. A 1-slope broken-line model was used to calculate bioavailable Met activity from Mintrex for comparison with actual intake values. Results indicated that HMTBA from Mintrex was fully available as a Met source.


Assuntos
Ração Animal , Galinhas/crescimento & desenvolvimento , Galinhas/metabolismo , Metionina/metabolismo , Oligoelementos/metabolismo , Fenômenos Fisiológicos da Nutrição Animal , Animais , Dieta/veterinária , Suplementos Nutricionais , Duodeno/química , Marcação por Isótopo , Jejuno/química , Fígado/química , Masculino , Músculo Esquelético/química , Pâncreas/química
4.
Poult Sci ; 96(4): 817-828, 2017 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-27587727

RESUMO

An experiment was conducted to characterize a gut health challenge model consisting of a diet containing rye, wheat, and feather meal and a mild mixed-species Eimeria challenge, and to evaluate the effect of carbohydrase and protease on growth performance and gut health of young broilers. The study included 4 treatments: negative control, carbohydrase alone, protease alone, and combination of carbohydrase and protease. Each test diet was fed to 18 battery pens of broilers with 8 male birds per pen from 0 to 22 d of age. Carbohydrase improved body weight, feed intake, and feed conversion ratio (FCR) on d 7, 14, and 21(P < 0.01). Protease increased body weight on d 7 and 21 and improved 0 to 7 d FCR (P < 0.05). More lymphocyte infiltration was observed in small intestine mucosa of negative control birds on d 8, carbohydrase supplementation lessened this. Both carbohydrase and protease reduced digesta viscosity on d 22 with the carbohydrase effect being the greater of the two, and the combination effect was not different from the carbohydrase effect alone (P < 0.01). Ileal Clostridium perfringens of 15-day-old broilers was decreased by carbohydrase, a further reduction was achieved by combining carbohydrase with protease (P = 0.01). Liver vitamin E concentration on d 15 (P < 0.01) and 22 (P = 0.02) was increased by carbohydrase, and the carbohydrase effect was greater in the presence of protease on d 22 (P = 0.04). Plasma α-1-acid glycoprotein level and liver Zn and Cu concentrations of broilers were reduced by carbohydrase on d 15 (P < 0.01). Broilers fed carbohydrase had higher levels of plasma zeaxanthin on d 22 and higher levels of plasma lutein on d 15 and 22 (P < 0.01). In summary, a rye wheat based diet containing feather meal when fed to broilers in addition to a mild Eimeria challenge induced subclinical enteritis characterized by digestion inefficiency, dysbacteriosis, inflammation, and gut barrier failure; carbohydrase and protease could be effective tools to improve growth performance and gut health of broilers suffering from this type of subclinical enteritis.


Assuntos
Fenômenos Fisiológicos da Nutrição Animal , Galinhas/crescimento & desenvolvimento , Suplementos Nutricionais , Glicosídeo Hidrolases/metabolismo , Íleo/fisiologia , Peptídeo Hidrolases/metabolismo , Ração Animal/análise , Animais , Infecções Assintomáticas , Galinhas/metabolismo , Infecções por Clostridium/microbiologia , Infecções por Clostridium/prevenção & controle , Infecções por Clostridium/veterinária , Clostridium perfringens/fisiologia , Dieta/veterinária , Suplementos Nutricionais/análise , Digestão/efeitos dos fármacos , Enterite/microbiologia , Enterite/prevenção & controle , Enterite/veterinária , Plumas , Glicosídeo Hidrolases/administração & dosagem , Íleo/efeitos dos fármacos , Íleo/microbiologia , Masculino , Peptídeo Hidrolases/administração & dosagem , Doenças das Aves Domésticas/microbiologia , Doenças das Aves Domésticas/prevenção & controle , Secale , Triticum
5.
Poult Sci ; 85(4): 693-705, 2006 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-16615353

RESUMO

The purpose of this paper was to compile all available literature comparing the relative performance of 2-hydroxy-4-methylthio butanoic acid (HMTBA) with DL-methionine (DLM) in broiler chickens and using multiple regression techniques, to estimate the predicted dose responses and relative performance of the 2 Met compounds for gain and feed conversion (FC). A database was developed that contained all available broiler studies in which HMTBA and DLM were both present in the same study; weight gain was recorded; Met addition, age of birds, and duration of study were defined; and an unsupplemented control treatment was present. Sixty-two references complied with these criteria and included 100 experiments with 427 observations for HMTBA and 411 for DLM. Multiple regression analysis of the database was used to identify the experimental and dietary conditions that contributed to the gain and FC responses of each source of Met activity. All identified variables contributed similarly to each Met source prediction model and both gain and FC models described a quadratic dose response. Under the average conditions of the database, the predicted responses for gain and FC models did not significantly differ between HMTBA and DLM. However, a trend was observed (P < or = 0.1) for the peak gain response for HMTBA to be numerically greater than DLM, suggesting benefits of HMTBA over DLM in the region of supplementation that is commercially relevant. The experimental and nutritional conditions that contribute to the response to HTMBA and DLM were identified and are discussed in the paper. This statistical approach provided a means to summarize the results obtained from a multitude of studies conducted over the last 5 decades and has provided a meaningful estimate of the relative performance of the 2 sources of Met activity. The lack of differences between the 2 predicted models under experimental and commercial conditions supports an overall conclusion of equal performance of DLM and HTMBA when compared on an equal molar basis.


Assuntos
Galinhas/crescimento & desenvolvimento , Suplementos Nutricionais , Metionina/análogos & derivados , Metionina/farmacologia , Fenômenos Fisiológicos da Nutrição Animal , Animais , Bases de Dados Factuais , Relação Dose-Resposta a Droga , Feminino , Masculino , Modelos Biológicos , Análise Multivariada , Aumento de Peso/efeitos dos fármacos
6.
Poult Sci ; 85(8): 1409-20, 2006 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-16903471

RESUMO

The objective of this study was to compare the gain-response curve to dietary levels of 2-hydroxy-4(methylthio) butanoic acid (HMTBA) and DL-Met (DLM) across 4 floor pen trials in which different diets were used. Six replicates of 38 or 41 birds per pen (trials 1 to 2 and 3 to 4, respectively) were used in a 2 x 3 factorial arrangement. A control with 12 replicates was also included. The 2 Met sources were fed at 3 equimolar levels equally spaced, with the highest level added at requirements from 1 to 48, 49, 43, or 49 d for trials 1, 2, 3, and 4, respectively. Commercial-type TSAA-deficient control diets contained sorghum, wheat, corn, or corn plus meat and bone meal for trials 1, 2, 3, and 4, respectively. Performance improved at all times for most parameters after supplementing with HMTBA or DLM (P < 0.05). No differences were found in the birds fed HMTBA or DLM at any age and trial (P > 0.05), except for trial 1, in which 17-d-old birds performed better when fed HMTBA than DLM (P < 0.05). In each trial, linear, quadratic, and exponential regressions were conducted upon the gain response of birds fed HMTBA and DLM separately. Equations with better goodness of fit were used to compare the estimated gain responses to feeding HMTBA vs. DLM. In 3 trials, the shape of the gain-response curve differed when feeding HMTBA vs. DLM. In trials 3 and 4, feeding HMTBA at commercial levels resulted in greater gain responses than DLM (P < 0.05), whereas, in trials 2 and 4, at very deficient levels, DLM-fed birds outperformed those fed HMTBA (P < 0.05). When the 4 trials were combined, the dose-response curve with the best goodness of fit was linear for HMTBA and quadratic for DLM. It can be concluded that the 2 Met sources have a different dose-response form, HMTBA could outperform DLM at commercial levels, and DLM could outperform HMTBA at deficient levels.


Assuntos
Galinhas/crescimento & desenvolvimento , Metionina/análogos & derivados , Metionina/administração & dosagem , Necessidades Nutricionais , Estado Nutricional , Fenômenos Fisiológicos da Nutrição Animal , Animais , Galinhas/metabolismo , Relação Dose-Resposta a Droga , Masculino , Metionina/química , Metionina/metabolismo , Distribuição Aleatória , Aumento de Peso/efeitos dos fármacos
7.
Poult Sci ; 84(2): 283-93, 2005 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-15742965

RESUMO

Seven hundred and twenty hatchling broilers were allotted to 12 treatment groups. Groups 1 and 2 were fasted for 48 h posthatch; groups 3 and 4 were fasted for 48 h followed by ad libitum access to a 1% glutamine (Gln) diet; groups 5 and 6 had ad libitum access to a common diet; groups 7 and 8 had access to a 1% Gln diet posthatch; groups 9 and 10 were fed regular Oasis hatchling supplement; and groups 11 and 12 were fed Oasis sprayed with 1% Gln for the first 48 h posthatch. The birds in treatment groups 2, 4, 6, 8, 10, 11, and 12 were vaccinated with Eimeria maxima posthatch, and all birds were orally challenged with high dose E. maxima on d 22. During the first 2 wk, birds in group 7 had the highest gain and feed efficiency among treatments (P < 0.01). Compared with birds in the nonGln groups, birds in the Gln group had higher gain, feed efficiency, and livability (P < 0.05). Among the Fast (groups 1 to 4), Feed (groups 5 to 8), and Oasis (groups 9 to 12) groups, birds in the Feed groups had the highest gain during d 0 to 21 (P < 0.01). During d 22 to 28, birds in the Fast groups had the lowest BW and livability (P < 0.01), and the nonvaccinated birds had lower gain and feed efficiency relative to vaccinated birds (P < 0.01). Birds in the Feed and Oasis groups had higher villus height (VH) of mid small intestine than Fast groups at d 2 and 7 (P < 0.05), and nonvaccinated birds had higher VH than vaccinated birds (P < 0.01) at d 7 after hatch. On d 14, there were differences in serum interferon-gamma (P < 0.05) levels among treatments. During d 22 to 28, vaccinated birds had lower lesion scores in the mid small intestine than nonvaccinated birds (P < 0.01), and birds in the Feed or Oasis groups had lower lesion scores compared with the Fast groups (P < 0.02). These results indicated the importance of immediate access to feed posthatch, the beneficial effects of feeding Oasis hatching supplement and Gln after hatch, as well as the necessity of the vaccination program against coccidiosis challenge.


Assuntos
Ração Animal , Galinhas/crescimento & desenvolvimento , Coccidiose/prevenção & controle , Glutamina/farmacologia , Doenças das Aves Domésticas/prevenção & controle , Vacinas Protozoárias/imunologia , Ração Animal/análise , Animais , Galinhas/imunologia , Coccidiose/patologia , Dieta/veterinária , Eimeria/imunologia , Feminino , Interferon gama/sangue , Interleucina-2/sangue , Enteropatias Parasitárias/patologia , Enteropatias Parasitárias/prevenção & controle , Intestinos/patologia , Masculino , Doenças das Aves Domésticas/patologia
8.
Endocrinology ; 132(3): 1297-304, 1993 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-7679976

RESUMO

After ovariectomy (ovx), FSH beta mRNA levels and serum FSH increase 2- to 3-fold within 12 h, and this persists in the presence of a GnRH antagonist. As a fall in plasma estradiol and progesterone appears to regulate FSH beta via increased GnRH secretion, it is thought that the acute (by 2 h) changes in FSH beta mRNA after ovx reflect falling levels of plasma inhibin. The current study addressed the following questions. 1) Does a reduction of circulating inhibin (via passive immunoneutralization or gonadectomy) increase FSH beta mRNA levels? 2) If so, are the acute increases in FSH beta mRNA associated with changes in the transcription rate? Adult male and female rats received 0.5 ml antiinhibin antiserum, iv, and were killed 2 or 12 h later. A second group of rats was gonadectomized; some received a GnRH antagonist and were killed at various intervals between 2 h and 7 days later. In adult males, no change in gonadotropin mRNA levels was observed after either addition of inhibin antiserum or removal of the testes. In contrast, in adult female rats, both ovx and inhibin antiserum increased FSH beta mRNA levels (2-fold) within 2 h, and a similar increase occurred in the presence of a GnRH antagonist. To determine if the increase in FSH beta resulted from increased mRNA synthesis, adult female rats were ovx, and half received a GnRH antagonist. Animals were killed 2 or 12 h later, and transcription rates were measured by nuclear run-off assay in pituitaries pooled from three rats. The transcription rate of the alpha-subunit, although not altered by ovx, was decreased in animals receiving the GnRH antagonist. Transcription of the LH beta gene was increased within 2 h after ovx, a change that was abolished by the GnRH antagonist. mRNA concentrations of either alpha or LH beta do not increase acutely after ovx, suggesting that GnRH regulates alpha and LH beta gene transcription and 12 h or more of mRNA synthesis are required to increase cytoplasmic concentrations. The FSH beta gene transcription rate was unchanged in both ovx and GnRH antagonist-treated animals, but serum FSH increased at 12 h. These data indicate that the rapid GnRH-independent increase in FSH beta mRNA levels seen immediately after ovx is not associated with altered mRNA synthesis and suggest that inhibin may also regulate FSH beta gene expression through nontranscriptional mechanisms.


Assuntos
Hormônio Foliculoestimulante/sangue , Hormônio Foliculoestimulante/genética , Inibinas/fisiologia , Ovariectomia , Hipófise/fisiologia , RNA Mensageiro/metabolismo , Transcrição Gênica , Animais , Feminino , Hormônio Foliculoestimulante/biossíntese , Hormônio Foliculoestimulante/metabolismo , Subunidade beta do Hormônio Folículoestimulante , Subunidade alfa de Hormônios Glicoproteicos/genética , Inibinas/sangue , Inibinas/imunologia , Cinética , Hormônio Luteinizante/biossíntese , Hormônio Luteinizante/sangue , Hormônio Luteinizante/genética , Hormônio Luteinizante/metabolismo , Masculino , Testes de Neutralização , Ratos , Valores de Referência , Fatores de Tempo
9.
Mayo Clin Proc ; 58(7): 472-5, 1983 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-6865480

RESUMO

Considerable morbidity and mortality are associated with infections of vascular prosthetic grafts. Most vascular surgeons believe that once vascular prosthetic graft infections occur, any form of therapy short of removal of the prosthesis will fail. Although recent reports have noted the successful conservative treatment of vascular prosthetic graft infections in the groin, most surgeons have been hesitant to use such therapy for aortic prosthetic graft infections. We describe an 88-year-old woman with an aortic graft infection 2 months after abdominal aortic aneurysmectomy who was treated successfully with local debridement and continuous irrigation of the graft bed with providone-iodine solution. Such local therapy is an alternative and sometimes effective method of managing patients with infected aortic grafts in whom the risk of resection of the prosthesis and revascularization would be prohibitive.


Assuntos
Doenças da Aorta/tratamento farmacológico , Prótese Vascular/efeitos adversos , Povidona-Iodo/uso terapêutico , Povidona/análogos & derivados , Infecção da Ferida Cirúrgica/tratamento farmacológico , Irrigação Terapêutica , Idoso , Aorta Abdominal/cirurgia , Aneurisma Aórtico/cirurgia , Desbridamento , Feminino , Humanos , Infecção da Ferida Cirúrgica/etiologia
10.
Mayo Clin Proc ; 60(11): 772-5, 1985 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-3877220

RESUMO

Duodenal duplication cysts are rare malformations that characteristically manifest with intestinal obstruction. In a 50-year experience, we found a duodenal duplication cyst in only three patients, one of whom had massive gastrointestinal bleeding as the initial symptom. Six other duplication cysts (two esophageal, one jejunal, and three ileal) were found. All patients who had extraduodenal intestinal cysts were neonates or infants who initially had an abdominal mass or obstruction. Of the two patients with an esophageal cyst, one had odynophagia and the other had respiratory obstruction. Unusual features of our series of patients were male preponderance (eight of nine patients), the low incidence of other developmental abnormalities, and, in the patients with the duodenal cysts, an age of 14 years or older at the time of onset of symptoms and diagnosis. In an adult, a duodenal duplication cyst may cause upper gastrointestinal hemorrhage. This cause of gastrointestinal bleeding should be considered in the differential diagnosis if an intramural duodenal mass is detected within the medial wall of the second portion of the duodenum distal to the papilla of Vater.


Assuntos
Cistos/complicações , Duodeno/anormalidades , Hemorragia Gastrointestinal/etiologia , Enteropatias/complicações , Adulto , Cistos/cirurgia , Hemorragia Gastrointestinal/cirurgia , Humanos , Enteropatias/cirurgia , Masculino
11.
Psychoneuroendocrinology ; 17(2-3): 223-9, 1992.
Artigo em Inglês | MEDLINE | ID: mdl-1438647

RESUMO

We studied the effect of imipramine (IMI) on thyroid releasing hormone (TRH)-induced urinary urgency as a way of investigating the mechanism of the beneficial effect of IMI on enuresis. In a double-blind study, 12 normal, healthy men between 21 and 39 yr of age ranked their urge to urinate at 30-sec intervals following IV injection of TRH (500 micrograms) or saline. The subjects then were randomly assigned to either IMI (1 mg/kg) or placebo groups for 10 days, and the procedure was repeated. Compared to saline, TRH produced a significant elevation in urinary urgency in all subjects. IMI did not significantly blunt TRH-induced urinary urgency. Thus, the mechanism by which IMI affects enuresis is likely not mediated at the level of the urinary urgency induced by TRH.


Assuntos
Imipramina/farmacologia , Hormônio Liberador de Tireotropina , Micção/efeitos dos fármacos , Urodinâmica/efeitos dos fármacos , Adulto , Relação Dose-Resposta a Droga , Método Duplo-Cego , Enurese/fisiopatologia , Humanos , Masculino , Método Simples-Cego , Tireotropina/sangue , Hormônio Liberador de Tireotropina/fisiologia , Tiroxina/sangue , Tri-Iodotironina/sangue , Micção/fisiologia , Urodinâmica/fisiologia
12.
Surgery ; 88(5): 710-4, 1980 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-7434211

RESUMO

The technique using the EEA stapler for low anterior resection of the rectum has been modified to permit a low anastomosis that can be done with greater facility and safety. The method eliminates the bulky puckering of the ampullary purse string and avoids the disadvantage of joining segments of bowel of different sizes. It also decreases intraoperative contamination and minimizes chances for sepsis. Additionally, it affords an opportunity to check the integrity of the anastomosis. Success of the method seems to document the safety of stapling across a staple line. Results of this method used in a small group of patients are encouraging.


Assuntos
Reto/cirurgia , Grampeadores Cirúrgicos , Humanos
13.
Surgery ; 99(4): 385-91, 1986 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-3952663

RESUMO

Eighteen patients seen between 1974 and 1982 with the clinical diagnosis of inflammatory breast carcinoma underwent modified radical mastectomy after preoperative chemotherapy and radiation therapy. In 17 of the 18 patients (94%), residual carcinoma was detected in either the resected breast or the axillary nodes. All mastectomies were accomplished without major technical difficulty. Seven wound complications, including three infections, occurred. Local recurrence was noted in 29% (five of 17 patients) and distant metastasis was detected in 89% (16 of 18 patients). Only three patients are presently alive without evidence of disease 19, 21, and 21 months since the onset of symptoms. Eleven patients have died, the median survival being 23 months since the development of symptoms, and four are alive with distant metastasis. Modified radical mastectomy can be accomplished in patients with inflammatory breast cancer after preoperative chemotherapy and radiation therapy and may have a role in reducing local tumor burden.


Assuntos
Neoplasias da Mama/cirurgia , Adulto , Idoso , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Neoplasias da Mama/tratamento farmacológico , Neoplasias da Mama/radioterapia , Terapia Combinada , Feminino , Humanos , Mastectomia , Mastite/patologia , Pessoa de Meia-Idade , Metástase Neoplásica , Recidiva Local de Neoplasia , Complicações Pós-Operatórias , Fatores de Tempo , Cicatrização
14.
Arch Surg ; 130(1): 99-101, 1995 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-7802586

RESUMO

OBJECTIVE: To determine if postoperative shoulder immobilization decreases the incidence of postmastectomy seromas. DESIGN AND SETTING: A prospective randomized trial of three surgeons' experiences at a community hospital. PATIENTS: Thirty-eight patients who underwent modified radical mastectomy from March 1991 through February 1993. MAIN OUTCOME MEASURES: Incidence of postmastectomy seromas and time required for patients to gain 110 degrees of shoulder abduction after surgery. RESULTS: Thirteen (72%) of 18 wounds in the maximum range of motion cohort developed seromas (72%) compared with one (6%) of 17 in the minimum range of motion cohort (P = .0005). The average time required for the patients with maximum range of motion to gain 110 degrees of shoulder abduction was 2.6 weeks, whereas the patients with minimum range of motion required an average of 5.0 weeks (P = .0127). CONCLUSION: Postmastectomy shoulder immobilization significantly decreases the incidence of wound seromas. Although this protocol resulted in a delay in return to normal shoulder mobility, no patients sustained long-term musculoskeletal dysfunction.


Assuntos
Exsudatos e Transudatos , Imobilização , Mastectomia Radical Modificada/efeitos adversos , Articulação do Ombro , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Pessoa de Meia-Idade , Complicações Pós-Operatórias/prevenção & controle , Estudos Prospectivos , Amplitude de Movimento Articular , Articulação do Ombro/fisiologia
15.
Arch Surg ; 118(11): 1305-8, 1983 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-6357147

RESUMO

We report our experience with 1,000 consecutive abdominal wound closures using continuous monofilament polypropylene (Prolene) sutures. Wound dehiscence occurred in four patients (0.4%), and incisional hernia occurred in seven patients (0.7%). The incidence of persistent suture sinus was less than 1%. A comparison of these results with the reported data showed that this method was at least equal to other types of wound closure. While the polypropylene suture is more difficult to handle than traditional sutures, it is probably the preferred suture for contaminated and dirty wounds. It has eliminated the need for retention sutures in our practice, and its use as a continuous, running closure has offered the advantage over the usual interrupted technique of being simpler, faster, and more cost effective. Sepsis has continued to be the greatest cause of failure of abdominal wounds to heal.


Assuntos
Abdome/cirurgia , Plásticos , Polipropilenos , Suturas , Hérnia/etiologia , Humanos , Estudos Retrospectivos , Deiscência da Ferida Operatória/etiologia , Técnicas de Sutura
16.
Am J Surg ; 149(1): 113-9, 1985 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-2981486

RESUMO

We found the clinical features of fibrolamellar hepatoma similar to those of nonfibrolamellar hepatoma with the exception of patient age. Although the histopathologic findings of fibrolamellar hepatoma are distinct and easily recognizable, we found that fibrolamellar hepatomas may be histologically heterogeneous. The overall length of survival of patients with fibrolamellar hepatoma was greater than that of patients with nonfibrolamellar hepatoma, but the survival resection was similar, regardless of histologic characteristics. Differences in overall survival between histologic subtypes probably reflects differences in the rate of resectability between fibrolamellar and nonfibrolamellar hepatomas.


Assuntos
Carcinoma Hepatocelular/patologia , Neoplasias Hepáticas/patologia , Adolescente , Adulto , Idoso , Carcinoma Hepatocelular/mortalidade , Carcinoma Hepatocelular/cirurgia , Carcinoma Hepatocelular/ultraestrutura , Feminino , Humanos , Neoplasias Hepáticas/mortalidade , Neoplasias Hepáticas/cirurgia , Neoplasias Hepáticas/ultraestrutura , Masculino , Pessoa de Meia-Idade , Metástase Neoplásica , Recidiva Local de Neoplasia , Prognóstico
17.
Surg Clin North Am ; 64(3): 579-90, 1984 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-6379933

RESUMO

The EEA stapler now offers an alternative to hand-sewn techniques for primary and staged low colorectal anastomoses. The stapler may allow a safer and lower resection than was previously possible. A review of 52 primary and 8 staged EEA anastomoses is presented, with emphasis on the combined stapler technique.


Assuntos
Reto/cirurgia , Grampeadores Cirúrgicos , Técnicas de Sutura , Estudos de Avaliação como Assunto , Feminino , Humanos , Masculino , Doenças Retais/cirurgia , Técnicas de Sutura/instrumentação
18.
Environ Exp Bot ; 29(1): 57-70, 1989 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-11541036

RESUMO

An increasing number of studies on tropic responses includes the genetic analysis of mutants defective in these morphogenetic processes. This review collates the information and discusses the implications of this approach to such studies. The review is organized on a systematic basis because most genetic analyses are insufficiently complete for general principles to have emerged. The most advanced analyses are those of lower eukaryotes because of their haploidy and the ease with which they can be manipulated in vitro. The extensive studies of phototropism, gravitropism and autochemotropism in the fungus Phycomyces blakesleeanus and of phototropism, polarotropism and gravitropism in the moss Physcomitrella patens are reviewed. In comparison with these studies, the genetic analysis of tropic responses in particular species of flowering plants is more limited. However, comparative physiological and ultra-structural studies of individual mutant and wild-type strains have been performed for a number of species. These results are discussed with particular regard to their support for established hypotheses.


Assuntos
Bryopsida/genética , Magnoliopsida/genética , Mutação , Phycomyces/genética , Tropismo/genética , Bryopsida/crescimento & desenvolvimento , Bryopsida/fisiologia , Bryopsida/ultraestrutura , Polaridade Celular/genética , Quimiotaxia/genética , Genes Fúngicos , Genes de Plantas , Gravitropismo/genética , Magnoliopsida/crescimento & desenvolvimento , Magnoliopsida/fisiologia , Magnoliopsida/ultraestrutura , Fototropismo/genética , Phycomyces/crescimento & desenvolvimento , Phycomyces/fisiologia , Phycomyces/ultraestrutura , Plastídeos/fisiologia
19.
J Anim Sci ; 59(6): 1519-28, 1984 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-6396292

RESUMO

An experiment using 32 pigs in a 2(3) factorial arrangement of treatments was used to determine the effects on the (1) level of iron dextran supplementation, (2) iv infusion of an Escherichia coli 263 culture filtrate and (3) presence of E. coli 263 in a ligated intestinal segment, on the ability of the young pig to limit systemic Fe availability. Iron dextran was administered im 3 d postpartum. Culture filtrate was infused iv, E. coli were injected into ligated intestines and blood sampling was started at 14 d postpartum. Blood was taken every 2 h for 22 h, after which pigs were euthanized and livers, spleens and kidneys were removed. Pigs receiving 400 mg of iron dextran (HiFe) exhibited greater serum Fe (SFe) and lower total Fe-binding capacity (TIBC) than pigs injected with 100 mg Fe (LoFe). The effects of the E. coli culture filtrate infusion appeared to be associated with endotoxin-induced circulatory shock. The presence of E. coli in the intestine increased TIBC in LoFe pigs, but not in HiFe pigs. The increase in TIBC coincided with the time of maximal fluid secretion into the intestine. Intestinal E. coli also caused an increase in liver Fe content, particularly in HiFe pigs. These data suggest that intestinal E. coli can cause a shift of Fe from the plasma to the reticuloendothelial system, and pigs receiving high supplemental dosages of Fe are less able to limit the availability of Fe to microorganisms.


Assuntos
Toxinas Bacterianas/farmacologia , Infecções por Escherichia coli/veterinária , Escherichia coli , Complexo Ferro-Dextran/administração & dosagem , Ferro/metabolismo , Doenças dos Suínos/metabolismo , Suínos/metabolismo , Animais , Toxinas Bacterianas/administração & dosagem , Disponibilidade Biológica , Glicemia/metabolismo , Infecções por Escherichia coli/metabolismo , Alimentos Fortificados , Infusões Parenterais/veterinária , Intestinos/microbiologia , Ferro/sangue , Especificidade de Órgãos
20.
J Anim Sci ; 71(8): 2180-6, 1993 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-8376243

RESUMO

An experiment was conducted with 24 crossbred (Landrace x Yorkshire x Duroc) finishing pigs (mean BW 85 kg) to study the effects of a single 100-mg recombinant porcine somatotropin (rpST) implant on the tissue mineral status of pigs exposed to either a thermoneutral (TN; 18 to 21 degrees C, 50 to 55% RH) or cold (C; 5 to 15 degrees C, 50 to 70% RH) environment until BW averaged 110 kg. The implants used in this study delivered an average 2.4 to 2.5 mg of rpST/d during the course of the study. Control pigs were implanted with a placebo. All diets were supplemented with minerals at levels that either met or exceeded the requirements of an 85-kg pig. At slaughter (mean BW 110 kg), tissues were collected and analyzed for selected macro- and microminerals. Pigs treated with rpST had higher (P < .05) Ca concentrations and total Ca in liver and kidney and higher (P < .05) Ca concentrations in muscle. Total P, Mg, Na, and K were all higher (P < .05) in the liver and kidneys of rpST-treated pigs. In general, rpST had little influence on Cu, Zn, and Fe in tissues. No consistent trend was evident in the response of tissue minerals to environmental temperature. Results indicated that pigs treated with rpST and supplemented with adequate minerals accumulated more minerals in certain tissues than did pigs not given rpST.


Assuntos
Hormônio do Crescimento/farmacologia , Minerais/farmacocinética , Suínos/metabolismo , Temperatura , Animais , Osso e Ossos/metabolismo , Implantes de Medicamento , Feminino , Hormônio do Crescimento/administração & dosagem , Rim/metabolismo , Fígado/metabolismo , Masculino , Minerais/administração & dosagem , Músculos/metabolismo , Miocárdio/metabolismo , Proteínas Recombinantes/administração & dosagem , Proteínas Recombinantes/farmacologia , Baço/metabolismo , Suínos/crescimento & desenvolvimento , Distribuição Tecidual/efeitos dos fármacos , Aumento de Peso/efeitos dos fármacos
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