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1.
J Intellect Disabil Res ; 52(11): 942-9, 2008 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-18393957

RESUMO

BACKGROUND: There is increasing recognition of depression in people with intellectual disabilities (ID). There is a need to develop well-standardised self-report measures for both clinical and research purposes. This paper presents some psychometric properties of the Hospital Anxiety and Depression Scale (HADS) adapted for use with people with ID. The anhedonic emphasis in the depression scale of the HADS may be particularly useful for people with ID who present with high rates of physical co-morbidity. METHOD: A total of 197 people with ID completed an adapted HADS; 32 participants also completed the Zung Depression Scale and 42 also completed the Glasgow Depression Scale. RESULTS: The obtained factor structure is similar to the original form of the scale used with people without ID. However, the underlying question wording of the HADS, where most depression items are phrased positively and most anxiety items are phrased negatively, makes clear interpretation of the factor structure difficult. The HADS has an adequate internal reliability and correlates well with other self-report measures of depression. CONCLUSIONS: The HADS may need further adaptation; however, the measurement of anhedonia is a useful addition to the self-report measures of depression available for people with ID.


Assuntos
Transtornos de Ansiedade/diagnóstico , Transtorno Depressivo/diagnóstico , Deficiência Intelectual/psicologia , Escalas de Graduação Psiquiátrica/estatística & dados numéricos , Adulto , Transtornos de Ansiedade/epidemiologia , Transtornos de Ansiedade/psicologia , Comorbidade , Transtorno Depressivo/epidemiologia , Transtorno Depressivo/psicologia , Análise Fatorial , Feminino , Hospitais , Humanos , Deficiência Intelectual/epidemiologia , Masculino , Psicometria , Reprodutibilidade dos Testes , Autorrevelação , Índice de Gravidade de Doença
2.
Obes Rev ; 19(9): 1189-1204, 2018 09.
Artigo em Inglês | MEDLINE | ID: mdl-30051959

RESUMO

OBJECTIVE: Obesity is an independent risk factor for the development of heart failure, and the two commonly co-exist. The European Society of Cardiology does not provide guidance regarding weight loss strategies in heart failure. The aim of this study was to systematically review the evidence for outcomes following intentional weight loss in patients with heart failure and obesity. METHOD: A systematic review of English articles was undertaken using databases PubMed, Embase and CENTRAL. Randomized controlled trials and observational studies reporting outcomes following intentional weight loss by lifestyle, surgical or pharmacotherapy intervention in patients with obesity and heart failure were included. RESULTS: Four randomized controlled trials and seven observational studies were identified. Two randomized controlled trials used diet and exercise as an intervention, one used diet alone and one used a pharmacological intervention (orlistat). All but one reported significant weight loss. Two reported improvement in exercise capacity and quality of life. One reported improvement in New York Heart Association functional class in heart failure with preserved ejection fraction. The observational studies, five of which reported on outcomes following bariatric surgery, despite being small, heterogeneous and high risk of bias, suggested a trend in improvement of left ventricular function, quality of life and exercise capacity following weight loss. CONCLUSION: Weight loss is achievable with lifestyle intervention in those with heart failure and obesity and may result in improvements in New York Heart Association classification, quality of life and exercise capacity.


Assuntos
Insuficiência Cardíaca/fisiopatologia , Obesidade/terapia , Redução de Peso/fisiologia , Fármacos Antiobesidade/uso terapêutico , Índice de Massa Corporal , Dieta Redutora , Exercício Físico/fisiologia , Insuficiência Cardíaca/complicações , Humanos , Obesidade/complicações , Obesidade/fisiopatologia , Orlistate/uso terapêutico , Qualidade de Vida
3.
J Anim Sci ; 95(11): 5151-5160, 2017 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-29293720

RESUMO

Mares grazing endophyte-infected () tall fescue () typically exhibit reproductive dysfunction rather than problems associated with peripheral vasoconstriction as a primary sign of the fescue toxicosis syndrome. Research using Doppler ultrasonography demonstrated that consumption of endophyte-infected tall fescue seed causes measurable vasoconstriction in the medial palmar artery. The objective of this study was to evaluate contractile responses of medial palmar artery and vein to increasing concentrations of various tall fescue alkaloids. Medial palmar arteries and veins were collected immediately following euthanasia from 23 horses of mixed breed, age, and gender from both forelimbs, and uterine arteries were collected from females ( = 12). Vessels were separated, cleaned of excess connective and adipose tissue, divided into 2- to 3-mm cross-sections, and suspended in a multimyograph chamber with continuously oxygenated Krebs-Henseleit buffer (95% O/5% CO; pH 7.4; 37°C). Following a 90-min equilibration and recovery from reference compound exposure, increasing concentrations of norepinephrine, 5-hydroxytryptamine, ergotamine, and ergonovine for the palmar artery and vein and uterine artery and ergovaline, ergocryptine, ergocristine, ergocornine, and lysergic acid for the palmar artery and vein were added to assess vasoactivity. Data were normalized as a percentage of contractile response induced by the reference compound addition and analyzed as a completely randomized design. Both norepinephrine and serotonin were vasoactive in all 3 types of blood vessels. Neither ergotamine nor ergonovine were vasoactive in the uterine artery. All alkaloids tested with the palmar artery and vein produced a contractile response, except that neither the palmar artery nor the palmar vein responded to lysergic acid ( > 0.05). Ergovaline was the most vasoactive ergot alkaloid in both the palmar artery and the palmar vein ( < 0.05) followed by ergonovine, whereas out of the 4 remaining ergopeptine alkaloids tested, ergocristine induced the lowest contractile response. Although horses do not outwardly appear to be affected by peripheral vasoconstriction as observed in cattle, these data indicate that tall fescue alkaloids are vasoactive and suggest that potential exists for peripheral vascular effects of tall fescue alkaloids in horses. This does not appear to be the case for the uterine artery, and future research should be directed at understanding how ergot alkaloids cause equine reproductive dysfunction.


Assuntos
Endófitos/química , Alcaloides de Claviceps/farmacologia , Festuca/química , Cavalos/sangue , Vasoconstrição/efeitos dos fármacos , Vasoconstritores/farmacologia , Ração Animal/análise , Animais , Artérias/efeitos dos fármacos , Endófitos/fisiologia , Alcaloides de Claviceps/química , Alcaloides de Claviceps/toxicidade , Feminino , Festuca/microbiologia , Cavalos/fisiologia , Masculino , Artéria Uterina/efeitos dos fármacos , Vasoconstritores/química , Vasoconstritores/toxicidade , Veias/efeitos dos fármacos
4.
Mech Dev ; 57(1): 113-9, 1996 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-8817458

RESUMO

In wildtype males, binding of the MSL-1 gene product to the X chromosome is first seen at the cellular blastoderm stage (stage 5). MSL-2 is associated with the X chromosome in male embryos at a later stage, but the difference in apparent binding time between these two proteins is probably due to a difference in the sensitivity of their respective antisera. Early binding of MSL-1 is never seen in wildtype female embryos, and we have determined that this inhibition is mediated by the SXL product made by the activation of the early Sxl promoter. Once it is allowed to occur, the early X chromosome association of the MSLs is relatively stable, persisting in some cases through the first larval instar in spite of the presence of SXL levels concordant with normal female development. The results of these experiments are discussed in light of their relevance to the established observations that (1) the SXL made by the early promoter inhibits the hypertranscription of run at the blastoderm stage, and (2) severe disturbances in SXL function (loss in XX individuals and gain in haplo-X individuals) result in lethality during embryogenesis while loss of msl function kills males much later.


Assuntos
Mecanismo Genético de Compensação de Dose , Proteínas de Drosophila , Drosophila/embriologia , Proteínas Nucleares/metabolismo , Proteínas de Ligação a RNA/metabolismo , Fatores de Transcrição/metabolismo , Cromossomo X/metabolismo , Animais , Proteínas de Ligação a DNA , Feminino , Masculino , Microscopia de Fluorescência , Regiões Promotoras Genéticas , Recombinação Genética , Fatores Sexuais
5.
J Neurosci Methods ; 256: 41-55, 2015 Dec 30.
Artigo em Inglês | MEDLINE | ID: mdl-26306657

RESUMO

BACKGROUND: Blind source separation techniques have become the de facto standard for decomposing electroencephalographic (EEG) data. These methods are poorly suited for incorporating prior information into the decomposition process. While alternative techniques to this problem, such as the use of constrained optimization techniques, have been proposed, these alternative techniques tend to only minimally satisfy the prior constraints. In addition, the experimenter must preset a number of parameters describing both this minimal limit as well as the size of the target subspaces. NEW METHOD: We propose an informed decomposition approach that builds upon the constrained optimization approaches for independent components analysis to better model and separate distinct subspaces within EEG data. We use a likelihood function to adaptively determine the optimal model size for each target subspace. RESULTS: Using our method we are able to produce ordered independent subspaces that exhibit less residual mixing than those obtained with other methods. The results show an improvement in modeling specific features of the EEG space, while also showing a simultaneous reduction in the number of components needed for each model. COMPARISON WITH EXISTING METHOD(S): We first compare our approach to common methods in the field of EEG decomposition, such as Infomax, FastICA, PCA, JADE, and SOBI for the task of modeling and removing both EOG and EMG artifacts. We then demonstrate the utility of our approach for the more complex problem of modeling neural activity. CONCLUSIONS: By working in a one-size-fits-all fashion current EEG decomposition methods do not adapt to the specifics of each data set and are not well designed to incorporate additional information about the decomposition problem. However, by adding specific information about the problem to the decomposition task, we improve the identification and separation of distinct subspaces within the original data and show better preservation of the remaining data.


Assuntos
Algoritmos , Eletroencefalografia/métodos , Processamento de Sinais Assistido por Computador , Adulto , Ritmo alfa , Artefatos , Ritmo beta , Piscadela/fisiologia , Encéfalo/fisiologia , Eletromiografia/métodos , Eletroculografia/métodos , Movimentos Oculares/fisiologia , Dedos/fisiologia , Humanos , Arcada Osseodentária/fisiologia , Funções Verossimilhança , Masculino , Atividade Motora/fisiologia , Músculo Esquelético/fisiologia , Adulto Jovem
6.
Equine Vet J ; 47(1): 91-5, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-24612109

RESUMO

REASONS FOR PERFORMING STUDY: Nocardioform placentitis in horses is poorly understood, and the development of an experimental model would be of help in understanding the pathogenesis of the disease. OBJECTIVES: To investigate whether (1) intrauterine inoculation of Crossiela equi during the periovulatory period or (2) i.v., oral or intranasopharyngeal inoculation of C. equi during midgestation would result in nocardioform placentitis, and (3) before and after mating endometrial swabs present evidence of nocardioform placentitis-associated organisms (C. equi or Amycolatopsis spp.). METHODS: In Study I, mares (n = 20) received an intrauterine inoculation of C. equi 24 h after artificial insemination. Endometrial swabs were obtained 24 h post inoculation for PCR analysis. In Study II, pregnant mares (at 180-240 days of gestation) were inoculated with C. equi by intranasopharyngeal (n = 5), oral (n = 4) or i.v. (n = 4) routes. Sixty contemporaneous pregnant mares maintained on the same farm served as control animals. In Study III, privately owned Thoroughbred mares (n = 200) had endometrial swabs collected before and within 24-48 h after mating for detection of nocardioform microorganisms. RESULTS: In Study I, C.equi was identified by PCR in 3 of 20 mares following intrauterine inoculation. Pregnancy was established in 19 of 20 treated mares. There were 2 embryonic losses and one abortion at 177 days of gestation (undetermined cause). Sixteen mares delivered a normal foal and placenta. In Study II, one mare (oral inoculation) aborted at 200 days of gestation (unidentified cause). The remaining mares delivered a normal foal and placenta. In Study III, none of the mares yielded positive endometrial PCR for nocardioform microorganisms. CONCLUSIONS: We were unable to induce nocardioform placentitis, and there was no evidence of nocardioform microorganisms in endometrial swabs of broodmares before or after mating. These findings suggest that nocardioform placentitis is not induced simply via the presence of nocardiform actinomycetes and that route, insufficient duration of exposure and dose may play a role in the development of disease. Additional predispositions may also be involved in the development of nocardioform placentitis.


Assuntos
Actinobacteria , Infecções por Bactérias Gram-Positivas/veterinária , Doenças dos Cavalos/microbiologia , Doenças Placentárias/veterinária , Animais , Feminino , Infecções por Bactérias Gram-Positivas/microbiologia , Cavalos , Doenças Placentárias/microbiologia , Gravidez
7.
Neurobiol Aging ; 24(4): 597-606, 2003.
Artigo em Inglês | MEDLINE | ID: mdl-12714117

RESUMO

Physical activity appears to attenuate the decline of cognitive function typically observed in older men and women. The P300 component of the event-related potential (ERP) is particularly affected by aging and allows for basic neurobiological assessment of cognitive function. Three aspects of the P300 component (i.e. latency, amplitude, and area under the curve (AUC)), elicited by an oddball task, were derived to assess cognitive function in young and older participants (N=73) who were further classified as high- and low-active. The low-active elderly participants exhibited larger AUC values than those observed in all other groups which were undifferentiated. That is, the high-active elderly and the young participants exhibited smaller AUC values than the low-active older group. In conclusion, higher levels of physical activity in the elderly may be associated with a reduction in the neural resources allocated in response to simple cognitive challenge. This interpretation is consistent with the concept of psychomotor efficiency proposed by Hatfield and Hillman [The psychophysiology of sport: a mechanistic understanding of the psychology of superior performance. In: Singer RN, Hausenbias HA, Janelle CM, editors. Handbook of sport psychology. 2nd ed. New York: Wiley; 2001, p. 362-88].


Assuntos
Envelhecimento/fisiologia , Cognição/fisiologia , Potenciais Evocados P300/fisiologia , Exercício Físico/fisiologia , Adulto , Idoso , Análise de Variância , Área Sob a Curva , Humanos , Masculino , Pessoa de Meia-Idade , Atividade Motora/fisiologia
8.
Gene ; 274(1-2): 83-92, 2001 Aug 22.
Artigo em Inglês | MEDLINE | ID: mdl-11675000

RESUMO

U8 snoRNA is the RNA component of a small nucleolar ribonucleoprotein (U8 snoRNP) required for accumulation of mature 5.8S and 28S rRNAs, components of the large ribosomal subunit. We have identified two putative U8 genes in Xenopus laevis. Sequence analysis of the coding regions of these two genes indicate that both differ at several positions from the previously characterized U8 RNA and that the two differ from each other. Functional analysis of these genes indicates that both are transcribed in vivo, produce stable U8 transcripts, and are capable of facilitating pre-rRNA processing in vivo. These data demonstrate that natural sequence variation exists among the U8 snoRNA genes in Xenopus. Alignment of these three Xenopus U8 sequences with the previously described mammalian U8 homologues in mouse, rat and human has provided information about evolutionarily conserved sequence and structural elements in U8 RNA. Identification and functional characterization of these naturally occurring variants in Xenopus has helped identify regions in U8 RNA that may be critical for function.


Assuntos
Família Multigênica/genética , RNA Nucleolar Pequeno/genética , Xenopus laevis/genética , Animais , Sequência de Bases , DNA/química , DNA/genética , DNA/isolamento & purificação , Dados de Sequência Molecular , Regiões Promotoras Genéticas/genética , Alinhamento de Sequência , Análise de Sequência de DNA , Homologia de Sequência do Ácido Nucleico , Regiões Terminadoras Genéticas/genética , Transcrição Gênica
9.
J Endocrinol ; 171(1): 45-55, 2001 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-11572789

RESUMO

Immortalized cell lines have many potential experimental applications including the analysis of molecular mechanisms underlying cell-specific gene expression. We have utilized a recombinant retrovirus encoding the simian virus-40 (SV-40) large T antigen to construct several immortalized cell lines of equine chorionic girdle cell lineage - the progenitor cells that differentiate into the equine chorionic gonadotropin (eCG) producing endometrial cups. Morphologically, the immortalized cell lines appear similar to normal chorionic girdle cells. Derivation of the immortalized cell lines from a chorionic girdle cell lineage was verified by immunological detection of cell-surface antigens specific to equine invasive trophoblasts. The cell lines differed, however, from mature chorionic girdle cells or endometrial cup cells in that they did not produce eCG and did express MHC class I molecules. Thus, these cell lines appear to have been arrested at a stage of development prior to final differentiation into endometrial cup cells. It was also determined that some of these cell lines as well as endometrial cups express the estrogen receptor-related receptor beta gene, but not the glial cell missing gene (GCMa) both of which are expressed in the murine and human placenta. Among these cell lines, three (eCG 50.5, 100.6 and 500.1) express eCG alpha mRNA. Since regulation of eCG alpha subunit gene is largely unknown, we investigated the signal transduction pathways regulating the eCG alpha subunit gene. Both activators of protein kinase A (PKA) and protein kinase C (PKC) induced the expression of eCG alpha subunit expression 3.2 (P<0.05)- and 1.9 (P<0.05)-fold respectively, in the eCG 500.1 cell line. However, activation of these pathways failed to induce eCG beta subunit expression. In conclusion, lines of equine trophoblast cells have been immortalized that display markers characteristic of those with the equine chorionic girdle and endometrial cup cell lineage. A subset of these cells expresses the eCG alpha subunit gene which is responsive to activators of the PKA and PKC signal transduction pathways.


Assuntos
Antígenos Transformantes de Poliomavirus , Linhagem Celular Transformada/metabolismo , Subunidade alfa de Hormônios Glicoproteicos/genética , Gonadotropinas Equinas/genética , Trofoblastos/citologia , Análise de Variância , Animais , Testes de Carcinogenicidade , Linhagem da Célula , Separação Celular/métodos , Córion/citologia , Colforsina/farmacologia , Proteínas Quinases Dependentes de AMP Cíclico/metabolismo , Ativação Enzimática , Técnica Indireta de Fluorescência para Anticorpo , Regulação da Expressão Gênica , Cavalos , Camundongos , Camundongos Nus , Proteína Quinase C/metabolismo , Transdução de Sinais , Acetato de Tetradecanoilforbol/farmacologia
10.
Arch Pediatr Adolesc Med ; 152(10): 977-84, 1998 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-9790607

RESUMO

OBJECTIVE: To test the ability of an assessment-driven algorithm for treatment of pediatric status asthmaticus to reduce length and cost of hospitalization. DESIGN: Nonrandomized, prospective, controlled trial. SETTING: Tertiary care children's hospital. PATIENTS: Children aged 1 to 18 years hospitalized for status asthmaticus; 104 were treated using the asthma care algorithm (intervention) and 97 using unstructured standard treatment (control). INTERVENTION: Patients were treated using either an assessment-based algorithm or standard care practices. The algorithm group was treated with standard medications (aerosolized albuterol, systemic corticosteroids, epinephrine, ipratropium) administered at a frequency driven by the patient's clinical condition. Specific criteria were outlined for decreasing or augmenting therapy, transferring to intensive care, and discharging to home. A unique patient record containing assessments, algorithm cues, and a treatment record was used. Intervention group patients were interviewed by telephone 1 week after discharge. MAIN OUTCOME MEASURES: Hospital length of stay, cost per hospitalization, relapse rate, protocol adherence. RESULTS: Average hospital stay for intervention patients was significantly shorter than for control patients (2.0 vs 2.9 days, P<.001). Although intervention patients received fewer aerosolized albuterol doses than controls, there was no difference in short-term relapse rate between groups. The intervention saved more than $700 per patient in hospital charges. Adherence to the protocol was excellent, with only 8 variances per patient stay out of more than 150 opportunities. CONCLUSION: An intensive, assessment-driven algorithm for pediatric status asthmaticus significantly reduces hospital length of stay and costs without increasing morbidity.


Assuntos
Algoritmos , Hospitais Pediátricos/economia , Tempo de Internação/economia , Estado Asmático/economia , Adolescente , Criança , Pré-Escolar , Protocolos Clínicos , Redução de Custos , Feminino , Preços Hospitalares/estatística & dados numéricos , Custos Hospitalares/estatística & dados numéricos , Humanos , Lactente , Masculino , Ohio/epidemiologia , Estudos Prospectivos , Recidiva , Índice de Gravidade de Doença , Estado Asmático/epidemiologia , Estado Asmático/terapia
11.
Brain Res ; 576(2): 271-6, 1992 Apr 03.
Artigo em Inglês | MEDLINE | ID: mdl-1381263

RESUMO

There is evidence that the blood-brain barrier (BBB) is breached following traumatic brain injury (TBI), allowing the unregulated entry of circulating neuroactive substances into the central nervous system. As the traumatic episode is typically associated with an acute hypertensive event, which in itself may alter BBB status, the effects of the blockade of TBI-associated hypertension on injury-associated behavioral and cerebrospinal fluid (CSF) neurochemical changes were assessed in rats. Animals were injected with either saline or hexamethonium 15 min prior to a moderate fluid percussion injury while under light methoxyflurane anesthesia. This dose of hexamethonium was demonstrated to block the hypertensive response to TBI. Pretreatment with hexamethonium prevented neither acute nor more enduring behavioral deficits observed after TBI. Hexamethonium did not prevent TBI-associated increases in CSF acetylcholine (ACh) content in separate group of rats sampled 12 min following TBI. Furthermore, histological inspection indicated that hexamethonium did not prevent TBI-induced disruption of the BBB, as assessed by intravascular horseradish peroxidase (HRP). Thus, blockade of the hypertensive response to TBI does not afford behavioral protection nor does it prevent changes in the BBB or CSF ACh content following TBI. TBI is in itself sufficient to modify behavior, neurochemistry and BBB function in the absence of hypertension.


Assuntos
Acetilcolina/líquido cefalorraquidiano , Comportamento Animal/efeitos dos fármacos , Pressão Sanguínea/efeitos dos fármacos , Lesões Encefálicas/fisiopatologia , Compostos de Hexametônio/farmacologia , Hipertensão/fisiopatologia , Análise de Variância , Animais , Transporte Axonal , Encéfalo/patologia , Lesões Encefálicas/líquido cefalorraquidiano , Reação de Fuga/efeitos dos fármacos , Frequência Cardíaca/efeitos dos fármacos , Hexametônio , Peroxidase do Rábano Silvestre , Hipertensão/prevenção & controle , Masculino , Atividade Motora/efeitos dos fármacos , Postura , Ratos , Ratos Endogâmicos
12.
Brain Res Dev Brain Res ; 64(1-2): 183-8, 1991 Dec 17.
Artigo em Inglês | MEDLINE | ID: mdl-1786642

RESUMO

The effect of prenatal exposure to methadone via maternal osmotic minipumps was studied on brain regional acetylcholine (ACh) turnover and dopamine (DA), norepinephrine (NE), serotonin (5-hydroxytryptamine, 5-HT) and their metabolites in 21-day-old female and male rats. ACh content was not affected in any region studied. However, the turnover rate of ACh (TRAch) was increased significantly in the striata and parietal cortices of both sexes. Two gender-specific changes were observed: a profound decrease in hypothalamic TRACh in the females and an increase in hippocampal TRACh in the males. No changes were observed in TRACh in the medulla-pons or the frontal cortex of either sex. The reduction in TRACh was accompanied by a threefold increase in DA content in the hypothalamus of the methadone-exposed females. No other changes were observed in DA, NE, or 5-HT, save for increased 5-HT content in the medulla-pons of the male methadone-exposed rats. Thus, prenatal methadone exposure produces several lingering changes in cholinergic function, many of which were not apparent in the immediate postnatal period. Although striatal ACh content was no longer reduced in methadone-exposed rats, striatal cholinergic function remains disrupted. It remains to be proven whether these differences are a direct effect of methadone exposure or are a consequence of neonatal withdrawal.


Assuntos
Encéfalo/efeitos dos fármacos , Metadona/farmacologia , Neurônios/efeitos dos fármacos , Sistema Nervoso Parassimpático/efeitos dos fármacos , Efeitos Tardios da Exposição Pré-Natal , Acetilcolina/metabolismo , Animais , Encéfalo/metabolismo , Dopamina/metabolismo , Feminino , Neurônios/fisiologia , Norepinefrina/metabolismo , Sistema Nervoso Parassimpático/citologia , Gravidez , Ratos , Ratos Endogâmicos , Serotonina/metabolismo , Desmame
13.
Brain Res Dev Brain Res ; 95(1): 118-21, 1996 Aug 20.
Artigo em Inglês | MEDLINE | ID: mdl-8873982

RESUMO

On postnatal day 4, rats exposed to methadone prenatally but fostered to control dams, as well as those fostered to dams treated with methadone, exhibited significant reductions in striatal acetylcholine (ACh) content. This suggests that neonatal withdrawal from methadone is not responsible for the effects of prenatal exposure on cholinergic development in the early perinatal period. The effects of perinatal exposure to methadone on serotonin (5HT) and dopamine (DA) metabolism do not appear to be strictly related to changes in ACh content. Although prenatal exposure reduces 5-hydroxyindole acetic acid (5HIAA) content, changes in 5HT content prevent significant changes in the ratio 5HIAA/5HT. Pups exposed to methadone only prenatally (withdrawal group) exhibited a decreased DOPAC/DA ratio, whereas pups in the treatment group exposed to methadone both pre- and postnatally exhibited an increased DOPAC/DA ratio.


Assuntos
Metadona/farmacologia , Entorpecentes/farmacologia , Neostriado/citologia , Neurônios/metabolismo , Sistema Nervoso Parassimpático/citologia , Efeitos Tardios da Exposição Pré-Natal , Ácido 3,4-Di-Hidroxifenilacético/metabolismo , Acetilcolina/metabolismo , Animais , Dopamina/metabolismo , Feminino , Ácido Hidroxi-Indolacético/metabolismo , Masculino , Neostriado/efeitos dos fármacos , Neostriado/metabolismo , Neurônios/efeitos dos fármacos , Sistema Nervoso Parassimpático/efeitos dos fármacos , Sistema Nervoso Parassimpático/metabolismo , Gravidez , Ratos , Ratos Sprague-Dawley , Serotonina/metabolismo
14.
Brain Res Dev Brain Res ; 57(2): 296-8, 1990 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-1981495

RESUMO

The effect of prenatal exposure to methadone via maternal osmotic minipumps was studied on neurotransmitter content of 4-day-old male and female rats. Several sex-related differences were observed in brain regional neurotransmitter content. Prenatal exposure to methadone produced only selective changes in brain regional neurotransmitter content. Exposure to methadone in doses sufficient to produce maternal and fetal dependence selectively reduced striatal acetylcholine content and produced a sex-dependent change in hindbrain acetylcholine.


Assuntos
Animais Recém-Nascidos/metabolismo , Metadona/farmacologia , Neurotransmissores/metabolismo , Efeitos Tardios da Exposição Pré-Natal , Acetilcolina/metabolismo , Animais , Química Encefálica/efeitos dos fármacos , Corpo Estriado/efeitos dos fármacos , Corpo Estriado/metabolismo , Dopamina/metabolismo , Feminino , Masculino , Norepinefrina/metabolismo , Gravidez , Ratos , Ratos Endogâmicos , Serotonina/metabolismo , Fatores Sexuais
15.
Melanoma Res ; 10(2): 171-9, 2000 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10803718

RESUMO

The use of interleukin-2 (IL-2) and interferon-alpha (IFNalpha) in combination with chemotherapy for the treatment of advanced malignant melanoma has generated considerable interest. In particular, the relatively high number of durable complete responses has suggested this may be a significant advance in the treatment of malignant melanoma. We report our experience at the University of Colorado in 43 patients, including many with poor prognostic factors. Patients received cisplatin 20 mg/m2 on days 1-4, vinblastine 1.6 mg/m2 on days 1-4, dacarbazine 800 mg/m2 on day 1, IL-2 9 x 10(6) IU/m2 per day intravenously over 24h on days 1-4 and IFNalpha 5 x 10(6) IU/m2 per day subcutaneously on days 1-5 every 3 weeks. The median follow-up for all patients was 34 months. Responses were seen in 20 patients (47%, 95% confidence interval 31-62%) and comprised five complete responses (CRs) (12%) and 15 partial responses (PRs) (35%). Two patients achieving a CR remain disease free at 45 and 47 months follow-up. In addition three patients who obtained a surgical CR and another with only minor residual changes on computed tomography scan have not progressed at 27, 30, 40 and 27 months, respectively. Toxicity was manageable, but all patients had at least one grade 3 or 4 toxicity, predominantly hypotension and neutropenia. There were no treatment-related deaths. In conclusion, the response rate and duration is within the range previously reported for biochemotherapy. The results of ongoing randomized studies are awaited to better define the value of biochemotherapy in the treatment of advanced melanoma.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Fatores Imunológicos/uso terapêutico , Interferon-alfa/uso terapêutico , Interleucina-2/uso terapêutico , Neoplasias Hepáticas/secundário , Neoplasias Pulmonares/secundário , Melanoma/tratamento farmacológico , Melanoma/secundário , Neoplasias Abdominais/tratamento farmacológico , Neoplasias Abdominais/mortalidade , Neoplasias Abdominais/secundário , Adulto , Idoso , Protocolos de Quimioterapia Combinada Antineoplásica/efeitos adversos , Neoplasias Encefálicas/tratamento farmacológico , Neoplasias Encefálicas/mortalidade , Neoplasias Encefálicas/secundário , Neoplasias Encefálicas/terapia , Cisplatino/administração & dosagem , Cisplatino/efeitos adversos , Colorado/epidemiologia , Terapia Combinada , Dacarbazina/administração & dosagem , Dacarbazina/efeitos adversos , Feminino , Seguimentos , Humanos , Hipotensão/induzido quimicamente , Interferon alfa-2 , Interferon-alfa/efeitos adversos , Interleucina-2/efeitos adversos , Tábuas de Vida , Neoplasias Hepáticas/tratamento farmacológico , Neoplasias Hepáticas/mortalidade , Neoplasias Pulmonares/tratamento farmacológico , Neoplasias Pulmonares/mortalidade , Masculino , Melanoma/mortalidade , Pessoa de Meia-Idade , Neutropenia/induzido quimicamente , Proteínas Recombinantes/efeitos adversos , Proteínas Recombinantes/uso terapêutico , Indução de Remissão , Análise de Sobrevida , Tomografia Computadorizada por Raios X , Resultado do Tratamento , Vimblastina/administração & dosagem , Vimblastina/efeitos adversos
16.
Physiol Behav ; 45(3): 517-22, 1989 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-2756043

RESUMO

Cyclicity within sleep was investigated in 20 fullterm infants who were monitored in the home for 24-hour periods when they were 2-5 weeks old. Using a pressure sensitive mattress in the crib, analog signals from the baby's respiration and body movements were computer scored for: Quiet Sleep, Active Sleep, Active-Quiet Transitional Sleep, Sleep-Wake Transition, and Wakefulness. Sleep episodes with at least four recurrences of Quiet Sleep were analyzed for cyclicity. Significant cyclicity of Quiet Sleep was found in 49 of the 55 sleep episodes analyzed. The mean Quiet Sleep recurrence period was 63.2 minutes. Eighteen of the 20 infants exhibited cyclicity on one or more weeks. Thus, sleep during the neonatal period is generally characterized by the presence of cyclicity. Cyclicity was not related to other parameters of the sleep cycle, but was correlated with stability of state patterning over weeks. The results provide new evidence for neurobehavioral competence of the neonate in terms of sleep organization.


Assuntos
Envelhecimento/fisiologia , Periodicidade , Sono/fisiologia , Animais , Animais Recém-Nascidos/fisiologia , Humanos , Lactente , Recém-Nascido
17.
Biol Psychol ; 58(3): 263-77, 2001 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11698117

RESUMO

A number of investigators have reported elevated left temporal alpha power in marksmen during response preparation. This finding has been interpreted to indicate the suppression of irrelevant cognitive processes. However, lower-order motor processes have not been excluded as a possible explanation. Event-related alpha power (11-13 Hz) was examined at sites T3, T4, C3, and C4 in eight skilled marksmen during shooting and two control tasks varying in perceptual-motor complexity. Over an 8-s period preceding the trigger pull, the marksmen exhibited higher power and slope at T3 than at all other sites during shooting compared with the control conditions. No such difference between conditions was detected at C3 and C4. The relative synchrony of left temporal alpha power during shooting, in conjunction with the lack of change at central sites, is inconsistent with the explanation that the effect is accounted for by 'lower-order' motor processes exclusively involving the central region.


Assuntos
Cognição , Destreza Motora , Lobo Temporal/fisiologia , Adulto , Potenciais Evocados/fisiologia , Armas de Fogo , Humanos , Masculino , Processos Mentais
18.
Pharmacol Biochem Behav ; 50(4): 627-33, 1995 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-7617711

RESUMO

The effects of cocaine and the cocaine analog methyl-3-beta-(p-fluorophenyl)-1 alpha H, 5 alpha H-tropane-2b-carboxylate (CFT) on glutamate turnover rate were studied in the nucleus accumbens, striatum, frontal cortex, and parietal-cingulate cortex of the rat, using neurotransmitter turnover rate as an estimate of the activity of the glutamatergic neurons. Both cocaine [15 or 30 mg/kg, intraperitoneally (IP)] and CFT (2.2 mg/kg, IP) increased glutamate turnover in the nucleus accumbens, although the time course of their actions differed. These effects on glutamate turnover appeared at times after maximal motor activation of the animals had occurred. On the other hand, neither cocaine nor CFT affected glutamate turnover in the frontal cortex, parietal-cingulate cortex, or striatum. Neither cocaine nor CFT affected the content of glutamate or glucose in any brain region studied. Thus, although cocaine and CFT affect glutamatergic neurons in the CNS, these actions are not generalized across the CNS, but are restricted to a specific brain region.


Assuntos
Córtex Cerebral/efeitos dos fármacos , Cocaína/análogos & derivados , Cocaína/farmacologia , Corpo Estriado/efeitos dos fármacos , Ácido Glutâmico/metabolismo , Núcleo Accumbens/efeitos dos fármacos , Análise de Variância , Animais , Córtex Cerebral/citologia , Córtex Cerebral/metabolismo , Corpo Estriado/citologia , Corpo Estriado/metabolismo , Relação Dose-Resposta a Droga , Masculino , Atividade Motora/efeitos dos fármacos , Neurônios/efeitos dos fármacos , Neurônios/metabolismo , Núcleo Accumbens/citologia , Núcleo Accumbens/metabolismo , Ratos , Ratos Sprague-Dawley , Estimulação Química
19.
Int J Gynecol Cancer ; 3(3): 164-168, 1993 May.
Artigo em Inglês | MEDLINE | ID: mdl-11578338

RESUMO

Cervical glandular atypia (CGA) is now increasingly recognized in cone biopsy specimens removed for suspected cervical intra-epithelial neoplasia, although little is known of its natural history or pre-malignant potential. One hundred and eighty-three cone biopsy specimens received in our department during 1977 and 1978 from the City and Women's hospitals, Nottingham were reviewed and assessed for the presence of squamous CIN and CGA. One hundred and sixty-seven cone biopsies contained CIN and 28 of these also contained CGA. Ten cone biopsies contained high-grade CGA, the remaining 17 containing low-grade CGA. One cone biopsy contained high-grade CGA only. Twenty-one of the 28 cases of CGA had been followed up by annual pelvic examination and cervical cytology. None of these cases have developed abnormal cervical cytology or invasive cervical carcinoma after 13 years follow-up, even though 13 cone biopsies contained CGA which appeared to be incompletely excised. We concluded that if CGA is pre-malignant, the latent period for its progression to invasive carcinoma is in excess of 13 years. CGA of either grade is not, in itself, an indication for hysterectomy, allowing a conservative approach to management in the first instance.

20.
Domest Anim Endocrinol ; 16(3): 183-92, 1999 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10343920

RESUMO

A positive-feedback loop between luteal oxytocin and uterine prostaglandin F2 alpha (PGF) is a major signal for luteolysis in ruminants. Likewise, uterine PGF causes luteolysis in mares, but the involvement of oxytocin in this process is unclear. We wanted: 1) to determine if the oxytocin-neurophysin I (OT-NP I) gene is transcribed into mRNA in the endometrium of mares; and, if so, 2) to analyze relative changes in abundance of endometrial OT-NP I mRNA throughout the estrous cycle and during early stages of pregnancy. Endometrial biopsies were obtained from nonbred mares during estrus, and 5, 10, and 15 d after ovulation (n = 3/d). Biopsies were also obtained from pregnant mares 10, 15, and 20 d after ovulation (n = 3/d). Relative amounts of OT-NP I and glyceraldehyde-3-phosphate dehydrogenase mRNA in endometrium were assessed by reverse transcription-polymerase chain reaction and Southern blotting. Endometrial OT-NP I mRNA abundance changed with day of the cycle or pregnancy, and levels at estrus were higher than at any other days examined. The OT-NP I mRNA levels were negatively correlated with serum progesterone across all days examined and positively correlated with serum estradiol in nonbred mares. The reverse transcription-polymerase chain reaction products for both OT-NP I and glyceraldehyde-3-phosphate dehydrogenase were cloned into vectors and sequenced. Each shared greater than 89% nucleotide and predicted amino acid identities with the respective human, bovine, ovine, and rat products. Uterine oxytocin may be involved in regulation of reproductive tract function during the estrous cycle and/or establishment of pregnancy in horses.


Assuntos
Endométrio/química , Cavalos/metabolismo , Neurofisinas/genética , RNA Mensageiro/análise , Sequência de Aminoácidos , Animais , Sequência de Bases , Biópsia , Southern Blotting , Estradiol/sangue , Estro , Feminino , Gliceraldeído-3-Fosfato Desidrogenases/química , Gliceraldeído-3-Fosfato Desidrogenases/genética , Humanos , Dados de Sequência Molecular , Neurofisinas/química , Ovulação , Gravidez , Progesterona/sangue , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Homologia de Sequência
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