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1.
Dis Aquat Organ ; 124(2): 117-129, 2017 04 20.
Artigo em Inglês | MEDLINE | ID: mdl-28425425

RESUMO

Reared Senegalese sole Solea senegalensis Kaup show a high incidence of vertebral anomalies; however, little is known about its skeletal anomaly profile in the later farming phases. The purpose of this study was to provide a detailed description and quantification of the most common skeletal anomalies in reared Senegalese sole in the juvenile stage by means of computed radiography. A total of 374 Senegalese sole were classified according to the external morphology of the fish as normal or altered and then radiographed in latero-lateral and in dorso-ventral projections. Radiographic evaluation of anomalies focused especially on vertebral body anomalies (VBA) and vertebral column deviations (VCD). The 2 orthogonal projections provided a more complete visualization of the skeleton. Approximately 75% of the individuals showed at least 1 anomaly, while VBA and/or VCD were detected in 48.9% of the specimens. Regarding external morphology, 88% of the fish were categorized as normal, although about 72% of these normal fish displayed abnormalities in radiographies. The most frequent anomalies consisted of deformations of the caudal complex plates (hypurals, parhypural and epural), preurals and caudal vertebrae. Scoliosis was the most prevalent among VCD, affecting the caudal area in almost 15% of the individuals. The anomaly profile at the juvenile stages showed some differences compared to what has been reported previously in earlier stages of development. In light of these results, further investigation into the progression of skeletal anomalies over time and the causative factors at later stages is required.


Assuntos
Doenças do Desenvolvimento Ósseo/veterinária , Doenças dos Peixes/diagnóstico por imagem , Linguados/anormalidades , Coluna Vertebral/anormalidades , Animais , Doenças do Desenvolvimento Ósseo/diagnóstico por imagem
2.
J Intern Med ; 280(4): 325-38, 2016 10.
Artigo em Inglês | MEDLINE | ID: mdl-26940365

RESUMO

The vasculature is essential for proper organ function. Many pathologies are directly and indirectly related to vascular dysfunction, which causes significant morbidity and mortality. A common pathophysiological feature of diseased vessels is extracellular matrix (ECM) remodelling. Analysing the protein composition of the ECM by conventional antibody-based techniques is challenging; alternative splicing or post-translational modifications, such as glycosylation, can mask epitopes required for antibody recognition. By contrast, proteomic analysis by mass spectrometry enables the study of proteins without the constraints of antibodies. Recent advances in proteomic techniques make it feasible to characterize the composition of the vascular ECM and its remodelling in disease. These developments may lead to the discovery of novel prognostic and diagnostic markers. Thus, proteomics holds potential for identifying ECM signatures to monitor vascular disease processes. Furthermore, a better understanding of the ECM remodelling processes in the vasculature might make ECM-associated proteins more attractive targets for drug discovery efforts. In this review, we will summarize the role of the ECM in the vasculature. Then, we will describe the challenges associated with studying the intricate network of ECM proteins and the current proteomic strategies to analyse the vascular ECM in metabolic and cardiovascular diseases.


Assuntos
Vasos Sanguíneos/fisiopatologia , Doenças Cardiovasculares/fisiopatologia , Proteínas da Matriz Extracelular/fisiologia , Doenças Metabólicas/fisiopatologia , Proteômica , Animais , Vasos Sanguíneos/metabolismo , Humanos , Lipoproteínas/metabolismo , Processamento de Proteína Pós-Traducional , Proteólise
3.
J Dairy Sci ; 98(5): 3071-8, 2015 May.
Artigo em Inglês | MEDLINE | ID: mdl-25726098

RESUMO

The aim of this study was to evaluate the effect of subclinical intramammary infection (IMI) caused by coagulase-negative staphylococci (CNS) as a group and by specific CNS species on milk yield and composition and somatic cell count (SCC) of dairy cows. Selection of cows with IMI caused by CNS was performed by microbiological cultures of composite samples collected from 1,242 dairy cows distributed in 21 dairy herds. After selection of cows, milk yield was measured and milk samples were collected at the mammary quarter level (i.e., 1,140 mammary samples collected from 285 cows) for analysis of milk composition and SCC. In total, 108 isolates of CNS were identified at the species level by PCR-RFLP analysis. Forty-one pairs of contralateral mammary quarters, with and without IMI, were used to evaluate the effect of CNS on milk yield and composition. Mammary quarters infected with CNS had higher geometric mean SCC (306,106 cells/mL) than noninfected contralateral mammary quarters (62,807 cells/mL). Intramammary infection caused by CNS had no effect on milk yield or on contents of fat, crude protein, casein, lactose, total solids, and solids-not-fat. Staphylococcus chromogenes was the most prevalent CNS species in this study and the only species that allowed within-cow evaluation. The IMI caused by S. chromogenes increased SCC but had no effect on milk yield and composition at the quarter level. In conclusion, subclinical mastitis caused by CNS increased the SCC but had no effect on milk yield and composition of dairy cows.


Assuntos
Mastite Bovina/microbiologia , Leite/citologia , Infecções Estafilocócicas/veterinária , Staphylococcus/classificação , Animais , Bovinos , Coagulase/análise , Feminino , Lactose/análise , Leite/química
4.
Phys Rev Lett ; 110(6): 060404, 2013 Feb 08.
Artigo em Inglês | MEDLINE | ID: mdl-23432223

RESUMO

We use hyperentangled photons to experimentally implement an entanglement-assisted quantum process tomography technique known as direct characterization of quantum dynamics. Specifically, hyperentanglement-assisted Bell-state analysis enabled us to characterize a variety of single-qubit quantum processes using far fewer experimental configurations than are required by standard quantum process tomography. Furthermore, we demonstrate how known errors in Bell-state measurement may be compensated for in the data analysis. Using these techniques, we have obtained single-qubit process fidelities over 98% but with one-third the number of experimental configurations required for standard quantum process tomography. Extensions of these techniques to multiqubit quantum processes are discussed.

5.
Phys Rev Lett ; 111(18): 185301, 2013 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-24237530

RESUMO

We demonstrate the experimental implementation of an optical lattice that allows for the generation of large homogeneous and tunable artificial magnetic fields with ultracold atoms. Using laser-assisted tunneling in a tilted optical potential, we engineer spatially dependent complex tunneling amplitudes. Thereby, atoms hopping in the lattice accumulate a phase shift equivalent to the Aharonov-Bohm phase of charged particles in a magnetic field. We determine the local distribution of fluxes through the observation of cyclotron orbits of the atoms on lattice plaquettes, showing that the system is described by the Hofstadter model. Furthermore, we show that for two atomic spin states with opposite magnetic moments, our system naturally realizes the time-reversal-symmetric Hamiltonian underlying the quantum spin Hall effect; i.e., two different spin components experience opposite directions of the magnetic field.

6.
Opt Express ; 20(2): 890-5, 2012 Jan 16.
Artigo em Inglês | MEDLINE | ID: mdl-22274435

RESUMO

In multi-view three-dimensional imaging, to capture the elemental images of distant objects, the use of a field-like lens that projects the reference plane onto the microlens array is necessary. In this case, the spatial resolution of reconstructed images is equal to the spatial density of microlenses in the array. In this paper we report a simple method, based on the realization of double snapshots, to double the 2D pixel density of reconstructed scenes. Experiments are reported to support the proposed approach.


Assuntos
Percepção de Profundidade/fisiologia , Fadiga/prevenção & controle , Imageamento Tridimensional/instrumentação , Lentes , Filmes Cinematográficos/instrumentação , Fotografação/instrumentação , Acomodação Ocular/fisiologia , Algoritmos , Convergência Ocular/fisiologia , Desenho de Equipamento , Humanos
7.
Comput Sci Eng ; 94(6): 521-539, 2012 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-22942787

RESUMO

Nanoinformatics has recently emerged to address the need of computing applications at the nano level. In this regard, the authors have participated in various initiatives to identify its concepts, foundations and challenges. While nanomaterials open up the possibility for developing new devices in many industrial and scientific areas, they also offer breakthrough perspectives for the prevention, diagnosis and treatment of diseases. In this paper, we analyze the different aspects of nanoinformatics and suggest five research topics to help catalyze new research and development in the area, particularly focused on nanomedicine. We also encompass the use of informatics to further the biological and clinical applications of basic research in nanoscience and nanotechnology, and the related concept of an extended "nanotype" to coalesce information related to nanoparticles. We suggest how nanoinformatics could accelerate developments in nanomedicine, similarly to what happened with the Human Genome and other -omics projects, on issues like exchanging modeling and simulation methods and tools, linking toxicity information to clinical and personal databases or developing new approaches for scientific ontologies, among many others.

8.
Avian Dis ; 55(4): 545-53, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22312972

RESUMO

Viral cutaneous lesions are frequent in some bird populations, though we are generally ignorant of the causal agent. In some instances, they represent a threat to livestock and wildlife health. We present here a multiplex PCR which detects and distinguishes infection by two such agents, avipoxviruses and papillomaviruses, in avian hosts. We assayed biopsies and superficial skin swabs from field and preserved museum skin specimens. Ninety-three percent of samples from symptomatic specimens tested positive for the presence of avipox (n = 23) or papillomavirus (n = 5). Sixteen and five sequences, corresponding to the P4b and L1 genes, were obtained from avipox and papillomavirus, respectively. One museum specimen, of Fringilla coelebs (chaffinch), was apparently infected with both viruses. Although papillomavirus sequences proved identical to previously published sequences, four novel avipox sequences were generated and used to build a neighbor-joining phylogenetic tree. Our tree recovered a similar topology to that of several recent authors; however, we also propose here two new minor avipox clades (B1b and B3). This multiplex PCR technique shows improved sensitivity compared to other avipox and papillomavirus assays, is able to detect a wide range of avipox and papillomavirus types (it amplifies all three avian-derived papillomavirus genera described thus far and sequences from both major avipox clades), and was even able to detect ancient viral DNA contained in museum specimens of greater than 75 years antiquity for both viruses.


Assuntos
Avipoxvirus/isolamento & purificação , Doenças das Aves/virologia , Reação em Cadeia da Polimerase Multiplex/veterinária , Papillomaviridae/isolamento & purificação , Infecções por Poxviridae/veterinária , Verrugas/veterinária , Animais , Aves , Reação em Cadeia da Polimerase Multiplex/métodos , Filogenia , Infecções por Poxviridae/virologia , Pele/virologia , Verrugas/virologia
9.
J Dairy Sci ; 94(9): 4406-12, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-21854914

RESUMO

The objectives of this study were (1) to determine the sensitivity (Se) and specificity (Sp) of somatic cell count (SCC) thresholds to identify subclinical mastitis in Gyr cows caused by major and minor pathogens; (2) to study the effects of month of sampling, rear or front mammary quarters, herd, intramammary infection (IMI), and bacterial species on SCC at quarter level; and (3) to describe the prevalence of IMI in Gyr cows in commercial dairy herds. In total, 221 lactating Gyr cows from 3 commercial dairy farms were selected. Milk samples were collected from individual quarters once a month for 1 yr from all lactating cows for SCC and bacteriological analysis. Mammary quarters were considered the experimental units and the SCC results were log(10)-transformed. Four SCC thresholds (100, 200, 300 and 400 × 10(3) cells/mL) were used to determine Se and Sp to identify infected mammary quarters. The overall prevalence of IMI in quarter milk samples of Gyr cows was 49.8%, and the prevalence of minor pathogens was higher (31.9%) than that of major pathogens (17.8%). Quarter samples with microbial isolation presented higher SCC compared with negative samples. Sensitivity and Sp of selected SCC thresholds varied according to the group of pathogen (major and minor) involved in the IMI definition. Sensitivity increased and Sp decreased when mammary quarters with only major pathogens isolation were considered positive. The use of a single SCC analysis to classify quarters as uninfected or infected in Gyr cows may not be a useful test for this breed because Se and Sp of SCC at the studied thresholds were low. The occurrence of IMI and the bacterial species are the main factors responsible for SCC variation in mammary quarters of Gyr cows. Milk samples with major pathogens isolation elicited higher SCC than those with minor pathogens.


Assuntos
Mastite Bovina/diagnóstico , Leite/citologia , Animais , Infecções Assintomáticas , Bovinos , Contagem de Células/veterinária , Indústria de Laticínios/métodos , Feminino , Mastite Bovina/epidemiologia , Mastite Bovina/microbiologia , Leite/microbiologia , Prevalência , Sensibilidade e Especificidade
10.
Sports Biomech ; : 1-15, 2021 Nov 08.
Artigo em Inglês | MEDLINE | ID: mdl-34748450

RESUMO

The Nordic Hamstring Exercise (NHE) improves the strength of the hamstring muscles, as well as prevents and rehabilitates the injuries of said muscles. However, the eccentric demand of NHE may influence the athlete's performance, making compliance with these programmes difficult. The aim is to analyse the acute impact on sprint performance after the passing of 24, 48, and 72 hours respectively since an NHE-based session (4 sets of 10 repetitions) had taken place. Participants were randomly divided into an experimental group (EG) (n = 12 male participants) who carried out an NHE session and a measurement of their 30 m sprint performance in each of the three subsequent days, and a control group (CG) (n = 12 male participants) who did not take part in the NHE session. The results show a significant reduction of maximum power within 24 hours (t = 3.57, d = 0.22, P < .0273) as well of the production of high speed horizontal force up to after 48 hours (t = 4.82, d = 0.22, P < .0001) in the EG. These results may suggest separating weekly NHE sessions from competition or demanding training in which sprint performance should not be affected by at least 72 hours.

12.
J Dairy Sci ; 93(12): 5661-7, 2010 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-21094737

RESUMO

Subclinical mastitis is a common and easily disseminated disease in dairy herds. Its routine diagnosis via bacterial culture and biochemical identification is a difficult and time-consuming process. In this work, we show that matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) allows bacterial identification with high confidence and speed (1 d for bacterial growth and analysis). With the use of MALDI-TOF MS, 33 bacterial culture isolates from milk of different dairy cows from several farms were analyzed, and the results were compared with those obtained by classical biochemical methods. This proof-of-concept case demonstrates the reliability of MALDI-TOF MS bacterial identification, and its increased selectivity as illustrated by the additional identification of coagulase-negative Staphylococcus species and mixed bacterial cultures. Matrix-assisted laser desorption-ionization mass spectrometry considerably accelerates the diagnosis of mastitis pathogens, especially in cases of subclinical mastitis. More immediate and efficient animal management strategies for mastitis and milk quality control in the dairy industry can therefore be applied.


Assuntos
Bactérias/isolamento & purificação , Mastite Bovina/diagnóstico , Leite/microbiologia , Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz/métodos , Animais , Bactérias/classificação , Bovinos , Feminino , Mastite Bovina/microbiologia , Reprodutibilidade dos Testes
13.
Ann Burns Fire Disasters ; 33(2): 116, 2020 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-32913432

RESUMO

Vision loss is a rare complication due to decreased blood flow through the optic nerve, which has been described in certain groups of postoperative patients and as a major complication in polytraumatisms that need massive fluid resuscitation. However it has rarely been described in burned patients. We describe a patient with ischemic optic neuropathy (ION) as a major burn injury complication, focusing on his massive fluid resuscitation and hospital course and comparing it with previous case reports related to burn injuries in the literature. A 37-year-old male was admitted to the Burn Care Unit with an 85% total body surface burn injury caused by high temperature water vapour with traces of caustic soda. He underwent escharotomies the day of admission and sequential enzymatic and surgical debridement. An ophthalmological follow-up was conducted, with no fundoscopy alterations, and ION and vision loss was subsequently diagnosed. ION is an uncommon and currently irreversible condition, prevention therefore being the principal objective. Thus, minimization of risk factors such as anaemia, significant blood loss and massive fluid resuscitation, is advisable.


La perte de vision est une complication rare liée à un bas débit sanguin destiné au nerf optique, décrite en particulier en post opératoire et dans le cadre de polytraumatismes, après remplissage massif. Elle est toutefois peu décrite chez les brûlés. Nous décrivons ici une neuropathie optique ischémique compliquant une brûlure sévère. Nous nous attachons au remplissage massif initial et au séjour hospitalier et le comparons aux cas similaires préalablement rapportés. Un homme de 37 ans est admis pour une brûlure sur 85% SCT par ébouillantement d'eau additionnée de soude caustique (ça sent l'accident agro- alimentaire, NDRLF). Des incisions de décharge ont été initialement nécessaires puis le patient a bénéficié d'un débridement enzymatique. Une névrite optique ischémique, à fond d'oeil normal, a été mise en évidence. Cette complication, rare mais irréversible, doit donc être prévenue, en minimisant les facteurs de risque que sont l'anémie, l'hémorragie massive et le surremplissage.

14.
Biomed Opt Express ; 9(1): 335-346, 2018 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-29359107

RESUMO

In this work, Fourier integral microscope (FIMic), an ultimate design of 3D-integral microscopy, is presented. By placing a multiplexing microlens array at the aperture stop of the microscope objective of the host microscope, FIMic shows extended depth of field and enhanced lateral resolution in comparison with regular integral microscopy. As FIMic directly produces a set of orthographic views of the 3D-micrometer-sized sample, it is suitable for real-time imaging. Following regular integral-imaging reconstruction algorithms, a 2.75-fold enhanced depth of field and [Formula: see text]-time better spatial resolution in comparison with conventional integral microscopy is reported. Our claims are supported by theoretical analysis and experimental images of a resolution test target, cotton fibers, and in-vivo 3D-imaging of biological specimens.

15.
Methods Inf Med ; 46(4): 484-92, 2007.
Artigo em Inglês | MEDLINE | ID: mdl-17694245

RESUMO

OBJECTIVES: To develop a new perspective for biomedical information systems, regarding the introduction of ideas, methods and tools related to the new scenario of genomic medicine. METHODS: Technological aspects related to the analysis and integration of heterogeneous clinical and genomic data include mapping clinical and genetic concepts, potential future standards or the development of integrated biomedical ontologies. In this clinicomics scenario, we describe the use of Web services technologies to improve access to and integrate different information sources. We give a concrete example of the use of Web services technologies: the OntoFusion project. RESULTS: Web services provide new biomedical informatics (BMI) approaches related to genomic medicine. Customized workflows will aid research tasks by linking heterogeneous Web services. Two significant examples of these European Commission-funded efforts are the INFOBIOMED Network of Excellence and the Advancing Clinico-Genomic Trials on Cancer (ACGT) integrated project. CONCLUSIONS: Supplying medical researchers and practitioners with omics data and biologists with clinical datasets can help to develop genomic medicine. BMI is contributing by providing the informatics methods and technological infrastructure needed for these collaborative efforts.


Assuntos
Genoma Humano , Internet , Informática Médica/organização & administração , Registro Médico Coordenado/métodos , Sistemas Computacionais , Humanos , Espanha
16.
Comput Struct Biotechnol J ; 14: 185-99, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27293535

RESUMO

One of the major challenges in the medical domain today is how to exploit the huge amount of data that this field generates. To do this, approaches are required that are capable of discovering knowledge that is useful for decision making in the medical field. Time series are data types that are common in the medical domain and require specialized analysis techniques and tools, especially if the information of interest to specialists is concentrated within particular time series regions, known as events. This research followed the steps specified by the so-called knowledge discovery in databases (KDD) process to discover knowledge from medical time series derived from stabilometric (396 series) and electroencephalographic (200) patient electronic health records (EHR). The view offered in the paper is based on the experience gathered as part of the VIIP project. Knowledge discovery in medical time series has a number of difficulties and implications that are highlighted by illustrating the application of several techniques that cover the entire KDD process through two case studies. This paper illustrates the application of different knowledge discovery techniques for the purposes of classification within the above domains. The accuracy of this application for the two classes considered in each case is 99.86% and 98.11% for epilepsy diagnosis in the electroencephalography (EEG) domain and 99.4% and 99.1% for early-age sports talent classification in the stabilometry domain. The KDD techniques achieve better results than other traditional neural network-based classification techniques.

17.
Eur J Endocrinol ; 153(4): 499-502, 2005 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-16189169

RESUMO

Turner syndrome (TS) has been included for several years among the indications for GH treatment, generally with satisfactory outcomes. Nevertheless, the long-term effects of this treatment in non-GH deficient patients are not fully known. The incidence of thyroid carcinoma is rare in patients during childhood, it is unusual to find this neoplasia in children under sixteen years old. This article reports the cases of two Spanish patients with papillary thyroid carcinoma after GH treatment for TS. Recent studies have indicated a possible relationship between the GH-IGF axis and the pathogenesis of neoplasias, questioning the chance association of these two pathologies. In line with this, we detected GH receptor expression in the papillary carcinoma cells. Long-term prospective studies are required to clarify the possible effects of GH treatment on the risk of neoplasia.


Assuntos
Carcinoma Papilar/induzido quimicamente , Hormônio do Crescimento/efeitos adversos , Hormônio do Crescimento Humano/efeitos adversos , Neoplasias da Glândula Tireoide/induzido quimicamente , Síndrome de Turner/tratamento farmacológico , Carcinoma Papilar/patologia , Carcinoma Papilar/cirurgia , Criança , Feminino , Hormônio do Crescimento/uso terapêutico , Hormônio do Crescimento Humano/uso terapêutico , Humanos , Excisão de Linfonodo , Proteínas Recombinantes/efeitos adversos , Proteínas Recombinantes/uso terapêutico , Neoplasias da Glândula Tireoide/patologia , Neoplasias da Glândula Tireoide/cirurgia , Tireoidectomia
18.
Eur J Dermatol ; 15(3): 182-5, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-15908304

RESUMO

Necrobiotic xanthogranuloma (NXG) with paraproteinemia is a rare non-x histiocytosis with conspicuous lesions mainly located on the periorbital skin. A 68-year-old woman, with a previous history of lymphoplasmacytic lymphoma associated with IgG monoclonal gammopathy over a period of almost 4 years, presented typical lesions of NXG on the periorbital regions and left buttock. Treatment with dioxide carbon laser resulted in great improvement of cutaneous lesions, and no evidence of relapse after a 12-month follow-up. The association of NXG with lymphoplasmacytic lymphoma has not been previously described to our knowledge. The treatment of these lesions represents a true challenge for the clinician and palliative treatment of cutaneous lesions of NXG with CO(2) laser may constitute an alternative treatment in selected cases.


Assuntos
Terapia a Laser , Linfoma/patologia , Transtornos Necrobióticos/patologia , Paraproteinemias/patologia , Xantomatose/patologia , Idoso , Biópsia por Agulha , Feminino , Seguimentos , Humanos , Imuno-Histoquímica , Linfoma/radioterapia , Transtornos Necrobióticos/radioterapia , Paraproteinemias/radioterapia , Medição de Risco , Resultado do Tratamento , Xantomatose/radioterapia
19.
Burns ; 31(1): 67-71, 2005 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-15639368

RESUMO

INTRODUCTION: Postoperative pain after surgery with patients suffering from burns tends to be moderate or severe, and its treatment requires a combination of high-strength analgesics (opioids) with others having different action mechanisms according to the concept of multimodal analgesia. AIMS: In this article we propose the use of continuous intravenous analgesia with morphine using elastomeric infusors at fixed dose for the treatment of this kind of pain. An evaluation is made of its analgesic efficacy, side effects and level of satisfaction. MATERIAL AND METHODS: A study was made of 17 burn patients operated on in our unit who received continuous intravenous analgesia during the postoperative period, with morphine at 1mg/h, using elastomeric infusors for a period of 24h. Its analgesic efficacy was analysed using the visual analogical scale (VAS) at different moments; side effects and the level of acceptance by the patient was also evaluated. RESULTS: The results confirm a good analgesic effect after 2h from starting perfusion (VAS < 3). The side effects reveal a similar or lesser incidence to the use of morphine in bolus or using the PCA system, and in no cases did they require treatment to be halted. The level of acceptance of the procedure by patients was good. CONCLUSION: This method reveals a high level of analgesic efficacy in the postoperative period with burn patients in this study. However, it is important to note the lower results obtained in the first hours of perfusion, and proposing a heavy initial dose of analgesics when starting perfusion. This is presented as an efficient analgesic method that is easy to apply, has a low cost, and the possibility of extending its indications to ambulatory treatment.


Assuntos
Analgésicos Opioides/administração & dosagem , Queimaduras/cirurgia , Elastômeros , Morfina/administração & dosagem , Dor Pós-Operatória/tratamento farmacológico , Adolescente , Adulto , Idoso , Analgesia Controlada pelo Paciente/métodos , Analgésicos Opioides/efeitos adversos , Pressão Sanguínea/fisiologia , Queimaduras/fisiopatologia , Feminino , Frequência Cardíaca/fisiologia , Humanos , Infusões Intravenosas , Masculino , Pessoa de Meia-Idade , Morfina/efeitos adversos , Medição da Dor/métodos , Dor Pós-Operatória/fisiopatologia , Satisfação do Paciente , Cuidados Pós-Operatórios/métodos
20.
J Clin Endocrinol Metab ; 80(11): 3180-4, 1995 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-7593423

RESUMO

GH-releasing peptide (GHRP-6; His-D-Trp-Ala-Trp-D-Phe-Lys-NH2) is a synthetic compound that releases GH in a specific and dose-related manner through mechanisms and a point of action that are mostly unknown, but different from those of GHRH. In man, GHRP-6 is more efficacious than GHRH, and a striking synergistic action occurs when both compounds are administered together. To explain such a synergistic effect, it has been postulated, but not proven, that GHRP-6 acts through a double mechanism, with actions exerted at the pituitary and the hypothalamic level. On the other hand, patients with the syndrome of GH deficiency due to perinatal pituitary stalk transection have any hypothalamic factor nonoperandi. The aim of the present study was 3-fold: 1) to further understand how relevant, if at all, the hypothalamic action of GHRP-6 is for GH regulation; 2) to evaluate whether GHRP-6 plus GHRH could be a suitable diagnostic tool in children with pituitary stalk transection; and 3) to compare these results with similar published studies performed in patients with hypothalamo-pituitary disconnection, who developed the disease as adults. Seven patients with GH deficiency and different degrees of panhypopituitarism due to perinatal pituitary stalk transection and 7 age- and sex-matched normal controls were studied. The subjects underwent 3 different tests on separate occasions, being challenged with GHRH (1 microgram/kg, iv), GHRP-6 (1 microgram/kg, iv), or GHRH plus GHRP-6. GH was analyzed as the area under the curve (mean +/- SE; micrograms per L/90 min). In normal subjects, GH secretion was 1029 +/- 202 after GHRH treatment, 1221 +/- 345 after GHRP-6, and 3542 +/- 650 after GHRH plus GHRP-6; the latter value was significantly (P < 0.05) higher than the secretion elicited by GHRH or GHRP-6 alone. In the group of patients with perinatal pituitary stalk transection, the level of GH after GHRH treatment was 116 +/- 22 and was even more reduced (P < 0.05) after GHRP-6 treatment (37 +/- 8). After GHRH plus GHRP-6, GH secretion in those patients was 177 +/- 27, significantly higher (P < 0.05) than the secretion induced by either GHRH or GHRP-6 alone. Individually examined, none of the patients tested with the most potent stimulus known to date (GHRH plus GHRP-6) exhibited GH secretion greater than 5 micrograms/L.(ABSTRACT TRUNCATED AT 400 WORDS)


Assuntos
Nanismo Hipofisário/tratamento farmacológico , Hormônio Liberador de Hormônio do Crescimento/uso terapêutico , Hormônio do Crescimento/deficiência , Oligopeptídeos/uso terapêutico , Hipófise/lesões , Criança , Pré-Escolar , Quimioterapia Combinada , Nanismo Hipofisário/etiologia , Nanismo Hipofisário/fisiopatologia , Feminino , Hormônio do Crescimento/metabolismo , Humanos , Recém-Nascido , Masculino
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