Interprofessional collaboration in palliative dementia care.

Interprofessional collaboration (IPC) is essential for high-quality palliative care (PC) for persons with dementia. The aim of this scoping review was to identify IPC approaches in palliative dementia care and explore the elements constituting these approaches. We performed a search in PubMed, CINAHL, and PsychINFO using the Joanna Briggs Institute Reviewers' manual and PRISMA guidelines, and conducted content analysis of the included articles. In total, 28 articles were included, which described 16 IPC approaches in palliative dementia care. The content analysis revealed three overall elements of these approaches: 1) collaborative themes, 2) collaborative processes, and 3) resources facilitating collaboration. Frequently reported collaborative themes embraced pain management and providing care in the dying phase. These themes were addressed through intertwined collaborative processes including communication, coordination, assessing and monitoring, and reflecting and evaluating. To ensure optimal IPC in palliative dementia care, various resources were required, such as PC knowledge, skills to manage symptoms, skills to communicate with collaborators, and a facilitating environment. In conclusion, the identified IPC approaches in palliative dementia care involve diverse collaborating professionals who mainly manage symptoms, prepare for the dying phase and require material and immaterial resources to enable optimal IPC in palliative dementia care.

The effects of Trolox on the quality of sperm from captive squirrel monkey during liquefaction in the extender ACP-118™.

SummaryThe aim of this study was to evaluate the effect of incubating semen for different periods (90, 270 or 450 min) with or without Trolox® (100 or 150 µM) on the quality of sperm from Saimiri collinsi. Sperm motility, vigour, and plasma membrane integrity (PMI) were evaluated in both fresh semen and semen incubated for different time periods, i.e. 90, 270 or 450 min of incubation. Supplementation of semen extender with Trolox® 100 µM improved sperm motility, vigour and PMI for up to 270 min of incubation.

Gestational ultrasonography and Dopplerfluxometry in capuchin monkeys (Sapajus apella) zoometric.

The objectives of the current study were as follows: 1) to evaluate blood flow in the uterine (UA) and umbilical (Uma) arteries in pregnant capuchin monkeys by measuring the resistive index (RI) and pulsatility index (PI); 2) to determine the presence or absence of the early diastolic notch and diastolic flow in the UA and Uma flow waveforms, respectively; 3) to perform conceptus echobiometry for fetal growth assessment during pregnancy; 4) to describe the moment that the fetal organs were initially observed; and 5) to determine when the diagnosis of fetal gender is possible. Seven healthy, sexually mature female Sapajus apella were examined in Weeks -20 to -1 before whelping (whelping Week 0). Triplex Doppler was used to assess the blood flow and fetal heart rate, and B-mode ultrasonography was used to assess the fetal organs and conceptus measurements, including the gestational sac latero-lateral longitudinal (LLL) and latero-lateral transversal (LLT), the crown rump length (CRL), biparietal diameter (BPD), occipito-frontal diameter (OFD), head circumference (HC), abdominal circumference (AC), femur length (FL) and fetal organ. All the pregnancies ended with a normal whelping and the birth of a live newborn. Prior to whelping, all conceptus dimensions increased significantly, whereas the RI and PI of both the UA and Uma decreased significantly. For the UA, the RI and PI were (mean ± SEM) 0.835 ± 0.017 and 2.157 ± 0.129, 0.808 ± 0.008 and 1.920 ± 0.041, and 0.761 ± 0.006 and 1.759 ± 0.036 on periods -3, -2 and -1, respectively. For the Uma, the RI and PI were 0.97 ± 0.01 and 2.50 ± 0.02 at Week -17 and were 0.64 ± 0.02 and 0.98 ± 0.04 at Week -1, respectively. The complete disappearance of the early diastolic notch in the UA, and the complete appearance of diastolic flow in the Uma occurred on Week -1 and Week -11, respectively. Linear regression analyses regarding the relationship of the weeks before whelping (WBW) with the conceptus parameters were as follows: CRL = 16.93 + 0.93 WBW and FL = 3.62 + 0.22 WBW (R2 = 0.98, P < 0.0001); AC = 13.46 + 0.67 WBW (R2 = 0.96, P < 0.0001); BPD = 4.46 + 0.20 WBW (R2 = 0.95, P < 0.0001); LLL = 11.46 + 0.45 WBW, LLT = 9.52 + 0.38 WBW and HC = 16.68 + 0.80 WBW (R2 = 0.92, P < 0.0001); Uma RI = 0.64-0.02 WBW and PI = 0.79-0.11 WBW (R2 = 0.90, P < 0.0001); and OFD = 5.84 + 0.27 WBW (R2 = 0.86, P < 0.0001). The authors concluded that for fetal echobiometry UA and Uma perfusion were important endpoints to assess fetal vitality in the capuchin monkey. Moreover, it was possible to describe the moment when the organs were visualized and perform sexing.

Testicular biometry and semen characteristics in captive and wild squirrel monkey species (Saimiri sp.).

Differential phenotypic characteristics for taxonomic diagnosis purposes are well determined in the genus Saimiri (squirrel monkey). However, data on its reproductive characteristics are lacking. Our aim was to determine testicular biometry and correlate with seminal analysis in captive (Saimiri collinsi) and free living (Saimiri vanzolinii, Saimiri cassiquiarensis, and Saimiri macrodon) squirrel monkeys. Testicular length, width, height, circumference, and volume were measured. Testicular biometry showed no differences between right and left testicles within the same species, as well as among species. Semen collected by electroejaculation was constituted of a liquid and coagulated fraction, or only one of them. No significant difference was observed between mean volumes of liquid (49.2 ± 68.9 µL: S. collinsi; 28.3 ± 59.8 µL: S. vanzolinii; 5 ± 7.1 µL: S. cassiquiarensis; and 0 µL: S. macrodon) and coagulated (65.4 ± 142.1 µL: S. collinsi; 125.8 ± 142.5 µL: S. vanzolinii; 175 ± 176.8 µL: S. cassiquiarensis; and 500 µL: S. macrodon) fractions within species or when each fraction was compared among the studied species. No correlation between testicular volume and seminal volume was observed when liquid (R = 0.31, S. collinsi; R = -0.69, S. vanzolinii) and coagulated (R = 0.32, S. collinsi; R = -0.37, S. vanzolinii) fractions were evaluated. No sufficient data were obtained for the other two species. Seminal quality was similar among species, and the most common defect was coiled tail. The method of electroejaculation yielded satisfactory results on these species, under field conditions.

Efficacious long-term cooling and freezing of Sapajus apella semen in ACP-118(®).

The objectives of the present study were to test the effect of coconut water solution (CWS), TES-TRIS and ACP-118(®) on the seminal cooling and cryopreservation of semen from capuchin monkeys (Sapajus apella). Semen was collected from six males by electro-ejaculation, diluted in TES-TRIS, CWS or ACP-118(®), and maintained at 4°C for 28h. Semen was subsequently evaluated (Experiment I) or cryopreserved in the presence of different glycerol concentrations (3%, 5% or 7%) (Experiment II). ACP-118(®) was the preferred extender to preserve sperm motility and viability after 28h incubation at 4°C. Cooled sperm were successfully frozen-thawed in a medium containing 3% glycerol. After thawing, sperm retained the capacity to fertilize oocytes and zygotes were obtained. In conclusion, ACP-118(®) can be effectively and efficiently used as extender for the cooling of S. apella semen. Furthermore, cryopreservation using ACP-118(®) by adding 3% glycerol is suitable to maintain sperm morphology and the capacity of these cells to fertilize in vitro.

Seminal characteristics and cryopreservation of sperm from the squirrel monkey, Saimiri collinsi.

The Neotropical nonhuman primate squirrel monkey (Saimiri sp.) is one of the most commonly used species in research in several areas of knowledge. However, little progress has been reported in respect to techniques for preservation of their gametes. Thus, the main objectives of this study were (1) to describe testicular and seminal aspects of a new species, Saimiri collinsi, (2) to preserve semen of this species by cooling or freezing using ACP-118 (powdered coconut water), and (3) to test two glycerol (GLY) concentrations (1.5% or 3%) for semen freezing in the presence of ACP-118. The experimental group started with 14 captive males, but only 11 were suitable to collect ejaculates containing sperm. After anesthesia, both testes were evaluated: length, width, height, and testicular circumference. Semen was collected by electroejaculation and evaluated, followed by dilution, cooling, and freezing. Seminal parameters and sperm motility, vigor, plasma membrane integrity, and normal morphology were evaluated after each step; functionality was also checked in fresh and frozen-thawed sperm. Sperm motility, plasma membrane integrity, and normal sperm in cooled semen (n = 11) were 44.1 ± 34.0, 63.1 ± 15.6, and 73.8 ± 19.8, respectively, with vigor ranging of 2 to 3. Sperm motility, plasma membrane integrity, normal and functional sperm in frozen semen (n = 5) were 0.6 ± 1.3 (1.5% and 3% GLY); 4.4 ± 4.9 (1.5% GLY) and 6.6 ± 7.2 (3% GLY); 86.8 ± 3.0 (1.5% GLY) and 88.8 ± 5.1 (3% GLY); 13.3 ± 11.9 (1.5% GLY) and 14.3 ± 13.5 (3% GLY), respectively, and vigor 0 for both 1.5% and 3% GLY. No significant difference between GLY concentrations was observed. We concluded that electroejaculation was efficient for semen collection of S collinsi and tested the cooling protocol that allowed to recover a satisfactory percentage (63%) of membrane intact sperm. However, the freezing protocol was not appropriate to sperm preservation.

Morphological and morphometrical characterization, and estimation of population of preantral ovarian follicles from senile common squirrel monkey (Saimiri sciureus).

The experiment described the morphological and morphometrical characteristics as well as estimate the population of primordial, primary and secondary ovarian follicles from common squirrel monkey (Saimiri sciureus). Ovaries (n=10) from five senile squirrel monkeys were collected after natural death and processed for classical histology. The mean ovarian population was estimated as 915.04 ± 78.83, 230.46 ± 20.82 and 115.88 ± 15.72 primordial, primary and secondary follicles per ovary, respectively. 73.30% were classified as primordial, 18.62% as primary, and 8.09% as secondary follicles. From all these developmental stages, the mean diameters of follicles, oocytes, oocytes nuclei and the mean number of granulosa cells were described. The number of granulosa cells surrounding normal primordial follicles (5.65 ± 0.001) was lower (P<0.05) than the number of granulosa cells (13.17 ± 0.02) surrounding the primary follicles. Secondary follicles presented the highest (P<0.001) number of granulosa cells surrounding each oocyte (273.73 ± 20.80). We have estimated the follicular population, as well as described the morphometric and morphological characteristics of preantral follicles from senile squirrel monkeys, which may be a valuable animal model for female ovarian aging studies.