Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 32
Filtrar
Mais filtros

Base de dados
País/Região como assunto
Tipo de documento
País de afiliação
Intervalo de ano de publicação
1.
Transfusion ; 61(5): 1600-1608, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33580978

RESUMO

BACKGROUND: Beta-lactam antibiotics are a relatively common cause of immune thrombocytopenia. Because the many beta-lactam drugs now in clinical use have structural similarities, when a patient experiences this complication the question of whether an alternative member of this drug family can safely be used often arises but there are little data available to guide this decision. STUDY DESIGN AND METHODS: Drug-dependent, platelet-reactive antibodies from 32 patients who experienced thrombocytopenia while being treated with a beta-lactam drug of the penam (piperacillin, etc.) or cephem (ceftriaxone etc.) groups were studied for serologic cross-reactivity with other drugs from these families using flow cytometry. Cross-reactions observed were analyzed for correlations with structural features of the drugs tested. RESULTS: Among 14 antibodies specific for penam drugs, five "strong" cross-reactions with other penam drugs were found. Among 18 antibodies specific for cephem drugs, 8 "strong cross-reactions were identified. Antibodies induced by penam drugs did not cross-react strongly with cephem drugs and vice versa. A strong correlation between cross-reactions and similar or identical R1 side groups of the beta-lactams studied was observed. DISCUSSION: The findings suggest that patients who experience immune thrombocytopenia while being treated with a beta-lactam of the penam group can safely be treated with a cephem drug and vice versa. If a patient is to be switched to another beta lactam within the same group, the likelihood of serologic cross-reactivity can be minimized by choosing an agent with a distinctly different R1 side group.


Assuntos
Antibacterianos/efeitos adversos , Púrpura Trombocitopênica Idiopática/induzido quimicamente , beta-Lactamas/efeitos adversos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Antibacterianos/imunologia , Anticorpos/sangue , Anticorpos/imunologia , Reações Cruzadas , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Púrpura Trombocitopênica Idiopática/sangue , Púrpura Trombocitopênica Idiopática/imunologia , Adulto Jovem , beta-Lactamas/imunologia
2.
J Sci Food Agric ; 101(7): 2863-2868, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33151573

RESUMO

BACKGROUND: Detection of chlorophyll metabolites in milk has recently been suggested to be an indicator of a grass-fed diet fed for cattle. Such a means of detection, however, is complicated when the grazing season is over because cattle can be fed fermented silage ingredients, such as alfalfa and corn silage. During fermentation, chlorophyll compounds and other pigments undergo degradation due to the accumulation of lactic acid and the resultant decline in pH. RESULTS: We monitored degradation of chlorophyll compounds by measuring the fluorescence and absorption spectra of silage extracts. The spectroscopic evidence supports the hypothesis that chlorophylls are converted into fluorescent products, such as pheophytin, and further cleaved into pheophorbide. The degradation starts with dechelation and removal of the magnesium ion to produce pheophytin. Further removal of the phytol chain from pheophytin results in the production of pheophorbide. CONCLUSIONS: The fluorescence intensity of these degradation products is reduced compared to that of the parent molecule. These findings are important in understanding the fluorescent signal in milk when cows consume silage rather than fresh pasture grass. © 2020 Society of Chemical Industry.


Assuntos
Bovinos/metabolismo , Clorofila/química , Leite/química , Silagem/análise , Anaerobiose , Ração Animal/análise , Animais , Clorofila/metabolismo , Digestão , Feminino , Fermentação , Medicago sativa/química , Medicago sativa/metabolismo , Leite/metabolismo , Rúmen/química , Rúmen/metabolismo , Espectrofotometria Atômica , Zea mays/química , Zea mays/metabolismo
3.
Blood ; 126(18): 2146-52, 2015 Oct 29.
Artigo em Inglês | MEDLINE | ID: mdl-26353910

RESUMO

Drug-dependent antibodies (DDAbs) that cause acute thrombocytopenia upon drug exposure are nonreactive in the absence of the drug but bind tightly to a platelet membrane glycoprotein, usually α(IIb)/ß3 integrin (GPIIb/IIIa) when the drug is present. How a drug promotes binding of antibody to its target is unknown and is difficult to study with human DDAbs, which are poly-specific and in limited supply. We addressed this question using quinine-dependent murine monoclonal antibodies (mAbs), which, in vitro and in vivo, closely mimic antibodies that cause thrombocytopenia in patients sensitive to quinine. Using surface plasmon resonance (SPR) analysis, we found that quinine binds with very high affinity (K(D) ≈ 10⁻9 mol/L) to these mAbs at a molar ratio of ≈ 2:1 but does not bind detectably to an irrelevant mAb. Also using SPR analysis, GPIIb/IIIa was found to bind monovalently to immobilized mAb with low affinity in the absence of quinine and with fivefold greater affinity (K(D) ≈ 2.2 × 10⁻6) when quinine was present. Measurements of quinine-dependent binding of intact mAb and fragment antigen-binding (Fab) fragments to platelets showed that affinity is increased 10 000- to 100 000-fold by bivalent interaction between antibody and its target. Together, the findings indicate that the first step in drug-dependent binding of a DDAb is the interaction of the drug with antibody, rather than with antigen, as has been widely thought, where it induces structural changes that enhance the affinity/specificity of antibody for its target epitope. Bivalent binding may be essential for a DDAb to cause thrombocytopenia.


Assuntos
Analgésicos não Narcóticos/imunologia , Anticorpos Monoclonais/imunologia , Plaquetas/imunologia , Complexo Glicoproteico GPIIb-IIIa de Plaquetas/imunologia , Quinina/imunologia , Animais , Epitopos/imunologia , Humanos , Fragmentos Fab das Imunoglobulinas/imunologia , Camundongos
4.
Blood ; 119(26): 6317-25, 2012 Jun 28.
Artigo em Inglês | MEDLINE | ID: mdl-22490676

RESUMO

Arginine-glycine-aspartic acid (RGD)-mimetic platelet inhibitors act by occupying the RGD recognition site of α(IIb)/ß(3) integrin (GPIIb/IIIa), thereby preventing the activated integrin from reacting with fibrinogen. Thrombocytopenia is a well-known side effect of treatment with this class of drugs and is caused by Abs, often naturally occurring, that recognize α(IIb)/ß(3) in a complex with the drug being administered. RGD peptide and RGD-mimetic drugs are known to induce epitopes (ligand-induced binding sites [LIBS]) in α(IIb)/ß(3) that are recognized by certain mAbs. It has been speculated, but not shown experimentally, that Abs from patients who develop thrombocytopenia when treated with an RGD-mimetic inhibitor similarly recognize LIBS determinants. We addressed this question by comparing the reactions of patient Abs and LIBS-specific mAbs against α(IIb)/ß(3) in a complex with RGD and RGD-mimetic drugs, and by examining the ability of selected non-LIBS mAbs to block binding of patient Abs to the liganded integrin. Findings made provide evidence that the patient Abs recognize subtle, drug-induced structural changes in the integrin head region that are clustered about the RGD recognition site. The target epitopes differ from classic LIBS determinants, however, both in their location and by virtue of being largely drug-specific.


Assuntos
Anticorpos/efeitos adversos , Anticorpos/metabolismo , Complexo Glicoproteico GPIIb-IIIa de Plaquetas/imunologia , Complexo Glicoproteico GPIIb-IIIa de Plaquetas/metabolismo , Trombocitopenia/etiologia , Animais , Anticorpos/imunologia , Células CHO , Cricetinae , Cricetulus , Eptifibatida , Humanos , Ligantes , Camundongos , Camundongos Endogâmicos BALB C , Modelos Biológicos , Oligopeptídeos/química , Oligopeptídeos/imunologia , Peptídeos/uso terapêutico , Inibidores da Agregação Plaquetária/química , Inibidores da Agregação Plaquetária/uso terapêutico , Complexo Glicoproteico GPIIb-IIIa de Plaquetas/química , Complexo Glicoproteico GPIIb-IIIa de Plaquetas/genética , Ligação Proteica/imunologia , Conformação Proteica , Ratos , Especificidade por Substrato , Trombocitopenia/tratamento farmacológico , Trombocitopenia/imunologia , Tirofibana , Tirosina/análogos & derivados , Tirosina/uso terapêutico
5.
Animals (Basel) ; 14(13)2024 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-38998066

RESUMO

Considering that certain catabolic products of anaerobic chlorophyll degradation inhibit efflux pump activity, this study was conducted to test if feeding pigs a water-soluble chlorophyllin product could affect the antibiotic resistance profiles of select wild-type populations of fecal bacteria. Trial 1 evaluated the effects of chlorophyllin supplementation (300 mg/meal) on fecal E. coli and enterococcal populations in pigs fed twice daily diets supplemented without or with ASP 250 (containing chlortetracycline, sulfamethazine and penicillin at 100, 100 and 50 g/ton, respectively). Trial 2, conducted similarly, evaluated chlorophyllin supplementation in pigs fed diets supplemented with or without 100 g tylosin/ton. Each trial lasted 12 days, and fecal samples were collected and selectively cultured at 4-day intervals to enumerate the total numbers of E. coli and enterococci as well as populations of these bacteria phenotypically capable of growing in the presence of the fed antibiotics. Performance results from both studies revealed no adverse effect (p > 0.05) of chlorophyllin, antibiotic or their combined supplementation on average daily feed intake or average daily gain, although the daily fed intake tended to be lower (p = 0.053) for pigs fed diets supplemented with tylosin than those fed diets without tylosin. The results from trial 1 showed that the ASP 250-medicated diets, whether without or with chlorophyllin supplementation, supported higher (p < 0.05) fecal E. coli populations than the non-medicated diets. Enterococcal populations, however, were lower, albeit marginally and not necessarily significantly, in feces from pigs fed the ASP 250-medicated diet than those fed the non-medicated diet. Results from trial 2 likewise revealed an increase (p < 0.05) in E. coli and, to a lesser extent, enterococcal populations in feces collected from pigs fed the tylosin-medicated diet compared with those fed the non-medicated diet. Evidence indicated that the E. coli and enterococcal populations in trial 1 were generally insensitive to penicillin or chlortetracycline, as there were no differences between populations recovered without or with antibiotic selection. Conversely, a treatment x day of treatment interaction observed in trial 2 (p < 0.05) provided evidence, albeit slight, of an enrichment of tylosin-insensitive enterococci in feces from the pigs fed the tylosin-medicated but not the non-medicated diet. Under the conditions of the present study, it is unlikely that chlorophyllin-derived efflux pump inhibitors potentially present in the chlorophyllin-fed pigs were able to enhance the efficacy of the available antibiotics. However, further research specifically designed to optimize chlorophyll administration could potentially lead to practical applications for the swine industry.

6.
Foodborne Pathog Dis ; 10(8): 684-91, 2013 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-23692074

RESUMO

The presence and antimicrobial susceptibility of foodborne pathogens and indicator organisms in animal feed are not well understood. In this study, a total of 201 feed ingredient samples (animal byproducts, n=122; plant byproducts, n=79) were collected in 2002 and 2003 from representative rendering plants and the oilseed (or cereal grain) industry across the United States. The occurrence and antimicrobial susceptibility of four bacterial genera (Salmonella, Campylobacter, Escherichia coli, and Enterococcus) were determined. Salmonella isolates were further characterized by serotyping and pulsed-field gel electrophoresis (PFGE). None of the samples yielded Campylobacter or E. coli O157:H7, whereas Salmonella, generic E. coli, and Enterococcus were present in 22.9%, 39.3%, and 86.6% of samples, respectively. A large percentage (47.8%) of Salmonella-positive samples harbored two serovars, and the vast majority (88.4%) of Enterococcus isolates were E. faecium. Animal byproducts had a significantly higher Salmonella contamination rate (34.4%) than plant byproducts (5.1%) (p<0.05). Among 74 Salmonella isolates recovered, 27 serovars and 55 PFGE patterns were identified; all were pan-susceptible to 17 antimicrobials tested. E. coli isolates (n=131) demonstrated similar susceptibility to these antimicrobials except for tetracycline (15.3% resistance), sulfamethoxazole (7.6%), streptomycin (4.6%), ampicillin (3.8%), and nalidixic acid (1.5%). Enterococcus isolates (n=362) were also resistant to five of 17 antimicrobials tested, ranging from 1.1% to penicillin to 14.6% to tetracycline. Resistance rates were generally higher among isolates recovered from animal byproducts. Taken together, our findings suggest that diverse populations of Salmonella, E. coli, and Enterococcus are commonly present in animal feed ingredients, but antimicrobial resistance is not common. Future large-scale studies to monitor these pathogenic and indicator organisms in feed commodities is warranted.


Assuntos
Ração Animal/microbiologia , Campylobacter/isolamento & purificação , Enterococcus/isolamento & purificação , Escherichia coli/isolamento & purificação , Carne/microbiologia , Salmonella/isolamento & purificação , Animais , Campylobacter/efeitos dos fármacos , Contagem de Colônia Microbiana , Farmacorresistência Bacteriana Múltipla/efeitos dos fármacos , Eletroforese em Gel de Campo Pulsado , Enterococcus/efeitos dos fármacos , Escherichia coli/efeitos dos fármacos , Contaminação de Alimentos , Microbiologia de Alimentos , Testes de Sensibilidade Microbiana , Salmonella/efeitos dos fármacos , Sorotipagem , Estados Unidos
7.
J Thromb Haemost ; 21(3): 639-651, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-36696221

RESUMO

BACKGROUND: Tissue factor pathway inhibitor (TFPI) is the primary inhibitor of events initiating the blood coagulation pathway. Tfpi-/- mice die during embryonic development. The absence of protease-activated receptor (PAR) 4, the major thrombin receptor on mouse platelets, rescues Tfpi-/-mice to adulthood. Among the 3 TFPI isoforms in mice, TFPIα is the only isoform within platelets (pltTFPIα) and the only isoform that inhibits prothrombinase, the enzymatic complex that converts prothrombin to thrombin. OBJECTIVES: To determine biological functions of pltTFPIα. METHODS: Tfpi-/-/Par4-/- mice were irradiated and transplanted with bone marrow from mice lacking or containing pltTFPIα. Thus, PAR4 expression was restored in the recipient mice, which differed selectively by the presence or absence of pltTFPIα and lacked other forms of TFPI. RESULTS: Recipient mice lacking pltTFPIα had reduced survival over the 200-day posttransplant period. Necropsy revealed radiation injury associated with large intraventricular platelet-rich thrombi, whereas other organs were not affected. Thrombi were associated with fibrotic presentations, including increased collagen deposition, periostin-positive activated fibroblasts, myofibroblasts, and macrophage infiltrates. Recipient mice containing pltTFPIα showed evidence of radiation injury but lacked heart pathology. CONCLUSIONS: Tfpi-/-/Par4-/- mice develop severe cardiac fibrosis following irradiation and transplantation with bone marrow lacking pltTFPIα. This pathology is markedly reduced when the mice are transplanted with bone marrow containing pltTFPIα. Thus, in this model system pltTFPIα has an important physiological role in dampening pathological responses mediated by activated platelets within the heart tissue.


Assuntos
Plaquetas , Trombose , Camundongos , Animais , Plaquetas/metabolismo , Trombose/metabolismo , Trombina/metabolismo , Isoformas de Proteínas , Fibrose
8.
Blood ; 113(5): 1105-11, 2009 Jan 29.
Artigo em Inglês | MEDLINE | ID: mdl-18948570

RESUMO

Drug-induced immune thrombocytopenia (DITP) is caused by drug-dependent antibodies (DDAbs) that are nonreactive in themselves but bind tightly to specific platelet membrane glycoproteins (GP) when soluble drug is present at pharmacologic concentrations. This reaction takes place without covalent linkage of drug to the target, indicating that drug does not function as a classical hapten to promote antibody binding. Studies to define other mechanism(s) responsible for this interaction have been frustrated by the polyclonal nature of human DDAbs and limited quantities of antibody usually available. We produced 2 monoclonal antibodies (mAbs), 314.1 and 314.3, from a mouse immunized with purified human GPIIb/IIIa and quinine that recognize the N terminus of the GPIIb beta propeller domain only when soluble quinine is present. Both monoclonals closely mimic the behavior of antibodies from patients with quinine-induced immune thrombo-cytopenia in their reactions at various concentrations of quinine and quinine congeners. Sequencing studies showed that the 2 mAbs are closely related structurally and that mAb 314.3 probably evolved from mAb 314.1 in the course of the immune response. These monoclonal reagents are the first of their kind and should facilitate studies to define the molecular basis for drug-dependent antibody binding and platelet destruction in DITP.


Assuntos
Analgésicos não Narcóticos/imunologia , Anticorpos Monoclonais/imunologia , Autoanticorpos/imunologia , Plaquetas/imunologia , Complexo Glicoproteico GPIIb-IIIa de Plaquetas/imunologia , Púrpura Trombocitopênica Idiopática/imunologia , Quinina/imunologia , Analgésicos não Narcóticos/efeitos adversos , Animais , Células CHO , Cricetinae , Cricetulus , Humanos , Camundongos , Estrutura Terciária de Proteína , Púrpura Trombocitopênica Idiopática/induzido quimicamente , Quinina/efeitos adversos
9.
Surg Radiol Anat ; 33(1): 53-7, 2011 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-20623121

RESUMO

The neck is an area that lends itself to anatomical geometry, such as triangles. Many triangles of the neck have been described, and some are well known; however, some have been nearly forgotten. The purposes of this study were to review prior literature on the forgotten triangles of the neck, to measure and document the occurrence of these triangles and the structures found within them, and to discuss their surgical significance and relationships to the standard triangles of the neck. This study was carried out on 17 (34 sides) formaldehyde-fixed adult human cadavers (5 males and 12 females), the mean age being 78 years. All triangles were found within the submandibular triangle of the anterior cervical triangle. Beclard's triangle was present on 28 sides and absent on 6 sides because the posterior belly of the digastric muscle did not touch the hyoid bone and because the posterior belly of the digastric muscle was directly over the greater cornu of the hyoid bone. Lesser's triangle was present on 30 sides and absent on 4 sides because the hypoglossal nerve remained inferior to the digastric muscle. Pirogoff's triangle was also present on 30 sides and absent on 4 sides, again because the hypoglossal nerve remained inferior to the digastric muscle. No statistically significant differences were found between the measurements of each leg of any of the three triangles and gender, or between the measurement of each leg of any of the three triangles and right versus left sides. Beclard's triangle, when present, was found to contain both the hypoglossal nerve and the lingual artery. Pirogoff's triangle always contained the lingual artery, and Lesser's triangle contained no major structures, but the lingual artery was deep to its floor. Knowledge of these triangles, their contents, and relationships to other structures of the neck could be important for cranio-facial, oral, general, and neurosurgeons who operate within the neck.


Assuntos
Esvaziamento Cervical , Pescoço/anatomia & histologia , Idoso , Feminino , Humanos , Masculino
10.
Sci Data ; 8(1): 76, 2021 03 05.
Artigo em Inglês | MEDLINE | ID: mdl-33674581

RESUMO

The Buzzards Bay Coalition's Baywatchers Monitoring Program (Baywatchers) collected summertime water quality information at more than 150 stations around Buzzards Bay, Massachusetts from 1992 to 2018. Baywatchers documents nutrient-related water quality and the effects of nitrogen pollution. The large majority of stations are located in sub-estuaries of the main Bay, although stations in central Buzzards Bay and Vineyard Sound were added beginning in 2007. Measurements include temperature, salinity, Secchi depth and concentrations of dissolved oxygen, ammonium, nitrate + nitrite, total dissolved nitrogen, particulate organic nitrogen, particulate organic carbon, ortho-phosphate, chlorophyll a, pheophytin a, and in lower salinity waters, total phosphorus and dissolved organic carbon. The Baywatchers dataset provides a long-term record of the water quality of Buzzards Bay and its sub-estuaries. The data have been used to identify impaired waters, evaluate discharge permits, support the development of nitrogen total maximum daily loads, develop strategies for reducing nitrogen inputs, and increase public awareness and generate support for management actions to control nutrient pollution and improve water quality.

11.
Anal Chem ; 82(10): 4097-101, 2010 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-20411920

RESUMO

The feasibility of exploiting fluorescence spectra of the eye for diagnosis of transmissible spongiform encephalopathies (TSEs) was examined. Retinas from scrapie-positive sheep were compared with scrapie-negative sheep using fluorescence spectroscopy, and distinct differences in the fluorescence intensity and spectroscopic signatures were observed. The characteristic fluorescent signatures are thought to be the result of an accumulation of lipofuscin in the retina. It appears that the eye, in particular the retina, is a useful tissue for noninvasive examination of some neurological pathologies such as scrapie. The development of procedures based on examinations of the eye that permit the detection of neurological disorders in animals holds great promise.


Assuntos
Encefalopatia Espongiforme Bovina/diagnóstico , Doenças Priônicas/diagnóstico , Retina/patologia , Espectrometria de Fluorescência/métodos , Animais , Encéfalo/patologia , Bovinos , Retina/fisiopatologia , Scrapie/diagnóstico
12.
Photochem Photobiol ; 85(1): 234-8, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-18764899

RESUMO

The integrated fluorescence of murine eyes is collected as a function of age. This fluorescence is attributed to pigments generally referred to as lipofuscin and is observed to increase with age. No difference in fluorescence intensity is observed between the eyes of males or females. This work provides a benchmark for further studies that are planned in order to use such signatures as markers of central nervous system (CNS) tissue or even of diseased CNS tissue and provides a basis for determining the age of a healthy animal.


Assuntos
Envelhecimento/fisiologia , Olho/química , Olho/metabolismo , Lipofuscina/química , Lipofuscina/metabolismo , Animais , Feminino , Masculino , Camundongos , Espectrometria de Fluorescência
13.
J Agric Food Chem ; 66(9): 2168-2173, 2018 Mar 07.
Artigo em Inglês | MEDLINE | ID: mdl-29356527

RESUMO

Owing to its high ω-3 fatty acid content, milk from grass-fed dairy cows is becoming increasingly more attractive to consumers. Consequently, it is important to identify the origins of such products and to measure their content, at least relative to some standard. To date, chromatography has been the most extensively used technique. Sample preparation and cost, however, often reduce its widespread applicability. Here, we report the effectiveness of fluorescence spectroscopy for such quantification by measuring the amount of chlorophyll metabolites in the sample. Their content is significantly higher for milk from grass-fed cows compared to milk from grain/silage-fed cows. It is 0.11-0.13 µM in milk samples from grass-fed cows, whereas in milk from cows fed grain/silage rations, the concentration was 0.01-0.04 µM. In various organic milk samples, the chlorophyll metabolite concentration was in the range of 0.07-0.09 µM. In addition, we explored the mechanisms of photodegradation of milk. Riboflavin and chlorophyll metabolites act as photosensitizers in milk for type-I and type-II reactions, respectively. It was also observed that the presence of high levels of chlorophyll metabolites can synergistically degrade riboflavin, contributing to the degradation of milk quality.


Assuntos
Ração Animal/análise , Bovinos/metabolismo , Leite/química , Espectrometria de Fluorescência/métodos , Animais , Clorofila/química , Clorofila/metabolismo , Luz , Leite/efeitos da radiação , Fotólise , Poaceae/metabolismo , Riboflavina/química , Riboflavina/metabolismo
14.
Anesthesiology ; 107(6): 909-22, 2007 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-18043059

RESUMO

BACKGROUND: This study sought to evaluate the effectiveness of an active survey method for detecting anesthesia nonroutine events (NREs). An NRE is any aspect of clinical care perceived by clinicians or observers as a deviation from optimal care based on the context of the clinical situation. METHODS: A Comprehensive Open-ended Nonroutine Event Survey (CONES) was developed to elicit NREs. CONES, which consisted of multiple brief open-ended questions, was administered to anesthesia providers in the postanesthesia care unit. CONES data were compared with those from the same hospital's anesthesia quality assurance (QA) process, which relied on self-reporting of predefined adverse events. RESULTS: CONES interviews were conducted after 183 cases of varying patient, anesthesia, and surgical complexity. Fifty-five cases had at least one NRE (30.4% incidence). During the same 30-month period, the QA process captured 159 cases with 96.8% containing at least one NRE among the 8,303 anesthetic procedures conducted (1.9% overall incidence). The CONES data were more representative of the overall surgical population. There were significant differences in NRE incidence (P < 0.001), patient impact (74.5% vs. 96.2%; P < 0.001), and injury (23.6% vs. 60.3%) between CONES and QA data. Outcomes were more severe in the QA group (P < 0.001). Extrapolation of the CONES data suggested a significantly higher overall incidence of anesthesia-related patient injury (7.7% vs. only 1.0% with the QA method). CONCLUSIONS: An active surveillance tool using the NRE construct identified a large number of clinical cases with potential patient safety concerns. This approach may be a useful complement to more traditional QA methods of self-reporting.


Assuntos
Anestesia/efeitos adversos , Anestesiologia , Coleta de Dados/métodos , Erros Médicos/efeitos adversos , Programas Voluntários , Adulto , Idoso , Idoso de 80 Anos ou mais , Anestesiologia/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
15.
J Agric Food Chem ; 55(17): 7043-51, 2007 Aug 22.
Artigo em Inglês | MEDLINE | ID: mdl-17655323

RESUMO

Bovine rumen fluid was fermented anaerobically with 25 mM R-propylene glycol, S-propylene glycol, or glycerol added. After 24 h, all of the propylene glycol enantiomers and approximately 80% of the glycerol were metabolized. Acetate, propionate, butyrate, valerate, and caproate concentrations, in decreasing order, all increased with incubation time. Addition of any of the three substrates somewhat decreased acetate formation, while addition of either propylene glycol increased propionate formation but decreased that of butyrate. R- and S-propylene glycol did not differ significantly in either their rates of disappearance or the products formed when they were added to the fermentation medium. Fermentations of rumen fluid containing propylene glycol emitted the sulfur-containing gases 1-propanethiol, 1-(methylthio)propane, methylthiirane, 2,4-dimethylthiophene, 1-(methylthio)-1-propanethiol, dipropyl disulfide, 1-(propylthio)-1-propanethiol, dipropyl trisulfide, 3,5-diethyl-1,2,4-trithiolane, 2-ethyl-1,3-dithiane, and 2,4,6-triethyl-1,3,5-trithiane. Metabolic pathways that yield each of these gases are proposed. The sulfur-containing gases produced during propylene glycol fermentation in the rumen may contribute to the toxic effects seen in cattle when high doses are administered for therapeutic purposes.


Assuntos
Fermentação , Glicerol/metabolismo , Propilenoglicol/metabolismo , Rúmen/metabolismo , Animais , Bovinos , Cromatografia Gasosa , Ácidos Graxos Voláteis/metabolismo , Humanos , Olfato , Enxofre/análise
16.
J Food Prot ; 80(11): 1815-1820, 2017 11.
Artigo em Inglês | MEDLINE | ID: mdl-28981377

RESUMO

Because some significant outbreaks of human salmonellosis have been traced to contaminated animal feed, the rapid and efficient detection of Salmonella in feed is essential. However, the current U.S. Food and Drug Administration Bacteriological Analytical Manual (BAM) culture method that uses lactose broth as a preenrichment medium has not reliably supported the results of real-time PCR assays for certain foods. We evaluated the BAM culture method and a quantitative real-time PCR (qPCR) assay using two preenrichment media, modified buffered peptone water and lactose broth, to detect Salmonella enterica subsp. enterica serovar Cubana in naturally contaminated chick feed. After 24 h of incubation, the qPCR method was as sensitive as the culture method when modified buffered peptone water was used as the preenrichment medium but less sensitive than culture when lactose broth was used. After 48 h of incubation, detection of Salmonella Cubana by qPCR and by culture in either preenrichment medium was equivalent. We also compared the performance of the traditional serotyping method, which uses pure cultures of Salmonella grown on blood agar, to two molecular serotyping methods. The serotyping method based on whole genome sequencing also requires pure cultures, but the PCR-based molecular serotyping method can be done directly with the enriched culture medium. The PCR-based molecular serotyping method provided simple and rapid detection and identification of Salmonella Cubana. However, whole genome sequencing allows accurate identification of many Salmonella serotypes and highlights variations in the genomes, even in tight genomic clusters. We also compared the genome of the chick feed isolate with 58 Salmonella Cubana strains in GenBank and found that the chick feed isolate was very closely related to an isolate from a foodborne outbreak involving alfalfa sprouts.


Assuntos
Ração Animal , Salmonella enterica , Ração Animal/microbiologia , Animais , Técnicas Bacteriológicas , Soluções Tampão , Galinhas , Meios de Cultura , Humanos , Reação em Cadeia da Polimerase/métodos , Salmonella enterica/isolamento & purificação , Sorogrupo , Sorotipagem , Verduras/microbiologia
17.
J Agric Food Chem ; 64(1): 320-5, 2016 Jan 13.
Artigo em Inglês | MEDLINE | ID: mdl-26623498

RESUMO

Transmissible spongiform encephalopathies (TSE) are progressive, neurodegenerative disorders, of which bovine spongiform encephalopathy (BSE) is of special concern because it is infectious and debilitating to humans. The possibility of using fluorescence spectroscopy to screen for BSE in cattle was explored. Fluorescence spectra from the retinas of experimentally infected BSE-positive cattle with clinical disease were compared with those from both sham-inoculated and non-inoculated BSE-negative cattle. The distinct intensity difference of about 4-10-fold between the spectra of the BSE-positive and the BSE-negative (sham-inoculated and non-inoculated) eyes suggests the basis for a means of developing a rapid, noninvasive examination of BSE in particular and TSEs in general.


Assuntos
Encefalopatia Espongiforme Bovina/diagnóstico , Retina/química , Espectrometria de Fluorescência/métodos , Animais , Bovinos
18.
Photochem Photobiol ; 79(1): 21-5, 2004 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-14974711

RESUMO

Lipofuscin is a yellow-brown, highly fluorescent pigment that undergoes an age-related progressive accumulation in animal cells, mainly in postmitotic cells. It is a heterogeneous, high-molecular weight material associated with proteins, lipids and nucleic acids. Lipofuscin is implicated in many aspects of human health, including aging, oxidative stress, macular degeneration, lipid peroxidation, atherosclerosis, dementia (Alzheimer's Disease) and diseases associated with prions. Although the fluorescent properties of lipofuscin have long been recognized, neither histologists nor chemists have yet isolated the pigments themselves or characterized their optical properties. We have prepared lipofuscinlike species by reacting malondialdehyde (MDA) with cysteine (Cys). MDA:Cys adducts 3:2 and 2:2 are two of those that have been identified among the many that were present in the reaction. Whereas previous attempts to synthesize lipofuscinlike species resulted in compounds that were either nonfluorescent or emitted principally in the blue, the MDA:Cys adducts reported in this study are not only fluorescent but also emit over a broader range.


Assuntos
Aminoácidos/química , Lipofuscina/química , Malondialdeído/química , Humanos , Espectrometria de Fluorescência/métodos , Medula Espinal/química
19.
J Agric Food Chem ; 50(8): 2267-73, 2002 Apr 10.
Artigo em Inglês | MEDLINE | ID: mdl-11929282

RESUMO

Bovine rumen fluid was fermented anaerobically over 48 h with cottonseed, corn, alfalfa, or a mixture of these substrates in anaerobic mineral buffer. Samples taken at different incubation times were derivatized with n-butanol and subjected to gas chromatography and mass spectroscopy. No unusual fermentation end-products from the cottonseed substrate were detected. Cottonseed supported rumen fermentation at levels comparable to those of the other substrates. Major components were usually found in the decreasing order of acetate, propionate, butyrate, and valerate, although acetate and propionate concentrations decreased late in the alfalfa and mixed-feed fermentations, eventually allowing butyrate concentrations to exceed those of propionate. As expected, lactate was produced in high concentrations when corn was fermented. The minor components 2-methylpropionate, 2- and 3-methylbutyrate, phenylacetate, phenylpropionate, and caproate also accumulated, with their relative concentrations varying with the substrate. Succinate was produced in substantial amounts only when corn and alfalfa were fermented; it did not accumulate when cottonseed was the substrate. Samples containing cottonseed were derivatized and subjected to reversed-phase high-performance liquid chromatography, revealing that gossypol concentrations did not change during fermentation.


Assuntos
Ração Animal , Líquidos Corporais/metabolismo , Óleo de Sementes de Algodão/metabolismo , Fermentação , Rúmen/metabolismo , Acetatos/análise , Animais , Líquidos Corporais/química , Butiratos/análise , Bovinos , Gossipol/análise , Ácido Láctico/análise , Medicago sativa/metabolismo , Ácidos Pentanoicos/análise , Propionatos/análise , Zea mays/metabolismo
20.
J Agric Food Chem ; 51(11): 3502-7, 2003 May 21.
Artigo em Inglês | MEDLINE | ID: mdl-12744689

RESUMO

Digestion of green plants in the gastrointestinal (GI) tract produces degradation products from chlorophyll that cause ingesta and feces to be highly fluorescent. This property was exploited for development and construction of instruments to noninvasively detect minute quantities of feces on meat samples in real time. The presence of feces on meat products is a primary source of foodborne pathogens, such as Escherichia coli O157:H7 and Salmonella. This new technology provides a rapid and accurate alternative to the practice of visual inspection and augments more time-consuming biological testing methods. This innovation can assist meat processors and government inspectors in their efforts to provide safe and wholesome food to consumers.


Assuntos
Fezes/química , Fluorescência , Contaminação de Alimentos , Carne/análise , Porfirinas/análise , Animais , Bovinos , Galinhas , Clorofila/química , Clorofila/metabolismo , Cabras , Porfirinas/química , Espectrometria de Fluorescência , Suínos
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA