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1.
Molecules ; 26(8)2021 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-33920862

RESUMO

Compared to most other forest ecosystems, circumpolar boreal and subarctic forests have few tree species, and are prone to mass outbreaks of herbivorous insects. A short growing season with long days allows rapid plant growth, which will be stimulated by predicted warming of polar areas. Emissions of biogenic volatile organic compounds (BVOC) from soil and vegetation could be substantial on sunny and warm days and biotic stress may accelerate emission rates. In the atmosphere, BVOCs are involved in various gas-phase chemical reactions within and above forest canopies. Importantly, the oxidation of BVOCs leads to secondary organic aerosol (SOA) formation. SOA particles scatter and absorb solar radiation and grow to form cloud condensation nuclei (CCN) and participate in cloud formation. Through BVOC and moisture release and SOA formation and condensation processes, vegetation has the capacity to affect the abiotic environment at the ecosystem scale. Recent BVOC literature indicates that both temperature and herbivory have a major impact on BVOC emissions released by woody species. Boreal conifer forest is the largest terrestrial biome and could be one of the largest sources of biogenic mono- and sesquiterpene emissions due to the capacity of conifer trees to store terpene-rich resins in resin canals above and belowground. Elevated temperature promotes increased diffusion of BVOCs from resin stores. Moreover, insect damage can break resin canals in needles, bark, and xylem and cause distinctive bursts of BVOCs during outbreaks. In the subarctic, mountain birch forests have cyclic outbreaks of Geometrid moths. During outbreaks, trees are often completely defoliated leading to an absence of BVOC-emitting foliage. However, in the years following an outbreak there is extended shoot growth, a greater number of leaves, and greater density of glandular trichomes that store BVOCs. This can lead to a delayed chemical defense response resulting in the highest BVOC emission rates from subarctic forest in the 1-3 years after an insect outbreak. Climate change is expected to increase insect outbreaks at high latitudes due to warmer seasons and arrivals of invasive herbivore species. Increased BVOC emission will affect tropospheric ozone (O3) formation and O3 induced oxidation of BVOCs. Herbivore-induced BVOC emissions from deciduous and coniferous trees are also likely to increase the formation rate of SOA and further growth of the particles in the atmosphere. Field experiments measuring the BVOC emission rates, SOA formation rate and particle concentrations within and above the herbivore attacked forest stands are still urgently needed.


Assuntos
Compostos Orgânicos Voláteis/análise , Animais , Mudança Climática , Secas , Herbivoria , Estresse Fisiológico/fisiologia
2.
Geophys Res Lett ; 44(10): 5167-5177, 2017 05 28.
Artigo em Inglês | MEDLINE | ID: mdl-28781391

RESUMO

A large fraction of atmospheric organic aerosol (OA) originates from natural emissions that are oxidized in the atmosphere to form secondary organic aerosol (SOA). Isoprene (IP) and monoterpenes (MT) are the most important precursors of SOA originating from forests. The climate impacts from OA are currently estimated through parameterizations of water uptake that drastically simplify the complexity of OA. We combine laboratory experiments, thermodynamic modeling, field observations, and climate modeling to (1) explain the molecular mechanisms behind RH-dependent SOA water-uptake with solubility and phase separation; (2) show that laboratory data on IP- and MT-SOA hygroscopicity are representative of ambient data with corresponding OA source profiles; and (3) demonstrate the sensitivity of the modeled aerosol climate effect to assumed OA water affinity. We conclude that the commonly used single-parameter hygroscopicity framework can introduce significant error when quantifying the climate effects of organic aerosol. The results highlight the need for better constraints on the overall global OA mass loadings and its molecular composition, including currently underexplored anthropogenic and marine OA sources.

3.
Oral Dis ; 22(4): 338-44, 2016 May.
Artigo em Inglês | MEDLINE | ID: mdl-26847146

RESUMO

OBJECTIVE: The pathophysiology of primary burning mouth syndrome (BMS) has remained enigmatic, but recent studies suggest pathology within the nervous system at multiple levels. This study aimed to investigate in detail the contribution of either focal or generalized alterations within the peripheral nervous system (PNS) in the etiopathogenesis of BMS. SUBJECTS AND METHODS: Intraepithelial nerve fiber density (IENFD) of tongue mucosa was assessed in 10 carefully characterized BMS, and the results were compared to 19 age- and gender-matched cadaver controls, 6 with lifetime diabetes. Extensive neurophysiologic and psychophysical examinations of the trigeminal system and distal extremities were performed to profile PNS function in BMS. RESULTS: Patients with BMS had significantly fewer intraepithelial nerve fibers (0,27, s.e. 0,18 mm(-1); P = 0.0253) than non-diabetic controls (0,92, s.e. 0,15 mm(-1)). In the subepithelial space, the amount of nerve fibers did not differ between the groups. The majority (9/10) of patients with BMS showed neurophysiologic or psychophysical signs of a more generalized PNS dysfunction. CONCLUSIONS: Our results in neurophysiologically optimally characterized BMS patients confirm that pure focal small fiber neuropathy of the oral mucosa has a role in the pathophysiology of primary BMS. Furthermore, BMS may be related to a more generalized, yet subclinical peripheral neuropathy.


Assuntos
Síndrome da Ardência Bucal/etiologia , Mucosa Bucal/inervação , Sistema Nervoso Periférico/patologia , Sistema Nervoso Periférico/fisiopatologia , Língua/inervação , Idoso , Cadáver , Estudos de Casos e Controles , Diabetes Mellitus/patologia , Epitélio/inervação , Feminino , Humanos , Pessoa de Meia-Idade , Projetos Piloto , Psicofisiologia , Nervo Trigêmeo/patologia , Nervo Trigêmeo/fisiopatologia
4.
Science ; 153(3744): 1603-14, 1966 Sep 30.
Artigo em Inglês | MEDLINE | ID: mdl-5917071

RESUMO

The synthesis of bacterial protein in the rumen of lactating cows fed on purified carbohydrates, with urea and ammonium salts as the sole sources of nitrogen, can be increased, through feed adaptation, to a level adequate not only for the maintenance of the cow but also for a relatively high milk production. The best annual milkyield per cow on the experimental feedhas, so far, been 4217 kilograms, calculated as standard milk (684 kilocalories per kilogram of milk). The composition of the test milk is similar to that of normal fat- and proteinrich milk. Fractionation of casein and serum proteins of test milk and normal milk by different methods demonstrated the similarity of the proteins of the two milks. The normal or higher concentrations of the water-solublevitamins in test milk show that the biosynthesis of these vitamins in the rumen is vigorous. The flavor of the two milks is very similar-proof that biosynthesis of the effective flavor compounds of milk occurs in the body of the cow. The only component of test milk whose composition, when small amounts of vegetable oil have been fed, has differed from that of normal milk is the fat. The studies of milk production on the experimental feed have opened up new possibilities for investigating the biosynthesis of different milk components. The studies are also of practical importance: Since the vigorous biosynthesis of proteins from simple nitrogen compounds in the rumen of test-feed-adapted cows has been demonstrated, there are greater possibilities for studying the replacement of protein by urea. In countries where there are plenty of forests, part of the feed of cows can be made up of certain wood products-for instance, hemicellulose and cellulose of low quality. The new findings may also be of value in the dry areas of the globe, where milk would be of vital significance for improving the nutrition of the population.


Assuntos
Alimentos , Leite , Nitrogênio/metabolismo , Compostos de Amônio Quaternário/metabolismo , Rúmen/metabolismo , Ureia/metabolismo , Aminoácidos , Ração Animal , Animais , Proteínas de Bactérias/metabolismo , Proteínas Sanguíneas , Bovinos , Feminino , Proteínas/metabolismo , Radioisótopos
5.
Sci Rep ; 8(1): 3053, 2018 02 14.
Artigo em Inglês | MEDLINE | ID: mdl-29445182

RESUMO

Secondary organic aerosol (SOA) impact climate by scattering and absorbing radiation and contributing to cloud formation. SOA models are based on studies of simplified chemical systems that do not account for the chemical complexity in the atmosphere. This study investigated SOA formation from a mixture of real Scots pine (Pinus sylvestris) emissions including a variety of monoterpenes and sesquiterpenes. SOA generation was characterized from different combinations of volatile compounds as the plant emissions were altered with an herbivore stress treatment. During active herbivore feeding, monoterpene and sesquiterpene emissions increased, but SOA mass yields decreased after accounting for absorption effects. SOA mass yields were controlled by sesquiterpene emissions in healthy plants. In contrast, SOA mass yields from stressed plant emissions were controlled by the specific blend of monoterpene emissions. Conservative estimates using a box model approach showed a 1.5- to 2.3-fold aerosol enhancement when the terpene complexity was taken into account. This enhancement was relative to the commonly used model monoterpene, "α-pinene". These results suggest that simplifying terpene complexity in SOA models could lead to underpredictions in aerosol mass loading.


Assuntos
Pinus sylvestris/química , Pinus sylvestris/metabolismo , Terpenos/química , Aerossóis/análise , Poluentes Atmosféricos/análise , Atmosfera , Clima , Monoterpenos/análise , Monoterpenos/química , Ozônio/química , Pinus/química , Pinus/metabolismo , Sesquiterpenos/análise , Sesquiterpenos/química , Compostos Orgânicos Voláteis/análise , Compostos Orgânicos Voláteis/química
6.
Sci Rep ; 8(1): 1482, 2018 01 24.
Artigo em Inglês | MEDLINE | ID: mdl-29367716

RESUMO

The formation of new atmospheric particles involves an initial step forming stable clusters less than a nanometre in size (<~1 nm), followed by growth into quasi-stable aerosol particles a few nanometres (~1-10 nm) and larger (>~10 nm). Although at times, the same species can be responsible for both processes, it is thought that more generally each step comprises differing chemical contributors. Here, we present a novel analysis of measurements from a unique multi-station ground-based observing system which reveals new insights into continental-scale patterns associated with new particle formation. Statistical cluster analysis of this unique 2-year multi-station dataset comprising size distribution and chemical composition reveals that across Europe, there are different major seasonal trends depending on geographical location, concomitant with diversity in nucleating species while it seems that the growth phase is dominated by organic aerosol formation. The diversity and seasonality of these events requires an advanced observing system to elucidate the key processes and species driving particle formation, along with detecting continental scale changes in aerosol formation into the future.

7.
Eur J Pain ; 21(9): 1505-1515, 2017 10.
Artigo em Inglês | MEDLINE | ID: mdl-28493519

RESUMO

BACKGROUND: Repetitive transcranial magnetic stimulation (rTMS) at M1/S1 cortex has been shown to alleviate neuropathic pain. OBJECTIVES: To investigate the possible neurobiological correlates of cortical neurostimulation for the pain relief. METHODS: We studied the effects of M1/S1 rTMS on nociception, brain dopamine D2 and µ-opioid receptors using a randomized, sham-controlled, double-blinded crossover study design and 3D-positron emission tomography (PET). Ten healthy subjects underwent active and sham rTMS treatments to the right M1/S1 cortex with E-field navigated device. Dopamine D2 and µ-receptor availabilities were assessed with PET radiotracers [11 C]raclopride and [11 C]carfentanil after each rTMS treatment. Thermal quantitative sensory testing (QST), contact heat evoked potential (CHEP) and blink reflex (BR) recordings were performed between the PET scans. RESULTS: µ-Opioid receptor availability was lower after active than sham rTMS (P ≤ 0.0001) suggested release of endogenous opioids in the right ventral striatum, medial orbitofrontal, prefrontal and anterior cingulate cortices, and left insula, superior temporal gyrus, dorsolateral prefrontal cortex and precentral gyrus. There were no differences in striatal dopamine D2 receptor availability between active and sham rTMS, consistent with lack of long-lasting measurable dopamine release. Active rTMS potentiated the dopamine-regulated habituation of the BR compared to sham (P = 0.02). Thermal QST and CHEP remained unchanged after active rTMS. CONCLUSIONS: rTMS given to M1/S1 activates the endogenous opioid system in a wide brain network associated with processing of pain and other salient stimuli. Direct enhancement of top-down opioid-mediated inhibition may partly explain the clinical analgesic effects of rTMS. SIGNIFICANCE: Neurobiological correlates of rTMS for the pain relief are unclear. rTMS on M1/S1 with 11 C-carfentanyl-PET activates endogenous opioids. Thermal and heat pain thresholds remain unchanged. rTMS induces top-down opioid-mediated inhibition but not change the sensory discrimination of painful stimuli.


Assuntos
Córtex Cerebral/metabolismo , Peptídeos Opioides/metabolismo , Manejo da Dor , Dor/metabolismo , Tomografia por Emissão de Pósitrons , Estimulação Magnética Transcraniana/métodos , Adulto , Córtex Cerebral/diagnóstico por imagem , Estudos Cross-Over , Feminino , Humanos , Masculino , Dor/diagnóstico por imagem , Medição da Dor , Limiar da Dor/fisiologia , Receptores de Dopamina D2/metabolismo , Receptores Opioides mu/metabolismo , Adulto Jovem
8.
Nat Commun ; 8: 15883, 2017 07 03.
Artigo em Inglês | MEDLINE | ID: mdl-28671188

RESUMO

Sea spray is one of the largest natural aerosol sources and plays an important role in the Earth's radiative budget. These particles are inherently hygroscopic, that is, they take-up moisture from the air, which affects the extent to which they interact with solar radiation. We demonstrate that the hygroscopic growth of inorganic sea salt is 8-15% lower than pure sodium chloride, most likely due to the presence of hydrates. We observe an increase in hygroscopic growth with decreasing particle size (for particle diameters <150 nm) that is independent of the particle generation method. We vary the hygroscopic growth of the inorganic sea salt within a general circulation model and show that a reduced hygroscopicity leads to a reduction in aerosol-radiation interactions, manifested by a latitudinal-dependent reduction of the aerosol optical depth by up to 15%, while cloud-related parameters are unaffected. We propose that a value of κs=1.1 (at RH=90%) is used to represent the hygroscopicity of inorganic sea salt particles in numerical models.

9.
Handb Exp Pharmacol ; (173): 73-96, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-16594611

RESUMO

One of the major challenges in medicine today is the development of new antibiotics as well as effective antiviral agents. The well-known aminoglycosides interact and interfere with the function of several noncoding RNAs, among which ribosomal RNAs (rRNAs) are the best studied. Aminoglycosides are also known to interact with proteins such as ribonucleases. Here we review our current understanding of the interaction between aminoglycosides and RNA. Moreover, we discuss briefly mechanisms behind the inactivation of aminoglycosides, a major concern due to the increasing appearance of multiresistant bacterial strains. Taken together, the general knowledge about aminoglycoside and RNA interaction is of utmost importance in the process of identifying/developing the next generation or new classes of antibiotics. In this perspective, previously unrecognized as well as known noncoding RNAs, apart from rRNA, are promising targets to explore.


Assuntos
Aminoglicosídeos/farmacologia , Antibacterianos/farmacologia , RNA/efeitos dos fármacos , Ribonucleases/antagonistas & inibidores , Animais , Inibidores Enzimáticos , Humanos , Ligantes
10.
Am J Clin Pathol ; 97(5): 645-51, 1992 May.
Artigo em Inglês | MEDLINE | ID: mdl-1575208

RESUMO

Volume and hemoglobin content of red blood cells are physiologically interdependent variables but are measured independently in multichannel hematologic analyzers. Therefore correlation of these results to each other can be used as an additional step in internal quality control. To facilitate precise correlation, data were collected from 44,873 consecutive routine determinations of red blood cell parameters. Gaussian distributions were fitted to the original distributions and bivariate elliptical acceptance limits were calculated for simultaneous evaluation of mean corpuscular volume and mean corpuscular hemoglobin results. With the proposed method, rare combinations of the three directly measured red blood cell parameters (hemoglobin, red blood cell count, and mean corpuscular volume) can be identified for the detection of random analytical or preanalytical errors. This mean corpuscular volume-mean corpuscular hemoglobin rule could be added to internal quality-control programs of hematologic analyzers to improve detection of unusual results and possible random errors.


Assuntos
Diagnóstico por Computador , Testes Hematológicos/instrumentação , Erros de Diagnóstico , Índices de Eritrócitos , Feminino , Previsões , Humanos , Masculino , Estudos Prospectivos , Controle de Qualidade , Análise de Regressão , Estatística como Assunto
11.
Obstet Gynecol ; 59(2): 171-5, 1982 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-7078862

RESUMO

The free cortisol concentration in umbilical cord plasma and the pH of umbilical artery blood were determined in 108 full-term fetuses delivered vaginally. Eighty-six of the labors were spontaneous and 22 were induced with oxytocin. The cortisol values correlated significantly with the pH values (r = -.608, P less .001). The cortisol values averaged 0.73 +/- 0.48 mumole/liter in the spontaneous labor group and 0.65 +/0 0.42 mumole/liter in the induced labor group. No statistically significant differences (P greater than .05) in the cortisol and pH values emerged between the groups. The results indicate that the human fetus reacts readily to intrauterine hypoxia and acidosis with endogenic cortisol secretion in both spontaneous and induced labors.


Assuntos
Sangue Fetal/análise , Hidrocortisona/sangue , Trabalho de Parto Induzido , Trabalho de Parto , Feminino , Humanos , Concentração de Íons de Hidrogênio , Recém-Nascido , Gravidez , Artérias Umbilicais
12.
Physiol Behav ; 33(6): 923-6, 1984 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-6100393

RESUMO

Different levels of exercise (50-200 W) were produced by a bicycle ergometer. In all six subjects the heart rate and blood pressure were increased with increasing work load. Dental pain thresholds tended to increase with increasing work load, too. Plasma ACTH levels were above the normal range during the whole experiment in all subjects, whereas plasma cortisol and prolactin levels were elevated only in one subject. Growth hormone levels had a tendency to elevation at 200 W. There was no correlation between the release of cortisol, prolactin or ACTH and the dental pain threshold elevation. However, there was significant correlation between the release of growth hormone and the dental pain threshold elevation. The results indicate that physical exercise at submaximal work loads is enough to produce a pain threshold elevation in some subjects, with a minor coactivation of stress mechanisms.


Assuntos
Hormônios/metabolismo , Dor/fisiopatologia , Esforço Físico , Estresse Fisiológico/fisiopatologia , Hormônio Adrenocorticotrópico/metabolismo , Adulto , Hormônio do Crescimento/metabolismo , Humanos , Hidrocortisona/metabolismo , Masculino , Prolactina/metabolismo , Limiar Sensorial , Dente/fisiopatologia
13.
Anticancer Res ; 20(2B): 1323-7, 2000.
Artigo em Inglês | MEDLINE | ID: mdl-10810443

RESUMO

Tamoxifen is widely used as an adjuvant treatment for breast cancer. To correctly interpret laboratory test results during tamoxifen treatment, clinicians should be aware of the possible effects of the drug on laboratory tests. This study investigated the effects on serum hormones, proteins, lipids and common biochemistry in seven postmenopausal women with breast cancer during 3 months after initiating the therapy. Statistically significant decreases occurred in serum gonadotropins, alkaline phosphatase, calcium, total protein, prealbumin, orosomucoid, haptoglobin, immunoglobin M and total cholesterol whilst significant increases occurred in serum sex hormone-binding globulin (SHBG), cortisol, parathyroid hormone, aspartate aminotransferase, urate, alpha-1-antitrypsin and ceruloplasmin. The alterations could result from tamoxifen therapy, radiation or changes in lifestyle. All the changes, apart from serum urate, remained within the reference limits. In addition, only serum gonadotropins, SHBG, urate and cholesterol showed clinically significant changes. Alterations in the other laboratory tests are unlikely to disturb diagnoses based on laboratory test results during tamoxifen therapy.


Assuntos
Antineoplásicos Hormonais/uso terapêutico , Proteínas Sanguíneas/análise , Neoplasias da Mama/sangue , Neoplasias da Mama/tratamento farmacológico , Hormônios/sangue , Tamoxifeno/uso terapêutico , Idoso , Neoplasias da Mama/cirurgia , Quimioterapia Adjuvante , Esquema de Medicação , Eletrólitos/sangue , Enzimas/sangue , Feminino , Humanos , Lipídeos/sangue , Pessoa de Meia-Idade , Fatores de Tempo
14.
Anticancer Res ; 21(4B): 2867-72, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11712778

RESUMO

BACKGROUND: Combination chemotherapy with 5-fluorouracil, epirubicin and cyclophosphamide (FEC) is now used for adjuvant therapy of breast cancer. The effects of FEC on common laboratory tests are important when interpreting test results during the treatment. PATIENTS AND METHODS: Common hormonal tests (e.g., serum gonadotrophins, testosterone, prolactin, dehydroepiandrosterone sulphate, cortisol, parathyroid hormone (PTH), thyroid function tests), haematological blood counts and biochemical tests including specific proteins and lipids of seven women with metastatic breast cancer were assessed at baseline and before the 3rd and the 5th cycles: RESULTS: Statistically significant increases were noted in serum PTH, free triiodothyronine, sodium, prealbumin and cholesterol, but decreases in white blood cell count, alpha-1-antitrypsin, as well as immunoglobulins A and M. CONCLUSION: Except for serum PTH, cholesterol and WBC count, the changes were small. The diagnoses of diseases based on serum PTH and cholesterol test results may be influenced by FEC treatment.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Neoplasias da Mama/tratamento farmacológico , Colesterol/sangue , Testes Diagnósticos de Rotina , Hormônio Paratireóideo/sangue , Androstenodiona/sangue , Protocolos de Quimioterapia Combinada Antineoplásica/farmacologia , Bilirrubina/sangue , Contagem de Células Sanguíneas , Glicemia/análise , Neoplasias da Mama/sangue , Neoplasias da Mama/patologia , Neoplasias da Mama/cirurgia , Ciclofosfamida/administração & dosagem , Ciclofosfamida/farmacologia , Sulfato de Desidroepiandrosterona/sangue , Eletrólitos/sangue , Enzimas/sangue , Epirubicina/administração & dosagem , Epirubicina/farmacologia , Fluoruracila/administração & dosagem , Fluoruracila/farmacologia , Hormônios Esteroides Gonadais/sangue , Gonadotropinas Hipofisárias/sangue , Hemoglobinas/análise , Humanos , Hidrocortisona/sangue , Imunoglobulinas/sangue , Mastectomia , Menopausa , Metástase Neoplásica , Pré-Albumina/análise , Globulina de Ligação a Hormônio Sexual/análise , Hormônios Tireóideos/sangue , Tireotropina/sangue , Triglicerídeos/sangue , alfa 1-Antitripsina/análise
15.
Int J Oral Maxillofac Surg ; 32(1): 15-23, 2003 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-12653227

RESUMO

The yield of clinical sensory tests and electrophysiologic tests in the diagnostics of inferior alveolar nerve (IAN) damage after bilateral sagittal split osteotomy (BSSO) was studied. The diagnostic value of these tests was evaluated by comparing the test results to the degree of nerve damage at the end of the operation as documented by means of the intraoperative nerve conduction recording of the IAN. Twenty patients undergoing BSSO were analysed preoperatively and 2 weeks postoperatively. The frequency of the IAN disturbance ranged from 10% to 94% depending on the test method and the test site used. Of the clinical sensory tests, the touch detection threshold (TD) test was the most sensitive and clinically useful test. It also correlated best with the electrophysiologically verified intraoperative nerve damage (R = -0.603, P = 0.017 on the right, R = -0.626, P = 0.01 on the left). The blink reflex and quantitative cold detection threshold tests were almost as often abnormal as the TD-test, but nerve conduction study (NCS) was the most sensitive (88%) of all clinical and electrophysiologic tests. The frequency of abnormal findings in the electrophysiologic tests indicating IAN injury, 75% on the right side and 90% on the left side, corresponded exactly with the figures of subjective sensory alteration. Almost all electrophysiologic tests showed obvious associations with the objectively verified IAN damage. All tests, except the NCS, showed only moderate sensitivity. Specificity of the tests was generally high, the only exceptions being the TD test and the NCS. To increase the diagnostic accuracy of the testing and to detect different types of damage in different nerve fibre populations, a combination of different sensory and electrophysiologic tests is recommended.


Assuntos
Doenças dos Nervos Cranianos/diagnóstico , Mandíbula/cirurgia , Osteotomia/métodos , Transtornos de Sensação/diagnóstico , Traumatismos do Nervo Trigêmeo , Potenciais de Ação/fisiologia , Adolescente , Adulto , Piscadela/fisiologia , Temperatura Baixa , Doenças dos Nervos Cranianos/etiologia , Estimulação Elétrica , Eletromiografia , Feminino , Seguimentos , Humanos , Cuidados Intraoperatórios , Masculino , Nervo Mandibular/fisiopatologia , Pessoa de Meia-Idade , Fibras Nervosas/fisiologia , Condução Nervosa/fisiologia , Osteotomia/efeitos adversos , Transtornos de Sensação/etiologia , Sensibilidade e Especificidade , Limiar Sensorial/fisiologia , Estatística como Assunto , Tato/fisiologia
16.
Int J Oral Maxillofac Surg ; 31(1): 33-9, 2002 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-11936397

RESUMO

There is little objective data about whether surgical technique or mandibular anatomy are a risk for inferior alveolar nerve (IAN) injury during bilateral sagittal split osteotomy (BSSO). Orthodromic sensory nerve action potentials (SNAPs) of the IAN were continuously recorded on both sides in 20 patients with mandibular retrognathia during BSSO operation. Changes in latency, amplitude, and sensory nerve conduction velocity (SNCV) at baseline and at different stages of the operation were analyzed. The SNAP latencies prolonged, the amplitudes diminished, and the SNCVs slowed down during BSSO (P = 0.0000 for all parameters). The most obvious changes occurred during surgical procedures on the medial side of the mandibular ramus. There was a clear tendency towards more disturbed IAN conduction with longer duration of these procedures (right side R = -0.529. P = 0.02; left side R = -0.605, P = 0.006). Exposure or manipulation of the IAN usually had no effect on nerve function, but the IAN conduction tended to be more disturbed in cases with nerve laceration. Low corpus height (R = 0.802, P = 0.001) and the location of the mandibular canal near the inferior border of the mandible (R = 0.52, P = 0.02) may increase the risk of IAN injury. There was no correlation between the age of the patients and the electrophysiological grade of nerve damage.


Assuntos
Traumatismos dos Nervos Cranianos/prevenção & controle , Mandíbula/cirurgia , Procedimentos Cirúrgicos Bucais/efeitos adversos , Retrognatismo/cirurgia , Traumatismos do Nervo Trigêmeo , Potenciais de Ação , Adolescente , Adulto , Análise de Variância , Traumatismos dos Nervos Cranianos/etiologia , Feminino , Humanos , Masculino , Mandíbula/anormalidades , Mandíbula/anatomia & histologia , Pessoa de Meia-Idade , Monitorização Intraoperatória/métodos , Osteotomia/efeitos adversos , Fatores de Risco , Estatísticas não Paramétricas
17.
Artigo em Inglês | MEDLINE | ID: mdl-7569745

RESUMO

Two approaches for deriving reference change limits from patient data are described. In the direct method, hospital database information is used for the selection of appropriate reference groups. If database information is not sufficient or reliable enough, but still most of the source data can be considered as health-related, an indirect method can be applied in the calculation of rough estimates for reference change limits. A computer program developed by us, GraphROC for Windows, includes both methods for the estimation of change limits from patient data. Time between specimen collections should be included as one classifying factor in the selection of source data. When only one previous result is available for comparison, change limits based on the reference sample group form the only available guide for clinical interpretation. However, when several previous results are available and the within-subject variances for the considered analyte are known to be heterogeneous between individuals, the clinical interpretation should rather be based on application of time series analysis.


Assuntos
Bases de Dados Factuais/normas , Valores de Referência , Interpretação Estatística de Dados , Humanos , Pacientes
18.
Artigo em Inglês | MEDLINE | ID: mdl-7569748

RESUMO

Discharge diagnoses provide a possibility to select patients individually and then to establish reference values for both "pathological" and control groups. Currently, the available diagnostic information is still at its infancy and should be carefully evaluated before the reference values based on those groups are utilized. It is anticipated that electronic storage of diagnostic and therapeutic information will be applied more commonly in the future as the development of computers makes it easier. The advanced utilization of laboratory data challenges physicians both in the clinical and laboratory side to participate in this development in order to make the information systems serve their actual needs more closely.


Assuntos
Sistemas de Informação em Laboratório Clínico/normas , Técnicas de Laboratório Clínico/normas , Bases de Dados Factuais , Valores de Referência , Técnicas de Laboratório Clínico/classificação , Tomada de Decisões Assistida por Computador , Humanos , Armazenamento e Recuperação da Informação , Reprodutibilidade dos Testes
19.
Scand J Clin Lab Invest Suppl ; 222: 95-100, 1995.
Artigo em Inglês | MEDLINE | ID: mdl-7569752

RESUMO

The availability of retrospective data from potassium (K+) analyses from two hospitals, one using serum and the other plasma for electrolyte measurements, offered us the possibility to investigate the effect of blood platelet count on serum and plasma K+ concentrations. A weak correlation between plasma K+ and platelet count was observed. The in vitro increase of serum K+ in proportion to the platelet count has clinical significance in conditions, where it may impede the detection of an underlying true K+ disorder. Nomograms and correction factors, based on the correlation between platelet count and serum K+, have been suggested also in some recent reports. In the present study unselected routine patient data was used as source data. The effect of platelet count on the concentration of K+ in serum was lower than reported in previous studies, as indicated by the regression analysis. An increase of 1000 x 10(9)/l in the blood platelet count would cause an increase of about 0.7 mmol/l in the serum K+ concentration (p < 0.0001, r = 0.155). The weak correlation between platelet count and serum K+ does not support the application of platelet-count-based correction of serum K+ level in thrombocytosis. The laboratory should notify the clinician of the significance of the in vitro increase of K+ caused by increased platelet count. K+ should be measured from plasma in such cases.


Assuntos
Contagem de Plaquetas , Potássio/sangue , Artefatos , Bases de Dados Factuais , Estudos de Avaliação como Assunto , Humanos , Hiperpotassemia/sangue , Estudos Retrospectivos , Trombocitose/sangue
20.
Acupunct Electrother Res ; 9(2): 127-34, 1984.
Artigo em Inglês | MEDLINE | ID: mdl-6148846

RESUMO

Electrical excitation of tooth pulp afferents seems to be a most accurate and reproducable method to produce graded pain with minimal injury of the tissues. Besides electrical current only thermal stimulation may activate pulp nerves of an intact tooth, but this method lacks the precision of the electrical stimulation and bears more risk of injury. Surrounded by enamel of high resistance and capasitance the pulp nerves are difficult stimulation objects. On the other hand with careful stimulation the current is almost completely restricted to the pulp. The square wave current pulse is "deformed" according to the time constant of hard tissues and exceptionally long durations are needed. There is ultimate necessity for constant current stimulation because of varying anatomy and resistance of the teeth. When different amplitudes and durations of current pulses are used to compare perception thresholds of human teeth and firing thresholds of single pulp nerve fibres of the cat, it may be concluded that "prepain" sensation is experienced using current values that activate only A-fibres. To attain the pain threshold, recruitment of more A-delta fibres with increasing current is needed, but the lowest thresholds of C-fibres are even higher.


Assuntos
Polpa Dentária/inervação , Neurônios Aferentes/fisiopatologia , Animais , Gatos , Estimulação Elétrica , Fibras Nervosas/fisiopatologia , Fibras Nervosas Mielinizadas/fisiopatologia , Condução Nervosa , Dor/fisiopatologia , Limiar Sensorial
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