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1.
J Microsc ; 293(3): 146-152, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-37846455

RESUMO

In hexagonal materials, (a+c) dislocations are typically observed to dissociate into partial dislocations. Edge (a+c) dislocations are introduced into (0001) nitride semiconductor layers by the process of plastic relaxation. As there is an increasing interest in obtaining relaxed InGaN buffer layers for the deposition of high In content structures, the study of the dissociation mechanism of misfit (a+c) dislocations laying at the InGaN/GaN interface is then crucial for understanding their nucleation and glide mechanisms. In the case of the presented plastically relaxed InGaN layers deposited on GaN substrates, we observe a trigonal network of (a+c) dislocations extending at the interface with a rotation of 3° from <1 1 ¯ $\bar 1$ 00> directions. High-resolution microscopy studies show that these dislocations are dissociated into two Frank-Shockley 1/6<2 2 ¯ $\bar 2$ 03> partial dislocations with the I1 BSF spreading between them. Atomistic simulations of a dissociated edge (a+c) dislocation revealed a 3/5-atom ring structure for the cores of both partial dislocations. The observed separation between two partial dislocations must result from the climb of at least one of the dislocations during the dissociation process, possibly induced by the mismatch stress in the InGaN layer.

2.
Opt Express ; 27(4): 5784-5791, 2019 Feb 18.
Artigo em Inglês | MEDLINE | ID: mdl-30876173

RESUMO

We demonstrate a stack of two III-nitride laser diodes (LDs) interconnected by a tunnel junction grown by plasma-assisted molecular beam epitaxy. Hydrogen-free growth is used to obtain as-grown p-type conductivity essential for buried tunnel junctions (TJ). We show the impact of the design of tunnel junction. In particular, we show that, apart from the beneficial piezoelectric polarization inside the TJ, heavy doping reduces the differential resistivity even further. The device starts to lase at a wavelength of 459 nm with a slope efficiency (SE) of 0.7 W/A followed by lasing at 456 nm from the second active region doubling the total SE to 1.4 W/A. This demonstration opens new possibilities for the fabrication of stacks of ultraviolet and visible high power pulsed III-nitride LD.

3.
Sci Rep ; 10(1): 17371, 2020 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-33060651

RESUMO

III-nitride compound semiconductors are breakthrough materials regarding device applications. However, their heterostructures suffer from very high threading dislocation (TD) densities that impair several aspects of their performance. The physical mechanisms leading to TD nucleation in these materials are still not fully elucidated. An overlooked but apparently important mechanism is their heterogeneous nucleation on domains of basal stacking faults (BSFs). Based on experimental observations by transmission electron microscopy, we present a concise model of this phenomenon occurring in III-nitride alloy heterostructures. Such domains comprise overlapping intrinsic I1 BSFs with parallel translation vectors. Overlapping of two BSFs annihilates most of the local elastic strain of their delimiting partial dislocations. What remains combines to yield partial dislocations that are always of screw character. As a result, TD nucleation becomes geometrically necessary, as well as energetically favorable, due to the coexistence of crystallographically equivalent prismatic facets surrounding the BSF domain. The presented model explains all observed BSF domain morphologies, and constitutes a physical mechanism that provides insight regarding dislocation nucleation in wurtzite-structured alloy epilayers.

4.
J Clin Invest ; 101(1): 79-85, 1998 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-9421469

RESUMO

We have demonstrated previously that dichloroacetate can attenuate skeletal muscle fatigue by up to 35% in a canine model of peripheral ischemia (Timmons, J.A., S.M. Poucher, D. Constantin-Teodosiu, V. Worrall, I.A. Macdonald, and P.L. Greenhaff. 1996. J. Clin. Invest. 97:879-883). This was thought to be a consequence of dichloroacetate increasing acetyl group availability early during contraction. In this study we characterized the metabolic effects of dichloroacetate in a human model of peripheral muscle ischemia. On two separate occasions (control-saline or dichloroacetate infusion), nine subjects performed 8 min of single-leg knee extension exercise at an intensity aimed at achieving volitional exhaustion in approximately 8 min. During exercise each subject's lower limbs were exposed to 50 mmHg of positive pressure, which reduces blood flow by approximately 20%. Dichloroacetate increased resting muscle pyruvate dehydrogenase complex activation status by threefold and elevated acetylcarnitine concentration by fivefold. After 3 min of exercise, phosphocreatine degradation and lactate accumulation were both reduced by approximately 50% after dichloroacetate pretreatment, when compared with control conditions. However, after 8 min of exercise no differences existed between treatments. Therefore, it would appear that dichloroacetate can delay the accumulation of metabolites which lead to the development of skeletal muscle fatigue during ischemia but does not alter the metabolic profile when a maximal effort is approached.


Assuntos
Ácido Dicloroacético/farmacologia , Exercício Físico/fisiologia , Músculo Esquelético/efeitos dos fármacos , Músculo Esquelético/metabolismo , Acetilcarnitina/metabolismo , Trifosfato de Adenosina/metabolismo , Adulto , Glicemia/metabolismo , Fenômenos Fisiológicos Cardiovasculares , Glicogênio/metabolismo , Humanos , Ácido Láctico/metabolismo , Masculino , Músculo Esquelético/irrigação sanguínea , Fosfocreatina/metabolismo , Complexo Piruvato Desidrogenase/metabolismo , Fatores de Tempo
5.
J Physiol Pharmacol ; 56(1): 87-99, 2005 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-15795477

RESUMO

Twelve male, sedentary volunteers (22.0 +/-) were submitted to three weeks of a bicycle ergometer training, consisting of 45 min exercise (at 70% VO2max), 4 times in the first week and 3 times in the next 2 weeks. They performed four incremental exercise tests with the power output increased by 50 W every 3 min until volitional exhaustion: two before training (C1 and C2), and after one (T1) and three (T3) weeks of training. Before and after each load the plasma noradrenaline (NA), adrenaline (A) and blood lactate (LA) concentrations were determined in venous blood samples as well as plasma growth hormone (HGH) and cortisol concentrations before and at the end of exercise. A decrease in NA concentration was found already after 1 week of training at power output of 100 W (p<0.01) and 200 W (p<0.05). Similar decline was maintained after 3 weeks of training. No significant training-induced differences in plasma A concentration were found, however, the thresholds for both catecholamines were significantly shifted towards higher values after 3 weeks of training. One week of training caused a decrease in the pre-exercise (p<0.01), as well as post-exercise (p<0.05) plasma cortisol and HGH concentrations. It was concluded that endurance training induced a decrease in HGH, cortisol and NA concentration already after one week of training. A decline of pre-exercise plasma HGH and cortisol levels with time of experiment may, in part, indicate familiarization to exercise protocol.


Assuntos
Exercício Físico/fisiologia , Hormônios/sangue , Resistência Física/fisiologia , Adulto , Frequência Cardíaca/fisiologia , Humanos , Masculino , Fatores de Tempo
6.
J Appl Physiol (1985) ; 66(6): 2710-6, 1989 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-2745334

RESUMO

The purpose of this study was to investigate the relationship between muscle and blood lactate concentrations during progressive exercise. Seven endurance-trained male college students performed three incremental bicycle ergometer exercise tests. The first two tests (tests I and II) were identical and consisted of 3-min stage durations with 2-min rest intervals and increased by 50-W increments until exhaustion. During these tests, blood was sampled from a hyperemized earlobe for lactate and pH measurement (and from an antecubital vein during test I), and the exercise intensities corresponding to the lactate threshold (LT), individual anaerobic threshold (IAT), and onset of blood lactate accumulation (OBLA) were determined. The test III was performed at predetermined work loads (50 W below OBLA, at OBLA, and 50 W above OBLA), with the same stage and rest interval durations of tests I and II. Muscle biopsies for lactate and pH determination were taken at rest and immediately after the completion of the three exercise intensities. Blood samples were drawn simultaneously with each biopsy. Muscle lactate concentrations increased abruptly at exercise intensities greater than the "below-OBLA" stage [50.5% maximal O2 uptake (VO2 max)] and resembled a threshold. An increase in blood lactate and [H+] also occurred at the below-OBLA stage; however, no significant change in muscle [H+] was observed. Muscle lactate concentrations were highly correlated to blood lactate (r = 0.91), and muscle-to-blood lactate ratios at below-OBLA, at-OBLA, and above-OBLA stages were 0.74, 0.63, 0.96, and 0.95, respectively.(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Exercício Físico , Lactatos/metabolismo , Músculos/metabolismo , Adulto , Teste de Esforço , Humanos , Concentração de Íons de Hidrogênio , Lactatos/sangue , Masculino , Resistência Física
7.
Med Sci Sports Exerc ; 23(1): 37-43, 1991 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-1997811

RESUMO

This study investigated the effects of preliminary exercise (warm-up) on glycogen degradation and energy metabolism during intense cycle ergometer exercise. After determination of VO2max, six male subjects were randomly assigned to perform warm-up (WU) and no warm-up (NWU) trials incorporating a 2 min standardized sprint ride (SR) at 120% of the power output attained at VO2max (POmax). Muscle biopsies and temperature (Tm) recordings were obtained from the vastus lateralis muscle. Tm was elevated above the resting level prior to the SR during the WU trial (37.7 +/- 0.1 vs 35.4 +/- 0.4 degrees C; P less than 0.05) and remained higher than the NWU trial after the SR (38.6 +/- 0.2 vs 37.1 +/- 0.4 degrees C; P less than 0.05). Similar trends existed for rectal temperature (Tr). The increases in Tm and Tr during the SR were both greater in the NWU trial (P less than 0.05). Muscle glycogen degradation was similar for the WU and NWU trials (30.8 +/- 3.7 vs 25.6 +/- 3.7 mmol.kg-1, respectively). When blood and muscle lactate concentrations after the SR were expressed relative to values before the SR, the WU trial resulted in a lower accumulation of blood lactate (6.5 +/- 0.9 vs 10.7 +/- 0.8 mEq.l-1; P less than 0.01) and muscle lactate (20.1 +/- 0.1 vs 23.4 +/- 2.2 mEq.kg-1 wet wt.; P less than 0.05). Furthermore, oxygen consumption during the 1st min of the SR was higher in the WU trial (2.3 +/- 0.2 vs 1.9 +/- 0.2 l.min-1; P less than 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Metabolismo Energético , Exercício Físico/fisiologia , Glicogênio/metabolismo , Músculos/metabolismo , Esforço Físico/fisiologia , Adulto , Metabolismo Energético/fisiologia , Teste de Esforço , Calefação , Humanos , Hidrólise , Lactatos/sangue , Masculino , Músculos/irrigação sanguínea
8.
J Physiol Pharmacol ; 49(3): 433-41, 1998 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-9789795

RESUMO

The aim of this study was to follow up the electromyographic activity (EMG) of dynamically working muscles with simultaneous determinations of blood lactate and plasma catecholamine concentrations during progressive exercise. Twenty eight male soccer players aged 20.6 +/- 0.8 yrs performed incremental bicycle ergometer exercise test. The test consisted of 3-min stages exercise separated by 1-min rest intervals. Work load at each stage increased by 50 W until volitional exhaustion. The root mean square (rms)-EMG activity of the rectus femoris and soleus muscles were recorded continuously during exercise. Venous blood samples were taken after each exercise stage for determination of blood lactate (LA). Additionally in seven subjects adrenaline (A) and noradrenaline (NA) concentrations were determined. The EMG activity increased negligibly during exercise of low to moderate intensities revealing an abrupt rise at the load corresponding to thresholds of blood lactate and plasma catecholamine accumulation (LA-T, A-T, NA-T). Close correlations (P < 0.001) were found between blood LA concentration and EMG derived from rectus f. (r = 0.72) and soleus (r = 0.68) muscles. The mean threshold exercise intensities for m. rectus f. and m. soleus EMG (176 +/- 9 W and 172 +/- 9 W, respectively) did not differ significantly from lactate (164 +/- 7 W), noradrenaline (178 +/- 6 W) and adrenaline (180 +/- 5 W) thresholds, all of them detected by log-log transformation. The results indicate that threshold character of EMG changes in dynamically working muscles reflects to some extend the patterns of blood lactate and plasma catecholamine changes during incremental exercise.


Assuntos
Catecolaminas/sangue , Exercício Físico/fisiologia , Ácido Láctico/sangue , Músculos/fisiologia , Adulto , Eletromiografia , Humanos , Masculino
9.
J Physiol Pharmacol ; 45(3): 429-39, 1994 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-7841455

RESUMO

UNLABELLED: To find out whether a negative shift in subject's mood alters cardio-respiratory and endocrine responses to exercise, 20 young men performed a graded bicycle ergometer test (50, 100, 150 W): 1) when they experienced a mixed emotional and cognitive stress before exercise (1st session), 2) when they were familiarized with the laboratory and rested quietly before exercise (2nd session). The subjects' mood was assessed by the Profile of Mood State (POMS) questionnaire. In the 1st session the subjects started exercise with significantly higher scores of tension, anger, depression, confusion and global mood in comparison with the 2-nd session. They also had slightly elevated systolic blood pressure, blood lactate, plasma cortisol and noradrenaline concentrations. During exercise performed in the 1st session only plasma free and total noradrenaline and cortisol levels were higher than those in the 2nd session. IN CONCLUSION: a mild psychological stress, causing the mood worsening before standard exercise test, does not evoke pronounced alterations in cardio-respiratory responses to exercise in healthy men, but it does affect the magnitude of exercise-induced changes in both plasma free and total noradrenaline concentrations.


Assuntos
Epinefrina/sangue , Exercício Físico/fisiologia , Hemodinâmica/fisiologia , Norepinefrina/sangue , Estresse Psicológico/fisiopatologia , Adulto , Afeto , Teste de Esforço , Humanos , Hidrocortisona/sangue , Lactatos/sangue , Masculino , Estresse Psicológico/sangue
10.
J Physiol Pharmacol ; 44(4): 425-40, 1993 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-8123890

RESUMO

Thirty six obese women (BMI 29.5 to 44.0 kg m-2, aged 27 to 45 yrs) participated in the 4- week weight reducing program. All of them have prescribed low fat diet of approx. 4.2 MJ (1000 kcal per day) with high viscous fibre capsules as a basic supplement. In addition 18 women (group 1) received Redusan mineral tablets containing mainly calcium and potassium phosphates while the remaining subjects (group 2) were given Placebo instead of mineral tablets. Before energy restriction and after 4 weeks on the diet, half of the women from each group performed 30 min--bicycle ergometer exercise (30-50 W; HR approx. 110 beats.min-1). The remaining subjects were submitted to oral glucose (75 g) tolerance test (OGTT). Weight loss during energy restriction was not affected by phosphate supplementation (4.6 +/- 0.4 and 5.2 +/- 0.5 kg in group 1 and 2, respectively). Phosphates caused a significant increase (p < 0.05) in the resting metabolic rate (RMR). Net energy cost of work, resting and post-exercise blood glucose, lactate, plasma FFA, adrenalin, cortisol, growth hormone, insulin and testosterone did not differ between the groups receiving phosphates and placebo while respiratory exchange ratio was slightly higher (p < 0.05), and the plasma beta-hydroxybutyrate concentration lower (p < 0.05) than without phosphate supplementation. Post-exercise plasma noradrenaline was significantly lowered after 4 weeks of energy restriction in group 2 (on Placebo). Neither blood glucose, plasma insulin and noradrenaline responses to oral glucose ingestion nor the glucose induced thermogenesis were significantly affected by phosphate supplementation, whilst blood pressure increases following glucose load were reduced (p < 0.05). In conclusion, the present study confirmed a potential usefulness of phosphate supplementation during energy restriction in obese patients due to its effect on resting metabolic rate. The results did not, however, reveal any major alterations in the metabolic and hormonal responses to exercise or to glucose ingestion in comparison with placebo treatment.


Assuntos
Exercício Físico/fisiologia , Glucose/farmacologia , Obesidade/metabolismo , Fosfatos/farmacologia , Redução de Peso/fisiologia , Adulto , Glicemia/metabolismo , Pressão Sanguínea/efeitos dos fármacos , Catecolaminas/sangue , Feminino , Teste de Tolerância a Glucose , Frequência Cardíaca/efeitos dos fármacos , Humanos , Insulina/sangue , Obesidade/sangue , Obesidade/dietoterapia , Consumo de Oxigênio/efeitos dos fármacos
11.
J Physiol Pharmacol ; 47(2): 373-83, 1996 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-8807564

RESUMO

Thirty overweight women participated in 8 week slimming program consisting of a self-controlled low-energy diet (4.2 MJ/day) supplemented with highly viscous fibres and mineral tablets containing calcium, potassium and sodium phosphates (Redusan Combi, Biokraft Pharma AB, Sweden). Half of the patients received in double blind manner mineral tablets during first 4 weeks and placebo (without phosphates) during next 4 weeks (group 1) while the remaining patients were treated (cross-over) with placebo first and mineral tablets in the final period (group 2). The rate of weight loss was similar in groups 1 and 2 (4.7 vs 5.2 kg during the first 4 weeks and 2.7 vs 3.0 kg in the further 4 weeks). During periods of phosphate supplementation, the resting metabolic rate (RMR) increased by approx. 12% (p < 0.05) in group 1 and 19% (p < 0.05) in group 2. Phosphate supplementation ameliorated also a decrease in plasma triiodothyronine level and a decrease in thyroxine to triiodothyronine ratio. There were no differences between groups in the plasma insulin, catecholamine, growth hormone, cortisol and testosterone levels. Phosphate supplementation did not affect plasma lipids or blood glucose concentration. It is concluded that phosphate supplementation in obese patients on a low-energy diet enhances RMR irrespectively of the rate of weight loss. This effect seems to be, at least partly, due to an influence of phosphates on peripheral metabolism of thyroid hormones.


Assuntos
Peso Corporal , Obesidade/dietoterapia , Fosfatos/administração & dosagem , Tri-Iodotironina/sangue , Adulto , Dieta Redutora , Método Duplo-Cego , Ingestão de Energia , Metabolismo Energético , Feminino , Humanos , Pessoa de Meia-Idade , Obesidade/sangue , Consumo de Oxigênio/fisiologia
12.
J Sports Med Phys Fitness ; 43(1): 57-63, 2003 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-12629463

RESUMO

AIM: The aim of this study was to find out how early the moderate training effects appear and to check the hypothesis that familiarization with exercise protocol may contribute to an early physiological responses to training in previously sedentary subjects. METHODS: Twelve male, sedentary volunteers (22.0+/-0.7 yrs) were submitted to 3 weeks of a bicycle ergometer training, consisting of 45 min of exercise (at 70% VO(2)max), 3-4 times a week. The subjects performed 4 incremental exercise tests until volitional exhaustion: 2 before training (C1 and C2), and then after 1 (T1) and 3 (T3) weeks of training. During exercise HR, VO(2), electrical activity (EMG) of rectus femoris, biceps femoris, soleus and trapezius muscles were recorded and blood samples were taken for blood lactate (LA) determination. RESULTS: Already after 1 week of training HR decreased (p<0.05) with a further decline after 3 weeks the training (p<0.01). Maximal work load after 3 weeks of training increased to 277+/-10.4 W vs 250+/-9.5 W (p<0.05), VO(2)max achieved higher values than in C1 and C2 tests (p<0.05) and LA and EMG thresholds were elevated (p<0.05). CONCLUSION: A decrease in the resting and submaximal heart rate is the earliest effect of increased physical activity. Familiarization to exercise protocol decreased EMG of biceps femoris and soleus muscles during exercise, but did not influence that of rectus femoris muscle the most engaged during cycling.


Assuntos
Adaptação Fisiológica/fisiologia , Exercício Físico/fisiologia , Educação Física e Treinamento/métodos , Resistência Física/fisiologia , Adulto , Eletromiografia , Teste de Esforço , Frequência Cardíaca/fisiologia , Humanos , Ácido Láctico/sangue , Estilo de Vida , Masculino , Músculo Esquelético/fisiologia , Consumo de Oxigênio/fisiologia , Volume Sistólico/fisiologia , Tempo
13.
Ginekol Pol ; 71(6): 524-31, 2000 Jun.
Artigo em Polonês | MEDLINE | ID: mdl-11002556

RESUMO

OBJECTIVE: The objective of this study was the assessment of intrauterine procedures, which are performed during the diagnostic phase and therapy of fetal hemolytic disease in the Warsaw Center of Serological Collision. MATERIALS AND METHODS: The study covered 146 women, who were patients of the Center from 1992 to 1999. Analyzed were the time of commencement of diagnostic and treatment, type of operations, duration of therapy, time and manner of delivery after the past intrauterine procedures, the medical condition of infants born as a result of these deliveries and the necessity for blood treatment in the early neonatal stage. RESULTS: 451 intrauterine procedures were carried out, of which 159 were diagnostic punctures of the umbilical vessel and 292 were fetal transfusions. The diagnostics and treatment was performed between the 19 and 38 week of pregnancy. The number of punctures for each patient ranged from 1 to 4, and 1 to 10 for intrauterine transfusions. The therapy, which on average lasted 42 days, significantly improved the fetal blood morphology results. During the therapy 5 intrauterine demises were noted--3 as a result of advanced fetal hemolytic disease and 2 related to operation complications. The average pregnancy duration in the analyzed group was 36.4 for treated women and 37.4 weeks for diagnosed women. 52.7% of deliveries were vaginal, 47.3% were performed by cesarean section. The general condition of 87% of infants was good. However, 77% of infants required blood treatment during the early neonatal period. CONCLUSIONS: Invasive methods of fetal hemolytic disease diagnostics and intrauterine therapy assure high efficiency in the guiding of serological collision and fetal hemolytic disease conflicted pregnancies. At the same time, these methods are safe and carry a low risk of complications.


Assuntos
Anemia Hemolítica/imunologia , Anemia Hemolítica/terapia , Doenças Fetais/imunologia , Doenças Fetais/terapia , Isoimunização Rh/imunologia , Anemia Hemolítica/diagnóstico , Transfusão de Sangue/métodos , Feminino , Doenças Fetais/diagnóstico , Humanos , Polônia , Gravidez , Complicações na Gravidez , Diagnóstico Pré-Natal
14.
Ginekol Pol ; 72(12): 1010-8, 2001 Dec.
Artigo em Polonês | MEDLINE | ID: mdl-11883201

RESUMO

OBJECTIVE: Much concern is being focused on the improvement of perinatal care standards in recent time. Not only the safety of woman and newborn, but also the comfort and individual preferences should to be considered. The aim of this study was to assess of expectations and requirements of the delivering women in relation to the course of labor and usage of the most common procedures in clinical practice. MATERIAL AND METHODS: 47 women who delivered in Obstetrical Word in Puck were questionnaire. Mean gestational age was 39 +/- 1.5 hbd. 47% of women were nulliparous, 53% were multiparous. The following variables were analyzed: the presence of medical staff and family at delivery, possibility of the delivery position choice, use of auxiliary devices, a friendly atmosphere during delivery, use of analgesia and labor induction, episiotomy and ante-partum preparation, cesarean section on request, attendance to labor school. Mann-Whitney, Pearson and Yule tests were used for statistical analysis. RESULTS: 25% of women, mainly younger gravidae, attended the labor school. The midwife was considered the most important person at delivery. The presence of family member(s) was important for highly-educated women. The possibility to choose the delivery position and to walk during the 1st stage of labor was important for 73% of respondents. The majority of women who had attended the labor school avoided the horizontal position. Over 60% of patients accepted the usage of labor induction. A vast majority of women were against antepartum perineal shaving and episiotomy. Better-educated women preferred water delivery. 69% of the studied women would like to listen to the music at the delivery room. Cesarean section on request was supported by 11% of women. CONCLUSIONS: The tendency to promote modern delivery methods and active participation in labor leading is noticed. The significant influence of labor school on women's knowledge and their preferences was found.


Assuntos
Cesárea/psicologia , Trabalho de Parto/psicologia , Cooperação do Paciente , Satisfação do Paciente/estatística & dados numéricos , Assistência Perinatal/normas , Adolescente , Adulto , Cesárea/estatística & dados numéricos , Parto Obstétrico/métodos , Parto Obstétrico/psicologia , Feminino , Humanos , Avaliação de Processos e Resultados em Cuidados de Saúde , Assistência Perinatal/tendências , Polônia , Gravidez , Relações Profissional-Paciente , Estatísticas não Paramétricas , Inquéritos e Questionários
15.
Ginekol Pol ; 72(12): 1031-6, 2001 Dec.
Artigo em Polonês | MEDLINE | ID: mdl-11883204

RESUMO

OBJECTIVE: The aim of this study was to examine the influence of water immersion on the course of labor. MATERIAL AND METHODS: The study group consisted of 109 women, who have delivered in water in Obstetrical Ward in Puck from 1998 to 2000. 110 women composed control group. Mean patients' age in study and control group was respectively 26.40 +/- 4.33 and 26.72 +/- 5.82 years (ns). Gestational age was 40.69 +/- 5.91 and 39.71 +/- 2.03 weeks (ns). The duration of labor stages, time from membranes rupture to delivery, birthweight and newborns condition, frequency of episiotomy and perineum injuries as well as necessity of labor stimulants use were analyzed. Particular parameters were also assessed regarding to parity. The differences were determined using T-test. RESULTS: Mean duration of 1st labor stage was 319 min in study group and 375 min in control group (p < 0.02). The 2nd and 3rd labor stages did not differ significantly. II labor stage in nulliparous and I stage in multiparous were shorter in study group (respectively 34.41 vs. 45.5 min; p < 0.02 and 258.23 vs. 329.83 min; p < 0.02). The episiotomy was less frequent in study group (p < 0.01), whereas perineum injuries in control one (p < 0.05). Use of oxytocin was comparable between both groups. 97% of newborns from study group and 93% from control group, they were in good condition (ns). CONCLUSIONS: The profitable influence of water immersion to short 1st labor stage was noted. There were no differences in newborns' condition. The water birth is a safe method of labor in patients with physiological pregnancy.


Assuntos
Banhos , Imersão , Trabalho de Parto/psicologia , Parto Normal/métodos , Parto Normal/psicologia , Água , Adulto , Estudos de Casos e Controles , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Primeira Fase do Trabalho de Parto , Segunda Fase do Trabalho de Parto , Terceira Fase do Trabalho de Parto , Cooperação do Paciente , Satisfação do Paciente , Gravidez , Inquéritos e Questionários
20.
Am J Physiol ; 236(6): E603-9, 1979 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-443415

RESUMO

Dogs were prepared for experiments by chronic implantation of catheters into the hepatic portal vein. Intraportal infusions of hypertonic saline, 5 ml/min, increased plasma antidiuretic hormones (rat bioassay) in absence of significant changes in systemic plasma osmolality. In the 5th min of 1.8, 2.7, or 3.6% saline infusion, plasma antidiuretic hormone (ADH) increased significantly from 3.2 +/- 0.7 to 14.3 +/- 3.6 (SE) microU/ml, from 2.3 +/- 0.4 to 42.0 +/- 7.6 microU/ml, and from 1.9 +/- 0.6 to 64.4 +/- 16.8 microU/ml, respectively. In control experiments plasma ADH did not change with isotonic saline infused intraportally or with 3.6% saline given into a systemic vein. The transsection of hepatic vagal afferent fibers abolished plasma ADH increase dependent on hypertonic intraportal infusion. The data support the existence of osmoreceptors within the portal vascular bed and indicate ADH involvement in the control of fluid balance by intrahepatic blood osmalality. The information on osmolality changes is neurally transmitted to the hypothalamus via hepatic vagal afferents. A demonstration of an increase in portal but not systemic blood osmolality following food intake suggests that intrahepatic osmoreception may be important in physiological regulation of water metabolism.


Assuntos
Sistema Porta/fisiologia , Pressorreceptores/fisiologia , Vasopressinas/sangue , Animais , Cateterismo , Cães , Feminino , Infusões Parenterais , Masculino , Veia Porta/fisiologia , Solução Salina Hipertônica
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