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1.
Phys Chem Chem Phys ; 18(36): 25110-25119, 2016 Sep 14.
Artigo em Inglês | MEDLINE | ID: mdl-27722699

RESUMO

The quantum efficiency of light emission is a crucial parameter of supramolecular aggregates that can be tuned by the molecular design of the monomeric species. Here, we report on a strong variation of the fluorescence quantum yield due to different phases of aggregation for the case of a perylene bisimide dye. In particular, a change of the dominant aggregation character from H- to J-type within the first aggregation steps is found, explaining the observed dramatic change in quantum yield. This behaviour is rationalised by means of a systematic study of the intermolecular potential energy surfaces using the time-dependent density functional based tight-binding (TD-DFTB) method. This provides a correlation between structural changes and a coupling strength and supports the notion of H-type stacked dimers and J-type stack-slipped dimers. The exciton-vibrational level structure is modelled by means of an excitonic dimer model including two effective vibrational modes per monomer. Calculated absorption and fluorescence spectra are found to be in reasonable agreement with experimental ones, thus supporting the conclusion on the aggregation behaviour.

2.
HNO ; 63(6): 439-46, 2015 Jun.
Artigo em Alemão | MEDLINE | ID: mdl-26059790

RESUMO

BACKGROUND: To allow passage of food, the swallowing process closes off the larynx and interrupts respiratory flow. Both the timing of the interruption of respiratory flow and the body position can affect the results of the swallowing process. OBJECTIVE: The effect of body position on the swallowing process and the coordination of breathing and swallowing is investigated. MATERIALS AND METHOD: A combined EMG/bioimpedance measurement system and a piezoelectric sensor were used to investigate coordination of breathing and swallowing of a range of food consistencies in three different body positions (90°, 45° and 0°) in healthy subjects. RESULTS: Investigations were carried out on 21 healthy subjects (12 ♂, 9 ♀). 762 swallows were recorded. Changing body position was found to have a statistically significant effect on swallow-related parameters (maximum laryngeal elevation and speed of laryngeal elevation) and breathing pattern (pre- and post-swallow breathing phases). The laryngeal elevation as well as the speed of the laryngeal elevation is influenced significantly by the consistency to be swallowed. The breathing pattern changes from saliva to solid food of inspiration/swallow/inspiration to expiration/swallow/expiration. A change of body position influences the parameters specific for swallowing and the breathing patterns significantly. CONCLUSIONS: This study demonstrates that body position affects coordination of breathing and swallowing and swallow-related parameters in healthy subjects. Our results indicate that patients should be enabled to adopt a position in which they are sitting at an angle of at least 45°.


Assuntos
Deglutição/fisiologia , Comportamento Alimentar/fisiologia , Postura/fisiologia , Mecânica Respiratória/fisiologia , Actigrafia/métodos , Adaptação Fisiológica/fisiologia , Adolescente , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pletismografia de Impedância/métodos , Adulto Jovem
3.
J Equine Vet Sci ; 134: 105011, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38281609

RESUMO

Horses can contribute to the maintenance of grassland. To determine the potential contribution of grassland to horse nutrition, we investigated the seasonal variation of herbage on offer and its nutritional quality in an inventory on six practical horse farms in Central Germany during 2019. On all horse-grazed pastures compressed sward height (CSH) was measured monthly and converted into aboveground herbage (AGH) to allocated short and tall grass sward areas (area-specific) via calibration cuts. In addition, four focus pastures were selected for monthly obtained area-specific herbage quality samples. The farm-specific management was monitored using questionnaires and grazing diaries to determine underlying factors influencing herbage biomass and quality. The proportion of short grass sward areas increased during the grazing season (p=0.0010), which was related to high stocking intensity in terms of livestock unit grazing days (LUGD, p <.0001). On most farms, LUGD were constant throughout the growing season and not adjusted to changing grass growth. Herbage crude protein (CP, p=0.0038), metabolizable energy (ME, p <.0001) concentrations and acid detergent fibre in the organic matter (ADF, p <.0001) differed among the grass sward areas. The results suggest that sufficient ME (4.2 ± 0.32 - 8.4 ± 0.15 MJ ME kg-1 DM) for maintenance and pre-caecal digestible CP (pcdCP) (37.0 ± 3.86 - 77.4 ± 4.44 g kg-1 DM) could be provided during the grazing season. The study highlights the need to incentivise grassland management for herbage provision among horse owners to exploit the potential of grassland during the grazing season.


Assuntos
Ração Animal , Pradaria , Cavalos , Animais , Fazendas , Ração Animal/análise , Poaceae , Estações do Ano
4.
Ultraschall Med ; 33(3): 289-94, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22576698

RESUMO

PURPOSE: To ensure high quality ultrasound diagnostics, proper functioning of the devices used is a necessary prerequisite. Ultrasound transducers have proven to be the most failure-prone part of the signal chain. Their technical monitoring is possible in principle with the help of tissue phantoms. The background of the present study is to determine which type of phantoms and which measurement parameters are best suited to a consistency test as part of routine quality assurance of ultrasound imaging systems. MATERIALS AND METHODS: A classic wire-type phantom (ATS Mod. 539, ATS Labs Bridgeport, USA) and a 3 D cyst phantom (TCC, Timelkam, Austria) were used for the studies and comparative tests were conducted between intact transducers and those in which faults had been simulated. The collected measurement data show a relatively large scatter. Therefore, statistical analysis methods were used, and the discrimination analysis proved to be a useful tool. RESULTS: Local failures which arise, e. g. due to the breakdown of individual piezoelectric elements or element groups in the transducer array, can be detected with the help of the gray value targets of the ATS phantom, but only in those cases in which the error-affected sound field part actually overlaps with the target under consideration. The TCC phantom is not suitable for the detection of such errors. Global transducer failures, i. e. those that affect the entire array, can even be detected with both types of phantoms. CONCLUSION: When the emphasis of quality assessment is on the detection of local defects in the array that make up the largest part of the transducer faults, studies with conventional phantoms are only of limited value.


Assuntos
Imagens de Fantasmas , Garantia da Qualidade dos Cuidados de Saúde/normas , Transdutores/normas , Ultrassonografia/instrumentação , Análise de Falha de Equipamento , Humanos , Reprodutibilidade dos Testes
5.
J Microsc ; 237(1): 12-22, 2010 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-20055915

RESUMO

In the recent past, single-molecule based localization or photoswitching microscopy methods such as stochastic optical reconstruction microscopy (STORM) or photoactivated localization microscopy (PALM) have been successfully implemented for subdiffraction-resolution fluorescence imaging. However, the computational effort needed to localize numerous fluorophores is tremendous, causing long data processing times and thereby limiting the applicability of the technique. Here we present a new computational scheme for data processing consisting of noise reduction, detection of likely fluorophore positions, high-precision fluorophore localization and subsequent visualization of found fluorophore positions in a super-resolution image. We present and benchmark different algorithms for noise reduction and demonstrate the use of non-maximum suppression to quickly find likely fluorophore positions in high depth and very noisy images. The algorithm is evaluated and compared in terms of speed, accuracy and robustness by means of simulated data. On real biological samples, we find that real-time data processing is possible and that super-resolution imaging with organic fluorophores of cellular structures with approximately 20 nm optical resolution can be completed in less than 10 s.


Assuntos
Processamento de Imagem Assistida por Computador/métodos , Microscopia de Fluorescência/métodos , Algoritmos , Animais , Células COS , Chlorocebus aethiops , Corantes Fluorescentes/química , Microcomputadores , Microtúbulos/ultraestrutura , Sensibilidade e Especificidade , Fatores de Tempo
6.
J Water Sanit Hyg Dev ; 9(1): 49-55, 2019 Jan 02.
Artigo em Inglês | MEDLINE | ID: mdl-33384870

RESUMO

The eggs of parasitic helminth worms are incredibly resilient - possessing the ability to survive changing environmental factors and exposure to chemical treatments - which has restricted the efficacy of wastewater sanitation. This research reports on the effectiveness of electroporation to permeabilize ova of Caenorhabditis elegans (C. elegans), a helminth surrogate, for parasite deactivation. This technique utilizes electric pulses to increase cell membrane permeability in its conventional application, but herein is used to open pores in nonparasitic nematode eggshells - the first report of such an application to the best knowledge of the authors. A parametric evaluation of electric field strength and total electroporation duration of eggs and worms in phosphate-buffered saline was performed using a 1 Hz pulse train of 0.01% duty cycle. The extent of pore formation was determined using a fluorescent label, propidium iodide, targeting C. elegans embryonic DNA. The results of this research demonstrate that electroporation increases eggshell permeability. This treatment, coupled with existing methods of electrochemical disinfection, could improve upon current attempts at the deactivation of helminth eggs. We discuss electroporation treatment conditions and likely modification of the lipid-rich permeability barrier within the eggshell strata.

7.
Int J Tuberc Lung Dis ; 11(10): 1108-13, 2007 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-17945068

RESUMO

SETTING: Two southern provinces of Rwanda, Butare and Gikongoro. OBJECTIVES: To identify beliefs and popular perceptions on cough and tuberculosis (TB) in rural Rwanda and determine how they shape health-seeking behaviour. METHODS: Eight focus group discussions, 21 key informant interviews and 12 illness narratives were conducted between May and June 2004. STUDY POPULATION: TB patients, community members, traditional healers and health workers. RESULTS: There is wide use of herbal treatment for chronic cough in Rwanda. Patients seek conventional care when alternative treatment options fail or when severe symptoms such as shortness of breath, bloody sputum and weight loss appear. There are several local illnesses associated with chronic cough, with different alternative treatments. TB symptoms are often mistaken for the acquired immune-deficiency syndrome (AIDS). Identified causes for cough-related illnesses can be classified as biomedical (germs, internal body dysfunction and worms), environmental (seasonal changes and dust), cultural (inheritance), socio-economic (hard work, malnutrition and tobacco), and supernatural (witchcraft). Three health-seeking end points emerge for chronic cough: home care, health facility and the traditional healer. Healers in some areas, however, believe TB due to witchcraft can only be treated traditionally. CONCLUSION: This study unveils beliefs and treatment options for chronic cough in Rwanda, with important implications for TB control that should be addressed.


Assuntos
Controle de Doenças Transmissíveis/métodos , Tosse/psicologia , Necessidades e Demandas de Serviços de Saúde , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , População Rural , Tuberculose/prevenção & controle , Tuberculose/psicologia , Tosse/epidemiologia , Grupos Focais , Humanos , Prevalência , Estudos Retrospectivos , Ruanda/epidemiologia , Inquéritos e Questionários , Tuberculose/epidemiologia
9.
Clin Neurophysiol ; 117(1): 157-68, 2006 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-16326139

RESUMO

OBJECTIVE: To report on presence of human EEG spindle oscillations on the cortical level within flat periods of the burst-suppression pattern during propofol-induced anesthesia; to search for corresponding oscillations and possible functional connections. METHODS: Artefact-free epochs of spindle activation were selected from the electroencephalograms of opiate-dependent patients undergoing rapid opiate detoxification. Power spectral analysis and source localization using low-resolution-brain-electromagnetic-tomography (LORETA(Key)) were performed. RESULTS: Sinusoidal rhythms with waxing and waning amplitudes appeared after propofol-induced narcosis but no direct correlations could be determined between individual dosage and characteristic spindle attributes. The power maximum stood midline over the cortical areas, especially around C(z). We calculated a peak frequency of 14(+/-1.2) Hz. Motor fields, particularly in the frontal, parietal, and various cingulate areas, were found to be the primary sources of spindle oscillations in the cortex. CONCLUSIONS: The frequent occurrence of these localized spindle sources demonstrates the preference for motor fields. Spindle oscillations observed during propofol-induced narcosis were similar in frequency and shape to those observed in natural sleep. SIGNIFICANCE: The results lend support to models that postulate a close link between the motor system and the organization of behavior. In addition, spindle rhythms under propofol bore some resemblance to spindle types which occur during sleep.


Assuntos
Anestésicos Intravenosos/administração & dosagem , Córtex Cerebral/efeitos dos fármacos , Eletroencefalografia/efeitos dos fármacos , Transtornos Relacionados ao Uso de Opioides/fisiopatologia , Periodicidade , Propofol/administração & dosagem , Adulto , Mapeamento Encefálico , Córtex Cerebral/fisiopatologia , Feminino , Lateralidade Funcional , Humanos , Imageamento Tridimensional , Masculino , Análise Espectral , Estatísticas não Paramétricas
10.
Biochim Biophys Acta ; 607(3): 420-31, 1980 May 30.
Artigo em Inglês | MEDLINE | ID: mdl-7397177

RESUMO

The formation of double-stranded viral DNA was examined in synchronized cells infected with minute virus of mice in early G1 phase. In the infected cells, a minimum of 50-100 copies of the input single-stranded DNA have been converted to a double-stranded form by mid S phase. In well-synchronized cells, the amount of double-stranded form by mid A phase. In well-synchronized cells, the amount of double-stranded viral DNA detected during G1 is on the order of a few copies per cell or less. When cells are infected in the presence of the thymidine analog, 5-bromodeoxyuridine, viral DNA synthesis is inhibited. However, 5-bromodeoxyuridine does not inhibit host DNA synthesis nor does it prevent replication of viral DNA if added to the infected cells in late S phase. Viral DNA replication first becomes resistant to 5-bromodeoxyuridine inhibition at the beginning of S phase. As 5-bromodeoxyuridine appears to specifically block early steps in viral DNA synthesis but not the subsequent replication of the DNA, the conversion of the input viral genome to a double-stranded form which undergoes further replication appears to be a S phase-specific event.


Assuntos
Ciclo Celular , Replicação do DNA , Interfase , Vírus Miúdo do Camundongo/metabolismo , Parvoviridae/metabolismo , Replicação Viral , Animais , Bromodesoxiuridina/farmacologia , Células Cultivadas , Replicação do DNA/efeitos dos fármacos , DNA de Cadeia Simples/metabolismo , Cobaias , Replicação Viral/efeitos dos fármacos
11.
Endocrinology ; 138(6): 2577-84, 1997 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-9165051

RESUMO

The Ca2+/calmodulin dependent protein kinase II (CaM kinase II) is thought to play an important part in glucose-stimulated insulin secretion. To determine which of the known subtypes (alpha, beta, gamma, delta) occur in insulin-secreting cells, we amplified all types of CaM kinase II by RT-PCR and found the beta3-, gamma-, delta2- and delta6-subtypes in RINm5F insulinoma cells. None of the other 8 delta-subtypes was present. Antibodies generated against the bacterially expressed association domain of the delta2-subtype recognized the recombinant gamma and delta-subtypes. In INS-1 and RINm5F cells, as well as freshly isolated rat islets, only a 55-kDa protein corresponding in size to the delta2-subtype expressed in NIH3T3 fibroblasts was detected. The delta2-subtype therefore appears to represent the predominant subtype of CaM kinase II present in insulin secreting cells. The enzyme was primarily associated with cytoskeletal structures, and very little was present in the soluble compartment or detergent soluble fraction in INS-1- or RINm5F-cells. An analysis of its subcellular distribution was performed by sucrose and Nycodenz density gradient fractionation of INS-1 cells and detection of CaM kinase II delta by immune blots. The enzyme codistributed with insulin used as a marker for secretory granules but not with the lighter synaptic-like microvesicles detected with an antibody against synaptophysin, plasma membranes (syntaxin 1), lysosomes (arylsulfatase), or mitochondria (cytochrome c oxidase). CaM kinase II delta2 thus is identified as the subtype associated with insulin secretory granules and is likely to be involved in insulin secretion.


Assuntos
Proteínas Quinases Dependentes de Cálcio-Calmodulina/biossíntese , Insulina/metabolismo , Insulinoma/enzimologia , Insulinoma/metabolismo , Neoplasias Pancreáticas/enzimologia , Neoplasias Pancreáticas/metabolismo , Animais , Sequência de Bases , Proteína Quinase Tipo 2 Dependente de Cálcio-Calmodulina , Fracionamento Celular , Grânulos Citoplasmáticos/enzimologia , Grânulos Citoplasmáticos/metabolismo , Primers do DNA , Glucose/farmacologia , Secreção de Insulina , Isoenzimas/biossíntese , Masculino , Reação em Cadeia da Polimerase , Ratos , Ratos Wistar , Frações Subcelulares/enzimologia , Células Tumorais Cultivadas
12.
Eur J Endocrinol ; 142(1): 84-91, 2000 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-10633227

RESUMO

BACKGROUND: Estrogen has been shown to have profound effects on insulin and glucose metabolism in vivo. Indeed, estrogens were recently shown to modulate ion channel and secretory activities in endocrine cells. DESIGN AND METHODS: To investigate whether estrogenic influences are caused by direct effects on pancreatic beta-cells, we equipped INS-1 insulinoma cells with estrogen receptors and monitored insulin content and Ca(2+) fluxes as well as basal and stimulated insulin secretion upon different stimuli including glucose, the Ca(2+) ionophore ionomycin, the Ca(2+) channel agonist BayK8644, the protein kinase C activator TPA, and the adenylate cyclase activator forskolin. RESULTS AND CONCLUSION: Our data reveal that estradiol has no significant direct effect on proliferation rate, insulin content, basal and stimulated insulin output as well as Ca(2+) fluxes of insulin secreting cells in vitro, indicating that in vivo responses to estrogen on insulin and glucose metabolism result from indirect betacytotropic effects.


Assuntos
Estradiol/farmacologia , Insulina/metabolismo , Insulinoma/metabolismo , Receptores de Estrogênio/metabolismo , Cálcio/metabolismo , Divisão Celular/efeitos dos fármacos , Técnicas de Transferência de Genes , Humanos , Secreção de Insulina , Insulinoma/patologia , Membranas Intracelulares/metabolismo , Retroviridae/genética , Transfecção , Células Tumorais Cultivadas/metabolismo
13.
Chem Biol Interact ; 42(3): 335-44, 1982 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-7151235

RESUMO

The metabolism of 1,2-dimethylhydrazine (DMH) was investigated in isolated perfused rat liver. The separation of [14C]DMH and its metabolites azomethane (AM), azoxymethane (AOM) and methylazoxymethanol (MAM) was performed by high pressure liquid chromatography (HPLC). The fractions were quantitatively detected by liquid scintillation counting of the radioactivity. It was demonstrated that DMH is highly metabolized by the liver. After 1 h of perfusion, the median amounts of DMH and its metabolites in the medium were: DMH, 16%; AM, 3%; AOM, 42%; MAM, 30% of the given dose. During this time 9.9% and 0.7% of the total radioactivity were eliminated as AM and CO2 in the oxygen stream of the perfusion apparatus; 0.6% were excreted by bile and 12.3% stored in hepatic tissue. The reaction rate (t1/2) of each individual metabolic step was estimated by means of a mathematical kinetic model as follows: DMH leads to AM, 21.8 min; AM leads to AOM, 1.5 min; AOM leads to MAM, 41.5 min; MAM leads to, 611 min. The results are discussed in comparison to in vivo experiments.


Assuntos
Dimetilidrazinas/metabolismo , Fígado/metabolismo , Metilidrazinas/metabolismo , 1,2-Dimetilidrazina , Animais , Técnicas In Vitro , Cinética , Masculino , Modelos Biológicos , Perfusão , Ratos , Ratos Endogâmicos
14.
Arch Oral Biol ; 44(11): 947-51, 1999 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-10580542

RESUMO

In axial computed tomography it is possible to measure the intercondylar angle at the intersection of the longitudinal axes of the condyles. Published values range from 131 to 165 degrees. This angle was determined here in two groups of patients with (n = 22) and without (n = 12) temporomandibular joint dysfunction. A third group of children (n = 12) aged 4-9 years was included to investigate any age-related change in the angle. In the group of healthy individuals, a range of 105 to 165 degrees was found, with a mean intercondylar angle of 139 degrees. In the group with temporomandibular joint dysfunction the mean angle was 143 degrees with a range from 85 to 170 degrees. No statistically significant relation could be shown between intercondylar angle and joint dysfunction. In the group of children the mean angle was 138 degrees with values ranging from 90 to 180 degrees. No significant differences could be demonstrated among the groups. The absolute value of the intercondylar angle seems to be independent of factors such as sex, age and functional disorders of the joint.


Assuntos
Cefalometria/métodos , Côndilo Mandibular/anatomia & histologia , Tomografia Computadorizada por Raios X , Adolescente , Adulto , Fatores Etários , Idoso , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Côndilo Mandibular/crescimento & desenvolvimento , Pessoa de Meia-Idade , Estudos Retrospectivos , Fatores Sexuais , Transtornos da Articulação Temporomandibular/diagnóstico por imagem , Transtornos da Articulação Temporomandibular/patologia , Tomografia Computadorizada por Raios X/métodos
15.
Acta Histochem ; 66(2): 279-81, 1980.
Artigo em Alemão | MEDLINE | ID: mdl-6774589

RESUMO

The detection of SH-groups was carried out on islets of Langerhans of sand rats, guinea pigs and NZO-mice. Following results are pointed out: 1. All cell types of islets reacted identically. Species differences are visible. The islet cells of guinea pigs have the highest content of SH-groups, in the islets of sand rats diminished, and in the islets of NZO-mice lowest. 2. The content of SH-groups is the exocrine pancreas of this species higher than in the exocrine tissue. However the succession is also NZO-mice < sand rats < guinea pigs.


Assuntos
Ilhotas Pancreáticas/análise , Compostos de Sulfidrila/análise , Animais , Arvicolinae , Cobaias , Camundongos , Pâncreas/análise
16.
Acta Histochem ; 71(1): 119-32, 1982.
Artigo em Alemão | MEDLINE | ID: mdl-6815958

RESUMO

Histochemical and electronmicroscopic findings on chronically and selectively denervated pancreata of 8 dogs are described. Most nerve fibers showed marked degeneration and perineuritis, and there was an inflammation of intrapancreatic ganglia. There was no change in the number of islets or in the A-B-cell ratio. Insulitis frequently has been observed. Both immunohistochemically demonstrable insulin in the B-cells, and glucagon in the A-cells were reduced in relation to that in non-denervated controls. There were single A- and B-cells within the acini in an apparently normal frequency. Many pancreata showed a chronic infiltration and fibroblastic inflammation within the acini but their extent varied considerably between the animals. Intrapancreatic blood vessels were generally dilated, hyperemic, and perivascular fibrosis was seen in some cases; the vessels contained many leucocytes. Acinar cells were often subjected to vacuolic degeneration. Another part of them showed, however, increased appearance of ergastoplasm, mitochondria, and of Golgi apparatus as a sign of increased functional stimulation. There were fibrosis and mononuclear infiltration in the medium-sized and large pancreatic ducts.


Assuntos
Pâncreas/ultraestrutura , Simpatectomia , Animais , Cães , Fibroblastos/análise , Fibroblastos/ultraestrutura , Glucagon/análise , Histocitoquímica , Inflamação/patologia , Insulina/análise , Ilhotas Pancreáticas/análise , Ilhotas Pancreáticas/ultraestrutura , Neurite (Inflamação)/etiologia , Neurite (Inflamação)/patologia , Pâncreas/irrigação sanguínea , Pâncreas/inervação
17.
Aviat Space Environ Med ; 69(3): 291-8, 1998 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-9549567

RESUMO

BACKGROUND: Chronic respiratory acidosis induced by an elevated carbon dioxide (CO2) environment should provoke hypercalciuria with related total body and subsequent bone calcium losses. We examined this hypothesis in four healthy male volunteers, who were exposed during a 25-d period to an 0.7% CO2 environment within a deep diving isolation chamber. Three months later the same subjects were reexamined during a second campaign being exposed to a 1.2% CO2 atmosphere. METHODS: The subjects received a constant calcium intake (1.4 g.d-1) and vitamin D supplement (1000 IU.d-1) during both campaigns. Calcium balance (oral calcium intake minus urinary and fecal calcium output) was evaluated. Serum calcium concentrations and biomarkers of bone metabolism were measured, in order to evaluate bone turnover. Additionally, the response to an acute oral calcium load was examined as a sensitive measure of changes in calcium metabolism. RESULTS: Both, urinary calcium excretion (from 245 +/- 38 to 199 +/- 31 mg.d-1; mean +/- SE, 0.7% and 1.2%, respectively) and fecal calcium losses (from 1229 +/- 128 to 996 +/- 62 mg.d-1) were significantly reduced in the higher (1.2%) CO2 atmosphere. Although more calcium was retained in the body during the 1.2% than during the 0.7% CO2 campaign, serum calcium concentrations and biomarkers of bone formation were significantly lower in the higher CO2 campaign. Furthermore, bone resorption was slightly increased in the 1.2% experiment. CONCLUSION: Elevated CO2 atmosphere may dose-dependently preserve body calcium without a parallel improvement of bone substance.


Assuntos
Acidose Respiratória/complicações , Poluição do Ar em Ambientes Fechados/efeitos adversos , Remodelação Óssea/fisiologia , Dióxido de Carbono/efeitos adversos , Sistemas Ecológicos Fechados , Hipercapnia/complicações , Hipocalcemia/sangue , Hipocalcemia/urina , Simulação de Ambiente Espacial , Acidose Respiratória/induzido quimicamente , Adulto , Remodelação Óssea/efeitos dos fármacos , Doença Crônica , Humanos , Hipercapnia/induzido quimicamente , Hipocalcemia/induzido quimicamente , Masculino
19.
Zentralbl Chir ; 134(1): 32-7, 2009 Feb.
Artigo em Alemão | MEDLINE | ID: mdl-19242880

RESUMO

BACKGROUND: The prevalence of morbid obesity and its sequelae is increasing in Germany, Europe and worldwide. Bariatric surgery is thus gaining in importance for the treatment of patients with malignant obesity. Creation of a gastric bypass is one of the most frequently performed procedures for obesity. DISCUSSION: The gastric bypass has been used -since 1966 as a surgical means of weight reduction in obese patients. In the mean time various modifications have been developed. Thus, for example, the laparoscopic procedure represents the current standard. After the operation most patients experience an excess weight loss (EWL) of between 61 and 83 %. The comorbidities of obesity are also markedly improved and in a high percentage even cured after the operation. It is worthy of note that diabetes mellitus type II improves shortly after the operation even before any weight loss has occurred. The suggests that the operation induces more than "just" a loss of weight. CONCLUSION: For decades the gastric bypass has been a well known standard operation of overweight and, in addition to the reduction in weight, is also a therapy for diabetes mellitus -type II.


Assuntos
Derivação Gástrica/métodos , Obesidade Mórbida/cirurgia , Comorbidade , Diabetes Mellitus Tipo 2/diagnóstico , Diabetes Mellitus Tipo 2/epidemiologia , Derivação Gástrica/efeitos adversos , Humanos , Obesidade Mórbida/epidemiologia , Cuidados Pós-Operatórios , Complicações Pós-Operatórias/diagnóstico , Qualidade de Vida , Resultado do Tratamento , Redução de Peso
20.
Int J Qual Health Care ; 18(1): 66-72, 2006 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-16254006

RESUMO

OBJECTIVE: Using simulated client and provider interview methods, this study assessed chemists and druggists' post-training management quality of syndromic sexually transmitted infections focusing on the areas of privacy maintaining, encouraging, history taking, counseling, referral practice, partner notification, and drug prescribing and then compared the findings of two methods. DESIGN: Forty-five pharmacies from a list of 75 in Pokhara, who collected sexually transmitted infections data during 1999, were selected randomly. First simulated client successfully presented either urethral or vaginal discharge syndrome at 37 pharmacies and recorded the events of whole encounter into an observation form within 20 minutes. Later 39 chemists and druggists were interviewed by a pre-tested semi-structured questionnaire. MAIN MEASURE: Results were reported mainly by numbers and corresponding percentages. For comparative purpose, P values were also shown. RESULTS: Overall, interview method revealed satisfactory knowledge of chemists and druggists for management of sexually transmitted infections except drug prescribing but their actual behaviors, revealed by simulated client method, indicated lower quality and differed significantly in the areas of encouraging, history taking, counseling, referral practice, and partner notification. Both methods indicated very poor qualities of drug prescribing. CONCLUSION: Retained knowledge of chemists and druggists for syndromic management of sexually transmitted infections were not applied to simulated client in actual practice. They should not prescribe drugs for patients of sexually transmitted infections, except referring to the doctors/hospitals. Continuous monitoring and further motivations for them may improve syndromic management quality of sexually transmitted infections. Moreover, depending on the purpose of study, various methods should be applied simultaneously to reach a better conclusion.


Assuntos
Competência Clínica , Farmácias/normas , Farmacêuticos/normas , Padrões de Prática Médica , Qualidade da Assistência à Saúde , Infecções Sexualmente Transmissíveis/diagnóstico , Infecções Sexualmente Transmissíveis/tratamento farmacológico , Serviços Urbanos de Saúde/normas , Adulto , Busca de Comunicante , Aconselhamento , Prescrições de Medicamentos , Feminino , Humanos , Entrevistas como Assunto , Masculino , Anamnese , Nepal , Simulação de Paciente , Relações Profissional-Paciente , Encaminhamento e Consulta , Inquéritos e Questionários , Síndrome
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