RESUMO
The objectives of this study were (1) to characterize the interindividual variation in the relationship between antepartum (ap) backfat thickness (BFT) and subsequent BFT loss during early lactation in a large dairy herd using cluster analysis; (2) to compare the serum concentrations of metabolites (nonesterified fatty acids, ß-hydroxybutyrate), metabolic hormones (leptin and adiponectin), and an inflammatory marker (haptoglobin) among the respective clusters; and (3) to compare lactation performance and uterine health status in the different clusters. An additional objective was (4) to investigate differences in these serum variables and in milk yield of overconditioned (OC) cows that differed in the extent of BFT loss. Using data from a large study of 1,709 multiparous Holstein cows, we first selected those animals from which serum samples and BFT results (mm) were available at d 25 (±10) ap and d 31 (±3 d) postpartum (pp). The remaining 713 cows (parity of 2 to 7) were then subjected to cluster analysis: different approaches based on the BFT of the cows were performed. K-means (unsupervised machine learning algorithm) clustering based on BFT-ap alone identified 5 clusters: lean (5-8 mm BFT, n = 50), normal (9-12 mm, n = 206), slightly fat (SF; 13-16 mm, n = 203), just fat (JF; 16-22 mm, n = 193), and very fat (VF; 23-43 mm, n = 61). Clustering by difference between BFT-ap and BFT-pp (ΔBFT) also revealed 5 clusters: extreme loss (17-23 mm ΔBFT, n = 16), moderate loss (9-15 mm, n = 119), little loss (4-8 mm, n = 326), no loss (0-3 mm, n = 203), and gain (-8 to -1 mm, n = 51). Based on the blood variables measured, our results confirm that cows with greater BFT losses had higher lipid mobilization and ketogenesis than cows with less BFT loss. The serum variables of cows that gained BFT did not differ from normal cows. Milk yield was affected by the BFT-ap cluster, but not by the ΔBFT cluster. Cows categorized as VF had lesser milk yield than other clusters. We further compared the OC cows that had little or no BFT loss (i.e., 2% of VF, 12% of JF, and 31% of SF, OC-no loss, n = 85) with the OC cows that lost BFT (OC-loss, n = 135). Both NEFA and BHB pp concentrations and milk yield were greater in OC-loss cows compared with the OC-no loss cows. The serum concentration of leptin ap was greater in OC-loss than in the OC-no loss cows. Overall, OC cows lost more BFT than normal or lean cows. However, those OC cows with a smaller loss of BFT produced less milk than OC cows with greater losses.
Assuntos
Lactação , Leptina , Ácido 3-Hidroxibutírico , Animais , Bovinos , Dieta/veterinária , Ácidos Graxos não Esterificados , Feminino , Leptina/metabolismo , Leite/metabolismo , Paridade , Período Pós-Parto , GravidezRESUMO
The aim of this study was to evaluate and present an automated method for registration of magnetic resonance imaging (MRI) and computed tomography (CT) or cone beam CT (CBCT) images of the mandibular region for patients with oral squamous cell carcinoma (OSCC). Registered MRI and (CB)CT could facilitate the three-dimensional virtual planning of surgical guides employed for resection and reconstruction in patients with OSCC with mandibular invasion. MRI and (CB)CT images were collected retrospectively from 19 patients. MRI images were aligned with (CB)CT images employing a rigid registration approach (stage 1), a rigid registration approach using a mandibular mask (stage 2), and two non-rigid registration approaches (stage 3). Registration accuracy was quantified by the mean target registration error (mTRE), calculated over a set of landmarks annotated by two observers. Stage 2 achieved the best registration result, with an mTRE of 2.5±0.7mm, which was comparable to the inter- and intra-observer variabilities of landmark placement in MRI. Stage 2 was significantly better aligned compared to all approaches in stage 3. In conclusion, this study demonstrated that rigid registration with the use of a mask is an appropriate image registration method for aligning MRI and (CB)CT images of the mandibular region in patients with OSCC.
Assuntos
Carcinoma de Células Escamosas , Neoplasias de Cabeça e Pescoço , Neoplasias Bucais , Carcinoma de Células Escamosas/diagnóstico por imagem , Carcinoma de Células Escamosas/cirurgia , Tomografia Computadorizada de Feixe Cônico , Humanos , Imageamento por Ressonância Magnética , Espectroscopia de Ressonância Magnética , Neoplasias Bucais/diagnóstico por imagem , Neoplasias Bucais/cirurgia , Estudos Retrospectivos , Carcinoma de Células Escamosas de Cabeça e Pescoço , Tomografia Computadorizada por Raios XRESUMO
The effect of tea saponin supplementation in the ruminant diet on methane emissions, rumen fermentation, and digestive processes is still under debate. The objective of this study was to assess the effect of this plant extract on methanogenesis, total-tract digestibility, and lactating performances of dairy cows. The work included 2 independent and successive experiments. First, the effect of 7 tea saponin doses (from 0 to 0.50 g/L) on methane emissions and protozoa concentrations was tested in 2 repeated in vitro batch culture incubations using bovine rumen contents as inoculum and a cereal mixture as substrate. After 18 h of incubation, total gas production and composition as well as rumen fermentation parameters and protozoa concentration were analyzed. Increasing dosage of the plant extract reduced methane production and protozoa concentration, with a maximum reduction of 29% for CH4 (mL/g of substrate) and 51% for protozoa (105/mL). Tea saponin did not affect volatile fatty acids concentration, but marginally decreased total gas production by 5% at the highest dose. Second, a 2-period crossover design experiment was carried out with 8 lactating dairy cows fed a basal diet (54% corn silage, 6% hay, and 40% pelleted concentrates on a dry matter basis) without (control) or with 0.52% tea saponin (TSP). Each experimental period lasted 5 wk. Animals were fed ad libitum during the first 3 wk of the period (wk 1, 2, and 3) and restricted (95% of ad libitum intake) during the last 2 wk (wk 4 and 5). Intake and milk production were recorded daily. Methane emissions were quantified using open chambers (2 d, wk 4). Total-tract digestibility and nitrogen balance were determined from total feces and urine collected separately (5 d, wk 5). Rumen fermentation parameters and protozoa concentration were analyzed from samples taken after morning feeding (1 d, wk 5). Milk production, dry matter intake, and feed efficiency were reduced with TSP (-18, -12, and -8%, respectively). As daily methane production (g/d) was not affected, methane emissions (g/kg of dry matter intake) increased by 14% with TSP. Total-tract digestibility and nitrogen balance were similar between diets, except for acid detergent fiber digestibility, which tended to be improved with TSP (+4 percentage units). Rumen fermentation parameters and protozoa concentration were relatively unchanged by diets. Under the conditions of this experiment, tea saponin is not efficient to reduce methane emissions from dairy cows.
Assuntos
Lactação/efeitos dos fármacos , Metano/biossíntese , Animais , Bovinos , Dieta/veterinária , Digestão/efeitos dos fármacos , Feminino , Fermentação , Leite/química , Rúmen/metabolismo , Saponinas , CháRESUMO
Ruminants raised for meat and milk are important sources of protein in human diets worldwide. Their unique digestive system allows them to derive energy and nourishment from forages, making use of vast areas of grazing lands not suitable for arable cropping or biofuel production and avoiding direct competition for grain that can be used as human food. However, sustaining an ever-growing population of ruminants consuming forages poses a dilemma: while exploiting their ecological niche, forage-fed ruminants produce large amount of enteric methane, a potent greenhouse gas. Resolving this quandary would allow ruminants an expanded role in meeting growing global demands for livestock products. One way around the dilemma is to devise forage-based diets and feeding systems that reduce methane emissions per unit of milk or meat produced. Ongoing research has made significant strides toward this objective. A wider opportunity is to look beyond methane emissions alone and consider all greenhouse gas emissions from the entire livestock-producing system. For example, by raising ruminants in systems using forages, some of the methane emissions can be offset by preserving or enhancing soil carbon reserves, thereby withholding carbon dioxide from the air. Similarly, well-managed systems based on forages may reduce synthetic fertilizer use by more effective use of manure and nitrogen-fixing plants, thereby curtailing nitrous oxide emissions. The potential environmental benefits of forage-based systems may be expanded even further by considering their other ecological benefits, such as conserving biodiversity, improving soil health, enhancing water quality, and providing wildlife habitat. The quandary, then, can be alleviated by managing ruminants within a holistic land-livestock synchrony that considers not only methane emissions but also suppression of other greenhouse gases as well as other ecological benefits. Given the complexity of such systems, there likely are no singular "best-management" practices that can be recommended everywhere. Using systems-based approaches such as life cycle analysis, ruminant production can be tuned for local lands to achieve greatest net benefits overall. In many instances, such systems, based on forages, may maintain high output of milk and meat while also furnishing other ecosystem benefits, such as reduced overall greenhouse gas emissions.
Assuntos
Ração Animal/análise , Criação de Animais Domésticos/métodos , Conservação dos Recursos Naturais/métodos , Ruminantes/metabolismo , Animais , Dieta/veterinária , HumanosRESUMO
A previous study showed the additive methane (CH4)-mitigating effect of nitrate and linseed fed to non-lactating cows. Before practical application, the use of this new strategy in dairy cows requires further investigation in terms of persistency of methanogenesis reduction and absence of residuals in milk products. The objective of this experiment was to study the long-term effect of linseed plus nitrate on enteric CH4 emission and performance in dairy cows. We also assessed the effect of this feeding strategy on the presence of nitrate residuals in milk products, total tract digestibility, nitrogen (N) balance and rumen fermentation. A total of 16 lactating Holstein cows were allocated to two groups in a randomised design conducted in parallel for 17 weeks. Diets were on a dry matter (DM) basis: (1) control (54% maize silage, 6% hay and 40% concentrate; CON) or (2) control plus 3.5% added fat from linseed and 1.8% nitrate (LIN+NIT). Diets were equivalent in terms of CP (16%), starch (28%) and NDF (33%), and were offered twice daily. Cows were fed ad libitum, except during weeks 5, 16 and 17 in which feed was restricted to 95% of dry matter intake (DMI) to ensure complete consumption of meals during measurement periods. Milk production and DMI were measured weekly. Nitrate and nitrite concentrations in milk and milk products were determined monthly. Daily CH4 emission was quantified in open circuit respiration chambers (weeks 5 and 16). Total tract apparent digestibility, N balance and rumen fermentation parameters were determined in week 17. Daily DMI tended to be lower with LIN+NIT from week 4 to 16 (-5.1 kg/day on average). The LIN+NIT diet decreased milk production during 6 non-consecutive weeks (-2.5 kg/day on average). Nitrate or nitrite residuals were not detected in milk and associated products. The LIN+NIT diet reduced CH4 emission to a similar extent at the beginning and end of the trial (-47%, g/day; -30%, g/kg DMI; -33%, g/kg fat- and protein-corrected milk, on average). Diets did not affect N efficiency and nutrients digestibility. In the rumen, LIN+NIT did not affect protozoa number but reduced total volatile fatty acid (-12%) and propionate (-31%) concentrations. We concluded that linseed plus nitrate may have a long-term CH4-mitigating effect in dairy cows and that consuming milk products from cows fed nitrate may be safe in terms of nitrate and nitrite residuals. Further work is required to optimise the doses of linseed plus nitrate to avoid reduced cows performance.
Assuntos
Bovinos/fisiologia , Linho/química , Metano/metabolismo , Leite/química , Nitratos/química , Nitritos/química , Animais , Dieta/veterinária , Digestão/efeitos dos fármacos , Ácidos Graxos Voláteis/metabolismo , Feminino , Fermentação , Linho/metabolismo , Proteínas do Leite/metabolismo , Nitratos/metabolismo , Nitratos/farmacologia , Nitritos/metabolismo , Nitrogênio/metabolismo , Rúmen/metabolismo , Silagem/análise , Amido/metabolismo , Zea mays/metabolismoRESUMO
Quantitative magnetic resonance imaging (qMRI) is a technique for estimating quantitative tissue properties, such as the T1 and T2 relaxation times, apparent diffusion coefficient (ADC), and various perfusion measures. This estimation is achieved by acquiring multiple images with different acquisition parameters (or at multiple time points after injection of a contrast agent) and by fitting a qMRI signal model to the image intensities. Image registration is often necessary to compensate for misalignments due to subject motion and/or geometric distortions caused by the acquisition. However, large differences in image appearance make accurate image registration challenging. In this work, we propose a groupwise image registration method for compensating misalignment in qMRI. The groupwise formulation of the method eliminates the requirement of choosing a reference image, thus avoiding a registration bias. The method minimizes a cost function that is based on principal component analysis (PCA), exploiting the fact that intensity changes in qMRI can be described by a low-dimensional signal model, but not requiring knowledge on the specific acquisition model. The method was evaluated on 4D CT data of the lungs, and both real and synthetic images of five different qMRI applications: T1 mapping in a porcine heart, combined T1 and T2 mapping in carotid arteries, ADC mapping in the abdomen, diffusion tensor mapping in the brain, and dynamic contrast-enhanced mapping in the abdomen. Each application is based on a different acquisition model. The method is compared to a mutual information-based pairwise registration method and four other state-of-the-art groupwise registration methods. Registration accuracy is evaluated in terms of the precision of the estimated qMRI parameters, overlap of segmented structures, distance between corresponding landmarks, and smoothness of the deformation. In all qMRI applications the proposed method performed better than or equally well as competing methods, while avoiding the need to choose a reference image. It is also shown that the results of the conventional pairwise approach do depend on the choice of this reference image. We therefore conclude that our groupwise registration method with a similarity measure based on PCA is the preferred technique for compensating misalignments in qMRI.
Assuntos
Algoritmos , Interpretação de Imagem Assistida por Computador/métodos , Imageamento por Ressonância Magnética/métodos , Reconhecimento Automatizado de Padrão/métodos , Análise de Componente Principal , Técnica de Subtração , Humanos , Aumento da Imagem/métodos , Reprodutibilidade dos Testes , Sensibilidade e EspecificidadeRESUMO
Tea saponin is considered a promising natural compound for reducing enteric methane emissions in ruminants. A trial was conducted to study the effect of this plant extract fed alone or in combination with nitrate on methane emissions, total tract digestive processes, and ruminal characteristics in cattle. The experiment was conducted as a 2 × 2 factorial design with 4 ruminally cannulated nonlactating dairy cows. Feed offer was restricted to 90% of voluntary intake and diets consisted of (DM basis): 1) control (CON; 50% hay and 50% pelleted concentrates), 2) CON with 0.5% tea saponin (TEA), 3) CON with 2.3% nitrate (NIT), and 4) CON with 0.5% tea saponin and 2.3% nitrate (TEA+NIT). Tea saponin and nitrate were included in pelleted concentrates. Diets contained similar amounts of CP (12.2%), starch (26.0%), and NDF (40.1%). Experimental periods lasted 5 wk including 2 wk of measurement (wk 4 and 5), during which intake was measured daily. In wk 4, daily methane emissions were quantified for 4 d using open circuit respiratory chambers. In wk 5, total tract digestibility, N balance, and urinary excretion of purine derivatives were determined from total feces and urine collected separately for 6 d. Ruminal fermentation products and protozoa concentration were analyzed from samples taken after morning feeding for 2 nonconsecutive days in wk 5. Tea saponin and nitrate supplementation decreased feed intake ( < 0.05), with an additive effect when fed in combination. Compared with CON, tea saponin did not modify methane emissions (g/kg DMI; > 0.05), whereas nitrate-containing diets (NIT and TEA+NIT) decreased methanogenesis by 28%, on average ( < 0.001). Total tract digestibility, N balance, and urinary excretion of purine derivatives were similar among diets. Ruminal fermentation products were not affected by tea saponin, whereas nitrate-containing diets increased acetate proportion and decreased butyrate proportion and ammonia concentration ( < 0.05). Under the experimental conditions tested, we confirmed the antimethanogenic effect of nitrate, whereas tea saponin alone included in pelleted concentrates failed to decrease enteric methane emissions in nonlactating dairy cows.
Assuntos
Camellia sinensis/química , Bovinos , Metano/metabolismo , Rúmen/metabolismo , Saponinas/farmacologia , Amônia/metabolismo , Animais , Dieta/veterinária , Suplementos Nutricionais , Digestão/efeitos dos fármacos , Fezes , Feminino , Fermentação , Aditivos Alimentares , Nitratos/farmacologia , Rúmen/efeitos dos fármacos , Saponinas/química , Amido/metabolismoRESUMO
The objective of this study was to test the effect of linseed oil and nitrate fed alone or in combination on methane (CH4) emissions and diet digestibility in cows. The experiment was conducted as a 2 × 2 factorial design using 4 multiparous nonlactating Holstein cows (initial BW 656 ± 31 kg). Each experimental period lasted 5 wk, with measures performed in the final 3 wk (wk 3 to 5). Diets given on a DM basis were 1) control (CON; 50% natural grassland hay and 50% concentrate), 2) CON with 4% linseed oil (LIN), 3) CON with 3% calcium nitrate (NIT), and 4) CON with 4% linseed oil plus 3% calcium nitrate (LIN+NIT). Diets were offered twice daily and were formulated to deliver similar amounts (DM basis) of CP (12.2%), starch (25.5%), and NDF (39.5%). Feed offer was restricted to 90% of voluntary intake (12.4 kg DMI/d). Total tract digestibility and N balance were determined from total feces and urine collected separately for 6 d during wk 4. Daily CH4 emissions were quantified using open chambers for 4 d during wk 5. Rumen fermentation and microbial parameters were analyzed from samples taken before and 3 h after the morning feeding. Rumen concentrations of dissolved hydrogen (H2) were measured continuously up to 6 h after feeding using a H2 sensor. Compared with the CON diet linseed oil and nitrate decreased (P < 0.01) CH4 emissions (g/kg DMI) by 17 and 22%, respectively, when fed alone and by 32% when combined. The LIN diet reduced CH4 production throughout the day, increased (P = 0.02) propionate proportion, and decreased (P = 0.03) ruminal protozoa concentration compared with CON diet. The NIT diet strongly reduced CH4 production 3 h after feeding, with a simultaneous increase in rumen dissolved H2 concentration, suggesting that nitrate does not act only as an electron acceptor. As a combined effect, linseed plus nitrate also increased H2 concentrations in the rumen. Diets had no effect (P > 0.05) on total tract digestibility of nutrients, except linseed oil, which tended to reduce (P < 0.10) fiber digestibility. Nitrogen balance (% of N intake) was positive for all diets but retention was less (P = 0.03) with linseed oil. This study demonstrates an additive effect between nitrate and linseed oil for reducing methanogenesis in cows without altering diet digestibility.
Assuntos
Ração Animal/análise , Compostos de Cálcio/farmacologia , Bovinos/fisiologia , Óleo de Semente do Linho/farmacologia , Metano/metabolismo , Nitratos/farmacologia , Fenômenos Fisiológicos da Nutrição Animal , Animais , Compostos de Cálcio/administração & dosagem , Dieta/veterinária , Digestão/efeitos dos fármacos , Digestão/fisiologia , Quimioterapia Combinada , Feminino , Fermentação , Óleo de Semente do Linho/administração & dosagem , Nitratos/administração & dosagem , Rúmen/efeitos dos fármacos , Rúmen/metabolismoRESUMO
A meta-analysis was conducted to evaluate the effects of protozoa concentration on methane emission from ruminants. A database was built from 59 publications reporting data from 76 in vivo experiments. The experiments included in the database recorded methane production and rumen protozoa concentration measured on the same groups of animals. Quantitative data such as diet chemical composition, rumen fermentation and microbial parameters, and qualitative information such as methane mitigation strategies were also collected. In the database, 31% of the experiments reported a concomitant reduction of both protozoa concentration and methane emission (g/kg dry matter intake). Nearly all of these experiments tested lipids as methane mitigation strategies. By contrast, 21% of the experiments reported a variation in methane emission without changes in protozoa numbers, indicating that methanogenesis is also regulated by other mechanisms not involving protozoa. Experiments that used chemical compounds as an antimethanogenic treatment belonged to this group. The relationship between methane emission and protozoa concentration was studied with a variance-covariance model, with experiment as a fixed effect. The experiments included in the analysis had a within-experiment variation of protozoa concentration higher than 5.3 log10 cells/ml corresponding to the average s.e.m. of the database for this variable. To detect potential interfering factors for the relationship, the influence of several qualitative and quantitative secondary factors was tested. This meta-analysis showed a significant linear relationship between methane emission and protozoa concentration: methane (g/kg dry matter intake)=-30.7+8.14×protozoa (log10 cells/ml) with 28 experiments (91 treatments), residual mean square error=1.94 and adjusted R 2=0.90. The proportion of butyrate in the rumen positively influenced the least square means of this relationship.
Assuntos
Eucariotos/fisiologia , Fermentação , Metano/metabolismo , Rúmen/metabolismo , Rúmen/parasitologia , Ruminantes/metabolismo , Ruminantes/parasitologia , Animais , Dieta , Modelos Biológicos , SimbioseRESUMO
A micro-perforated panel (MPP) with a backing cavity is a well known device for efficient noise absorption. This configuration has been thoroughly studied in the experimental conditions of an acoustic tube (Kundt tube), in which the MPP is excited by a normal incident plane wave in one dimension. In a more practical situation, the efficiency of MPP may be influenced by the vibro-acoustic behavior of the surrounding systems as well as excitation. To deal with this problem, a vibro-acoustic formulation based on the patch transfer functions (PTF) approach is proposed to model the behavior of a micro-perforated structure in a complex vibro-acoustic environment. PTF is a substructuring approach, which allows assembling different vibro-acoustic subsystems through coupled surfaces. Upon casting micro-perforations and the flexibility of the MPP under transfer function framework, the proposed PTF formulation provides explicit representation of the coupling between subsystems and facilitates physical interpretation. As an illustration example, application to a MPP with a backing cavity located in an infinite baffle is demonstrated. The proposed PTF formulation is finally validated through comparison with experimental measurements available in the literature.
RESUMO
The authors report a new case of leiomyosarcoma of the duodenum. The exoluminal growth and the volume of this tumor explain the difficulties of the imaging methods diagnostic. Computed tomography, magnetic resonance imaging and angiography were not sufficient to determine the origin of the tumor. Surgical exposure itself was not conclusive and only pathology provided the definitive diagnosis. We think that endoscopic ultrasonography should be indicated in these submucosal tumors of the duodenum to differentiate them from pancreatic neoplasms.
Assuntos
Neoplasias Duodenais/diagnóstico , Leiomiossarcoma/diagnóstico , Idoso , Angiografia , Neoplasias Duodenais/diagnóstico por imagem , Neoplasias Duodenais/cirurgia , Evolução Fatal , Feminino , Humanos , Leiomiossarcoma/diagnóstico por imagem , Leiomiossarcoma/cirurgia , Imageamento por Ressonância Magnética , Pancreaticoduodenectomia , Tomografia Computadorizada por Raios XRESUMO
The authors present a case of a retroperitoneal lymphocele following prosthetic reconstruction of the abdominal aorta followed by a discussion about the principal differential diagnosis of a retroperitoneal collection following surgery on abdominal aorta. To date, only ten cases have been reported in this post-operative; it is probably a more frequent complication; the radiologist must play a major role both in the detection and the treatment of such collections.
Assuntos
Aneurisma da Aorta Abdominal/cirurgia , Prótese Vascular/efeitos adversos , Linfocele/etiologia , Espaço Retroperitoneal/diagnóstico por imagem , Diagnóstico Diferencial , Humanos , Linfocele/diagnóstico por imagem , Linfocele/cirurgia , Masculino , Pessoa de Meia-Idade , Punções , Recidiva , Espaço Retroperitoneal/cirurgia , Tomografia Computadorizada por Raios XRESUMO
Spontaneous esophageal hematoma is rare, occurring in a context of high esophageal pressure with abnormalities of hemostasis in some cases. We report a case involving the whole length of the esophagus with no evidence of any etiologic factor. The value of CT Scan is reviewed comparatively with esophageal barium examination and endoscopy. CT Scan confirms the diagnosis and the absence of true esophageal perforation. The general course monitored by CT scanning is uneventful, even in the case of extensive mucosal lesions. This justifies the nonaggressive attitude advocated by the majority of authors.
Assuntos
Doenças do Esôfago/diagnóstico por imagem , Hematoma/diagnóstico por imagem , Diagnóstico Diferencial , Esofagite/diagnóstico por imagem , Feminino , Humanos , Pessoa de Meia-Idade , Tomografia Computadorizada por Raios XRESUMO
Spontaneous esophageal hematoma is rare, occurring in a context of high esophageal pressure with abnormalities of hemostasis in some cases. We report a case involving the whole length of the esophagus with no evidence of any etiologic factor. The value of CT Scan is reviewed comparatively with esophageal barium examination and endoscopy. CT Scan confirms the diagnosis and the absence of true esophageal perforation. The general course monitored by CT scanning is uneventful, even in the case of extensive mucosal lesions. This justifies the nonaggressive attitude advocated by the majority of authors.
Assuntos
Doenças do Esôfago/diagnóstico por imagem , Hematoma/diagnóstico por imagem , Doenças do Esôfago/tratamento farmacológico , Doenças do Esôfago/fisiopatologia , Trânsito Gastrointestinal , Hematoma/tratamento farmacológico , Hematoma/fisiopatologia , Antagonistas dos Receptores H2 da Histamina/uso terapêutico , Humanos , Pessoa de Meia-Idade , Tomografia Computadorizada por Raios XRESUMO
The Laurence-Moon-Bardet-Biedl syndrome (LMBB) is characterized by the association of obesity, hypogonadism, polydactyly, mental retardation and pigmentary retinitis. Symptomatic or asymptomatic renal dysplasia (calyceal diverticula, precalyceal tubular ectasia, cysts) is frequently associated with LMBB. The authors consider renal sonography as the convenient investigation for an early detection of such dysplasia as in the case they reported here.
Assuntos
Nefropatias/diagnóstico , Síndrome de Laurence-Moon/diagnóstico , Ultrassonografia , Criança , Feminino , Humanos , Fatores de TempoRESUMO
Fifty chronic alcoholic male patients, were investigated to determine characteristics of alcohol intoxication, neurologic and hepatic complications and degree of cerebral atrophy by CT. CT imaging criteria for definition of alcoholic cerebral atrophy are proposed, discussed and compared with those previously reported. Findings showed that alcoholic cerebral atrophy is added to atrophy due to age and is in correlation with the duration of intoxication. It appears after 40 years of age and increases progressively in parallel with polyneuropathy, cerebellar disorders and dementia. It appears to progress independently of the hepatic lesions.
Assuntos
Alcoolismo/complicações , Encéfalo/patologia , Idoso , Atrofia , Encéfalo/diagnóstico por imagem , Humanos , Hepatopatias/etiologia , Masculino , Pessoa de Meia-Idade , Tomografia Computadorizada por Raios XRESUMO
On the basis of case well documented by CT and NMR, the authors describe the nature, course, pathology and pathogenesis of neurological disorder consecutive to the use of rabies vaccines prepared from animal brains. The new vaccines obtained by the tissue cultures have completely suppressed the neurological risk.
Assuntos
Doenças do Sistema Nervoso/etiologia , Vacina Antirrábica/efeitos adversos , Adulto , Encefalopatias/diagnóstico , Encefalopatias/etiologia , Humanos , Espectroscopia de Ressonância Magnética , Masculino , Neurite Óptica/etiologia , Paralisia/etiologiaRESUMO
Brain-stem auditory evoked potentials (BAEPs) were obtained from 25 chronic alcoholic patients. The patients had been drinking heavily for an average of 15 years and a minimum of 5 years. All patients were totally abstinent for a minimum of 3 weeks. The morphology of waves were often altered. All presented prolonged I-III, III-V, inter-peak latencies (IPLs) and a loss of amplitude of wave V. The I-III, III-V and I-VIPLs were increased between 30 and 40 years, and III-V and I-VIPLs between 40 and 50 years. The incidence of abnormal BAEPs in patients with alcoholic epilepsy was not different from that of patients without a history of alcoholic seizures. Patients with clinical manifestations of alcoholic polyneuropathy had the highest incidence of abnormal BAEPs. BAEPs are more reliable in chronic alcoholic patients than EEG. The mechanisms of the increase in neural transmission time within the auditory brain-stem are discussed.
Assuntos
Alcoolismo/fisiopatologia , Tronco Encefálico/fisiopatologia , Adulto , Alcoolismo/complicações , Epilepsia/etiologia , Potenciais Evocados Auditivos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Polineuropatias/etiologia , Polineuropatias/fisiopatologia , Tempo de Reação/fisiologiaRESUMO
A patient developed acute polyradiculoneuritis during the course of a recent infection due to toxoplasma. A cause/effect relation is discussed and appears likely. A review of 3 published cases failed to determine any specific clinical features of the polyradiculoneuritis. Serology for toxoplasmosis should be included in the etiologic investigations of apparently primary Guillain-Barré's syndrome.