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1.
Osteoporos Int ; 29(1): 135-142, 2018 01.
Article in English | MEDLINE | ID: mdl-28965212

ABSTRACT

Almost a quarter of patients with PAO will sustain a subsequent fracture; patients need to be informed about potential risks before deciding for further pregnancies. INTRODUCTION: Pregnancy and lactation-associated osteoporosis (PAO) is a severe type of premenopausal osteoporosis which predominantly occurs in the last trimester of pregnancy or immediately postpartum. Long-term follow-up data including subsequent fracture risk have yet to be reported. METHODS: This single-center prospective cohort study investigated the subsequent fracture risk of all 107 patients with PAO who were referred to our institution. RESULTS: Overall, 107 presented with at least one fracture. Each patient sustained on average four fractures most commonly at the thoracolumbar spine. During a median of 6 years of follow-up, 26 (24.3%) of patients who had a fracture at baseline reported a subsequent fracture. Overall, 30 PAO patients (28%) reported a further pregnancy. In subsequent pregnancies, 6 (20%) of patients reported a subsequent fracture. Patients with up to 1 vs. > 1 fracture at time of diagnosis showed a 3 (10%) and 25 (27%) subsequent fracture rate, respectively (p = 0.047). There was a significant correlation between the number of fractures at time of diagnosis and subsequent fracture risk (N = 26,p= 0.56, p = 0.003). CONCLUSIONS: Almost a quarter of patients with PAO will sustain a subsequent fracture, and this fracture risk correlates with the number of fractures at time of diagnosis. Patients with PAO need to be informed about their potential subsequent fracture risk before deciding for further pregnancies.


Subject(s)
Lactation/physiology , Osteoporosis/etiology , Osteoporotic Fractures/etiology , Pregnancy Complications , Aged , Anthropometry/methods , Bone Density/physiology , Bone Density Conservation Agents/therapeutic use , Female , Follow-Up Studies , Humans , Middle Aged , Osteoporosis/drug therapy , Osteoporosis/physiopathology , Osteoporotic Fractures/physiopathology , Osteoporotic Fractures/prevention & control , Pregnancy , Recurrence , Risk Assessment/methods , Spinal Fractures/etiology , Spinal Fractures/physiopathology
2.
J Appl Microbiol ; 120(1): 90-8, 2016 Jan.
Article in English | MEDLINE | ID: mdl-26513540

ABSTRACT

AIMS: The suitability of composting for disposal of livestock mortalities due to Bacillus anthracis was assessed by measuring viability of surrogate spores from two strains each of Bacillus licheniformis and Bacillus thuringiensis after a heating cycle modelled on a cattle composting study. METHODS AND RESULTS: Sporulation was attempted from 10 to 37°C, but poor yields at lower temperatures resulted in 25, 30 and 37°C being selected to generate sufficient spores (8 log10  CFU ml(-1) ) for experiments. Spores were inoculated into 3 g autoclaved dried-ground compost rehydrated with 6 ml water or silica beads in a factorial design for each strain, sporulation temperature, matrix and sampling day (0, 25, 50, 100, 150). Maximum incubation temperature was 62°C, but spores were maintained at ≥55°C for 78 of 150 days. Although significant differences existed among Bacillus strains and sporulation temperatures, numbers of viable spores after 150 days averaged 1·3 log10  CFU g(-1) , a 5·2 log10 reduction from day 0. CONCLUSIONS: Spore inactivation was likely due to heat and desiccation as matrices were autoclaved prior to incubation, negating impacts of microflora. SIGNIFICANCE AND IMPACT OF STUDY: Results support composting for disposal of anthrax mortalities, provided long-term thermophillic heating is achieved. Due to limited sporulation at 10°C, livestock mortalities from anthrax at this or lower ambient temperatures would likely be of lower risk for disease transmission.


Subject(s)
Bacillus thuringiensis/growth & development , Bacillus/growth & development , Soil/chemistry , Animals , Bacillus/chemistry , Bacillus thuringiensis/chemistry , Cattle , Desiccation , Hot Temperature , Microbial Viability , Soil Microbiology , Spores, Bacterial/chemistry , Spores, Bacterial/growth & development , Sterilization , Temperature
3.
J Appl Microbiol ; 118(4): 989-97, 2015 Apr.
Article in English | MEDLINE | ID: mdl-25580774

ABSTRACT

AIMS: To investigate impact of sporulation and compost temperatures on feasibility of composting for disposal of carcasses contaminated with Bacillus anthracis. METHODS AND RESULTS: Two strains of B. cereus, 805 and 1391, were sporulated at either 20 or 37°C (Sporulation temperature, ST) and 7 Log10 CFU g(-1) spores added to autoclaved manure in nylon bags (pore size 50 µm) or in sealed vials. Vials and nylon bags were embedded into compost in either a sawdust or manure matrix each containing 16 bovine mortalities (average weight 617 ± 33 kg), retrieved from compost at intervals over 217 days and survival of B. cereus spores assessed. A ST of 20°C decreased spore survival by 1·4 log10 CFU g(-1) (P < 0·05) compared to a 37°C ST. Spore survival was strain dependent. Compost temperatures >55°C reduced spore survival (P < 0·05) and more frequently occurred in the sawdust matrix. CONCLUSIONS: Sporulation and compost temperatures were key factors influencing survival of B. cereus spores in mortality compost. SIGNIFICANCE AND IMPACT OF THE STUDY: Composting may be most appropriate for the disposal of carcasses infected with B. anthracis at ambient temperatures ≤20°C under thermophillic composting conditions (>55°C).


Subject(s)
Bacillus cereus/physiology , Manure , Temperature , Animals , Bacillus anthracis , Bacillus cereus/growth & development , Cattle , Manure/analysis , Soil/chemistry , Spores, Bacterial
4.
J Appl Microbiol ; 119(2): 425-34, 2015 Aug.
Article in English | MEDLINE | ID: mdl-25974042

ABSTRACT

AIMS: Compost activities efficiently break down a wide range of organic substances over time. In this study, bovine hoof was used as recalcitrant protein model to gain so far cryptic information on biodegradation during livestock mortalities composting. METHODS AND RESULTS: Bovine hooves (black and white), containing different amounts of melanin, placed into nylon bags were monitored during composting of cattle mortalities for up to 230 days. Besides physiochemical analysis, bacterial 16S and fungal 18S DNA fragments were amplified by PCR and profiles were separated by DGGE. Sequence analysis of separated fragments revealed various bacterial and fungal identities during composting. The microbial diversity was affected by a time-temperature interaction and by the hoof colour. Our molecular data, supported by electron microscopy, suggest hoof colonization by shifting bacteria and fungi communities. CONCLUSION: During composting, microbial communities work collaboratively in the degradation of recalcitrant organic matter such as keratin over time. SIGNIFICANCE AND IMPACT OF THE STUDY: A number of biomolecules including recalcitrant proteins may persist in environmental reservoirs, but breakdown can occur during composting. A combination of bioactivity and physiochemical conditions appear to be decisive for the fate of persistent biomolecules.


Subject(s)
Bacteria/metabolism , Fungi/metabolism , Hoof and Claw/metabolism , Keratins/metabolism , Soil Microbiology , Animals , Bacteria/genetics , Bacteria/isolation & purification , Biodegradation, Environmental , Cattle , Fungi/genetics , Fungi/isolation & purification , Temperature
5.
Article in English | MEDLINE | ID: mdl-38780870

ABSTRACT

BACKGROUND: Undergraduate students are particularly in need of mental health support, but demand has far surpassed resources. This gap between mental health diagnoses and support is particularly large among Asian, Hispanic/Latinx, and Black students. Supplementing on-campus care with a virtual-only behavioral health partner may shift these trends. OBJECTIVE: This study is aimed at comparing the number of undergraduate students from different racial/ethnic groups (White, Asian, Islander, Hispanic/Latinx, Black, Native, and Multiracial) engaging in virtual mental health visits as part of a partnership with a company providing virtual-only care, with the total enrolled undergraduate students at the same 113 institutions. METHODS: We used de-identified visit data and self-reported race/ethnicity to define the "patient" population of undergraduates accessing care. We compared that to the full "student" population of undergraduates among the same schools, available as part of the Integrated Postsecondary Education Data System (IPEDS). RESULTS: Patient population race/ethnicity (N = 14,870) differed significantly from student population race/ethnicity (N = 619,459). A significant effect ( χ 26 = 2258, P < .001) indicated that patient demographics differed from student demographics. We found proportionally more Asian, Black, and Multiracial patients than students. At the same time, we found proportionally fewer White and Hispanic/Latinx patients than students. CONCLUSIONS: We conclude that, in contrast to prior literature in traditional mental health care, some racial/ethnic minority undergraduates (Asian, Black, and Multiracial) may actually access care at a higher rate under a fully virtual model. On the other hand, White and Hispanic/Latinx students may access care less frequently.

6.
Br J Anaesth ; 110(2): 287-92, 2013 Feb.
Article in English | MEDLINE | ID: mdl-23045364

ABSTRACT

BACKGROUND: Intraoperative nerve lesions can lead to chronic postoperative pain. There are conflicting data as to whether or not anaesthetics administered intraoperatively are beneficial. We investigated if remifentanil administered at the time of nerve injury was able to attenuate neuropathic hypersensitivity. METHODS: Rats were anaesthetized with isoflurane, endotracheally intubated, and a tail vein catheter was inserted. Rats received an i.v. infusion of either saline or low- or high-dose remifentanil (2 or 20 µg kg(-1) min(-1), respectively) for 20 min. During this time, rats received a spinal nerve L5 transection to induce neuropathic pain or a sham procedure. Behavioural tests to assess mechanical and cold allodynia and heat hyperalgesia were performed on postoperative days 1, 3, 7, 14, 21, and 28. RESULTS: Sham-operated animals exhibited no hypersensitivity regardless of the intraoperative remifentanil dose. In rats which received spinal nerve L5 transection, mechanical and cold allodynia developed with no significant differences between treatment groups. However, thermal hyperalgesia was reduced in rats given high-dose remifentanil: mean (standard deviation) area under the curve 426 (53) compared with 363 (34) and 342 (24) in saline or low-dose remifentanil treated rats, respectively (P<0.05). CONCLUSIONS: High-dose remifentanil administered at the time of transection of the spinal nerve at L5 prevents subsequent thermal hyperalgesia.


Subject(s)
Analgesics, Opioid/therapeutic use , Hyperalgesia/etiology , Hyperalgesia/prevention & control , Neuralgia/complications , Piperidines/therapeutic use , Analgesics, Opioid/administration & dosage , Animals , Area Under Curve , Behavior, Animal/drug effects , Cold Temperature , Data Interpretation, Statistical , Hot Temperature , Male , Pain, Postoperative/drug therapy , Physical Stimulation , Piperidines/administration & dosage , Rats , Rats, Sprague-Dawley , Remifentanil , Spinal Nerves/injuries
7.
Clin Exp Dermatol ; 38(5): 470-7, 2013 Jul.
Article in English | MEDLINE | ID: mdl-23678890

ABSTRACT

BACKGROUND: Both leprosy and human immunodeficiency virus (HIV) are infectious diseases, and are an important global health problem. Patients with leprosy who are co-infected with HIV seem to be at higher risk of developing leprosy reactions. AIM: To examine the histological features of leprosy in patients with HIV and leprosy co-infection, particularly to determine whether the typical leprosy histopathology is present in skin biopsies, and to assess the histological features of leprosy reactions in co-infected patients. METHODS: This was a matched cohort study with 11 co-infected patients and 31 HIV-negative patients with leprosy. A structured protocol for skin-biopsy evaluation was followed, focusing on inflammation of the skin and dermal nerves. RESULTS: Of the 11 HIV-positive patients, 7 (63%) had borderline tuberculoid (BT) leprosy and 5 (70%) of these 7 patients had developed a type 1 reaction. The lesions in these patients were immunologically active, with 100% of biopsies having evidence of compact granulomas, 90% evidence of oedema and 30% evidence of necrosis. CONCLUSIONS: In this study, patients co-infected with HIV and M. leprae had the typical histological lesions of leprosy. There was evidence of immune activation in patients who received combination antiretroviral therapy, and these patients had BT leprosy and leprosy-upgrading reactions.


Subject(s)
Coinfection/pathology , HIV Infections , Leprosy/pathology , Adult , Aged , Brazil , CD4 Lymphocyte Count , Cohort Studies , Coinfection/immunology , Coinfection/virology , Female , HIV Infections/immunology , Humans , Leprosy/immunology , Leprosy/virology , Male , Middle Aged , Young Adult
8.
Appl Environ Microbiol ; 75(22): 7125-34, 2009 Nov.
Article in English | MEDLINE | ID: mdl-19801481

ABSTRACT

Model fecal deposits from cattle fed or not fed antimicrobial growth promoters were examined over 175 days in the field for growth and persistence of total Escherichia coli and numbers and proportions of ampicillin-resistant (Amp(r)) and tetracycline-resistant (Tet(r)) E. coli. In addition, genotypic diversity and the frequency of genetic determinants encoded by Amp(r) and Tet(r) E. coli were investigated. Cattle were fed diets containing chlortetracycline (44 ppm; A44 treatment group), chlortetracycline plus sulfamethazine (both at 44 ppm; AS700 treatment group), or no antibiotics (control). Fecal deposits were sampled 12 times over 175 days. Numbers of Tet(r) E. coli in A44 and AS700 deposits were higher (P < 0.001) than those of controls and represented up to 35.6% and 20.2% of total E. coli, respectively. A time-by-treatment interaction (P < 0.001) was observed for the numbers of Tet(r) and Amp(r) E. coli. Except for Amp(r) E. coli in control deposits, all E. coli numbers increased (P < 0.001) in deposits up to day 56. Even after 175 days, high Tet(r) E. coli numbers were detected in A44 and AS700 deposits [5.9 log(10) CFU (g dry matter)(-1) and 5.4 log(10) CFU (g dry matter)(-1), respectively]. E. coli genotypes, as determined by pulsed-field gel electrophoresis, were diverse and were influenced by the antimicrobial growth promoter and the sampling time. Of the determinants screened, bla(TEM1), tetA, tetB, tetC, sul1, and sul2 were frequently detected. Occurrence of determinants was influenced by the feeding of antimicrobials. Fecal deposits remain a source of resistant E. coli even after a considerable period of environmental exposure.


Subject(s)
Anti-Bacterial Agents/administration & dosage , Escherichia coli/physiology , Feces/microbiology , Microbial Viability , Ampicillin Resistance/genetics , Animals , Anti-Bacterial Agents/pharmacology , Cattle , Colony Count, Microbial , Dietary Supplements , Escherichia coli/classification , Escherichia coli/drug effects , Escherichia coli/genetics , Genes, Bacterial/genetics , Genetic Variation , Genotype , Male , Microbial Sensitivity Tests , Phylogeny , Random Allocation , Tetracycline Resistance/genetics , Time Factors , Weather
9.
J Food Prot ; 80(4): 598-603, 2017 04.
Article in English | MEDLINE | ID: mdl-28334549

ABSTRACT

Shiga toxin-producing Escherichia coli (STEC) strains are foodborne pathogens that negatively impact human health and compromise food safety. Serogroup O157 is the most frequently isolated and studied STEC serogroup, but six others (O26, O45, O103, O111, O121, and O145) have also been identified as significant sources of human disease and collectively have been referred to as the "top six" pathogenic serogroups. Because detection methods for non-O157 serogroups are not yet refined, the objective of this study was to compare the effectiveness of immunomagnetic separation (IMS) for recovery of serogroup O157 isolates with that for each of the top six E. coli serogroups in pure and mixed cultures of STEC at 103 to 107 CFU/mL. After serogroup-specific IMS, DNA was extracted from cultured isolates to analyze the specificity of each IMS assay using conventional and quantitative PCR. In pure cultures, DNA copy number obtained after IMS was lower for O111 and O157 (P < 0.01) than for other serogroups. Based on quantitative PCR (qPCR) analyses, specificity was reduced for all IMS assays when STEC isolates were mixed at 7 log CFU/mL, although the O157 IMS assays recovered only O157 over a wider range of concentrations than did assays for non-O157 serogroups. At the lowest dilution tested, conventional PCR was specific for all serogroups except O121 and O145. For these two serogroups, no dilution tested recovered only O121 or O145 when evaluated with conventional PCR. Refinements to IMS assays, development of selective media, and determination of optimal enrichment times to reduce background microflora or competition among serogroups would be especially beneficial for recovery of O111, O121, and O145 serogroups to improve STEC detection and isolation.


Subject(s)
Immunomagnetic Separation , Shiga-Toxigenic Escherichia coli/isolation & purification , Food Microbiology , Humans , Real-Time Polymerase Chain Reaction , Serogroup
10.
J Gen Physiol ; 58(4): 351-71, 1971 Oct.
Article in English | MEDLINE | ID: mdl-5315587

ABSTRACT

Though it had been supposed earlier that the bullfrog undergoes a virtually complete metamorphosis of visual systems from vitamin A(2) and porphyropsin in the tadpole to vitamin A(1) and rhodopsin in the adult, the present observations show that the retina of the adult frog may contain as much as 30-40% porphyropsin, all of it segregated in the dorsal zone. The most dorsal quarter of the adult retina may contain 81-89% porphyropsin mixed with a minor amount of rhodopsin; the ventral half contains only rhodopsin. Further, the dorsal zone contains a two to three times higher concentration of visual pigments than the ventral retina. The pigment epithelium underlying the retina contains a corresponding distribution of vitamins A(1) and A(2), predominantly vitamin A(2) in the dorsal pigment epithelium, exclusively vitamin A(1) in the ventral zone. The retina accepts whatever vitamin A the pigment epithelium provides it with, and turns it into the corresponding visual pigment. Thus, a piece of light-adapted dorsal retina laid back on ventral pigment epithelium regenerates rhodopsin, whereas a piece of light-adapted ventral retina laid back on dorsal pigment epithelium regenerates predominantly porphyropsin. Vitamin A(2) must be made from vitamin A(1), by dehydrogenation at the 3,4-bond in the ring. This conversion must occur in the pigment epithelium, presumably through the action of a vitamin A-3,4-dehydrogenase. The essential change at metamorphosis is to make much less of this dehydrogenase, and to sequester it in the dorsal pigment epithelium. Some adult bullfrogs, perhaps characteristically taken in the summer, contain very little porphyropsin-only perhaps 5%-still sequestered in the dorsal retina. The gradient of light over the retinal surface has little if any effect on this distribution. The greater density of visual pigments in the dorsal retina, and perhaps also-although this is less clear-the presence of porphyropsin in this zone, has some ecological importance in increasing the retinal sensitivity to the dimmer and, on occasion, redder light received from below.


Subject(s)
Retina/analysis , Retinal Pigments/analysis , Adaptation, Ocular , Animals , Antimony , Anura , Chlorides , Choroid/analysis , Epithelium/analysis , Epithelium/enzymology , Larva , Light , Metamorphosis, Biological , Oxidoreductases , Photoreceptor Cells , Rana catesbeiana , Rana pipiens , Retina/anatomy & histology , Retina/enzymology , Retina/physiology , Spectrophotometry , Vitamin A/analysis
11.
J Gen Physiol ; 95(4): 717-32, 1990 Apr.
Article in English | MEDLINE | ID: mdl-2110968

ABSTRACT

Responses to light were recorded from rods, horizontal cells, and ganglion cells in dark-adapted toad eyecups. Sensitivity was defined as response amplitude per isomerization per rod for dim flashes covering the excitatory receptive field centers. Both sensitivity and spatial summation were found to increase by one order of magnitude between rods and horizontal cells, and by two orders of magnitude between rods and ganglion cells. Recordings from two hyperpolarizing bipolar cells showed a 20 times response increase between rods and bipolars. At absolute threshold for ganglion cells (Copenhagen, D.R., K. Donner, and T. Reuter. 1987. J. Physiol. 393:667-680) the dim flashes produce 10-50-microV responses in the rods. The cumulative gain exhibited at each subsequent synaptic transfer from the rods to the ganglion cells serves to boost these small amplitude signals to the level required for initiation of action potentials in the ganglion cells. The convergence of rod signals through increasing spatial summation serves to decrease the variation of responses to dim flashes, thereby increasing the signal-to-noise ratio. Thus, at absolute threshold for ganglion cells, the convergence typically increases the maximal signal-to-noise ratio from 0.6 in rods to 4.6 in ganglion cells.


Subject(s)
Light , Retina/physiology , Action Potentials , Animals , Bufo marinus , Membrane Potentials , Photic Stimulation , Photoreceptor Cells/physiology , Retina/cytology , Retinal Ganglion Cells/physiology , Signal Transduction/physiology
12.
J Gen Physiol ; 95(4): 733-53, 1990 Apr.
Article in English | MEDLINE | ID: mdl-2110969

ABSTRACT

Responses to flashes and steps of light were recorded intracellularly from rods and horizontal cells, and extracellularly from ganglion cells, in toad eyecups which were either dark adapted or exposed to various levels of background light. The average background intensities needed to depress the dark-adapted flash sensitivity by half in the three cell types, determined under identical conditions, were 0.9 Rh*s-1 (rods), 0.8 Rh*s-1 (horizontal cells), and 0.17 Rh*s-1 (ganglion cells), where Rh* denotes one isomerization per rod. Thus, there is a range (approximately 0.7 log units) of weak backgrounds where the sensitivity (response amplitude/Rh*) of rods is not significantly affected, but where that of ganglion cells (1/threshold) is substantially reduced, which implies that the gain of the transmission from rods to the ganglion cell output is decreased. In this range, the ganglion cell threshold rises approximately as the square root of background intensity (i.e. in proportion to the quantal noise from the background), while the maintained rate of discharge stays constant. The threshold response of the cell will then signal light deviations (from a mean level) of constant statistical significance. We propose that this type of ganglion cell desensitization under dim backgrounds is due to a post-receptoral gain control driven by quantal fluctuations, and term it noise adaptation in contrast to the Weber adaptation (desensitization proportional to the mean background intensity) of rods, horizontal cells, and ganglion cells at higher background intensities.


Subject(s)
Light , Retina/physiology , Action Potentials , Animals , Bufo marinus , Dark Adaptation/physiology , Models, Biological , Photic Stimulation , Photoreceptor Cells/physiology , Retina/cytology , Retinal Ganglion Cells/physiology
13.
Trends Mol Med ; 7(6): 237-9, 2001 Jun.
Article in English | MEDLINE | ID: mdl-11378500

ABSTRACT

The protein network protecting the stability of the genome is defective in Fanconi anemia (FA). The newest in a series of FA proteins is involved in DNA damage response, but the mechanism is still unclear. Clues may come from yeast two-hybrid experiments, an extraordinarily successful tool for determining molecular function.


Subject(s)
Cell Cycle Proteins , DNA-Binding Proteins , Fanconi Anemia/genetics , Fanconi Anemia/metabolism , Animals , DNA Damage , Fanconi Anemia/pathology , Fanconi Anemia Complementation Group A Protein , Fanconi Anemia Complementation Group D2 Protein , Fanconi Anemia Complementation Group Proteins , Humans , Nuclear Proteins/genetics , Nuclear Proteins/metabolism , Phenotype , Proteins/genetics , Proteins/metabolism , Two-Hybrid System Techniques
14.
Acta Diabetol ; 42(2): 99-103, 2005 Jun.
Article in English | MEDLINE | ID: mdl-15944844

ABSTRACT

Aspirin resistance has been recognised to occur in patients with cardiovascular disease and is associated with poor clinical prognosis. The purpose of the present study was to evaluate the prevalence of aspirin resistance in 172 patients with diabetes mellitus type 2 (DM-2). Platelet function of 172 consecutive patients with type 2 diabetes on chronic aspirin therapy was evaluated. The effect of aspirin was assessed using the platelet function analyser (PFA-100) system, reporting platelet-dependent thrombus formation as the time required to close a small aperture in a biologically active membrane. Resistance to aspirin was defined as a normal collagen/epinephrine-induced closure time (82-165 s). Aspirin responders were defined when closure time was > or =300 s. Thirty-seven (21.5%) of the type 2 diabetic patients were found to be resistant to chronic aspirin therapy, 29 (16.9%) were semi-responders and 106 (61.6%) were responders. Univariate analysis revealed that aspirin non-responders were significantly younger (p<0.05) compared to aspirin responders. A significant number of type 2 diabetic patients are resistant to aspirin therapy. Aspirin resistance can be evaluated by point-of-care testing and should be recognised in diabetic patients that are treated for primary or secondary prevention.


Subject(s)
Aspirin/pharmacology , Diabetes Mellitus, Type 2/physiopathology , Drug Resistance/physiology , Platelet Aggregation Inhibitors/pharmacology , Aspirin/therapeutic use , Blood Platelets/drug effects , Blood Platelets/physiology , Cardiovascular Diseases/prevention & control , Diabetic Angiopathies/prevention & control , Female , Humans , Hypertension/epidemiology , Male , Middle Aged , Platelet Aggregation Inhibitors/therapeutic use , Prevalence , Smoking
15.
Stroke ; 32(9): 2029-32, 2001 Sep.
Article in English | MEDLINE | ID: mdl-11546892

ABSTRACT

BACKGROUND AND PURPOSE: Sulfonylurea drugs inhibit ATP-dependent potassium channels and may increase mortality after myocardial infarction. Sulfonylurea drugs also inhibit ischemic preconditioning in experimental models of brain ischemia and in clinical studies in the human heart. METHODS: In the present study we examined the impact of sulfonylurea drugs on in-hospital mortality and the immediate neurological deficit of diabetic stroke patients. From a larger stroke data bank, we studied 146 diabetic patients with acute hemispheric ischemic stroke. Sixty patients were using sulfonylurea drugs. RESULTS: Major baseline characteristics such as age, blood pressure, admission glucose level, HbA(1c), distribution of cardiovascular risk factors, and presumed stroke etiology (Trial of Org 10172 in Acute Stroke Treatment [TOAST] criteria) were not different. Mortality (15% versus 14%; P=0.86) and initial stroke severity (Canadian Neurological Scale score, 7.4 versus 7.5; P=0.79) were not significantly different between patients with and without sulfonylurea drugs. Further end points such as Rankin Scale score, deteriorating stroke, duration of hospital stay, type of infarcts on CT/MRI, requirement of intensive care, and complications were not different. In a stepwise logistic regression model, sulfonylurea drugs were not independent predictors for increased mortality, deteriorating stroke, or stroke severity. CONCLUSIONS: In the present hospital-based study, sulfonylurea drugs in patients with diabetes and stroke are not associated with increased stroke severity, mortality, or a worse in-hospital outcome.


Subject(s)
Diabetes Mellitus/mortality , Severity of Illness Index , Stroke/mortality , Sulfonylurea Compounds/adverse effects , Aged , Comorbidity , Diabetes Mellitus/drug therapy , Disease Progression , Endpoint Determination , Female , Humans , Insulin/therapeutic use , Ischemic Attack, Transient/epidemiology , Ischemic Preconditioning , Length of Stay , Logistic Models , Male , Multivariate Analysis , Retrospective Studies , Risk Factors , Stroke/therapy , Sulfonylurea Compounds/therapeutic use , Treatment Outcome
16.
J Comp Neurol ; 179(3): 549-67, 1978 Jun 01.
Article in English | MEDLINE | ID: mdl-346618

ABSTRACT

Ganglion cells were studied in methylene blue stained flat-mounted retinas. Three categories of cells are described: small (S) and large (L) ganglion cells in the main ganglion cell layer, and large ganglion cells (LD) with somata more or less displaced into the inner plexiform layer. These LD cells have two to four very thick primary dendrites and are identifiable as ganglion cells by their axons. An analysis of published data reveals that the large ganglion cells of the crucian carp (type L and LD) have several striking characteristics in common with the large ganglion cells of the dogfish, the frog and the cat: (1) they are selectively stained by methylene blue; (2) they comprise only 2-5% of all the ganglion cells; (3) the large cells can be divided into two or three subtypes, and within each subtype the dendritic trees usually cover the retinal surface with a two- or threefold overlap. New ganglion cells are formed from neuroblasts at the retinal margin and most dendrites first grow along this neuroblastic zone. Thus the main dendrites of the L and LD cells tend to be oriented parallel to the margin all around the periphery of a crucian carp retina. Independent of the size of the eye this parallel orientation disappears at the same relative distance from the margin (about one-third of the distance from the margin to the optic disc). If all L and LD cells are formed at the retinal margin and first develop oriented dendrites, we have to assume that the more randomly oriented dendritic trees in the central retina have undergone a reorganization.


Subject(s)
Carps/anatomy & histology , Cyprinidae/anatomy & histology , Dendrites/ultrastructure , Ganglia/cytology , Retina/cytology , Animals , Cytological Techniques , Ganglia/ultrastructure , Goldfish/anatomy & histology , Methylene Blue , Retina/ultrastructure
17.
J Comp Neurol ; 179(3): 535-47, 1978 Jun 01.
Article in English | MEDLINE | ID: mdl-76639

ABSTRACT

Ganglion cell somata were drawn, measured and counted in flat-mounted crucian carp and goldfish retinas stained with cresyl violet or methylene blue. Some diameter histograms suggest that the ganglion cells can be divided into two populations with overlapping soma sizes: a large group of small cells and a small group of large cells, the latter constituting 2.5-5% of all ganglion cells. With increasing distance from the optic disc the mean soma diameter increases while the ganglion cell density decreases. In a peripheral growth zone close to the margin the ganglion cells become smaller again. The total number of ganglion cells in retinas of different size was calculated from the areas of the flat-mounted preparations and the cell densities in two representative regions. In the crucian carp population used in this work the total number of ganglion cells per retina was found to increase from roughly 140,000 (mean of 8 scattered value) to a full 200,000 between eye diameters 4 and 10 mm, this increase taking place mainly between eye diameters of 4 and 6.5 mm. Thus, due to a drastically decreasing cell density, the total number of ganglion cells increases only by a factor of about 1.5 while the retinal area becomes sixfold. During the same growth period the mean soma diameter increases by a factor of about 1.3 and the soma volume more than doubles. The optic nerve of a small crunated and myelinated axons were found. The axons in the optic nerve are, on an average, considerably thicker than the axons on the retinal surface.


Subject(s)
Carps/anatomy & histology , Cyprinidae/anatomy & histology , Ganglia/cytology , Retina/cytology , Animals , Cell Count , Ganglia/anatomy & histology , Goldfish/anatomy & histology , Microscopy, Electron , Optic Nerve/ultrastructure , Retina/anatomy & histology , Staining and Labeling
18.
Biochem Pharmacol ; 38(8): 1293-300, 1989 Apr 15.
Article in English | MEDLINE | ID: mdl-2706020

ABSTRACT

The inductive effects of phenobarbitone (PB) and 1,4-bis[2-(3,5-dichloropyridyloxy)]benzene (TCPOBOP) were compared in C57BL/6J mice. Induction parameters included six substrates: ethylmorphine (EM), benzphetamine (Bph), biphenyl, ethoxycoumarin (EtoC), pentoxyresorufin and dichloro-p-nitroanisole (DPNA). In order to validate this descriptive approach the comparison was extended to diazepam, rifampicin, warfarin, and pregnenolone-16 alpha-carbonitrile (PCN). All inducers were clearly distinguishable from each other. Warfarin was similar to PB, rifampicin was similar to PCN. TCPOBOP differed significantly from PB in relative liver weight, cytochrome P-450 content of liver microsomes, EM-, Bph- and DPNA-demethylations, biphenyl-hydroxylations, EtoC de-ethylation and absorption maximum of reduced CO-cytochrome P-450. TCPOBOP, as an inducer, was less "specific" than PB: total metabolic rates were excessively increased due to microsomal protein (1.5 times) and cytochrome P-450 (4 times) augmentation, whereas cytochrome P-450-related metabolic rates were less increased than those after PB. Thus TCPOBOP does not seem to be as similar to PB as was suggested in the first description of its inducing potency.


Subject(s)
Enzyme Induction/drug effects , Phenobarbital/pharmacology , Pyridines/pharmacology , Animals , Cytochrome P-450 Enzyme System/biosynthesis , Diazepam/pharmacology , Male , Mice , Mice, Inbred C57BL , Microsomes, Liver/enzymology , Oxidoreductases/biosynthesis , Pregnenolone Carbonitrile/pharmacology , Rifampin/pharmacology , Warfarin/pharmacology
19.
Chemphyschem ; 2(8-9): 546-8, 2001 Sep 17.
Article in English | MEDLINE | ID: mdl-23686995

ABSTRACT

Future nanoelectronic devices may well be based on an assembled monolayer of ligand-stabilized metal clusters, Au55 in this case: Irradiation of the monolayer with an electon beam generates diodic behavior. While the clusters themselves resist decomposition, the system exhibits interesting time-dependant electrical characteristics, as shown by the current-voltage curve.

20.
Vision Res ; 38(4): 483-6, 1998 Feb.
Article in English | MEDLINE | ID: mdl-9536371

ABSTRACT

Behavioural experiments and ganglion cell recordings indicate that the visual sensitivity of dark-adapted toads is limited by the occurrence of spontaneous isomerization-like noise events in the rods. The frequency of these "false photons" has previously been studied (with micropipette recording) in the toad species Bufo marinus, while the behavioural thresholds were determined using Bufo bufo toads. Thus, it was necessary to check that the noise event frequency is roughly the same in these two species. Here we show that it is, in both species, close to 0.02 events per second and rod (at 22 degrees C). Using microspectrophotometry we further show that the absorption spectra of these two rhodopsins are very similar, peaking around 503.3 and 501.8 nm for B. marinus and B. bufo, respectively.


Subject(s)
Bufo bufo/physiology , Retinal Pigments/chemistry , Retinal Rod Photoreceptor Cells/physiology , Animals , Bufo marinus , Dark Adaptation , Microspectrophotometry , Photic Stimulation , Retinal Ganglion Cells/physiology , Sensory Thresholds/physiology , Time Factors
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