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1.
Opt Express ; 28(6): 8680-8700, 2020 Mar 16.
Artigo em Inglês | MEDLINE | ID: mdl-32225488

RESUMO

Broadband high-speed absorption spectroscopy using swept-wavelength external cavity quantum cascade lasers (ECQCLs) is applied to measure multiple pyrolysis and combustion gases in biomass burning experiments. Two broadly-tunable swept-ECQCL systems were used, with the first tuned over a range of 2089-2262 cm-1 (4.42-4.79 µm) to measure spectra of CO2, H2O, and CO. The second was tuned over a range of 920-1150 cm-1 (8.70-10.9 µm) to measure spectra of ammonia (NH3), ethene (C2H4), and methanol (MeOH). Absorption spectra were measured continuously at a 100 Hz rate throughout the burn process, including inhomogeneous flame regions, and analyzed to determine time-resolved gas concentrations and temperature. The results provide in-situ, dynamic information regarding gas-phase species as they are generated, close to the biomass fuel source.

3.
J Appl Microbiol ; 113(4): 745-56, 2012 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-22788835

RESUMO

AIMS: The absence of enteric oxalate-metabolizing bacterial species (OMBS) increases the likelihood of calcium oxalate (CaOx) urolithiasis in humans and dogs. The goal of this study was to compare the gut microbiota of healthy dogs and CaOx stone formed dogs (CaOx-dogs), especially with respect to OMBS. METHODS AND RESULTS: Faecal samples from healthy and CaOx-dogs were obtained to analyse the hindgut microbiota by sequencing the V3 region of bacterial 16S rDNA. In total, 1223 operational taxonomic units (OTUs) were identified at 97% identity. Only 38% of these OTUs were shared by both groups. Significant differences in the relative abundance of 152 OTUs and 36 genera were observed between the two groups of dogs. CONCLUSIONS: The faecal microbiota of healthy dogs is distinct from that of CaOx-dogs, indicating that the microbiota is altered in CaOx-dogs. SIGNIFICANCE AND IMPACT OF THE STUDY: This is the first study that has compared the gut microbial diversity in healthy and CaOx-dogs. Results of this study indicate the future need for functional and comparative analyses of the total array of oxalate-metabolizing genes between healthy and CaOx stone formers, rather than focusing on specific bacterial species, to understand the critical role of OMBS in CaOx urolithiasis.


Assuntos
Oxalato de Cálcio , Fezes/microbiologia , Metagenoma , Urolitíase/microbiologia , Animais , Bactérias/classificação , Bactérias/isolamento & purificação , Bactérias/metabolismo , Oxalato de Cálcio/metabolismo , DNA Bacteriano/genética , Cães , Feminino , Masculino , RNA Ribossômico 16S/genética , Análise de Sequência de DNA
4.
J Contam Hydrol ; 248: 104027, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-35640423

RESUMO

We present the results of a lab-scaled feasibility study to assess the performance of electrical resistivity tomography for detection, characterization, and monitoring of fuel grade ethanol releases to the subsurface. Further, we attempt to determine the concentration distribution of the ethanol from the electrical resistivity tomography data using mixing-models. Ethanol is a renewable fuel source as well as an oxygenate fuel additive currently used to replace the known carcinogen methyl tert-butyl ether; however, ethanol is preferentially biodegraded and a cosolvent. When introduced to areas previously impacted by nonethanol-based fuels, it will facilitate the persistence of carcinogenic fuel compounds like benzene and ethylbenzene, as well as remobilize them to the ground water. These compounds would otherwise be retained in the soil column undergoing active or passive remediation processes such as soil vapor extraction or natural attenuation. Here, we introduce ethanol to a saturated Ottawa sand in a tank instrumented for four-dimensional geoelectrical measurements. Forward model results suggest pure phase ethanol released into a water saturated silica sand should present a detectable target for electrical resistivity tomography relative to a saturated silica sand only. We observe the introduction of ethanol to the closed hydraulic system and subsequent migration over the duration of the experiment. One-dimensional and three-dimensional temporal data are assessed for the detection, characterization, and monitoring of the ethanol release. Results suggest one-dimensional geoelectrical measurements may be useful for monitoring a release, while three-dimensional geoelectrical field imaging would be useful to characterize, monitor, and design effective remediation approaches for an ethanol release, assuming field conditions do not preclude the application of geoelectrical methods. We then attempt to use predictive mixing models to calculate the distribution of ethanol concentration within the measurement domain. For this study we examine four different models: a nested parallel mixing model, a nested cubic mixing model, the complex refractive index model (CRIM), and the Lichtenecker-Rother (L-R) model. The L-R model, modified to include an electrical formation factor geometry term, provided the best agreement with expected EtOH concentrations.


Assuntos
Biocombustíveis , Poluentes Químicos da Água , Monitoramento Ambiental/métodos , Etanol , Areia , Dióxido de Silício , Solo , Poluentes Químicos da Água/análise
5.
Poult Sci ; 100(1): 283-295, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33357692

RESUMO

A dairy-originated probiotic bacterium, Propionibacterium freudenreichii subsp. freudenreichii B3523 (PF) was found to be effective in reducing multidrug-resistant Salmonella Heidelberg (MDR SH) colonization in turkey poults (2-week-old) and growing (7-week-old) and finishing (12-week-old) turkeys. In this study, we explored the potential for microbiome modulation in the cecum of turkeys of different age groups due to PF supplementation in conjunction with MDR SH challenge. One-day-old commercial turkey poults were allocated to 3 treatment groups: negative control (N; turkeys without PF supplementation or SH challenge), SH control (S; turkeys challenged with SH without PF supplementation), and test group (P; turkeys supplemented with PF and challenged with SH). Turkeys were supplemented with 1010 CFU PF in 5-gallon (18.9 L) water until 7 or 12 week of age. At the 6th or 11th wk, turkeys were challenged with SH at 106 and 108 CFU/bird by crop gavage, respectively. After 2 and 7 d of challenge (2-d postinoculation [PI] and 7-d PI, respectively), cecal samples were collected and microbiome analysis was conducted using Illumina MiSeq. The experiments were repeated twice with 8 and 10 turkeys/group for 7- and 12-wk studies, respectively. Results indicated that the species richness and abundance (Shannon diversity index) was similar among the treatment groups. However, treatments caused apparent clustering of the samples among each other (P < 0.05). Firmicutes was the predominant phylum in the growing and finishing turkey cecum which was evenly distributed among the treatments except on wk 12 where the relative abundance of Firmicutes was significantly higher in P than in N (P = 0.02). The MDR SH challenge resulted in modulation of microflora such as Streptococcus, Gordonibacter, and Turicibacter (P < 0.05) in the S groups compared with the P and N groups, known to be associated with inflammatory responses in birds and mammals. The supplementation of PF increased the relative abundance of carbohydrate-fermenting and short-chain fatty acid-producing genera in the P group compared with the S group (P < 0.05). Moreover, the results revealed that PF supplementation potentially modulated the beneficial microbiota in the P group, which could mitigate SH carriage in turkeys.


Assuntos
Ceco , Microbiota , Doenças das Aves Domésticas , Probióticos , Propionibacterium , Salmonelose Animal , Perus , Animais , Antibiose , Ceco/microbiologia , Doenças das Aves Domésticas/microbiologia , Doenças das Aves Domésticas/prevenção & controle , Salmonella/fisiologia , Salmonelose Animal/microbiologia , Salmonelose Animal/prevenção & controle , Perus/microbiologia
6.
Science ; 226(4674): 535-7, 1984 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-17821510

RESUMO

The absorption and rebounding of single droplets and streams of droplets (of diameter less than 1200 micrometers) impacting upon the surface of a deep liquid have been examined experimentally. Conservation of mechanical energy and momentum have been used to explain rebounding droplet interactions, and impaction criteria have been established regarding the absorption of droplet streams. Surface tension is the dominant mechanism governing the observed behavior. Single droplets were never observed to rebound.

8.
PLoS Negl Trop Dis ; 13(8): e0007340, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31369548

RESUMO

Tsetse flies (Glossina spp.) are vectors of parasitic trypanosomes, which cause human (HAT) and animal African trypanosomiasis (AAT) in sub-Saharan Africa. In Uganda, Glossina fuscipes fuscipes (Gff) is the main vector of HAT, where it transmits Gambiense disease in the northwest and Rhodesiense disease in central, southeast and western regions. Endosymbionts can influence transmission efficiency of parasites through their insect vectors via conferring a protective effect against the parasite. It is known that the bacterium Spiroplasma is capable of protecting its Drosophila host from infection with a parasitic nematode. This endosymbiont can also impact its host's population structure via altering host reproductive traits. Here, we used field collections across 26 different Gff sampling sites in northern and western Uganda to investigate the association of Spiroplasma with geographic origin, seasonal conditions, Gff genetic background and sex, and trypanosome infection status. We also investigated the influence of Spiroplasma on Gff vector competence to trypanosome infections under laboratory conditions. Generalized linear models (GLM) showed that Spiroplasma probability was correlated with the geographic origin of Gff host and with the season of collection, with higher prevalence found in flies within the Albert Nile (0.42 vs 0.16) and Achwa River (0.36 vs 0.08) watersheds and with higher prevalence detected in flies collected in the intermediate than wet season. In contrast, there was no significant correlation of Spiroplasma prevalence with Gff host genetic background or sex once geographic origin was accounted for in generalized linear models. Additionally, we found a potential negative correlation of Spiroplasma with trypanosome infection, with only 2% of Spiroplasma infected flies harboring trypanosome co-infections. We also found that in a laboratory line of Gff, parasitic trypanosomes are less likely to colonize the midgut in individuals that harbor Spiroplasma infection. These results indicate that Spiroplasma infections in tsetse may be maintained by not only maternal but also via horizontal transmission routes, and Spiroplasma infections may also have important effects on trypanosome transmission efficiency of the host tsetse. Potential functional effects of Spiroplasma infection in Gff could have impacts on vector control approaches to reduce trypanosome infections.


Assuntos
Infecções por Bactérias Gram-Negativas/microbiologia , Infecções por Bactérias Gram-Negativas/veterinária , Insetos Vetores/microbiologia , Spiroplasma/patogenicidade , Moscas Tsé-Tsé/microbiologia , Animais , Coinfecção , DNA Ribossômico/genética , Feminino , Insetos Vetores/parasitologia , Masculino , Prevalência , Spiroplasma/genética , Spiroplasma/fisiologia , Simbiose , Trypanosoma , Moscas Tsé-Tsé/parasitologia , Uganda , Wolbachia
9.
Opt Express ; 16(19): 14801-11, 2008 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-18795017

RESUMO

We demonstrate a method for adiabatically self-tuning a silicon microdisk resonator. This mechanism is not only able to sensitively probe the fast nonlinear cavity dynamics, but also provides various optical functionalities like pulse compression, shaping, and tunable time delay.


Assuntos
Desenho Assistido por Computador , Modelos Químicos , Óptica e Fotônica/instrumentação , Silício/química , Transdutores , Simulação por Computador , Desenho de Equipamento , Análise de Falha de Equipamento , Luz , Espalhamento de Radiação , Vibração
10.
Opt Express ; 16(14): 10596-610, 2008 Jul 07.
Artigo em Inglês | MEDLINE | ID: mdl-18607474

RESUMO

We propose a novel scheme for continuous-wave pumped optical parametric oscillation (OPO) inside silicon micro-resonators. The proposed scheme not only requires a relative low lasing threshold, but also exhibits extremely broad tunability extending from the telecom band to mid infrared.


Assuntos
Óptica e Fotônica , Oscilometria/métodos , Silício/química , Algoritmos , Desenho de Equipamento , Análise de Elementos Finitos , Raios Infravermelhos , Lasers , Luz , Refratometria/instrumentação , Refratometria/métodos
11.
Opt Express ; 16(24): 19649-66, 2008 Nov 24.
Artigo em Inglês | MEDLINE | ID: mdl-19030051

RESUMO

Erbium-doped materials have been investigated for generating and amplifying light in low-power chip-scale optical networks on silicon, but several effects limit their performance in dense microphotonic applications. Stoichiometric ionic crystals are a potential alternative that achieve an Er(3+) density 100 x greater. We report the growth, processing, material characterization, and optical properties of single-crystal Er (2)O(3) epitaxially grown on silicon. A peak Er(3+) resonant absorption of 364 dB/cm at 1535 nm with minimal background loss places a high limit on potential gain. Using high-quality microdisk resonators, we conduct thorough C/L-band radiative efficiency and lifetime measurements and observe strong upconverted luminescence near 550 and 670 nm.

12.
Opt Express ; 15(8): 4745-52, 2007 Apr 16.
Artigo em Inglês | MEDLINE | ID: mdl-19532720

RESUMO

A small depression is created in a straight optical fiber taper to form a local probe suitable for studying closely spaced, planar microphotonic devices. The tension of the "dimpled" taper controls the probe-sample interaction length and the level of noise present during coupling measurements. Practical demonstrations with high-Q silicon microcavities include testing a dense array of undercut microdisks (maximum Q = 3.3 x 10(6)) and a planar microring (Q = 4.8 x 10(6)).

13.
Eur J Cell Biol ; 45(1): 160-9, 1987 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-3127213

RESUMO

In tissue fixed with glutaraldehyde, dissolved O2 is rapidly consumed by two processes: residual respiration and glutaraldehyde-induced chemical uptake. The nature of the chemistry which consumes O2 during tissue fixation was investigated by studying model reactions of glutaraldehyde with amines and with homogenized tissue suspensions. The addition of glutaraldehyde to solutions of most primary amines and ammonia stimulated rapid O2 consumption. The reaction of glutaraldehyde with primary amines (e.g., 25 mM ethanolamine, glycine, or methylamine) consumed 50% of the dissolved O2 in 15 to 20 s at 37 degrees C. The initial rate of O2 uptake followed second-order kinetics with respect to the primary amine concentration. The total amount of O2 consumed was sufficient to account for the stoichiometric conversion of the primary amines to pyridines. These data are consistent with the synthesis of pyridine derivatives from glutaraldehyde-amine precursors in which the last step is an irreversible oxidation of dihydropyridines to pyridines. The addition of glutaraldehyde to homogenized muscle suspensions, in which respiration was chemically inhibited, significantly increased the rate of O2 uptake. Thus, in tissue O2 is rapidly depleted both by respiration and the chemical demands of the glutaraldehyde-amine reactions during the cross-linking process. Since these experiments were done under conditions commonly used for tissue fixation, hypoxia should be assumed to exist in biological preparations fixed with glutaraldehyde.


Assuntos
Aldeídos , Reagentes de Ligações Cruzadas , Fixadores , Glutaral , Aminas , Animais , Fenômenos Químicos , Química , Eletrodos , Fígado/metabolismo , Músculos/metabolismo , Oxigênio/análise , Consumo de Oxigênio , Ratos
14.
Cell Prolif ; 25(4): 345-55, 1992 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-1643191

RESUMO

When normal cells and cancer cells (usually from the same species) are experimentally fused the resultant hybrid cells show loss of the tumorigenic phenotype. To examine the phenotypic phenomenon of growth suppression in hybrid cells in vitro, we examined the doubling times of somatic cell hybrids which contained single or multiple chromosomes derived from another species (inter-species hybrids). In all of the hybrid lines examined, the presence of transferred chromosomes prolonged the cell population doubling times in proportion to the number of such chromosomes found in the hybrid lines. These findings provide additional evidence to support the hypothesis that increasing the genetic burden of cells may reduce the division potential of cells cultured in vitro.


Assuntos
Cromossomos/fisiologia , Células Híbridas/citologia , Animais , Ciclo Celular , Divisão Celular/fisiologia , Cromossomos/metabolismo , Cromossomos/ultraestrutura , Cricetinae , Humanos , Interfase , Metáfase , Camundongos , Fenótipo
15.
Mayo Clin Proc ; 75(2): 156-62, 2000 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-10683654

RESUMO

OBJECTIVE: To study the relationship between overall productivity and the rates at which primary care physicians, in a fee-for-service setting, deliver or prescribe preventive services to adult patients. PATIENTS AND METHODS: The charts of 452 adult patients treated by 8 family practitioners and 5 internists in a fee-for-service practice setting were randomly selected and abstracted for provision of 10 preventive services over a 27-month period. The percentage of eligible patients screened for each service was correlated with the production of each physician measured in relative value units (RVUs). RESULTS: The correlation coefficient between RVUs and the aggregate of the 10 services was 0.23 (95% confidence interval [CI], -0.36 to 0.70). The individual correlation coefficients between RVUs and 9 of the 10 preventive services ranged from -0.05 to 0.43. For cervical cancer screening, however, the correlation coefficient was -0.72 (95% CI, -0.91 to -0.24). CONCLUSION: With the exception of screening for cervical cancer, the data presented in this study do little to support physicians' common belief that lack of time is the reason they are unable to incorporate prevention strategies into their clinical practice.


Assuntos
Planos de Pagamento por Serviço Prestado/estatística & dados numéricos , Padrões de Prática Médica/estatística & dados numéricos , Serviços Preventivos de Saúde/estatística & dados numéricos , Adulto , Eficiência , Planos de Pagamento por Serviço Prestado/tendências , Humanos , Hipercolesterolemia/prevenção & controle , Hipertensão/prevenção & controle , Imunização , Neoplasias/prevenção & controle , Padrões de Prática Médica/economia , Padrões de Prática Médica/tendências , Serviços Preventivos de Saúde/economia , Serviços Preventivos de Saúde/tendências , Abandono do Hábito de Fumar , Estados Unidos
16.
Insect Biochem Mol Biol ; 33(5): 541-59, 2003 May.
Artigo em Inglês | MEDLINE | ID: mdl-12706633

RESUMO

Insect immune processes are mediated by programs of differential gene expression. To understand the molecular regulation of the immune response in the tobacco hornworm, Manduca sexta, the relevant subset of differentially expressed genes of interest must be identified, cloned and studied in detail. In this study, suppression subtractive hybridization, a PCR-based method for cDNA subtraction was performed to identify mRNAs from fat body of immunized larvae that are not present (or present at a low level) in control larvae. A subtracted cDNA library enriched in immune-inducible genes was constructed. Northern blot analysis of a sample of clones from our subtracted library indicated that >90% of the clones randomly selected from the subtracted library are immune inducible. Sequence analysis of 238 expressed sequence tags (ESTs) revealed that 120 ESTs, representing 54 distinct genes or gene families, had sequences identical or similar to previously characterized genes, some of which have been confirmed to be involved in innate immunity. These ESTs were categorized into seven groups, including pattern recognition proteins, serine proteinases and their inhibitors, and antimicrobial proteins. 112 ESTs, about 47.5% of the library, showed no significant similarity to any known genes. The sequences identified in this M. sexta library reflect our knowledge of insect immune strategies and may facilitate better understanding of insect immune responses.


Assuntos
Bactérias/genética , Regulação da Expressão Gênica , Proteínas de Insetos/genética , Manduca/genética , Tecido Adiposo/fisiologia , Sequência de Aminoácidos , Animais , Proteínas de Insetos/química , Dados de Sequência Molecular , Hibridização de Ácido Nucleico , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Alinhamento de Sequência , Homologia de Sequência de Aminoácidos , Serina Endopeptidases/química , Serina Endopeptidases/genética , Supressão Genética
17.
Arch Surg ; 134(6): 622-6; discussion 626-7, 1999 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-10367871

RESUMO

HYPOTHESIS: Oral contrast solution (OC) is unnecessary in the acute computed tomographic (CT) evaluation of the patient with blunt abdominal trauma. DESIGN: Randomized controlled clinical trial. SETTING: Level I trauma center at a university-affiliated teaching hospital. PATIENTS: Five hundred adult patients sustaining blunt abdominal trauma and requiring urgent resuscitation and CT evaluation of the abdomen were eligible for the study. Those patients who were younger than 18 years, pregnant, or in police custody were excluded. One hundred six patients were excluded from the analysis (15 for inappropriate enrollment, 9 because a CT scan had not been performed, 1 owing to inability to accept a nasogastric tube, and 81 owing to missing or incomplete records). Three hundred ninety-four patients with an average age of 36 years, an average Revised Trauma Score of 10, and an average Glasgow Coma Scale score of 12 are included in the analysis. INTERVENTIONS: Patients were randomized via computer-generated assignment to 1 of 2 groups either receiving OC or not receiving OC (no OC) after placement of a nasogastric tube. All patients received intravenous contrast solution and then underwent helical CT scan of the abdomen and pelvis using the GE HiSpeed Advantage CT scanner (GE Medical Systems, Milwaukee, Wis). MAIN OUTCOME MEASURES: Abnormal CT results, need for laparotomy, missed gastrointestinal tract and solid organ injuries, nausea, and vomiting. RESULTS: There were 199 patients in the OC group and 195 patients in the no OC group. Vomiting occurred in 12.9% of patients and the incidence was not different between groups. One hundred five abnormal scans (50 OC and 55 no OC) were obtained and 33 patients with abnormal scans (19 OC and 14 no OC) underwent laparotomy. There was 1 nontherapeutic laparotomy in each group. There was 1 missed small-bowel injury in the OC group (sensitivity, 86%) and no missed small-bowel injuries in the no OC group (sensitivity, 100%). Six bowel injuries were identified at laparotomy in the OC group. Two of the injuries were perforations without contrast extravasation but with pneumoperitoneum in 1. Three bowel injuries were identified in the no OC group, none of which were perforations. Seven of the 9 patients with bowel injury at laparotomy had associated intra-abdominal injury. Specificity for solid organ injury was 94% in the OC group and 57.1% in the no OC group. Sensitivity for solid organ injury was 84.2% in the OC group and 88.9% in the no OC group. The average time to abdominal CT scanning after placement of a nasogastric tube was 39.02+/-18.73 minutes in the no OC group and 45.92+/-24.17 minutes in the OC group (P= .008). CONCLUSION: The addition of OC to the acute CT protocol for the evaluation of the patient with blunt abdominal trauma is unnecessary and delays time to CT scanning.


Assuntos
Traumatismos Abdominais/diagnóstico por imagem , Meios de Contraste/administração & dosagem , Tomografia Computadorizada por Raios X , Ferimentos não Penetrantes/diagnóstico por imagem , Administração Oral , Adulto , Feminino , Humanos , Masculino , Estudos Prospectivos
18.
J Exp Ther Oncol ; 1(3): 186-90, 1996 May.
Artigo em Inglês | MEDLINE | ID: mdl-9414403

RESUMO

The study aimed to determine the activity and toxicity of taxol in the treatment of recurrent or metastatic soft tissue sarcomas or osteosarcomas. The major findings are that five patients had stable disease after two cycles of chemotherapy but two of these patients were subsequently removed from the study at their own request. The other three patients progressed after an additional two cycles of chemotherapy. Seven patients progressed during the first two cycles and were removed from the study. One patient completed only one cycle of therapy and was deemed inevaluable for study response. There were eight episodes of grade 3 or 4 neutropenia and two episodes of grade 3 thrombocytopenia. One patient experienced grade 3 neurological toxicity and one patient grade 3 mucositis. Two patients are currently alive with progressing disease and one patient is alive with no evidence of disease after undergoing surgery and radiotherapy. The principal conclusions are that Paclitaxel is ineffective in treating recurrent or metastatic soft tissue sarcoma and osteosarcoma. Treatment at this dose is quite myelosuppressive, but toxicity is generally manageable. Further study of this agent is not justified in this setting.


Assuntos
Antineoplásicos Fitogênicos/uso terapêutico , Neoplasias Ósseas/tratamento farmacológico , Paclitaxel/uso terapêutico , Sarcoma/tratamento farmacológico , Neoplasias de Tecidos Moles/tratamento farmacológico , Adulto , Idoso , Antineoplásicos Fitogênicos/efeitos adversos , Neoplasias Ósseas/patologia , Ensaios Clínicos Fase II como Assunto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Paclitaxel/efeitos adversos , Recidiva , Sarcoma/patologia , Neoplasias de Tecidos Moles/patologia
19.
Am J Surg ; 172(5): 591-4; discussion 594-5, 1996 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-8942569

RESUMO

BACKGROUND: Laparoscopic gastrostomy (lap g-tube) and jejunostomy (lap j-tube) are relatively new procedures that do not require laparotomy. Our aim was to determine the role of laparoscopic feeding tube placement for enteral access and the safety of these techniques. METHODS: We reviewed our experience with attempted laparoscopic placement of 93 enteral tubes in 81 patients over a 3-year period. Patients received either a lap g-tube (n = 64), lap j-tube (n = 5), or both lap g/j-tube (n = 12). When enteral access was needed for nutritional support, the choice of lap g-tube or lap j-tube was based on risk of gastroesophageal reflux. RESULTS: The most common underlying conditions requiring tube placement were head and neck cancer (49%), neurologic disorders (19%), and trauma (11%). Mean operative times (minutes) were as follows (mean +/- SD): lap g-tube (39 +/- 7), lap j-tube (63 +/- 10), and lap g/j-tube (85 +/- 13). Lap g-tube placement was successful in 73 (96%) of 76 patients and lap j-tube in all 17 patients. The major complication rate for all tubes was 8% (7 of 93) and included gastrointestinal bleeding, wound infection, and failed placement. Five patients died in the 30-day period following surgery, but none of the deaths was procedure related. CONCLUSIONS: Laparoscopic tube placement should be considered for patients in whom endoscopy is not feasible or undesirable or who are undergoing other operative procedures. Lap g-tube and lap j-tube are safe procedures that avoid the potential risk of a laparotomy, and they can be done with a high success rate. This is a valuable approach for patients with head and neck cancer or neurologic disorders and for trauma patients with multiple disease processes.


Assuntos
Gastrostomia/métodos , Intubação Gastrointestinal/métodos , Jejunostomia/métodos , Laparoscopia , Feminino , Humanos , Masculino
20.
J Toxicol Environ Health A ; 60(6): 407-21, 2000 Jul 28.
Artigo em Inglês | MEDLINE | ID: mdl-10933757

RESUMO

The pesticide methoxychlor (MXC) is a DDT substitute that exhibits estrogenic activities in different animals. To determine whether there is synergism between purified MXC and a natural estrogen, ovariectomized adult mice received 3 daily intraperitoneal doses of either 2.5 or 25 ng estradiol-17beta or 0.125, 0.25, or 0.5 mg MXC administered separately or in combination. The mice were sacrificed on d 4. Reproductive tracts were excised, weighed, and one uterine horn was flushed with phosphate-buffered saline, with the fluid electrophoresed on a one-dimensional sodium dodecyl sulfate polyacrylamide gel to determine albumin content. The remaining uterine horn and vagina were prepared for histology and epithelial height measurements. Estradiol significantly increased reproductive-tract weights. Although both the vaginal and uterine epithelial heights increased in mice treated with combined chemicals when compared to controls, the organ histology did not show increased stimulation. Albumin content was significantly elevated only in the estradiol group. The present data do not suggest that either synergism or additive effects occurred between an estrogen and MXC in the reproductive tracts of ovariectomized adult mice. In fact, combining MXC with estradiol suggests inhibitory effects.


Assuntos
Estradiol/toxicidade , Inseticidas/toxicidade , Metoxicloro/toxicidade , Útero/efeitos dos fármacos , Vagina/efeitos dos fármacos , Albuminas/análise , Animais , Relação Dose-Resposta a Droga , Sinergismo Farmacológico , Eletroforese em Gel de Poliacrilamida , Epitélio/anatomia & histologia , Epitélio/efeitos dos fármacos , Estradiol/administração & dosagem , Feminino , Histocitoquímica , Injeções Intraperitoneais , Inseticidas/administração & dosagem , Metoxicloro/administração & dosagem , Camundongos , Tamanho do Órgão/efeitos dos fármacos , Ovariectomia , Distribuição Aleatória , Estatísticas não Paramétricas , Útero/anatomia & histologia , Útero/química , Vagina/anatomia & histologia
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