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1.
Planta ; 254(4): 63, 2021 Sep 03.
Artículo en Inglés | MEDLINE | ID: mdl-34477992

RESUMEN

MAIN CONCLUSION: The expression of stay-green (SG) characteristic in sorghum under water stress was related to N supply. SG genotype performed better than a non-stay-green (NSG) genotype at medium and high N levels. The differences in physiological parameters between SG and NSG genotypes were not significant at low N level and severe water stress. Grain sorghum [Sorghum bicolor (L.) Moench] with stay-green (SG) trait has the potential to produce more biomass and use soil water and nitrogen (N) more efficiently under post-flowering water stress. Previous studies were mostly conducted without N deficiency and more information is needed for interactions among soil N availability, SG genotype, and post-flowering water stress. In this study, the differences in leaf growth and senescence, shoot and root biomass, evapotranspiration (ET), water use efficiency (WUE), leaf photosynthetic responses, and nitrogen use efficiency (NUE) between a SG genotype (BTx642) and a non-stay-green (NSG) genotype (Tx7000) were examined. The two genotypes were grown at three N levels (Low, LN; Medium, MN; High, HN) and under three post-flowering water regimes (No water deficit, ND; Moderate water deficit, MD; Severe water deficit, SD). The genotypic difference was generally significant while it frequently interacted with N levels and water regimes. At medium and high N levels, SG genotype consistently had greater green leaf area, slower senescence rate, more shoot biomass and root biomass, and greater WUE and NUE than the NSG genotype under post-flowering drought. However, differences in several variables (e.g., leaf senescence, ET, WUE and NUE) between genotypes were not significant under SD at LN. At HN and MN, photosynthetic function of SG genotype was better maintained under drought. At LN, SG genotype maintained greater green leaf area but had lower photosynthetic activity than the NSG genotype. Nonetheless, adequate N supply is important for SG genotype under drought and greater root biomass may contribute to greater NUE in SG genotype.


Asunto(s)
Sorghum , Sequías , Grano Comestible , Nitrógeno , Sorghum/genética , Agua
2.
J Aquat Anim Health ; 30(2): 103-118, 2018 06.
Artículo en Inglés | MEDLINE | ID: mdl-29710401

RESUMEN

Out-migrating steelhead Oncorhynchus mykiss from four Puget Sound rivers and associated marine basins of Puget Sound in Washington State were examined for the parasite, Nanophyetus salmincola in 2014 to determine whether recent trends in reduced marine survival are associated with the presence of this pathogen. A subset of steelhead from three of these river-marine basin combinations was analyzed for the presence of persistent organic pollutants (POPs) to assess whether exposure to these contaminants is a contributing factor to their reduced marine survival. The prevalence and parasite load of N. salmincola were significantly higher in fish from central and southern Puget Sound than in fish from river systems in northern Puget Sound. The proportion of steelhead samples with concentrations of POPs higher than adverse effects thresholds (AETs) or concentrations known to cause adverse effects was also greater in fish from the central and southern regions of Puget Sound than in those from the northern region. Polybrominated diphenyl ether concentrations associated with increased disease susceptibility were observed in 10% and 40% of the steelhead sampled from central and southern Puget Sound regions, respectively, but in none of the fish sampled from the northern region. The AET for polychlorinated biphenyls was exceeded in steelhead collected from marine habitats: 25% of the samples from the marine basins in the central and southern regions of Puget Sound and 17% of samples from northern Puget Sound region. Both N. salmincola and POP levels suggest there are adverse health effects on out-migrating steelhead from one southern and one central Puget Sound river that have lower early marine survival than those from a river system in northern Puget Sound.


Asunto(s)
Oncorhynchus mykiss/metabolismo , Infecciones por Trematodos/veterinaria , Contaminantes Químicos del Agua/análisis , Migración Animal , Animales , Monitoreo del Ambiente , Éteres Difenilos Halogenados/efectos adversos , Éteres Difenilos Halogenados/análisis , Oncorhynchus mykiss/parasitología , Bifenilos Policlorados/efectos adversos , Bifenilos Policlorados/análisis , Ríos , Trematodos/aislamiento & purificación , Washingtón , Contaminantes Químicos del Agua/efectos adversos
3.
Mol Phylogenet Evol ; 55(2): 541-51, 2010 May.
Artículo en Inglés | MEDLINE | ID: mdl-20096796

RESUMEN

The obligate, freshwater isopod suborder Phreatoicidea is represented in South Africa by ten species contained within the endemic genus Mesamphisopus (Mesamphisopidae). Here, phylogenetic hypotheses are proposed to describe the evolutionary and biogeographic history of the genus with respect to drainage basin evolution and to assess species diversity, particularly among populations variably identified as Mesamphisopusabbreviatus or Mesamphisopusdepressus. Twenty-three ingroup taxa were examined, including eight known species and representatives of the M. abbreviatus-depressus complex. Allozyme data from 12 loci were analysed phenetically and cladistically. Mitochondrial DNA sequence data from the 12S ribosomal RNA and cytochrome c oxidase subunit I genes were analysed as a combined mtDNA data set and as a total data set in combination with recoded allele frequency data. Analyses retrieved (1) a monophyletic Mesamphisopus; (2) Mesamphisopustsitsikamma and a Mesamphisopuspaludosus+Mesamphisopuspenicillatus clade as basal lineages; (3) a Mesamphisopuscapensis+Mesamphisopusbaccatus clade; and (4) a clade containing the M. abbreviatus-depressus complex, with these taxa nested among several other species. Large genetic distances among taxa and the paraphyly of the members of the M. abbreviatus-depressus complex suggested the presence of hidden taxonomic diversity in Mesamphisopus. Clear biogeographic patterns emerged with lineages and clades mostly restricted to geographically discrete regions. Patterns showed remarkable similarity to those seen in the region's terrestrial fauna and bore no relation to the history of drainage basins. These patterns suggested that vicariance and, possibly, limited dispersal events played a major role in the evolution of Mesamphisopus.


Asunto(s)
Evolución Molecular , Isópodos/genética , Filogenia , Animales , ADN Mitocondrial/genética , Frecuencia de los Genes , Especiación Genética , Geografía , Isoenzimas/genética , Isópodos/clasificación , Modelos Genéticos , ARN Ribosómico/genética , Alineación de Secuencia , Análisis de Secuencia de ADN , Sudáfrica
4.
J Plant Physiol ; 163(2): 154-64, 2006 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-16399006

RESUMEN

Deficit irrigation in winter wheat has been practiced in the areas with limited irrigation water resources. The objectives of this study were to (i) understand the physiological basis for determinations of grain yield and water-use efficiency in grain yield (WUE) under deficit irrigation; and (ii) investigate the effect of deficit irrigation on dry matter accumulation and remobilization of pre-anthesis carbon reserves during grain filling. A field experiment was conducted in the Southern High Plains of the USA and winter wheat (cv. TAM 202) was grown on Pullman clay loam soil (fine mixed thermic Torretic Paleustoll). Treatments consisted of rain-fed, deficit irrigation from jointing to the middle of grain filling, and full irrigation. The physiological measurements included leaf water potential, net photosynthetic rate (Pn), stomatal conductance (Gs), and leaf area index. The rain-fed treatment had the lowest seasonal evapotranspiration (ET), biomass, grain yield, harvest index (HI) and WUE as a result of moderate to severe water stress from jointing to grain filling. Irrigation application increased seasonal ET, and ET increased as irrigation frequency increased. The seasonal ET increased 20% in one-irrigation treatments between jointing and anthesis, 32-46% in two-irrigation treatments, and 67% in three- and full irrigation treatments. Plant biomass, grain yield, HI and WUE increased as the result of increased ET. The increased yield under irrigation was mainly contributed by the increased number of spikes, and seeds per square meter and per spike. Among the irrigation treatments, grain yield increased significantly but the WUE increased slightly as irrigation frequency increased. The increased WUE under deficit irrigation was contributed by increased HI. Water stress during grain filling reduced Pn and Gs, and accelerated leaf senescence. However, the water stress during grain filling induced remobilization of pre-anthesis carbon reserves to grains, and the remobilization of pre-anthesis carbon reserves significantly contributed to the increased grain yield and HI. The results of this study showed that deficit irrigation between jointing and anthesis significantly increased wheat yield and WUE through increasing both current photosynthesis and the remobilization of pre-anthesis carbon reserves.


Asunto(s)
Triticum/fisiología , Agua/fisiología , Adaptación Fisiológica , Biomasa , Hojas de la Planta/fisiología , Estaciones del Año , Semillas/crecimiento & desarrollo , Factores de Tiempo , Triticum/crecimiento & desarrollo
5.
J Comp Neurol ; 350(3): 463-72, 1994 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-7884051

RESUMEN

Morphological and physiological characteristics of the two major motor axons supplying the commonly studied ventral longitudinal muscle fibers (6 and 7) of third-instar Drosophila melanogaster larvae were investigated. The innervating terminals of the two motor axons differ in the size of their synapse-bearing varicosities. The terminal with the larger varicosities also fluoresces more brightly when stained with the vital fluorescent dye 4-(4-diethylaminostyryl)-N-methylpyridinium iodide (4-Di-2-Asp) and occupies a larger total contact area on the muscle fiber. Through selective simultaneous recording of synaptic currents from identified boutons in living preparations during elicitation of synaptic potentials, it was shown that the axon with the smaller varicosities generates a large excitatory junction potential (EJP) in muscle 6 and that the axon with the larger varicosities generates a smaller EJP. Short-term facilitation is more pronounced for the smaller EJP. In preparations treated with 4-Di-2-Asp, the fluorescence of smaller varicosities increases with stimulation that elicits the large EJPs, indicating an activity-dependent entry of calcium that enhances mitochondrial fluorescence. The differences in morphology and physiology of the two axons are similar to, though less pronounced than, those observed in "phasic" and "tonic" motor axons of crustaceans.


Asunto(s)
Axones/fisiología , Drosophila melanogaster/fisiología , Neuronas Motoras/fisiología , Músculos/inervación , Unión Neuromuscular/fisiología , Animales , Axones/ultraestructura , Colorantes Fluorescentes , Larva , Potenciales de la Membrana/fisiología , Microscopía Fluorescente , Neuronas Motoras/citología , Fibras Musculares Esqueléticas , Unión Neuromuscular/citología , Compuestos de Piridinio
6.
J Comp Neurol ; 393(4): 482-92, 1998 Apr 20.
Artículo en Inglés | MEDLINE | ID: mdl-9550153

RESUMEN

Synapses at larval neuromuscular junctions of the flies Drosophila melanogaster and Sarcophaga bullata are not distributed randomly. They have been studied in serial electron micrographs of two identified axons (axons 1 and 2) that innervate ventral longitudinal muscles 6 and 7 of the larval body wall. The following fly larvae were examined: axon 1--wild-type Sarcophaga and Drosophila and Drosophila mutants dunce(m14) and fasII(e76), a hypomorphic allele of the fasciclin II gene; and axon 2--drosophila wild-type, dunce(m14), and fasII(e76). These lines were selected to provide a wide range of nerve terminal phenotypes in which to study the distribution and spacing of synapses. Each terminal varicosity is applied closely to the underlying subsynaptic reticulum of the muscle fiber and has 15-40 synapses. Each synapse usually bears one or more active zones, characterized by dense bodies that are T-shaped in cross section; they are located at the presumed sites of transmitter release. The distribution of synapses was characterized from the center-to-center distance of each synapse to its nearest neighbor. The mean spacing between nearest-neighbor pairs ranged from 0.84 microm to 1.05 microm for axon 1, showing no significant difference regardless of genotype. The corresponding values for axon 2, 0.58 microm to 0.75 microm, were also statistically indistinguishable from one another in terminals of different genotype but differed significantly from the values for axon 1. Thus, the functional class of the axon provides a clear prediction of the spacing of its synapses, suggesting that spacing may be determined by the functional properties of transmission at the two types of terminals. Individual dense bodies were situated mostly at least 0.4 microm away from one another, suggesting that an interaction between neighboring active zones could prevent their final positions from being located more closely.


Asunto(s)
Unión Neuromuscular/ultraestructura , Terminales Presinápticos/ultraestructura , Sinapsis/ultraestructura , Animales , Axones/ultraestructura , Simulación por Computador , Dípteros/genética , Drosophila melanogaster/genética , Genotipo , Procesamiento de Imagen Asistido por Computador , Larva/genética , Larva/fisiología , Larva/ultraestructura , Microscopía Electrónica , Modelos Anatómicos
7.
Chest ; 117(3): 714-21, 2000 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-10712996

RESUMEN

STUDY OBJECTIVE: To use histamine bronchoprovocation and bioassay statistical procedures to evaluate the in vivo bioequivalence of a generic albuterol metered-dose inhaler (MDI). DESIGN: A randomized, double-blind, balanced, crossover design was used to determine the potency of each generic albuterol MDI actuation relative to Ventolin (Glaxo Wellcome; Research Triangle Park, NC) administration. One treatment was administered on each of 4 study days. A histamine bronchoprovocation procedure was initiated 1.25 h before and 15 min after administration of the study treatment. PATIENTS: Twenty-four nonsmoking subjects with mild-to-moderate asthma were studied (18 to 65 years of age; FEV(1), > 60% of predicted; and provocative concentration of histamine causing a 20% fall in FEV(1) [PC(20)], < or = 8 mg/mL at screening). INTERVENTIONS: One and four actuations (90 and 360 microg, respectively) of the generic MDI and of Ventolin MDI. Placebo inhalers were used to maintain blinding of inhaler and doses. MEASUREMENTS AND RESULTS: The primary outcome variable was histamine PC(20) measured after study treatment administration. A significant dose-effect relationship was present (p < 0.0001). Deviation from parallelism of the generic and Ventolin dose-response curves (p = 0.95) and differences in overall mean response between the two formulations (p = 0.68) were not significant. Using Finney 2 x 2 bioassay statistical procedures, we estimated that one actuation of the generic albuterol MDI was equivalent to 1.01 puffs of Ventolin (90% confidence interval, 0.69 to 1.50). CONCLUSION: The generic albuterol MDI delivers a quantity of albuterol to the beta(2)-receptor site in the lung that is the bioequivalent to Ventolin. Further, this study reinforces the validity of this statistical methodology for determining in vivo bioequivalence.


Asunto(s)
Albuterol/administración & dosificación , Asma/tratamiento farmacológico , Equivalencia Terapéutica , Adolescente , Adulto , Anciano , Albuterol/efectos adversos , Albuterol/farmacocinética , Asma/sangre , Disponibilidad Biológica , Pruebas de Provocación Bronquial , Estudios Cruzados , Relación Dosis-Respuesta a Droga , Método Doble Ciego , Femenino , Humanos , Masculino , Persona de Mediana Edad , Nebulizadores y Vaporizadores
8.
J Med Microbiol ; 48(12): 1103-1106, 1999 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-10591164

RESUMEN

The mechanisms of resistance to ciprofloxacin and grepafloxacin were studied in 54 clinical isolates of Streptococcus pneumoniae. Restriction fragment length polymorphism analysis following HinfI digestion was used with DNA sequencing to identify mutations in the quinolone resistance-determining regions (QRDRs) of the parC and gyrA genes. Ciprofloxacin MICs up to 16 mg/L were not associated with mutations to these genes in approximately half of the isolates. In other isolates, moderate levels of ciprofloxacin resistance (MIC 8-16mg/L) were associated with an alteration of ParC, most commonly entailing replacement of serine-79 by phenylalanine. High-level ciprofloxacin resistance (MIC 32-128 mg/L) entailed the additional mutation of GyrA with substitution of serine-83 by phenylalanine. Grepafloxacin MICs >4 mg/L were associated with this GyrA mutation alone; no relationship was detected between grepafloxacin MICs and mutation of the QRDR of parC.


Asunto(s)
Antiinfecciosos/farmacología , Ciprofloxacina/farmacología , Fluoroquinolonas , Piperazinas/farmacología , Infecciones Neumocócicas/microbiología , Streptococcus pneumoniae/efectos de los fármacos , Streptococcus pneumoniae/genética , Girasa de ADN , Topoisomerasa de ADN IV , ADN-Topoisomerasas de Tipo II/genética , Desoxirribonucleasas de Localización Especificada Tipo II/metabolismo , Farmacorresistencia Microbiana/genética , Humanos , Pruebas de Sensibilidad Microbiana , Mutación , Polimorfismo de Longitud del Fragmento de Restricción , Análisis de Secuencia de ADN , Streptococcus pneumoniae/aislamiento & purificación
9.
J Neurosci Methods ; 61(1-2): 67-78, 1995.
Artículo en Inglés | MEDLINE | ID: mdl-8618427

RESUMEN

Quantal content of transmission was estimated for three synaptic systems (crayfish and Drosophila neuromuscular junctions, and rat dentate gyrus neurons) with three different methods of measurement: direct counts of released quanta, amplitude measurements of evoked and spontaneous events, and charge measurements of evoked and spontaneous events. At the crayfish neuromuscular junction, comparison of the three methods showed that estimates from charge measurements were closer to estimates from direct counts, since amplitude measurements were more seriously affected by variable latency in evoked release of quantal units. Thus, charge measurements are better for estimating quantal content when direct counts cannot be made, as in crayfish at high frequency of stimulation or in the dentate gyrus neurons. At the Drosophila neuromuscular junction, there is almost no latency variation of quantal release in realistic physiological solutions, and the methods based upon amplitudes and charge give similar results. Distributions of evoked synaptic quantal events obtained by direct counts at the crayfish neuromuscular junction were compared to statistical distributions obtained by best fits. Binomial distributions with uniform or non-uniform probabilities of release generally provided good fits to the observations. From best fit distributions, the quantal parameters n (number of release sites) and p (their probability of release) can be calculated. We used two algorithms to estimate n and p: one allows for non-uniform probability of release and uses a modified chi-square (chi 2) criterion, and the second assumes uniform probability of release and derives parameters from maximum likelihood estimation (MLE). The bootstrap estimate of standard errors is used to determine the accuracy of n and p estimates.


Asunto(s)
Hipocampo/fisiología , Unión Neuromuscular/fisiología , Transmisión Sináptica/fisiología , Animales , Astacoidea , Drosophila , Femenino , Masculino , Potenciales de la Membrana/fisiología , Ratas , Ratas Wistar
10.
Surg Clin North Am ; 70(6): 1403-18, 1990 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-2247822

RESUMEN

Jaundice in the pediatric patient requires prompt and directed evaluation. This dictum is highlighted in infants with biliary atresia, in whom the progressive sclerosing process results in complete obliteration of patent but microscopic hilar biliary structures by 4 months of age. Kasai's operation, if done before that time, will re-establish bile drainage in 90% of infants. One fourth to one third of patients achieve long-term jaundice-free survival. Complications of cholangitis, portal hypertension, and fat malabsorption are experienced by many patients. In children with early or late operative failure, liver replacement now offers legitimate hope for extended survival. Choledochal cyst is a conglomerate of pancreaticobiliary anomalies consisting of a choledochal cyst, a common-channel-type pancreaticobiliary junction, intrahepatic cystic disease, and partial obstruction of the distal common bile duct. Many patients have one or more of these malformations. It is now widely accepted that the preferred treatment of choledochal cyst is total excision of the diseased biliary duct with reconstruction by Roux-en-Y choledochojejunostomy. "Internal" excision avoids injury to other structures in the hepatoduodenal ligament, particularly if pericystic inflammation is present. Congenital perforation of the common bile duct responds in most cases to simple peritoneal drainage of the perforation. Retention of the tube cholecystostomy is useful for subsequent cholangiographic follow-up. Tube cholecystostomy may also be useful for irrigation of the biliary tract in infants with inspissated bile syndrome.


Asunto(s)
Enfermedades de las Vías Biliares/congénito , Atresia Biliar/complicaciones , Atresia Biliar/diagnóstico , Atresia Biliar/terapia , Sistema Biliar/anomalías , Quiste del Colédoco/diagnóstico , Quiste del Colédoco/terapia , Enfermedades del Conducto Colédoco/congénito , Humanos , Recién Nacido
11.
J Pharm Sci ; 69(10): 1183-8, 1980 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-7420288

RESUMEN

An increase in the hydrolysis rate of the formyl moiety of cefamandole nafate was observed when the commercial product was reconstituted in 5% dextrose in water relative to the rate when the formulation was dissolved in water for injection or in 0.9% saline. The increase in ester cleavage was the result of nucleophilic attack of glucose on the formyl ester moiety. This transesterification produced small amounts of D-glucose-6-formate and other D-glucose diformates. The formation of these products is of no clinical significance since the antibiotic potency and stability of cefamandole are unaffected and no toxicological differences were observed in animal studies or in clinical trials when formulated cefamandole nafate was administered with or without glucose.


Asunto(s)
Cefamandol/farmacología , Cefalosporinas/farmacología , Formiatos/metabolismo , Glucosa/metabolismo , Cefamandol/análogos & derivados , Fenómenos Químicos , Química , Concentración de Iones de Hidrógeno , Hidrólisis , Espectroscopía de Resonancia Magnética
12.
J Pharm Sci ; 73(9): 1322-3, 1984 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-6333506

RESUMEN

The products of the degradation of crystalline ergocalciferol were investigated. These studies showed that numerous acidic and neutral oxidation products were formed resulting in the complete destruction of the triene functionality. Separation of the neutral products by preparative TLC led to material identified as the Windaus ketone IIa, 2,3,3a,4,5,6,7,7a beta-octahydro-7a alpha-methyl-1R-(1 alpha,1R,4R,5-trimethyl-2E-hexenyl)-4H-inden-4-one.


Asunto(s)
Ergocalciferoles/análisis , Cromatografía en Capa Delgada , Cristalización , Espectroscopía de Resonancia Magnética , Oxidación-Reducción , Espectrofotometría Infrarroja
13.
J Periodontol ; 73(4): 383-91, 2002 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-11990439

RESUMEN

BACKGROUND: This study provides a longitudinal assessment of changes in alveolar and skeletal bone mineral density (BMD) in ovariectomized animals. METHODS: Following ovariectomy (OVX) (n = 6) or sham-operation (n = 6) intraoral radiographs were made at 4-month intervals and serum 17-beta-estradiol, osteocalcin, and interleukin (IL)-6, urinary deoxypyridinium, and salivary IL-6, deoxypyridinium, and osteocalcin concentrations were evaluated. Twelve months after surgery, animals were sacrificed and the mandible and radius/ulna removed. Bones were sectioned and radiographed. Mean BMD and cortical thicknesses were calculated from each region. RESULTS: OVX animals had a progressive decrease in serum 17-beta-estradiol, increased serum osteocalcin and IL-6, urinary deoxypyridinium and salivary IL-6, osteocalcin and deoxypyridinium (P < 0.001), suggesting that they were becoming osteoporotic. The BMD of the radius/ulna and mandibular alveolar bone was significantly reduced in OVX animals (P < 0.05 and P < 0.001, respectively). Reduced alveolar bone BMD became evident in OVX animals 6 months after surgery and became more severe during the subsequent 6 months. Alveolar crestal height was also significantly reduced in OVX animals (P < 0.001). These biochemical and density changes preceded a significant reduction in serum 17-beta-estradiol, which occurred between 4 and 8 months following surgery. CONCLUSIONS: Serial measurements of alveolar BMD predicts loss of skeletal BMD in OVX sheep. Changes in alveolar BMD precede estrogen deficiency, suggesting that early signs of reduced BMD may be detected in peri-menopausal women. The presence of biomarkers of bone metabolism within saliva and their correlation with reduced BMD suggests that saliva could be used as an adjunct screening method for assessment of skeletal bone density.


Asunto(s)
Proceso Alveolar/fisiopatología , Densidad Ósea/fisiología , Estrógenos/deficiencia , Proceso Alveolar/diagnóstico por imagen , Análisis de Varianza , Animales , Biomarcadores/análisis , Modelos Animales de Enfermedad , Estradiol/sangre , Análisis Factorial , Femenino , Estudios de Seguimiento , Interleucina-6/análisis , Interleucina-6/sangre , Modelos Lineales , Estudios Longitudinales , Osteocalcina/sangre , Osteoporosis/sangre , Osteoporosis/fisiopatología , Osteoporosis/orina , Ovariectomía , Compuestos de Piridinio/análisis , Compuestos de Piridinio/orina , Radiografía , Radio (Anatomía)/fisiopatología , Distribución Aleatoria , Saliva/química , Ovinos , Estadística como Asunto , Estadísticas no Paramétricas , Cúbito/fisiopatología
14.
J Pediatr Surg ; 23(7): 623-6, 1988 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-3060579

RESUMEN

To assess the respective morbidity of the Kasai operation and liver transplantation in treating biliary atresia from the perspective of the referring institution, we analyzed the clinical course of 43 consecutive patients hospitalized at our institution from October 1980 to December 1985. Morbidity was arbitrarily defined as complications that required hospitalization, cholangitis, rejection, and was calculated by dividing the actual days hospitalized by the days "at risk." Morbidity assigned to transplantation also included pretransplant hospitalizations necessitated for life-sustaining treatment after referral. The morbidity in 40 patients who were treated by the Kasai procedure was 16.1%, which could be broken down to 50.6% in those who died after operation, 17.4% in those patients subsequently referred for transplantation, and 10.2% in the 16 patients successfully treated. Thirteen of the latter have perfect or near perfect liver function and are in excellent health. The morbidity of the 17 patients who were referred for liver transplantation, including two referred immediately after initial exploration, was 16.0%, which could be broken down to 10.4% before transplantation and 49.8% afterwards. Seven patients died awaiting transplantation, all but one of whom were referred during the first year of life. The average time spent on the waiting list was 203 days. Biliary atresia remains a disease of high morbidity regardless of treatment. Continued hospitalizations are necessary for ongoing Kasai management and life-sustaining treatment following transplant referral. The time spent on transplant waiting lists is protracted, and many patients die before obtaining a new liver.(ABSTRACT TRUNCATED AT 250 WORDS)


Asunto(s)
Atresia Biliar/cirugía , Trasplante de Hígado , Complicaciones Posoperatorias , Atresia Biliar/mortalidad , Femenino , Humanos , Lactante , Recién Nacido , Masculino , Métodos , Complicaciones Posoperatorias/mortalidad , Derivación y Consulta , Estudios Retrospectivos , Factores de Tiempo
15.
J Pediatr Surg ; 25(10): 1076-80; discussion 1081, 1990 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-2262862

RESUMEN

The Registry provides information about 904 children with biliary atresia from more than 100 institutions. There was a 1.4 to 1 female predominance; racial distribution was 62% caucasian, 20% black, 11% Hispanic, 4.2% asian, and 1.5% American Indian. Eight hundred sixteen (90%) underwent corrective surgery (median age at operation, 69 days). Intraoperatively, 70% had totally obliterated extrahepatic bile ducts, 22% had patency of the gallbladder and distal common duct, whereas only 8% had "correctable" biliary atresia (proximal duct patency). A variety of reconstructions were used, but the majority of patients had a Roux-en-Y portoenterostomy with or without exteriorization. Follow-up was available for 670 children (74%) with average length of follow-up of 5 years (range, 1 to 16 years). Five-year actuarial survival was 48% following Kasai's operation, but was less than 10% (at 3 years) if no operative correction was done. Survival was unaffected by sex, type of reconstruction, or cholangitis. Predictors of a bad outcome were (1) caucasian race; (2) operative age greater than 60 days; (3) presence of cirrhosis at initial biopsy; (4) totally nonpatent extrahepatic ducts; (5) absent ducts at the level of transection in the liver hilus; and (6) subsequent development of varices or ascites. Identification of factors predictive of the ultimate outcome provide a basis for either continued efforts with management of Kasai's operation or for early referral for liver transplantation.


Asunto(s)
Atresia Biliar/cirugía , Sistema de Registros , Factores de Edad , Análisis de Varianza , Anastomosis en-Y de Roux , Atresia Biliar/patología , Canadá , Colangiografía , Femenino , Hong Kong , Humanos , Lactante , Recién Nacido , Masculino , México , Portoenterostomía Hepática/métodos , Pronóstico , Grupos Raciales , Procedimientos Quirúrgicos Operativos/métodos , Tasa de Supervivencia , Estados Unidos
16.
J Pediatr Surg ; 25(8): 905-8, 1990 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-2401946

RESUMEN

Anatomical abnormalities of the small bowel that cause intestinal stagnation result in bacterial overgrowth and a blind loop syndrome (BLS). Bacterial breakdown of bile salts and deamination of protein lead to malabsorption, steatorrhea, and fat-soluble vitamin deficiencies. Four children developed BLS as a complication of necrotizing enterocolitis, jejunal atresia, gastroschisis, and biliary atresia. BLS was suggested by abdominal pain, feculent vomiting, steatorrhea, and hypoalbuminemia. Dilated, stagnant bowel loops were demonstrated in each instance by upper gastrointestinal contrast study. Positive intestinal bacterial aspirates were confirmatory. Antibiotic treatment in two patients improved symptomatology but all children ultimately required surgery. Surgical procedures consisted of blind loop resection, intestinal plication, and catheterization of the bilioenteric conduit. All patients are now asymptomatic but one child suffers from parenteral nutrition-related cirrhosis and another requires chronic antibiotic therapy.


Asunto(s)
Síndrome del Asa Ciega , Infecciones Bacterianas/complicaciones , Infecciones Bacterianas/terapia , Atresia Biliar/complicaciones , Síndrome del Asa Ciega/complicaciones , Síndrome del Asa Ciega/diagnóstico , Síndrome del Asa Ciega/etiología , Síndrome del Asa Ciega/fisiopatología , Síndrome del Asa Ciega/cirugía , Preescolar , Femenino , Motilidad Gastrointestinal , Humanos , Lactante , Recién Nacido , Masculino , Reoperación
17.
J Anim Sci ; 57(6): 1352-63, 1983 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-6674278

RESUMEN

Forage samples were obtained from three wheat and rye mixed pastures (replications) from December 1979, to April 1980 (140 d), while they were being grazed by mature cows at the Southwestern Livestock and Forage Research Station, El Reno, Oklahoma. These samples were taken three times during December, twice monthly in January and February and weekly in March and April. Samples were analyzed for dry matter, ash, N, K, Ca, Mg, P, ash alkalinity, aconitic, malic and citric acids, total lipids, NO3-N, Na and total nonstructural carbohydrates (TNC). In vitro digestibility was also determined. The N:TNC ratio, estimated plasma Mg levels and K:(Ca + Mg) ratio (tetany ratio) were calculated. On d 105 (March 19), 16% (five of 32 head) of the cows developed tetany. At tetany, the forage K, protein, digestibility, ash alkalinity, aconitic acid and total lipids increased suddenly and markedly. Forage dry matter, TNC and ash decreased. Forage Ca and Mg were slightly below or equal to the animals' requirements and remained relatively constant during the period of tetany. Forage P increased about 2 wk before tetany and decreased after tetany occurred. The levels of forage NO3-N and Na did not appear to be related to the incidence of tetany. The N:TNC ratios exceeded .4 immediately before tetany and two sampling periods thereafter. The estimated plasma Mg levels were lowest at tetany and shortly thereafter and tetany ratio exceeded 2.2 during most of the study, with peaks of 3.2 in December, at tetany and in early April.


Asunto(s)
Enfermedades de los Bovinos/etiología , Intoxicación por Plantas/veterinaria , Complicaciones del Embarazo/veterinaria , Tetania/veterinaria , Triticum , Animales , Calcio/análisis , Bovinos , Femenino , Magnesio/análisis , Magnesio/sangre , Nitrógeno/análisis , Intoxicación por Plantas/etiología , Potasio/análisis , Embarazo , Complicaciones del Embarazo/etiología , Estaciones del Año , Tetania/etiología , Triticum/análisis
20.
J Neurobiol ; 23(7): 881-9, 1992 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-1331319

RESUMEN

Crustacean neuromuscular systems provide many advantages for the study of synaptic transmission and plasticity. The present study examines aspects of synaptic transmission in the phasic, fast closer excitor (FCE) motoneuron of regenerated crayfish claws. Excitatory postsynaptic potentials (EPSPs) fatigued rapidly and showed poor long-term facilitation (LTF) in the smallest of regenerating claws. EPSPs in larger regenerating claws fatigued less and showed pronounced facilitation. These observations were not the same as those previously made during primary development of this motoneuron (Lnenicka and Atwood, 1985a, J. Neuroscience 5:459-467). Hence, regeneration is not the recapitulation of primary development. In situ stimulation of the FCE is known to lead to long-lasting adaptation of synaptic performance. This adaptation is age dependent; it is expressed in young but not old animals. In the regenerated FCE of old animals, we observed a novel form of long-lasting adaptation to imposed activity: EPSPs showed large initial EPSPs and did not exhibit resistance to fatigue during maintained stimulation. This indicates that aged motoneurons can express adaptive changes to increased activity following axonal regeneration, but that the adaptive changes are the opposite to what is observed in nonregenerated motoneurons.


Asunto(s)
Neuronas Motoras/fisiología , Regeneración Nerviosa , Plasticidad Neuronal , Sinapsis/fisiología , Transmisión Sináptica , Animales , Astacoidea , Estimulación Eléctrica , Potenciales Evocados , Unión Neuromuscular/fisiología
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