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1.
Brain Sci ; 12(10)2022 Sep 29.
Artículo en Inglés | MEDLINE | ID: mdl-36291257

RESUMEN

The link between emotions and motor function has been known for decades but is still not clarified. The Adaptive Force (AF) describes the neuromuscular capability to adapt to increasing forces and was suggested to be especially vulnerable to interfering inputs. This study investigated the influence of pleasant and unpleasant food imagery on the manually assessed AF of elbow and hip flexors objectified by a handheld device in 12 healthy women. The maximal isometric AF was significantly reduced during unpleasant vs. pleasant imagery and baseline (p < 0.001, dz = 0.98−1.61). During unpleasant imagery, muscle lengthening started at 59.00 ± 22.50% of maximal AF, in contrast to baseline and pleasant imagery, during which the isometric position could be maintained mostly during the entire force increase up to ~97.90 ± 5.00% of maximal AF. Healthy participants showed an immediately impaired holding function triggered by unpleasant imagery, presumably related to negative emotions. Hence, AF seems to be suitable to test instantaneously the effect of emotions on motor function. Since musculoskeletal complaints can result from muscular instability, the findings provide insights into the understanding of the causal chain of linked musculoskeletal pain and mental stress. A case example (current stress vs. positive imagery) suggests that the approach presented in this study might have future implications for psychomotor diagnostics and therapeutics.

3.
Biochim Biophys Acta Mol Basis Dis ; 1866(3): 165644, 2020 03 01.
Artículo en Inglés | MEDLINE | ID: mdl-31862304

RESUMEN

Neuroblastoma is the most common extracranial solid tumor in children and originates from poorly differentiated neural crest progenitors. High-risk neuroblastoma patients frequently present with metastatic disease at diagnosis. Despite intensive treatment, patients often develop refractory disease characterized by poorly differentiated, therapy resistant cells. Although adjuvant therapy using retinoic acid (RA)-induced differentiation may increase event-free survival, in the majority of cases response to RA-therapy is inadequate. Consequently, current research aims to identify novel therapeutic targets that enhance the sensitivity to RA and induce neuroblastoma cell differentiation. The similarities between neural crest development and neuroblastoma progression provide an appealing starting point. During neural crest development the EMT-transcription factor SNAI2 plays an important role in neural crest specification as well as neural crest cell migration and survival. Here, we report that CRISPR/Cas9 mediated deletion as well as shRNA mediated knockdown of the EMT-transcription factor SNAI2 promotes cellular differentiation in a variety of neuroblastoma models. By comparing mRNA expression data from independent patient cohorts, we show that a SNAI2 activity-based gene expression signature significantly correlates with event-free survival. Loss of SNAI2 function reduces self-renewal, 3D invasion as well as metastatic spread in vivo, while strongly sensitizing neuroblastoma cells to RA-induced growth inhibition. Together, our data demonstrate that SNAI2 maintains progenitor-like features in neuroblastoma cells while interfering with RA-induced growth inhibition. We propose that targeting gene regulatory circuits, such as those controlling SNAI2 function, may allow reversion of RA-therapy resistant neuroblastoma cells to a more differentiated and therapy responsive phenotype.


Asunto(s)
Diferenciación Celular/genética , Neuroblastoma/tratamiento farmacológico , Neuroblastoma/genética , Factores de Transcripción de la Familia Snail/genética , Transcripción Genética/genética , Tretinoina/farmacología , Animales , Diferenciación Celular/efectos de los fármacos , Línea Celular Tumoral , Movimiento Celular/efectos de los fármacos , Movimiento Celular/genética , Repeticiones Palindrómicas Cortas Agrupadas y Regularmente Espaciadas/genética , Femenino , Humanos , Ratones , Cresta Neural/efectos de los fármacos , Células-Madre Neurales/efectos de los fármacos , ARN Interferente Pequeño/genética , Transcripción Genética/efectos de los fármacos
4.
Eur J Clin Nutr ; 71(12): 1449-1454, 2017 12.
Artículo en Inglés | MEDLINE | ID: mdl-28901336

RESUMEN

BACKGROUND/OBJECTIVES: Vitamin D and probiotics are nutrients of interest in the context of type 1 diabetes (T1D). We assessed the prevalence of and factors associated with vitamin D and probiotic supplementations among young children with genetic risk of T1D. SUBJECTS/METHODS: Use of supplements during the first 2 years of life was collected prospectively from 8674 children in The Environmental Determinants of Diabetes in the Young (TEDDY) study. RESULTS: Single and/or multivitamin/mineral (MVM) supplements were reported by 81% of the children. The majority of participants in Finland, Germany and Sweden (97-99%) and 50% in the United States received vitamin D supplements that were mostly MVMs. Probiotics use varied from 6% in the United States to 60% in Finland and was primarily from probiotics-only preparations. More than 80% of the vitamin D and probiotics supplementation was initiated during infancy, and more than half of the uses lasted longer than a year. Being the first child, longer duration of breastfeeding, born in a later year, older maternal age and higher maternal education level were associated with both vitamin D and probiotics use. Shorter gestational age and mother not smoking during pregnancy were associated with a higher likelihood of probiotics supplementation only. CONCLUSIONS: Vitamin D and probiotics supplementations are popular in children 0-2 years old and are associated with common factors. Data documented here will allow evaluation of the relationship between early childhood dietary intake and the development of islet autoimmunity and progression to T1D.


Asunto(s)
Diabetes Mellitus Tipo 1/genética , Diabetes Mellitus Tipo 1/prevención & control , Suplementos Dietéticos , Predisposición Genética a la Enfermedad , Probióticos/administración & dosificación , Vitamina D/administración & dosificación , Adulto , Peso al Nacer , Preescolar , Diabetes Mellitus Tipo 1/sangre , Femenino , Finlandia , Alemania , Humanos , Lactante , Masculino , Micronutrientes/administración & dosificación , Micronutrientes/sangre , Estudios Prospectivos , Factores de Riesgo , Encuestas y Cuestionarios , Suecia , Estados Unidos , Vitamina D/sangre , Adulto Joven
5.
Lab Anim ; 51(6): 647-651, 2017 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-28650259

RESUMEN

Maintaining appropriate acoustic conditions for animal welfare and data collection are crucial in biomedical research facilities. Negative impacts of disruptive sound are known and can include auditory damage, immune function changes, and behavioral alterations. One type of disruptive sound occurring in research facilities is that of fire alarms. To ameliorate this problem, many facilities have incorporated the use of low-frequency fire alarms that emit tones outside the rodent audible range. The impact of these devices has been assumed to be negligible. However, this has yet to be evaluated with controlled behavioral experiments. Thus, our objective was to investigate the impact of low-frequency fire alarm exposure on locomotor behavior in the open field, a test sensitive to acoustic stimuli disruption. Male mice were randomized to three alarm exposure groups (No-Alarm; Alarm-During; and Alarm-After) and placed in individual photobeam-activated locomotor chambers. The Alarm-During group displayed significantly reduced horizontal locomotion, with a trend towards reduced vertical locomotion. These data suggest that a low-frequency brief alarm tone can temporarily disrupt movement, a valuable insight should an alarm be deployed. Further, findings support close collaboration between researchers and institutional facility staff to ensure appropriate acoustic conditions are maintained, whenever possible, for research animals.


Asunto(s)
Percepción Auditiva , Incendios , Locomoción , Ratones/fisiología , Equipos de Seguridad , Estimulación Acústica , Animales , Masculino , Ratones Endogámicos C57BL , Distribución Aleatoria
6.
Nature ; 517(7532): 73-6, 2015 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-25517093

RESUMEN

Extreme, abrupt Northern Hemisphere climate oscillations during the last glacial cycle (140,000 years ago to present) were modulated by changes in ocean circulation and atmospheric forcing. However, the variability of the Atlantic meridional overturning circulation (AMOC), which has a role in controlling heat transport from low to high latitudes and in ocean CO2 storage, is still poorly constrained beyond the Last Glacial Maximum. Here we show that a deep and vigorous overturning circulation mode has persisted for most of the last glacial cycle, dominating ocean circulation in the Atlantic, whereas a shallower glacial mode with southern-sourced waters filling the deep western North Atlantic prevailed during glacial maxima. Our results are based on a reconstruction of both the strength and the direction of the AMOC during the last glacial cycle from a highly resolved marine sedimentary record in the deep western North Atlantic. Parallel measurements of two independent chemical water tracers (the isotope ratios of (231)Pa/(230)Th and (143)Nd/(144)Nd), which are not directly affected by changes in the global cycle, reveal consistent responses of the AMOC during the last two glacial terminations. Any significant deviations from this configuration, resulting in slowdowns of the AMOC, were restricted to centennial-scale excursions during catastrophic iceberg discharges of the Heinrich stadials. Severe and multicentennial weakening of North Atlantic Deep Water formation occurred only during Heinrich stadials close to glacial maxima with increased ice coverage, probably as a result of increased fresh-water input. In contrast, the AMOC was relatively insensitive to submillennial meltwater pulses during warmer climate states, and an active AMOC prevailed during Dansgaard-Oeschger interstadials (Greenland warm periods).


Asunto(s)
Cubierta de Hielo , Movimientos del Agua , Océano Atlántico , Foraminíferos , Sedimentos Geológicos/química , Groenlandia , Historia Antigua , Incertidumbre
7.
Neuromodulation ; 18(3): 228-31; discussion 232, 2015 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-25113019

RESUMEN

OBJECTIVES: Sacral neuromodulation (SNM) is theorized to alter the neural pathways that mediate bladder and urethral sensation. We hypothesize that SNM affects current perception thresholds (CPTs) of afferent sensory nerve pathways. MATERIALS AND METHODS: Eight women were enrolled and completed pre and postoperative testing. A CPT device was used to measure CPT at 5 Hz (C-fibers), 250 Hz (Aδ-fibers), and 2000 Hz (Aß-fibers) on the urethra and bladder prior to and one month after SNM. Index finger readings at 2000 Hz served as controls. RESULTS: SNM had the greatest effect on the bladder at 250 and 2000 Hz, suggesting reduced bladder sensitivity. Significant changes in CPT were seen in the bladder at 2000 Hz with a decrease in sensitivity (p = 0.033). CPT testing was well tolerated, and no adverse events were identified. CONCLUSIONS: With a measurable change in CPT values for Aδ-fibers and Aß-fibers, these findings suggest that SNM modulates large myelinated afferent fibers in the bladder. Notably, little or no changes were found in the C-fiber CPT measurements. More research is needed with a larger sample size to determine the significance of these findings.


Asunto(s)
Terapia por Estimulación Eléctrica/métodos , Umbral Sensorial/fisiología , Médula Espinal/fisiología , Vejiga Urinaria Hiperactiva/terapia , Adulto , Biofisica , Terapia por Estimulación Eléctrica/instrumentación , Femenino , Humanos , Neuroestimuladores Implantables , Vejiga Urinaria/inervación , Escala Visual Analógica , Adulto Joven
8.
Phytopathology ; 105(2): 265-78, 2015 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-25208239

RESUMEN

Several isothermal amplification techniques recently have been developed that are tolerant of inhibitors present in many plant extracts, which can reduce the need for obtaining purified DNA for running diagnostic assays. One such commercially available technique that has similarities with real-time polymerase chain reaction (PCR) for designing primers and a labeled probe is recombinase polymerase amplification (RPA). This technology was used to develop two simple and rapid approaches for detection of Phytophthora spp.: one genus-specific assay multiplexed with a plant internal control and the other species-specific assays for Phytophthora ramorum and P. kernoviae. All assays were tested for sensitivity (ranging from 3 ng to 1 fg of DNA) and specificity using DNA extracted from more than 136 Phytophthora taxa, 21 Pythium spp., 1 Phytopythium sp., and a wide range of plant species. The lower limit of linear detection using purified DNA was 200 to 300 fg of DNA in all pathogen RPA assays. Six different extraction buffers were tested for use during plant tissue maceration and the assays were validated in the field by collecting 222 symptomatic plant samples from over 50 different hosts. Only 56 samples were culture positive for Phytophthora spp. whereas 91 were positive using the Phytophthora genus-specific RPA test and a TaqMan real-time PCR assay. A technique for the generation of sequencing templates from positive RPA amplifications to confirm species identification was also developed. These RPA assays have added benefits over traditional technologies because they are rapid (results can be obtained in as little as 15 min), do not require DNA extraction or extensive training to complete, use less expensive portable equipment than PCR-based assays, and are significantly more specific than current immunologically based methods. This should provide a rapid, field-deployable capability for pathogen detection that will facilitate point-of-sample collection processing, thereby reducing the time necessary for accurate diagnostics and making management decisions.


Asunto(s)
Técnicas de Amplificación de Ácido Nucleico/métodos , Phytophthora/aislamiento & purificación , Enfermedades de las Plantas/microbiología , Plantas/microbiología , Cartilla de ADN/genética , Límite de Detección , Phytophthora/genética , Reacción en Cadena de la Polimerasa/métodos , Sensibilidad y Especificidad , Especificidad de la Especie , Factores de Tiempo
9.
Phytopathology ; 104(12): 1349-59, 2014 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-24964150

RESUMEN

Downy mildew of spinach (Spinacia oleracea), caused by Peronospora effusa, is a production constraint on production worldwide, including in California, where the majority of U.S. spinach is grown. The aim of this study was to develop a real-time quantitative polymerase chain reaction (qPCR) assay for detection of airborne inoculum of P. effusa in California. Among oomycete ribosomal DNA (rDNA) sequences examined for assay development, the highest nucleotide sequence identity was observed between rDNA sequences of P. effusa and P. schachtii, the cause of downy mildew on sugar beet and Swiss chard in the leaf beet group (Beta vulgaris subsp. vulgaris). Single-nucleotide polymorphisms were detected between P. effusa and P. schachtii in the 18S rDNA regions for design of P. effusa- and P. schachtii-specific TaqMan probes and reverse primers. An allele-specific probe and primer amplification method was applied to determine the frequency of both P. effusa and P. schachtii rDNA target sequences in pooled DNA samples, enabling quantification of rDNA of P. effusa from impaction spore trap samples collected from spinach production fields. The rDNA copy numbers of P. effusa were, on average, ≈3,300-fold higher from trap samples collected near an infected field compared with those levels recorded at a site without a nearby spinach field. In combination with disease-conducive weather forecasting, application of the assays may be helpful to time fungicide applications for disease management.


Asunto(s)
Beta vulgaris/microbiología , Peronospora/aislamiento & purificación , Enfermedades de las Plantas/microbiología , Spinacia oleracea/microbiología , Esporas/aislamiento & purificación , Secuencia de Bases , Cartilla de ADN/genética , ADN Ribosómico/genética , Límite de Detección , Datos de Secuencia Molecular , Peronospora/clasificación , Peronospora/genética , Reacción en Cadena en Tiempo Real de la Polimerasa , Alineación de Secuencia , Análisis de Secuencia de ADN , Especificidad de la Especie
10.
Elife ; 2: e00731, 2013 May 28.
Artículo en Inglés | MEDLINE | ID: mdl-23741619

RESUMEN

Phytophthora infestans, the cause of potato late blight, is infamous for having triggered the Irish Great Famine in the 1840s. Until the late 1970s, P. infestans diversity outside of its Mexican center of origin was low, and one scenario held that a single strain, US-1, had dominated the global population for 150 years; this was later challenged based on DNA analysis of historical herbarium specimens. We have compared the genomes of 11 herbarium and 15 modern strains. We conclude that the 19th century epidemic was caused by a unique genotype, HERB-1, that persisted for over 50 years. HERB-1 is distinct from all examined modern strains, but it is a close relative of US-1, which replaced it outside of Mexico in the 20th century. We propose that HERB-1 and US-1 emerged from a metapopulation that was established in the early 1800s outside of the species' center of diversity. DOI:http://dx.doi.org/10.7554/eLife.00731.001.


Asunto(s)
Phytophthora infestans/patogenicidad , Solanum tuberosum/microbiología , Inanición , ADN Mitocondrial/genética , Genes Fúngicos , Haplotipos , Humanos , Irlanda , Phytophthora infestans/genética
11.
Artículo en Inglés | MEDLINE | ID: mdl-23083414

RESUMEN

Glycidyl esters (GEs) are known to be formed during vegetable oil processing. Because of their structure, it has been hypothesised that GEs, like fatty acid esters of chloropropanols (MCPD esters), may be accepted as substrates by gut lipases to release the epoxide glycidol. If confirmed such a hypothesis would be important for risk assessment since glycidol is considered as a genotoxic carcinogen. In the present study, biotransformation was investigated using static and dynamic gastrointestinal models. During the experiments, aliquots were analysed for non-digested GEs using liquid chromatography-time-of-flight-mass spectrometry (LC-ToF-MS). In the static model, a fast hydrolysis of GEs was observed as a result of lipase action. Lipase was very efficient at pH 4.8, and totally inhibited at very low pH (1.7). In the absence of lipase, GEs were found to be relatively stable. The potential impact of food matrix was studied using milk in a dynamic model simulating human physiological conditions. The fast, pH-dependent hydrolysis of GEs was further confirmed. The possible transformation of the digestion products was then investigated using gas chromatography coupled to mass spectrometry (GC-MS), mainly the epoxide ring-opening to glycerol followed by additional reactions. In any conditions applied, neither 2- nor 3-mono-chloropropanediol (2- nor 3-MCPD) were formed, indicating that a ring-opening of the epoxide group of GEs or glycidol followed by a reaction with chloride was unlikely. A small transformation of glycidol into glycerol was observed after longer incubation time correlated with a low pH. This suggested that ring-opening and reaction with water is possible in strongly acidic conditions. Overall, it is concluded that GEs are rapidly digested by gut lipases to form glycidol. Consequently, GEs should be considered as sources of glycidol exposure. In addition, risk assessment of GEs can likely rely on hazard identification and characterisation data specific for glycidol.


Asunto(s)
Grasas Insaturadas en la Dieta/análisis , Digestión/fisiología , Glicéridos/química , Modelos Biológicos , Aceites de Plantas/química , Cromatografía Liquida/métodos , Electrólitos , Compuestos Epoxi/química , Compuestos Epoxi/metabolismo , Ésteres , Ácidos Grasos , Contaminación de Alimentos , Manipulación de Alimentos , Humanos , Lipasa/metabolismo , Espectrometría de Masas/métodos , Estructura Molecular , Propanoles/química , Propanoles/metabolismo
12.
PLoS One ; 7(5): e37003, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-22615869

RESUMEN

To better understand the evolutionary history of a group of organisms, an accurate estimate of the species phylogeny must be known. Traditionally, gene trees have served as a proxy for the species tree, although it was acknowledged early on that these trees represented different evolutionary processes. Discordances among gene trees and between the gene trees and the species tree are also expected in closely related species that have rapidly diverged, due to processes such as the incomplete sorting of ancestral polymorphisms. Recently, methods have been developed for the explicit estimation of species trees, using information from multilocus gene trees while accommodating heterogeneity among them. Here we have used three distinct approaches to estimate the species tree for five Phytophthora pathogens, including P. infestans, the causal agent of late blight disease in potato and tomato. Our concatenation-based "supergene" approach was unable to resolve relationships even with data from both the nuclear and mitochondrial genomes, and from multiple isolates per species. Our multispecies coalescent approach using both Bayesian and maximum likelihood methods was able to estimate a moderately supported species tree showing a close relationship among P. infestans, P. andina, and P. ipomoeae. The topology of the species tree was also identical to the dominant phylogenetic history estimated in our third approach, Bayesian concordance analysis. Our results support previous suggestions that P. andina is a hybrid species, with P. infestans representing one parental lineage. The other parental lineage is not known, but represents an independent evolutionary lineage more closely related to P. ipomoeae. While all five species likely originated in the New World, further study is needed to determine when and under what conditions this hybridization event may have occurred.


Asunto(s)
Phytophthora infestans/genética , Enfermedades de las Plantas/parasitología , Teorema de Bayes , ADN Mitocondrial/genética , Evolución Molecular , Especiación Genética , Variación Genética/genética , Solanum lycopersicum , Filogenia , Solanum tuberosum
13.
Aquat Toxicol ; 105(3-4): 328-36, 2011 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-21813085

RESUMEN

The industrial use of nanoparticles is rapidly increasing, and this has given rise to concerns about potential biological impacts of engineered particles released into the environment. So far, relatively little is known about uptake, accumulation and responses to engineered nanoparticles by plants. In this study, the effects of alumina nanoparticles on growth, morphology and photosynthesis of Lemna minor were quantified. It was found that alumina nanoparticles substantially increase biomass accumulation of L. minor. Such a stimulatory effect of alumina nanoparticles on growth has not been reported previously. Enhanced biomass accumulation was paralleled by morphological adjustments such as increased root length and number of fronds per colony, and by increased photosynthetic efficiency. Metal nanoparticles have previously been shown to enhance the energy transfer efficiency of isolated reaction centres; therefore it is proposed that the mechanism underlying the alumina mediated enhancement of biomass accumulation in L. minor is associated with increased efficiencies in the light reactions of photosynthesis.


Asunto(s)
Óxido de Aluminio/farmacología , Araceae/efectos de los fármacos , Contaminantes Ambientales/farmacología , Nanopartículas del Metal , Fotosíntesis/efectos de los fármacos , Hojas de la Planta/efectos de los fármacos , Raíces de Plantas/efectos de los fármacos , Óxido de Aluminio/administración & dosificación , Óxido de Aluminio/análisis , Araceae/química , Araceae/crecimiento & desarrollo , Relación Dosis-Respuesta a Droga , Contaminantes Ambientales/administración & dosificación , Contaminantes Ambientales/análisis , Nanopartículas del Metal/administración & dosificación , Nanopartículas del Metal/análisis , Hojas de la Planta/química , Hojas de la Planta/crecimiento & desarrollo , Raíces de Plantas/química , Raíces de Plantas/crecimiento & desarrollo
14.
Equine Vet J ; 43(4): 494-9, 2011 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-21496075

RESUMEN

REASONS FOR PERFORMING STUDY: Obesity and insulin resistance are risk factors for laminitis in equids and supplements containing chromium and magnesium might improve insulin sensitivity. HYPOTHESIS: A supplement containing chromium, magnesium and other nutraceuticals would alter morphometric measurements, blood variables, and insulin sensitivity in laminitic obese horses. METHODS: Twelve previously laminitic obese (body condition score ≥ 7/9) horses were randomly allocated to treatment (n = 6) and control (n = 6) groups and 2 obese horses with clinical laminitis were included in the treatment group. Treated animals received 56 g supplement with 0.25 kg oats once daily for 16 weeks. The supplement contained chromium (5 mg/day as yeast), magnesium (8.8 g/day as oxide/proteinate), and other nutraceuticals. Insulin-modified frequently sampled i.v. glucose tolerance tests were performed with hay provided at 0, 8 and 16 weeks, and insulin sensitivity was estimated by minimal model analysis. Physical measurements were collected at the same points. Horses were not exercised. RESULTS: Hyperinsulinaemia (>30 µu/ml) was detected in 12 of 14 horses prior to treatment. Glucose and insulin data from one mare with clinical laminitis were excluded because of persistent pain. Mean ± s.d. insulin sensitivity was 0.64 ± 0.62 × 10(-4) l/min/mu prior to treatment for the remaining 13 horses. Time and treatment × time effects were not significant for any of the variables examined, with the exception of resting insulin concentrations, which significantly increased over time (P = 0.018). Health status remained the same. CONCLUSIONS: The supplement containing chromium and magnesium evaluated in this study did not alter morphometric measurements, blood variables, resting insulin concentrations or insulin sensitivity in laminitic obese horses. POTENTIAL RELEVANCE: Additional research is required to determine the appropriate use of chromium and magnesium supplements in horses.


Asunto(s)
Cromo/administración & dosificación , Enfermedades del Pie/veterinaria , Enfermedades de los Caballos/dietoterapia , Resistencia a la Insulina/fisiología , Magnesio/administración & dosificación , Obesidad/veterinaria , Animales , Aspartato Aminotransferasas/sangre , Glucemia/análisis , Colesterol/sangre , Suplementos Dietéticos , Ácidos Grasos no Esterificados/sangre , Femenino , Enfermedades del Pie/sangre , Enfermedades del Pie/dietoterapia , Enfermedades del Pie/metabolismo , Prueba de Tolerancia a la Glucosa/veterinaria , Enfermedades de los Caballos/sangre , Enfermedades de los Caballos/metabolismo , Caballos , Insulina/sangre , Masculino , Obesidad/sangre , Obesidad/dietoterapia , Obesidad/metabolismo , Triglicéridos/sangre , gamma-Glutamiltransferasa/sangre
15.
Urol Clin North Am ; 37(4): 559-65, 2010 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-20955907

RESUMEN

Neurogenic bladder resulting from spinal cord injury and spina bifida has a profound impact on voiding function. This article reviews the current literature with regards to electrical stimulation for neurogenic bladder and the clinical outcomes associated with sacral neuromodulation, pudendal neuromodulation, posterior tibial nerve stimulation, and the Finetech-Brindley posterior/anterior stimulator. In addition, the world literature reviewing hemilaminectomy and ventral root micro anastomosis is discussed. The article also examines the safety of magnetic resonance imaging in patients with implanted neurostimulators and discusses common complications. Neuromodulation, both electrical and physical, play an important role in the management of neurogenic bladder.


Asunto(s)
Terapia por Estimulación Eléctrica , Vejiga Urinaria Neurogénica/terapia , Animales , Terapia por Estimulación Eléctrica/efectos adversos , Terapia por Estimulación Eléctrica/métodos , Humanos , Plexo Lumbosacro
16.
Clin Rheumatol ; 29(5): 465-72, 2010 May.
Artículo en Inglés | MEDLINE | ID: mdl-20033244

RESUMEN

UNLABELLED: Preference for a drug formulation is important in adherence to long-term medication for chronic illnesses such as osteoporosis. We investigated the preference for and acceptability of chewable tablet containing calcium and vitamin D (Calci Chew D(3), Nycomed) compared to that of a sachet containing calcium and vitamin D(3) (Cad, Will-Pharma). This open, randomised, cross-over trial was set up to compare the preference and acceptability of two calcium plus vitamin D(3) formulations (both with 500 mg calcium and 400/440 IU vitamin D3), given twice a day in patients with osteoporosis. Preference and acceptability were assessed by means of questionnaires. Preference was determined by asking the question, which treatment the patient preferred, and acceptability was measured by scoring five variables, using rating scales. Of the 102 patients indicating a preference for a trial medication, 67% preferred the chewable tablet, 19% the sachet with calcium and vitamin D(3,) and 15% stated no preference. The significant preference for Calci Chew D(3) (p < 0.0001) was associated with higher scores for all five acceptability variables. The two formulations were tolerated equally well. A significant greater number of patients considered the chewable tablet as preferable and acceptable to the sachet, containing calcium and vitamin D(3). TRIAL REGISTRATION: Current Controlled Trials ISRCTN18822358.


Asunto(s)
Colecalciferol/uso terapéutico , Suplementos Dietéticos , Osteoporosis/tratamiento farmacológico , Adulto , Anciano , Anciano de 80 o más Años , Calcio/metabolismo , Colecalciferol/efectos adversos , Estudios Cruzados , Femenino , Humanos , Masculino , Persona de Mediana Edad , Modelos Estadísticos , Prioridad del Paciente , Encuestas y Cuestionarios
17.
Curr Urol Rep ; 10(5): 342-6, 2009 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-19709480

RESUMEN

Overactive bladder (OAB) affects millions of people in the United States, and as the population ages, the prevalence of OAB will invariably increase. Conventional therapy for OAB includes behavioral modification and anticholinergic medication. OAB treatment comes with significant economic impact. With anticholinergic medications often resulting in significant adverse effects and treatment failures, neuromodulation offers an effective treatment modality that is durable and minimally invasive. We argue that neuromodulation, with its high rate of success and significant rate of patient satisfaction, should be offered early in the course of OAB treatment. In addition to sacral neuromodulation, tibial nerve stimulation and chemical neuromodulation offer effective alternative methods of neuromodulation. Neuromodulation is a well-established treatment for "refractory" OAB that deserves a place among traditional treatments for OAB.


Asunto(s)
Terapia por Estimulación Eléctrica , Vejiga Urinaria Hiperactiva/terapia , Humanos , Plexo Lumbosacro , Neurotransmisores/uso terapéutico , Factores de Tiempo , Vejiga Urinaria Hiperactiva/tratamiento farmacológico
18.
Int Urogynecol J Pelvic Floor Dysfunct ; 19(8): 1137-40, 2008 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-18392551

RESUMEN

Our objective was to evaluate the burden of sacral neuromodulation (SNM) reprogramming and the reasons for reprogramming, and to correlate these with the underlying diagnosis. A retrospective review of 50 consecutive subjects implanted with SNM was completed from November 2002 through December 2005. Of the 50 SNM implants, 47 subjects had adequate follow-up. The mean age was 53.1 (22-90 years) with 83% women. Of the SNM performed, 91.5% were done for urinary urgency, frequency, or incontinence and 47.4% of those had interstitial cystitis. Overall, 239 programming visits were recorded, and subjects on average had two reprogramming visits per year. There was no correlation with number of reprogramming events and patient age, sex, reason for implantation, or diagnosis. These data suggest that the number of reprogramming episodes is small, and the majority is done as part of routine follow-up. No additional burden was seen in subjects with interstitial cystitis.


Asunto(s)
Cistitis Intersticial/terapia , Terapia por Estimulación Eléctrica/instrumentación , Adulto , Anciano , Anciano de 80 o más Años , Comorbilidad , Cistitis Intersticial/epidemiología , Femenino , Humanos , Plexo Lumbosacro , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Sacro/inervación , Adulto Joven
20.
Mol Endocrinol ; 20(1): 219-31, 2006 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-16099814

RESUMEN

The roles of ionotropic glutamate receptors in mammalian reproduction are unknown. We therefore generated mice lacking a major subtype of (S)-alpha-amino-3-hydroxy-5-methyl-isoxazolepropionic acid (AMPA) receptors or all N-methyl-d-aspartate (NMDA) receptors in GnRH neurons and other mainly limbic system neurons, primarily in hypothalamic and septal areas. Male mice without NMDA receptors in these neurons were not impaired in breeding and exhibited similar GnRH secretion as control littermates. However, male mice lacking GluR-B containing AMPA receptors in these neurons were poor breeders and severely impaired in reproductive behaviors such as aggression and mounting. Testis and sperm morphology, testis weight, and serum testosterone levels, as well as GnRH secretion, were unchanged. Contact with female cage bedding failed to elicit male sexual behavior in these mice, unlike in control male littermates. Their female counterparts had unchanged ovarian morphology, had bred successfully, and had normal litter sizes but exhibited pronounced impairments in maternal behaviors such as pup retrieval and maternal aggression. Our results suggest that NMDA receptors and GluR-B containing AMPA receptors are not essential for fertility, but that GluR-B containing AMPA receptors are essential for male and female reproduction-related behaviors, perhaps by mediating responses to pheromones or odorants.


Asunto(s)
Fertilidad/fisiología , Neuronas/metabolismo , Receptores AMPA/fisiología , Receptores de N-Metil-D-Aspartato/fisiología , Conducta Sexual Animal/fisiología , Animales , Peso Corporal , Femenino , Hormona Liberadora de Gonadotropina/metabolismo , Hipotálamo/citología , Masculino , Conducta Materna/fisiología , Ratones , Ratones Transgénicos , Tamaño de los Órganos , Ovario/citología , Receptores AMPA/genética , Receptores de N-Metil-D-Aspartato/genética , Tabique del Cerebro/citología , Espermatozoides/citología , Espermatozoides/fisiología , Testículo/anatomía & histología , Testículo/citología , Testosterona/sangre
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