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1.
Waste Manag ; 175: 265-275, 2024 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-38232518

RESUMO

Microwave hydrothermal (MHT) conversion is emerging as a promising technology for the disposal and reutilization of biowastes. This study investigated the fundamental properties and phosphorus transformation mechanism of soybean straw during the MHT conversion process. The oxygen-containing functional groups in soybean straw were stripped, and a trend of dehydration was observed as the temperature increased during the MHT process. Cellulose was identified as the major component of the MHT solid products at high temperature. Glucose and glucuronic acid in the MHT liquid products were gradually converted to formic acid and acetic acid with increasing temperature and holding time. The characteristics of the MHT products directly affected the changes in P speciation and transformation. Most of the P was distributed in liquid products and the impact of holding time was not significant on P distribution at low MHT temperature. With the increase in temperature and holding time, P gradually transferred into the solid products. The proportion of organic phosphorus and soluble inorganic phosphorus in soybean straw was high, and it decreased noticeably after the MHT process. The increase in MHT temperature promoted the conversion of OP and AP into IP and NAIP respectively. P K-edge X-ray absorption near edge structure analysis reveals that Ca5(PO4)3(OH) was the major component of soybean straw and more Ca5(PO4)3(OH) was formed at lower MHT temperature. This study provides fundamental knowledge on the property changes of soybean straw and the transformation of phosphorus during MHT conversion process, which is essential for its disposal and further utilization.


Assuntos
Glycine max , Fósforo , Micro-Ondas , Temperatura , Ácido Acético
2.
J Appl Physiol (1985) ; 135(5): 1070-1081, 2023 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-37795531

RESUMO

Menopause is associated with reduced nitric oxide bioavailability and vascular function. Although exercise is known to improve vascular function, this is blunted in estrogen-deficient females post-menopause (PM). Here, we examined the effects of acute exercise at differing intensities with and without inorganic nitrate (NO3-) supplementation on vascular function in females PM. Participants were tested in a double-blinded, block-randomized design, consuming ∼13 mmol NO3- in the form of beetroot juice (BRJ; n = 12) or placebo (PL; n = 12) for 2 days before experimental visits and 2 h before testing. Visits consisted of vascular health measures before (time point 0) and every 30 min after (time points 60, 90, 120, 150, and 180) calorically matched high-intensity exercise (HIE), moderate-intensity exercise (MIE), and a nonexercise control (CON). Blood was sampled at rest and 5-min postexercise for NO3-, NO2-, and ET-1. BRJ increased N-oxides and decreased ET-1 compared with PL, findings which were unchanged after experimental conditions (P < 0.05). BRJ improved peak Δflow-mediated dilation (FMD) compared with PL (P < 0.05), defined as the largest ΔFMD for each individual participant across all time points. FMD across time revealed an improvement (P = 0.05) in FMD between BRJ + HIE versus BRJ + CON, while BRJ + MIE had medium effects compared with BRJ + CON. In conclusion, NO3- supplementation combined with HIE improved FMD in postmenopausal females. NO3- supplementation combined with MIE may offer an alternative to those unwilling to perform HIE. Future studies should test whether long-term exercise training at high intensities with NO3- supplementation can enhance vascular health in females PM.NEW & NOTEWORTHY This study compared exercise-induced changes in flow-mediated dilation after acute moderate- and high-intensity exercise in females postmenopause supplementing either inorganic nitrate (beetroot juice) or placebo. BRJ improved peak ΔFMD postexercise, and BRJ + HIE increased FMD measured as FMD over time. Neither PL + MIE nor PL + HIE improved FMD. These findings suggest that inorganic nitrate supplementation combined with high-intensity exercise may benefit vascular health in females PM.


Assuntos
Beta vulgaris , Nitratos , Humanos , Feminino , Suplementos Nutricionais , Exercício Físico , Antioxidantes , Óxido Nítrico , Pós-Menopausa , Método Duplo-Cego , Estudos Cross-Over , Sucos de Frutas e Vegetais
3.
Nutr Health ; 27(4): 445-459, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33427571

RESUMO

BACKGROUND: Those who are overfat face an onslaught of advice for losing weight, including using dietary supplements that purport to have fat burning capabilities to achieve a reduced body mass, fat mass and improvement in cardiometabolic health in combination with exercise or diet and exercise regimens. AIM: To examine long-term effectiveness of supplements for both weight loss and improvements in cardiometabolic health for these individuals. METHODS: A PRISMA methods of systematic review was conducted from August 2018 through January 2019 using Medline, PubChem, PubMed, EBOSCO CINHAL and SPORTDiscus, and Google Scholar yielding 23,441 returns of which 21 studies (duration greater than 8 weeks with participant populations of BMI greater than 24.9) were included for meta-analysis. Meta-analysis examined pooled effect size and 95% confidence interval for: body mass, fat mass, fat-free mass, total cholesterol, high-density lipoproteins, low-density lipoproteins, resting metabolic rate. Intra-study effect sizes were compared with previously reported results for diet or diet and exercise in a 2x2 chi-square analysis for the number of studies that induced effects greater than or less than the effect size. RESULTS: There is a general trend to show effectiveness (effect size greater than 0.00) for obtaining beneficial changes from use of thermogenic dietary supplements, yet the 95% confidence interval for effect size crossed 0.00 (indicating no benefit). Chi-square comparison to exercise, or combination of diet and exercise, indicates that responses induced from weight-loss supplements were less effective than what is obtained from utilizing exercise, or diet and exercise, without additional weight-loss supplements. CONCLUSION: There appears to be limited benefit that may be derived from the inclusion of thermogenic dietary supplements to reduce body mass and improve cardiometabolic health for individuals who are overfat.


Assuntos
Doenças Cardiovasculares , Redução de Peso , Doenças Cardiovasculares/etiologia , Doenças Cardiovasculares/prevenção & controle , Dieta , Suplementos Nutricionais , Exercício Físico , Humanos
4.
J Hazard Mater ; 403: 123649, 2021 02 05.
Artigo em Inglês | MEDLINE | ID: mdl-32823030

RESUMO

This study investigated migration and transformation mechanism of P in waste activated sludge (WAS) during anaerobic fermentation (AF) process and the subsequent hydrothermal conversion (HTC) process. Control of pH during the AF processes was found to be significant, whereby the use of acidic (pH = 5.5) or alkaline conditions (pH = 9.5) facilitated the release of either apatite phosphorus (AP) or non-apatite inorganic phosphorus (NAIP) and organic phosphorus, respectively. At the same pH of 9.5, NaOH promoted the transfer of P into liquid phase, and P in the solid phase was mainly in the form of NAIP. In contrast, Ca(OH)2 enhanced the incorporation of P into the solid products, with the P mainly in the form of AP. The subsequent HTC process promoted the NAIP transferred to AP, and the bioavailability of P in the HTC solid products was decreased. The P K-edge X-ray absorption near edge structure analysis provided detailed information about the phosphates. It demonstrated that the conversion of Ca8H2PO4·6.5H2O to Ca5(PO4)3·OH was facilitated by HTC under the alkaline condition. This study sheds lights on transformation mechanism of P speciations during AF and HTC processes, which would provide fundamental information for effective utilization of P in bio-wastes.


Assuntos
Fósforo , Esgotos , Anaerobiose , Fermentação , Fosfatos , Eliminação de Resíduos Líquidos
5.
J Thorac Cardiovasc Surg ; 160(2): 601-605, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32689703

RESUMO

The extraordinary demands of managing the COVID-19 pandemic has disrupted the world's ability to care for patients with thoracic malignancies. As a hospital's COVID-19 population increases and hospital resources are depleted, the ability to provide surgical care is progressively restricted, forcing surgeons to prioritize among their cancer populations. Representatives from multiple cancer, surgical, and research organizations have come together to provide a guide for triaging patients with thoracic malignancies as the impact of COVID-19 evolves as each hospital.


Assuntos
Betacoronavirus/patogenicidade , Infecções por Coronavirus/terapia , Prestação Integrada de Cuidados de Saúde/organização & administração , Pneumonia Viral/terapia , Neoplasias Torácicas/cirurgia , Procedimentos Cirúrgicos Torácicos , Triagem/organização & administração , COVID-19 , Tomada de Decisão Clínica , Consenso , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/transmissão , Infecções por Coronavirus/virologia , Necessidades e Demandas de Serviços de Saúde/organização & administração , Interações entre Hospedeiro e Microrganismos , Humanos , Avaliação das Necessidades/organização & administração , Saúde Ocupacional , Pandemias , Segurança do Paciente , Seleção de Pacientes , Pneumonia Viral/epidemiologia , Pneumonia Viral/transmissão , Pneumonia Viral/virologia , Medição de Risco , Fatores de Risco , SARS-CoV-2 , Neoplasias Torácicas/epidemiologia , Procedimentos Cirúrgicos Torácicos/efeitos adversos , Tempo para o Tratamento
6.
J Hazard Mater ; 393: 122446, 2020 07 05.
Artigo em Inglês | MEDLINE | ID: mdl-32155525

RESUMO

In this study, lincomycin residue (LR, a type of antibiotic mycelial residue) derived hydrochar samples (LR-HCs) were obtained from hydrothermal carbonization (HTC), and pyrolysis applied to these LR-HCs to produce activated pyrolyzed samples (LR-APs). Transformation of phosphorus (P) and nitrogen (N) species during HTC and pyrolysis was of primary interest and characterized by several techniques. Nitrogen content of dry LR was calculated by elemental analysis, being 7.91 wt. %, decreasing to 2.51 after HTC and 1.12 wt. % after concesutive HTC and pyrolysis. FT-IR analysis provided evidence for amine groups in LR samples. XPS analysis described N species (Pyridinic-N, Amine-N, Protein-N, Pyrrolic-N, and Quaternary-N) and P species (ortho-P/pyro-P and Ar-P) in LR samples, effectively. Sequential extraction showed that the HTC and pyrolysis changed the proportion of the P species from labile (P-NaHCO3 and P-NaOH) to stable ones (P-residue). Utilization and suitability of as-prepared LR-HCs and LR-APs for heavy metal Pb (II) immobilization show promising results. To help understand immobilization process, kinetic (pseudo-1st-order and pseudo-2nd-order) and isotherm (Freundlich) models were tested and verified. Results confirmed that P and N species were transformed during HTC and pyrolysis and that these processes lead to an advantageous effect on Pb (II) removal from solution.


Assuntos
Antibacterianos/química , Chumbo/química , Lincomicina/química , Nitrogênio/química , Fósforo/química , Poluentes Químicos da Água/química , Micélio , Pirólise
7.
Int J Pediatr Otorhinolaryngol ; 131: 109844, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31901483

RESUMO

OBJECTIVE: Identify incidence and factors associated with respiratory complications after type 1 cleft repair. METHODS: Retrospective chart review of patients who underwent cleft repair over a 5-year period performed by a single surgeon. Primary endpoint was respiratory complications (oxygen desaturation <90%). Fisher's exact test was used to identify differences between repair types (endoscopic carbon dioxide laser-assisted repair and injection laryngoplasty). Logistic regression was used to identify predictors of respiratory events. RESULTS: Fifty-five patients were included. Thirty-four (62%) patients underwent endoscopic carbon dioxide laser-assisted repair and 21 (38%) underwent injection laryngoplasty. Average hospital stay for each group was 1.6 days (SD = 3.1) and 0.6 days (SD = 0.9), respectively. Desaturations occurred in three patients (9%) in the laser-assisted repair group and one patient (4%) in the injection group. All occurred within 3 h after surgery and resolved with supplemental oxygen, oral airway placement, and/or mask ventilation. Two affected patients had comorbid diagnosis of asthma (one had poor medication compliance), and one had a history of developmental delay and hypotonia. In the injection group, desaturations occurred in one patient with a history of tracheal stenosis and double aortic arch. No correlation existed between repair type and desaturation (p = 0.57). No variables were significant predictors of events. CONCLUSIONS: In this cohort, respiratory events after type 1 laryngeal cleft repair occurred early in the postoperative period, in children with cardiac and pulmonary comorbidities. This suggests postoperative admission may only be necessary for a select group of patients undergoing type 1 cleft repair. However, further research is needed to determine criteria for same-day discharge.


Assuntos
Anormalidades Congênitas/cirurgia , Laringoplastia/efeitos adversos , Laringoplastia/métodos , Laringe/anormalidades , Oxigênio/sangue , Complicações Pós-Operatórias/etiologia , Asma/complicações , Criança , Pré-Escolar , Estudos de Coortes , Deficiências do Desenvolvimento/complicações , Feminino , Hospitalização , Humanos , Lactente , Recém-Nascido , Injeções , Laringe/cirurgia , Lasers de Gás/uso terapêutico , Tempo de Internação , Masculino , Hipotonia Muscular/complicações , Complicações Pós-Operatórias/sangue , Período Pós-Operatório , Estudos Retrospectivos , Estenose Traqueal/complicações , Anel Vascular/complicações
8.
Mar Pollut Bull ; 142: 189-195, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31232294

RESUMO

This research takes a holistic approach to considering the consequences of marine plastic pollution. A semi-systematic literature review of 1191 data points provides the basis to determine the global ecological, social and economic impacts. An ecosystem impact analysis demonstrates that there is global evidence of impact with medium to high frequency on all subjects, with a medium to high degree of irreversibility. A novel translation of these ecological impacts into ecosystem service impacts provides evidence that all ecosystem services are impacted to some extent by the presence of marine plastic, with a reduction in provision predicted for all except one. This reduction in ecosystem service provision is evidenced to have implications for human health and wellbeing, linked particularly to fisheries, heritage and charismatic species, and recreation.


Assuntos
Ecossistema , Pesqueiros , Plásticos , Poluição Química da Água/economia , Conservação dos Recursos Naturais/economia , Meio Ambiente , Humanos , Poluentes Químicos da Água
9.
Nat Commun ; 10(1): 1762, 2019 04 16.
Artigo em Inglês | MEDLINE | ID: mdl-30992443

RESUMO

Following concerns over increasing global plastic pollution, interest in the production and characterization of bio-based and biodegradable alternatives is rising. In the present work, the synthesis of a series of fully bio-based alternatives based on 2,4-, 2,5-, and 2,6-pyridinedicarboxylic acid-derived polymers produced via enzymatic catalysis are reported. A similar series of aromatic-aliphatic polyesters based on diethyl-2,5-furandicarboxylate and of the petroleum-based diethyl terephthalate and diethyl isophthalate were also synthesized. Here we show that the enzymatic synthesis starting from 2,4-diethyl pyridinedicarboxylate leads to the best polymers in terms of molecular weights (Mn = 14.3 and Mw of 32.1 kDa when combined with 1,8-octanediol) when polymerized in diphenyl ether. Polymerization in solventless conditions were also successful leading to the synthesis of bio-based oligoesters that can be further functionalized. DSC analysis show a clear similarity in the thermal behavior between 2,4-diethyl pyridinedicarboxylate and diethyl isophthalate (amorphous polymers) and between 2,5-diethyl pyridinedicarboxylate and diethyl terephthalate (crystalline polymers).


Assuntos
Lignina/química , Petróleo , Plásticos/química , Poliésteres/química , Piridinas/química , Varredura Diferencial de Calorimetria , Catálise , Espectroscopia de Ressonância Magnética , Polimerização , Polímeros/química , Solventes , Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz , Espectroscopia de Infravermelho com Transformada de Fourier , Termogravimetria , Difração de Raios X
10.
Food Res Int ; 113: 288-297, 2018 11.
Artigo em Inglês | MEDLINE | ID: mdl-30195523

RESUMO

Four economically important brown algae species (Ascophyllum nodosum, Laminaria japonica, Lessonia trabeculate and Lessonia nigrecens) were investigated for phenolic compound extraction and evaluated for their antioxidant, anti-hyperglycemic, and pancreatic lipase and tyrosinase inhibition activities. Microwave assisted extraction (MAE) at 110 °C for 15 min resulted in both higher crude yield and higher total phenolic content (TPC) for all algae species compared with those obtained by conventional extraction at room temperature for 4 h, and Ascophyllum nodosum yielded the highest TPC. Antioxidant tests indicated that extracts acquired by MAE from four species all exhibited higher DPPH, ABTS free radical scavenging ability and reducing power than the conventional method. The extract of Lessonia trabeculate exhibited good α-amylase, α-glucosidase, pancreatic lipase, and tyrosinase inhibition activities, and the MAE extract showed even better α-glucosidase inhibitory activity than acarbose.


Assuntos
Fracionamento Químico/métodos , Inibidores Enzimáticos , Phaeophyceae/química , Extratos Vegetais , Alga Marinha/química , Antioxidantes/química , Antioxidantes/farmacologia , Inibidores Enzimáticos/química , Inibidores Enzimáticos/farmacologia , Inibidores de Glicosídeo Hidrolases/química , Inibidores de Glicosídeo Hidrolases/farmacologia , Lipase/antagonistas & inibidores , Micro-Ondas , Monofenol Mono-Oxigenase/antagonistas & inibidores , Extratos Vegetais/química , Extratos Vegetais/farmacologia
11.
PeerJ ; 6: e5414, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30123716

RESUMO

BACKGROUND: Autonomous sensory meridian response (ASMR) is a perceptual phenomenon in which specific audiovisual stimuli frequently elicit tingling sensations on the scalp and neck. These stimuli ("ASMR triggers") are typically social in nature (e.g., watching someone brush their hair, hearing whispering,) and often elicit a calm and positive emotional state that may last up to several minutes. ASMR experiences phenomenologically overlap with mindfulness; however, no research has directly examined how mindfulness might relate to ASMR. METHODS: In the current study, 284 individuals with ASMR completed the Toronto Mindfulness Scale (TMS), the Mindful Attention and Awareness Scale (MAAS), and a questionnaire examining ASMR experiences. Age- and sex-matched control participants were asked to view two ASMR-eliciting videos to ensure that they did not experience tingling sensations associated with ASMR; they then completed the TMS and MAAS questionnaires. RESULTS: When compared with matched controls, individuals with ASMR generated significantly higher scores on the MAAS, a global measure of mindfulness, as well as significantly higher scores on the Curiosity subscale of the TMS. CONCLUSIONS: These results suggest that the sensory-emotional experiences associated with ASMR may be partially explained by a distinct subset of characteristics associated with mindfulness.

12.
J Med Chem ; 61(3): 1130-1152, 2018 02 08.
Artigo em Inglês | MEDLINE | ID: mdl-29298069

RESUMO

Janus kinases (JAKs) are intracellular tyrosine kinases that mediate the signaling of numerous cytokines and growth factors involved in the regulation of immunity, inflammation, and hematopoiesis. As JAK1 pairs with JAK2, JAK3, and TYK2, a JAK1-selective inhibitor would be expected to inhibit many cytokines involved in inflammation and immune function while avoiding inhibition of the JAK2 homodimer regulating erythropoietin and thrombopoietin signaling. Our efforts began with tofacitinib, an oral JAK inhibitor approved for the treatment of rheumatoid arthritis. Through modification of the 3-aminopiperidine linker in tofacitinib, we discovered highly selective JAK1 inhibitors with nanomolar potency in a human whole blood assay. Improvements in JAK1 potency and selectivity were achieved via structural modifications suggested by X-ray crystallographic analysis. After demonstrating efficacy in a rat adjuvant-induced arthritis (rAIA) model, PF-04965842 (25) was nominated as a clinical candidate for the treatment of JAK1-mediated autoimmune diseases.


Assuntos
Doenças Autoimunes/tratamento farmacológico , Ciclobutanos/farmacologia , Janus Quinase 1/antagonistas & inibidores , Inibidores de Proteínas Quinases/farmacologia , Pirimidinas/farmacologia , Pirróis/farmacologia , Sulfonamidas/farmacologia , Animais , Artrite Experimental/tratamento farmacológico , Ciclobutanos/química , Ciclobutanos/farmacocinética , Ciclobutanos/uso terapêutico , Cães , Avaliação Pré-Clínica de Medicamentos , Humanos , Concentração Inibidora 50 , Janus Quinase 1/química , Janus Quinase 2/antagonistas & inibidores , Modelos Moleculares , Conformação Proteica , Inibidores de Proteínas Quinases/química , Inibidores de Proteínas Quinases/farmacocinética , Inibidores de Proteínas Quinases/uso terapêutico , Pirimidinas/química , Pirimidinas/farmacocinética , Pirimidinas/uso terapêutico , Pirróis/química , Pirróis/farmacocinética , Pirróis/uso terapêutico , Ratos , Especificidade por Substrato , Sulfonamidas/química , Sulfonamidas/farmacocinética , Sulfonamidas/uso terapêutico , Distribuição Tecidual
13.
Environ Toxicol Chem ; 33(4): 732-42, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24616123

RESUMO

Aquatic toxicity considerations are part of the net environmental benefit analysis and approval decision process on the use of dispersants in the event of an offshore oil spill. Substantial information is available on the acute toxicity of physically and chemically dispersed oil to a diverse subset of aquatic species generated under controlled laboratory conditions. However, most information has been generated following standard laboratory practices, which do not realistically represent oil spill conditions in the field. The goal of the present quantitative review is to evaluate the use of standard toxicity testing data to help inform decisions regarding dispersant use, recognizing some key issues with current practices, specifically, reporting toxicity metrics (nominal vs measured), exposure duration (standard durations vs short-term exposures), and exposure concentrations (constant vs spiked). Analytical chemistry data also were used to demonstrate the role of oil loading on acute toxicity and the influence of dispersants on chemical partitioning. The analyses presented here strongly suggest that decisions should be made, at a minimum, based on measured aqueous exposure concentrations and, ideally, using data from short-term exposure durations under spiked exposure concentrations. Available data sets are used to demonstrate how species sensitivity distribution curves can provide useful insights to the decision-making process on dispersant use. Finally, recommendations are provided, including the adoption of oil spill-appropriate toxicity testing practices.


Assuntos
Poluição por Petróleo/efeitos adversos , Petróleo/toxicidade , Poluentes Químicos da Água/toxicidade , Animais , Tomada de Decisões , Testes de Toxicidade
14.
Ecol Lett ; 17(4): 414-25, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24418348

RESUMO

The controls on the 'Redfield' N : P stoichiometry of marine phytoplankton and hence the N : P ratio of the deep ocean remain incompletely understood. Here, we use a model for phytoplankton ecophysiology and growth, based on functional traits and resource-allocation trade-offs, to show how environmental filtering, biotic interactions, and element cycling in a global ecosystem model determine phytoplankton biogeography, growth strategies and macromolecular composition. Emergent growth strategies capture major observed patterns in marine biomes. Using a new synthesis of experimental RNA and protein measurements to constrain per-ribosome translation rates, we determine a spatially variable lower limit on adaptive rRNA:protein allocation and hence on the relationship between the largest cellular P and N pools. Comparison with the lowest observed phytoplankton N : P ratios and N : P export fluxes in the Southern Ocean suggests that additional contributions from phospholipid and phosphorus storage compounds play a fundamental role in determining the marine biogeochemical cycling of these elements.


Assuntos
Meio Ambiente , Modelos Biológicos , Nitrogênio/química , Fósforo/química , Fitoplâncton/fisiologia , Água do Mar/química , Adaptação Fisiológica , Nitrogênio/metabolismo , Fósforo/metabolismo , Fitoplâncton/crescimento & desenvolvimento , RNA Ribossômico/metabolismo
15.
Surg Endosc ; 28(6): 1788-93, 2014 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-24414457

RESUMO

BACKGROUND: Although virtual reality (VR) simulators serve an important role in the training and assessment of surgeons, they need to be evaluated for evidence of validity. Eye-tracking technology and measures of visual control have been used as an adjunct to the performance parameters produced by VR simulators to help in objectively establishing the construct validity (experts vs. novices) of VR simulators. However, determining the extent to which VR simulators represent the real procedure and environment (content validity) has largely been a subjective process undertaken by experienced surgeons. This study aimed to examine the content validity of a VR transurethral resection of the prostate (TURP) simulator by comparing visual control metrics taken during simulated and real TURP procedures. METHODS: Eye-tracking data were collected from seven surgeons performing 14 simulated TURP operations and three surgeons performing 15 real TURP operations on live patients. The data were analyzed offline, and visual control metrics (number and duration of fixations, percentage of time the surgeons fixated on the screen) were calculated. RESULTS: The surgeons displayed more fixations of a shorter duration and spent less time fixating on the video monitor during the real TURP than during the simulated TURP. This could have been due to (1) the increased complexity of the operating room (OR) environment (2) the decreased quality of the image of the urethra and associated anatomy (compared with the VR simulator), or (3) the impairment of visual attentional control due to the increased levels of stress likely experienced in the OR. CONCLUSIONS: The findings suggest that the complexity of the environment surrounding VR simulators needs to be considered in the design of effective simulated training curricula. The study also provides support for the use of eye-tracking technology to assess the content validity of simulation and to examine psychomotor processes during live operations.


Assuntos
Simulação por Computador/normas , Instrução por Computador/normas , Movimentos Oculares , Desempenho Psicomotor , Procedimentos Cirúrgicos Urológicos/educação , Procedimentos Cirúrgicos Urológicos/métodos , Interface Usuário-Computador , Adulto , Atenção , Competência Clínica , Currículo , Apresentação de Dados/normas , Fixação Ocular , Humanos , Masculino , Ressecção Transuretral da Próstata/educação , Ressecção Transuretral da Próstata/métodos , Procedimentos Cirúrgicos Urológicos/instrumentação
16.
Environ Pollut ; 177: 185-8, 2013 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23497795

RESUMO

Recently, several researchers have attempted to address Deepwater Horizon incident environmental fate and effects issues using laboratory testing and extrapolation procedures that are not fully reliable measures for environmental assessments. The 2013 Rico-Martínez et al. publication utilized laboratory testing approaches that severely limit our ability to reliably extrapolate such results to meaningful real-world assessments. The authors did not adopt key methodological elements of oil and dispersed oil toxicity standards. Further, they drew real-world conclusions from static exposure tests without reporting actual exposure concentrations. Without this information, it is not possible to compare their results to other research or real spill events that measured and reported exposure concentrations. The 1990s' Chemical Response to Oil Spills: Ecological Effects Research Forum program was established to standardize and conduct exposure characterization in oil and dispersed oil aquatic toxicity testing (Aurand and Coelho, 2005). This commentary raises awareness regarding the necessity of standardized test protocols.


Assuntos
Lipídeos/toxicidade , Petróleo/toxicidade , Tensoativos/toxicidade , Poluentes Químicos da Água/toxicidade , Animais
17.
Subst Use Misuse ; 47(13-14): 1523-6, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-23186459

RESUMO

Failure and defeat create despair, but can also create new ways to imagine our therapeutic work with people. This essay explores one approach to understanding this idea.


Assuntos
Relações Profissional-Paciente , Falha de Tratamento , Humanos
18.
PLoS One ; 7(5): e36492, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22563504

RESUMO

BACKGROUND: Nut-bearing trees, including oaks (Quercus spp.), are considered to be highly dispersal limited, leading to concerns about their ability to colonize new sites or migrate in response to climate change. However, estimating seed dispersal is challenging in species that are secondarily dispersed by animals, and differences in disperser abundance or behavior could lead to large spatio-temporal variation in dispersal ability. Parentage and dispersal analyses combining genetic and ecological data provide accurate estimates of current dispersal, while spatial genetic structure (SGS) can shed light on past patterns of dispersal and establishment. METHODOLOGY AND PRINCIPAL FINDINGS: In this study, we estimate seed and pollen dispersal and parentage for two mixed-species red oak populations using a hierarchical bayesian approach. We compare these results to those of a genetic ML parentage model. We also test whether observed patterns of SGS in three size cohorts are consistent with known site history and current dispersal patterns. We find that, while pollen dispersal is extensive at both sites, the scale of seed dispersal differs substantially. Parentage results differ between models due to additional data included in bayesian model and differing genotyping error assumptions, but both indicate between-site dispersal differences. Patterns of SGS in large adults, small adults, and seedlings are consistent with known site history (farmed vs. selectively harvested), and with long-term differences in seed dispersal. This difference is consistent with predator/disperser satiation due to higher acorn production at the low-dispersal site. While this site-to-site variation results in substantial differences in asymptotic spread rates, dispersal for both sites is substantially lower than required to track latitudinal temperature shifts. CONCLUSIONS: Animal-dispersed trees can exhibit considerable spatial variation in seed dispersal, although patterns may be surprisingly constant over time. However, even under favorable conditions, migration in heavy-seeded species is likely to lag contemporary climate change.


Assuntos
Fluxo Gênico/genética , Variação Genética , Modelos Genéticos , Quercus/genética , Algoritmos , Animais , Teorema de Bayes , Mudança Climática , Simulação por Computador , Ecossistema , Genética Populacional , Genótipo , Repetições de Microssatélites , North Carolina , Pólen/genética , Pólen/fisiologia , Dinâmica Populacional , Quercus/classificação , Quercus/fisiologia , Dispersão de Sementes/genética , Dispersão de Sementes/fisiologia , Sementes/genética , Sementes/fisiologia , Especificidade da Espécie
19.
Undersea Hyperb Med ; 38(3): 159-65, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21721349

RESUMO

UNLABELLED: Complications after radical head and neck cancer surgery in irradiated patients are frequent and life-threatening. Hemorrhage, salivary fistulas, wound infections that expose the carotid sheath, among others, make these patients difficult management challenges in the ICU. We studied the effects of Nd:YAG laser surgery plus hyperbaric oxygen (HBO2) therapy on radical head and neck resections and complex reconstruction as a means of reducing postoperative morbidity and mortality. METHODS: 43 head and neck cancer patients were reviewed. Eight (STD) had standard surgery; 35 (YAG:HBO2) had Nd:YAG laser and postoperative HBO2. RESULTS: Age, staging, primary tumor site, sex, reconstruction procedure and transfusion did not differ between STD and YAG/HBO2. All STD and Nd:YAG/HBO2 patients were irradiated, median dosages 5,000 centi-Gray (cGy) and 7,000 cGy, respectively (p = 0.073). Median blood loss was 1,000 ml STD and 700 ml YAG/HBO2 (p = 0.046). There were no postoperative deaths. Major surgical site complications developed in 63% of the STD and 17% of the YAG/HBO2 patients (p = 0.017). All STD and 62% of YAG/HBO2 cancers recurred within 28 months of surgery (p = 0.152). Within the STD and YAG/HBO2 groups, 100% and 77% of deaths, respectively, were due to cancer. CONCLUSIONS: Combined Nd:YAG laser surgery and HBO2 reduces morbidity in radical head and neck cancer surgery. Recurrent disease and poor cancer survival remain common in this high-risk population.


Assuntos
Neoplasias de Cabeça e Pescoço/cirurgia , Oxigenoterapia Hiperbárica , Lasers de Estado Sólido/uso terapêutico , Complicações Pós-Operatórias/terapia , Adulto , Terapia Combinada/métodos , Feminino , Neoplasias de Cabeça e Pescoço/mortalidade , Neoplasias de Cabeça e Pescoço/radioterapia , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos
20.
Mol Ecol ; 20(6): 1248-62, 2011 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-21332584

RESUMO

The scale of seed and pollen movement in plants has a critical influence on population dynamics and interspecific interactions, as well as on their capacity to respond to environmental change through migration or local adaptation. However, dispersal can be challenging to quantify. Here, we present a Bayesian model that integrates genetic and ecological data to simultaneously estimate effective seed and pollen dispersal parameters and the parentage of sampled seedlings. This model is the first developed for monoecious plants that accounts for genotyping error and treats dispersal from within and beyond a plot in a fully consistent manner. The flexible Bayesian framework allows the incorporation of a variety of ecological variables, including individual variation in seed production, as well as multiple sources of uncertainty. We illustrate the method using data from a mixed population of red oak (Quercus rubra, Q. velutina, Q. falcata) in the NC piedmont. For simulated test data sets, the model successfully recovered the simulated dispersal parameters and pedigrees. Pollen dispersal in the example population was extensive, with an average father-mother distance of 178 m. Estimated seed dispersal distances at the piedmont site were substantially longer than previous estimates based on seed-trap data (average 128 m vs. 9.3 m), suggesting that, under some circumstances, oaks may be less dispersal-limited than is commonly thought, with a greater potential for range shifts in response to climate change.


Assuntos
Teorema de Bayes , Ecologia/métodos , Pólen/fisiologia , Sementes/fisiologia , Genótipo , Repetições de Microssatélites/genética , Pólen/genética , Quercus/genética , Quercus/fisiologia , Sementes/genética
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