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1.
Animal ; 16(12): 100635, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36459859

RESUMO

This study examines the effects of diets supplemented with various lipids selected to induce divergent milk fat content responses (including a milk fat depression) between dairy cows and goats on plasma lipid composition. The objective was to better understand the mechanisms behind the regulation of milk fat secretion in these two ruminant species. Twelve Holstein cows and 12 Alpine goats were fed a basal diet not supplemented (CTL) or supplemented with corn oil plus wheat starch (COS, 5% DM intake (DMI)), marine algae powder of Schizochytrium sp. (MAP, 1.5% DMI), or hydrogenated palm oil (HPO, 3% DMI), in a replicated 4 × 4 Latin square design, during 28 days. On day 27, blood samples were collected for lipid analysis. Plasma lipid classes were quantified by high-performance thin-layer chromatography, with triacylglycerol (TAG) and free fatty acid (FFA) fractions analysed for FA composition by GLC. Plasma molecular species of TAG and ceramides were determined by HPLC-high-resolution MS and by liquid chromatography-triple quadrupole, respectively. Irrespective of diet, plasma total lipid content was higher in cows than goats (+61%), and TAG concentration was higher in goats than cows (+157%). In cows, conversely to goats, COS increased the trans-10 C18:1 proportion in the free FA (+248%) and the TAG (+195%) fractions. In cows and goats, MAP induced increases in cholesterol esters, cholesterol and phospholipids compared to CTL and changes in the plasma free FA and FA of TAG profiles. In both ruminant species, the concentrations of the lipid fractions were unchanged by HPO compared to CTL. Our results point to species specificities and different diet effects in plasma concentrations and compositions of lipid fractions in cows and goats. These new data highlight how diets, that induce large variations in milk fat secretions, affect the plasma lipid classes available for milk fat synthesis.


Assuntos
Ácidos Graxos , Leite , Feminino , Bovinos , Animais , Leite/química , Ácidos Graxos/análise , Cabras/fisiologia , Depressão , Suplementos Nutricionais/análise , Dieta/veterinária , Lactação/fisiologia , Ração Animal/análise
2.
Trials ; 23(1): 324, 2022 Apr 18.
Artigo em Inglês | MEDLINE | ID: mdl-35436940

RESUMO

BACKGROUND: Postictal phenomena as delirium, headache, nausea, myalgia, and anterograde and retrograde amnesia are common manifestations after seizures induced by electroconvulsive therapy (ECT). Comparable postictal phenomena also contribute to the burden of patients with epilepsy. The pathophysiology of postictal phenomena is poorly understood and effective treatments are not available. Recently, seizure-induced cyclooxygenase (COX)-mediated postictal vasoconstriction, accompanied by cerebral hypoperfusion and hypoxia, has been identified as a candidate mechanism in experimentally induced seizures in rats. Vasodilatory treatment with acetaminophen or calcium antagonists reduced postictal hypoxia and postictal symptoms. The aim of this clinical trial is to study the effects of acetaminophen and nimodipine on postictal phenomena after ECT-induced seizures in patients suffering major depressive disorder. We hypothesize that (1) acetaminophen and nimodipine will reduce postictal electroencephalographic (EEG) phenomena, (2) acetaminophen and nimodipine will reduce magnetic resonance imaging (MRI) measures of postictal cerebral hypoperfusion, (3) acetaminophen and nimodipine will reduce clinical postictal phenomena, and (4) postictal phenomena will correlate with measures of postictal hypoperfusion. METHODS: We propose a prospective, three-condition cross-over design trial with randomized condition allocation, open-label treatment, and blinded end-point evaluation (PROBE design). Thirty-three patients (age > 17 years) suffering from a depressive episode treated with ECT will be included. Randomly and alternately, single doses of nimodipine (60 mg), acetaminophen (1000 mg), or water will be given two hours prior to each ECT session with a maximum of twelve sessions per patient. The primary outcome measure is 'postictal EEG recovery time', expressed and quantified as an adapted version of the temporal brain symmetry index, yielding a time constant for the duration of the postictal state on EEG. Secondary outcome measures include postictal cerebral perfusion, measured by arterial spin labelling MRI, and the postictal clinical 'time to orientation'. DISCUSSION: With this clinical trial, we will systematically study postictal EEG, MRI and clinical phenomena after ECT-induced seizures and will test the effects of vasodilatory treatment intending to reduce postictal symptoms. If an effect is established, this will provide a novel treatment of postictal symptoms in ECT patients. Ultimately, these findings may be generalized to patients with epilepsy. TRIAL REGISTRATION: Inclusion in SYNAPSE started in December 2019. Prospective trial registration number is NCT04028596 on the international clinical trial register on July 22, 2019.


Assuntos
Transtorno Depressivo Maior , Eletroconvulsoterapia , Epilepsia , Acetaminofen , Animais , Transtorno Depressivo Maior/terapia , Eletroconvulsoterapia/efeitos adversos , Eletroencefalografia , Humanos , Hipóxia , Nimodipina , Estudos Prospectivos , Ratos , Convulsões , Sinapses
3.
Environ Pollut ; 294: 118627, 2022 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-34871647

RESUMO

Copper (Cu), as an essential element, is added to animal feed to stimulate growth and prevent disease. The forage crop alfalfa (Medicago sativa L.) produced during Cu phytoextraction may be considered a biofortified crop to substitute the Cu feed additives for livestock production, beneficially alleviating Cu contamination in soils and reducing its input into agriculture systems. To assess this, alfalfa was grown in three similar soils with different Cu levels, i.e., 11, 439 and 779 mg kg-1 for uncontaminated soil (A), moderately Cu-contaminated soil (B) and highly Cu-contaminated soil (C), respectively. EDDS (Ethylenediamine-N,N'-disuccinic acid) was applied to the soils seven days before the first cutting at four rates (0, 0.5, 2 and 5 mmol kg-1) to enhance bioavailable Cu uptake. Alfalfa grew well in soils A and B but not in the highly Cu-contaminated soil. After applying EDDS, a significant biomass reduction of the first cutting shoot was only observed with 5 mmol kg-1 EDDS in the highly Cu-contaminated soil, with a 45% (P < 0.05) decrease when compared to the control. Alfalfa grown in the three soils gradually wilted after the first cutting with 5 mmol kg-1 EDDS, and Cu concentrations in the first cutting shoot were augmented strongly, by 250% (P < 0.05), 3500% (P < 0.05) and 6700% (P < 0.05) compared to the controls, respectively. Cu concentrations in alfalfa shoots were found to be higher in this study than in some fodder plants and further augmented in soils with higher Cu levels and with EDDS application. These findings suggest that alfalfa grown on clean soils or soils with up to 450 mg Cu kg-1 (with appropriate EDDS dosages) has the potential to be considered as a partial Cu supplementation for livestock. This research laid the foundation for the integration between Cu-phytoextraction and Cu-biofortification for livestock.


Assuntos
Poluentes do Solo , Oligoelementos , Animais , Biodegradação Ambiental , Biomassa , Etilenodiaminas , Gado , Raízes de Plantas/química , Solo , Poluentes do Solo/análise , Succinatos
4.
Sci Rep ; 11(1): 16080, 2021 08 09.
Artigo em Inglês | MEDLINE | ID: mdl-34373525

RESUMO

We assessed the structure-function relationship of the human cholinergic system and hypothesized that structural measures are associated with short-latency sensory afferent inhibition (SAI), an electrophysiological measure of central cholinergic signal transmission. Healthy volunteers (n = 36) and patients with mild cognitive impairment (MCI, n = 20) underwent median nerve SAI and 3T structural MRI to determine the volume of the basal forebrain and the thalamus. Patients with MCI had smaller basal forebrain (p < 0.001) or thalamus volumes (p < 0.001) than healthy volunteers. Healthy SAI responders (> 10% SAI) had more basal forebrain volume than non-responders (p = 0.004) or patients with MCI (p < 0.001). More basal forebrain volume was associated with stronger SAI in healthy volunteers (r = 0.33, p < 0.05) but not patients with MCI. There was no significant relationship between thalamus volumes and SAI. Basal forebrain volume is associated with cholinergic function (SAI) in healthy volunteers but not in MCI patients. The in-vivo investigation of the structure-function relationship could further our understanding of the human cholinergic system in patients with suspected or known cholinergic system degeneration.


Assuntos
Prosencéfalo Basal/metabolismo , Prosencéfalo Basal/fisiopatologia , Colinérgicos/metabolismo , Disfunção Cognitiva/metabolismo , Disfunção Cognitiva/fisiopatologia , Tálamo/metabolismo , Tálamo/fisiopatologia , Adulto , Idoso , Estudos de Casos e Controles , Feminino , Humanos , Imageamento por Ressonância Magnética/métodos , Masculino , Pessoa de Meia-Idade , Inibição Neural/fisiologia , Testes Neuropsicológicos
5.
Epilepsy Behav ; 116: 107741, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-33493803

RESUMO

The objective of this analysis was to determine possible interactions between lamotrigine (LTG) and coffee or cigarette use. As part of the statistical analysis of factors influencing LTG pharmacokinetics (PK) in the Equigen chronic dose study, we collected prospective data from enrolled patients on their use of coffee and cigarettes. Subjects were part of a crossover replication study of generic LTG products with rigorous blood sampling and were instructed to not change their typical consumption of these products for the duration of the study. A total of 35 subjects were enrolled, with 33 subjects having sufficient data for analysis. Higher consumption of coffee was associated with a significantly lower area under the curve (AUC) and maximum concentration (Cmax) of lamotrigine (LTG). Higher cigarette use did not result in a significant change in AUC or Cmax. Coffee, but not cigarette use, either induces LTG metabolism or inhibits LTG absorption.


Assuntos
Fumar Cigarros , Epilepsia , Anticonvulsivantes/uso terapêutico , Café , Interações Medicamentosas , Epilepsia/tratamento farmacológico , Humanos , Lamotrigina/uso terapêutico , Estudos Prospectivos , Triazinas/uso terapêutico
6.
Neurology ; 95(9): e1244-e1256, 2020 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-32690786

RESUMO

OBJECTIVE: To prospectively evaluate safety and efficacy of brain-responsive neurostimulation in adults with medically intractable focal onset seizures (FOS) over 9 years. METHODS: Adults treated with brain-responsive neurostimulation in 2-year feasibility or randomized controlled trials were enrolled in a long-term prospective open label trial (LTT) to assess safety, efficacy, and quality of life (QOL) over an additional 7 years. Safety was assessed as adverse events (AEs), efficacy as median percent change in seizure frequency and responder rate, and QOL with the Quality of Life in Epilepsy (QOLIE-89) inventory. RESULTS: Of 256 patients treated in the initial trials, 230 participated in the LTT. At 9 years, the median percent reduction in seizure frequency was 75% (p < 0.0001, Wilcoxon signed rank), responder rate was 73%, and 35% had a ≥90% reduction in seizure frequency. We found that 18.4% (47 of 256) experienced ≥1 year of seizure freedom, with 62% (29 of 47) seizure-free at the last follow-up and an average seizure-free period of 3.2 years (range 1.04-9.6 years). Overall QOL and epilepsy-targeted and cognitive domains of QOLIE-89 remained significantly improved (p < 0.05). There were no serious AEs related to stimulation, and the sudden unexplained death in epilepsy (SUDEP) rate was significantly lower than predefined comparators (p < 0.05, 1-tailed χ2). CONCLUSIONS: Adjunctive brain-responsive neurostimulation provides significant and sustained reductions in the frequency of FOS with improved QOL. Stimulation was well tolerated; implantation-related AEs were typical of other neurostimulation devices; and SUDEP rates were low. CLINICALTRIALSGOV IDENTIFIER: NCT00572195. CLASSIFICATION OF EVIDENCE: This study provides Class IV evidence that brain-responsive neurostimulation significantly reduces focal seizures with acceptable safety over 9 years.


Assuntos
Epilepsia Resistente a Medicamentos/terapia , Terapia por Estimulação Elétrica/métodos , Epilepsias Parciais/terapia , Neuroestimuladores Implantáveis , Qualidade de Vida , Adolescente , Adulto , Idoso , Transtorno Depressivo/epidemiologia , Epilepsia Resistente a Medicamentos/fisiopatologia , Epilepsia Resistente a Medicamentos/psicologia , Epilepsias Parciais/fisiopatologia , Epilepsias Parciais/psicologia , Feminino , Seguimentos , Humanos , Hemorragias Intracranianas/epidemiologia , Masculino , Transtornos da Memória/epidemiologia , Pessoa de Meia-Idade , Estudos Prospectivos , Infecções Relacionadas à Prótese/epidemiologia , Ensaios Clínicos Controlados Aleatórios como Assunto , Estado Epiléptico/epidemiologia , Morte Súbita Inesperada na Epilepsia/epidemiologia , Suicídio/estatística & dados numéricos , Resultado do Tratamento , Adulto Jovem
7.
Nutrients ; 12(2)2020 Feb 23.
Artigo em Inglês | MEDLINE | ID: mdl-32102191

RESUMO

Whether the affinity of serum vitamin E with total lipids hampers the appropriate assessment of its association with age-related risk factors has not been investigated in epidemiological studies. We aimed to compare linear regression-derived coefficients of the association of non-indexed and total lipids-indexed vitamin E isoforms with clinical and laboratory characteristics pertaining to the lipid, metabolic syndrome, and one-carbon metabolism biological domains. We studied 1429 elderly subjects (non-vitamin supplement users, 60-75 years old, with low and high socioeconomic status) from the population-based LifeLines Cohort and Biobank Study. We found that the associations of tocopherol isoforms with lipids were inverted in total lipids-indexed analyses, which may be indicative of overcorrection. Irrespective of the methods of standardization, we consistently found positive associations of α-tocopherol with vitamins of the one-carbon metabolism pathway and inverse associations with characteristics related to glucose metabolism. The associations of γ-tocopherol were often opposite to those of α-tocopherol. These data suggest that tocopherol isoforms and one-carbon metabolism are related, with beneficial and adverse associations for α-tocopherol and γ-tocopherol, respectively. Whether tocopherol isoforms, or their interplay, truly affect the one-carbon metabolism pathway remains to be further studied.


Assuntos
Carbono/metabolismo , Tocoferóis/sangue , Idoso , Estudos de Coortes , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Isoformas de Proteínas/sangue
8.
Behav Res Ther ; 127: 103571, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-32087392

RESUMO

Mental imagery plays a prominent role across psychopathology. However, its quality and role in generalized anxiety disorder (GAD) have not been examined as extensively as in other disorders. The goal of the present study was to obtain a better understanding of general imagery processes and individual differences in people with GAD. Adults with GAD (N = 31) were compared to a Healthy Control (HC) group (N = 32) across mental imagery domains as per Pearson, Deeprose, Wallace-Hadrill, Heyes, and Holmes (2013)'s framework: cognitive, general use/experience, and clinical. No differences were found between the GAD and HC groups on cognitive aspects of imagery. Both groups were also similar in their ability to imagine experiences across sensory modalities. No differences were found between groups in their spontaneous use of imagery in everyday situations, or in vividness of sensory-perceptual imagery. For clinical aspects of imagery, between-group differences emerged in the experience of prospective imagery; those with GAD reported greater "pre-experiencing" ("intrusive, prospective, personally-relevant imagery"; Deeprose & Holmes, 2010), rated imagined future negative scenarios as more vivid, more likely, and more personally relevant, and evaluated the experience of these images as more intense than did HCs. Taken together, findings suggest that the presence of intrusive mental imagery distinguishes individuals with GAD from those without psychopathology. Findings could help improve interventions utilizing imagery techniques.


Assuntos
Transtornos de Ansiedade/terapia , Ansiedade/terapia , Imagens, Psicoterapia , Adolescente , Adulto , Ansiedade/psicologia , Transtornos de Ansiedade/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Resultado do Tratamento , Adulto Jovem
9.
Eur Urol Oncol ; 2(1): 39-46, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30929845

RESUMO

BACKGROUND: For most elderly patients with muscle-invasive bladder cancer (MIBC), surgery is not an option because of patient frailty. Conventional radiotherapy, with its high-dose irradiation of surrounding healthy tissues, remains the only curative treatment for this patient population. OBJECTIVE: To determine whether targeted radiotherapy with Lipiodol demarcation and plan-of-the-day integrated boost technique (LPOD) is a viable curative treatment for elderly patients with MIBC. DESIGN, SETTING, AND PARTICIPANTS: Between September 2008 and September 2016 all MIBC patients in our hospital were screened for eligibility. We included patients with localised, unifocal T2-T4N0M0 grade 2-3 MIBC. Patients with a tumour volume >50% of the bladder wall surface, previous pelvic radiotherapy, and unilateral or bilateral hip prostheses were excluded. INTERVENTION: Targeted radiotherapy using LPOD. OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS: Overall survival, urothelial cell cancer-specific survival (UCCSS), disease recurrence, and Radiation Therapy Oncology Group (RTOG) toxicity were measured. Statistical analyses included independent-sample t tests, χ2 tests, and Mann-Whitney U tests. RESULTS AND LIMITATIONS: A total of 44 patients (median age 80 yr) were included. Over median follow-up of 38 mo, one patient ceased treatment and 23 patients died. LPOD resulted in a 11.4% chance of local recurrence, high 3-yr UCCSS of 77%, RTOG grade >3 toxicity of 2.3-12.9%, and 3-yr overall survival of 49%. CONCLUSIONS: LPOD is a feasible first-line treatment option for older patients with limited-volume T2-T4N0M0 grade 2-3 MIBC. PATIENT SUMMARY: We looked at outcomes after targeted radiotherapy in elderly patients with muscle-invasive bladder cancer. We found that this treatment results in a low chance of disease recurrence with few toxicity complaints. We conclude that this treatment is a viable first-line treatment option for elderly patients.


Assuntos
Antineoplásicos/uso terapêutico , Óleo Etiodado/uso terapêutico , Radioterapia Guiada por Imagem/métodos , Neoplasias da Bexiga Urinária/radioterapia , Idoso , Idoso de 80 Anos ou mais , Antineoplásicos/farmacologia , Óleo Etiodado/farmacologia , Feminino , Humanos , Masculino , Resultado do Tratamento , Neoplasias da Bexiga Urinária/patologia
10.
J Clin Neurophysiol ; 34(5): 413-420, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28520632

RESUMO

PURPOSE: To investigate heart rate and EEG variability and their coupling in patients with sepsis and determine their relationship to sepsis severity and severity of sepsis-associated brain dysfunction. METHODS: Fifty-two patients with sepsis were prospectively identified, categorized as comatose (N = 30) and noncomatose (N = 22), and compared with 11 control subjects. In a 30-minute EEG and electrocardiogram recording, heart rate variability and EEG variability (measured by the variability of relative power in a modified alpha band = RAP) and their coupled oscillations were quantified using linear (least-square periodogram and magnitude square coherence) and nonlinear (Shannon entropy and mutual information) measures. These measures were compared between the three groups and correlated with outcome, adjusting for severity of sepsis. RESULTS: Several measures of heart rate variability and EEG variability and of their coupled oscillations were significantly lower in patients with sepsis compared with controls and correlated with outcome. This correlation was not independent when adjusting for severity of sepsis. CONCLUSIONS: Sepsis is associated with lower variability of both heart rate and RAP on EEG and reduction of their coupled oscillations. This uncoupling is associated with the severity of encephalopathy. Combined EEG and electrocardiogram monitoring may be used to gain insight in underlying mechanisms of sepsis and quantify brainstem or thalamic dysfunction.


Assuntos
Ritmo alfa/fisiologia , Encefalopatias/fisiopatologia , Tronco Encefálico/fisiopatologia , Coma/fisiopatologia , Frequência Cardíaca/fisiologia , Acoplamento Neurovascular/fisiologia , Sepse/fisiopatologia , Tálamo/fisiopatologia , Adulto , Encefalopatias/etiologia , Coma/etiologia , Eletrocardiografia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Sepse/complicações , Índice de Gravidade de Doença
11.
Epilepsia ; 58(6): 1005-1014, 2017 06.
Artigo em Inglês | MEDLINE | ID: mdl-28387951

RESUMO

OBJECTIVE: Evaluate the seizure-reduction response and safety of brain-responsive stimulation in adults with medically intractable partial-onset seizures of neocortical origin. METHODS: Patients with partial seizures of neocortical origin were identified from prospective clinical trials of a brain-responsive neurostimulator (RNS System, NeuroPace). The seizure reduction over years 2-6 postimplantation was calculated by assessing the seizure frequency compared to a preimplantation baseline. Safety was assessed based on reported adverse events. Additional analyses considered safety and seizure reduction according to lobe and functional area (e.g., eloquent cortex) of seizure onset. RESULTS: There were 126 patients with seizures of neocortical onset. The average follow-up was 6.1 implant years. The median percent seizure reduction was 70% in patients with frontal and parietal seizure onsets, 58% in those with temporal neocortical onsets, and 51% in those with multilobar onsets (last observation carried forward [LOCF] analysis). Twenty-six percent of patients experienced at least one seizure-free period of 6 months or longer and 14% experienced at least one seizure-free period of 1 year or longer. Patients with lesions on magnetic resonance imaging (MRI; 77% reduction, LOCF) and those with normal MRI findings (45% reduction, LOCF) benefitted, although the treatment response was more robust in patients with an MRI lesion (p = 0.02, generalized estimating equation [GEE]). There were no differences in the seizure reduction in patients with and without prior epilepsy surgery or vagus nerve stimulation. Stimulation parameters used for treatment did not cause acute or chronic neurologic deficits, even in eloquent cortical areas. The rates of infection (0.017 per patient implant year) and perioperative hemorrhage (0.8%) were not greater than with other neurostimulation devices. SIGNIFICANCE: Brain-responsive stimulation represents a safe and effective treatment option for patients with medically intractable epilepsy, including adults with seizures of neocortical onset, and those with onsets from eloquent cortex.


Assuntos
Córtex Cerebral/fisiopatologia , Estimulação Encefálica Profunda/métodos , Epilepsia Resistente a Medicamentos/fisiopatologia , Epilepsia Resistente a Medicamentos/terapia , Terapia por Estimulação Elétrica/métodos , Eletroencefalografia , Neocórtex/fisiopatologia , Adolescente , Adulto , Mapeamento Encefálico , Estimulação Encefálica Profunda/instrumentação , Terapia por Estimulação Elétrica/instrumentação , Eletrodos Implantados , Epilepsias Parciais/fisiopatologia , Epilepsias Parciais/terapia , Epilepsia Parcial Complexa/fisiopatologia , Epilepsia Parcial Complexa/terapia , Epilepsia Motora Parcial/fisiopatologia , Epilepsia Motora Parcial/terapia , Epilepsia Tônico-Clônica/fisiopatologia , Epilepsia Tônico-Clônica/terapia , Estudos de Viabilidade , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
12.
Clin Neurophysiol ; 127(11): 3492-3497, 2016 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-27651213

RESUMO

OBJECTIVE: To report on a distinct effect of auditory and sensory stimuli on the EEG in comatose patients with severe postanoxic encephalopathy. METHODS: In two comatose patients admitted to the Intensive Care Unit (ICU) with severe postanoxic encephalopathy and burst-suppression EEG, we studied the effect of external stimuli (sound and touch) on the occurrence of bursts. RESULTS: In patient A bursts could be induced by either auditory or sensory stimuli. In patient B bursts could only be induced by touching different facial regions (forehead, nose and chin). When stimuli were presented with relatively long intervals, bursts persistently followed the stimuli, while stimuli with short intervals (<1s) did not induce bursts. In both patients bursts were not accompanied by myoclonia. Both patients deceased. CONCLUSIONS: Bursts in patients with a severe postanoxic encephalopathy can be induced by external stimuli, resulting in stimulus-dependent burst-suppression. SIGNIFICANCE: Stimulus induced bursts should not be interpreted as prognostic favourable EEG reactivity.


Assuntos
Encefalopatias/fisiopatologia , Coma/fisiopatologia , Hipóxia Encefálica/fisiopatologia , Índice de Gravidade de Doença , Estimulação Acústica/métodos , Idoso , Encefalopatias/diagnóstico , Encefalopatias/etiologia , Coma/diagnóstico , Coma/etiologia , Humanos , Hipóxia Encefálica/complicações , Hipóxia Encefálica/diagnóstico , Masculino
13.
Poult Sci ; 95(12): 2849-2860, 2016 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-27194731

RESUMO

The aim of this study was to evaluate the capacity of chickens to adapt to and compensate for early dietary restriction of non-phytate P ( NPP: ) and/or Ca (10 to 21 d) in a later phase (22 to 35 d), and to determine whether compensatory processes depend on the P and Ca concentrations in the finisher diet. Four diets were formulated and fed to broilers from 10 to 21 d in order to generate birds with different mineral status: L1 (0.6% Ca, 0.30% NPP), L2 (0.6% Ca, 0.45% NPP), H1 (1.0% Ca, 0.30% NPP), and H2 (1.0% Ca, 0.45% NPP). On d 22, each group was divided into three groups which received a low (L, 0.48% Ca, 0.24% NPP), moderate (M, 0.70% Ca, 0.35% NPP), or high (H, 0.90% Ca, 0.35% NPP) finisher diet until 35 d, resulting in a total of 12 treatments. Lowering the Ca level enhanced apparent ileal digestibility of P (P AID) at 21 d especially with the high NPP level (Ca × NPP, P < 0.01). The lower bone mineralization observed at 21 d in broilers fed the L1 diet compared to those fed the H2 diet had disappeared by 35 d with long-term stimulation of the P AID with the low NPP level (P < 0.001). Although P AID and growth performance were improved in birds fed the L1L compared to the L1H and H2H treatments, tibia characteristics tended to be lower in birds fed the L1L compared to those fed the L1H treatment. Birds fed the H1M treatment had higher P AID, growth performance and tibia ash content than those fed the H1H treatment. A significant increase in the mRNA levels of several genes encoding Ca and P transporters was observed at 35 d in birds fed the L1 followed by the L diet compared to birds fed the L1 followed by the M diet. In conclusion, chickens are able to adapt to early dietary changes in P and Ca through improvement of digestive efficiency in a later phase, and the extent of the compensation in terms of growth performance and bone mineralization depends on the P and Ca levels in the subsequent diet.


Assuntos
Adaptação Fisiológica/fisiologia , Cálcio/deficiência , Galinhas/fisiologia , Dieta/veterinária , Fósforo/deficiência , Animais , Galinhas/metabolismo , Masculino , Reação em Cadeia da Polimerase em Tempo Real
15.
Hip Int ; 25(2): 146-51, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25655736

RESUMO

BACKGROUND: Metal-on-metal hip resurfacing (MOMHR) is an alternative to total hip replacement in young and active patients but little is known about the evolution of clinical outcome scores of hip resurfacing over time.The purpose of this study was 1) to assess the long-term evolution of UCLA hip scores and SF-12 Quality of life evaluations in a group of patients treated with hip resurfacing arthroplasty, 2) to determine whether the age of the patient at surgery influenced these outcome measurements, and 3) whether the changes in SF-12 scores are comparable with those of the general US population. PATIENT AND METHODS: A total of 100 patients with unilateral, unrevised, Charnley class A MOMHR were retrospectively selected for the study. UCLA and SF-12 scores were calculated preoperatively, short-term postoperatively, and beyond 10 years. RESULTS: There was a decrease in the UCLA function and activity scores, and in the SF-12 physical scores between the short-term and the last follow-up at a minimum of 10 years. However, pain, walking, and SF-12 mental scores were maintained through the last follow-up. Furthermore, the SF-12 physical scores at last follow-up were comparable with those of the general US population while the mental scores were greater. There were no significant differences between the two age groups at any of the follow-up intervals for any outcome measurement. CONCLUSIONS: While there is a slight decline in physical function following hip resurfacing over time, pain relief, walking ability, and quality of life are maintained.


Assuntos
Artroplastia de Quadril/métodos , Articulação do Quadril/cirurgia , Prótese de Quadril , Qualidade de Vida , Amplitude de Movimento Articular/fisiologia , Adolescente , Adulto , Fatores Etários , Idoso , Estudos de Coortes , Feminino , Seguimentos , Articulação do Quadril/diagnóstico por imagem , Articulação do Quadril/fisiopatologia , Humanos , Masculino , Pessoa de Meia-Idade , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Medição da Dor , Radiografia , Recuperação de Função Fisiológica , Estudos Retrospectivos , Medição de Risco , Fatores Sexuais , Estatísticas não Paramétricas , Fatores de Tempo , Resultado do Tratamento , Adulto Jovem
16.
Eur J Pediatr ; 173(12): 1711-4, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25001230

RESUMO

UNLABELLED: A newborn boy was referred to our hospital because of hemolytic anemia and severe hyperbilirubinemia. Extensive investigations aimed at determining the cause of hemolysis was initiated at the time of admission and 3 months after blood transfusion. Notably, no intrinsic erythrocyte abnormalities could be detected. The only possible cause explaining the progressive anemia and unconjugated hyperbilirubinemia was the finding of pyknocytes, severely distorted erythrocytes, on the blood film at hospital admission. We propose a role for an increased free fraction of plasma unconjugated bilirubin in the formation of pyknocytes through bilirubin membrane toxicity with subsequent anemia and progressive hyperbilirubinemia. CONCLUSION: Pyknocytosis is a transitory erythrocyte-related condition which can result in severe anemia and hyperbilirubinemia. Recognition of pyknocytes by microscopic analysis of a blood film is essential for a correct diagnosis. Treatment consists of correction of the anemia by top-up blood transfusion and light therapy to prevent toxic bilirubin buildup. High levels of free unconjugated bilirubin could be the underlying cause for the formation of pyknocytes.


Assuntos
Anemia Hemolítica/sangue , Anemia Neonatal/sangue , Eritrócitos Anormais , Anemia Hemolítica/diagnóstico , Anemia Neonatal/diagnóstico , Diagnóstico Diferencial , Humanos , Recém-Nascido , Masculino
17.
J Neural Eng ; 11(3): 036001, 2014 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-24737062

RESUMO

OBJECTIVE: Effective motor imagery performance, seen as strong suppression of the sensorimotor rhythm, is the key element in motor imagery therapy. Therefore, optimization of methods to classify whether the subject is performing the imagery task is a prerequisite. An optimal classification method should have high performance accuracy and use a small number of channels. We investigated the additional benefit of the common spatial pattern filtering (CSP) to a linear discriminant analysis (LDA) classifier, for different channel configurations. METHODS: Ten hemispheric acute stroke patients and 11 healthy subjects were included. EEGs were recorded using 60 channels. The classifier was trained with a motor execution task. For both healthy controls and patients, analysis of recordings was initially limited to 3 and 11 electrodes recording from the motor cortex area, and later repeated using 45 electrodes. RESULTS: No significant improvement on the addition of CSP to LDA was found (in both cases, the area under the receiving operating characteristic (AU-ROC) ≈ 0.70 (acceptable)). We then repeated the LDA+CSP method on recordings of 45 electrodes, since the use of imagery neuronal circuits may well extend beyond the motor area. AU-ROC rose to 0.90, but no virtual 'most responsible' electrode was observed. Finally, in mild-to-moderate stroke patients we could successfully use the EEG data recorded from the healthy hemisphere to train the classifier (AU-ROC ≈ 0.70). SIGNIFICANCE: Including only the channels on the unaffected motor cortex is sufficient to train a classifier.


Assuntos
Eletroencefalografia/métodos , Imaginação , Movimento , Neurorretroalimentação/métodos , Desempenho Psicomotor , Reabilitação do Acidente Vascular Cerebral , Acidente Vascular Cerebral/fisiopatologia , Adulto , Algoritmos , Interfaces Cérebro-Computador , Potencial Evocado Motor , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Córtex Motor/fisiopatologia , Reconhecimento Automatizado de Padrão/métodos , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
18.
Br J Nutr ; 111(12): 2079-88, 2014 Jun 28.
Artigo em Inglês | MEDLINE | ID: mdl-24642187

RESUMO

The enzyme ß,ß-carotene-15,15'-mono-oxygenase 1 (BCMO1) is responsible for the symmetrical cleavage of ß-carotene into retinal. We identified a polymorphism in the promoter of the BCMO1 gene, inducing differences in BCMO1 mRNA levels (high in adenines (AA) and low in guanines (GG)) and colour in chicken breast muscle. The present study was designed to test whether this polymorphism could affect the response to dietary ß-carotene. Dietary ß-carotene supplementation did not change the effects of the genotypes on breast muscle properties: BCMO1 mRNA levels were lower and xanthophyll contents higher in GG than in AA chickens. Lower vitamin E levels in the plasma and duodenum, plasma cholesterol levels and body weight were also observed in GG than in AA chickens. In both genotypes, dietary ß-carotene increased vitamin A storage in the liver; however, it reduced numerous parameters such as SCARB1 (scavenger receptor class B type I) in the duodenum, BCMO1 in the liver, vitamin E levels in the plasma and tissues, xanthophyll contents in the pectoralis major muscle and carcass adiposity. However, several diet × genotype interactions were observed. In the GG genotype, dietary ß-carotene increased ISX (intestine-specific homeobox) and decreased BCMO1 mRNA levels in the duodenum, decreased xanthophyll concentrations in the duodenum, liver and plasma, and decreased colour index and HDL-cholesterol concentration in the plasma. Retinol accumulation following dietary ß-carotene supplementation was observed in the duodenum of AA chickens only. Therefore, the negative feedback control on ß-carotene conversion through ISX appears as functional in the duodenum of GG but not of AA chickens. This could result in a higher availability of ß-carotene in the duodenum of GG chickens, reducing the uptake of xanthophylls, liposoluble vitamins and cholesterol.


Assuntos
Carotenoides/metabolismo , Galinhas/metabolismo , Dieta/veterinária , Polimorfismo de Nucleotídeo Único , Regiões Promotoras Genéticas , beta Caroteno/metabolismo , beta-Caroteno 15,15'-Mono-Oxigenase/genética , Animais , Galinhas/genética , Galinhas/crescimento & desenvolvimento , Colesterol na Dieta/metabolismo , Duodeno/crescimento & desenvolvimento , Duodeno/metabolismo , Feminino , França , Estudos de Associação Genética/veterinária , Homozigoto , Absorção Intestinal , Mucosa Intestinal/crescimento & desenvolvimento , Mucosa Intestinal/metabolismo , Fígado/crescimento & desenvolvimento , Fígado/metabolismo , Masculino , Músculo Esquelético/crescimento & desenvolvimento , Músculo Esquelético/metabolismo , Distribuição Aleatória , Vitamina E/metabolismo , Xantofilas/análise , Xantofilas/metabolismo , beta Caroteno/administração & dosagem , beta-Caroteno 15,15'-Mono-Oxigenase/metabolismo
19.
Nat Prod Commun ; 8(2): 265-7, 2013 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-23513745

RESUMO

The aim of this study was to investigate the chemical composition and bioactivity of Amomum biflorum Jack harvested in the region of Petchaboon, Thailand. The essential oil of the fresh whole plant obtained by hydrodistillation was analyzed by gas chromatography (GC) (Kovats index) and gas chromatography coupled with mass spectrometry (GC/MS). The average yield of essential oil of A. biflorum was 0.21 +/- 0.05 % (w/w). The major chemical constituents were camphor (17.6 %), alpha-bisabolol (16.0 %), camphene (8.2 %) and alpha-humulene (5.1%). The essential oil was active against Staphylococcus aureus (MIC: 30 microg/mL) and had an antioxidant activity with an ORAC index of 23 +/- 5 micromol Trolox/mg.


Assuntos
Amomum/química , Óleos Voláteis/análise , Óleos Voláteis/farmacologia , Antibacterianos/farmacologia , Antioxidantes/farmacologia , Staphylococcus aureus/efeitos dos fármacos
20.
Neuroimage ; 70: 150-63, 2013 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-23266701

RESUMO

Although a large number of studies have been devoted to establishing correlations between changes in amplitude and frequency of EEG alpha oscillations and cognitive processes, it is currently unclear through which physiological mechanisms such changes are brought about. In this study we use a biophysical model of EEG generation to gain a fundamental understanding of the functional changes within the thalamo-cortical system that might underly such alpha responses. The main result of this study is that, although the physiology of the thalamo-cortical system is characterized by a large number of parameters, alpha responses effectively depend on only three variables. Physiologically, these variables determine the resonance properties of feedforward, cortico-thalamo-cortical, and intra-cortical circuits. By examining the effect of modulations of these resonances on the amplitude and frequency of EEG alpha oscillations, it is established that the model can reproduce the variety of experimentally observed alpha responses, as well as the experimental finding that changes in alpha amplitude are typically an order of magnitude larger than changes in alpha frequency. The modeling results are also in line with the fact that alpha responses often correlate linearly with indices characterizing cognitive processes. By investigating the effect of synaptic and intrinsic neuronal parameters, we find that alpha responses reflect changes in cortical activation, which is consistent with the hypothesis that alpha activity serves to selectively inhibit cortical regions during cognitive processing demands. As an example of how these analyses can be applied to specific experimental protocols, we reproduce benzodiazepine-induced alpha responses and clarify the putative underlying thalamo-cortical mechanisms. The findings reported in this study provide a fundamental physiological framework within which alpha responses observed in specific experimental protocols can be understood.


Assuntos
Ritmo alfa , Córtex Cerebral/fisiologia , Tálamo/fisiologia , Humanos , Modelos Neurológicos
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