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2.
Parasite Epidemiol Control ; 11: e00186, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-33102824

RESUMEN

Babesia sp. are intracellular parasitic organisms that affects mainly the red blood cells of most mammals, causing the disease known as babesiosis, and transmitted by ticks. Babesisosis is potentially fatal and a major disease of dogs in Nigeria. Therefore, active and routine surveillance is recommended. In this study, the infection was investigated among apparently healthy domestic dogs in six Area Councils of the Federal Capital Territory (FCT), Abuja, Nigeria with the aim of determining the prevalence of the infection and the associated risk factors. Blood samples were collected from dogs (n = 480) at randomly selected households, from September 2015 to August 2016. Data regarding sampling location, sex, age, breed, use, presence or absence of ticks were recorded. Blood smears were prepared, stained with Geimsa stain, and examined under light microscope for Babesia sp. The results showed an overall prevalence of 10.8% Babesia canis infection. The prevalence among dogs examined in the six Area Councils were 6.3%, 12.5%, 10.0%, 12.5%, 11.3%, and 12.5 % for Abaji, AMAC, Bwari, Gwagwalada, Kuje and Kwali Area Council, respectively. The prevalence was highest (12.5%) among dogs from Kwali, AMAC and Gwagwalada, and lowest 5 (6.3%) among dogs from Abaji. Of the infected dogs, 13.7% were females and 8.3%, males. Dogs between 12 < 36 months old had the highest (17.0%) prevalence of infection while those of >60 months of age had the lowest (4.5%). Based on breed, the infection was more prevalent among exotic dogs (12.9%) than cross breeds (9.4%). While none of pet dogs were positive for Babesia canis, prevalence of 11.1% and 11.3% were recorded for guard and hunting dogs, respectively. Tick infestation was recorded for 254 dogs of which 17.3% had Babesia canis while only 3.5% of 226 non-infested dogs were Babesia positive. Babesia infection during the rainy season was 14.6% while 3.5% of dogs were positive during dry season. The data on monthly prevalence showed that August and September had the highest (13.5%) prevalence while January and February had the lowest (2.0%). We conclude that the canine babesiosis in the FCT was significantly dependent on age, use of dogs, tick infestation, and season. Therefore, priorities should be given to these factors while instituting control measures against the infection.

3.
World Dev Perspect ; 20: 100269, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-33043171

RESUMEN

The formation of physical capital in Sub-Saharan Africa (SSA) in agriculture is imperative to help the continent (1) overcome the effect of the COVID-19 pandemic on food insecurity and (2) still be on track towards achieving the Sustainable Development Goals (SDGs) of "No poverty" and "Zero hunger" in the midst of the COVID-19 pandemic. Using country-level data on 40 SSA countries from 1996 to 2014 and rainfall deviations as an instrument for agricultural official development assistance (ODA) in fixed-effect estimation settings, this paper examines the 'instantaneous' impact of agricultural ODA on agricultural fixed capital formation in SSA. The question here is whether aid to agriculture does translate instantaneously to building fixed capital urgently needed to address the effect of any potential crisis on food insecurity. Measuring agricultural fixed capital as fixed investments in farm machinery, dams, industrial buildings for agricultural and agro-processing, fences, ditches, drains, etc., we find that capital formation in SSA agriculture improves instantaneously with agricultural ODA inflows. Second, we find that even though rainfall deviations are associated with agricultural ODA inflows to SSA, institutions particularly those designed to control corruption and strengthen rule of law, do matter for agricultural aid inflows to SSA. These results suggest that agricultural ODA is necessary to accelerate agricultural investments and achieve food security. Our results are robust to sensitivity analysis on the specification of the instantaneous model.

4.
Diagn Microbiol Infect Dis ; 91(3): 229-232, 2018 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-29567127

RESUMEN

We compared the performance of algorithmic Clostridium difficile infection (CDI) diagnosis with four molecular tests in children. Stool samples in patients 1-18 years old were tested with an algorithm (C. Diff Quik Chek Complete (QCC) reflexed to illumigene C. difficile); AmpliVue C. difficile (ACD); Lyra Direct C. difficile (Lyra); BD MAX C diff (BDM); and Xpert C. difficile (XCD). The gold standard was positivity by two tests. Sensitivity, specificity, positive predictive value, and negative predictive value were 85%, 99%, 93%, 97% for the algorithm; 21%, 99%, 78%, 87% for QCC's toxin component; 94%, 99%, 94%, 99% for ACD; 88%, 99%, 94%, 98% for Lyra; 94%, 100%, 100%, 99% for BDM, and 94%, 99%, 94% and 99% for XCD. 9.6% of samples were ribotype 027. Algorithms may detect CDI with lower sensitivity compared to molecular methods in children. This may be related to low prevalence of NAP-1/ribotype 027.


Asunto(s)
Algoritmos , Antígenos Bacterianos/análisis , Toxinas Bacterianas/análisis , Clostridioides difficile/enzimología , Infecciones por Clostridium/diagnóstico , Glutamato Deshidrogenasa/análisis , Técnicas para Inmunoenzimas/métodos , Adolescente , Niño , Preescolar , Clostridioides difficile/genética , Femenino , Humanos , Lactante , Masculino , Técnicas de Diagnóstico Molecular/métodos , Valor Predictivo de las Pruebas , Estudios Prospectivos , Sensibilidad y Especificidad
5.
Am J Trop Med Hyg ; 98(2): 497-504, 2018 02.
Artículo en Inglés | MEDLINE | ID: mdl-29313473

RESUMEN

The hallmark of pediatric cerebral malaria (CM) is sequestration of parasitized red blood cells in the cerebral microvasculature. Malawi-based research using 0.35 Tesla (T) magnetic resonance imaging (MRI) established that severe brain swelling is associated with fatal CM, but swelling etiology remains unclear. Autopsy and clinical studies suggest several potential etiologies, but limitations of 0.35 T MRI precluded optimal investigations into swelling pathophysiology. A 1.5 T MRI in Zambia allowed for further investigations including susceptibility-weighted imaging (SWI). SWI is an ideal sequence for identifying regions of sequestration and microhemorrhages given the ferromagnetic properties of hemozoin and blood. Using 1.5 T MRI, Zambian children with retinopathy-confirmed CM underwent imaging with SWI, T2, T1 pre- and post-gadolinium, diffusion-weighted imaging (DWI) with apparent diffusion coefficients and T2/fluid attenuated inversion recovery sequences. Sixteen children including two with moderate/severe edema were imaged; all survived. Gadolinium extravasation was not seen. DWI abnormalities spared the gray matter suggesting vasogenic edema with viable tissue rather than cytotoxic edema. SWI findings consistent with microhemorrhages and parasite sequestration co-occurred in white matter regions where DWI changes consistent with vascular congestion were seen. Imaging findings consistent with posterior reversible encephalopathy syndrome were seen in children who subsequently had a rapid clinical recovery. High field MRI indicates that vascular congestion associated with parasite sequestration, local inflammation from microhemorrhages and autoregulatory dysfunction likely contribute to brain swelling in CM. No gross radiological blood brain barrier breakdown or focal cortical DWI abnormalities were evident in these children with nonfatal CM.


Asunto(s)
Encefalopatías/etiología , Imagen por Resonancia Magnética/métodos , Malaria Cerebral/diagnóstico , Adolescente , Glucemia/análisis , Niño , Preescolar , Femenino , Gadolinio/uso terapéutico , Humanos , Lactante , Ácido Láctico/análisis , Ácido Láctico/sangre , Malaria Cerebral/etiología , Malaui , Masculino , Pediatría/instrumentación , Pediatría/métodos , Convulsiones/etiología
6.
J Clin Microbiol ; 53(10): 3370-3, 2015 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-26269624

RESUMEN

This study compared the performance of the Carba NP assay, published by the Clinical and Laboratory Standards Institute, and the Rosco Rapid Carb Screen kit. Carba NP had superior sensitivity, but both assays required an increased inoculum to detect carbapenemase production in isolates with blaNDM, blaIMP, and blaOXA-48.


Asunto(s)
Proteínas Bacterianas/análisis , Enterobacteriaceae/enzimología , Técnicas Microbiológicas/métodos , Pseudomonas aeruginosa/enzimología , beta-Lactamasas/análisis , Infecciones por Bacterias Gramnegativas/microbiología , Humanos , América del Norte , Sensibilidad y Especificidad
7.
Arch Pathol Lab Med ; 137(8): 1103-5, 2013 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-23899068

RESUMEN

CONTEXT: Timely initiation of directed antimicrobial therapy for Staphylococcus aureus bacteremia is dependent on rapid identification of S. aureus to ascertain methicillin-susceptibility status. OBJECTIVES: To investigate the performance of the rapid KeyPath (MicroPhage, Inc, Longmont, Colorado) methicillin-resistant S. aureus (MRSA) and methicillin-susceptible S. aureus (MSSA) blood culture test (MMBT). DESIGN: Positive BacT/ALERT Pediatric FAN (fastidious antibiotic neutralization) blood culture bottles (bioMérieux, Inc, Durham, North Carolina) were tested prospectively using MMBT and routine bacterial identification and antibiotic susceptibility testing procedures as the gold standard. The MMBT uses an S. aureus-specific bacteriophage cocktail that infects bacterial cells and replicates them, resulting in cellular lysis. Bacteriophage-specific antibodies detect the increase in bacteriophage concentration in an immunoassay device. Phage amplification, in both the presence and absence of cefoxitin, indicates the presence of MRSA. The sensitivity, specificity, positive predictive value, and negative predictive value of MMBT in detecting S. aureus, MSSA, and MRSA were calculated. RESULTS: Of 188 positive blood cultures tested, 199 (63%) had Gram-positive cocci in clusters, 46 (24%) grew S. aureus (26 MSSA [57%], 20 MRSA [43%]) with the MMBT detecting 40 of 46 (87%). The sensitivity, specificity, positive predictive value, and negative predictive value among blood cultures with Gram-positive cocci in clusters were 87%, 100%, 100%, and 92% for S. aureus; 81%, 100%, 100%, and 95% for MSSA; and 95%, 100%, 100%, and 99% for MRSA. All blood cultures without growth of S. aureus tested negative by MMBT. CONCLUSIONS: The MMBT detected MSSA and MRSA directly from positive BacT/ALERT PF bottles with positive predictive values of 100%, suggesting that positive results could be reported immediately, but the sensitivity of this assay limited immediate reporting of negative results.


Asunto(s)
Técnicas Bacteriológicas/métodos , Staphylococcus aureus Resistente a Meticilina/aislamiento & purificación , Staphylococcus aureus/aislamiento & purificación , Bacteriemia/diagnóstico , Bacteriemia/tratamiento farmacológico , Bacteriemia/microbiología , Técnicas Bacteriológicas/estadística & datos numéricos , Niño , Humanos , Resistencia a la Meticilina , Staphylococcus aureus Resistente a Meticilina/efectos de los fármacos , Pruebas de Sensibilidad Microbiana/métodos , Pruebas de Sensibilidad Microbiana/estadística & datos numéricos , Valor Predictivo de las Pruebas , Estudios Prospectivos , Sensibilidad y Especificidad , Infecciones Estafilocócicas/diagnóstico , Infecciones Estafilocócicas/tratamiento farmacológico , Infecciones Estafilocócicas/microbiología , Fagos de Staphylococcus , Staphylococcus aureus/efectos de los fármacos , Staphylococcus aureus/virología
8.
Am J Trop Med Hyg ; 85(4): 782-9, 2011 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-21976587

RESUMEN

We conducted a prospective cohort study of 496 adults starting antiretroviral treatment (ART) to determine the impact of neuropsychiatric symptoms and socioeconomic status on adherence and mortality. Almost 60% had good adherence based upon pharmacy records. Poor adherence was associated with being divorced, poorer, food insecure, and less educated. Longer travel time to clinic, concealing one's human immunodeficiency virus (HIV) status, and experiencing side effects predicted poor adherence. Over a third of the patients had cognitive impairment and poorer cognitive function was also associated with poor adherence. During follow-up (mean 275 days), 20% died-usually within 90 days of starting ART. Neuropsychiatric symptoms, advanced HIV, peripheral neuropathy symptoms, food insecurity, and poverty were associated with death. Neuropsychiatric symptoms, advanced HIV, and poverty remained significant independent predictors of death in a multivariate model adjusting for other significant factors. Social, economic, cognitive, and psychiatric problems impact adherence and survival for people receiving ART in rural Zambia.


Asunto(s)
Infecciones por VIH/tratamiento farmacológico , Cooperación del Paciente , Clase Social , Adulto , Infecciones por VIH/mortalidad , Humanos , Estudios Prospectivos , Zambia/epidemiología
9.
J Anim Physiol Anim Nutr (Berl) ; 94(4): 495-504, 2010 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-19663970

RESUMEN

We examined the changes in the physical properties of the digesta mat over a period of 24 h after cessation of feeding, in sheep that had been maintained on pasture or fed chaffed lucerne hay. The dry matter content of the digesta mat declined at similar rates in both dietary groups, although it was generally higher in sheep fed lucerne. Median particle size declined in the digesta mats of both dietary groups at similar rates in samples taken after 8 h, but median particle size was significantly greater in sheep fed chopped lucerne hay than in those fed grass. Thus, particles were not reduced to a common size suggesting that factors in addition to particle size governed the rate of breakdown of the rumen mat. The relationship between the elastic and loss moduli was of a consistent pattern in all samples taken from the rumen mat indicating that it behaved as a weak gel. The elastic and loss moduli of the digesta mats of sheep that had been fed pasture or chopped lucerne hay converged to similar values after 12 h and declined broadly at similar rates after this. The relationship between these two moduli and the dry matter content of the rumen mat were of similar curvilinear form for sheep on both diets. These findings suggest that the rate of breakdown of the rumen mat is more likely to be governed by its composite behaviour than by the size of the constituent particles.


Asunto(s)
Digestión/fisiología , Medicago sativa , Poaceae , Rumen/química , Rumen/metabolismo , Ovinos/metabolismo , Alimentación Animal , Fenómenos Fisiológicos Nutricionales de los Animales , Animales , Ayuno , Tamaño de la Partícula , Distribución Aleatoria , Reología , Viscosidad
10.
Cancer Chemother Pharmacol ; 63(1): 127-38, 2008 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-18350297

RESUMEN

INTRODUCTION: Cisplatin (cis-diamminedichloroplatinum) was first identified for its anti-bacterial activity, and was later also shown to be an efficient anticancer agent. However, the therapeutic use of this anticancer drug is somewhat limited by its toxic side effects, which include nephrotoxicity, nausea, and vomiting. Furthermore the development of drug-resistant tumours is commonly observed following therapy with cisplatin. Hence there is a need for improved platinum derived drugs to overcome these limitations. AIMS: Apoptosis contributes significantly to the cytotoxic effects of anticancer agents such as cisplatin; therefore in this study the potential anticancer properties of a series of pyrazole palladium(II) and platinum(II) complexes, [(3,5-R(2)pz)(2)PdCl(2)] [R = H (1), R = Me (2)] and [(3,5-R(2)pz)(2)PtCl(2)] [R = H (3), R = Me (4)], were evaluated by assessment of their pro-apoptotic activity. METHODS: The induction of apoptosis was measured in CHO cells by the detection of phosphatidylserine (PS) exposure using the annexin V and APOPercentage assays; DNA fragmentation using the Terminal deoxynucleotide transferase dUTP Nick End Labelling (TUNEL) assay; and the detection of activated caspase-3. RESULTS: The platinum complexes were shown to be considerably more active than the palladium complexes, with complex 3 demonstrating the highest level of cytotoxic and pro-apoptotic activity. The LD(50) values for complex 3 and cisplatin were 20 and 70 microM, respectively, demonstrating that the cytotoxic activity for complex 3 was three times higher than for cisplatin. Various human cancer cell lines, including CaSki, HeLa, as well as the p53 mutant Jurkat T cell line were also shown to be susceptible to complex 3. CONCLUSIONS: Collectively, this in vitro study provides insights into action of palladium and platinum complexes and demonstrates the potential use of these compounds, and in particular complex 3, in the development of new anticancer agents.


Asunto(s)
Antineoplásicos Alquilantes/farmacología , Apoptosis/efectos de los fármacos , Compuestos Organometálicos/farmacología , Compuestos Organoplatinos/farmacología , Animales , Células CHO/efectos de los fármacos , Línea Celular Tumoral/efectos de los fármacos , Cricetinae , Cricetulus , Evaluación Preclínica de Medicamentos , Células HeLa/efectos de los fármacos , Humanos , Técnicas In Vitro , Células Jurkat/efectos de los fármacos , Estructura Molecular , Compuestos Organometálicos/química , Compuestos Organoplatinos/química
12.
N Z Vet J ; 54(3): 109-13, 2006 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-16751840

RESUMEN

AIM: To determine the plasma cortisol response to laparoscopy in ewes and investigate means of reducing it. METHODS: Ewes without lambs at foot (n=40) were subjected to one of three control or one laparoscopy treatments (n=10 ewes/treatment), being: no restraint or drugs; acepromazine maleate (ACP) control and no restraint; ACP and restraint in a cradle for 5 min; and laparoscopy following ACP. Additional ewes with lambs at foot (n=30) were subjected to: laparoscopy following ACP; laparoscopy following ACP and ketoprofen; and laparoscopy following detomidine. Drugs were injected 20 min before treatment, after a first blood sample had been taken. Blood samples were taken by jugular venepuncture from the ewes 20 min before treatment and at 20, 40, 60, 90, 120, 150 and 180 min after treatment, while all ewes were held in a pen. Plasma was harvested and assayed for its concentration of cortisol. RESULTS: Plasma cortisol concentrations (PCC) remained constant in ewes in the control restraint group for 80 min. In ewes given ACP, PCC increased for the first 20 min after treatment but then returned to pre-treatment concentrations. PCC of ewes given ACP and restrained in a cradle were elevated above pre-treatment concentrations for 90 min. PCC in ewes subjected to laparoscopy following sedation with ACP increased to a peak at 40 min and returned to pre-treatment concentrations after 60 (with lambs) or 120 (without lambs) min. When ACP and ketoprofen were given before laparoscopy, PCC peaked at 20 min and returned to pre-treatment concentrations by 40 min. PCC of ewes given detomidine before laparoscopy remained at pre-treatment concentrations throughout. PCC of ewes subjected to laparoscopy with ACP sedation only were greater than those of control restraint, ACP control, and ewes subjected to laparoscopy after being given ketoprofen or detomidine between 20 and 60 min after treatment. PCC of ewes subjected to laparoscopy were greater than those of control ewes placed in a cradle at 20 and 40 min. PCC of ewes given ketoprofen were lower than those of ewes subject to laparoscopy following ACP. CONCLUSIONS: Laparoscopy, even after sedation with ACP, caused some distress in ewes, as evidenced by increased plasma cortisol levels. Plasma cortisol response was alleviated by the administration of ketoprofen and eliminated by detomidine, probably because of both analgesic and sedative effects of the latter drug.


Asunto(s)
Acepromazina/uso terapéutico , Hidrocortisona/sangre , Hipnóticos y Sedantes/uso terapéutico , Laparoscopía/veterinaria , Ovinos/sangre , Ovinos/cirugía , Estrés Fisiológico/veterinaria , Animales , Área Bajo la Curva , Antagonistas de Dopamina/uso terapéutico , Femenino , Imidazoles/uso terapéutico , Cetoprofeno/uso terapéutico , Distribución Aleatoria , Estrés Fisiológico/sangre , Resultado del Tratamiento
13.
N Z Vet J ; 53(6): 433-7, 2005 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-16317445

RESUMEN

AIM: To use the electroencephalogram (EEG) to ascertain whether the response of the cerebral cortex to the noxious stimulus of castration varied with age in lambs. METHODS: Two groups of East Friesian lambs were selected according to age; the mean age of the younger group (n=21) was 12 (SD 2) days and the older group (n=20) was 29 (SD 1) days. Anaesthesia was induced via mask using 4% halothane in oxygen, and maintained using 1.5% halothane in oxygen at a flow rate of 4 L/min. Once a stable plane of anaesthesia had been achieved, data collection of EEG and electrocardiographic (ECG) readings commenced, and the lambs were castrated 15 min later, using rubber rings. Median and 95% spectral edge frequencies (F95) and total EEG power (ptot) were derived from data from the EEG. RESULTS: Following castration, there was an increase in the median frequency (F50) in the younger lambs (p=0.002), and an increase in ptot in both groups (p=0.05), which was of greater magnitude in the older lambs. There were no significant changes in the F95. Both younger and older lambs exhibited a transient bradycardia (p=0.001 and p=0.01, respectively). CONCLUSIONS: These differences in the cortical response between the two groups suggest that 2-week-old lambs undergo a qualitatively different perception of the noxious stimulus of castration compared to 4-week-old lambs.


Asunto(s)
Anestésicos por Inhalación/farmacología , Electroencefalografía/veterinaria , Halotano/farmacología , Orquiectomía/veterinaria , Ovinos/fisiología , Factores de Edad , Animales , Bradicardia/epidemiología , Bradicardia/veterinaria , Electrocardiografía/veterinaria , Masculino , Orquiectomía/métodos , Dimensión del Dolor/métodos , Dimensión del Dolor/veterinaria , Distribución Aleatoria
14.
Acta Virol ; 49(2): 139-43, 2005.
Artículo en Inglés | MEDLINE | ID: mdl-16047743

RESUMEN

Eight fowl adenovirus (FAdV) isolates obtained from different geographical regions of India were typed by a virus-neutralization test (VNT) using rabbit antisera against all the 12 serotypes of FAdV and by PCR for the hyper-variable region of hexon gene combined with restriction fragment length polymorphism (RFLP) analysis using AluI and MboI restriction enzymes. It was found that six isolates belonged to FAdV-4, one to FAdV-12 and one to both of them. This study revealed the involvement of FAdV-12 alone or in association with FAdV-4 in precipitating inclusion body hepatitis--hydropericardium syndrome (IBH-HPS) among poultry flocks in the country.


Asunto(s)
Infecciones por Adenoviridae/virología , Aviadenovirus/clasificación , Aviadenovirus/aislamiento & purificación , Enfermedades de las Aves de Corral/virología , Animales , Dermatoglifia del ADN , ADN Viral/genética , ADN Viral/aislamiento & purificación , Desoxirribonucleasas de Localización Especificada Tipo II/metabolismo , India , Reacción en Cadena de la Polimerasa , Polimorfismo de Longitud del Fragmento de Restricción , Aves de Corral , Serotipificación
15.
Aust Vet J ; 82(11): 697-700, 2004 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-15977616

RESUMEN

OBJECTIVE: To assess the pain elicited by amputation dehorning and evaluate the effect of local anaesthesia by using changes in calf behaviour. METHODS: The behaviour of 6-month-old Friesian calves (n = 60), subjected to control handling, dehorned or dehorned after local anaesthesia treatment, was monitored in this study. The proportion of calves displaying particular behaviours was recorded using instantaneous scan sampling during the first 10 h and between 26 and 29 h after treatment. RESULTS: The three behaviours of tail flicking, head shaking and ear flicking displayed similar features with time according to treatment and appeared to occur in an inverse relation to rumination. Dehorned calves were highly restless for the first 6 h after treatment. A significantly greater proportion of them displayed tail flicking, head shaking and ear flicking than the control calves, which, by contrast, stood still and ruminated (P < 0.05). The behaviour of calves given local anaesthetic prior to dehorning was similar to that of the control calves for the first 2 h. Thereafter the proportion of calves displaying tail flicking, head shaking and ear flicking increased, rumination decreased, and the behaviour was similar to that of the dehorned calves. CONCLUSIONS: These results suggest that dehorning is a painful experience that lasts about 6 h and that local anaesthetic alleviates that pain during its period of action. It is recommended that local anaesthetic be administered when conducting amputation dehorning.


Asunto(s)
Anestésicos Locales/administración & dosificación , Bovinos/cirugía , Cuernos/cirugía , Lidocaína/administración & dosificación , Dolor Postoperatorio/veterinaria , Anestesia Local/veterinaria , Animales , Animales Recién Nacidos/cirugía , Conducta Animal/fisiología , Bovinos/fisiología , Inyecciones/veterinaria , Masculino , Dolor Postoperatorio/prevención & control , Resultado del Tratamiento
16.
Toxicol Appl Pharmacol ; 175(2): 104-13, 2001 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-11543642

RESUMEN

The chloro- and bromohaloacetates are drinking water disinfection by-products and rodent carcinogens. Chloro-bromo dihaloacetates are also mechanism-based inhibitors of glutathione S-transferase-zeta (GSTZ1-1). We studied the stereospecific toxicokinetics and in vitro metabolism of two chiral dihaloacetates in male F344 rats: (-),(+)-bromochloroacetate (BCA) and racemic chlorofluoroacetate (CFA), a non-GST-zeta-inhibiting dihaloacetate. These experiments were repeated in animals that had previously been treated with dichloroacetate (DCA) to deplete GST-zeta activity. Results indicated that the elimination half-life of (-)-BCA was 0.07 compared to 0.40 h for (+)-BCA in naive rats. A comparable difference in elimination half-life was also observed for the CFA stereoisomers (0.79 vs 0.11 h). In GST-zeta-depleted rats, stereospecific elimination of (-),(+)-BCA was absent, with both stereoisomers having an elimination half-life of approximately 0.4 h. This finding was in contrast to results for CFA, which still maintained the same relative difference in elimination rate between its stereoisomers, although overall elimination was diminished in GST-zeta-depleted rats. Results of in vitro metabolism experiments indicated (-)-BCA was affected by modulating GST-zeta activity, with the intrinsic metabolic clearance decreasing from 2.81 to 0.15 ml h(-1) mg.protein(-1) (naive, GST-zeta depleted) compared with values for (+)-BCA (0.30 and 0.31 ml h(-1) mg.protein(-1)). Incubations with 350 microM diethyldithiocarbamate preferentially decreased (+)-BCA metabolism in naive and GST-zeta-depleted cytosol. These results indicate (+)-BCA is a poor substrate for GST-zeta and its metabolism is controlled by an additional GST isoenzyme.


Asunto(s)
Acetatos/toxicidad , Glutatión Transferasa/antagonistas & inhibidores , Acetatos/farmacocinética , Acetatos/orina , Animales , Área Bajo la Curva , Citosol/efectos de los fármacos , Citosol/enzimología , Glutatión Transferasa/metabolismo , Semivida , Inyecciones Intravenosas , Masculino , Tasa de Depuración Metabólica , Ratas , Ratas Endogámicas F344 , Estereoisomerismo
17.
Diabetes Educ ; 27(6): 857-64, 2001.
Artículo en Inglés | MEDLINE | ID: mdl-12211925

RESUMEN

PURPOSE: This research was conducted to develop a valid, reliable, quick, and nonstigmatizing tool for assessing literacy in the healthcare setting. METHODS: The Literacy Assessment for Diabetes (LAD) instrument was developed as a word recognition test composed of 3 graded word lists in ascending difficulty. This literacy test, which was specific to diabetes, measured a patient's ability to pronounce terms that they would encounter during clinic visits and in reading menu and self-care instructions. The majority of the terms were on a 4th-grade reading level, with the remaining words ranging from the 6th-through 16th-grade levels. To assess reliability and validity, the LAD was compared with the Wide Range Achievement Test (WRAT3) and the Rapid Estimate of Adult Literacy in Medicine (REALM) by administering all 3 tests to 203 participants in a test-retest study design. RESULTS: All 3 tests (LAD, REALM, and WRAT3) reliably detected true intrasubject variation in word recognition from test to retest. In addition, LAD measured word recognition ability similar to the REALM and WRAT3. CONCLUSIONS: The LAD is a reliable and valid instrument for measuring literacy in adults with diabetes. It can be administered in 3 minutes or less, and the raw score is scaled to a reading grade level.


Asunto(s)
Diabetes Mellitus/rehabilitación , Factores Socioeconómicos , Escolaridad , Lectura , Reproducibilidad de los Resultados
18.
J Virol Methods ; 75(1): 93-104, 1998 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-9820578

RESUMEN

Thirteen laboratories evaluated the reproducibility of sequencing methods to detect drug resistance mutations in HIV-1 reverse transcriptase (RT). Blinded, cultured peripheral blood mononuclear cell pellets were distributed to each laboratory. Each laboratory used its preferred method for sequencing proviral DNA. Differences in protocols included: DNA purification; number of PCR amplifications; PCR product purification; sequence/location of PCR/sequencing primers; sequencing template; sequencing reaction label; sequencing polymerase; and use of manual versus automated methods to resolve sequencing reaction products. Five unknowns were evaluated. Thirteen laboratories submitted 39043 nucleotide assignments spanning codons 10-256 of HIV-1 RT. A consensus nucleotide assignment (defined as agreement among > or = 75% of laboratories) could be made in over 99% of nucleotide positions, and was more frequent in the three laboratory isolates. The overall rate of discrepant nucleotide assignments was 0.29%. A consensus nucleotide assignment could not be made at RT codon 41 in the clinical isolate tested. Clonal analysis revealed that this was due to the presence of a mixture of wild-type and mutant genotypes. These observations suggest that sequencing methodologies currently in use in ACTG laboratories to sequence HIV-1 RT yield highly concordant results for laboratory strains; however, more discrepancies among laboratories may occur when clinical isolates are tested.


Asunto(s)
ADN Viral/análisis , Transcriptasa Inversa del VIH/genética , VIH-1/enzimología , Laboratorios/normas , Mutación , Análisis de Secuencia de ADN/métodos , Codón , Farmacorresistencia Microbiana , Amplificación de Genes , VIH-1/efectos de los fármacos , VIH-1/genética , Humanos , Reacción en Cadena de la Polimerasa , Provirus/genética , Reproducibilidad de los Resultados , Análisis de Secuencia de ADN/normas , Zidovudina/farmacología
19.
Aust Vet J ; 76(2): 118-22, 1998 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-9578782

RESUMEN

OBJECTIVE: To measure plasma cortisol responses in calves dehorned using a scoop after administration of local anaesthesia and/or cautery of the wounds. DESIGN: A physiological study with controls. PROCEDURE: There were six treatments: control handling with and without local anaesthesia, dehorning, dehorning after local anaesthesia, dehorning followed by wound cautery, and dehorning after local anaesthesia followed by wound cautery. Blood samples were taken before and after dehorning. RESULTS: Dehorning caused an increase in plasma cortisol concentrations, which decreased a little to plateau values and then declined to pretreatment values 3 to 4 h after dehorning. The peak was smaller after local anaesthesia was administered but when its effects wore off, cortisol concentrations increased and thereafter were similar to those in the dehorned animals. The combination of local anaesthesia and cautery resulted in a plasma cortisol response similar to those in control calves with or without local anaesthesia. CONCLUSIONS: If plasma cortisol concentrations reflect the distress being experienced by the calves, then local anaesthesia reduces the acute distress for about 3 h after dehorning but not during the subsequent 3 to 4 h. Combining local anaesthetic and cautery prevented the significant increase in plasma cortisol following dehorning and may eliminate the acute distress caused by scoop dehorning.


Asunto(s)
Bovinos/cirugía , Cuernos/cirugía , Hidrocortisona/sangre , Estrés Fisiológico/veterinaria , Anestesia Local/veterinaria , Animales , Bovinos/sangre , Bovinos/fisiología , Cauterización/veterinaria , Estudios de Cohortes , Hidrocortisona/metabolismo , Masculino , Estrés Fisiológico/sangre , Estrés Fisiológico/etiología , Factores de Tiempo
20.
Aust Vet J ; 76(2): 123-6, 1998 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-9578783

RESUMEN

OBJECTIVE: To measure the plasma cortisol response in calves dehorned by four different methods (scoop, guillotine shears, saw, embryotomy wire) for 9 h after dehorning. DESIGN: A physiological study with controls. PROCEDURE: Horn amputation was carried out on calves restrained manually in a race. RESULTS: The four methods of dehorning provoked similarly increased cortisol responses which lasted for 6 h. During the first hour after dehorning the plasma cortisol concentrations were similar to those following ACTH injection. The overall cortisol response to control handling was about 30% of the responses to dehorning. CONCLUSIONS: The similarity of the cortisol responses produced by the four methods of dehorning suggests that the distress experienced by calves following dehorning by amputation is similar regardless of method used.


Asunto(s)
Amputación Quirúrgica/veterinaria , Bovinos/cirugía , Cuernos/cirugía , Hidrocortisona/sangre , Estrés Fisiológico/veterinaria , Amputación Quirúrgica/efectos adversos , Amputación Quirúrgica/métodos , Animales , Bovinos/sangre , Bovinos/fisiología , Estudios de Cohortes , Hidrocortisona/metabolismo , Masculino , Estrés Fisiológico/sangre , Estrés Fisiológico/etiología , Factores de Tiempo
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