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1.
Europace ; 25(2): 660-666, 2023 02 16.
Artículo en Inglés | MEDLINE | ID: mdl-36413616

RESUMEN

AIMS: Industry collaboration with arrhythmia and devices research is common. However, this results in conflicts of interest (CoI) for researchers that should be disclosed. This study aimed to examine the quality of CoI disclosures in arrhythmia and devices presentations. METHODS: Recorded presentations from the Arrhythmia & Devices section of the ESC Annual Congress 2016-2020 were assessed. The number of words, conflicts, and time displayed was documented for CoI declarations. Meta-data including sponsorship by an industry partner, presenter sex, and institution were obtained. RESULTS: Of 1153 presentations assessed, 999 were suitable for inclusion. CoI statements were missing from 7.2% of presentations, and 58% reported ≥1 conflict. Those with conflicts spent less time-per-word on their disclosures (median 150 ms, interquartile range [IQR] 83-273 ms) compared with those without conflicts (median 250 ms, IQR 125-375 ms). One-in-eight presentations were sponsored (12.8%, n = 128). CoI statements were more likely to be missing in sponsored presentations (14.8%, n = 19) compared with non-sponsored presentations (6.1%, n = 53), P = 0.0003. Sponsored presentations contained a greater median number of CoIs (10, IQR 6-18) compared with non-sponsored sessions (1, IQR 0-5), P < 0.0001. Time-per-word spent on COI disclosures was 50% lower in sponsored sessions (125 ms, IQR 75-231 ms) compared with non-sponsored sessions (250 ms, IQR 125-375 ms), P < 0.0001. CONCLUSION: The majority of those presenting arrhythmia and devices research have CoIs to declare. Declarations were often missing or displayed for short periods of time. Presenters in sponsored sessions, while being more conflicted, had a lower standard of declaration suggesting a higher risk of potential bias which viewers had insufficient opportunity to assess.


Asunto(s)
Electrofisiología Cardíaca , Conflicto de Intereses , Humanos , Revelación
2.
J Therm Biol ; 113: 103537, 2023 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-37055115

RESUMEN

The costs of production for high density protein and the impacts food production have on the environment are becoming increasingly important issues in animal agriculture. The objective of the present study was to investigate the use of novel thermal profiles including a Thermal Efficiency Index (TEI) on the ability to identify efficient animals in a fraction of the time and at a significantly lower cost of conventional feed station and performance technology. Three hundred and fourty four high performance Duroc sires from a genetic nucleus herd were used in the study. The animals were monitored for feed consumption and growth performance using conventional feed station technology for a 72 day period. Animals were monitored in these stations between approximately 50 kg and 130 kg live body weight. An infrared thermal scan was performed on the animals at the end of the performance test by collecting automated dorsal thermal images and using these biometrics to measure both bio-surveillance values and a thermal phenotypic profile including the TEI (mean dorsal temperature /body weight 0.75). The thermal profile values were significantly correlated (r = 0.40, P < 0.0001) with a current industry best practice for performance in Residual Intake and Gain (RIG). The data from the current study suggest these rapid, real time, cost effective values for TEI constitute a useful precision farming tool for the animal industries to reduce the cost of production and green house gas (GHG) impact for high density protein production.


Asunto(s)
Alimentación Animal , Ingestión de Alimentos , Animales , Alimentación Animal/análisis , Peso Corporal , Fenotipo
3.
Thorac Cardiovasc Surg ; 67(3): 170-175, 2019 04.
Artículo en Inglés | MEDLINE | ID: mdl-29804285

RESUMEN

BACKGROUND: Minimally invasive left ventricular assist device (LVAD) implantation may reduce peri-/postoperative complications and risks associated with resternotomies. In this study, we describe our first results using a minimally invasive LVAD implantation technique (lateral thoracotomy [LT] group). These results were compared with LVAD implantations done via full median sternotomy (STX group). METHODS: HVAD (HeartWare, Framingham, Massachusetts, United States) implantations in 70 patients (LT group n = 22, 52 ± 15 years old; STX group n = 48, 59 ± 11 years old) were retrospectively analyzed. Minimally invasive access via left thoracotomy was feasible in 22 patients. Peri- and postoperative analyses of survival and adverse events were performed. RESULTS: No survival differences were observed between the LT and STX group (p = 0.43). LT patients without temporary right ventricular assist device (tRVAD) showed a significantly better survival rate compared to LT patients with concomitant tRVAD implantation (p = 0.02), which could not be demonstrated in the STX group (p = 0.11). Two LT and four STX patients were successfully bridged to heart transplantation and three STX patients were successfully weaned with subsequent LVAD explantations. LVAD-related infections (n = 4 LT group vs n = 20 STX group, p = 0.04) were less likely in the LT group. No wound dehiscence occurred in the LT group, whereas five were observed in the STX group (p = 0.17). The amount of perioperative blood transfusions (within the first 7 postoperative days) did not differ in both study groups (p = 0.48). CONCLUSION: The minimally invasive approach is a viable alternative with the possibility to reduce complications and should be particularly considered for bridge-to-transplant patients.


Asunto(s)
Insuficiencia Cardíaca/terapia , Corazón Auxiliar , Implantación de Prótesis/instrumentación , Implantación de Prótesis/métodos , Esternotomía , Toracotomía/métodos , Función Ventricular Izquierda , Adulto , Anciano , Femenino , Alemania , Insuficiencia Cardíaca/diagnóstico , Insuficiencia Cardíaca/mortalidad , Insuficiencia Cardíaca/fisiopatología , Humanos , Masculino , Persona de Mediana Edad , Procedimientos Quirúrgicos Mínimamente Invasivos , Complicaciones Posoperatorias/etiología , Diseño de Prótesis , Implantación de Prótesis/efectos adversos , Implantación de Prótesis/mortalidad , Recuperación de la Función , Estudios Retrospectivos , Esternotomía/efectos adversos , Esternotomía/mortalidad , Toracotomía/efectos adversos , Toracotomía/mortalidad , Factores de Tiempo , Resultado del Tratamiento
4.
J Dairy Sci ; 102(5): 4427-4440, 2019 May.
Artículo en Inglés | MEDLINE | ID: mdl-30879824

RESUMEN

Most Canadian dairy herds operate in tiestall housing (61%), where average estrus detection rates may be lower than 54%. The objective of this study was to evaluate infrared thermography and behavioral biometrics as indicators of estrus in dairy cows. Eighteen cyclic multiparous cows (Synch) were subjected to an estrus synchronization protocol, and 18 pregnant cows (control) received a sham protocol on the same schedule and frequency as the cyclic cow treatment. A decline in plasma concentrations of progesterone and the appearance of a dominant follicle using transrectal ultrasonography were used as indirect indicators of estrus, and the disappearance of a dominant follicle was used to confirm ovulation. All cows were monitored via visual cameras to determine the frequency of treading, drinking, neighbor interaction, tail movement, lying, and shifting behaviors. Infrared thermograms were recorded at the eye, muzzle, cheek, neck, front right foot, front left foot, rump, flank, vulva area, tail head, and withers. To evaluate the accuracy of behavioral and thermal parameters, a predefined minimum acceptable value (i.e., threshold) for estrus alerts (>0.30 Youden J index and >0.60 area under the curve) was used. Ovulation was confirmed in 14 (77.7%) out of 18 Synch cows. Eye, cheek, neck, rump, flank, vulva area, and wither thermograms exhibited higher temperatures at 48 h [cycle threshold (Δt) = +0.30 to 1.20°C] and 24 h before ovulation compared with 4 d prior to ovulation (Δt = 0.06 to 0.11°C) and during ovulation day (Δt = 0.03 to 0.32°C) in the Synch group. In addition, control cows exhibited greater treading activity per day compared with Synch cows (20.84 ± 0.39 vs. 16.35 events/5 min ± 0.34), and tail movement frequency was greater in Synch cows compared with control cows (14.84 ± 2.7 vs. 10.11 ± 4.7 events/5 min). However, within Synch cows, tail movement was the only behavior that significantly increased in frequency 2 d before ovulation (11.81 ± 1.71 events/5 min) followed by a decrease in frequency 1 d before ovulation (4.67 ± 1.05 events/5 min) compared with ovulation day (0 d; 6.10 ± 1.25 events/5 min) and during luteolysis (3 d before ovulation; 6.01 ± 1.25 events/5 min). Upon evaluation of all variables (thermograms and behavior frequencies) as estrus indicators at 48 and 24 h before ovulation, treading and tail movements before milking and 9 thermal locations satisfied the predefined minimum acceptable value for estrus alerts. This study demonstrates that fluctuations in radiated temperature measured at specific anatomical locations and the frequency of tail movements and treading behaviors can be used as a noninvasive estrus alerts in multiparous cows housed in a tiestall system.


Asunto(s)
Biometría/métodos , Detección del Estro/métodos , Ovulación , Termografía/veterinaria , Animales , Bovinos , Industria Lechera/métodos , Sincronización del Estro , Femenino , Vivienda para Animales , Termografía/métodos
5.
J Dairy Sci ; 102(6): 5389-5402, 2019 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-31005326

RESUMEN

This study investigated physiological and behavioral responses associated with the onset of neonatal calf diarrhea (NCD) in calves experimentally infected with rotavirus and assessed the suitability of these responses as early disease indicators. The suitability of infrared thermography (IRT) as a noninvasive, automated method for early disease detection was also assessed. Forty-three calves either (1) were experimentally infected with rotavirus (n = 20) or (2) acted as uninfected controls (n = 23). Health checks were conducted on a daily basis to identify when calves presented overt clinical signs of disease. In addition, fecal samples were collected to verify NCD as the cause of illness. Feeding behavior was recorded continuously as calves fed from an automated calf feeder, and IRT temperatures were recorded once per day across 5 anatomical locations using a hand-held IRT camera. Lying behavior was recorded continuously using accelerometers. Drinking behavior at the water trough was filmed continuously to determine the number and duration of visits. Respiration rate was recorded once per day by observing flank movements. The effectiveness of inoculating calves with rotavirus was limited because not all calves in the infected group contracted the virus; further, an unexpected outbreak of Salmonella during the trial led to all calves developing NCD, including those in the healthy control group. Therefore, treatment was ignored and instead each calf was analyzed as its own control, with data analyzed with respect to when each calf displayed clinical signs of disease regardless of the causative pathogen. Milk consumption decreased before clinical signs of disease appeared. The IRT temperatures were also found to change before clinical signs of disease appeared, with a decrease in shoulder temperature and an increase in side temperature. There were no changes in respiration rate or lying time before clinical signs of disease appeared. However, the number of lying bouts decreased and lying bout duration increased before and following clinical signs of disease. There was no change in the number of visits to the water trough, but visit duration increased before clinical signs of disease appeared. Results indicate that milk consumption, IRT temperatures of the side and shoulder, number and duration of lying bouts, and duration of time spent at the water trough show potential as suitable early indicators of disease.


Asunto(s)
Conducta Animal , Enfermedades de los Bovinos/diagnóstico , Bovinos/fisiología , Diarrea/veterinaria , Conducta Alimentaria , Leche/metabolismo , Animales , Animales Recién Nacidos , Diarrea/diagnóstico , Diagnóstico Precoz , Femenino , Masculino , Termografía/veterinaria
6.
Langmuir ; 34(37): 10856-10864, 2018 09 18.
Artículo en Inglés | MEDLINE | ID: mdl-30153024

RESUMEN

Preparing an anatase TiO2(101) surface with a high density of oxygen vacancies and associated reduced Ti species in the near-surface region results in drastic changes in the water adsorption chemistry compared to adsorption on a highly stoichiometric surface. Using synchrotron radiation excited photoelectron spectroscopy, we observe a change in the water growth mode, from layer-by-layer growth on the highly stoichiometric surface to bilayer growth on the reduced surface. Furthermore, we have been able to observe Ti3+ enrichment at the surface upon water adsorption. The Ti3+ enrichment occurs concomitant with effective water dissociation into hydroxyls with a very high thermal stability. The water bilayer on the reduced surface is thermally more stable than that on the stoichiometric surface, and it is more efficient in promoting further water dissociation upon heating. The results thus show how the presence of subsurface defects can alter the wetting mechanism of an oxide surface.

7.
Cereb Cortex ; 27(9): 4537-4548, 2017 09 01.
Artículo en Inglés | MEDLINE | ID: mdl-27600851

RESUMEN

The reciprocal cortico-cerebellar loops that underlie cerebellar contributions to motor and cognitive behavior form one of the largest systems in the primate brain. Work with non-human primates has shown that the dentate nucleus, the major output nucleus of the cerebellum, contains topographically distinct connections to both motor and non-motor regions, yet there is no evidence for how the cerebellar cortex connects to the dentate nuclei in humans. Here we used in-vivo sub-millimeter diffusion imaging to characterize this fundamental component of the cortico-cerebellar loop, and identified a pattern of superior motor and infero-lateral non-motor connectivity strikingly similar to that proposed by animal work. Crucially, we also present first evidence that the dominance for motor connectivity observed in non-human primates may be significantly reduced in man - a finding that is in accordance with the proposed increase in cerebellar contributions to higher cognitive behavior over the course of primate evolution.


Asunto(s)
Núcleos Cerebelosos/fisiología , Imagen por Resonancia Magnética , Red Nerviosa/fisiología , Vías Nerviosas/fisiología , Animales , Mapeo Encefálico , Cerebelo/fisiología , Humanos , Imagen por Resonancia Magnética/métodos , Primates
8.
Herz ; 43(7): 621-627, 2018 Nov.
Artículo en Alemán | MEDLINE | ID: mdl-28835979

RESUMEN

Coronary angiography is considered as the gold standard in the morphological representation of coronary artery stenosis. Coronary angiography is often performed without preprocedural non-invasive proof of ischemia and the assessment of the severity of a coronary lesion by morphology is very subjective. Thus, invasive fractional flow reserve (FFR) measurement represents the current standard for estimation of the hemodynamic relevance of coronary artery stenosis and facilitates decision making for percutaneous coronary intervention (PCI) and stenting. The FFR-guided revascularization strategy has been classified as a class IA recommendation in the 2014 ESC/EACTS guidelines on myocardial revascularization. Both the DEFER and the FAME studies showed no treatment advantage of hemodynamically irrelevant stenosis. By use of FFR (and targeted interventions), clinical results could be improved as well as the procedure costs were reduced; however, the use in clinical practice is still limited due to the need of adenosine administration and a significant prolongation of the procedure. Instantaneous wave-free ratio (iFR®) is a new innovative approach for the determination of the hemodynamic relevance of coronary stenosis which can be obtained at rest without the use of vasodilators. Regarding periprocedural complications as well as prognosis, iFR® showed non-inferiority compared to FFR in the SWEDEHEART and DEFINE-FLAIR trials.


Asunto(s)
Enfermedad de la Arteria Coronaria , Estenosis Coronaria , Reserva del Flujo Fraccional Miocárdico , Intervención Coronaria Percutánea , Angiografía Coronaria , Enfermedad de la Arteria Coronaria/terapia , Estenosis Coronaria/terapia , Humanos , Índice de Severidad de la Enfermedad
9.
J Therm Biol ; 78: 304-311, 2018 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-30509652

RESUMEN

Residual feed intake (RFI) has been used to select metabolically efficient cattle in beef breeding programs, particularly for sire selection. Adoption of genetic selection using RFI has been limited due to the cost and difficulty of measuring individual feed intake. An alternative method of predicting RFI is to measure radiated heat loss using infrared thermography (IRT) as previous studies have shown promise using this technique to predict metabolic efficiency in mature cows, heifers, and growing bulls. The objective of this study was to explore use of IRT to predict RFI in growing beef bulls. Sixty bulls in each of two years were fed either a forage-based or a grain-based ration. Eye (Ey) and cheek (Ck) surface temperatures were measured using infrared images of the head collected on 16 and 14 sample days in Years 1 and 2, respectively, using a FLIR S60 camera. In Year 2, infrared images were collected continuously using a within-pen FLIR A310 camera system. Bulls were grouped into low, medium and high classes based on ±â€¯0.5 standard deviations of backfat adjusted residual feed intake (RFIFat); RFIFat values ranged from - 2.27 to + 2.61 kg DM day-1 (mean=0.0; SD=0.61). Sample day Ey and Ck temperatures were pooled and an average temperature was calculated for individual bulls. Average Ey and Ck temperatures measured using the FLIR S60 and the within-pen camera did not differ significantly across low, medium and high RFI groups (P > 0.05). Temperature deviations associated with extremes in ambient temperature (placing animals outside their thermoneutral zone) or underlying subclinical health problems could bias results in IRT measurements and RFI ranking. Standardization of IRT data and the conditions during measurement is necessary to more accurately assess its potential use to predict RFI.


Asunto(s)
Regulación de la Temperatura Corporal , Bovinos/fisiología , Ingestión de Alimentos , Alimentación Animal , Fenómenos Fisiológicos Nutricionales de los Animales , Animales , Metabolismo Energético , Masculino , Termografía/métodos , Termografía/normas
10.
J Dairy Sci ; 100(5): 3893-3901, 2017 May.
Artículo en Inglés | MEDLINE | ID: mdl-28259410

RESUMEN

Increasing reliance on automated systems on-farm has led to a need for remote monitoring of health and welfare. We aimed to validate 2 methods that could be integrated into automated systems currently in use: infrared thermography (IRT) to measure respiration rate (RR), and accelerometers to measure the flinch, step, kick (FSK) response and assessing stress and discomfort. We monitored 22 multiparous, nonlactating, Friesian and Friesian × Jersey cows (average 5.1 yr of age) during a baseline period (2 min), a restraint in a crush (2 min), and then a recovery period after exposure to a startle (2 min). We measured RR with continuous IRT imaging of airflow through the nostrils and by counting flank movements from video and live recordings. We recorded heart rate (HR) and HR variability using HR monitors, and we recorded FSK from continuous video analysis of leg movements and indirectly using accelerometers attached to both hind legs. The FSK response was scored between 1 and 4 based on the height and direction of each leg movement. We observed no change in RR, HR variability, or FSK in response to the startle; however, HR increased briefly by 10 bpm. Bland-Altman plots indicated good agreement between the different methods of measuring RR, with average differences of -0.01 ± 0.87, 0.83 ± 0.57, and 0.37 ± 1.02 breaths/min for video versus live, IRT versus live and IRT versus video, respectively. Acceleration was also highly correlated with FSK scores of ≤3 (R2 = 0.96) and ≤2 (R2 = 0.89) and moderately correlated with FSK scores of 1 (R2 = 0.66) over the 4-min sampling period. The results show that accelerometers can provide an indirect measure of the FSK response, and IRT can be used reliably to measure RR. With further development, both technologies could be integrated into existing systems for remote monitoring of dairy cows' health and welfare on-farm.


Asunto(s)
Frecuencia Respiratoria , Termografía/veterinaria , Animales , Bovinos , Femenino , Frecuencia Cardíaca , Monitoreo Fisiológico/veterinaria
11.
Neuroimage ; 125: 1022-1031, 2016 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-26520770

RESUMEN

The ability to regulate emotions is essential for adaptive behavior. This ability is suggested to be mediated by the connectivity between prefrontal brain regions and the amygdala. Yet, it is still unknown whether the ability to regulate emotions can be trained by using a non-emotional procedure, such as the recruitment of executive control (EC). Participants who were trained using a high-frequent executive control (EC) task (80% incongruent trials) showed reduced amygdala reactivity and behavioral interference of aversive pictures. These effects were observed only following multiple-session training and not following one training session. In addition, they were not observed for participants exposed to low-frequent EC training (20% incongruent trials). Resting-state functional connectivity analysis revealed a marginally significant interaction between training group and change in the connectivity between the amygdala and the right inferior frontal gyrus (IFG). Amygdala-IFG connectivity was significantly increased following the training only in the high-frequent EC training group. These findings are the first to show that non-emotional training can induce changes in amygdala reactivity to aversive information and alter amygdala-prefrontal connectivity.


Asunto(s)
Amígdala del Cerebelo/fisiología , Terapia Conductista/métodos , Emociones/fisiología , Función Ejecutiva/fisiología , Corteza Prefrontal/fisiología , Adulto , Femenino , Humanos , Procesamiento de Imagen Asistido por Computador , Imagen por Resonancia Magnética , Masculino , Vías Nerviosas/fisiología
12.
Eur J Nucl Med Mol Imaging ; 43(5): 911-924, 2016 May.
Artículo en Inglés | MEDLINE | ID: mdl-26567163

RESUMEN

PURPOSE: The aim of this study was to evaluate the impact of consensus algorithms on segmentation results when applied to clinical PET images. In particular, whether the use of the majority vote or STAPLE algorithm could improve the accuracy and reproducibility of the segmentation provided by the combination of three semiautomatic segmentation algorithms was investigated. METHODS: Three published segmentation methods (contrast-oriented, possibility theory and adaptive thresholding) and two consensus algorithms (majority vote and STAPLE) were implemented in a single software platform (Artiview®). Four clinical datasets including different locations (thorax, breast, abdomen) or pathologies (primary NSCLC tumours, metastasis, lymphoma) were used to evaluate accuracy and reproducibility of the consensus approach in comparison with pathology as the ground truth or CT as a ground truth surrogate. RESULTS: Variability in the performance of the individual segmentation algorithms for lesions of different tumour entities reflected the variability in PET images in terms of resolution, contrast and noise. Independent of location and pathology of the lesion, however, the consensus method resulted in improved accuracy in volume segmentation compared with the worst-performing individual method in the majority of cases and was close to the best-performing method in many cases. In addition, the implementation revealed high reproducibility in the segmentation results with small changes in the respective starting conditions. There were no significant differences in the results with the STAPLE algorithm and the majority vote algorithm. CONCLUSION: This study showed that combining different PET segmentation methods by the use of a consensus algorithm offers robustness against the variable performance of individual segmentation methods and this approach would therefore be useful in radiation oncology. It might also be relevant for other scenarios such as the merging of expert recommendations in clinical routine and trials or the multiobserver generation of contours for standardization of automatic contouring.


Asunto(s)
Algoritmos , Neoplasias de la Mama/diagnóstico por imagen , Procesamiento de Imagen Asistido por Computador/métodos , Neoplasias Pulmonares/diagnóstico por imagen , Linfoma/diagnóstico por imagen , Tomografía de Emisión de Positrones , Femenino , Fluorodesoxiglucosa F18 , Humanos , Procesamiento de Imagen Asistido por Computador/normas , Masculino , Radiofármacos , Sensibilidad y Especificidad
13.
Langmuir ; 32(44): 11456-11464, 2016 11 08.
Artículo en Inglés | MEDLINE | ID: mdl-27754678

RESUMEN

We present a dedicated synchrotron radiation photoelectron spectroscopy (SR-PES) study of a photochemical reaction on the surface of rutile TiO2(110). The photoreaction kinetics of carboxylate species (trimethyl acetate, TMA) upon irradiation by UV and soft X-rays were monitored, and we show that it is possible to control the reaction rates from UV light and soft X-rays independently. We directly observe Ti4+ → Ti3+ conversion upon irradiation, attributed to electron trapping at Ti sites close to surface OH groups formed by deprotonation of the parent molecule, trimethylacetic acid (TMAA). TMA photolysis on two surface preparations with different oxygen vacancy densities shows that the vacancy-related charge quenches the amount of charge that can be trapped at hydroxyls upon irradiation. During the initial stages of reaction the correlation between the amount of photodepleted TMA and the amount of charge trapped in the Ti 3d band gap state is nearly 1:1. A first-order kinetics analysis reveals that the reaction rate decreases with decreasing TMA coverage. There is also a coverage-dependent difference in the electronic structure of TMA moieties, primarily involving the carboxyl anchor group. These changes are consistent with a decreased hole affinity of the adsorbed TMA and hence a decreased reaction rate. This discovery adds to the previously presented picture of a reactivity that is inversely proportional to the number of surface hydroxyls, suggesting that the balance between the amounts of TMA, OH, and trapped charge needs to be considered.

14.
Pharmazie ; 71(9): 504-509, 2016 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-29441845

RESUMEN

This randomized, placebo-controlled, double-blind trial was conducted to assess the efficacy and safety of ivy leaves cough liquid in the treatment of acute cough. A total of 181 adult patients with acute cough were treated with either ivy leaves cough liquid containing EA 575® or with placebo three times a day for one week. The primary efficacy outcome was cough severity (CS) assessed by Visual Analogue Scale (VAS) over the whole treatment period (area-under-the-curve (AUC0-168 h) over 7 days (visit (V)1, V2, V3, V4, and V5). The secondary endpoints were defined as the CS assessed by VAS over the whole observation period (V1 - V6) and by Bronchitis Severity Score (BSS) and Verbal Category Descriptive (VCD) score. The evaluation of the VAS, BSS and VCD score revealed that subjects treated with ivy leaves cough liquid showed statistically significant and clinically relevant reductions in CS, severity of symptoms associated with cough and bronchitis compared to the placebo group. Furthermore, a remarkable early onset of efficacy was observed as significant reductions of cough severity were detected within 48 hours after the first drug intake. At all following visits and even 7 days after the end of treatment (V6) this significant treatment advantage was detected in comparison to placebo. All adverse events (AEs) in this clinical trial were non-serious, mild or of moderate severity and not drug-related. This clinical trial proved consistent superiority of the ivy leaves cough liquid treatment versus placebo and confirmed the EA 575® preparation to be a safe and efficacious option for the treatment of acute cough.


Asunto(s)
Tos/tratamiento farmacológico , Hedera/química , Extractos Vegetales/uso terapéutico , Enfermedad Aguda , Adolescente , Adulto , Anciano , Área Bajo la Curva , Bronquitis/tratamiento farmacológico , Método Doble Ciego , Femenino , Humanos , Masculino , Persona de Mediana Edad , Extractos Vegetales/efectos adversos , Hojas de la Planta , Resultado del Tratamiento , Adulto Joven
15.
Rev Med Chil ; 144(6): 751-6, 2016 Jun.
Artículo en Español | MEDLINE | ID: mdl-27598494

RESUMEN

UNLABELLED: In Medical Education, feedback is an instrument that informs the trainees about their learning process and how to make the necessary changes. Feedback enables learners to monitor their progress and provides direction for improvement. Effective feedback is useful to improve the performance, clinical skills, communication skills, and treatment of patients. It is essential when teaching clinical interview skills to psychiatry residents. Feedback necessarily involves social interaction between teachers and trainees. AIM: To analyze the perception of psychiatry residents about social interaction during the feedback received during their training. MATERIAL AND METHODS: Qualitative study, using the Grounded theory method. Nine interviews were performed to adult psychiatry residents of the University of Concepción and one to a recently graduated psychiatrist. Data were analyzed using open coding. RESULTS: We found four emerging categories: Socialization, roles and hierarchy, invitation to integration and teacher involvement. CONCLUSIONS: The effectiveness of feedback lies in the establishment of a minimal teacher-resident social relationship, in which feedback occurs naturally.


Asunto(s)
Educación Médica , Retroalimentación , Internado y Residencia , Relaciones Interpersonales , Psiquiatría , Adulto , Humanos
16.
Gesundheitswesen ; 77 Suppl 1: S56-7, 2015 Sep.
Artículo en Alemán | MEDLINE | ID: mdl-23553187

RESUMEN

In a randomised controlled study (n=34 intervention group, n = 32 control group) the effects of a 6-month outpatient training for overweight but not obese children and adolescents (BMI > 90(th) ≤ 97(th) percentile) were assessed up to 12 months after the end of intervention. BMI-SDS reduction was the main outcome. The results show that the lifestyle intervention "Obeldicks light" is effective to reduce overweight, as well as blood pressure and several other risk parameters in overweight children. Effects are stable over a 12 months period.


Asunto(s)
Terapia Conductista/estadística & datos numéricos , Dietoterapia/estadística & datos numéricos , Promoción de la Salud/estadística & datos numéricos , Sobrepeso/epidemiología , Sobrepeso/prevención & control , Adolescente , Salud del Adolescente/estadística & datos numéricos , Índice de Masa Corporal , Niño , Salud Infantil/estadística & datos numéricos , Preescolar , Terapia Combinada/estadística & datos numéricos , Femenino , Estilo de Vida Saludable , Humanos , Análisis de Intención de Tratar , Sobrepeso/diagnóstico , Conducta de Reducción del Riesgo , Resultado del Tratamiento
17.
J Periodontal Res ; 49(6): 683-95, 2014 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-24528298

RESUMEN

Studies to elucidate the role of genetics as a risk factor for periodontal disease have gone through various phases. In the majority of cases, the initial 'hypothesis-dependent' candidate-gene polymorphism studies did not report valid genetic risk loci. Following a large-scale replication study, these initially positive results are believed to be caused by type 1 errors. However, susceptibility genes, such as CDKN2BAS (Cyclin Dependend KiNase 2B AntiSense RNA; alias ANRIL [ANtisense Rna In the Ink locus]), glycosyltransferase 6 domain containing 1 (GLT6D1) and cyclooxygenase 2 (COX2), have been reported as conclusive risk loci of periodontitis. The search for genetic risk factors accelerated with the advent of 'hypothesis-free' genome-wide association studies (GWAS). However, despite many different GWAS being performed for almost all human diseases, only three GWAS on periodontitis have been published - one reported genome-wide association of GLT6D1 with aggressive periodontitis (a severe phenotype of periodontitis), whereas the remaining two, which were performed on patients with chronic periodontitis, were not able to find significant associations. This review discusses the problems faced and the lessons learned from the search for genetic risk variants of periodontitis. Current and future strategies for identifying genetic variance in periodontitis, and the importance of planning a well-designed genetic study with large and sufficiently powered case-control samples of severe phenotypes, are also discussed.


Asunto(s)
Variación Genética/genética , Estudio de Asociación del Genoma Completo , Periodontitis/genética , Estudios de Casos y Controles , Predisposición Genética a la Enfermedad/genética , Humanos , Periodontitis/clasificación , Fenotipo , Polimorfismo Genético/genética
18.
Animal ; 18(3): 101096, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-38377813

RESUMEN

Bovine respiratory disease (BRD) is a highly prevalent multi pathogen infectious disease (70-80%) in newly received feedlot cattle, causing significant economic losses and reduced animal welfare. Current BRD diagnosis involves stressful and invasive methods that can increase the incidence and transmission of BRD. An alternative is the use of an automated infrared thermography (IR) platform that can monitor facial temperature and behaviour traits to diagnose BRD in a non-invasive manner. The objective of this study was to investigate the use of fidget and drinking behaviours in conjunction with facial temperature as method of BRD diagnosis in beef calves. Sixty-five weaned calves (N = 65) were monitored over a 21-d period after 6 h transportation to predispose calves to BRD infection. Data collected from an automated IR platform placed at a water station included the number of IR frames during drinking (Fidget), number of drinking visits (Drinking bouts), total drinking duration, average drinking duration, average cheek temperature (AVG temp), and maximum orbital temperature (Max temp). Fidget, drinking behaviours, and IR were compared to a clinical score assessment based on respiratory, digestive, and lethargy signs (visual observation) and haematology analysis using a receiver operating characteristics curve analysis to identify the accuracy of each metric and combinations of metrics for BRD diagnosis. The greater accuracies observed were Fidget, Youden's index (J): 0.25 J), Drinking bout (0.28 J), and Total drinking duration (0.22 J). The average IR temperature accuracy resulted in 0.88 J and Max temp 0.77 J. Thirty-five combinations of drinking behaviour and facial IR metrics were evaluated to identify BRD calves. Optimum accuracy (100%) was achieved when combining Fidget, Drinking bout, Average drinking duration, AVG temp, and Max temp 1.00 J. Similar evaluations were performed at 48 and 24 h before d 0 using the most accurate Fidget, Drinking behaviour, and IR combination, resulting in 0.44 J 48 h prior to d 0 and 0.45 J 24 h prior to d 0. Combining fidget and drinking behaviour metrics increased the sensitivity to detect the onset of BRD infection and the specificity to discriminate true positive BRD calves from true negative BRD calves.


Asunto(s)
Complejo Respiratorio Bovino , Enfermedades de los Bovinos , Bovinos , Animales , Complejo Respiratorio Bovino/diagnóstico , Complejo Respiratorio Bovino/epidemiología , Termografía/veterinaria , Enfermedades de los Bovinos/diagnóstico , Destete , Fenotipo , Conducta de Ingestión de Líquido
19.
Phys Chem Chem Phys ; 15(42): 18589-99, 2013 Nov 14.
Artículo en Inglés | MEDLINE | ID: mdl-24076746

RESUMEN

The structural changes of a (111) oriented CeO2 film grown on a Si(111) substrate covered with a hex-Pr2O3(0001) interface layer due to post deposition annealing are investigated. X-ray photoelectron spectroscopy measurements revealing the near surface stoichiometry show that the film reduces continuously upon extended heat treatment. The film is not homogeneously reduced since several coexisting crystalline ceria phases are stabilized due to subsequent annealing at different temperatures as revealed by high resolution low energy electron diffraction and X-ray diffraction. The electron diffraction measurements show that after annealing at 660 °C the ι-phase (Ce7O12) is formed at the surface which exhibits a (√7 × âˆš7)R19.1° structure. Furthermore, a (√27 × âˆš27)R30° surface structure with a stoichiometry close to Ce2O3 is stabilized after annealing at 860 °C which cannot be attributed to any bulk phase of ceria stable at room temperature. In addition, it is shown that the fully reduced ceria (Ce2O3) film exhibits a bixbyite structure. Polycrystalline silicate (CeSi(x)O(y)) and crystalline silicide (CeSi1.67) are formed at 850 °C and detected at the surface after annealing above 900 °C.

20.
Poult Sci ; 92(4): 935-44, 2013 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-23472017

RESUMEN

Blood profiling is a helpful tool in detecting the health status, metabolic diseases, nutritional deficiencies, and welfare of animals. Body weights, body temperatures, hematological and serum biochemical parameters, enzymes, and electrolytes in both sexes of farm emus at the beginning of their breeding season (November in Canada), were determined. The reference interval for each analyte was also calculated. Emus have lower body temperatures (37.2 ± 0.2) than other poultry species. There was no significant between-sex difference in BW, body temperature, and all the hematological and enzyme parameters measured. However, females had significantly (P < 0.001) higher serum calcium, phosphorus, albumin, total protein, globulin, and triglyceride levels than males, probably in preparation for egg laying. We also examined our findings in light of their sex-role reversal in incubation and brooding. Contrary to other avian species in which only females incubate and brood, there was no sex difference in the hematological and enzyme parameters measured in emus. We found that emus are similar to other ratite species with respect to the changes in protein, globulin, triglyceride, and calcium levels. The findings from our study contribute to the database for reference emu hematological and serum enzyme, metabolite, and electrolyte values.


Asunto(s)
Dromaiidae/fisiología , Crianza de Animales Domésticos , Animales , Análisis Químico de la Sangre/veterinaria , Dromaiidae/sangre , Femenino , Pruebas Hematológicas/veterinaria , Masculino , Valores de Referencia , Reproducción , Saskatchewan
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