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1.
J Dairy Sci ; 107(10): 8387-8401, 2024 Oct.
Article in English | MEDLINE | ID: mdl-38825133

ABSTRACT

The CellCheck dry cow consult (DCC) was developed by the CellCheck Technical Working Group to enable farmers to engage with their nominated veterinarian to develop farm-specific selective dry cow therapy (SDCT) plans, where appropriate. This study evaluated the effect of the DCC on farmer decision-making around dry cow therapy, and the udder health effects of implementing SDCT, in study herds over the 2019 and 2020 dry periods. The DCC was a 3-h consult, delivered and funded as part of the Targeted Advisory Service on Animal Health. Herds that completed a DCC were invited to register for a dry cow review the following year. The combined dataset for analysis across both years comprised 439 herds and 25,357 cows. Herd size ranged from 25 to 800. The median SCC of cows dried off with teat sealant only was 47,000 cells/mL before drying off in 2019 and 48,000 cells/mL at first milk recording in 2020, and 43,000 cells/mL before drying off in 2020 and 39,000 cells/mL at first milking recording in 2021. Following both the 2019 and 2020 dry periods, cows tended to converge toward a similar median SCC early in the following lactation, irrespective of prior dry cow treatment strategy. The uptake of SDCT was greater in review herds, with 21% of cows receiving teat sealant only in 2020, compared with 16.3% of cows in herds participating in a consult for the first time in 2020. At an individual cow level, in both years dry period new infection rate (NIR) was approximately 2.7% higher for cows treated with teat sealant only, than for those treated with both dry cow antibiotic tubes and teat sealant, and 1.2% higher than cows treated with antibiotic only. Regardless of treatment, a significant association was detectable between increasing parity and the risk of a dry period new infection. Increasing herd size had a significant effect on the risk of dry period NIR. At a herd level, no significant increase in NIR occurred when SDCT was used compared with herds where blanket dry cow therapy was used. Though not without risk, SDCT can be successfully implemented in Irish herds; however, constant attention to hygiene and management is essential. Despite the challenges, facilitating continued farmer education and engagement with professional guidance will be important.


Subject(s)
Dairying , Lactation , Mammary Glands, Animal , Mastitis, Bovine , Milk , Animals , Cattle , Female , Milk/cytology , Ireland
2.
BMC Public Health ; 23(1): 1643, 2023 08 28.
Article in English | MEDLINE | ID: mdl-37641018

ABSTRACT

INTRODUCTION: Pre-exposure prophylaxis (PrEP) persistence among men who have sex with men (MSM) in real world clinical settings for HIV prevention is suboptimal. New longer-acting formulations of PrEP are becoming available, including injectables, subdermal implants, and other oral medications. These longer-acting formulations have the potential to improve retention among those who have challenges remaining adherent to daily oral PrEP. METHODS: We interviewed 49 MSM who had initiated but discontinued oral PrEP at three diverse clinics across the United States. We examined participants' perspectives about long-acting PrEP formulations and how long-acting options could affect PrEP use using thematic analysis. RESULTS: Participants were not very knowledgeable about long-acting formulations of PrEP but were open to learning about them and considering use. Participants were concerned about safety and efficacy of products given that they were still newer and/or in development. Finally, participants had clear preferences for oral pills, injectables, and then subdermal implants and were most interested in options that reduced the number of visits to the clinic. CONCLUSION: Long-acting formulations of PrEP are acceptable to MSM with suboptimal PrEP persistence and have the potential to improve PrEP persistence. However, many felt they needed more information on safety, efficacy, and use to consider these options. As these long-acting formulations are implemented, public health campaigns and clinical interventions to encourage may maximize uptake particularly among those who are not currently adherent to daily oral PrEP.


Subject(s)
Pre-Exposure Prophylaxis , Sexual and Gender Minorities , Male , United States , Humans , Homosexuality, Male , Ambulatory Care Facilities , Emotions
3.
BMC Infect Dis ; 22(1): 673, 2022 Aug 05.
Article in English | MEDLINE | ID: mdl-35931953

ABSTRACT

BACKGROUND: Pre-exposure prophylaxis (PrEP) can significantly reduce HIV acquisition especially among communities with high HIV prevalence, including men who have sex with men (MSM). Much research has been finding suboptimal PrEP persistence; however, few studies examine factors that enhance PrEP persistence in real-world settings. METHODS: We interviewed 33 patients who identified as MSM at three different PrEP clinics in three regions of the U.S. (Northeast, South, Midwest). Participants were eligible if they took PrEP and had been retained in care for a minimum of 6 months. Interviews explored social, structural, clinic-level and behavioral factors that influencing PrEP persistence. RESULTS: Through thematic analysis we identified the following factors as promoting PrEP persistence: (1) navigation to reduce out-of-pocket costs of PrEP (structural), (2) social norms that support PrEP use (social), (3) access to LGBTQ + affirming medical providers (clinical), (4) medication as part of a daily routine (behavioral), and (5) facilitation of sexual health agency (belief). DISCUSSION: In this sample, persistence in PrEP care was associated with structural and social supports as well as a high level of perceived internal control over protecting their health by taking PrEP. Patients might benefit from increased access, LGBTQ + affirming medical providers, and communications that emphasize PrEP can promote sexual health.


Subject(s)
Anti-HIV Agents , HIV Infections , Pre-Exposure Prophylaxis , Sexual and Gender Minorities , Ambulatory Care Facilities , Anti-HIV Agents/therapeutic use , HIV Infections/drug therapy , Homosexuality, Male , Humans , Male , United States
4.
J Dairy Sci ; 104(8): 8618-8629, 2021 Aug.
Article in English | MEDLINE | ID: mdl-34001364

ABSTRACT

This study approaches the interrelation patterns between composition of milk and whey, curd yield, chromaticity, syneresis, and technological quality of Manchega sheep milk using multivariate factor analysis. In addition, the effect of the main husbandry components (flock, prolificacy, season of the year, stage of lactation, and parity) on the common latent factors that define the pattern of variation of Manchega milk was assessed. For this purpose, 1,200 individual Manchega ewe milk samples from 4 different flocks registered under the Protected Designation of Origin Queso Manchego were analyzed (50 ewes/flock). Samples were collected in 2 different seasons of the year (spring and autumn) and at 3 time points per season: early, mid-, and late lactation. The obtained results suggested that curd yield mainly depends on milk composition, and the retention of water in the curd is related to coagulation traits. Thus, composition and moisture content could be useful indicators to assess the efficiency and quality of milk intended for cheesemaking, regardless of the analysis of coagulation properties. Finally, in terms of husbandry, a direct effect of flock and stage of lactation was observed on all analyzed factors, with a lower influence of season and parity.


Subject(s)
Cheese , Milk , Animals , Female , Lactation , Pregnancy , Sheep , Whey , Whey Proteins
5.
J Dairy Sci ; 104(7): 7544-7554, 2021 Jul.
Article in English | MEDLINE | ID: mdl-33814148

ABSTRACT

Characteristics of sheep milk are of great interest for the dairy industry, as almost the totality of production is intended for cheesemaking. However, the existing relationships between these variables are complex. This study assessed composition, hygienic quality, coagulation properties, and curd yield of 1,200 individual Manchega sheep milk samples. The aim was to compare the effect of composition and hygienic quality on coagulation and curdling, and to evaluate the relationship between curd yields and the coagulation process and the effect of other features by using path analysis methodologies. Outcomes proved path analysis to be a useful and effective tool to assess these relationships through direct and indirect paths within the same model. Results showed that the factors that had a direct influence on milk coagulation were lactose concentration, casein content, and initial pH of milk. Contrastingly, somatic cells did not seem to have any effect (direct or indirect) on the coagulation process. Factors that directly affected curd yield were fat content, lactose concentration, casein content, and curd moisture. However, technological parameters showed little effect over curd yield.


Subject(s)
Cheese , Milk , Animals , Caseins , Lactose , Sheep , Spain
6.
Molecules ; 26(6)2021 Mar 22.
Article in English | MEDLINE | ID: mdl-33810043

ABSTRACT

High molecular weight chitosan (≈322 kDa) was obtained from chitin isolated from Brachystola magna (Girard) to produced biodegradable films. Their physicochemical, mechanical and water vapor permeability (WVP) properties were compared against commercial chitosan films with different molecular weights. Brachystola magna chitosan films (CFBM) exhibited similar physicochemical and mechanical characteristics to those of commercial chitosans. The CFBM films presented lower WVP values (10.01 × 10-11 g/m s Pa) than commercial chitosans films (from 16.06 × 10-11 to 64.30 × 10-11 g/m s Pa). Frankfurt-type sausages were covered with chitosan films and stored in refrigerated conditions (4 °C). Their quality attributes (color, weight loss, pH, moisture, texture and lipid oxidation) were evaluated at 0, 5, 10, 15 and 20 days. Sausages covered with CFMB films presented the lowest weight loss (from 1.24% to 2.38%). A higher increase in hardness (from 22.32 N to 30.63 N) was observed in sausages covered with CFMB films. Compared with other films and the control (uncovered sausages), CFMB films delay pH reduction. Moreover, this film presents the lower lipid oxidation level (0.10 malonaldehyde mg/sample kg). Thus, chitosan of B. magna could be a good alternative as packaging material for meat products with high-fat content.


Subject(s)
Chitosan/chemistry , Food Packaging , Food Preservation , Grasshoppers/chemistry , Meat Products , Membranes, Artificial , Animals
7.
Molecules ; 26(13)2021 Jun 30.
Article in English | MEDLINE | ID: mdl-34209163

ABSTRACT

The feasibility of obtaining resistant starch type III (RS3) from malanga flour (Xanthosoma sagittifolium), as an unconventional source of starch, was evaluated using the hydrothermal treatment of autoclaving. The physicochemical characterization of RS3 made from malanga flour was carried out through the evaluation of the chemical composition, color attributes, and thermal properties. In addition, the contents of the total starch, available starch, resistant starch, and retrograded resistant starch were determined by in vitro enzymatic tests. A commercial corn starch sample was used to produce RS3 and utilized to compare all of the analyses. The results showed that native malanga flour behaved differently in most of the evaluations performed, compared to the commercial corn starch. These results could be explained by the presence of minor components that could interfere with the physicochemical and functional properties of the flour; however, the RS3 samples obtained from malanga flour and corn starch were similar in their thermal and morphological features, which may be related to their similarities in the content and molecular weight of amylose, in both of the samples. Furthermore, the yields for obtaining the autoclaved powders from corn starch and malanga flour were similar (≈89%), which showed that the malanga flour is an attractive raw material for obtaining RS3 with adequate yields, to be considered in the subsequent research.


Subject(s)
Flour , Resistant Starch , Xanthosoma/chemistry , Zea mays/chemistry
8.
Mol Cell Biochem ; 475(1-2): 261-276, 2020 Dec.
Article in English | MEDLINE | ID: mdl-32852713

ABSTRACT

Bilateral ovariectomy is the best characterized and the most reported animal model of human menopause. Ovariectomized rodents develop insulin resistance (IR) and visceral obesity, the main risk factors in the pathophysiology of metabolic syndrome (MS). These alterations are a consequence of hypoestrogenic status, which produces an augment of visceral fat, high testosterone levels (hyperandrogenism), as well as inflammation, oxidative stress, and metabolic complications, such as dyslipidemia, hepatic steatosis, and endothelial dysfunction, among others. Clinical trials have reported that menopause per se increases the severity and incidence of MS, and causes the highest mortality due to cardiovascular disease in women. Despite all the evidence, there are no reports that clarify the influence of estrogenic deficiency as a cause of MS. In this review, we provide evidence that ovariectomized rodents can be used as a menopausal metabolic syndrome model for evaluating and discovering new, safe, and effective therapeutic approaches in the treatment of cardiometabolic complications associated to MS during menopause.


Subject(s)
Cardiovascular Diseases/metabolism , Intra-Abdominal Fat/pathology , Metabolic Syndrome/metabolism , Animals , Cardiovascular Diseases/pathology , Disease Models, Animal , Female , Humans , Insulin Resistance , Intra-Abdominal Fat/metabolism , Menopause , Metabolic Syndrome/pathology , Ovariectomy/methods , Ovary/physiology , Rodentia
9.
J Dairy Sci ; 103(6): 4951-4957, 2020 Jun.
Article in English | MEDLINE | ID: mdl-32229122

ABSTRACT

This study explores the relationships between composition, hygienic quality, and color values of milk to evaluate whether colorimetry could be used as a valid predictor of the quality of raw milk and its coagulation. For this purpose, we performed analyses in 1,200 individual samples of Manchega sheep milk from 4 flocks from the region of Castilla-La Mancha, Spain. Based on the measured variables, we determined the differences and similarities between coagulating and noncoagulating samples using discriminant analysis techniques. The variables with a higher discriminant ability were lactose content, somatic cell score, pH, and the color values lightness (L*) and red/green value (a*). The model based on color values showed a predictive ability similar to that found in the model based on milk composition and hygienic quality. Canonical correlation analysis allowed us to explore the relationships between both sets of variables. Canonical correlations for the first and second pair of canonical values were 0.794 and 0.438, respectively. Both values were significant and represented 92.82% of the observed variability. The correlation structure showed that color values had a strong correlation with fat and protein content and with total solids, and they had a weak correlation with lactose content and somatic cell score. The 2 first combinations of standardized canonical variability could be considered a predictable measure of the composition and, to a lesser extent, the hygiene of milk. Measurement of color values could be a rapid and effective means of supplementing standard analyses when determining the coagulation ability of Manchega sheep milk.


Subject(s)
Food Quality , Milk , Sheep , Animals , Color , Discriminant Analysis , Female , Hygiene , Lactose/analysis , Milk/chemistry , Milk Proteins/analysis , Multivariate Analysis , Spain
10.
Dis Aquat Organ ; 136(3): 243-253, 2019 Nov 14.
Article in English | MEDLINE | ID: mdl-31724557

ABSTRACT

Disease in coral species is one factor associated with the current degradation process of tropical reefs. The history of research on coral pathologies dates to 1970 with the first reports of diseases in the Greater Caribbean and Indo-Pacific regions, although some anecdotal observations were made earlier. Today, there is information on the health conditions of >200 coral species in 70 countries. The special natural conditions under which reefs develop in the eastern tropical Pacific (ETP) and the predominance of a single coral genus, Pocillopora (a host highly susceptible to disease), leave them vulnerable to health impairments and the loss of viability, structure and function in the wider ecosystem. Therefore, coral reefs in the ETP are ideal systems for studies of biodiversity and survivorship. To clarify the status of knowledge on coral diseases in the ETP, we reviewed scientific studies conducted there from 1970-2018, comparing 127 publications to literature on other reef regions in the Pacific. Despite the vulnerability of reefs in the ETP, only limited information exists describing and investigating the etiology of lesions and other signs of health deterioration in corals, and there are few baseline studies of coral reefs or analyses of the spatial and temporal dynamics of disease syndromes. In general, efforts to study coral diseases in the ETP are inadequate.


Subject(s)
Anthozoa , Animals , Biodiversity , Coral Reefs
11.
J Dairy Sci ; 101(5): 3878-3886, 2018 May.
Article in English | MEDLINE | ID: mdl-29501330

ABSTRACT

Milk coagulation, especially in small ruminant species, is often hard to evaluate, as coagulation traits are normally considered individually and several factors related to udder health might distort yield calculation. Due to the lack of studies about these factors, our objective was to determine milk coagulation efficiency (CE) and its determinants using a deterministic technical efficiency approach, an ordinary least square regression model, and ANOVA. Milk from 300 Manchega ewes was collected and analyzed for composition, milk coagulation properties, and hygienic quality. The study results indicate that the estimated CE in Manchega ewes was 0.69, implying an important proportion of the animals produce poorly coagulating milk. The results of the ordinary least square regression model and ANOVA revealed that the main factor causing inefficiency was the initial pH of milk. Crude protein, casein and plasmin activity had moderate effects on CE, and, finally, other factors such as freezing point depression, somatic cell count, colony-forming units, and fat concentration had minor effects.


Subject(s)
Milk/chemistry , Animals , Caseins/analysis , Female , Fibrinolysin/analysis , Phenotype , Sheep , Spain
12.
J Dairy Sci ; 101(12): 10733-10742, 2018 Dec.
Article in English | MEDLINE | ID: mdl-30316609

ABSTRACT

In Spain, ewe milk is mainly used for cheesemaking, and farming systems have traditionally been based on the use of autochthonous breeds. However, in recent years, the progressive introduction of highly productive foreign breeds in Spanish farms has led to an increasing interest in the characterization of dairy sheep breeds to evaluate whether genetic selection schemes should focus on productivity or milk technological aptitude. The purpose of this work was to explore milk composition and coagulation to classify 4 of the main dairy sheep breeds used in Spain. This study included 832 individual ewe milk samples from the breeds Manchega, Assaf, Merino de Grazalema, and Merino de Los Pedroches. Samples were analyzed for native pH, composition (fat, protein, lactose, and total solids), coagulation properties, and individual laboratory curd yield. An indicator of coagulation efficiency was also determined. Canonical discriminant analysis was performed to establish differences and similarities among breeds based on the measured variables. In addition, cluster analysis was performed to study and quantify the concrete relationships among the discriminated groups. Discriminant analysis proved to be a powerful tool to accurately draw distinctions between breeds. In all cases, discrimination among breeds was evident and the 4 breeds could be easily differentiated. Cluster analysis showed greater similarity between Merino de Grazalema and Assaf compared with the other breeds, and F-statistics indicated a higher discriminating ability for the variables related to milk composition. However, Merino de Grazalema and Manchega were difficult to separate according to milk composition, but the coagulation process differenced them clearly. Coagulation also evidenced similarities between Manchega and Merino de Los Pedroches, although the latter was revealed to be the most different breed of all 4, which could lay the ground for its differentiation as an independent breed in the Official Catalogue of Spanish Livestock Breeds.


Subject(s)
Milk/chemistry , Sheep, Domestic , Animals , Breeding , Chemical Phenomena , Discriminant Analysis , Fats/analysis , Female , Hydrogen-Ion Concentration , Lactose/analysis , Milk Proteins/analysis , Multivariate Analysis , Sheep, Domestic/genetics , Spain , Species Specificity
13.
Law Hum Behav ; 40(4): 351-61, 2016 Aug.
Article in English | MEDLINE | ID: mdl-26914858

ABSTRACT

Interviewers often face respondents reluctant to disclose sensitive, embarrassing or potentially damaging information. We explored effects of priming 5 states of mind on willingness to disclose: including 2 expected to facilitate disclosure (self-affirmation, attachment security), and 3 expected to inhibit disclosure (self-disaffirmation, attachment insecurity, mortality salience). Israeli Jewish participants completed a survey including a manipulation of 1 of these states of mind, followed by questions concerning hostile thoughts and behaviors toward the Israeli Arab outgroup, past minor criminal behaviors, and socially undesirable traits and behaviors. Self-affirmation led to more disclosures of all undesirable behaviors than neutral priming, whereas self-disaffirmation led to less disclosures. Mortality salience led to fewer disclosures of socially undesirable and criminal behaviors compared to neutral priming, but more disclosures of hostile thoughts and behaviors toward Israeli Arabs. Security priming facilitated disclosure of hostile attitudes toward Israeli Arabs. However, neither security nor insecurity priming had any other significant effects. (PsycINFO Database Record


Subject(s)
Arabs , Disclosure , Humans , Israel , Jews , Surveys and Questionnaires
14.
Vet Sci ; 10(10)2023 Oct 07.
Article in English | MEDLINE | ID: mdl-37888561

ABSTRACT

Molecular diagnostic tests have evolved very rapidly in the field of human health, especially with the arrival of the recent pandemic caused by the SARS-CoV-2 virus. However, the animal sector is constantly neglected, even though accurate detection by molecular tools could represent economic advantages by preventing the spread of viruses. In this regard, the swine industry is of great interest. The main viruses that affect the swine industry are described in this review, including African swine fever virus (ASFV), porcine reproductive and respiratory syndrome virus (PRRSV), porcine epidemic diarrhea virus (PEDV), and porcine circovirus (PCV), which have been effectively detected by different molecular tools in recent times. Here, we describe the rationale of molecular techniques such as multiplex PCR, isothermal methods (LAMP, NASBA, RPA, and PSR) and novel methods such as CRISPR-Cas and microfluidics platforms. Successful molecular diagnostic developments are presented by highlighting their most important findings. Finally, we describe the barriers that hinder the large-scale development of affordable, accessible, rapid, and easy-to-use molecular diagnostic tests. The evolution of diagnostic techniques is critical to prevent the spread of viruses and the development of viral reservoirs in the swine industry that impact the possible development of future pandemics and the world economy.

15.
J Biomech Eng ; 133(2): 021001, 2011 Feb.
Article in English | MEDLINE | ID: mdl-21280873

ABSTRACT

In this work, a fluid-solid interaction (FSI) analysis of a healthy and a stenotic human trachea was studied to evaluate flow patterns, wall stresses, and deformations under physiological and pathological conditions. The two analyzed tracheal geometries, which include the first bifurcation after the carina, were obtained from computed tomography images of healthy and diseased patients, respectively. A finite element-based commercial software code was used to perform the simulations. The tracheal wall was modeled as a fiber reinforced hyperelastic solid material in which the anisotropy due to the orientation of the fibers was introduced. Impedance-based pressure waveforms were computed using a method developed for the cardiovascular system, where the resistance of the respiratory system was calculated taking into account the entire bronchial tree, modeled as binary fractal network. Intratracheal flow patterns and tracheal wall deformation were analyzed under different scenarios. The simulations show the possibility of predicting, with FSI computations, flow and wall behavior for healthy and pathological tracheas. The computational modeling procedure presented herein can be a useful tool capable of evaluating quantities that cannot be assessed in vivo, such as wall stresses, pressure drop, and flow patterns, and to derive parameters that could help clinical decisions and improve surgical outcomes.


Subject(s)
Constriction, Pathologic/physiopathology , Health , Hydrodynamics , Trachea/physiology , Trachea/physiopathology , Aged , Biomechanical Phenomena , Case-Control Studies , Finite Element Analysis , Humans , Male , Middle Aged , Models, Biological , Stress, Mechanical
16.
J Biomech Eng ; 133(7): 071003, 2011 Jul.
Article in English | MEDLINE | ID: mdl-21823742

ABSTRACT

In this work we analyzed the response of a stenotic trachea after a stent implantation. An endotracheal stent is the common treatment for tracheal diseases such as stenosis, chronic cough, or dispnoea episodes. Medical treatment and surgical techniques are still challenging due to the difficulties in overcoming potential complications after prosthesis implantation. A finite element model of a diseased and stented trachea was developed starting from a patient specific computerized tomography (CT) scan. The tracheal wall was modeled as a fiber reinforced hyperelastic material in which we modeled the anisotropy due to the orientation of the collagen fibers. Deformations of the tracheal cartilage rings and of the muscular membrane, as well as the maximum principal stresses, are analyzed using a fluid solid interaction (FSI) approach. For this reason, as boundary conditions, impedance-based pressure waveforms were computed modeling the nonreconstructed vessels as a binary fractal network. The results showed that the presence of the stent prevents tracheal muscle deflections and indicated a local recirculatory flow on the stent top surface which may play a role in the process of mucous accumulation. The present work gives new insight into clinical procedures, predicting their mechanical consequences. This tool could be used in the future as preoperative planning software to help the thoracic surgeons in deciding the optimal prosthesis type as well as its size and positioning.


Subject(s)
Models, Biological , Prostheses and Implants , Trachea/pathology , Trachea/physiopathology , Tracheal Stenosis/physiopathology , Tracheal Stenosis/therapy , Anisotropy , Biomechanical Phenomena , Cartilage/physiology , Computer Simulation , Finite Element Analysis , Humans , Prosthesis Fitting , Prosthesis Implantation/methods , Software , Stents , Stress, Mechanical , Tracheal Stenosis/rehabilitation , Treatment Outcome
17.
Chaos ; 20(1): 013109, 2010 Mar.
Article in English | MEDLINE | ID: mdl-20370264

ABSTRACT

We explore in detail the nontrivial and chaotic behavior of the traffic model proposed by Toledo et al. [Phys. Rev. E 70, 016107 (2004)] due to the richness of behavior present in the model, in spite of the fact that it is a minimalistic representation of basic city traffic dynamics. The chaotic behavior, previously shown for a given lower bound in acceleration/brake ratio, is examined more carefully and the region in parameter space for which we observe this nontrivial behavior is found. This parameter region may be related to the high sensitivity of traffic flow that eventually leads to traffic jams. Approximate scaling laws are proposed.


Subject(s)
Nonlinear Dynamics , Transportation , Algorithms , Behavior , Cities , Computer Simulation , Humans , Models, Statistical , Motor Vehicles , Reaction Time
18.
Ann Biomed Eng ; 48(6): 1805-1820, 2020 Jun.
Article in English | MEDLINE | ID: mdl-32215754

ABSTRACT

The main goal of this study is the quantification of the particle transport and deposition within the human airways during light, normal and exercise breathing conditions using the computational fluid dynamics. In particular we presented a comparison between healthy and stented airways. The considered tracheobronchial model is based on the Weibel symmetric model in which we have inserted the Dumon prosthesis at different locations and on the CT-based geometries of a healthy and a stented airway. The results indicate an important redistribution of the particle deposition locations. Local overdoses can be found in the proximal regions of the prostheses, independently of the breathing conditions, of the particle size and of the considered geometry. The presented work is aimed to contribute to the understanding of the particle deposition in the human lung and to improve drug-aerosol therapies. For patients that underwent airways reconstructive surgery, it can give detailed information about the deposition efficiency and it may help targeting specific airways regions.


Subject(s)
Models, Biological , Respiratory Physiological Phenomena , Respiratory System/metabolism , Adult , Aerosols , Humans , Hydrodynamics , Patient-Specific Modeling , Respiratory System/diagnostic imaging , Stents
20.
Nutr Hosp ; 24(4): 467-72, 2009.
Article in Spanish | MEDLINE | ID: mdl-19721927

ABSTRACT

Given the frequency and clinical, social, and economic implications of hospital hyponutrition and the usual lack of sensibility before this problem from health care professionals, it seemed appropriate to create a working group within the Spanish Society of Parenteral and Enteral Nutrition (SENPE), which will lead to consensus recommendations on hyponutrition assessment among hospitalised patients. At a first stage, it seemed interesting to elaborate some recommendations on early and regular detection of hyponutrition among patients admitted to our hospitals. After carefully reviewing the screening methods published, the group considers that using screening methods should be recommended according to the possibilities at each centre in order to detect those patients that will further need a more complete evaluation of their nutritional status and, in case of necessary, to establish a nutritional action plan.


Subject(s)
Hospitalization , Malnutrition/epidemiology , Humans , Risk Assessment
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