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2.
J Appl Microbiol ; 95(5): 1016-25, 2003.
Artículo en Inglés | MEDLINE | ID: mdl-14633030

RESUMEN

AIMS: Monitoring for Salmonella in slaughter pigs is important to enable targeted control measures to be applied on problem farms and at the abattoir. The aim of this study was to determine whether pooled serum and meat juice could be used to identify finishing pig herds with a high prevalence of infection. METHODS AND RESULTS: Samples of meat juice, serum, caecal contents, carcase swabs and pooled faeces from pig pens were taken from 20 commercial pig finishing farms and comparisons were made between the results of Salmonella culture, individual ELISA tests on serum and meat juice and pooled samples of serum and meat juice. Salmonella was isolated from samples from 19 of 20 farms. None of the ELISA tests showed a statistically significant correlation with caecal carriage of Salmonella or contamination of carcases. Serum mean optical density (O.D.) from pools of five, 10 or 20 sera showed a significant correlation with the Salmonella status of farm pen faeces. All pooled serum O.D. and sample/positive control ratio results correlated significantly with the results of the conventional individual sample ELISA. There was a statistically significant correlation between the incidence of Salmonella in farm pen pooled faeces and the prevalence of Salmonella in caeca of slaughter pigs. CONCLUSIONS: The results show a generally poor correlation between serological and bacteriological results but pooled serum or meat juice samples could be used as a cheaper substitute for serological screening of farms for Salmonella than individual samples. SIGNIFICANCE AND IMPACT OF THE STUDY: The availability of a cheaper test should allow the costs of Salmonella monitoring of pig farms to be reduced or allow more regular testing to enhance the designation of farm Salmonella risk status.


Asunto(s)
Heces/microbiología , Tamizaje Masivo/veterinaria , Músculo Esquelético/microbiología , Salmonelosis Animal/diagnóstico , Enfermedades de los Porcinos/diagnóstico , Mataderos , Animales , Ensayo de Inmunoadsorción Enzimática/métodos , Ensayo de Inmunoadsorción Enzimática/veterinaria , Exudados y Transudados/microbiología , Tamizaje Masivo/métodos , Carne/microbiología , Suero/microbiología , Manejo de Especímenes/métodos , Porcinos
3.
Infect Immun ; 69(12): 7572-82, 2001 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-11705935

RESUMEN

Streptococcus suis is an economically important pathogen of pigs responsible for a variety of diseases including meningitis, septicemia, arthritis, and pneumonia, although little is known about the mechanisms of pathogenesis or virulence factors associated with this organism. Here, we report on the distribution and genetic diversity of the putative virulence factor suilysin, a member of the thiol-activated toxin family of gram-positive bacteria. On the basis of PCR analysis of over 300 isolates of S. suis, the suilysin-encoding gene, sly, was detected in 69.4% of isolates. However, sly was present in a considerably higher proportion of isolates obtained from cases of meningitis, septicemia, and arthritis (>80%) and isolates obtained from asymptomatic tonsillar carriage (>90%) than lung isolates associated with pneumonia (44%). With the exception of serotypes 1, 14, and 1/14, there was no strong correlation between the presence of suilysin and serotype. Analysis of the genetic diversity of suilysin by restriction fragment length polymorphism and sequence analysis found that the suilysin gene, where present, is highly conserved with a maximum of 1.79% diversity at the nucleotide level seen between sly alleles. Assays of hemolytic activity and hybridization analysis provided no evidence for a second member of the thiol-activated toxin family in S. suis. Inverse PCR was used to characterize regions flanking sly, which in turn allowed the first characterization of the equivalent region in a strain lacking sly. Sequence comparison of these regions from sly-positive (P1/7) and sly-negative (DH5) strains indicated that two alternative arrangements are both flanked by genes with highest similarity to haloacid dehalogenase-like hydrolases (5' end) and putative N-acetylmannosamine-6-phosphate epimerases (3' end). However, sly appears to be completely absent from the alternative arrangement, and a gene of unknown function is located in the equivalent position. Finally, PCR analysis of multiple sly-positive and -negative strains indicated that these two alternative genetic arrangements are conserved among many S. suis isolates.


Asunto(s)
Proteínas Hemolisinas/genética , Infecciones Estreptocócicas/veterinaria , Streptococcus suis/genética , Enfermedades de los Porcinos/microbiología , Secuencia de Aminoácidos , Animales , Artritis Infecciosa/veterinaria , Secuencia de Bases , Variación Genética , Hemólisis , Humanos , Meningitis Neumocócica/veterinaria , Datos de Secuencia Molecular , Compuestos Orgánicos , Neumonía Neumocócica/veterinaria , Sepsis/veterinaria , Homología de Secuencia de Ácido Nucleico , Infecciones Estreptocócicas/microbiología , Streptococcus suis/patogenicidad , Porcinos
5.
Acta Crystallogr D Biol Crystallogr ; 56(Pt 11): 1359-66, 2000 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-11053832

RESUMEN

The gene encoding the iron-dependent superoxide dismutase from Pseudomonas ovalis was cloned from a genomic library and sequenced. The ORF differs from the previously published protein sequence, which was used for the original structure determination, at 16 positions. The differences include three additional inserted residues, one deleted residue and 12 point substitutions. The gene was subcloned and the recombinant protein overexpressed, purified and crystallized in a trigonal space group. The structure was determined by molecular replacement and was refined to 2.1 A resolution.


Asunto(s)
Superóxido Dismutasa/química , Superóxido Dismutasa/genética , Secuencia de Aminoácidos , Secuencia de Bases , Clonación Molecular , Cristalografía por Rayos X , ADN Bacteriano , Datos de Secuencia Molecular , Conformación Proteica , Pseudomonas/enzimología , Proteínas Recombinantes/química , Proteínas Recombinantes/genética
6.
Biopolymers ; 45(7): 503-15, 1998 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-9577231

RESUMEN

Changes in the average secondary structures of three different linear DNAs over the premelting region from 5 to 60 degrees C were investigated by measuring their CD spectra and also their torsion elastic constants () by time-resolved fluorescence polarization anisotropy. For one of these DNAs, the Haell fragment of pBR322, the apparent diffusion coefficients [Dapp(k)] at small and large scattering vectors (k) were also measured by dynamic light scattering. With increasing temperature, all three DNAs exhibited typical premelting changes in their CD spectra, and these were accompanied by 1.4- to 1.7-fold decreases in . Also for the 1876 base pair fragment, Dapp(k) at large scattering vectors, which is sensitive to the dynamic bending rigidity, decreased by 17%, even though there was no change at small scattering vectors, where Dapp(k) = D0 is the translational diffusion coefficient of the center-of-mass. These observations demonstrate conclusively that the premelting CD changes of these DNAs are associated with a significant change in average secondary structure and mechanical properties, though not in persistence length. In the presence of 0.5 M tetramethylammonium chloride (TMA-Cl) the premelting change in CD is largely suppressed, and the corresponding changes in and Dapp(k) at large scattering vectors are substantially diminished. These observations suggest that TMA-Cl, which binds preferentially to A.T-rich regions and stabilizes those regions (relative to G.C-rich regions) against melting, effectively stabilizes the prevailing low-temperature secondary structure sufficiently that the DNA is effectively trapped in that state over the temperature range observed.


Asunto(s)
ADN/química , Conformación de Ácido Nucleico , Compuestos de Amonio Cuaternario/farmacología , Dicroismo Circular , Desoxirribonucleasas de Localización Especificada Tipo II/metabolismo , Difusión , Polarización de Fluorescencia , Desnaturalización de Ácido Nucleico , Oligodesoxirribonucleótidos/química , Plásmidos/química , Dispersión de Radiación
7.
Structure ; 6(2): 195-210, 1998 Feb 15.
Artículo en Inglés | MEDLINE | ID: mdl-9519410

RESUMEN

BACKGROUND: Yeast pyruvate kinase (PK) catalyzes the final step in glycolysis. The enzyme therefore represents an important control point and is allosterically activated by fructose-1,6-bisphosphate (FBP). In mammals the enzyme is found as four different isozymes with different regulatory properties: two of these isozymes are produced by alternate splicing. The allosteric regulation of PK is directly related to proliferation of certain cell types, as demonstrated by the expression of an allosterically regulated isozyme in tumor cells. A model for the allosteric transition from the inactive (T) state to the active (R) state has been proposed previously, but until now the FBP-binding site had not been identified. RESULTS: We report here the structures of PK from yeast complexed with a substrate analog and catalytic metal ions in the presence and absence of bound FBP. The allosteric site is located 40 A from the active site and is entirely located in the enzyme regulatory (C) domain. A phosphate-binding site for the allosteric activator is created by residues encoded by a region of the gene corresponding to the alternately spliced exon of mammalian isozymes. FBP activation appears to induce several conformational changes among active-site sidechains through a mechanism that is most likely to involve significant domain motions, as previously hypothesized. CONCLUSIONS: The structure and location of the allosteric activator site agrees with the pattern of alternate genetic splicing of the PK gene in multicellular eukaryotes that distinguishes between a non-regulated isozyme and the regulated fetal isozymes. The conformational differences observed between the active sites of inactive and fully active PK enzymes is in agreement with the recently determined thermodynamic mechanism of allosteric activation through a 'metal relay' that increases the affinity of the enzyme for its natural phosphoenolpyruvate substrate.


Asunto(s)
Fructosadifosfatos/química , Piruvato Quinasa/química , Saccharomyces cerevisiae/enzimología , Regulación Alostérica , Empalme Alternativo , Secuencia de Aminoácidos , Sitios de Unión , Genes/genética , Glicolatos/química , Manganeso/química , Modelos Moleculares , Datos de Secuencia Molecular , Fosfoenolpiruvato/química , Potasio/química , Conformación Proteica , Piruvato Quinasa/genética
8.
Biophys J ; 73(5): 2688-701, 1997 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-9370462

RESUMEN

Monte Carlo simulations using temperature-invariant torsional and bending rigidities fail to predict the rather steep decline of the experimental supercoiling free energy with increasing temperature, and consequently fail to predict the correct sign and magnitude of the supercoiling entropy. To illustrate this problem, values of the twist energy parameter (E(T)), which governs the supercoiling free energy, were simulated using temperature-invariant torsion and bending potentials and compared to experimental data on pBR322 over a range of temperatures. The slope, -dE(T)/dT, of the simulated values is also compared to the slope derived from previous calorimetric data. The possibility that the discrepancies arise from some hitherto undetected temperature dependence of the torsional rigidity was investigated. The torsion elastic constant of an 1876-bp restriction fragment of pBR322 was measured by time-resolved fluorescence polarization anisotropy of intercalated ethidium over the range 278-323 K, and found to decline substantially over that interval. Simulations of a 4349-bp model DNA were performed using these measured temperature-dependent torsional rigidities. The slope, -dE(T)/dT, of the simulated data agrees satisfactorily with the slope derived from previous calorimetric measurements, but still lies substantially below that of Duguet's data. Models that involve an equilibrium between different secondary structure states with different intrinsic twists and torsion constants provide the most likely explanation for the variation of the torsion constant with T and other pertinent observations.


Asunto(s)
ADN Superhelicoidal/química , Conformación de Ácido Nucleico , Simulación por Computador , Escherichia coli/química , Escherichia coli/genética , Etidio , Polarización de Fluorescencia , Matemática , Método de Montecarlo , Plásmidos , Temperatura , Termodinámica
9.
Nat Struct Biol ; 4(6): 468-76, 1997 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-9187655

RESUMEN

The structure of I-Crel provides the first view of a protein encoded by a gene within an intron. This endonuclease recognizes a long DNA site approximately 20 base pairs in length and facilitates the lateral transfer of that intron. The protein exhibits a DNA-binding surface consisting of four antiparallel beta-strands that form a 20 A wide groove which is over 70 A long. The architecture of this fold is different from that of the TATA binding protein, TBP, which also contains an antiparallel beta-saddle. The conserved LAGLIDADG motif, which is found in many mobile intron endonucleases, maturases and inteins, forms a novel helical interface and contributes essential residues to the active site.


Asunto(s)
Enzimas de Restricción del ADN , ADN/metabolismo , Desoxirribonucleasas de Localización Especificada Tipo II/química , Desoxirribonucleasas de Localización Especificada Tipo II/metabolismo , Intrones , Secuencia de Aminoácidos , Sitios de Unión , Secuencia Conservada , Cristalografía por Rayos X , Desoxirribonucleasa EcoRI/química , Desoxirribonucleasa EcoRI/metabolismo , Desoxirribonucleasas de Localización Especificada Tipo II/genética , Dimerización , Células Eucariotas/enzimología , Modelos Moleculares , Datos de Secuencia Molecular , Conformación Proteica , Pliegue de Proteína , Proteínas Recombinantes/química , Proteínas Recombinantes/genética , Proteínas Recombinantes/metabolismo , Especificidad por Sustrato
10.
Proteins ; 28(1): 137-9, 1997 May.
Artículo en Inglés | MEDLINE | ID: mdl-9144800

RESUMEN

Group I intron endonuclease I-CreI is encoded by an open reading frame contained within a self-splicing intron in the Chlamydomonas reinhardtii chloroplast 23S rRNA gene. I-CreI initiates the lateral transfer or homing of this intron by specifically recognizing and cleaving a pseudopalindromic 19-24 bp homing site in chloroplast 23S rRNA genes that lack the intron. The gene encoding this enzyme has been subcloned, and the protein product has been purified and crystallized. The crystals belong to space group P321, with unit cell dimensions a = b = 78.2 A, c = 67.4 A. The crystal unit cell is consistent with an asymmetric unit consisting of the enzyme monomer. The specific volume of this unit cell is 3.3 A3/Da. The crystals diffract to at least 3.0 A resolution after flash-cooling, when using a rotating anode x-ray source and an RAXIS image plate detector.


Asunto(s)
Chlamydomonas reinhardtii/química , Enzimas de Restricción del ADN/química , Animales , Chlamydomonas reinhardtii/genética , Cloroplastos , Cristalización , Cristalografía por Rayos X , Enzimas de Restricción del ADN/genética , Escherichia coli/química , Escherichia coli/genética , Precipitación Fraccionada , Intrones , ARN Catalítico
12.
J Mol Biol ; 262(2): 105-28, 1996 Sep 20.
Artículo en Inglés | MEDLINE | ID: mdl-8831783

RESUMEN

Recent cryo-electron microscopy (cryo-EM) results suggest that sufficient NaCl concentration (> or approximately 0.1 M) and superhelix density (> or approximately-0.05) cause circular DNAs to adopt highly extended, tightly interwound configurations, in which the strands are laterally contiguous along almost their entire length. Millimolar levels of MgCl2 reportedly act synergistically with NaCl to produce similar conformations. However, Monte Carlo simulations with purely repulsive interduplex forces failed to reproduce such structures. In the present work, solution measurements of particular physical properties were performed both to characterize the effects of Na+ and Mg2+ on DNA structure and to provide quantitative tests of Monte Carlo simulations of circular DNAs. Supercoiled p30 delta DNAs in 10 mM Tris plus 0, 0.122, and 0.1 M NaCl, and 0.1 M NaCl plus 4 mM Mg2+ were examined by static and dynamic light scattering (LS and DLS), time-resolved fluorescence polarization anisotropy (FPA) of intercalated ethidium, and circular dichroism (CD) spectroscopy. Upon addition of 0.122 M NaCl, the radius of gyration (Rg) decreased substantially, which indicates that p30 delta adopts a more compact structure. This contradicts the cryo-EM studies, where molecular extension and Rg both increase upon adding 0.1 M NaCl. In 0.1 M NaCl, the torsion constant measured by FPA is practically invariant to superhelix density, and the plateau diffusion coefficient at large scattering vector (Dplat) is likewise nearly the same at both relaxed and native superhelix densities. Such invariance is difficult to reconcile with any transition from relaxed circles to tightly interwound structures with laterally contiguous strands. Metropolis Monte Carlo simulations were performed to generate canonically distributed sets of structures, from which average Do values and scattered intensity ratios, [symbol: see text]I (zero) [symbol: see text]/[symbol: see text] l(k) [symbol: see text], were calculated. Agreement between simulations and experiments in regard to [symbol: see text] I(O) [symbol: see text] /[symbol: see text] I(k) [symbol: see text], D(zero) and the supercoiling free energy, delta Gsc (delta l), is remarkably good for the most extensively studied p30 delta samples. The simulated structures exhibit no sign of very tight interwinding with extensive lateral contacts, but instead exhibit most probable superhelix diameters of 85 to 90 A. When 4 mM Mg2+ was added to native supercoiled p30 delta in 0.1 M NaCl, Rg decreased, D(zero) increased, and the longest internal relaxation rate (1/tau 2(zero)) increased, all of which indicate a further overall contraction of the molecular envelope. The torsion constant exhibited a slight increase that is hardly statistically significant. In this case, agreement between the simulations and experiments was only semi-quantitative for most samples investigated, although the predicted contraction was exhibited by all five samples of p30 delta and one of pBR322 DNA. The simulated structures in 0.1 M NaCl plus 4 mM Mg2+ again showed no sign of extensive lateral contacts. A plausible explanation is proposed for the highly extended, tightly interwound structures seen in cryo-EM, and explicitly tested by Monte Carlo simulations of a 1000 bp circular DNA at +25 and -50 degrees C. Structures identical to those seen in cryo-EM are in fact the equilibrium structures in the simulations at -50 degrees C, and the estimated time for equilibration (2.3 x 10(-6) second) is much smaller than the estimated time for vitrification (1 x 10(-4) second).


Asunto(s)
ADN Superhelicoidal/efectos de los fármacos , Cloruro de Magnesio/farmacología , Conformación de Ácido Nucleico/efectos de los fármacos , Cloruro de Sodio/farmacología , Simulación por Computador , Criopreservación , ADN Superhelicoidal/ultraestructura , Electroforesis en Gel de Agar , Polarización de Fluorescencia , Rayos Láser , Microscopía Electrónica/métodos , Método de Montecarlo , Plásmidos/química , Plásmidos/ultraestructura , Dispersión de Radiación
13.
J Mol Biol ; 260(5): 718-30, 1996 Aug 02.
Artículo en Inglés | MEDLINE | ID: mdl-8709150

RESUMEN

The torsion constants of both circular and linear forms of the same 181 bp DNA were investigated by time-resolved fluorescence polarization anisotropy (FPA) of intercalated ethidium. The ratio of intrinsic ethidium binding constants of the circular and linear species was determined from the relative fluorescence intensities of intercalated and non-intercalated dye in each case. Possible changes in secondary structure were also probed by circular dichroism (CD) spectroscopy. Upon circularization, the torsion constant increased by a factor of 1.42, the intrinsic binding constant for ethidium increased by about fourfold, and the CD spectrum underwent a significant change. These effects are attributed to an altered secondary structure induced by the bending strain. Quantitative agreement between torsion constants obtained from the present FPA studies and previous topoisomer distribution measurements on circular DNAs containing 205 to 217 bp removes a long-standing apparent discrepancy between those two methods. After storage at 4 degrees C for eight months, the torsion constant of the circular DNA increased by about 1.25-fold, whereas that of the linear DNA remained unchanged. For these aged circles, both the torsion constant and intrinsic binding constant ratio lie close to the corresponding values obtained previously for a 247 bp DNA by analyzing topoisomer distributions created in the presence of various amounts of ethidium. The available evidence strongly implies that torsion constants measured for small circular DNAs with less than 250 bp are specific to the altered secondary structure(s) therein, and are not applicable to linear and much larger circular DNAs with lower mean bending strains.


Asunto(s)
ADN Circular/química , ADN/química , Conformación de Ácido Nucleico , Proteínas Bacterianas/metabolismo , Secuencia de Bases , Dicroismo Circular , ADN/metabolismo , Cartilla de ADN , Enzimas de Restricción del ADN/metabolismo , ADN Circular/metabolismo , ADN Superhelicoidal/metabolismo , Proteínas de Unión al ADN/metabolismo , Etidio/metabolismo , Polarización de Fluorescencia , Sustancias Intercalantes/metabolismo , Datos de Secuencia Molecular , Desnaturalización de Ácido Nucleico , Temperatura
15.
BMJ ; 309(6962): 1159; author reply 1159-60, 1994 Oct 29.
Artículo en Inglés | MEDLINE | ID: mdl-7987125

Asunto(s)
Ética Médica , Humanos
16.
Vet Rec ; 129(14): 304-7, 1991 Oct 05.
Artículo en Inglés | MEDLINE | ID: mdl-1746101

RESUMEN

Actinobacillus seminis was isolated from the semen of five rams on four farms. Four of the rams had abnormal semen and three were also infertile. The isolates of A seminis showed similar phenotypic profiles and electrophoretic protein patterns to the type strain of A seminis but were distinct from Histophilus ovis previously isolated from rams with epididymitis in Scotland. The infection appeared to be subclinical but two of the five rams had palpable abnormalities of their testes. Three rams were treated with antibiotics but the infection persisted. No gross lesions were found in the genitalia of two of three rams examined post mortem but one had necrotic abscesses in the testes and epididymis. A seminis was isolated from the seminal vesicles and epididymis of one ram without gross lesions but not from the genitalia of the other two. On one farm the infection in a recently purchased ram led to the detection of another case as a result of the bacteriological screening of 11 stock rams not in contact with the initial case. These five subclinical cases, which included a supposedly healthy stock ram, suggest that A seminis infection may be widespread and should be considered in cases of infertility.


Asunto(s)
Infecciones por Actinobacillus/veterinaria , Actinobacillus/aislamiento & purificación , Semen/microbiología , Enfermedades de las Ovejas/microbiología , Enfermedades Testiculares/veterinaria , Infecciones por Actinobacillus/microbiología , Animales , Epidídimo/patología , Infertilidad Masculina/microbiología , Infertilidad Masculina/veterinaria , Masculino , Ovinos , Enfermedades Testiculares/microbiología , Testículo/patología , Reino Unido
17.
Anaesthesia ; 46(3): 213-6, 1991 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-2014900

RESUMEN

Undetected defects in the inner tube of the Bain coaxial anaesthetic breathing system may result in a greatly increased apparatus deadspace. Several authorities have advocated tests intended to detect inner tube problems; however, the efficacy of these tests has never been validated. In this study none of the tests were able to detect all the induced defects. A modification of an existing test using the backbar pressure-relief valve and a new double occlusion test were sufficiently sensitive to detect all defects.


Asunto(s)
Anestesia por Inhalación/instrumentación , Respiración , Falla de Equipo , Seguridad de Equipos , Humanos
18.
Anaesthesia ; 45(11): 911-5, 1990 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-2252183

RESUMEN

Sixty patients who presented for day-case dilatation and curettage were allocated randomly to receive either thiopentone or propofol for induction and maintenance of anaesthesia. One anaesthetist administered all the anaesthetics whilst all assessments were made by one other. The results indicate that early recovery of memory function, critical flicker fusion frequency and subjective feelings of tiredness, drowsiness and alertness were superior in the propofol group. There was a significant difference in subjective feelings of tiredness and drowsiness recorded by the two study groups at 24 hours. Memory function assessed by Wechsler logical memory function passages at 24 hours was impaired in the propofol group in comparison to a group of 'reference' subjects.


Asunto(s)
Procedimientos Quirúrgicos Ambulatorios , Periodo de Recuperación de la Anestesia , Anestesia Intravenosa , Propofol , Tiopental , Adolescente , Adulto , Dilatación y Legrado Uterino , Método Doble Ciego , Femenino , Humanos , Persona de Mediana Edad
19.
Anaesthesia ; 45(6): 501, 1990 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-2382821
20.
Anaesthesia ; 45(4): 297-301, 1990 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-2337214

RESUMEN

A double-blind study was set up to investigate the effect of warming local anaesthetic solutions on the latency of onset of subclavian perivascular brachial plexus blocks. Twenty-four adult patients were randomly allocated into two equal groups. In group A the local anaesthetic was injected at room temperature, while in group B the local anaesthetic solution was prewarmed to 37 degrees C in a thermostatically controlled heating block. All blocks were performed using 0.5 ml/kg of a solution prepared by mixing equal volumes of 0.5% bupivacaine with adrenaline 1:200,000, and 1% prilocaine. The speed of onset of sensory blockade was significantly increased when the temperature of the local anaesthetic solution was increased to 37 degrees C. There were no adverse side effects in either group.


Asunto(s)
Anestésicos Locales/farmacología , Plexo Braquial , Calor , Bloqueo Nervioso , Anestésicos Locales/administración & dosificación , Plexo Braquial/efectos de los fármacos , Método Doble Ciego , Femenino , Humanos , Masculino , Persona de Mediana Edad , Neuronas Motoras/efectos de los fármacos , Neuronas Aferentes/efectos de los fármacos , Distribución Aleatoria , Factores de Tiempo
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