RESUMEN
The objective of this study was to evaluate effects of butyrate supplementation on plasma concentration of glucagon-like peptide-2 (GLP-2), apparent total-tract digestibility, and responses to a grain challenge of lactating dairy cows fed diets differing in starch content. Eight Holstein cows averaging 58.6 ± 9.96 d in milk (4 primiparous cows fitted with rumen cannula and 4 multiparous intact cows) were blocked by parity and assigned to one of two 4 × 4 Latin squares balanced for carryover effects with a 2 × 2 factorial arrangement of treatments. Treatments were dietary starch content [20.6 vs. 27.5%, respectively, for low starch (LS) and high starch (HS)] and butyrate supplementation (butyrate vs. control) with 21-d periods. Butyrate was provided as Gustor BP70 WS (Norel, S.A., Madrid, Spain), containing 70% sodium butyrate and 30% fatty acid mixture, at 2% of dietary dry matter (providing butyrate at 1.1% of dietary dry matter), and control premix contained 70% wheat bran and 30% fatty acid mixture. Feeds, orts, and fecal samples were collected from d 17 to 19 to determine apparent total-tract nutrient digestibility. Blood and rumen fluid samples were collected on d 19. The baseline of dry matter intake (DMI) was determined as average DMI from d 17 to 19 for each cow, and cows were feed-restricted at 60% of the baseline DMI on d 20, and a grain challenge was conducted by providing steam-flaked corn grain at 0.6% of body weight, on an as-fed basis, in addition to each treatment diet on d 21, and blood and ruminal fluid samples were collected. The interaction of dietary starch content by butyrate supplementation was significant for plasma GLP-2 concentration, being greater for cows fed butyrate with the HS diet than those fed the other 3 diets. Cows fed butyrate increased n-butyrate concentration in the ruminal fluid and tended to increase dry matter and organic matter digestibility compared with the control. During the grain challenge, rumen endotoxin concentration increased over time and was higher for cows fed the HS diets compared with those fed LS diets. However, response variables related to inflammation were not affected by the grain challenge. However, serum haptoglobin, lipopolysaccharide-binding protein, and serum amyloid-A concentrations were greater for cows fed butyrate with the LS diet, but not for those fed the HS diet. These results indicate that butyrate supplementation may increase plasma GLP-2 concentration for cows fed HS diets, and total-tract digestibility regardless of dietary starch content. However, butyrate supplementation did not mitigate inflammation in this study.
Asunto(s)
Alimentación Animal , Butiratos/farmacología , Dieta/veterinaria , Tracto Gastrointestinal/efectos de los fármacos , Péptido 2 Similar al Glucagón/metabolismo , Almidón/metabolismo , Animales , Bovinos , Digestión/efectos de los fármacos , Ácidos Grasos/metabolismo , Femenino , Fermentación , Lactancia , Rumen/metabolismoRESUMEN
BACKGROUND: Rituximab (RIT) is effective as a part of the desensitization therapy before ABO-incompatible kidney transplantation (ABOi-KTx), and a single dose of RIT at 375 mg/m2 or less is recommended. However, adequate RIT dose recommendations have not yet been established for individual recipients. Therefore, we evaluated the relationship between the proportion of B cells in peripheral blood and acute antibody-mediated rejection (AAMR). METHODS: Forty-four consecutive ABOi-KTx recipients were enrolled in this retrospective study. Before transplantation, subjects were treated with RIT at various doses, ranging from 65 to 400 mg/body (46-263 mg/m2), followed by plasmapheresis and intravenous immunoglobulin as a desensitization therapy. The percentage of CD19+ cells in the total peripheral blood lymphocytes population (%CD19) was determined the day before transplantation. Transplant recipients were divided into 2 groups according to pretransplant %CD19, as follows: low %CD19 group, ≤ 1.2% (n = 35) and high %CD19 group, > 1.2% (n = 9). The relationship between %CD19 and incidence of AAMR was evaluated, and the predicting factors for AAMR incidence were determined by univariate and multivariate analyses. RESULTS: The incidence of AAMR was significantly higher in the high %CD19 group than in the low %CD19 group (44.4% vs 5.7%, P = .006). Furthermore, multivariate analysis showed that %CD19 > 1.2% was the only independent factor to predict AAMR, with an odds ratio of 14.31 (P = .038). CONCLUSION: High %CD19 values after rituximab administration in ABOi-KTx recipients implies insufficient depletion of B cells, which can lead to AAMR.
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Antígenos CD19/sangre , Incompatibilidad de Grupos Sanguíneos/tratamiento farmacológico , Rechazo de Injerto/prevención & control , Trasplante de Riñón/métodos , Rituximab/administración & dosificación , Adulto , Femenino , Rechazo de Injerto/sangre , Rechazo de Injerto/inmunología , Humanos , Inmunoglobulinas Intravenosas/uso terapéutico , Incidencia , Linfocitos/inmunología , Masculino , Persona de Mediana Edad , Plasmaféresis/métodos , Estudios Retrospectivos , Receptores de TrasplantesRESUMEN
BACKGROUND: Previous studies have suggested that ID influences the depth of general anaesthesia (GA) and delays emergence from GA. In this retrospective cohort study, we investigated whether ID affects the time taken to emerge from GA. METHODS: We selected dental patients who underwent GA at the Department of Dental Anaesthesiology, Okayama University Hospital, using predefined inclusion and exclusion criteria, before dividing the selected participants into ID and non-ID (control) groups. Relevant data were collected from electronic anaesthesia records. Emergence time, the time from the discontinuation of propofol and remifentanil to tracheal extubation, was recorded for each patient. We compared the data of the ID group and control group. The association between ID and the emergence time was tested for statistical significance. Multivariate linear regression analysis was used to control for confounders. RESULTS: A total of 97 cases (control = 50, ID = 47) were included in the study. The emergence time was significantly longer in the ID group (ID group: 15.8 ± 6.6 min, control group: 10.8 ± 3.6 min). The ID group included more men and lower propofol and remifentanil infusion rates. The treatment time was longer, and the mean bispectral index was lower in the ID group. Sevoflurane inhalation was used only for anaesthesia induction in the ID group. In the multivariate linear regression analysis, ID was found to be significantly associated with a longer emergence time. CONCLUSION: Our results suggest that ID is associated with a longer emergence time from GA.
Asunto(s)
Anestesia General/estadística & datos numéricos , Anestesia Intravenosa/estadística & datos numéricos , Anestésicos Generales/administración & dosificación , Estado de Conciencia/efectos de los fármacos , Discapacidad Intelectual , Adolescente , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Procedimientos Quirúrgicos Orales/estadística & datos numéricos , Estudios Retrospectivos , Factores de Riesgo , Factores de Tiempo , Adulto JovenRESUMEN
BACKGROUND: De novo donor-specific antibody (dnDSA), especially against class II HLA, correlates with chronic active antibody-mediated rejection (CAAMR), which eventually leads to graft loss. It would be helpful if we could identify the patients at high risk of dnDSA development in terms of histocompatibility. Structure-based matching strategy assessing mismatched epitopes/eplets by comparing polymorphic amino acid sequences can predict the risk of development of dnDSA and CAAMR. However, it has not been evaluated in Japanese patients whose diversity in HLA is limited. PATIENTS AND METHODS: We retrospectively studied 55 living related kidney transplant patients and ascertained donor and recipient HLA-A, -B, -DRB1, and -DQB1. The number of mismatched eplets was determined using an algorithm, HLAMatchmaker version 3. The relationship between characteristics of mismatched eplets and development of CAAMR was evaluated. RESULTS: There were 8 patients in the CAAMR group and 47 in the control group. The numbers of mismatched HLAs (3.6 ± 1.2 in CAAMR and 3.7 ± 2.0 in control groups), mismatched eplets (32.2 ± 10.4 in CAAMR and 34.4 ± 19.8 in control groups), mismatched DRB1 eplets (11.2 ± 4.3 in CAAMR and 11.5 ± 7.9 in control groups), and mismatched DQB1 eplets (9.2 ± 4.3 in CAAMR and 10.5 ± 7.3 in control groups) were not significantly different. Significantly more patients had at least one highly immunogenic mismatched eplet (62.5% in CAAMR and 25.5% in control groups; P = .024 by χ2 test). CONCLUSIONS: The presence of highly immunogenic mismatched eplets is associated with development of CAAMR.
Asunto(s)
Anticuerpos/inmunología , Rechazo de Injerto/inmunología , Cadenas beta de HLA-DQ/inmunología , Trasplante de Riñón/efectos adversos , Inmunología del Trasplante/inmunología , Secuencia de Aminoácidos , Formación de Anticuerpos , Epítopos/inmunología , Femenino , Humanos , Japón , Masculino , Persona de Mediana Edad , Donantes de TejidosRESUMEN
Intravenous sedation is useful for dental treatment in patients with intellectual disabilities. However, it is often necessary to manage such patients with deep sedation because their cooperation cannot be obtained. During deep sedation, undetected hypoventilation can lead to severe complications, such as hypoxia. Recently, capnographic monitoring has been advocated as a useful technique for preventing hypoxia during sedation. This randomized control trial evaluated whether the use of capnography reduces the incidence of hypoxia during the deep sedation of patients for dental treatment. This study involved patients with intellectual disabilities who underwent dental treatment under sedation. The subjects were randomized to the intervention group (I-group) or control group (C-group). All of the patients underwent routine monitoring, as well as bispectral index (BIS) and capnographic monitoring; however, only an independent observer had access to the patients' capnographic data during the dental procedures. Sedation was maintained at a BIS of 50 to 70 by administration of propofol. In the I-group, the independent observer signaled to the dental anesthesiologist if the capnogram indicated that the patient had been suffering from alveolar hypoventilation or apnea for >15 s. In the C-group, the observer signaled to the dental anesthesiologist if the capnogram indicated that the patient had been suffering from alveolar hypoventilation or apnea for >60 s. In both groups, the dental anesthesiologists responded to the signals using appropriate airway management strategies. The primary endpoint of this study was the incidence of hypoxia during dental treatment, which was defined as oxygen saturation of <95%. Hypoxemic episodes occurred in 13.4% and 34.8% of cases in the I-group and C-group, respectively. The incidence of hypoxia was significantly lower in the I-group. These results suggest that capnographic monitoring during deep sedation for dental treatment prevents hypoxemic episodes by allowing the early detection of hypoventilation. Knowledge Transfer Statement: This is the first randomized controlled trial to examine whether the use of capnography reduces the incidence of hypoxia during deep sedation for dental treatment. The findings of this study can be used by clinicians to aid decision-making regarding dental sedation standards at individual clinics. Moreover, they can be used as high-level evidence during the production or updating of clinical guidelines for dental sedation by leading associations.
RESUMEN
Ultrasmall-angle synchrotron X-ray scattering measurements showed that a three-dimensional polymer lattice of a few 100 nm order with body-centered cubic O(8-) symmetry was formed in a polymer-stabilized blue phase liquid crystal. We obtained clear experimental evidence that the polymer chains condensed selectively in the disclinations within the blue phase during photo-polymerization of monomers in the blue phase.
RESUMEN
We examined the outcomes and levels of patient satisfaction in 202 consecutive cases of ultrasound-guided supraclavicular brachial plexus block (SBPB) in upper limb surgery performed between September 2007 and March 2010. All blocks were performed by orthopaedic surgeons using ultrasound visualisation with a high-frequency linear probe. The probe was placed in the coronal-oblique plane in the supraclavicular fossa, and the puncture was 'in-plane' from lateral to medial. Most of the blocks were performed with 0.75% ropivacaine/1% lidocaine (1:1), with or without adrenaline in 1:200 000 dilution. In 201 patients (99.5%) the brachial plexus block permitted surgery without conversion to general anaesthesia. The mean procedure time for block was 3.9 min (2 to 12), the mean waiting time for surgery was 34.1 min (10 to 64), the mean surgical time was 75.2 min (6 to 232), and the mean duration of post-anaesthetic analgesia was 437 min (171 to 992). A total of 20 patients (10%) developed a transient Horner's syndrome. No nerve injury, pneumothorax, arterial puncture or systemic anaesthetic toxicity were recorded. Most patients (96.7%) were satisfied with ultrasound-guided SBPB. This study demonstrates the efficacy and safety of ultrasound-guided SBPB for orthopaedic surgery on the upper limb.
Asunto(s)
Anestésicos Locales/administración & dosificación , Plexo Braquial/efectos de los fármacos , Plexo Braquial/diagnóstico por imagen , Bloqueo Nervioso/métodos , Ultrasonografía Intervencional/métodos , Adulto , Clavícula , Estudios de Cohortes , Femenino , Humanos , Persona de Mediana Edad , Dimensión del Dolor , Satisfacción del Paciente/estadística & datos numéricos , Pronóstico , Estudios Retrospectivos , Medición de Riesgo , Encuestas y Cuestionarios , Resultado del Tratamiento , Extremidad Superior/cirugíaRESUMEN
Salp16, a 16-kDa tick salivary gland protein, is known to be the molecule involved in the transmission of Anaplasma phagocytophilum, an obligate intracellular pathogen causing zoonotic anaplasmosis, from its mammalian hosts to Ixodes scapularis. Recently, the presence of A. phagocytophilum was documented in Japan and Ixodes persulcatus was identified as one of its vectors. The purpose of this study was to identify Salp16 genes in I. persulcatus and characterize their function. Two cDNA clones encoding the Salp16-like sequences were obtained from the salivary glands of fed female I. persulcatus ticks and designated Salp16 Iper1 and Iper2. Gene expression analyses showed that the Salp16 Iper genes were expressed specifically in the salivary glands and were up-regulated by blood feeding. These proteins attenuated the oxidative burst of activated bovine neutrophils and inhibited their migration induced by the chemoattractant interleukin-8 (IL-8). These results demonstrate that Salp16 Iper proteins contribute to the establishment of blood feeding as an immunosuppressant of neutrophil, an essential factor in innate host immunity. Further examination of the role of Salp16 Iper in the transmission of pathogens, including A. phagocytophilum, will increase our understanding of the tick-host-pathogen interface.
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Anaplasma phagocytophilum/crecimiento & desarrollo , Anaplasmosis/transmisión , Ixodes/inmunología , Ixodes/microbiología , Neutrófilos/inmunología , Neutrófilos/microbiología , Glándulas Salivales/metabolismo , Proteínas y Péptidos Salivales/genética , Secuencia de Aminoácidos , Anaplasmosis/inmunología , Animales , Vectores Artrópodos , Secuencia de Bases , Bovinos/inmunología , ADN Complementario , Femenino , Datos de Secuencia Molecular , Glándulas Salivales/microbiología , Proteínas y Péptidos Salivales/metabolismoAsunto(s)
Mastitis Bovina/microbiología , Infecciones por Mycoplasma/veterinaria , Mycoplasma/aislamiento & purificación , Animales , Bovinos , Recuento de Células/veterinaria , Femenino , Glándulas Mamarias Animales/microbiología , Leche/citología , Leche/microbiología , Infecciones por Mycoplasma/microbiologíaRESUMEN
AIM: To examine the blood flow (BF) response in the lower abdomen (LAB) in recovery following upright cycling exercise at three levels of relative maximum pulmonary oxygen consumption (VO(2max)) and the relationship of BF(LAB) to heart rate (HR) and target intensity. METHODS: For 11 healthy subjects, BF (Doppler ultrasound) in the upper abdominal aorta (Ao) above the coeliac trunk and in the right femoral artery (RFA) was measured repeatedly for 720 s after the end of cycling exercises at target intensities of 30%, 50% and 85% VO(2max), respectively. Blood flow in the lower abdomen (BF(LAB)) can be measured by subtracting bilateral BF(FAs) (≈twofolds of BF(RFA)) from BF(Ao). Change in BF(LAB) (or BF(LAB) volume) at any point was evaluated by difference between change in BF(Ao) and in BF(FAs). Heart rate and blood pressure were also measured. RESULTS: At 85% VO(2max), significant reduction in BF(LAB) by approx. 89% was shown at 90 s and remained until 360 s. At 50% VO(2max), reduction in BF(LAB) by approx. 33% was found at 90 s although it returned to pre-exercise value at 120 s. On the contrary at 30% VO(2max), BF(LAB) showed a light increase (<20%) below 70 bpm of HR. There was a close negative relationship (P < 0.05) between change in BF(LAB) and recovery HR, as well as between change in BF(LAB) volume and both recovery HR and % VO(2max). CONCLUSION: This study suggests that the lower abdominal BF in recovery may be influenced by sympathetic-vagus control, and dynamics of BF(LAB) may be closely related to the level of relative exercise intensities.
Asunto(s)
Abdomen/irrigación sanguínea , Aorta Abdominal/fisiología , Ciclismo , Ejercicio Físico , Arteria Femoral/fisiología , Frecuencia Cardíaca , Circulación Esplácnica , Adulto , Análisis de Varianza , Aorta Abdominal/diagnóstico por imagen , Presión Sanguínea , Arteria Femoral/diagnóstico por imagen , Humanos , Modelos Lineales , Masculino , Contracción Muscular , Consumo de Oxígeno , Ventilación Pulmonar , Recuperación de la Función , Flujo Sanguíneo Regional , Factores de Tiempo , Ultrasonografía Doppler , Adulto JovenAsunto(s)
Mastitis Bovina/epidemiología , Leche/microbiología , Infecciones por Mycoplasma/veterinaria , Mycoplasma/aislamiento & purificación , Animales , Antibacterianos/uso terapéutico , Bovinos , Farmacorresistencia Bacteriana , Femenino , Japón , Mastitis Bovina/tratamiento farmacológico , Mycoplasma/efectos de los fármacos , Infecciones por Mycoplasma/tratamiento farmacológico , Infecciones por Mycoplasma/epidemiología , PrevalenciaRESUMEN
SUMMARYTo investigate two clusters of diarrhoea cases observed in our geriatric hospital wards, the faecal specimens were analysed. Reversed passive latex agglutination assay revealed that 63.2% and 41.7% of the faecal specimens from each cluster were positive for Clostridium perfringens enterotoxin. PCR assay revealed that 71.4% and 68.8% of C. perfringens isolates from each cluster were positive for the enterotoxin gene (cpe). These observations suggested that both the clusters were outbreaks caused by enterotoxigenic C. perfringens. Subsequent pulsed-field gel electrophoresis analysis revealed that the two outbreaks were caused by different C. perfringens isolates. However, these outbreak isolates as well as other sporadic diarrhoea isolates shared a 75-kb plasmid on which the cpe gene and the tcp locus were located. The 75-kb plasmid had horizontally spread to various C. perfringens isolates and had caused outbreaks and sporadic infections. However, the site and time of the plasmid transfer are unclear.
Asunto(s)
Infecciones por Clostridium/epidemiología , Infecciones por Clostridium/microbiología , Clostridium perfringens/genética , Clostridium perfringens/aislamiento & purificación , Brotes de Enfermedades , Gastroenteritis/epidemiología , Gastroenteritis/microbiología , Genes Bacterianos , Plásmidos , Técnicas de Tipificación Bacteriana , Análisis por Conglomerados , Dermatoglifia del ADN , ADN Bacteriano/genética , Electroforesis en Gel de Campo Pulsado , Enterotoxinas/genética , Heces/microbiología , Transferencia de Gen Horizontal , Genotipo , Geriatría , Hospitales , HumanosRESUMEN
This is a review of the main factors currently perceived as threats to the biodiversity of Amazonia. Deforestation and the expansion of the agricultural frontier go hand in hand within the context of occupation and land use in the region, followed by a hasty process of industrialization since the 1950s and, more recently, by a nation-wide attempt to adapt Brazil to economic globalization. Intensive agriculture and cattle-raising, lack of territorial planning, the monoculture of certain crops often promoted by official agencies, and the introduction of exotic species by cultivation are some of the factors affecting Amazonian biodiversity. There are still large gaps in knowledge that need to be dealt with for a better understanding of the local ecosystems so as to allow their preservation, but such investigation is subjected to manifold hindrances by misinformation, disinformation and sheer ignorance from the legal authorities and influential media. Data available for select groups of organisms indicate that the magnitude of the loss and waste of natural resources associated with deforestation is staggering, with estimated numbers of lost birds and primates being over ten times that of such animals illegally commercialized around the world in one year. The challenges to be met for an eventual reversal of this situation demand more systematic and concerted studies, the consolidation of new and existing research groups, and a call for a halt to activities depleting the Amazonian rainforest.
Este trabalho mostra um panorama dos principais fatores hoje percebidos como ameaças à biodiversidade na Amazônia. O desmatamento e a expansão da fronteira agrícola caminham lado a lado dentro do contexto da ocupação e do uso da terra na região, seguidos de um processo acelerado de industrialização desde a década de 1950 e, mas recentemente, de tentativas em escala nacional para adaptar o Brasil à globalização econômica. Agricultura e pecuária intensiva, a falta de ordenamento territorial, a monocultura de certas espécies e a introdução de espécies exóticas para cultivo são alguns dos fatores que afetam a biodiversidade da Amazônia. Ainda há grandes lacunas de conhecimento que precisam ser resolvidas para o melhor conhecimento dos ecossistemas locais de modo a possibilitar sua preservação, mas essa investigação anda sujeita a inúmeros empecilhos devido à desinformação, contra-informação e pura ignorância das autoridades legais e da mídia influente. Dados disponíveis para alguns grupos de organismos indicam que a magnitude da perda e desperdício de recursos naturais devida ao desmatamento é imensa, com estimativas de números de aves e primatas perdidos da ordem de mais de dez vezes maior que as desses animais comercializados ilegalmente em um ano em todo o mundo. Os desafios necessários a uma eventual reversão desse quadro exigem estudos mais sistemáticos e coordenados, a consolidação de grupos de pesquisa novos e já existentes, e um apelo para a cessação das atividades que exaurem a Floresta Amazônica.
Asunto(s)
Animales , Bovinos , Humanos , Biodiversidad , Conservación de los Recursos Naturales , Árboles , Agricultura , Crianza de Animales Domésticos/métodos , Brasil , Conservación de los Recursos Naturales/tendencias , Dinámica Poblacional , Medición de Riesgo , América del Sur , Clima TropicalRESUMEN
This is a review of the main factors currently perceived as threats to the biodiversity of Amazonia. Deforestation and the expansion of the agricultural frontier go hand in hand within the context of occupation and land use in the region, followed by a hasty process of industrialization since the 1950s and, more recently, by a nation-wide attempt to adapt Brazil to economic globalization. Intensive agriculture and cattle-raising, lack of territorial planning, the monoculture of certain crops often promoted by official agencies, and the introduction of exotic species by cultivation are some of the factors affecting Amazonian biodiversity. There are still large gaps in knowledge that need to be dealt with for a better understanding of the local ecosystems so as to allow their preservation, but such investigation is subjected to manifold hindrances by misinformation, disinformation and sheer ignorance from the legal authorities and influential media. Data available for select groups of organisms indicate that the magnitude of the loss and waste of natural resources associated with deforestation is staggering, with estimated numbers of lost birds and primates being over ten times that of such animals illegally commercialized around the world in one year. The challenges to be met for an eventual reversal of this situation demand more systematic and concerted studies, the consolidation of new and existing research groups, and a call for a halt to activities depleting the Amazonian rainforest.
Este trabalho mostra um panorama dos principais fatores hoje percebidos como ameaças à biodiversidade na Amazônia. O desmatamento e a expansão da fronteira agrícola caminham lado a lado dentro do contexto da ocupação e do uso da terra na região, seguidos de um processo acelerado de industrialização desde a década de 1950 e, mas recentemente, de tentativas em escala nacional para adaptar o Brasil à globalização econômica. Agricultura e pecuária intensiva, a falta de ordenamento territorial, a monocultura de certas espécies e a introdução de espécies exóticas para cultivo são alguns dos fatores que afetam a biodiversidade da Amazônia. Ainda há grandes lacunas de conhecimento que precisam ser resolvidas para o melhor conhecimento dos ecossistemas locais de modo a possibilitar sua preservação, mas essa investigação anda sujeita a inúmeros empecilhos devido à desinformação, contra-informação e pura ignorância das autoridades legais e da mídia influente. Dados disponíveis para alguns grupos de organismos indicam que a magnitude da perda e desperdício de recursos naturais devida ao desmatamento é imensa, com estimativas de números de aves e primatas perdidos da ordem de mais de dez vezes maior que as desses animais comercializados ilegalmente em um ano em todo o mundo. Os desafios necessários a uma eventual reversão desse quadro exigem estudos mais sistemáticos e coordenados, a consolidação de grupos de pesquisa novos e já existentes, e um apelo para a cessação das atividades que exaurem a Floresta Amazônica.
RESUMEN
Benzodiazepines in intravenous sedation are useful, owing to their outstanding amnesic effect when used for oral surgery as well as dental treatments on patients with intellectual disability or dental phobia. However, compared with propofol, the effect of benzodiazepine lasts longer and may impede discharge, especially when it is administered orally because of fear of injections. Although flumazenil antagonizes the effects of benzodiazepine quickly, its effect on the equilibrium function (EF) has never been tested. Since EF is more objective than other tests, the purpose of this study is to assess the sedation level and EF using a computerized static posturographic platform. The collection of control values was followed by the injection of 0.075 mg/kg of midazolam. Thirty minutes later, 0.5 mg or 1.0 mg of flumazenil was administered, and the sedation level and EF were measured until 150 minutes after flumazenil administration. Flumazenil antagonized sedation, and there was no apparent resedation; however, it failed to antagonize the disturbance in EF. This finding may be due to differences in the difficulty of assessing the sedation level and performing the EF test, and a greater amount of flumazenil may effectively antagonize the disturbance in EF.
Asunto(s)
Anestesia Dental/métodos , Sedación Consciente/métodos , Flumazenil/administración & dosificación , Moduladores del GABA/administración & dosificación , Hipnóticos y Sedantes/farmacología , Midazolam/farmacología , Equilibrio Postural/efectos de los fármacos , Adulto , Retraso en el Despertar Posanestésico , Diagnóstico por Computador , Relación Dosis-Respuesta a Droga , Método Doble Ciego , Humanos , Hipnóticos y Sedantes/antagonistas & inhibidores , Inyecciones Intravenosas , Midazolam/antagonistas & inhibidores , Estudios Prospectivos , Adulto JovenRESUMEN
We prospectively examined the physical and imaging findings, including MRI, of 23 patients with spontaneous osteonecrosis of the knee after obtaining informed consent to acquire tissue specimens at surgery. There were four men and 19 women, with a mean age of 67.5 years (58 to 77). Plain radiographs were designated as stages 1, 2, 3 or 4 according to the classification of Koshino. Five knees were classified as stage 1, five as stage 2, seven as stage 3 and six as stage 4. The histological specimens were stained with haematoxylin and eosin and tetrachrome. In the early stages of the condition, a subchondral fracture was noted in the absence of any features of osteonecrosis, whereas in advanced stages, osteonecrotic lesions were confined to the area distal to the site of the fracture which showed impaired healing. In such cases, formation of cartilage and fibrous tissue, occurred indicating delayed or nonunion. These findings strongly suggest that the histopathology at each stage of spontaneous osteonecrosis is characterised by different types of repair reaction for subchondral fractures.
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Necrosis de la Cabeza Femoral/patología , Articulación de la Rodilla/patología , Anciano , Médula Ósea/diagnóstico por imagen , Médula Ósea/patología , Cartílago Articular/diagnóstico por imagen , Cartílago Articular/patología , Progresión de la Enfermedad , Femenino , Necrosis de la Cabeza Femoral/diagnóstico por imagen , Humanos , Articulación de la Rodilla/diagnóstico por imagen , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Radiografía , Coloración y EtiquetadoRESUMEN
This is a review of the main factors currently perceived as threats to the biodiversity of Amazonia. Deforestation and the expansion of the agricultural frontier go hand in hand within the context of occupation and land use in the region, followed by a hasty process of industrialization since the 1950s and, more recently, by a nation-wide attempt to adapt Brazil to economic globalization. Intensive agriculture and cattle-raising, lack of territorial planning, the monoculture of certain crops often promoted by official agencies, and the introduction of exotic species by cultivation are some of the factors affecting Amazonian biodiversity. There are still large gaps in knowledge that need to be dealt with for a better understanding of the local ecosystems so as to allow their preservation, but such investigation is subjected to manifold hindrances by misinformation, disinformation and sheer ignorance from the legal authorities and influential media. Data available for select groups of organisms indicate that the magnitude of the loss and waste of natural resources associated with deforestation is staggering, with estimated numbers of lost birds and primates being over ten times that of such animals illegally commercialized around the world in one year. The challenges to be met for an eventual reversal of this situation demand more systematic and concerted studies, the consolidation of new and existing research groups, and a call for a halt to activities depleting the Amazonian rainforest.
Asunto(s)
Biodiversidad , Conservación de los Recursos Naturales , Árboles , Agricultura , Crianza de Animales Domésticos/métodos , Animales , Brasil , Bovinos , Conservación de los Recursos Naturales/tendencias , Humanos , Dinámica Poblacional , Medición de Riesgo , América del Sur , Clima TropicalAsunto(s)
Antidepresivos/uso terapéutico , Ciclopropanos/uso terapéutico , Náusea/tratamiento farmacológico , Inhibidores Selectivos de la Recaptación de Serotonina/uso terapéutico , Adulto , Antidepresivos/efectos adversos , Benzodiazepinas/uso terapéutico , Ciclopropanos/efectos adversos , Depresión/complicaciones , Depresión/tratamiento farmacológico , Quimioterapia Combinada , Femenino , Humanos , Milnaciprán , Náusea/inducido químicamente , Trastorno Obsesivo Compulsivo/complicaciones , Trastorno Obsesivo Compulsivo/tratamiento farmacológico , Olanzapina , Inhibidores Selectivos de la Recaptación de Serotonina/efectos adversosRESUMEN
Antibacterial activity of bovine lactoferrin hydrolysates (LFH) on microorganisms isolated from bovine mastitis, and superoxide (O(2)(-)) production of bovine neutrophils were evaluated. Antibacterial effects of LFH were measured in vitro against Staphylococcus aureus, coagulase-negative staphylococci, Streptococci, Enterococci, Escherichia coli, Klebsiella pneumoniae, yeast-like fungi and Prototheca zopfii isolated from clinical cases of bovine mastitis. To compare susceptibilities against LFH, minimal inhibitory concentration (MIC) values were determined by a micro-plate assay method. Most organisms were sensitive to LFH. Prototheca zopfii was highly sensitive to LFH; the growth of the microorganism was inhibited completely even at 1 mug/ml. Staphylococcus aureus and Escherichia coli were resistant to LFH. The production of O(2)(-) by bovine neutrophils was used to evaluate the effect of LFH administration on functional activity. Increase in O(2)(-) production by bovine neutrophils occurred upon addition of LFH to neutrophils. These results demonstrate that LFH possesses antibacterial activity against pathogens that cause mastitis and activates neutrophil superoxide production.
Asunto(s)
Antibacterianos/uso terapéutico , Bacterias/efectos de los fármacos , Lactoferrina/uso terapéutico , Mastitis Bovina/microbiología , Superóxidos/metabolismo , Animales , Bacterias/crecimiento & desarrollo , Bovinos , Relación Dosis-Respuesta a Droga , Femenino , Hongos/efectos de los fármacos , Pruebas de Sensibilidad Microbiana , Leche/microbiología , Neutrófilos/efectos de los fármacos , Neutrófilos/metabolismo , Hidrolisados de ProteínaRESUMEN
Complement receptor type 3 (CR3)- and Fc receptor (FcR)-mediated metalloproteinase-9 (MMP-9) secretion and their intracellular signalling of bovine neutrophils were evaluated. Relative density of MMP-9 secreted by neutrophils stimulated with opsonized zymosan (OPZ, stimulant for CR3) was significantly (p < 0.05) increased when the OPZ concentration was increased from 0 to 0.4 mg/ml. Similar results were obtained for neutrophils stimulated with heat-aggregated IgG (Agg-IgG, stimulant for Fc receptor) at concentrations from 0 to 0.40 mg/ml. Preincubation of neutrophils with 1-30 nmol/L wortmannin (phosphoinositide 3-kinase inhibitor) resulted in inhibition of MMP-9 secretion induced by stimulation with OPZ and Agg-IgG in a concentration-dependent manner, 30 nmol/L wortmannin causing complete inhibition. Similarly, preincubation of neutrophils with 0-100 mumol/L genistein (tyrosine kinase inhibitor) also resulted in inhibition of OPZ- and Agg-IgG-induced MMP-9 secretion in a concentration-dependent manner, with 100 micromol/L genistein causing complete inhibition. Significant (p < 0.05) positive correlations were found between MMP-9 and luminal-dependent chemiluminescent response (LDCL) in the case of stimulation with OPZ (r = 0.754) and in the case of stimulation with Agg-IgG (r = 0.728). Our findings suggested that CR3 and FcR play a critical role in production of MMP-9 and may be regulated by intracellular signal transduction, including that by phosphoinositide 3-kinase (PI3K) and tyrosine kinase (TK).