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1.
Appl Opt ; 63(10): 2477-2486, 2024 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-38568526

RESUMEN

The temperature dependence of optical window materials remains an important issue for a variety of applications from spacecraft, laser components, to high-speed aircraft. Concerning the refractive index in regions of transparency, current models are empirically based polynomial fits for the Sellmeier model strength and mode location parameters. These polynomial fit functions limit the ability to accurately extrapolate beyond the experimental range used to develop the fit functions. Thus, the development of a physics-based model as a function of temperature is an important goal for these critical materials. Such a model will allow extrapolation to higher and lower temperatures as long as the physical mechanisms do not change. For vibrational modes, a thermal average of the anharmonically shifted energy levels is investigated and compared to experimental data. The first anharmonic term can be estimated using the Morse potential based on a multiphonon absorption model. Experimentally, these modes redshift, and this is consistent with the developed temperature-dependent index of refraction Sellmeier model. This redshifting phenomena can also be applied to electronic transition shifts. In addition, the temperature-dependent oscillator number density can be obtained from known expansion coefficient models and experimental data. Other model parameters, in particular the electronic and vibrational mode polarizability, still need experimental grounding for a given material. The method is incorporated into a modified Sellmeier model format.

2.
Schizophr Res ; 207: 80-92, 2019 05.
Artículo en Inglés | MEDLINE | ID: mdl-29730045

RESUMEN

Mounting evidence indicates that schizophrenia is a disorder that stems from maladaptive plasticity within neural circuits and produces broad cognitive deficits leading to loss of autonomy. A large number of studies have identified abnormalities spanning many neurotransmitter systems in schizophrenia, and as a result, a variety of drugs have been developed to attempt to treat these abnormalities and enhance cognition. Unfortunately, positive results have been limited so far. This may be in part because the scope of abnormalities in the schizophrenic brain requires a treatment capable of engaging many different neurotransmitter systems. One approach to achieving this kind of treatment has been to use neuroplasticity-based computerized cognitive training programs to stimulate the formation of more adaptive circuits. Although the number of studies implementing this approach has increased exponentially in recent years, effect sizes for cognitive gains have been modest and adherence to treatment remains an important challenge in many studies, as patients are often required to train for 40 h or more. In the present paper, we argue that cognitive training protocols will benefit from the addition of cognitive enhancers to produce more robust and longer lasting targeted neuroplasticity. Indeed, recent data from animal studies have provided support for combining plasticity-enhancing drugs with tailored behavioral training paradigms to restore normal function within dysfunctioning neural circuits. The advantages and challenges of applying this approach to patients with schizophrenia will be discussed.


Asunto(s)
Disfunción Cognitiva , Remediación Cognitiva , Plasticidad Neuronal , Neurotransmisores/uso terapéutico , Esquizofrenia , Disfunción Cognitiva/tratamiento farmacológico , Disfunción Cognitiva/etiología , Disfunción Cognitiva/metabolismo , Disfunción Cognitiva/rehabilitación , Terapia Combinada , Humanos , Plasticidad Neuronal/efectos de los fármacos , Plasticidad Neuronal/fisiología , Esquizofrenia/complicaciones , Esquizofrenia/tratamiento farmacológico , Esquizofrenia/metabolismo , Esquizofrenia/rehabilitación
3.
Transl Psychiatry ; 7(7): e1182, 2017 07 25.
Artículo en Inglés | MEDLINE | ID: mdl-28742079

RESUMEN

Dyslexia is a specific impairment in learning to read and has strong heritability. An intronic deletion within the DCDC2 gene, with ~8% frequency in European populations, is increasingly used as a marker for dyslexia in neuroimaging and behavioral studies. At a mechanistic level, this deletion has been proposed to influence sensory processing capacity, and in particular sensitivity to visual coherent motion. Our re-assessment of the literature, however, did not reveal strong support for a role of this specific deletion in dyslexia. We also analyzed data from five distinct cohorts, enriched for individuals with dyslexia, and did not identify any signal indicative of associations for the DCDC2 deletion with reading-related measures, including in a combined sample analysis (N=526). We believe we conducted the first replication analysis for a proposed deletion effect on visual motion perception and found no association (N=445 siblings). We also report that the DCDC2 deletion has a frequency of 37.6% in a cohort representative of the general population recruited in Hong Kong (N=220). This figure, together with a lack of association between the deletion and reading abilities in this cohort, indicates the low likelihood of a direct deletion effect on reading skills. Therefore, on the basis of multiple strands of evidence, we conclude that the DCDC2 deletion is not a strong risk factor for dyslexia. Our analyses and literature re-evaluation are important for interpreting current developments within multidisciplinary studies of dyslexia and, more generally, contribute to current discussions about the importance of reproducibility in science.


Asunto(s)
Dislexia/genética , Proteínas Asociadas a Microtúbulos/genética , Adolescente , Adulto , Niño , Femenino , Eliminación de Gen , Predisposición Genética a la Enfermedad , Humanos , Masculino , Percepción de Movimiento , Factores de Riesgo , Adulto Joven
4.
Genes Brain Behav ; 14(4): 369-76, 2015 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-25778778

RESUMEN

Twin studies indicate that dyscalculia (or mathematical disability) is caused partly by a genetic component, which is yet to be understood at the molecular level. Recently, a coding variant (rs133885) in the myosin-18B gene was shown to be associated with mathematical abilities with a specific effect among children with dyslexia. This association represents one of the most significant genetic associations reported to date for mathematical abilities and the only one reaching genome-wide statistical significance. We conducted a replication study in different cohorts to assess the effect of rs133885 maths-related measures. The study was conducted primarily using the Avon Longitudinal Study of Parents and Children (ALSPAC), (N = 3819). We tested additional cohorts including the York Cohort, the Specific Language Impairment Consortium (SLIC) cohort and the Raine Cohort, and stratified them for a definition of dyslexia whenever possible. We did not observe any associations between rs133885 in myosin-18B and mathematical abilities among individuals with dyslexia or in the general population. Our results suggest that the myosin-18B variant is unlikely to be a main factor contributing to mathematical abilities.


Asunto(s)
Discalculia/genética , Miosinas/genética , Polimorfismo de Nucleótido Simple , Proteínas Supresoras de Tumor/genética , Adolescente , Estudios de Casos y Controles , Niño , Estudios de Cohortes , Femenino , Humanos , Masculino
5.
Perfusion ; 30(4): 305-11, 2015 May.
Artículo en Inglés | MEDLINE | ID: mdl-25125291

RESUMEN

BACKGROUND: Total blood volume (TBV) assessment is central to the management of cardiac surgical patients with cardiopulmonary bypass (CPB). The widely accepted Allen Formula lacks accuracy in estimating TBV in these patients. Moreover, the impact of commonly encountered cardiac disease states on TBV has not been systematically investigated. The aim of this study was to determine TBV by hemodilution (TBVHD) for patients with valve disease, compare TBVHD to algorithms frequently used during cardiac surgery and to modify the Allen Formula to better fit today's patient population. METHODS: TBVHD was prospectively measured upon initiation of CPB. Ninety-six patients were grouped into 4 cohorts by preoperative diagnosis and compared to Allen and weight-based formulae in a univariate analysis: mitral regurgitation (MR), coronary artery disease requiring bypass surgery (CABG) and aortic stenosis (AS) ± CABG. The independent effects of height and weight on TBV were correlated to the original Allen Formula by multiple linear regression. RESULTS: Patients with MR had significantly larger TBVHD compared to patients with AS, CABG or both. The smallest TBVHD was found in the patients with AS and CABG. The modified Allen Formula had an excellent model fit (R(2) = 0.88 and R(2) = 0.95 for males and females, respectively; p<0.001) while the classic formula overestimated TBV by 30% in males and females. For males, height impacted TBV calculations the most whereas weight was the predominant determinant in females. CONCLUSION: Blood volume assessment via the Allen Formula or bodyweight overestimated TBV in cardiac surgical patients, with potential implications on their management. The assumption that MR frequently presents with increased intravascular volume was confirmed whereas AS patients with coronary disease had a relatively smaller TBV. Lastly, a modified Allen Formula to better reflect today's patient population was derived to reproducibly improve accuracy in mathematical estimates of TBV.


Asunto(s)
Algoritmos , Estenosis de la Válvula Aórtica/cirugía , Volumen Sanguíneo , Puente Cardiopulmonar , Enfermedad de la Arteria Coronaria/cirugía , Hemodilución , Insuficiencia de la Válvula Mitral/cirugía , Anciano , Anciano de 80 o más Años , Estenosis de la Válvula Aórtica/fisiopatología , Puente de Arteria Coronaria , Enfermedad de la Arteria Coronaria/fisiopatología , Femenino , Humanos , Persona de Mediana Edad , Insuficiencia de la Válvula Mitral/fisiopatología
6.
J Dairy Sci ; 96(11): 7120-7131, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-24035020

RESUMEN

Fibrolytic enzymes and microbial inoculants have the potential to improve the value of sorghum feedstuff and feedstock. An experiment was conducted to determine nutritive value, ensiling characteristics, and in situ disappearance kinetics of 4 sorghum (Sorghum bicolor L.) silage varieties: Dairy Master BMR (DBMR; brown midrib; Richardson Seed, Vega, TX), PS 747 (PS; photoperiod sensitive; Pogue Seed, Kenedy, TX), Silo 700D (S700D; conventional forage type; Richardson Seed), and MMR 381/73 (MMR; conventional forage type; Richardson Seed) pretreated with fibrolytic enzyme (xylanase plus cellulase, XC; 50:50 mixture of Cellulase Plus and Xylanase Plus; Dyadic, Juniper, FL) or microbial [Promote ASB (Lactobacillus buchneri and Lactobacillus plantarum); Cargill Animal Nutrition, Indianapolis, IN; PRO] inoculants. The greatest yield was for cultivar PS and the least for MMR. Neutral detergent fiber (NDF) concentration was least for XC-treated silage, and acid detergent fiber (ADF) concentration was least for XC- and PRO-treated silage. When silage was treated with XC, concentrations of NDF concentrations decreased, on average, 4.81% across all cultivars and ADF concentrations decreased, on average, 3.23% in all cultivars except MMR. Inoculant PRO reduced the NDF concentration of DBMR by 6.47%. The ADF concentrations of DBMR and PS treated with PRO were decreased by 3.25%. Treating sorghum silage with XC or PRO reduced the NDF and ADF fractions, which increased cell wall degradability. In vitro true digestibility was greatest for PRO-treated DBMR, whereas acid detergent lignin was least for PRO-treated DBMR. Aerobic stability was not improved by PRO; however, aerobic stability of XC-treated MMR was 63 h greater than that of the control. Acetate concentrations were greatest for XC-treated MMR, which explains the 63-h improvement in aerobic stability due to the inhibition of fungi. However, inoculant PRO did not improve yeast and mold counts or aerobic stability of sorghum silage compared with the control, which may be due to the lesser acetate concentrations, especially of PRO-treated S700D silage. Generally, in situ disappearance kinetics were improved with the application of XC and PRO, and XC had the greatest effect on silage with greater NDF and ADF concentrations.


Asunto(s)
Fermentación , Valor Nutritivo , Ensilaje , Sorghum/enzimología , Sorghum/microbiología , Fenómenos Fisiológicos Nutricionales de los Animales , Animales , Bovinos , Celulasas/administración & dosificación , Fibras de la Dieta/análisis , Fibras de la Dieta/metabolismo , Grano Comestible , Endo-1,4-beta Xilanasas/administración & dosificación , Cinética , Lactobacillus/fisiología , Masculino , Rumen/metabolismo , Ensilaje/análisis , Sorghum/metabolismo , Zea mays/microbiología
7.
Int J Oral Maxillofac Surg ; 42(12): 1506-9, 2013 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-23830783

RESUMEN

There are no clear, evidence-based guidelines that dictate when it is safe for a patient to fly after sustaining a midface fracture. From January 2006 to December 2009, the Royal Darwin Hospital Maxillofacial Unit had 48 out of 201 patients with an orbital fracture that involved a paranasal air sinus transported by a variety of aircraft to the unit for definitive management. No orbital complications were recorded for the 24% of patients requiring air travel to our tertiary referral centre. Furthermore, there were no recorded deviations from the standard flight plan. We believe that this demonstrates there are no absolute contraindications to flying on a variety of aircraft with a midface fracture, but clinical assessment remains crucial for an informed decision to transport these patients by air.


Asunto(s)
Viaje en Avión , Huesos Faciales/lesiones , Fracturas Orbitales/complicaciones , Senos Paranasales/lesiones , Transferencia de Pacientes/métodos , Australia , Humanos , Fracturas Orbitales/clasificación , Senos Paranasales/fisiopatología , Centros de Atención Terciaria/estadística & datos numéricos
8.
Int J Oral Maxillofac Surg ; 42(1): 99-101, 2013 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-23092853

RESUMEN

A rare case of an initial presentation of a metastatic lesion on the gingiva, arising from malignant fibrous histiocytoma (MFH) of the lung is reported. The role of electron microscopy in the diagnosis of soft tissue sarcomas has been studied. The ultrastructural details of a MFH are described and illustrated. The patient died within 9 weeks of the initial presentation with a gingival mass as is normal in these cases. He developed metastatic disease of the liver, lymph nodes, and bone. The role of electron microscopy in the diagnosis of soft tissue sarcomas is discussed.


Asunto(s)
Neoplasias Gingivales/secundario , Histiocitoma Fibroso Maligno/secundario , Neoplasias Pulmonares/ultraestructura , Neoplasias Óseas/secundario , Carcinoma de Células Grandes/diagnóstico , Diagnóstico Diferencial , Resultado Fatal , Neoplasias Gingivales/diagnóstico , Histiocitoma Fibroso Maligno/ultraestructura , Humanos , Neoplasias Hepáticas/secundario , Neoplasias Pulmonares/diagnóstico , Metástasis Linfática/patología , Masculino , Maxilar/patología , Microscopía Electrónica , Persona de Mediana Edad
9.
Prev Vet Med ; 95(1-2): 137-43, 2010 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-20303192

RESUMEN

Salmonella enterica serovar Enteritidis (SE) is an important source of food-related diarrhoea in humans, and table eggs are considered the primordial source of contamination of the human food chain. Using eggs collected at egg-packing stations as samples could be a convenient strategy to detect colonization of layer flocks. The aim of this study was to evaluate egg yolk anti-Salmonella antibody detection using suspension array analysis. An egg yolk panel from contact-infected and non-colonized laying hens was used for the evaluation. Receiver Operating Characteristic (ROC) curves were generated to define a cut-off value and to assess the overall accuracy of the assay. The diagnostic sensitivity and specificity were estimated by maximum likelihood. Sensitivity was quantified on hen level and on sample level, and also quantified as a function of time since colonization. The area under the ROC curve was estimated at 0.984 (se 0.006, P<0.001). Of all colonized contact-infected hens, 67.6% [95% CI: 46.8, 100] developed an antibody response, which was detectable 17.4 days [14.3, 26.9] after colonization. In total, 98% [95.4, 99.4] of the 'immunopositive' hens had test positive eggs. The overall sensitivity of the immunological test was 66.7% [45.9, 98.7] and the specificity was 98.5% [97.8, 99.1]. This study provided essential parameters for optimizing surveillance programs based on detection of antibodies, and indicates that immunology based on examination of egg yolk gives important information about the Salmonella status of the flock.


Asunto(s)
Anticuerpos Antibacterianos/análisis , Pollos , Yema de Huevo/inmunología , Enfermedades de las Aves de Corral/diagnóstico , Salmonelosis Animal/diagnóstico , Salmonella enteritidis/inmunología , Animales , Seguridad de Productos para el Consumidor , Yema de Huevo/microbiología , Microbiología de Alimentos , Humanos , Funciones de Verosimilitud , Curva ROC
10.
Appl Environ Microbiol ; 75(19): 6361-6, 2009 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-19666725

RESUMEN

An important source of human salmonellosis is the consumption of table eggs contaminated with Salmonella enterica serovar Enteritidis. Optimization of the various surveillance programs currently implemented to reduce human exposure requires knowledge of the dynamics of S. Enteritidis infection within flocks. The aim of this study was to provide parameter estimates for a transmission model of S. Enteritidis in laying-type chicken flocks. An experiment was carried out with 60 pairs of laying hens. Per pair, one hen was inoculated with S. Enteritidis and the other was contact exposed. After inoculation, cloacal swab samples from all hens were collected over 18 days and tested for the presence of S. Enteritidis. On the basis of this test, it was determined if and when each contact-exposed hen became colonized. A transmission model including a latency period of 1 day and a slowly declining infectivity level was fitted. The mean initial transmission rate was estimated to be 0.47 (95% confidence interval [CI], 0.30 to 0.72) per day. The reproduction number R(0), the average number of hens infected by one colonized hen in a susceptible population, was estimated to be 2.8 (95% CI, 1.9 to 4.2). The generation time, the average time between colonization of a "primary" hen and colonization of contact-exposed hens, was estimated to be 7.0 days (95% CI, 5.0 to 11.6 days). Simulations using these parameters showed that a flock of 20,000 hens would reach a maximum colonization level of 92% within 80 days after colonization of the first hen. These results can be used, for example, to evaluate the effectiveness of control and surveillance programs and to optimize these programs in a cost-benefit analysis.


Asunto(s)
Transmisión de Enfermedad Infecciosa , Enfermedades de las Aves de Corral/microbiología , Enfermedades de las Aves de Corral/transmisión , Salmonelosis Animal/microbiología , Salmonelosis Animal/transmisión , Salmonella enteritidis/aislamiento & purificación , Animales , Número Básico de Reproducción , Pollos , Cloaca/microbiología , Vivienda para Animales , Modelos Estadísticos , Factores de Tiempo
11.
Genes Brain Behav ; 7(3): 365-72, 2008 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-17919296

RESUMEN

Heritability estimates for specific language impairment (SLI) have been inconsistent. Four twin studies reported heritability of 0.5 or more, but a recent report from the Twins Early Development Study found negligible genetic influence in 4-year-olds. We considered whether the method of ascertainment influenced results and found substantially higher heritability if SLI was defined in terms of referral to speech and language pathology services than if defined by language test scores. Further analysis showed that presence of speech difficulties played a major role in determining whether a child had contact with services. Childhood language disorders that are identified by population screening are likely to have a different phenotype and different etiology from clinically referred cases. Genetic studies are more likely to find high heritability if they focus on cases who have speech difficulties and who have been referred for intervention.


Asunto(s)
Trastornos del Lenguaje/diagnóstico , Trastornos del Lenguaje/genética , Trastornos del Habla/genética , Envejecimiento , Niño , Preescolar , Cognición , Diagnóstico Diferencial , Femenino , Humanos , Estudios Longitudinales , Masculino , Fenotipo , Encuestas y Cuestionarios
12.
Prev Vet Med ; 69(1-2): 1-11, 2005 Jun 10.
Artículo en Inglés | MEDLINE | ID: mdl-15899292

RESUMEN

An epidemic of high pathogenicity Avian Influenza (HPAI) occurred in the Netherlands in 2003. A census survey of 173 infected and 401 uninfected commercial poultry farms was carried out to identify factors associated with the introduction of the HPAI virus into poultry farms. Data on farm size, production characteristics, type of housing, presence of cattle and pigs were gathered by the National Inspection Service for Livestock and Meat from all farms included in this study. For each risk factor (RF) available for analysis, the Mantel-Haenszel odds ratio was calculated (stratified on farm size and housing type). We found an increased risk of HPAI virus introduction in layer finisher type poultry: OR = 2.05 (95% confidence interval, CI = 1.29-3.27). An explanation for this increased risk is the high number of contacts between these farms, especially via cardboard egg trays used for removal of eggs during the epidemic. Our analysis did not indicate significant differences between the infected and uninfected farms with regard to housing type, presence of cattle or pigs. Since layer finisher type farms are assumed to be at higher risk for HPAI virus introduction, more specific control measures might be applied in future outbreaks.


Asunto(s)
Brotes de Enfermedades/veterinaria , Virus de la Influenza A/patogenicidad , Gripe Aviar/epidemiología , Crianza de Animales Domésticos , Animales , Gripe Aviar/etiología , Gripe Aviar/virología , Países Bajos/epidemiología , Aves de Corral , Factores de Riesgo , Encuestas y Cuestionarios
13.
Eur J Vasc Endovasc Surg ; 28(6): 573-82, 2004 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-15531190

RESUMEN

The Heart Outcomes Prevention Evaluation (HOPE) study has provided evidence for the use of ramipril for secondary cardiac prevention for patients with peripheral arterial disease. Despite this many vascular surgeons and general practitioners are reluctant to prescribe ACE inhibitors in a group of patients perceived to have a high incidence of renal artery stenosis. This review aims to review the pathophysiology of the renin-angiotensin system and make evidence based recommendations for commencing ACE inhibitors as part of a comprehensive delivery of best medical therapy to patients with peripheral arterial disease.


Asunto(s)
Inhibidores de la Enzima Convertidora de Angiotensina/farmacología , Inhibidores de la Enzima Convertidora de Angiotensina/uso terapéutico , Enfermedades Vasculares Periféricas/tratamiento farmacológico , Enfermedades Vasculares Periféricas/fisiopatología , Sistema Renina-Angiotensina/efectos de los fármacos , Sistema Renina-Angiotensina/fisiología , Algoritmos , Angiotensina II/fisiología , Antagonistas de Receptores de Angiotensina , Comorbilidad , Humanos , Enfermedades Vasculares Periféricas/epidemiología , Ramipril/uso terapéutico , Obstrucción de la Arteria Renal/epidemiología , Obstrucción de la Arteria Renal/fisiopatología
14.
J Dairy Sci ; 87(5): 1158-66, 2004 May.
Artículo en Inglés | MEDLINE | ID: mdl-15290962

RESUMEN

The objective of this study was to evaluate the presence or absence of interaction between lactose and beta-lactoglobulin during storage of model whey powders at different water activities (a(w)). Model whey powders were prepared by colyophilization of lactose with increasing quantities of beta-lactoglobulin. These colyophilized beta-lactoglobulin:lactose powders, assigned as BL powders, were stored from 0.11 to 0.95 a(w). The water sorption behavior of BL powders was studied gravimetrically, and the state of lactose was investigated using differential scanning calorimetry (DSC) and scanning electron microscopy (SEM). Before storage, BL powders were amorphous. After storage, a loss of water was observed on moisture sorption isotherms of BL powders. It was related to the formation of lactose crystals, detected by DSC and SEM analysis, and to the structural collapse of the powders. Water loss due to lactose crystallization was shifted to higher a(w) with increasing beta-lactoglobulin content in BL powders. Moreover, kinetics of moisture sorption demonstrated that beta-lactoglobulin was also responsible for a slower crystallization process in BL powders. Then, the water sorption behavior of BL powders was very different from the behavior of the 2 compounds mixed after separate lyophilization. All these results pointed out interaction between lactose and beta-lactoglobulin, which appeared during lyophilization and still occurred during storage. This lactose/beta-lactoglobulin interaction stabilized model whey powders against lactose crystallization.


Asunto(s)
Conservación de Alimentos , Lactoglobulinas/química , Lactosa/química , Proteínas de la Leche/química , Adsorción , Rastreo Diferencial de Calorimetría , Cristalización , Interacciones Farmacológicas , Liofilización , Cinética , Lactoglobulinas/análisis , Lactosa/análisis , Microscopía Electrónica de Rastreo , Agua/análisis , Agua/química , Proteína de Suero de Leche
15.
Tijdschr Diergeneeskd ; 124(12): 374-5, 1999 Jun 15.
Artículo en Holandés | MEDLINE | ID: mdl-10399239

RESUMEN

Several initiatives are being developed by the livestock industry and veterinarians to improve quality. This article describes the term quality control. Although action has been taken to improve quality, at the moment there is no integrated policy of quality control for veterinarians. To date, initiatives have been limited to defining the preconditions for such policies and little has been done to establish the content of veterinary interventions.


Asunto(s)
Crianza de Animales Domésticos/normas , Medicina Veterinaria/normas , Animales , Países Bajos , Control de Calidad
16.
Tijdschr Diergeneeskd ; 124(12): 376-9, 1999 Jun 15.
Artículo en Holandés | MEDLINE | ID: mdl-10399240

RESUMEN

The core of the integrated quality control policy of Dutch general practitioners is the development of treatment guidelines. These guidelines are the basis for assessing interventions and for improving quality. General practitioners took the initiative to prepare these guidelines without there being external pressure on them to do so. The quality control policy strengthens the position of this professional group by diminishing differences in therapeutic approach. The procedures followed for establishing guidelines, such as those for human medicine, are described and may be of use to veterinarians.


Asunto(s)
Medicina Familiar y Comunitaria/normas , Guías de Práctica Clínica como Asunto , Medicina Veterinaria/normas , Animales , Humanos , Países Bajos , Control de Calidad
17.
Kidney Int ; 55(3): 890-8, 1999 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-10027925

RESUMEN

BACKGROUND: Proteinuria and tubular atrophy have both been closely linked with progressive renal failure. We hypothesized that apoptosis may be induced by tubular cell exposure to heavy proteinuria, potentially leading to tubular atrophy. Apoptosis was studied in a rat model of "pure" proteinuria, which does not induce renal impairment, namely protein-overload proteinuria. METHODS: Adult female Lewis rats underwent intraperitoneal injection of 2 g of bovine serum albumin (BSA, N = 16) or sham saline injections (controls, N = 8) daily for seven days. Apoptosis was assessed at day 7 in tissue sections using in situ end labeling (ISEL) and electron microscopy. ISEL-positive nuclei (apoptotic particles) were counted in blinded fashion using image analysis with NIH Image. Cell proliferation was assessed by detection of mRNA for histone by in situ hybridization, followed by counting of positive cells using NIH Image. RESULTS: Animals injected with saline showed very low levels of apoptosis on image analysis. BSA-injected rats had heavy proteinuria and showed both cortical and medullary apoptosis on ISEL. This was predominantly seen in the tubules and, to a lesser extent, in the interstitial compartment. Overall, the animals injected with BSA showed a significant 30-fold increase in the number of cortical apoptotic particles. Electron microscopy of tubular cells in a BSA-injected animal showed a progression of ultrastructural changes consistent with tubular cell apoptosis. The BSA-injected animals also displayed a significant increase in proximal tubular cell proliferation. This increased proliferation was less marked than the degree of apoptosis. CONCLUSION: Protein-overload proteinuria in rats induces tubular cell apoptosis. This effect is only partially balanced by proliferation and potentially provides a direct mechanism whereby heavy proteinuria can induce tubular atrophy and progressive renal failure.


Asunto(s)
Túbulos Renales/patología , Proteinuria/patología , Animales , Apoptosis , Atrofia , Bovinos , División Celular , Modelos Animales de Enfermedad , Femenino , Histonas/genética , Hibridación in Situ , Túbulos Renales/metabolismo , Microscopía Electrónica , Proteinuria/genética , Proteinuria/metabolismo , ARN Mensajero/genética , ARN Mensajero/metabolismo , Ratas , Ratas Endogámicas Lew , Albúmina Sérica Bovina/administración & dosificación
18.
Br J Haematol ; 103(1): 157-62, 1998 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-9792303

RESUMEN

We report 10 cases of B-cell chronic lymphocytic leukaemia (B-CLL) with expression of the T-cell antigen CD8. The majority of patients had typical B-cell CLL with stable and non-progressive stage A(O) disease except for more common expression of lambda light chain and CD25. Two patients had progressive disease and required therapy, one with atypical morphological and phenotypic features. The incidence of CD8 expression was approximately 0.5% of B-CLL patients from our institutions. Immunoprecipitation of the CD8 antigen from four of these B-CLLs showed identity to the CD8 antigen expressed on T cells with precipitation of CD8alpha bands of molecular weight approximately 34 kD. In view of the known intracellular signalling mechanism of CD8 using the tyrosine kinase p56-lck, we studied p56-lck expression by Western blot and found lack of consistent expression of the CD8 surface antigen, with most lacking p56-lck. Our report indicates that CD8 expression in B-CLL is probably underrecognized but is not a marker of disease progression. The CD8 on the B-CLL surface is immunochemically identical to the antigen on T cells, but is not accompanied by its usual signalling mechanism of p56-lck tyrosine kinase and therefore is unlikely to be a functionally active receptor.


Asunto(s)
Antígenos CD8/inmunología , Linfocitos T CD8-positivos/inmunología , Leucemia Linfocítica Crónica de Células B/inmunología , Anciano , Anciano de 80 o más Años , Antígenos CD8/análisis , Femenino , Citometría de Flujo , Humanos , Inmunofenotipificación/métodos , Proteína Tirosina Quinasa p56(lck) Específica de Linfocito/análisis , Masculino , Persona de Mediana Edad , Pruebas de Precipitina
19.
Diabetes ; 46(3): 335-41, 1997 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-9032086

RESUMEN

Leptin acts on the brain to inhibit feeding, increase thermogenesis, and decrease body weight. Neuropeptide Y (NPY)-ergic neurons of the hypothalamic arcuate nucleus (ARC) that project to the paraventricular nuclei (PVN) and dorsomedial nuclei (DMH) are postulated to control energy balance by stimulating feeding and inhibiting thermogenesis, especially under conditions of energy deficit. We investigated whether leptin's short-term effects on energy balance are mediated by inhibition of the NPY neurons. Recombinant murine leptin (11 microg) injected into the lateral ventricle of fasted adult Wistar rats inhibited food intake by 20-25% between 2 and 6 h after administration, compared with saline-treated controls (P < 0.05). Uncoupling protein mRNA levels in brown adipose tissue (BAT) rose by 70% (P < 0.01). Leptin treatment significantly reduced NPY concentrations by 20-50% (P < 0.05) in the ARC, PVN, and DMH and significantly decreased hypothalamic NPY mRNA levels (0.61 +/- 0.02 vs. 0.78 +/- 0.03 arbitrary units; P < 0.01). A second study examined changes in leptin during 5 days' intracerebroventricular NPY administration (10 microg/day), which induced sustained hyperphagia and excessive weight gain. In NPY-treated rats, leptin mRNA levels in epididymal fat were comparable to those in saline-treated controls (0.94 +/- 0.17 vs. 1.0 +/- 0.28 arbitrary units; P > 0.1), but plasma leptin levels were significantly higher (4.88 +/- 0.66 vs. 2.85 +/- 0.20 ng/ml; P < 0.01). Leptin therefore acts centrally to decrease NPY synthesis and NPY levels in the ARC-PVN projection; reduced NPY release in the PVN may mediate leptin's hypophagic and thermogenic actions. Conversely, NPY-induced obesity results in raised circulating leptin concentrations. Leptin and the NPY-ergic ARC-PVN neurons may interact in a homeostatic loop to regulate body fat mass and energy balance.


Asunto(s)
Tejido Adiposo Pardo/metabolismo , Proteínas Portadoras/biosíntesis , Ventrículos Cerebrales/fisiología , Conducta Alimentaria/efectos de los fármacos , Hipotálamo/fisiología , Proteínas de la Membrana/biosíntesis , Neuronas/fisiología , Neuropéptido Y/metabolismo , Neuropéptido Y/farmacología , Biosíntesis de Proteínas , Proteínas/farmacología , Tejido Adiposo Pardo/efectos de los fármacos , Animales , Ventrículos Cerebrales/efectos de los fármacos , Hiperfagia , Hipotálamo/efectos de los fármacos , Infusiones Parenterales , Canales Iónicos , Leptina , Masculino , Mitocondrias/efectos de los fármacos , Mitocondrias/metabolismo , Proteínas Mitocondriales , Neuronas/efectos de los fármacos , Neuropéptido Y/administración & dosificación , Obesidad , Sondas de Oligonucleótidos , Proteínas/administración & dosificación , ARN Mensajero/biosíntesis , Ratas , Ratas Wistar , Proteínas Recombinantes/farmacología , Transcripción Genética/efectos de los fármacos , Proteína Desacopladora 1 , Aumento de Peso/efectos de los fármacos
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