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1.
SN Appl Sci ; 4(1): 15, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-34966888

RESUMO

Cosmic-ray transport in astrophysical environments is often dominated by the diffusion of particles in a magnetic field composed of both a turbulent and a mean component. This process, which is two-fold turbulent mixing in that the particle motion is stochastic with respect to the field lines, needs to be understood in order to properly model cosmic-ray signatures. One of the most important aspects in the modeling of cosmic-ray diffusion is that fully resonant scattering, the most effective such process, is only possible if the wave spectrum covers the entire range of propagation angles. By taking the wave spectrum boundaries into account, we quantify cosmic-ray diffusion parallel and perpendicular to the guide field direction at turbulence levels above 5% of the total magnetic field. We apply our results of the parallel and perpendicular diffusion coefficient to the Milky Way. We show that simple purely diffusive transport is in conflict with observations of the inner Galaxy, but that just by taking a Galactic wind into account, data can be matched in the central 5 kpc zone. Further comparison shows that the outer Galaxy at > 5  kpc, on the other hand, should be dominated by perpendicular diffusion, likely changing to parallel diffusion at the outermost radii of the Milky Way.

2.
Dtsch Med Wochenschr ; 138(5): 213-7, 2013 Feb.
Artigo em Alemão | MEDLINE | ID: mdl-23340944

RESUMO

HISTORY AND ADMISSION FINDINGS: A 49-year-old patient was admitted to our ward because of a troponin elevation (non ST-elevation myocardial infarction) following a rhinoscopy in an external hospital. The patient complained of typical angina, chronic rhinitis and epistaxis. Analysis of the nasal biopsy had shown the histological finding of granulomatosis with polyangiitis (Wegener's granulomatosis). INVESTIGATION: The consecutively performed catheterization showed a coronary one-vessel disease without significant stenosis. Echocardiography showed diastolic dysfunction as well as hemodynamically not significant pericardial effusion. The MRI scan of the heart revealed multiple myocardial scars located ventricular apical and septal. Extended bilateral pulmonary opacities in the thoracic CT scan, microhematuria, leukocyturia and proteinuria indicated multi-organ involvement of the small vessel disease. TREATMENT AND COURSE: The patient's condition improved quickly in response to steroids and cyclophosphamide, followed by attenuation of clinical symptoms and normalizing blood and renal parameters. CONCLUSION: The prognosis of granulomatosis with polyangiitis is mainly limited by renal and pulmonal involvement. Cardiac involvement is commonly rare and associated with clinical courses refractory to immunosuppressive therapy. Generally, all cardiac structures can be affected, thereby impending serious cardiac events. Normally, granulomatosis with polyangiitis responds quickly to immunosuppressive therapy, associated with a rather good prognosis without higher mortality.


Assuntos
Síndrome Coronariana Aguda/etiologia , Poliangiite Microscópica/complicações , Vasculite do Sistema Nervoso Central/complicações , Síndrome Coronariana Aguda/diagnóstico , Síndrome Coronariana Aguda/tratamento farmacológico , Ciclofosfamida/uso terapêutico , Humanos , Masculino , Poliangiite Microscópica/diagnóstico , Poliangiite Microscópica/tratamento farmacológico , Pessoa de Meia-Idade , Esteroides/uso terapêutico , Resultado do Tratamento , Vasculite do Sistema Nervoso Central/diagnóstico , Vasculite do Sistema Nervoso Central/tratamento farmacológico
3.
Unfallchirurg ; 112(2): 176-84, 2009 Feb.
Artigo em Alemão | MEDLINE | ID: mdl-19212737

RESUMO

The human medial tibial plateau is concave, whereas the lateral tibial plateau is convex. In a normal knee, the convex femoral condyles roll and glide on the tibia during the standing phase of walking. The designs of most commercially available knee prostheses do not take this morphological feature into consideration. The novel design of the AEQUOS G1 knee replacement prosthesis is based on the natural anatomy of the knee joint, with a convex lateral tibia plateau and a sagittal offset of the medial and lateral compartments. Following extensive development and testing, initial clinical results of the AEQUOS G1 prosthesis in a mulitcenter study are presented. From Mai 2005 to March 2007, 158 patients in 4 clinics underwent total knee arthroplasty with the AEQUOS G1 and agreed to participate in the study. Patients were evaluated preoperatively and at 3, 6 and 12 months of follow-up using a standardized protocol that included the American Knee Society Score (AKSS), the Oxford Knee Score (OKS) and the Visual Analog Scale (VAS) for pain. After 3 months, 151 patients appeared for follow up appointments, after 6 months, 134, and after 12 months, 127. The mean range of motion preoperatively was 97.0 degrees (+/-19.9 degrees ) and 107.5 degrees (+/-15.9 degrees ) 12 months after surgery. The AKSS, as well as the modified OKS, significantly improved (p<0.0001) from preoperative scores of 98.8 (+/-35.8) and 37.3 (+/-6.9) points, respectively, to 165.8 (+/-34.1) and 21.9 (+/-7.8) points, preoperatively, and 12 months postoperatively. The VAS score significantly decreased (p<0.001) from 7.4 (+/-1.8) points preoperatively to 1.9 (+/-2.2) points 12 months postoperatively.One implant was revised because of arthrofibrosis and another due to patellar luxation. Two patients required revision because their implants revealed malalignement with ligamentous instability. No infections, aseptic loosening or other implant-specific complications were observed at this early follow-up. Good clinical results were observed at early follow-up with the AEQUOS G1 knee arthroplasty. However, longer follow-up is necessary for a general evaluation of the implant.


Assuntos
Artroplastia do Joelho/instrumentação , Artroplastia do Joelho/métodos , Instabilidade Articular/cirurgia , Prótese do Joelho , Idoso , Ergonomia/instrumentação , Ergonomia/métodos , Feminino , Humanos , Masculino , Projetos Piloto , Desenho de Prótese , Ajuste de Prótese/métodos , Resultado do Tratamento
4.
J Physiol Pharmacol ; 60 Suppl 8: 61-4, 2009 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-20400794

RESUMO

The report presents measurements of axial rotation of lumbar motion segments (L1/L2, L3/L4, L4/L5), particularly with small angles of rotation (in the range of +/-1 degrees) following axial force wrenches. The investigation focussed on determining the influence of geometrically varying configurations in axial wrench (consisting of axial torque and axial force) applied on the kinematics (as defined by the migrating instantaneous helical axis, IHA) of lumbar motion segments under constant resulting axial force, and relating IHA-migration to anatomical structures. In all segments, IHA migrated over several centimetres (up to 6 cm). The main portion of IHA-migration was linked to the angle of rotation interval of +/-1 degrees. 3. The shape of the IHA-migration was greatly dependent upon the position of the force line F(z). The-force-wrench-dependent wide IHA-migration found for the rotational angle interval of +/-1 degrees suggests that joint guidance predominates in segment kinematics. The segment kinematics can be adjusted by means of the geometrical configuration of the force wrenches. The design of non-fusion spine implants and FE calculations have to take into consideration joint guidance and muscular force distributions with small intervals of axial rotation.


Assuntos
Vértebras Lombares/fisiologia , Torção Mecânica , Idoso , Humanos , Pessoa de Meia-Idade , Amplitude de Movimento Articular/fisiologia , Rotação , Estresse Mecânico , Torque
5.
Neuroscience ; 153(1): 329-37, 2008 Apr 22.
Artigo em Inglês | MEDLINE | ID: mdl-18353560

RESUMO

The striatum, which processes cortical information for behavioral output, is a key target of Huntington's disease (HD), an autosomal dominant condition characterized by cognitive decline and progressive loss of motor control. Increasing evidence implicates deficient glutamate uptake caused by a down-regulation of GLT1, the primary astroglial glutamate transporter. To test this hypothesis, we administered ceftriaxone, a beta-lactam antibiotic known to elevate GLT1 expression (200 mg/kg, i.p., for 5 days), to symptomatic R6/2 mice, a widely studied transgenic model of HD. Relative to vehicle, ceftriaxone attenuated several HD behavioral signs: paw clasping and twitching were reduced, while motor flexibility, as measured in a plus maze, and open-field climbing were increased. Assessment of GLT1 expression in striatum confirmed a ceftriaxone-induced increase relative to vehicle. To determine if the change in behavior and GLT1 expression represented a change in striatal glutamate handling, separate groups of behaving mice were evaluated with no-net-flux microdialysis. Vehicle treatment revealed a glutamate uptake deficit in R6/2 mice relative to wild-type controls that was reversed by ceftriaxone. Vehicle-treated animals, however, did not differ in GLT1 expression, suggesting that the glutamate uptake deficit in R6/2 mice reflects dysfunctional rather than missing GLT1. Our results indicate that impaired glutamate uptake is a major factor underlying HD pathophysiology and symptomology. The glutamate uptake deficit, moreover, is present in symptomatic HD mice and reversal of this deficit by up-regulating the functional expression of GLT1 with ceftriaxone attenuates the HD phenotype.


Assuntos
Ceftriaxona/uso terapêutico , Corpo Estriado/efeitos dos fármacos , Transportador 2 de Aminoácido Excitatório/metabolismo , Ácido Glutâmico/metabolismo , Doença de Huntington/tratamento farmacológico , Regulação para Cima/efeitos dos fármacos , Animais , Corpo Estriado/metabolismo , Modelos Animais de Doenças , Transportador 2 de Aminoácido Excitatório/genética , Líquido Extracelular/efeitos dos fármacos , Líquido Extracelular/metabolismo , Doença de Huntington/fisiopatologia , Masculino , Aprendizagem em Labirinto/efeitos dos fármacos , Camundongos , Camundongos Transgênicos , Fenótipo , Transmissão Sináptica/efeitos dos fármacos , Regulação para Cima/genética
6.
Artigo em Inglês | MEDLINE | ID: mdl-18286410

RESUMO

Contamination of peanuts with mycotoxins, particularly aflatoxins, is a worldwide problem that affects both food safety and agricultural economies. Most countries have adopted regulations that limit the quantity of aflatoxins in food and feed to 20 microg kg(-1) or less; however, environmental conditions in most of the world where peanuts are produced and stored often make it difficult or impossible to attain such low concentrations. In addition to aflatoxins, peanuts are often contaminated with cyclopiazonic acid (CPA). Both mycotoxins are produced by Aspergillus flavus, a ubiquitous fungus that can infect and grow in peanuts under both pre- and post-harvest conditions. Management of mycotoxin contamination in peanuts generally involves removal of high-risk components from shelled lots or the removal of individual, highly contaminated nuts. This is accomplished by various processes such as screening, kernel sizing, electronic colour sorting, hand sorting, and blanching followed by electronic colour sorting. Recently, biological control technology has been developed that prevents much of the contamination that might otherwise occur. Biocontrol is based on competitive exclusion whereby a dominant population of a non-toxigenic strain of A. flavus is established in the soil before peanuts are subjected to conditions favouring contamination. The applied strain competes with toxigenic strains for infection sites, resulting in significantly reduced concentrations of aflatoxins in peanuts. Monitoring of the first commercial use of the technology showed that aflatoxins were reduced by an average of 85% in farmers' stock peanuts and by as much as 98% in shelled, edible grade peanuts.


Assuntos
Arachis/microbiologia , Aspergillus/crescimento & desenvolvimento , Contaminação de Alimentos/prevenção & controle , Micotoxinas , Controle Biológico de Vetores/métodos , Arachis/química , Aspergillus/metabolismo , Produtos Agrícolas/microbiologia , Contaminação de Alimentos/análise , Manipulação de Alimentos/métodos , Concentração Máxima Permitida , Micotoxinas/biossíntese , Medição de Risco
7.
Mycotoxin Res ; 22(1): 33-8, 2006 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-23605499

RESUMO

A biopesticide, afla-guard(®), has been developed for controlling aflatoxin contamination in peanuts. This product provides the means of introducing a competitive, non-aflatoxigenic strain ofAspergillus flavus into soils where peanuts are being grown. The introduced strain competitively excludes toxigenic strains naturally present from invading developing peanuts. The biocontrol technology was made commercially available in 2004 by Circle One Global, Inc., upon receiving U.S. Environmental Protection Agency section 3 registration of afla-guard(®) as a biopesticide. The product was applied to approximately 2000 ha of peanuts in Georgia and Alabama during the 2004 crop year. Application of afla-guard(®) changed the composition ofA. flavus soil populations from an average 71.1% toxigenic strains in untreated fields to only 4.0% in treated soils. Analyses of farmer's stock peanuts being delivered at seven different locations showed a consistent reduction in aflatoxin contamination in peanuts from fields treated with afla-guard(®). Over all locations, aflatoxin averaged 78.9 ng/g in untreated peanuts compared with 11.7 ng/g in treated peanuts, an 85.2% reduction. Peanuts from treated and untreated fields were stored together in separate warehouse bins at two different locations. Aflatoxin analyses at the Unadilla, GA location showed that 48.4% of shelled edible lots from untreated fields contained unacceptable levels of aflatoxin (>15 ng/g). At the Dawson, GA location, 15.8% of shelled lots from untreated fields contained >15 ng/g. At both locations, no shelled edible lots from treated fields contained >15 ng/g. Mean aflatoxin concentrations in edible peanuts from untreated and treated fields at Unadilla were 36.2 and 0.9 ng/g, respectively. At Dawson the respective means were 7.2 and 2.2 ng/g.

8.
Artigo em Alemão | MEDLINE | ID: mdl-14600859

RESUMO

OBJECTIVE: Because of its complex profile of action (binding to dopamine, serotonin and histamine receptors), low rate of adverse effects and low cost as a medicinal preparation, metoclopramide is an interesting substance for the prophylaxis of post-operative nausea and vomiting (PONV). As a single substance its antiemetic effects are slight at the usual dose, so the aim was to test the efficacy of a combination of metoclopramide and dexamethasone for the prevention of PONV on a group of patients with the same operative trauma. METHOD: All patients (n = 204) were recruited prospectively (January-October 2002) and were to undergo a lumbar disc operation. The anaesthetic was administered according to a standard procedure as a balanced anaesthetic with fentanyl and isoflurane in oxygen/air. 60 min before the end of the operation, all patients were given 10 mg of metoclopramide and 8 mg of dexamethasone intravenously. The Würzburg-Oulu-Score served as an instrument for comparison, because no placebo group has been included. 24 hours after the operation, all patients were asked to report on nausea and vomiting, stating the time and the degree of discomfort (quantification by means of an analogue numerical scale from 0-10). The influence of age, height, weight, duration of the anaesthetic, operating position and increased dexamethasone dose was analyzed in addition to the risk factors according to the score. The cost analysis was based on the purchase prices of the hospital dispensary. RESULTS: The expected PONV incidence was 35.8%; 10% nausea (average intensity 4.3) and 3% emesis (4.8) was reported for the 24-hour period. The rescue medication (dimenhydrinate) was requested 8 times. Nausea was mainly during the early part of the period (0-6 hours). Of 42 patients with a history of PONV, 71% had no symptoms. The Odds Ratios for female sex (2.9), non-smoker status (2.0) and post-operative opioid administration (1.9) correspond to the data given in the literature; it was not possible to determine the significance of a history of PONV as an independent risk factor. None of the other factors investigated had a significant influence on PONV. For the chosen combination of antiemetic drugs the number-needed-to-treat is 3.9 (95% CI: 3.3-4.7). The direct costs of the PONV prophylaxis are 0.65 euro per patient. CONCLUSIONS: The metoclopramide/dexamethasone combination proved to be effective and inexpensive, on the basis of these findings it is used prophylactically at our hospital if only one PONV risk factor exists.


Assuntos
Anestesia por Inalação/efeitos adversos , Antieméticos/uso terapêutico , Dexametasona/uso terapêutico , Metoclopramida/uso terapêutico , Náusea e Vômito Pós-Operatórios/prevenção & controle , Adjuvantes Anestésicos , Adulto , Idoso , Anestésicos Inalatórios , Antieméticos/economia , Dexametasona/economia , Relação Dose-Resposta a Droga , Feminino , Fentanila , Humanos , Deslocamento do Disco Intervertebral/cirurgia , Isoflurano , Masculino , Metoclopramida/economia , Pessoa de Meia-Idade , Náusea e Vômito Pós-Operatórios/economia , Estudos Prospectivos , Fatores de Risco
9.
Clin Nucl Med ; 28(4): 267-76, 2003 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-12642703

RESUMO

PURPOSE: The aim of the current study was to determine the overall diagnostic accuracy of Tc-99m-labeled antigranulocyte monoclonal antibody Fab' fragments (LeukoScan) for the routine detection of bone and soft tissue infections in a retrospective evaluation. PATIENTS AND METHODS: 138 patients (63 men, 75 women; mean age, 58.29 +/- 25.38 years) with fever of unknown origin and possible endocarditis (n = 59), infection of arthroplastic joints (n = 20), arthritis (n = 16), peripheral (n = 15) and central bone infections (n = 14), soft tissue infection (n = 6), appendicitis (n = 4), pericarditis (n = 2), or vascular graft infection (n = 2) underwent imaging after injection of 555 to 925 MBq (15 to 25 mCi) Tc-99m-labeled antigranulocyte monoclonal antibody Fab' fragments (LeukoScan). RESULTS: True-positive results were found in 63 of 81 lesions. The overall sensitivity and specificity were 76% and 84%, respectively. In arthritis, seven of seven foci could be detected, whereas false-negative results were found in infections of the femoral bone in three of nine lesions and in periprosthetic infections of long bones in three of eight lesions. Good results were found in five of six soft-tissue infections, in four of six patients with endocarditis, in three of four atypical cases of appendicitis, in two of two infected vascular grafts, and in one of one patient with pericarditis. Subacute and chronic infections of the spine always showed photopenic areas in eight of eight patients. If photopenic lesions were included as diagnostic criteria, the sensitivity and specificity were 88% and 67%, respectively. CONCLUSIONS: Tc-99m-labeled antigranulocyte monoclonal antibody Fab' fragments can be used for imaging acute infections of peripheral bones and soft tissues. False-negative results are likely in patients with chronic infections. Sensitivity can be increased while decreasing specificity by including photopenic lesions in the spine as diagnostic criteria for localizing disease.


Assuntos
Anticorpos Monoclonais , Doenças Ósseas Infecciosas/diagnóstico por imagem , Endocardite/diagnóstico por imagem , Infecções dos Tecidos Moles/diagnóstico por imagem , Adulto , Idoso , Idoso de 80 Anos ou mais , Anticorpos Monoclonais Murinos , Doenças Ósseas Infecciosas/complicações , Doenças Ósseas Infecciosas/diagnóstico , Endocardite/complicações , Endocardite/diagnóstico , Reações Falso-Negativas , Feminino , Febre de Causa Desconhecida/diagnóstico , Febre de Causa Desconhecida/diagnóstico por imagem , Febre de Causa Desconhecida/etiologia , Humanos , Infecções/diagnóstico , Infecções/diagnóstico por imagem , Masculino , Pessoa de Meia-Idade , Infecções Relacionadas à Prótese/complicações , Infecções Relacionadas à Prótese/diagnóstico , Infecções Relacionadas à Prótese/diagnóstico por imagem , Cintilografia , Compostos Radiofarmacêuticos , Reprodutibilidade dos Testes , Estudos Retrospectivos , Sensibilidade e Especificidade , Infecções dos Tecidos Moles/complicações , Infecções dos Tecidos Moles/diagnóstico
10.
Eur J Nucl Med Mol Imaging ; 29(4): 516-24, 2002 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-11914890

RESUMO

This study investigated the value of fluorine-18 2'-deoxy-2-fluoro- D-glucose (FDG) imaging with a double-headed gamma camera operated in coincidence (hybrid PET) detection mode in patients with suspected spondylitis. Comparison was made with conventional nuclear medicine imaging modalities and magnetic resonance imaging (MRI). Sixteen patients with suspected spondylitis (nine male, seven female, mean age 59 years) prospectively underwent FDG hybrid PET (296 MBq) and MRI. For intra-individual comparison, the patients were also imaged with technetium-99m methylene diphosphonate (MDP) (555 MBq) ( n=13) and/or gallium-67 citrate (185 MBq) ( n=11). For FDG hybrid PET, two or three transverse scans were performed. Ratios of infected (target) to non-infected (background) (T/B) vertebral bodies were calculated. MR images were obtained of the region of interest. Patients found positive for spondylitis with MRI and/or FDG hybrid PET underwent surgical intervention and histological grading of the individual infected foci. Twelve out of 16 patients were found to be positive for spondylitis. Independent of the grade of infection and the location in the spine, all known infected vertebrae ( n=23, 9 thoracic, 12 lumbar, 2 sacral) were detected by FDG hybrid PET. T/B ratios higher than 1.45+/-0.05 (at 1 h p.i.) were indicative of infectious disease, whereas ratios below this value were found in cases of degenerative change. FDG hybrid PET was superior to MRI in patients who had a history of surgery and suffered from a high-grade infection in combination with paravertebral abscess formation ( n=2; further computed tomography was needed) and in those with low-grade spondylitis ( n=2, no oedema) or discitis ( n=2, mild oedema). False-positive 67Ga citrate images ( n=5: 2 spondylodiscitis, 1 aortitis, 1 pleuritis, 1 pulmonary tuberculosis) and 99mTc-MDP SPET ( n=4: 1 osteoporosis, 2 spondylodiscitis, 1 fracture) were equally well detected by FDG hybrid PET and MRI. No diagnostic problems were seen in the other patients ( n=5). In this study, FDG hybrid PET was superior to MRI, 67Ga citrate and (99m)Tc-MDP, especially in patients with low-grade spondylitis (as compared with MRI), adjacent soft tissue infections (as compared with 67Ga citrate) and advanced bone degeneration (as compared with 99mTc-MDP).


Assuntos
Fluordesoxiglucose F18 , Vértebras Lombares/diagnóstico por imagem , Espondilite/diagnóstico por imagem , Tomografia Computadorizada de Emissão/métodos , Adulto , Idoso , Biópsia por Agulha , Citratos , Reações Falso-Negativas , Reações Falso-Positivas , Feminino , Gálio , Humanos , Vértebras Lombares/patologia , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Radiografia , Compostos Radiofarmacêuticos , Sensibilidade e Especificidade , Espondilite/diagnóstico , Medronato de Tecnécio Tc 99m , Tomografia Computadorizada de Emissão/instrumentação , Tomografia Computadorizada de Emissão de Fóton Único
11.
Mycopathologia ; 151(2): 81-92, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11554582

RESUMO

The use of nontoxigenic strains of Aspergillus flavus and A. parasiticus in biological control effectively reduces aflatoxin in peanuts when conidium- producing inoculum is applied to the soil surface. In this study, the movement of conidia in soil was examined following natural rainfall and controlled precipitation from a sprinkler irrigation system. Conidia of nontoxigenic A. flavus and A. parasiticus remained near the soil surface despite repeated rainfall and varying amounts of applied water from irrigation. In addition, rainfall washed the conidia along the peanut furrows for up to 100 meters downstream from the experimental plot boundary. The dispersal gradient was otherwise very steep upstream along the furrows and in directions perpendicular to the peanut rows. The retention of biocontrol conidia in the upper soil layers is likely important in reducing aflatoxin contamination of peanuts and aerial crops such as corn and cottonseed.


Assuntos
Aflatoxinas/biossíntese , Arachis/microbiologia , Aspergillus flavus/crescimento & desenvolvimento , Aspergillus/crescimento & desenvolvimento , Controle Biológico de Vetores , Microbiologia do Solo , Arachis/química , Arachis/crescimento & desenvolvimento , Aspergillus/metabolismo , Aspergillus flavus/metabolismo , Produtos Agrícolas/química , Produtos Agrícolas/crescimento & desenvolvimento , Produtos Agrícolas/microbiologia , Chuva , Esporos Fúngicos/fisiologia , Água
13.
Anaesthesist ; 49(9): 829-33, 2000 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-11076272

RESUMO

Pyoderma gangrenosum (PG) is a necrotizing and ulcerative skin disease of unknown cause. The pathogenesis is thought to be related to a defective immune response. The ulcerations appear spontaneously or after skin trauma. Development in a surgical wound can be misinterpreted as wound infection. However, in contrast to postoperative infections, treatment of PG requires immunosuppressive therapy. We report a case of PG following hip-joint surgery that was complicated by a severe life-threatening systemic inflammatory response syndrome (SIRS). Typically, wound and blood cultures were negative for pathogens. Prednisolone stopped the activity of the disease promptly.


Assuntos
Pioderma Gangrenoso/diagnóstico , Infecção da Ferida Cirúrgica/diagnóstico , Anti-Inflamatórios/uso terapêutico , Artroplastia de Quadril , Diagnóstico Diferencial , Feminino , Humanos , Imunossupressores/uso terapêutico , Pessoa de Meia-Idade , Complicações Pós-Operatórias/diagnóstico , Complicações Pós-Operatórias/tratamento farmacológico , Prednisolona/uso terapêutico , Pioderma Gangrenoso/tratamento farmacológico , Infecção da Ferida Cirúrgica/tratamento farmacológico
14.
Nucl Med Commun ; 21(1): 111-20, 2000 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-10717911

RESUMO

The aim of this study was to evaluate the roles of 67Ga-citrate and 99Tcm-methylene diphosphonate (99Tcm-MDP) planar and single photon emission tomographic (SPET) imaging in patients with vertebral osteomyelitis. Thirty patients (22 females, 8 males) aged 62.7 +/- 16.4 years (mean +/- s) were enrolled prospectively between May 1995 and May 1998. The patients had been on antibiotics for 7 +/- 4 weeks prior to the study. Histology was available for all but nine patients with mild infections, who were evaluated by a combination of magnetic resonance imaging (MRI), clinical and laboratory tests. 67Ga-citrate (185 MBq) and three-phase bone (555 MBq 99Tcm-MDP) planar and SPET imaging were performed in all patients, together with MRI as a comparison. In total, 67 infectious foci were detected. Based on histology, there were four cases of severe, 13 cases of moderate and four cases of mild osteomyelitis; nine mild infections were also classified by the combination of MRI, clinical and laboratory results. Combined MRI and 67Ga-citrate SPET correctly classified all patients; MRI detected all 67 infectious foci, whereas 67Ga-citrate SPET identified 54 only. False-negative results were seen with all other modalities, especially in cases of mild and moderate infection. 67Ga-citrate SPET identified unsuspected cases of endocarditis (n = 2), paravertebral abscess (n = 1), subaxillary soft tissue abscess (n = 1) and rib osteomyelitis (n = 1). For 67Ga-citrate SPET, the target-to-background ratio was 2.24 +/- 0.31, 1.76 +/- 0.07 and 1.30 +/- 0.18 for severe, moderate and mild osteomyelitis, respectively. Significant differences were noted between severe and moderate infection (P = 0.0051) and between severe and mild infection (P < 0.0001); that between moderate and mild infection was non-significant. For 99Tcm-MDP planar and SPET imaging, and for planar 67Ga-citrate imaging, there was no correlation with severity. We conclude that 67Ga-citrate SPET is able to identify vertebral osteomyelitis and detect additional sites of infection. It can also aid in determining the severity of infection and, potentially, the response to therapy.


Assuntos
Citratos , Gálio , Osteomielite/diagnóstico por imagem , Compostos Radiofarmacêuticos , Coluna Vertebral/diagnóstico por imagem , Medronato de Tecnécio Tc 99m , Idoso , Sedimentação Sanguínea , Proteína C-Reativa/metabolismo , Feminino , Radioisótopos de Gálio , Humanos , Contagem de Leucócitos , Imageamento por Ressonância Magnética , Masculino , Osteomielite/sangue , Osteomielite/patologia , Cintilografia , Coluna Vertebral/patologia
15.
Comput Nurs ; 18(2): 72-86, 2000.
Artigo em Inglês | MEDLINE | ID: mdl-10740913

RESUMO

This article provides a comparative review of nine commercially available software programs: A+ Test Manager and Test Taker, CATSoftware, Diploma 97, Examaker for Windows, FastTEST, Microtest Pro, Pedagogue, Question Mark, and Test Construction Set. Issues for using test development software are covered including security, pedagogical uses, and test design and administration. Nurse educators are encouraged to consider the unique needs of each setting when selecting a software package to support test development and administration.


Assuntos
Instrução por Computador , Educação em Enfermagem , Internet/normas , Software/normas , Educação em Enfermagem/métodos , Humanos
16.
Chirurg ; 71(1): 98-100, 2000 Jan.
Artigo em Alemão | MEDLINE | ID: mdl-10663011

RESUMO

A case report demonstrates the complication of pericardial tamponade during the installation of a central venous catheter via the subclavian vein. To reduce the high mortality of this rare complication, quickly applicable diagnostic measures and adequate therapy of pericardiocentesis are indicated. Prompt recognition and treatment of pericardial tamponade are imperative if a disastrous outcome is to be prevented.


Assuntos
Tamponamento Cardíaco/etiologia , Cateterismo Venoso Central/efeitos adversos , Adolescente , Tamponamento Cardíaco/diagnóstico , Tamponamento Cardíaco/cirurgia , Ecocardiografia , Feminino , Seguimentos , Humanos , Pericardiocentese , Fatores de Tempo
17.
Fungal Genet Biol ; 31(3): 169-79, 2000 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11273679

RESUMO

Aspergillus flavus is a common filamentous fungus that produces aflatoxins and presents a major threat to agriculture and human health. Previous phylogenetic studies of A. flavus have shown that it consists of two subgroups, called groups I and II, and morphological studies indicated that it consists of two morphological groups based on sclerotium size, called "S" and "L." The industrially important non-aflatoxin-producing fungus A. oryzae is nested within group I. Three different gene regions, including part of a gene involved in aflatoxin biosynthesis (omt12), were sequenced in 33 S and L strains of A. flavus collected from various regions around the world, along with three isolates of A. oryzae and two isolates of A. parasiticus that were used as outgroups. The production of B and G aflatoxins and cyclopiazonic acid was analyzed in the A. flavus isolates, and each isolate was identified as "S" or "L" based on sclerotium size. Phylogenetic analysis of all three genes confirmed the inference that group I and group II represent a deep divergence within A. flavus. Most group I strains produced B aflatoxins to some degree, and none produced G aflatoxins. Four of six group II strains produced both B and G aflatoxins. All group II isolates were of the "S" sclerotium phenotype, whereas group I strains consisted of both "S" and "L" isolates. Based on the omt12 gene region, phylogenetic structure in sclerotium phenotype and aflatoxin production was evident within group I. Some non-aflatoxin-producing isolates of group I had an omt12 allele that was identical to that found in isolates of A. oryzae.


Assuntos
Aspergillus flavus/metabolismo , Aspergillus oryzae/metabolismo , Micotoxinas/classificação , Aflatoxinas/classificação , Aflatoxinas/genética , Aflatoxinas/metabolismo , Arachis/microbiologia , Aspergillus flavus/genética , Aspergillus oryzae/genética , Austrália , California , Genoma Fúngico , Georgia , Indóis/análise , Indóis/metabolismo , Dados de Sequência Molecular , Micotoxinas/genética , Micotoxinas/metabolismo , Nigéria , Filogenia , Sementes/microbiologia , Microbiologia do Solo , Texas
18.
J Food Prot ; 62(6): 650-6, 1999 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-10382655

RESUMO

Soil in corn plots was inoculated with nonaflatoxigenic strains of Aspergillus flavus and A. parasiticus during crop years 1994 to 1997 to determine the effect of application of the nontoxigenic strains on preharvest aflatoxin contamination of corn. Corn plots in a separate part of the field were not inoculated and served as controls. Inoculation resulted in significant increases in the total A. flavus/parasiticus soil population in treated plots, and that population was dominated by the applied strain of A. parasiticus (NRRL 21369). In the years when weather conditions favored aflatoxin contamination (1996 and 1997), corn was predominately colonized by A. flavus as opposed to A. parasiticus. In 1996, colonization by wild-type A. flavus was significantly reduced in treated plots compared with control plots, but total A. flavus/parasiticus colonization was not different between the two groups. A change to a more aggressive strain of A. flavus (NRRL 21882) as part of the biocontrol inoculum in 1997 resulted in a significantly (P < 0.001) higher colonization of corn by the applied strain. Weather conditions did not favor aflatoxin contamination in 1994 and 1995. In 1996, the aflatoxin concentration in corn from treated plots averaged 24.0 ppb, a reduction of 87% compared with the aflatoxin in control plots that averaged 188.4 ppb. In 1997, aflatoxin was reduced by 66% in treated corn (29.8 ppb) compared with control corn (87.5 ppb). Together, the data indicated that although the applied strain of A. parasiticus dominated in the soil, the nonaflatoxigenic strains of A. flavus were more responsible for the observed reductions in aflatoxin contamination. Inclusion of a nonaflatoxigenic strain of A. parasiticus in a biological control formulation for aflatoxin contamination may not be as important for airborne crops, such as corn, as for soilborne crops, such as peanuts.


Assuntos
Aflatoxinas/análise , Aspergillus/crescimento & desenvolvimento , Zea mays/química , Zea mays/microbiologia , Aspergillus/isolamento & purificação , Aspergillus flavus/crescimento & desenvolvimento , Aspergillus flavus/isolamento & purificação , Contagem de Colônia Microbiana , Controle Biológico de Vetores , Microbiologia do Solo
19.
Appl Environ Microbiol ; 65(4): 1444-9, 1999 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10103234

RESUMO

Soil isolates of Aspergillus flavus from a transect extending from eastern New Mexico through Georgia to eastern Virginia were examined for production of aflatoxin B1 and cyclopiazonic acid in a liquid medium. Peanut fields from major peanut-growing regions (western Texas; central Texas; Georgia and Alabama; and Virginia and North Carolina) were sampled, and fields with other crops were sampled in regions where peanuts are not commonly grown. The A. flavus isolates were identified as members of either the L strain (n = 774), which produces sclerotia that are >400 micrometer in diameter, or the S strain (n = 309), which produces numerous small sclerotia that are <400 micrometer in diameter. The S-strain isolates generally produced high levels of aflatoxin B1, whereas the L-strain isolates were more variable in aflatoxin production; variation in cyclopiazonic acid production also was greater in the L strain than in the S strain. There was a positive correlation between aflatoxin B1 production and cyclopiazonic acid production in both strains, although 12% of the L-strain isolates produced only cyclopiazonic acid. Significant differences in production of aflatoxin B1 and cyclopiazonic acid by the L-strain isolates were detected among regions. In the western half of Texas and the peanut-growing region of Georgia and Alabama, 62 to 94% of the isolates produced >10 microgram of aflatoxin B1 per ml. The percentages of isolates producing >10 microgram of aflatoxin B1 per ml ranged from 0 to 52% in the remaining regions of the transect; other isolates were often nonaflatoxigenic. A total of 53 of the 126 L-strain isolates that did not produce aflatoxin B1 or cyclopiazonic acid were placed in 17 vegetative compatibility groups. Several of these groups contained isolates from widely separated regions of the transect.


Assuntos
Aflatoxina B1/biossíntese , Arachis/microbiologia , Aspergillus flavus/isolamento & purificação , Aspergillus flavus/metabolismo , Indóis/metabolismo , Microbiologia do Solo , Controle Biológico de Vetores , Estados Unidos
20.
Nurse Educ ; 24(5): 21-6, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10795251

RESUMO

Information literacy skills, which include the ability to evaluate electronic healthcare sites, are critical to the decision-making responsibilities of students and professionals. The authors describe the experiences of nursing and library services faculty in the development and implementation of a Web-delivered module for the evaluation of healthcare Web resources. A range of electronic tools was used for both the collaborative creation of the module as well as the instructional delivery of the content. Evaluation of the module revealed its usefulness to the students and the potential of the collaborative development model for other content areas.


Assuntos
Bacharelado em Enfermagem , Serviços de Informação/normas , Internet/normas , Bibliotecas de Enfermagem , Humanos
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