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1.
Eur J Obstet Gynecol Reprod Biol ; 279: 5-11, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36228448

RESUMO

OBJECTIVE: To determine the value of quantifying accelerations of the fetal heart rate (FHR), as collected non-invasively during pregnancy, as a proxy for fetal movements. STUDY DESIGN: The study consists of a prospective collection of research material with retrospective analyses of the collected fetal electrocardiograms (ECGs), done in a homogeneous population in a low socioeconomic residential area of Cape Town, South Africa, as part of the Safe Passage Study. Recruitment and follow-up were done from August 2007 to August 2016. Maternal and fetal ECGs were collected non-invasively at various gestational ages, for approximately 30-60 min at a time in 4418 pregnant women. After processing of the signal, the number and duration of accelerations and the area under the acceleration curve of the FHR were calculated and compared with the pulsatility index (PI) of the uterine, umbilical, and middle cerebral arteries, common medical conditions, tobacco, alcohol, marijuana, and methamphetamine use and z-scores of the birthweight (BWZS). RESULTS: Of the total, 2777, 691, and 3879 women were at gestational ages of 20-24, 28-32 and 34-38 weeks respectively. At 20-24 weeks duration of accelerations was significantly longer in women who used marijuana (p = 0.014) or methamphetamine (p < 0.001) when compared to nonusers. At 28-32 weeks the duration of accelerations was significantly shorter in hypertensive women (p = 0.003) and significantly longer in women who used methamphetamine (p = 0.015). At 34-38 weeks the number of accelerations were significantly less in women who had hypertension ((p = 0.01) or stillbirths (p = 0.028) and the duration significantly shorter in hypertensive women (p = 0.007) and significantly longer in women who used marjuana (p = 0.003) or methamphetamine (p = 0.028). The acceleration area was significantly smaller (p = 0.02) in women who has stillbirths. Duration of accelerations was significantly longer in users of nicotine and alcohol when compared with that of abstainers. Birthweight z-score correlated significantly with number of accelerations (p < 0.01) and the acceleration area (<0.01). There was a significant negative correlation between the number of accelerations (p < 0.01) and acceleration area (p < 0.01) and the PI of the uterine artery at 34-38 weeks. CONCLUSIONS: Calculation of the acceleration parameters of the FHR during pregnancy may provide useful information for evaluating fetal development.


Assuntos
Frequência Cardíaca Fetal , Metanfetamina , Feminino , Gravidez , Humanos , Lactente , Masculino , Frequência Cardíaca Fetal/fisiologia , Peso ao Nascer , Natimorto , Estudos Retrospectivos , Estudos Prospectivos , África do Sul , Idade Gestacional , Eletrocardiografia , Aceleração , Frequência Cardíaca
2.
S Afr Med J ; 112(8): 522-525, 2022 08 02.
Artigo em Inglês | MEDLINE | ID: mdl-36214394

RESUMO

BACKGROUND: Ivermectin is an antiparasitic drug that has shown in vitro activity against COVID­19. Clinical studies supporting ivermectin for COVID­19 prevention and treatment are conflicting, with important limitations. Public support for ivermectin is significant, with extensive off-label use despite the conflicting views on its efficacy. Ivermectin tablets and injectable formulations are not registered in South Africa for human use by the South African Health Products Regulatory Authority. The National Department of Health does not currently recommend the use of ivermectin for COVID­19. OBJECTIVES: To describe cases of ivermectin exposure reported to the Poisons Information Helpline of the Western Cape (PIHWC) before and after publication of the drug's in vitro activity against SARS-CoV-2. METHODS: In a retrospective review, ivermectin-related calls reported to the PIHWC from 1 June 2015 to 30 June 2020 (period 1) were compared with calls received from 1 July 2020 to 31 July 2021 (period 2), dichotomised according to the first publication indicating ivermectin activity against SARS-CoV-2. RESULTS: Seventy-one cases were screened, and 65 were included for analysis; 19 cases were reported during period 1 and 46 during period 2. During period 2, 25 ivermectin cases (54.3%) were related to COVID­19 use. Of these, 24 cases (52.2%) involved veterinary preparations, 3 (6.5%) human preparations and 19 (41.3%) unknown preparations. Fourteen cases (73.7%) during period 1 and 30 (65.2%) during period 2 were reported to be symptomatic. The most common organ systems involved were the central nervous (n=26 cases; 40.0%), gastrointestinal (n=18; 27.7%), ocular (n=9; 13.8%) and dermatological (n=5; 7.7%) systems. CONCLUSION: Ivermectin-related exposure calls increased during study period 2, probably as a result of ivermectin being used as preventive and definitive therapy for COVID­19 in the absence of robust evidence on efficacy, dosing recommendations or appropriate formulations.


Assuntos
COVID-19 , Venenos , Antiparasitários/uso terapêutico , Humanos , Ivermectina/uso terapêutico , Pandemias/prevenção & controle , SARS-CoV-2 , África do Sul/epidemiologia
3.
S Afr J Sports Med ; 34(1): v34i1a13145, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36815927

RESUMO

Inclusion body myositis (IBM) is an inflammatory and degenerative autoimmune disease that targets specific muscle groups, causing severe muscle weakness. Exercise training is often contraindicated in myopathies as it may aggravate muscle damage and inflammation. Although some reported positive outcomes in muscle strength of early diagnosed IBM patients undergoing resistance training, there remains uncertainty as to whether exercise could be beneficial and safe in advanced stage IBM. Thus the aims of this research were to evaluate the safety and response of 16-weeks supervised resistance training on the health and muscle performance of an elderly participant diagnosed with advanced stage IBM. It was shown that the training had no adverse effects on the health of the patient. Muscle strength measured at eight weeks and on completion of the intervention, remained the same as at baseline. In conclusion, the exercise programme was found to be safe and seemed to maintain muscle strength in a patient with advanced stage IBM.

4.
MedLife Clin ; 4(2)2022.
Artigo em Inglês | MEDLINE | ID: mdl-36660227

RESUMO

Background: There is a need to accurately identify pregnant women at risk for preterm birth as early as possible. Recent developments in technology enable the recording of uterine electrical activity (electrohysterogram) from the anterior abdominal wall in a non-invasive way. Objective: To investigate whether uterine activity recorded under resting conditions at a gestational age of 34 weeks could identify a risk of preterm birth. Study design: A commercial antenatal holter device with its dedicated software was used to record and store raw data of the maternal and fetal electrocardiograms and uterine activity for the Safe Passage Study. Uterine activity was recorded under resting conditions from 34 weeks' gestation in epochs of 250 ms (millisecond) for at least 30 min. From this database the raw data, recorded at a mean gestational age of 34 weeks, of 50 women who had preterm deliveries were selected for comparison with data of women who had term deliveries. Mean uterine activity, expressed in microvolt (µV)/epoch, was used for the comparison. Results: After exclusion of 25 participants where labour was induced or augmented and another three for other reasons, 36 remained in each group. The participants in each group were comparable in respect of maternal age, gravidity, parity, gestational age at recruitment and duration of recording. Uterine activity in the preterm group (60.3 µV/epoch) differed significantly (p<0.01) from that of the comparison group (52.4 µV/epoch). Using a cut-off point of 52.3 µV/epoch as obtained from receiver operator characteristic curves (area under the curve 0.72), the sensitivity and specificity of identifying risks of preterm labour were 81% and 50% respectively. Conclusion: Results of this small study are promising but need to be confirmed in larger studies and preferably at earlier gestational age.

5.
Artigo em Inglês | MEDLINE | ID: mdl-34816253

RESUMO

OBJECTIVES: To use machine learning to determine what information on Doppler velocimetry and maternal and fetal heart rates, collected at 20-24 weeks gestation, correlates best with fetal growth restriction according to the estimated fetal weight at 34-38 weeks. STUDY DESIGN: Data of 4496 pregnant women, collected prospectively for the Safe Passage Study, from August 2007 to August 2016, were used for the present analysis. Doppler flow velocity of the uterine, umbilical, and middle cerebral arteries and transabdominally recorded maternal and fetal ECGs were collected at 20-24 weeks gestation and fetal biometry collected at 34-38 weeks from which the estimated fetal weight was calculated. Fetal growth restriction was defined as an estimated fetal weight below the 10th centile. Accelerations and decelerations of the fetal and maternal heart rates were quantified as gained or lost beats per hour of recording respectively. Machine learning with receiver operative characteristic curves were then used to determine which model gives the best performance. RESULTS: The final model performed exceptionally well across all evaluation metrics, particularly so for the Stochastic Gradient Descent method: achieving a 93% average for Classification Accuracy, Recall, Precision and F1-Score to identify the fetus with an estimated weight below the 10th percentile at 34-38 weeks. Ranking determined that the most important standard feature was the umbilical artery pulsatility index. However, the excellent overall accuracy is likely due to the value added by the pre-processed features regarding fetal gained beats and accelerations. CONCLUSION: Fetal movements, as characterized by gained beats as early as 20-24 weeks gestation, contribute to the value of the flow velocimetry of the umbilical artery at 34-38 weeks in identifying the growth restricted fetus.

6.
Artigo em Inglês | MEDLINE | ID: mdl-34007875

RESUMO

OBJECTIVE: Intrauterine growth restriction (IUGR) is one of the most common causes of stillbirths. The objective of this study is to develop a machine learning model that will be able to accurately and consistently predict whether the estimated fetal weight (EFW) will be below the 10th percentile at 34+0-37 + 6 week's gestation stage, by using data collected at 20 + 0 to 23 + 6 weeks gestation. METHODS: Recruitment for the prospective Safe Passage Study (SPS) was done over 7.5 years (2007-2015). An essential part of the fetal assessment was the non-invasive transabdominal recording of the maternal and fetal electrocardiograms as well as the performance of an ultrasound examination for Doppler flow velocity waveforms and fetal biometry at 20 + 0 to 23 + 6 and 34 + 0 to 37 + 6 week's gestation. Several predictive models were constructed, using supervised learning techniques, and evaluated using the Stochastic Gradient Descent, k-Nearest Neighbours, Logistic Regression and Random Forest methods. RESULTS: The final model performed exceptionally well across all evaluation metrics, particularly so for the Stochastic Gradient Descent method: achieving a 93% average for Classification Accuracy, Recall, Precision and F1-Score when random sampling is used and 91% for cross-validation (both methods using a 95% confidence interval). Furthermore, the model identifies the Umbilical Artery Pulsality Index to be the strongest identifier for the prediction of IUGR - matching the literature. Three of the four evaluation methods used achieved above 90% for both True Negative and True Positive results. The ROC Analysis showed a very strong True Positive rate (y-axis) for both target attribute outcomes - AUC value of 0.771. CONCLUSIONS: The model performs exceptionally well in all evaluation metrics, showing robustness and flexibility as a predictive model for the binary target attribute of IUGR. This accuracy is likely due to the value added by the pre-processed features regarding the fetal gained beats and accelerations, something otherwise absent from previous multi-disciplinary studies. The success of the proposed predictive model allows the pursuit of further birth-related anomalies, providing a foundation for more complex models and lesser-researched subject matter. The data available for this model was a vital part of its success but might also become a limiting factor for further analyses. Further development of similar models could result in better classification performance even with little data available.

7.
J Matern Fetal Neonatal Med ; 34(22): 3740-3749, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31762362

RESUMO

BACKGROUND: Aorta and carotid intima-media thickness (IMT) is a measure of subclinical atherosclerosis and useful to assess cardiometabolic risk in the young. The in utero milieu may involve cardiometabolic programing and the development of cardiometabolic risk factors in children. Maternal smoking, alcohol consumption, and micronutrient deficiencies during pregnancy influence the development of the cardiovascular system through a process of DNA methylation. AIM: To explore an association between maternal smoking and alcohol consumption during pregnancy and intima media thickness in 5-year-old children for a low-income setting. METHODS: Data were collected from 500 mother-child pairs at antenatal clinic visit, at birth, and at age 5 years. Anthropometric measurements were collected at birth and again at age 5 years. As well as clinical and ultrasound measurements at age 5 years. Clinical measurements, at age 5 years, included blood pressure, mean arterial pressure, and heart rate. Ultrasound measurements of the aorta and carotid arteries IMT were performed at age 5 years. Main outcome of interest was effect of dual teratogen exposure on the ultrasound measures IMT as indication of cardiometabolic risk. RESULTS: cIMT was significantly higher in children exposed to both alcohol and nicotine during pregnancy compared to those not exposed (p = .008). In separate linear models, dual in utero exposure (beta = 0.12; p = .01) and male sex (beta = 0.14; p = .01) were associated with higher right cIMT values (F(6,445) = 5.20; R2 = 0.07, p < .01); male sex (beta = 0.13; p = .01) and low birth weight (beta = 0.07; p = .01) with higher left cIMT value (F(4,491) = 4.49; R2 = 0.04; p = .01); and males sex (beta = 0.11; p = .02) with higher aorta IMT (F(6,459) = 5.63; R2 = 0.07; p < .01). Significant positive correlations between maternal measures of adiposity, maternal MUAC (r = 0.10; p = .03), and maternal BMI (r = 0.12; p < .01) and right cIMT measurements adjusted for the BMI of the child at age 5 years as covariate. Blood pressure measurements at age 5 years were not significantly associated with IMT but, instead, correlated significantly and positively with the BMI of the child at age 5 years (p < .01). CONCLUSION: Children exposed to both maternal smoking and alcohol consumption during pregnancy presented with cardiometabolic risk factors 5 years after birth. In addition, maternal adiposity, male sex, and low birth weight were associated with higher IMT at age 5 years.


Assuntos
Aterosclerose , Espessura Intima-Media Carotídea , Pressão Sanguínea , Criança , Pré-Escolar , Feminino , Humanos , Recém-Nascido , Masculino , Gravidez , Estudos Prospectivos , Fatores de Risco , Teratogênicos
8.
J Dev Orig Health Dis ; 12(5): 748-757, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-33198841

RESUMO

In low-income countries, prospective data on combined effects of in utero teratogen exposure are lacking and necessitates new research. The aim of the present study was to explore the effect of in utero teratogen exposure on the size of the kidneys and pancreas 5 years after birth in a low-income paediatric population. Data was collected from 500 mother-child pairs from a low-income setting. Anthropometric measurements included body weight, (BW) body height, mid-upper arm and waist circumference (WC). Clinical measurements included blood pressure (BP), mean arterial pressure and heart rate. Ultrasound measurements included pancreas, and kidney measurements at age 5 years. The main outcome of interest was the effect of maternal smoking and alcohol consumption on ultrasound measurements of organ size at age 5 years. Left and right kidney length measurements were significantly lower in smoking exposed children compared to controls (p = 0.04 and p = 0.03). Pancreas body measurements were significantly lower in smoking exposed children (p = 0.04). Multiple regression analyses were used to examine the associations between the independent variables (IDVs), maternal age, body mass index (BMI), mid-upper arm circumference (MUAC) and BW of the child, on the dependent variables (DVs) kidney lengths and kidney volumes. Also, the association between in utero exposure to alcohol and nicotine and pancreas size. WC was strongest (r = 0.28; p < 0.01) associated with pancreas head [F (4, 454) = 13.44; R2 = 0.11; p < 0.01] and tail (r = 0.30; p < 0.01) measurements at age 5 years, with in utero exposure, sex of the child and BMI as covariates. Kidney length and pancreas body measurements are affected by in utero exposure to nicotine at age 5 years and might contribute to cardiometabolic risk in later life. Also, findings from this study report on ultrasound reference values for kidney and pancreas measurements of children at age 5 years from a low-income setting.


Assuntos
Exposição Materna/estatística & dados numéricos , Tamanho do Órgão/efeitos dos fármacos , Teratogênicos/metabolismo , Adulto , Feminino , Humanos , Pediatria/métodos , Pediatria/estatística & dados numéricos , Estudos Prospectivos
9.
S Afr Med J ; 110(11): 1100-1104, 2020 Oct 28.
Artigo em Inglês | MEDLINE | ID: mdl-33403986

RESUMO

BACKGROUND: Although women are informed about the dangers of drinking and smoking during pregnancy when they book for antenatal care, it is uncertain whether this advice is accepted, or whether attempts are made to apply it in subsequent pregnancies. OBJECTIVES: To assess how pregnant women respond to the advice to refrain from smoking and drinking during pregnancy in subsequent pregnancies. METHODS: Research staff were trained to obtain accurate prospective information on smoking and drinking during pregnancy in a prospective study, using well-standardised methods. Care was taken to inform participants about the dangers of smoking and drinking during pregnancy. They were also given pamphlets on these dangers in their own language and a list of telephone numbers where they could find help to quit should they need it. This information was repeated at subsequent study visits (ranging from 1 to 3, depending on the gestational age at which they enrolled). Gestational age was determined by early ultrasound. Z-scores of birthweight for gestational age were determined according to the INTERGROWTH-21st study. Pregnancy outcomes of women who enrolled twice (n=888) or three times (n=77) in the Safe Passage Study were compared with those of women in the first enrolment (n=889). RESULTS: The proportion of drinkers did not change significantly (p=0.058) from the first to the second and third enrolments (63.8%, 59.0% and 54.6%, respectively). A similar trend was found for smokers (73.3%, 72.2% and 68.4%, respectively). Cannabis use was reported by 15.1%, 9.7% and 12.0% (p<0.005) of women, respectively, and use of methamphetamine by 10.1%, 6.6% and 12.7% (p<0.005). There was an increase in the rate of preterm births from 15.5% to 17.5% and 24.7%, respectively, but the increase was not significant. Although mean birthweight was lower in the third enrolment compared with the second, the difference was not significant. The z-score of birthweight for gestational age was significantly lower in the second enrolment compared with the first. CONCLUSIONS: Detailed information on the adverse effects of smoking and drinking during pregnancy was not effective in the population studied. Other methods to reduce or stop these toxic exposures should therefore be investigated. A short inter-pregnancy interval, as demonstrated by three enrolments in 7.5 years, is associated with preterm labour and fetal growth restriction, and is probably indicative of the role played by confounders such as poor socioeconomic conditions and drug exposure during pregnancy.


Assuntos
Consumo de Bebidas Alcoólicas/epidemiologia , Promoção da Saúde/estatística & dados numéricos , Complicações na Gravidez/epidemiologia , Efeitos Tardios da Exposição Pré-Natal/prevenção & controle , Fumar/epidemiologia , Adulto , Consumo de Bebidas Alcoólicas/psicologia , Feminino , Humanos , Gravidez , Complicações na Gravidez/prevenção & controle , Resultado da Gravidez/epidemiologia , Nascimento Prematuro/epidemiologia , Estudos Prospectivos , Fumar/psicologia , Adulto Jovem
11.
S Afr Med J ; 107(12): 1075-1077, 2017 Nov 27.
Artigo em Inglês | MEDLINE | ID: mdl-29262959

RESUMO

A 5-year-old boy presented to hospital with mild local cytotoxic and severe neurotoxic symptoms. The neurotoxic symptoms included ptosis, fixed dilated pupils and flaccid paralysis with respiratory failure. Mild hyponatraemia was also a clinical feature. After various unsuccessful treatment options were followed, the Tygerberg Poison Information Centre was contacted and a diagnosis of berg adder bite was made. Berg adder bites are uncommon and therefore not usually considered in the differential diagnosis of a patient presenting with an unexplained clinical picture. A timeous poison information helpline consultation is recommended in this situation.


Assuntos
Síndromes Neurotóxicas , Administração dos Cuidados ao Paciente/métodos , Mordeduras de Serpentes/complicações , Viperidae , Animais , Blefaroptose/diagnóstico , Blefaroptose/etiologia , Pré-Escolar , Diagnóstico Diferencial , Humanos , Masculino , Síndromes Neurotóxicas/diagnóstico , Síndromes Neurotóxicas/etiologia , Síndromes Neurotóxicas/fisiopatologia , Síndromes Neurotóxicas/terapia , Paralisia/diagnóstico , Paralisia/etiologia , Distúrbios Pupilares/diagnóstico , Distúrbios Pupilares/etiologia , Respiração Artificial/métodos , Insuficiência Respiratória/diagnóstico , Insuficiência Respiratória/etiologia , Venenos de Serpentes/toxicidade , Resultado do Tratamento
12.
J S Afr Vet Assoc ; 82(1): 41-6, 2011 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-21826837

RESUMO

The objective of this study was to describe the changes in plasma glucose concentration in 20 severely injured dogs suffering from dog bite wounds over a period of 72 hours from the initiation of trauma. Historical, signalment, clinical and haematological factors were investigated for their possible effect on plasma glucose concentration. Haematology was repeated every 24 hours and plasma glucose concentrations were measured at 8-hourly intervals post-trauma. On admission, 1 dog was hypoglycaemic, 8 were normoglycaemic and 11 were hyperglycaemic. No dogs showed hypoglycaemia at any other stage during the study period. The median blood glucose concentrations at each of the 10 collection points, excluding the 56-hour and 64-hour collection points, were in the hyperglycaemic range (5.8- 6.2 mmol/l). Puppies and thin dogs had significantly higher median plasma glucose concentrations than adult and fat dogs respectively (P < 0.05 for both). Fifteen dogs survived the 72-hour study period. Overall 13 dogs (81.3 %) made a full recovery after treatment. Three of 4 dogs that presented in a collapsed state died, whereas all dogs admitted as merely depressed or alert survived (P = 0.004). The high incidence of hyperglycaemia can possibly be explained by the "diabetes of injury" phenomenon. However, hyperglycaemia in this group of dogs was marginal and potential benefits of insulin therapy are unlikely to outweigh the risk of adverse effects such as hypoglycaemia.


Assuntos
Mordeduras e Picadas/veterinária , Glicemia , Doenças do Cão/sangue , Animais , Mordeduras e Picadas/sangue , Mordeduras e Picadas/patologia , Doenças do Cão/etiologia , Cães , Fatores de Risco , Fatores de Tempo
13.
J Small Anim Pract ; 48(5): 275-8, 2007 May.
Artigo em Inglês | MEDLINE | ID: mdl-17425698

RESUMO

Spirocerca lupi is a nematode mainly affecting dogs but has been found in other animals, particularly carnivores. Anatomical areas of typical and aberrant migration vary. This report describes four cases of Spirocerca lupi causing neurological symptoms, similar to thoracolumbar disc syndrome, as a result of aberrant migration of the nematode into the spinal canal. In two of the cases, the nematode could be demonstrated intraoperatively. The third was discovered on post-mortem examination, while the fourth case displayed compelling evidence of Spirocerca lupi involvement. Surgical removal of the Spirocerca lupi nematode would be the treatment of choice in cases of spinal migration, with therapeutic and preventive treatment with doramectin instituted to treat remote sites and prevent re-infection. In areas endemic for spirocercosis, Spirocerca lupi should be considered as an important differential diagnosis in cases that are presented with clinical signs suggestive of a spinal cord lesion.


Assuntos
Anti-Helmínticos/uso terapêutico , Doenças do Cão/diagnóstico , Ivermectina/análogos & derivados , Canal Medular/parasitologia , Infecções por Spirurida/veterinária , Animais , Diagnóstico Diferencial , Doenças do Cão/tratamento farmacológico , Doenças do Cão/cirurgia , Cães , Feminino , Ivermectina/uso terapêutico , Masculino , Prognóstico , Infecções por Spirurida/diagnóstico , Infecções por Spirurida/tratamento farmacológico , Infecções por Spirurida/cirurgia , Thelazioidea/isolamento & purificação , Resultado do Tratamento
14.
J Small Anim Pract ; 47(1): 31-4, 2006 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-16417608

RESUMO

Double aortic arch denotes the persistence of both fourth aortic arches and has been reported as 'very rare' in the dog. Most reported cases have been seen in German shepherd dogs. An eight-week-old, male, 1.5-kg beagle presented with a three-week history of regurgitation and dyspnoea. A barium oesophagram showed severe oesophageal constriction cranial to the base of the heart, and a provisional diagnosis of a persistent right aortic arch was made. A left-sided fourth intercostal thoracotomy was performed. The ligamentum arteriosum was ligated and divided. The oesophagus was seen lying on the right-hand side of the aorta. Postoperatively, the puppy deteriorated and was euthanized. Postmortem revealed a double aortic arch entrapping both the oesophagus and trachea. The inexperienced surgeon could consider computed tomography or angiography to determine the exact vascular ring, and other possible concurrent vascular anomalies present, before surgery.


Assuntos
Aorta Torácica/anormalidades , Doenças do Cão/etiologia , Cães/anormalidades , Estenose Esofágica/veterinária , Estenose Traqueal/veterinária , Animais , Aorta Torácica/cirurgia , Doenças do Cão/cirurgia , Dispneia/etiologia , Dispneia/veterinária , Estenose Esofágica/etiologia , Estenose Esofágica/cirurgia , Evolução Fatal , Refluxo Gastroesofágico/etiologia , Refluxo Gastroesofágico/veterinária , Masculino , Estenose Traqueal/etiologia , Estenose Traqueal/cirurgia
15.
J S Afr Vet Assoc ; 75(2): 85-9, 2004 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-15456164

RESUMO

This article describes the anaesthetic management and use of total intravenous anaesthesia (TIVA) for neurosurgery in 4 dogs. Propofol in conjunction with morphine was used for the maintenance of anaesthesia. Anaesthesia was induced with either thiopentone or propofol. The program Stelpump (a target-controlled infusion program) was run on a laptop and connected to a syringe driver via an RS 232 cable. The program was found to be reliable and safe for the administration of TIVA in dogs. Invasive monitoring was required in order to monitor cardiovascular changes during surgery. Ventilation was controlled to maintain the end-tidal carbon dioxide below 40 mm Hg. The anaesthesia was characterised by haemodynamic stability. The haemodynamic stability was probably the result of the choice of TIVA and balanced anaesthesia. Intracranial pressure and oedema was controlled with dexamethasone, mannitol and ventilatory management either in combination or alone. Three dogs survived to hospital discharge and 1 dog was euthanased 2 weeks later due to tumour metastasis. The development and characterisation of the anaesthetic effects of TIVA needs to be elucidated in order to provide clinicians with rational guidelines for the appropriate use of TIVA in veterinary medicine.


Assuntos
Anestesia Intravenosa/veterinária , Anestésicos Intravenosos/administração & dosagem , Cães/fisiologia , Entorpecentes/administração & dosagem , Terapia Assistida por Computador , Anestesia Intravenosa/instrumentação , Anestesia Intravenosa/métodos , Anestésicos Intravenosos/farmacocinética , Animais , Pressão Sanguínea/efeitos dos fármacos , Feminino , Masculino , Morfina/administração & dosagem , Entorpecentes/farmacocinética , Neurocirurgia/métodos , Neurocirurgia/veterinária , Propofol/administração & dosagem , Estudos Retrospectivos , Segurança
16.
Biochem Soc Trans ; 32(Pt 2): 273-5, 2004 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-15046587

RESUMO

Agitated bacterial tank bioleaching reactors are currently sparged with air to satisfy both oxygen and CO(2) requirements of microbial cells. Under high-sulphide loading conditions, as is the case with high-grade metal sulphide concentrates, the microbial and chemical demand for oxygen is significantly increased during the bioleaching process. Sparging with enriched oxygen gas may offer an alternative process option to increased agitation and sparged aeration, to overcome the mass transfer difficulties at elevated temperatures where thermophilic Archaea, rather than Bacteria, are used. In the case of air sparging, the DO (dissolved oxygen) concentration in tank reactors could not be increased to a point where it would become inhibitory due to the limited oxygen content of air (20.9% O(2)). The use of enriched oxygen in such reactors at large scale does, however, pose its own set of process risks. The first aim of this investigation was, therefore, to determine the effects of various DO concentrations, in both the limiting and inhibitory ranges, on the microbial activity of Sulfolobus sp. U40813, a typical thermophilic mineral-leaching archaeon. Secondly, the effect of CO(2) concentration on the rate of ferrous iron oxidation was investigated. Both the oxygen and CO(2) kinetics were examined in controlled batch cultures at 78 degrees C, using ferrous sulphate and potassium tetrathionate as energy sources. The optimal DO concentration for iron oxidation was found to be between 1.5 and 4.1 mg.l(-1). The use of elevated DO concentrations (above 4.1 mg.l(-1)) inhibited the ferrous oxidation rates. The optimal gas CO(2) concentration for ferrous iron oxidation was found to be in the range 7-17% (v/v). The iron oxidation rates were, however, severely limited at CO(2) concentrations less than 7%, indicating that the CO(2) supply was limiting in this range and inhibited the microbial growth rate.


Assuntos
Dióxido de Carbono/química , Oxigênio/química , Sulfolobus/enzimologia , Meios de Cultura/farmacologia , DNA/química , Relação Dose-Resposta a Droga , Ferro/química , Cinética , Reação em Cadeia da Polimerase , Sulfolobus/metabolismo , Temperatura , Fatores de Tempo
17.
Appl Microbiol Biotechnol ; 64(6): 855-61, 2004 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-14666388

RESUMO

Benzene, toluene, ethylbenzene and xylene (BTEX) substrate interactions for a mesophilic (25 degrees C) and thermophilic (50 degrees C) toluene-acclimatized composted pine bark biofilter were investigated. Toluene, benzene, ethylbenzene, o-xylene, m-xylene and p-xylene removal efficiencies, both individually and in paired mixtures with toluene (1:1 ratio), were determined at a total loading rate of 18.1 g m(-3) h(-1) and retention time ranges of 0.5-3.0 min and 0.6-3.8 min for mesophilic and thermophilic biofilters, respectively. Overall, toluene degradation rates under mesophilic conditions were superior to degradation rates of individual BEX compounds. With the exception of p-xylene, higher removal efficiencies were achieved for individual BEX compounds compared to toluene under thermophilic conditions. Overall BEX compound degradation under mesophilic conditions was ranked as ethylbenzene >benzene > o-xylene > m-xylene > p-xylene. Under thermophilic conditions overall BEX compound degradation was ranked as benzene > o-xylene >ethylbenzene > m-xylene > p-xylene. With the exception of o-xylene, the presence of toluene in paired mixtures with BEX compounds resulted in enhanced removal efficiencies of BEX compounds, under both mesophilic and thermophilic conditions. A substrate interaction index was calculated to compare removal efficiencies at a retention time of 0.8 min (50 s). A reduction in toluene removal efficiencies (negative interaction) in the presence of individual BEX compounds was observed under mesophilic conditions, while enhanced toluene removal efficiency was achieved in the presence of other BEX compounds, with the exception of p-xylene under thermophilic conditions.


Assuntos
Reatores Biológicos , Misturas Complexas/química , Hidrocarbonetos Aromáticos/química , Tolueno , Bactérias/metabolismo , Benzeno/química , Benzeno/metabolismo , Derivados de Benzeno/química , Derivados de Benzeno/metabolismo , Biodegradação Ambiental , Hidrocarbonetos Aromáticos/metabolismo , Pinus/microbiologia , Casca de Planta/microbiologia , Temperatura , Tolueno/química , Tolueno/metabolismo , Ultrafiltração , Volatilização , Xilenos/química , Xilenos/metabolismo
18.
J Microbiol Methods ; 47(2): 189-98, 2001 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11576683

RESUMO

Respirometry methods have been used for many years to assess the microbial activity of mainly heterotrophic bacteria. Using this technique, the consumption of oxygen and evolution of carbon dioxide for heterotrophic carbon catabolism can be used to assess microbial activity. In the case of autotrophic bioleaching bacteria, carbon dioxide is used as a carbon source resulting in the consumption of both oxygen and carbon dioxide. The use of such respirometry techniques at high temperatures (up to 80 degrees C) for the investigation of bioleaching Archaea, however, poses particular difficulties. At these elevated temperatures, the solubility of oxygen into the liquid phase is particularly poor. This work details specific methods by which high temperature constraints are overcome while monitoring the activity of thermophilic Archaea using a Micro-Oxymax respirometer (Columbus Instruments). The use of elevated headspace oxygen concentrations, in order to overcome low oxygen solubility, is demonstrated as well as the effect of such elevated oxygen concentrations on microbial oxygen consumption rates. The relative rates of oxygen and carbon dioxide consumption are also illustrated during the oxidation of a chalcopyrite concentrate. In addition, this paper details generic methods by which respirometry data can be used to quantify inhibitory effects of a compound such as Na(2)SO(4). The further use of such data in predicting minimum hydraulic reactor retention times for continuous culture bioleaching reactors, as a function of concentration of potentially inhibitory compounds, is also demonstrated.


Assuntos
Archaea/metabolismo , Consumo de Oxigênio , Archaea/efeitos dos fármacos , Archaea/crescimento & desenvolvimento , Dióxido de Carbono/metabolismo , Oxigênio/metabolismo , Consumo de Oxigênio/efeitos dos fármacos , Sódio/metabolismo , Sódio/farmacologia , Temperatura , Fatores de Tempo
19.
Appl Microbiol Biotechnol ; 55(1): 122-8, 2001 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-11234953

RESUMO

BTEX substrate interactions for a toluene-acclimatized biofilter consortium were investigated. Benzene, ethylbenzene, o-xylene, m-xylene and p-xylene removal efficiencies were determined at a loading rate of 18.07 g m(-3) h(-1) and retention times of 0.5-3.0 min. This was also repeated for toluene in a 1:1 (m/m) ratio mixture (toluene: benzene, ethylbenzene, or xylene ) with each of the other compounds individually to obtain a final total loading of 18.07 g m(-3) h(-1). The results obtained were modelled using Michaelis-Menten kinetics and an explicit finite difference scheme to generate vmax and Km parameters. The Vmax/Km ratio (a measure of the catalytic efficiency, or biodegradation capacity, of the reactor) was used to quantify substrate interactions occurring within the biofilter reactor without the need for free-cell suspended and monoculture experimentation. Toluene was found to enhance the catalytic efficiency of the reactor for p-xylene, while catabolism of all the other compounds was inhibited competitively by the presence of toluene. The toluene-acclimatized biofilter was also able to degrade all of the other BTEX compounds, even in the absence of toluene. The catalytic efficiency of the reactor for compounds other than toluene was in the order: ethylbenzene > benzene > o-xylene > m-xylene>p-xylene. The catalytic efficiency for toluene was reduced by the presence of all other tested BTEX compounds, with the greatest inhibitory effect being caused by the presence of benzene, while o-xylene and p-xylene caused the least inhibitory effect. This work illustrated that substrate interactions can be determined directly from biofilter reactor results without the need for free-cell and monoculture experimentation.


Assuntos
Derivados de Benzeno/metabolismo , Benzeno/metabolismo , Reatores Biológicos , Tolueno/química , Tolueno/metabolismo , Xilenos/metabolismo , Bactérias/metabolismo , Biodegradação Ambiental , Biotecnologia/instrumentação , Biotecnologia/métodos , Meios de Cultura , Filtração/instrumentação
20.
Lett Appl Microbiol ; 32(2): 103-7, 2001 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-11169052

RESUMO

AIMS: The aim of this investigation was to develop an empirical model for the autotrophic biodegradation of thiocyanate using an activated sludge reactor. METHODS AND RESULTS: The methods used for this purpose included the use of a laboratory scale activated sludge reactor unit using thiocyante feed concentrations from 200 to 550 mg x l(-1). Reactor effluent concentrations of <1 mg x l(-1) thiocyanate were consistently achieved for the entire duration of the investigation at a hydraulic retention time of 8 h, solids (biomass) retention of 18 h and biomass (dry weight) concentrations ranging from 2 to 4 g x l(-1). A biomass specific degradation rate factor was used to relate thiocyanate degradation in the reactor to the prevailing biomass and thiocyanate feed concentrations. A maximum biomass specific degradation rate of 16 mg(-1) x g(-1) x h(-1) (mg thiocyanate consumed per gram biomass per hour) was achieved at a thiocyanate feed concentration of 550 mg x l(-1). The overall yield coefficient was found to be 0.086 (biomass dry weight produced per mass of thiocyanate consumed). CONCLUSION: Using the results generated by this investigation, an empirical model was developed, based on thiocyanate feed concentration and reactor biomass concentration, to calculate the required absolute hydraulic retention time at which a single-stage continuously stirred tank activated sludge reactor could be operated in order to achieve an effluent concentration of <1 mg x l(-1). The use of an empirical model rather than a mechanistic-based kinetic model was proposed due to the low prevailing thiocyanate concentrations in the reactor. SIGNIFICANCE AND IMPACT OF THE STUDY: These results represent the first empirical model, based on a comprehensive data set, that could be used for the design of thiocyanate-degrading activated sludge systems.


Assuntos
Bactérias/metabolismo , Biomassa , Modelos Biológicos , Esgotos/microbiologia , Tiocianatos/metabolismo , Biodegradação Ambiental , Reatores Biológicos , Matemática
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