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1.
J Am Stat Assoc ; 115(532): 1902-1916, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-35974897

RESUMO

Expectation propagation is a general prescription for approximation of integrals in statistical inference problems. Its literature is mainly concerned with Bayesian inference scenarios. However, expectation propagation can also be used to approximate integrals arising in frequentist statistical inference. We focus on likelihood-based inference for binary response mixed models and show that fast and accurate quadrature-free inference can be realized for the probit link case with multivariate random effects and higher levels of nesting. The approach is supported by asymptotic calculations in which expectation propagation is seen to provide consistent estimation of the exact likelihood surface. Numerical studies reveal the availability of fast, highly accurate and scalable methodology for binary mixed model analysis. Supplementary materials for this article are available online.

2.
Biometrika ; 104(1): 181-193, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29430030

RESUMO

Roy's largest root is a common test statistic in multivariate analysis, statistical signal processing and allied fields. Despite its ubiquity, provision of accurate and tractable approximations to its distribution under the alternative has been a longstanding open problem. Assuming Gaussian observations and a rank-one alternative, or concentrated noncentrality, we derive simple yet accurate approximations for the most common low-dimensional settings. These include signal detection in noise, multiple response regression, multivariate analysis of variance and canonical correlation analysis. A small-noise perturbation approach, perhaps underused in statistics, leads to simple combinations of standard univariate distributions, such as central and noncentral [Formula: see text] and [Formula: see text]. Our results allow approximate power and sample size calculations for Roy's test for rank-one effects, which is precisely where it is most powerful.

3.
Anim Genet ; 45(6): 855-62, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25286978

RESUMO

Genetic disease testing programmes are used in domestic animal breeds to guide selective breeding with the aim of reducing disease prevalence. We assessed the change in the prevalence of canine congenital hereditary sensorineural deafness (CHSD) in litters of Australian Cattle Dogs following the introduction of a brainstem auditory evoked response (BAER) testing programme. We studied 608 pups from 122 litters from 10 breeding kennels. Despite 10 years of testing (1998-2008), no substantial reduction in prevalence of CHSD was evident in these 10 breeding kennels. Even for the subset of litters in which both parents were BAER tested as normal hearing (305 pups from 58 litters), there was no evidence of substantial reduction in prevalence. Odds ratios for CHSD in pups for each extra year since testing in the kennel commenced were 1.01 (95% CI, 0.88-1.17) and 1.03 (95% CI, 0.82-1.30) respectively for these populations. Amongst 284 dogs from 54 litters with extended pedigrees and both parents BAER-tested normal hearing, observed prevalences of CHSD were highest in pups with no BAER-tested normal grandparents (17% or 5/29) and lowest in pups with all four grandparents tested normal (0% or 0/9). In pups for which one, two and three grandparents tested negative, prevalences of CHSD were 12% (9/74), 9% (9/101) and 8% (6/71) respectively. Hence, testing programmes based on phenotypic screening may not lead to a substantial reduction in recessive genetic disease prevalence over the medium term, even when only tested normal parents are used. Exclusive breeding of litters in which both parents and all four grandparents are BAER-tested normal is expected to reduce CHSD prevalence in pups to the greatest extent over the long term.


Assuntos
Doenças do Cão/congênito , Doenças do Cão/genética , Cães/genética , Perda Auditiva Neurossensorial/veterinária , Animais , Austrália , Cruzamento , Cães/classificação , Potenciais Evocados Auditivos do Tronco Encefálico , Perda Auditiva Neurossensorial/congênito , Modelos Logísticos , Estudos Longitudinais , Linhagem , Fenótipo , Prevalência , Estudos Retrospectivos
4.
Bone Marrow Transplant ; 47(1): 40-5, 2012 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-21358684

RESUMO

Haematopoietic SCT (HSCT) is curative for many children with primary immunodeficiencies or other non-malignant conditions. Outcome for those admitted to intensive care following HSCT for oncology diagnoses has historically been very poor. There is no literature available specifically regarding the outcome for children with primary immunodeficiency requiring intensive care following HSCT. We reviewed our post-HSCT admission to intensive care over a 5-year period. A total of 111 children underwent HSCT. Median age at transplant was 1 year 4 months. The most common diagnosis was SCID. In all, 35% had at least one intensive care admission and 44% survived to be discharged from intensive care. Also, 73% of admission episodes requiring invasive ventilation but no inotropes or renal replacement therapy resulted in survival to discharge. Children undergoing HSCT for immunological diagnoses had a high rate of admission to intensive care. No factors were identified that could predict the need for admission. Invasive ventilation alone has a much better outcome than that in historical series. However, the need for multi-organ system support was still associated with a poor outcome. This information is useful when counselling families of children that have deteriorated and been admitted to intensive care during the HSCT procedure.


Assuntos
Cuidados Críticos/métodos , Transplante de Células-Tronco Hematopoéticas , Imunodeficiência Combinada Severa/mortalidade , Imunodeficiência Combinada Severa/terapia , Adolescente , Criança , Pré-Escolar , Intervalo Livre de Doença , Feminino , Seguimentos , Humanos , Lactente , Masculino , Taxa de Sobrevida , Transplante Homólogo
5.
Aust Vet J ; 83(9): 550-1, 2005 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-16164143

RESUMO

A 12-year-old cat was presented to the University of Queensland's Small Animal Teaching Hospital with a 1-day history of left hemiparesis of acute onset, with no evidence of trauma or toxin exposure. Neurological examination findings were consistent with a lesion in the caudal left cervical spinal cord (C6 to C8), which was non-painful and had not progressed since the onset of clinical signs. No other abnormalities were found, although myelography showed a mild swelling involving the caudal cervical and cranial thoracic spinal segments. A diagnosis of suspected fibrocartilaginous embolism was made on the basis of the history, clinical presentation and diagnostic tests results, making this case the first report of a suspected fibrocartilaginous embolism in a cat that returned to normal function.


Assuntos
Doenças do Gato/diagnóstico , Embolia/veterinária , Medula Espinal/irrigação sanguínea , Animais , Ataxia/etiologia , Ataxia/veterinária , Cartilagem , Doenças do Gato/patologia , Gatos , Diagnóstico Diferencial , Embolia/complicações , Embolia/diagnóstico , Embolia/patologia , Coxeadura Animal/diagnóstico , Coxeadura Animal/etiologia , Masculino , Paresia/etiologia , Paresia/veterinária , Medula Espinal/patologia
6.
Curr Biol ; 11(24): 1923-33, 2001 Dec 11.
Artigo em Inglês | MEDLINE | ID: mdl-11747818

RESUMO

BACKGROUND: SR family and SR-related proteins assemble on exonic splicing enhancer (ESE) sequences to promote both constitutive and regulated splicing. The SRm160 splicing coactivator, an SR-related nuclear matrix protein of 160 kDa, is important for the splicing of specific constitutive and ESE-dependent pre-mRNAs. RESULTS: In the present study, we show that SRm160 is required to promote pre-mRNA splicing mediated by a large population of functional ESE sequences within a randomized 18 nucleotide sequence. This suggests that it functions as a general coactivator by interacting with different SR family/SR-related proteins bound to different ESE sequences. Consistent with this, several SR family and SR-related proteins coimmunoprecipitated specifically with SRm160 in the presence of low salt. We used RNA interference (RNAi) in Caenorhabditis elegans to determine whether interactions between CeSRm160 and different CeSR family proteins are important in a whole-organism context. Previously we showed that RNAi of CeSRm160 and individual CeSR family genes other than CeSF2/ASF results in no obvious phenotype, which is indicative of gene redundancy. In the present study, we demonstrate that RNAi of CeSRm160 in combination with any CeSR family gene results in the production of unfertilized oocytes by the injected mother. CONCLUSIONS: The observation that simultaneous suppression of CeSRm160 and individual CeSR family proteins results in a distinct phenotype is indicative of critical functional interactions between these factors. Our results provide biochemical and genetic evidence indicating that interactions between SRm160 and multiple SR family proteins are important for both optimal splicing activity and for proper development.


Assuntos
Antígenos Nucleares , Caenorhabditis elegans/genética , Elementos Facilitadores Genéticos , Proteínas Associadas à Matriz Nuclear , Proteínas Nucleares/metabolismo , Splicing de RNA , Proteínas de Ligação a RNA/metabolismo , Sequência de Aminoácidos , Animais , Caenorhabditis elegans/crescimento & desenvolvimento , Dados de Sequência Molecular , Proteínas Nucleares/química , Proteínas Nucleares/genética , Fenótipo , Proteínas de Ligação a RNA/química , Proteínas de Ligação a RNA/genética , Homologia de Sequência de Aminoácidos
7.
Mol Biochem Parasitol ; 112(1): 125-31, 2001 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-11166393

RESUMO

A genomic copy of a gut-expressed Haemonchus contortus candidate vaccine antigen, pepsinogen, was isolated using the polymerase chain reaction (PCR). The isolated sequence was 4 kb in length and contained eight introns ranging in size from 54 to 1475 base pairs. This sequence, together with its 3' non-coding DNA region containing a polyadenylation signal sequence, was cloned into the Bluescript SK(+) vector immediately downstream of the Caenorhabditis elegans cpr-5 gene promoter. This promoter has been shown previously to direct protein expression to the gut of C. elegans. The construct was micro-injected into DR96 unc-76(e911) mutant C. elegans together with a rescue plasmid and transgenic worms identified by reversion back to wild-type phenotype. Two transgenic lines of C. elegans were established. The presence of the injected construct and of the Haemonchus pepsinogen transcript in transgenic worms was confirmed by PCR analysis. Correct splicing of intronic sequences was observed. Immunohistochemistry showed expression of the Haemonchus pepsinogen protein in the gut of transgenic C. elegans, with reactivity evident in the larval and adult stages. Expression of the Haemonchus pepsinogen in C. elegans affirms the role of C. elegans as a model for parasitic nematodes and demonstrates its potential as a vector for expression of candidate vaccine antigens from parasitic nematodes.


Assuntos
Caenorhabditis elegans/enzimologia , Haemonchus/enzimologia , Pepsinogênio A/genética , Pepsinogênio A/metabolismo , Animais , Antígenos de Helmintos/genética , Antígenos de Helmintos/metabolismo , Caenorhabditis elegans/genética , Hemoncose/prevenção & controle , Haemonchus/genética , Imuno-Histoquímica , Dados de Sequência Molecular , Reação em Cadeia da Polimerase , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Transcrição Gênica , Transformação Genética , Vacinas
8.
Can J Vet Res ; 64(2): 117-22, 2000 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10805251

RESUMO

The commercial snake venom extract, Protac, is a specific activator of the anticoagulant zymogen, protein C (PC) in human plasma. This specific action has led to its use in developing coagulation-based and amidolytic-based assays for the diagnosis of quantitative and/or qualitative PC deficiency states in human beings. The purpose of the present study was to compare the effects of Protac on the activated partial thromboplastin times (APTT) of human, bovine, equine, and canine plasmas in order to determine the potential value of this venom extract as an activator in functional PC assays in these domestic animal species. As expected, Protac significantly prolonged the APTT of normal human plasma, but had no effect on plasma known to be devoid of PC. Clotting times were prolonged by 34%-214% with concentrations of venom activator ranging from 0.1-1.0 U/mL. Under identical conditions, Protac prolonged the APTT of equine plasma by 11%-98% over control times. Even more dramatic was the inhibitory effect of Protac on the clotting of bovine plasma, extending the APTT more than 3-fold at a venom concentration of 0.1 U/mL. At higher venom concentrations, most bovine plasmas remained unclotted after 300 s (control time 34.1 s). Under similar conditions, the canine APTT was unaffected by Protac, even when the venom concentration was increased to 3 U/mL. In order to determine the reason for the lack in response of canine plasma, the concentration of the APTT reagent was altered (decreased), exposure time of the plasma to the Protac was increased from 2 min to 9 min, and the plasma was diluted to assess for the potential existence of plasma PC inhibitors. Protac caused an unexpected shortening of the APTT when the contact activator reagent was diluted. Increasing the exposure time had no effect. Although a slight prolongation of the canine APTT was detected when the plasma was diluted, the presence of strong plasma PC inhibition was considered an unlikely cause of the lack of significant anticoagulant action. The failure of Protac to exert a strong inhibitory effect on the canine APTT, as well as to generate amidolytic activity, suggests that this venom extract does not stimulate the production of activated PC activity in canine plasma. This may result from molecular differences in the canine PC molecule that prevent the formation of the stoichiometric complex of venom extract, APTT reagent, and canine protein, a complex thought to be essential for the PC-activating function of Protac. Protac may be suitable as an activator of PC in bovine and equine plasmas; however, it appears ineffective in generating anticoagulant activity in canine plasma.


Assuntos
Coagulação Sanguínea/efeitos dos fármacos , Cães/fisiologia , Fibrinolíticos/farmacologia , Peptídeos/farmacologia , Proteína C/metabolismo , Animais , Bovinos , Cavalos , Humanos , Peptídeos e Proteínas de Sinalização Intercelular , Tempo de Tromboplastina Parcial/veterinária
9.
EMBO J ; 19(7): 1625-37, 2000 Apr 03.
Artigo em Inglês | MEDLINE | ID: mdl-10747030

RESUMO

The SR proteins constitute a family of nuclear phosphoproteins, which are required for constitutive splicing and also influence alternative splicing regulation. Initially, it was suggested that SR proteins were functionally redundant in constitutive splicing. However, differences have been observed in alternative splicing regulation, suggesting unique functions for individual SR proteins. Homology searches of the Caenorhabditis elegans genome identified seven genes encoding putative orthologues of the human factors SF2/ASF, SRp20, SC35, SRp40, SRp75 and p54, and also several SR-related genes. To address the issue of functional redundancy, we used dsRNA interference (RNAi) to inhibit specific SR protein function during C.elegans development. RNAi with CeSF2/ASF caused late embryonic lethality, suggesting that this gene has an essential function during C.elegans development. RNAi with other SR genes resulted in no obvious phenotype, which is indicative of gene redundancy. Simultaneous interference of two or more SR proteins in certain combinations caused lethality or other developmental defects. RNAi with CeSRPK, an SR protein kinase, resulted in early embryonic lethality, suggesting an essential role for SR protein phosphorylation during development.


Assuntos
Caenorhabditis elegans/genética , Genes de Helmintos , Sequência de Aminoácidos , Animais , Sequência de Bases , Caenorhabditis elegans/embriologia , Caenorhabditis elegans/metabolismo , Primers do DNA/genética , Proteínas de Helminto/genética , Proteínas de Helminto/metabolismo , Ribonucleoproteínas Nucleares Heterogêneas , Humanos , Dados de Sequência Molecular , Proteínas Nucleares/genética , Proteínas Nucleares/metabolismo , Fosforilação , Splicing de RNA , RNA de Helmintos/genética , RNA de Helmintos/metabolismo , Proteínas de Ligação a RNA , Ribonucleoproteínas/genética , Ribonucleoproteínas/metabolismo , Homologia de Sequência de Aminoácidos , Fatores de Processamento de Serina-Arginina
10.
J Urol ; 163(4): 1155-60, 2000 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10737486

RESUMO

PURPOSE: We determine whether biochemical prostate specific antigen (PSA) failure can be accurately predicted from preoperative serum PSA combined with 6 morphological variables from radical retropubic prostatectomy specimens in men with peripheral zone cancers. The unexpected limitation imposed by preoperative serum PSA on biochemical failure led us to compare peripheral zone to transition zone cancers. MATERIALS AND METHODS: A total of 326 peripheral zone and 46 transition zone cancers treated only with radical retropubic prostatectomy were followed for a minimum of 3 years (mean and median greater than 5). All prostates were sectioned at 3 mm. intervals and morphological variables were quantitated using the Stanford technique. Biochemical failure was defined as serum PSA 0.07 ng./ml. or greater and increasing. Multivariate logistic regression was used to identify variables with the most independent influence on biochemical failure and derive a clinical equation to predict failure in peripheral zone cancers. The validity of the predictive equation was assessed by out of sample validation and cross validation techniques. The 46 transition zone cancers were compared to the 326 peripheral zone cancers by Student's t and Wilcoxon tests. RESULTS: Of the peripheral zone failures 60% occurred in the first year after radical retropubic prostatectomy and 95% had occurred by the end of year 4. The highest preoperative serum PSA was 23 ng./ml. among the 181 men biochemically free of disease. Only 15.8% of 57 men with PSA greater than 15 ng./ml. were biochemically disease-free. For the 48 transition zone cancers cure rates were independent of serum PSA with 6 men having PSA greater than 50 ng./ml. Biochemical disease-free status was noted in 80% of transition zone compared to 56% of peripheral zone cancers (p = 0.0009). The most important variables predicting biochemical disease-free status for peripheral zone cancers were percent Gleason grade 4/5, cancer volume, serum PSA and prostate weight. Foci of vascular invasion, intraductal cancer and lymph nodes were less significant variables, and capsular penetration, positive surgical margins and seminal vesical invasion were insignificant. The multivariate logistic equation for predicting failure in peripheral zone cancers was highly accurate and requires only 2 to 3 minutes with a simple calculator. CONCLUSIONS: Failure of radical retropubic prostatectomy to cure peripheral zone prostate cancer is highly predictable based on 6 morphological variables from the prostatectomy specimen and serum PSA. The level of serum PSA profoundly limits biochemical cure rates in peripheral zone cancers. Transition zone cancers have a high cure rate, despite high serum PSA and adverse morphological variables. Men with serum PSA greater than 15 and perhaps even greater than 10 ng./ml. have such a low cure rate for peripheral zone cancer that re-biopsy attempts appear indicated to prove a transition zone location or else therapy other than radical retropubic prostatectomy should be sought. Pathologists should indicate whether the primary (largest) cancer is in the peripheral or transition zone to prevent overoptimistic reports of cure with radical prostatectomy procedures, as 85% of all tumors are in the peripheral zone.


Assuntos
Prostatectomia , Neoplasias da Próstata/patologia , Neoplasias da Próstata/cirurgia , Idoso , Humanos , Modelos Logísticos , Masculino , Análise Multivariada , Recidiva Local de Neoplasia/sangue , Recidiva Local de Neoplasia/epidemiologia , Valor Preditivo dos Testes , Prognóstico , Antígeno Prostático Específico/sangue , Neoplasias da Próstata/sangue , Falha de Tratamento
11.
Trends Genet ; 16(1): 21-7, 2000 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-10637627

RESUMO

Collagen is a structural protein used in the generation of a wide variety of animal extracellular matrices. The exoskeleton of the free-living nematode, Caenorhabditis elegans, is a complex collagen matrix that is tractable to genetic research. Mutations in individual cuticle collagen genes can cause exoskeletal defects that alter the shape of the animal. The complete sequence of the C. elegans genome indicates upwards of 150 distinct collagen genes that probably contribute to this structure. During the synthesis of this matrix, individual collagen genes are expressed in distinct temporal periods, which might facilitate the formation of specific interactions between distinct collagens.


Assuntos
Caenorhabditis elegans/genética , Colágeno/genética , Regulação da Expressão Gênica no Desenvolvimento , Sequência de Aminoácidos , Animais , Caenorhabditis elegans/crescimento & desenvolvimento , Caenorhabditis elegans/metabolismo , Colágeno/metabolismo , Dados de Sequência Molecular , Muda
12.
Vet Immunol Immunopathol ; 69(2-4): 229-37, 1999 Aug 02.
Artigo em Inglês | MEDLINE | ID: mdl-10507308

RESUMO

The cat flea, Ctenocephalides felis felis, is the major initiator of flea bite hypersensitivity in dogs. Previous analyses of whole extracts of the flea and flea salivary secretions have failed to identify the allergens responsible. We dissected >2000 salivary glands from adult female fleas, extracted them into buffered saline containing protease inhibitors and fractionated the extract using gel permeation HPLC. Dogs were classified as hypersensitive to fleas (flea-feeding positive, FF+) or insensitive (flea-feeding negative, FF-) using a provocative test with live fleas. The allergenicity of the components of the salivary gland extract was tested by intradermal injection of samples of the column eluates. Dogs were also injected intradermally with a sample of whole salivary gland extract, and with histamine as a positive control. Negative control injections consisted of eluate from the column collected prior to fractions containing any protein. The skin of FF- dogs either did not respond or had a minimal response (a bleb approximately 2 mm larger than the injection blebs at the negative control injection sites) to all fractions and to the whole extract; histamine control injections produced positive responses (defined as wheals 5 mm greater than the blebs at the negative control injection sites) in all dogs. The skin of three of the nine FF+ dogs reacted positively to injection of a fraction containing protein/s with apparent MW 40k. Five other FF+ dogs reacted positively to the fractions containing proteins with apparent MW 12-8k. A single dog responded with very large, red wheals to injection of both the approximately MW 40k and MW12-8k fractions. These findings suggest that proteins with apparent MW 40k and MW 12k-8k are important in flea bite hypersensitivity. This work also supports a previous finding that mice which had been exposed to flea bites had antibodies to proteins with approximately MW 40k that were detected in salivary secretions of the flea.


Assuntos
Alérgenos/análise , Doenças do Cão/imunologia , Mordeduras e Picadas de Insetos/imunologia , Glândulas Salivares/imunologia , Sifonápteros/imunologia , Alérgenos/imunologia , Animais , Dermatite Alérgica de Contato/imunologia , Dermatite Alérgica de Contato/veterinária , Cães , Ectoparasitoses/imunologia , Ectoparasitoses/veterinária , Feminino , Testes Cutâneos
13.
Can J Vet Res ; 63(3): 216-20, 1999 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10480465

RESUMO

Freezing is a routine method of storage for plasma that is to be used in evaluating certain aspects of hemostatic function in many species. The purpose of this study was to evaluate the effect of storage at -70 degrees C for 6 mo on canine plasma samples. On fresh and frozen plasma from 12 clinically healthy dogs, prothrombin time, activated partial thromboplastin time, thrombin clotting time, fibrinogen determination, antithrombin III activity, fragment D and E assay, and protamine sulfate test were performed. Clinical agreement analysis was utilized to determine the effect of such storage on all assays. Individual differences detected between fresh and frozen samples were all within 2 standard deviations of the mean difference. With the exception of the activated partial thromboplastin time, storing canine plasma at -70 degrees C for 6 mo has no significant effect on hemostatic function, as assessed by these tests.


Assuntos
Criopreservação , Hemostasia , Manejo de Espécimes/veterinária , Animais , Doenças do Cão/diagnóstico , Cães , Testes Hematológicos/veterinária
14.
Can Vet J ; 40(9): 645-8, 1999 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-10495907

RESUMO

A new in vitro von Willebrand factor-collagen binding activity (vWF:CBA) assay was used to assess qualitative changes in vWF in normal dogs and dogs with Type I von Willebrand's disease (vWD) following treatment with desmopressin acetate (DDAVP). Although DDAVP induced increases in vWF antigen concentrations at 1 hour postinfusion in both normal and vWD dogs (57% and 60% increases, respectively), there were disproportionately greater increases in vWF:CBA (96% and 103% increases). These results support the hypothesis that the enhanced hemostatic activity induced by DDAVP is, at least in part, due to the selective release of more functionally active vWF multimers. The assay, as described, provides a convenient means of simultaneously assessing vWF quantity and function before and after DDAVP administration.


Assuntos
Antígenos/sangue , Colágeno/metabolismo , Desamino Arginina Vasopressina/uso terapêutico , Doenças do Cão/tratamento farmacológico , Fármacos Renais/uso terapêutico , Doenças de von Willebrand/veterinária , Fator de von Willebrand/metabolismo , Animais , Desamino Arginina Vasopressina/administração & dosagem , Doenças do Cão/sangue , Cães , Ensaio de Imunoadsorção Enzimática , Infusões Intravenosas , Fármacos Renais/administração & dosagem , Doenças de von Willebrand/sangue , Doenças de von Willebrand/tratamento farmacológico
15.
J Am Vet Med Assoc ; 215(6): 798-804, 1999 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-10496131

RESUMO

OBJECTIVE: To describe and evaluate hemostatic function in critically ill dogs with clinical signs of diseases that predispose to disseminated intravascular coagulation (DIC). DESIGN: Prospective case series. ANIMALS: 59 critically ill dogs (affected dogs) with clinical signs of diseases known to predispose to DIC and 52 clinically normal dogs (control dogs). PROCEDURE: Activated partial thromboplastin time (aPTT), prothrombin time (PT), thrombin clotting time (TCT), plasma fibrinogen concentration, serum concentration of fibrin and fibrinogen-related antigens (FRA), and plasma antithrombin III (AT III) activity were determined for all dogs. Results from affected dogs were compared with those of control dogs. In some affected dogs, postmortem tissue specimens were examined for evidence of microvascular thrombosis. A diagnosis of DIC was made by fulfilling at least 3 of the following criteria: 1) abnormal aPTT, PT, or TCT value, 2) low plasma fibrinogen concentration, 3) low plasma AT III activity, 4) high serum FRA concentration, or 5) low platelet count. To evaluate the severity of hemostatic dysfunction, 3 arbitrary categories (mild, moderate, and severe) were proposed. RESULTS: A diagnostic strategy based on moderate hemostatic dysfunction identified DIC in 16 of 59 (27.1%) affected dogs. The AT III activity was < 70% in 15 of 16 dogs with DIC. Microvascular thrombosis was observed in tissue specimens from 7 of 8 affected dogs. Serum FRA and plasma fibrinogen concentrations did not contribute in establishing a diagnosis of DIC. CONCLUSIONS AND CLINICAL RELEVANCE: A diagnosis of DIC can be made when hemostatic dysfunction is moderate in dogs with clinical signs of diseases associated with DIC.


Assuntos
Coagulação Intravascular Disseminada/veterinária , Doenças do Cão/diagnóstico , Animais , Antitrombina III/análise , Estudos de Casos e Controles , Coagulação Intravascular Disseminada/sangue , Coagulação Intravascular Disseminada/diagnóstico , Doenças do Cão/sangue , Cães , Feminino , Produtos de Degradação da Fibrina e do Fibrinogênio/análise , Fibrinogênio/análise , Unidades de Terapia Intensiva , Masculino , Tempo de Tromboplastina Parcial/veterinária , Estudos Prospectivos , Tempo de Protrombina/veterinária , Valores de Referência , Tempo de Trombina/veterinária
16.
J Am Vet Med Assoc ; 215(6): 805-10, 1999 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-10496132

RESUMO

OBJECTIVE: To evaluate the accuracy of point-of-care tests for the diagnosis of disseminated intravascular coagulation (DIC) in dogs and assess the correlation and agreement of results between point-of-care and laboratory tests in the evaluation of hemostatic function. DESIGN: Prospective case series. ANIMALS: 59 critically ill dogs (affected dogs) with clinical signs of diseases known to predispose to DIC and 52 clinically normal dogs. PROCEDURES: Accuracy of the point-of-care tests (activated clotting time [ACT], estimated platelet count and number of schizocytes from a blood smear, plasma total solids [TS] concentration, and the protamine sulfate test) was evaluated, using receiver operating characteristic curves and likelihood ratios. A strategy, using likelihood ratios to calculate a posttest probability of DIC, was tested with 65% used as a threshold for initiation of treatment. Results of laboratory tests (coagulogram and plasma antithrombin III activity) were used as the standard for comparison in each dog. RESULTS: ACT and estimated platelet count provided the best accuracy for detection of DIC. The plasma TS concentration, schizocyte number, and protamine sulfate test had poor accuracy. The strategy using post-test probability of DIC identified 12 of 16 affected dogs that had DIC. Estimated platelet count was correlated and had acceptable clinical agreement with automated platelet count (r = 0.70). The plasma TS (r = 0.28) concentration and serum albumin (r = 0.63) concentration were not accurate predictors of plasma antithrombin III activity. The ACT did not correlate with activated partial thromboplastin time (r = 0.28). CONCLUSIONS AND CLINICAL RELEVANCE: Strategic use of likelihood ratios from point-of-care tests can assist clinicians in making treatment decisions for dogs suspected to have DIC when immediate laboratory support is unavailable.


Assuntos
Coagulação Intravascular Disseminada/veterinária , Doenças do Cão/diagnóstico , Testes Hematológicos/veterinária , Animais , Área Sob a Curva , Estudos de Casos e Controles , Coagulação Intravascular Disseminada/sangue , Coagulação Intravascular Disseminada/diagnóstico , Doenças do Cão/sangue , Cães , Contagem de Eritrócitos/veterinária , Estudos de Avaliação como Assunto , Testes Hematológicos/normas , Antagonistas de Heparina , Unidades de Terapia Intensiva , Funções Verossimilhança , Contagem de Plaquetas/veterinária , Estudos Prospectivos , Protaminas , Curva ROC , Sensibilidade e Especificidade , Tempo de Coagulação do Sangue Total/veterinária
17.
J Vet Diagn Invest ; 11(4): 308-13, 1999 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10424644

RESUMO

A sensitive enzyme-linked immunosorbent assay was used for the simultaneous assessment of the amount of von Willebrand factor (vWF) in canine plasma and its ability to bind to canine collagen in vitro. In 60 normal dogs, there was close correlation between the concentration of vWF and its activity as determined by vWF-collagen binding. In 14 dogs with type I expressions of von Willebrand's disease, the ratio of vWF antigen to collagen binding activity was normal or only slightly increased. In 7 dogs with type II expressions of the disease, this ratio was consistently elevated suggesting a significant functional deficiency of the protein. Plasma from 3 dogs with type III von Willebrand's disease had little collagen binding activity because of the severe quantitative deficiency of the protein. The described assay permits the rapid assessment of both the quantity and quality of vWF in a dog. This information is necessary for the detection and characterization of canine von Willebrand's disease, particularly the type II expressions, which cannot be diagnosed by quantitative vWF assays alone.


Assuntos
Colágeno/metabolismo , Doenças do Cão/sangue , Cães/sangue , Doenças de von Willebrand/veterinária , Fator de von Willebrand/metabolismo , Animais , Cinética , Ligação Proteica , Valores de Referência , Doenças de von Willebrand/sangue
18.
JAMA ; 281(15): 1395-400, 1999 Apr 21.
Artigo em Inglês | MEDLINE | ID: mdl-10217055

RESUMO

CONTEXT: The recent increase in ability to diagnose prostatic adenocarcinoma has created a dilemma for treatment decisions. OBJECTIVE: To determine whether prostate cancer progression is associated with a modified version of the Gleason grading system together with selected morphologic and clinical variables. DESIGN: Retrospective analysis of a cohort of patients with peripheral zone prostate cancers who underwent surgery between August 1983 and July 1992. SETTING: University hospital. PATIENTS: Radical prostatectomy specimens from 379 men treated only by surgical excision were prospectively studied for 8 morphologic variables using previously standardized techniques. Variables were percentage of each cancer occupied by Gleason grade 4/5 (% Gleason grade 4/5, the Stanford modified Gleason scale), cancer volume, vascular invasion, lymph node involvement, seminal vesicle invasion, capsular penetration, positive surgical margin, prostate weight, and preoperative prostate-specific antigen (PSA) level. MAIN OUTCOME MEASURE: Biochemical progression of prostate cancer as indicated by serum PSA level of 0.07 ng/mL and increasing. RESULTS: Cancer grade expressed as % Gleason grade 4/5 and cancer volume were highly predictive of disease progression. In a Cox proportional hazards model that included % Gleason grade 4/5, the traditional Gleason score was not an independent predictor of treatment failure. Positive lymph node findings and intraprostatic vascular invasion were the only other variables that remained significant at the .01 level. CONCLUSION: The % Gleason grade 4/5, cancer volume, positive lymph node findings, and intraprostatic vascular invasion were independently associated with prostate cancer progression, defined by an increasing PSA level. Techniques to accurately measure cancer volume and % Gleason grade 4/5 are needed to better predict which patient will experience cancer progression. The commonly accepted predictors of progression-capsular penetration and positive surgical margins-were not independently predictive of failure after radical prostatectomy.


Assuntos
Neoplasias da Próstata , Idoso , Progressão da Doença , Humanos , Metástase Linfática , Masculino , Pessoa de Meia-Idade , Invasividade Neoplásica , Modelos de Riscos Proporcionais , Estudos Prospectivos , Antígeno Prostático Específico/sangue , Prostatectomia , Neoplasias da Próstata/patologia , Neoplasias da Próstata/fisiopatologia , Neoplasias da Próstata/cirurgia , Estudos Retrospectivos , Estatísticas não Paramétricas , Falha de Tratamento
19.
Anim Behav ; 56(3): 639-650, 1998 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-9784213

RESUMO

We examined interference competition for food in oystercatchers, Haematopus ostralegus L., feeding on cockles, Cerastoderma edule L., when kleptoparasitism was infrequent. These birds opened cockles by hammering a hole in the shell, searched for them by touch and experienced densities of feeding conspecifics that ranged from 0 to 2362.5 birds/ha. Handling times were not significantly correlated with competitor density, but the probability of successfully opening a cockle declined significantly as competitor density increased because birds were more likely to abandon cockles they had found. Birds were also significantly more likely to carry cockles away from where they were found prior to attempting to open them as competitor density increased. We used an optimal diet model to predict maximum energy intake rates achievable for birds feeding on a given prey population, and experiencing a range of competitor densities. Despite affecting foraging behaviour, the model showed that competitor density had a negligible impact on overall intake rates. Although kleptoparasitism was rare in our study population, only 1.5% (9/586) of cockles being lost to parasites, a recent model suggests that it was likely to be profitable, under the conditions experienced by our birds. We suggest that kleptoparasitism might be infrequent because birds could reduce its likelihood by adjusting their behaviour, with only a minimal cost in terms of a reduced intake rate. Behaviour-based models of interference competition, therefore, need to consider a range of potentially complex avoidance behaviours when attempting to describe the dynamics of this process. Copyright 1998 The Association for the Study of Animal Behaviour

20.
J Mol Biol ; 283(1): 15-27, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-9761670

RESUMO

Expression of the Caenorhabditis elegans cysteine protease gene cpr-1 is regulated both spatially and temporally. In situ hybridisation and Northern blot analysis have shown that this gene is expressed exclusively in gut cells of all developmental stages except the embryo. We now show by transgenic transformation with cpr-1/lac Z reporter gene constructs that a sequence contained within the cpr-1 5' flanking region can direct this spatial and temporal expression. Deletion analysis of the cpr-1 promoter indicates that as little as 212 bp of upstream sequence is sufficient for this expression, although more upstream sequence may be involved in quantitative regulation of expression. Mutation of two GATA-like sequence elements at positions -51 and -147 upstream of the transcription start site ablates all expression, indicating an essential role in cpr-1 regulation. A concatemer of the cpr-1 -147 GATA motif placed upstream of minimal promoter/lac Z reporter gene constructs results in strong reporter gene expression in gut cells of larval stages and also in embryos. Weak expression is also detected in hypodermal cells. This pattern is reversed in the adult stage with strong expression in hypodermal cells and weaker expression in gut cells. Our findings suggest that spatial and temporal regulation of the cpr-1 gene is complex and involves activation by a GATA-like transcription factor.


Assuntos
Caenorhabditis elegans/genética , Cisteína Endopeptidases/genética , Regulação Enzimológica da Expressão Gênica/genética , Regiões Promotoras Genéticas/genética , Animais , Animais Geneticamente Modificados , Sequência de Bases , Caenorhabditis elegans/enzimologia , Sistema Digestório/química , Regulação da Expressão Gênica no Desenvolvimento/genética , Genes de Helmintos , Dados de Sequência Molecular , RNA de Helmintos/análise , RNA Mensageiro/análise , Proteínas Recombinantes de Fusão , Deleção de Sequência , Fatores de Transcrição/metabolismo
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