RESUMO
BACKGROUND: The global population is increasingly aging, imposing a substantial burden on social and healthcare systems as aging is associated with gradual muscle wasting and functional decline. Consumption of protein-rich foods, such as livestock-based meat, providing high-quality proteins can prevent muscle wasting and related functional decline in older adults. However, there is a lack of data on the older adults' perceptions about meat consumption, particularly in Sub-Saharan Africa. OBJECTIVE: To explore the perceptions about dietary meat consumption among older adults in Gasabo district, Kigali, Rwanda. METHODS: We conducted a descriptive qualitative study, using focus group discussions. A total of eight FGDs, lasting between 55 and 80 min, were conducted with gender-mixed groups, including 31 men and 33 women aged ≥ 55 years old. Eight older adults participated in each FGD session, and all discussions were conducted in the local language (Kinyarwanda) using a pre-designed interview guide. The discussions were audio-recorded and transcribed verbatim and translated into English. The transcript was inductively analyzed using thematic analytical process. RESULTS: Three themes were identified from the data, predominantly related to motives and barriers of meat consumption. The motives of meat consumption included improved quality and taste of the diet, improving own health, and having a social function. Barriers of meat consumption were perceived to be related to health risks, sustainability concerns (depletion of resources), and religious beliefs. Lastly, it was widely perceived that meat was unavailable and economically inaccessible, thus meat consumption was perceived to be associated with improved wealth. CONCLUSION: The findings revealed a low and declining meat consumption among older adults due to poverty. Improving financial capacity or strategic public health work to improve protein consumption in the elderly is necessary to meet nutritional needs and facilitate healthy aging.
Assuntos
Grupos Focais , Carne , Pesquisa Qualitativa , Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Ruanda , Idoso de 80 Anos ou mais , Dieta/psicologia , Dieta/estatística & dados numéricos , Conhecimentos, Atitudes e Prática em SaúdeRESUMO
OBJECTIVE: As a follow-up to a previous study on the incidence, history and clinical findings of tibial neuropathy (TN), the present work aimed at describing the treatment and prognosis of this disease. MATERIALS AND METHODS: Of 88â German Holstein dairy cows with unilateral (UTN, nâ =â 71) or bilateral (BTN, nâ =â 17) TN, 68 (56 UTN, 12 BTN) with a complete data set were analyzed. They were retrospectively assigned to one of four groups: no treatment - spontaneous healing within 48â h (Spontaneous, 5 UTN), no bandage (0Cast, 8 UTN, 3 BTN) or treatment with anti-inflammatory drugs and support bandage (StV, 3 UTN) or fiberglass cast (Cast, 40 UTN, 9 BTN). Treated cows were re-examined five times (14, 21, 28, 42 and 56â days after the first presentation). The plasma activity of creatine kinase was measured at the last re-examination in 29 cows similar to measurement at day 0. RESULTS: The observed overall success rate of treatment of cows with UTN was considerably higher compared with untreated cows (Cast 98â % and StV 100â % vs. 0Cast 62â %). By comparison, the observed difference between treated and untreated cows with BTN was not so clear (78â % vs. 67â %). Recovering cows exhibited a calculated longer median survival time than cows that did not recover (545â d vs. 100â d). Plasma creatine kinase activities were increased initially and returned within the reference interval (434â U/l and 152â U/L) following treatment. CONCLUSIONS: Cows with ETN have an excellent prognosis provided that treatment with anti-inflammatory drugs and stabilizing bandage is administered. In cows with BTN, the prognosis depended on the type and degree of the primary injury. Loss of skin sensitivity indicated a poor prognosis. From an economic standpoint, treatment of TN is indicated provided that the prognosis is good. In cows that had healed clinically, the average survival time extended into the following lactation. CLINICAL RELEVANCE: This study highlights the advantages of a support bandage for the treatment of cows with TN. Compared with other peripheral neuropathies, muscle damage appears to be of particular importance in TN.
Assuntos
Doenças do Sistema Nervoso Periférico , Neuropatia Tibial , Animais , Bovinos , Creatina Quinase , Feminino , Lactação/fisiologia , Doenças do Sistema Nervoso Periférico/veterinária , Estudos Retrospectivos , Neuropatia Tibial/veterináriaRESUMO
This article presents results from the national survey conducted in 2018 for the project Research Integrity in Norway (RINO). A total of 31,206 questionnaires were sent out to Norwegian researchers by e-mail, and 7291 responses were obtained. In this paper, we analyse the survey data to determine attitudes towards and the prevalence of fabrication, falsification and plagiarism (FFP) and contrast this with attitudes towards and the prevalence of the more questionable research practices (QRPs) surveyed. Our results show a relatively low percentage of self-reported FFPs (0.2-0.3%), while the number of researchers who report having committed one of the QRPs during the last three years reached a troublesome 40%. The article also presents a ranking of the perceived severity of FFP and QRPs among Norwegian researchers. Overall, there is a widespread normative consensus, where FFP is considered more troublesome than QRPs.
Assuntos
Pesquisa Biomédica , Má Conduta Científica , Atitude , Humanos , Plágio , Projetos de Pesquisa , PesquisadoresRESUMO
The aim was to investigate the frequency of squamous cell carcinoma and the outcome after surgical treatment in cows admitted to the clinic between 2012 and 2018. The study included six cows with squamous cell carcinoma (confirmed in 5 cattle and suspected in 1). All cattle underwent clinical examination and additional testing to confirm the diagnosis. Breed, age, gender, localization of neoplasm and treatment were recorded. In a telephonequ estionnaire owners were asked about survival, culling, integration into the herd after discharge from the clinic, wound healing and neoplasm recurrence. Five ocular squamous cell carcinomas were diagnosed during the study period. Another neoplasm on the dorsolateral thoracic wall of a cow could not be diagnosed with certainty; however, it had characteristics of squamous cell carcinoma. Two cows with ocular squamous cell carcinomawere euthanised. The prognosis and outcome of squamous cell carcinoma depend on early detection of clinical signs, the presence of metastases and the timing of tumour removal. Surgical removal of a squamous cell carcinoma at or near the eye or at other locations of the body appears to have a good prognosis.
Assuntos
Carcinoma de Células Escamosas , Doenças dos Bovinos , Animais , Carcinoma de Células Escamosas/diagnóstico , Carcinoma de Células Escamosas/veterinária , Bovinos , Doenças dos Bovinos/diagnóstico , FemininoRESUMO
OBJECTIVES: Since 2000/2001, no large-scale prospective studies addressing traumatic brain injury (TBI) epidemiology in Germany have been published. Our aim was to look for a possible shift in TBI epidemiology described in other European countries, to look for possible changes in TBI management and to identify predictors of 1-year outcome especially in patients with mild TBI. DESIGN: Observational cohort study. SETTING: All patients suffering from a TBI of any degree between 1 October 2014 and 30 September 2015, and who arrived in one of the seven participating BG hospitals within 24 hours after trauma, were included. PARTICIPANTS: In total, 3514 patients were included. OUTCOME MEASURES: Initial care, acute hospital care and rehabilitation were documented using standardised documentation forms. A standardised telephone interview was conducted 3 and 12 months after TBI in order to obtain information on outcome. RESULTS: Peaks were identified in males in the early 20s and mid-50s, and in both sexes in the late 70s, with 25% of all patients aged 75 or older. A fall was the most frequent cause of TBI, followed by traffic accidents (especially bicyclists). The number of head CT scans increased, and the number of conventional X-rays of the skull decreased compared with 2000/2001. Besides, more patients were offered rehabilitation than before. Though most TBI were classified as mild, one-third of the patients participating in the telephone interview after 12 months still reported troubles attributed to TBI. Negative predictors in mild TBI were female gender, intracranial bleeding and Glasgow Coma Scale (GCS) 13/14. CONCLUSION: The observed epidemiologic shift in TBI (ie, elderly patients, more falls, more bicyclists) calls for targeted preventive measures. The heterogeneity behind the diagnosis 'mild TBI' emphasises the need for defining subgroups not only based on GCS.
Assuntos
Lesões Encefálicas Traumáticas , Idoso , Lesões Encefálicas Traumáticas/epidemiologia , Lesões Encefálicas Traumáticas/terapia , Estudos de Coortes , Europa (Continente) , Feminino , Alemanha/epidemiologia , Escala de Coma de Glasgow , Hospitais , Humanos , Masculino , Estudos Prospectivos , Resultado do TratamentoRESUMO
OBJECTIVE: The aim of this study was to document the occurrence, history, and clinical findings of tibial neuropathy in German Holstein dairy cows in order to yield information regarding the importance and etiology of this disorder in dairy herds in Central Germany. MATERIALS AND METHODS: This prospective study was undertaken between January 2013 and October 2017 and included 88â German Holstein dairy cows with unilateral (UTN, nâ =â 71) or bilateral (nâ =â 17, BTN) tibial neuropathy. Data were collected from the history as well as the clinical and laboratory examinations. Three grades of paresis were defined. RESULTS: The percentage of cows with tibial neuropathy among all German Holstein dairy cows presented with disorders of the locomotor system in the study period amounted to 2.2â %. UTN was seen predominantly following dystocia or as a result of prolonged lateral recumbency in consequence to a primary disease. The majority of cases of BTN occurred in association with the resumption of cyclicity following calving. These were accompanied by clinical signs of a cauda equina syndrome. Increased plasma activities of creatine kinase (UTN 98â %; BTN 100â %) and aspartate aminotransferase (UTN 89â %; BTN 100â %) were observed in nearly all affected cows. CONCLUSIONS: Tibial neuropathy is a regularly occurring disorder in dairy herds in Central Germany. The condition results in pain and locomotor impairment and therefore constitutes a welfare concern. UTN and BTN have different causes, and the history combined with clinical signs (severity of paresis) provides etiological information. Increased enzymatic activities suggest a muscular involvement in the disease process.
Assuntos
Doenças dos Bovinos , Distocia , Neuropatia Tibial , Animais , Bovinos , Doenças dos Bovinos/epidemiologia , Distocia/veterinária , Feminino , Incidência , Lactação , Leite , Gravidez , Estudos Prospectivos , Neuropatia Tibial/veterináriaRESUMO
BACKGROUND: This paper critically discusses the use and merits of global indices, in particular, the Global Health Security Index (GHSI; Cameron et al. https://www.ghsindex.org/#l-section--map ) in times of an imminent crisis, such as the current pandemic. This index ranked 195 countries according to their expected preparedness in the case of a pandemic or other biological threat. The coronavirus disease 2019 (Covid-19) pandemic provides the background to compare each country's predicted performance from the GHSI with the actual performance. In general, there is an inverted relation between predicted versus actual performance, i.e. the predicted top performers are among those that are the worst hit. Obviously, this reflects poorly on the potential policy uses of this index in imminent crisis management. METHODS: The paper analyses the GHSI and identifies why it may have struggled to predict actual pandemic preparedness as evidenced by the Covid-19 pandemic. The paper also uses two different data sets, one from the Worldmeter on the spread of the Covid-19 pandemics, and the other from the International Network for Government Science Advice (INGSA) Evidence-to-Policy Tracker, to draw comparisons between the actual introduction of pandemic response policies and the corresponding death rate in 29 selected countries. RESULTS: This paper analyses the reasons for the poor match between prediction and reality in the index, and mentions six general observations applying to global indices in this respect. These observations are based on methodological and conceptual analyses. The level of abstraction in these global indices builds uncertainties upon uncertainties and hides implicit value assumptions, which potentially removes them from the policy needs on the ground. CONCLUSIONS: From the analysis, the question is raised if the policy community might have better tools for decision-making in a pandemic. On the basis of data from the INGSA Evidence-to-Policy Tracker, and with backing in studies from social psychology and philosophy of science, some simple heuristics are suggested, which may be more useful than a global index.
Assuntos
COVID-19 , Tomada de Decisões , Planejamento em Desastres , Saúde Global , Política de Saúde , Pandemias , Formulação de Políticas , Pessoal Administrativo , Previsões , Humanos , SARS-CoV-2 , Valores Sociais , Confiança , IncertezaRESUMO
The current global COVID-19 pandemic has led to a deep and multidimensional crisis across all sectors of society. As countries contemplate their mobility and social-distancing policy restrictions, we have a unique opportunity to re-imagine the deliberative frameworks and value priorities in our food systems. Pre-pandemic food systems at global, national, regional and local scales already needed revision to chart a common vision for sustainable and ethical food futures. Re-orientation is also needed by the relevant sciences, traditionally siloed in their disciplines and without adequate attention paid to how the food system problem is variously framed by diverse stakeholders according to their values. From the transdisciplinary perspective of food ethics, we argue that a post-pandemic scheme focused on bottom-up, regional, cross-sectoral and non-partisan deliberation may provide the re-orientation and benchmarks needed for not only more sustainable, but also more ethical food futures.
RESUMO
OBJECTIVE: The management and treatment of teat injuries represent major challenges in modern dairy farming. The injury per se, its treatment and the handling of the cow during the healing process interfere with the principal purpose of the cow, which is the production of saleable milk. The study presents treatment and post-operative management based on the evaluation of a large data set. MATERIALS AND METHODS: The data from patients of the Clinic of Ruminants and Swine of the University Leipzig from May 2012 to July 2017 were analysed in a retrospective study. The location and type of injury, initial and post-operative medication, and treatment and outcome were analyzed. RESULTS: In total, 120 teat injuries in 116 cows were treated. The teat canal was the most common location of injuries (n = 85; 70.8 %), and closed injuries (without an external wound) were the most frequent type (n = 73; 60.8 %). Of all teat canal injuries, 65 (54.2 %) were internal and did not involve the skin. Most of these injuries were treated under theloscopic guidance directly after initial examination irrespective of concomitant disorders, such as thelitis (except severe acute), cysternitis and mastitis. The majority of treated teats (n = 98; 87.4 %) had functional healing and could be milked, 8 (7.2 %) of treated teats were amputated and in the remaining functional healing was achieved after a second surgery. According to an owner survey at least 700 days post-treatment, 23 (21.5 %) of the surgically treated cows and 50 % (n = 2) of the non-surgically treated cows were slaughtered in consequence of complications associated with the treated teat or the corresponding quarter. CONCLUSION AND CLINICAL RELEVANCE: Teat injuries are commonly seen in dairy practice. A successful outcome is obtainable when surgical or medical treatment is administered promptly and consequently in addition to an appropriate post-operative management and monitoring.
Assuntos
Doenças dos Bovinos , Glândulas Mamárias Animais/lesões , Animais , Bovinos , Doenças dos Bovinos/diagnóstico , Doenças dos Bovinos/terapia , Indústria de Laticínios , Feminino , Mastite Bovina/diagnóstico , Mastite Bovina/terapia , Estudos RetrospectivosRESUMO
Most of the occupational exposure limits (OELs) are based on local irritants. However, exposure to much lower concentrations of irritant substances can also lead to health complaints from workers. Exposure to irritants is often accompanied by strong unpleasant odors, and strong odors might have distracting effects and hence pose a safety risk. The findings obtained in human exposure studies with chemically sensitive, stressed, or anxious persons suggest that their ability to direct attention away from the odorous exposure and to focus on a cognitive task is reduced. In addition, after repeated odor exposure, these persons show signs of sensitization, i.e., difficulties in ignoring or getting used to the exposure. The question arises as to whether certain health conditions are accompanied by a change in sensitivity to odors and irritants, so that these persons are potentially more distracted by odors and irritants and therefore more challenged in working memory tasks than nonsusceptible persons. In our study, susceptible persons with sensory airway hyperreactivity ("capsaicin-sensitive") respond more strongly to mechanical skin stimuli than controls and show altered network connectivity. Capsaicin-sensitive subjects have a lower pain threshold and thus are more sensitive to mechanical skin stimuli. The intrinsic functional connectivity of their saliency network is higher, and the lower the GABAergic tone of the thalamus, the higher their pain sensitivity to mechanical stimuli. It seems that the increased communication between resting-state networks promotes a stronger perception of the sensory input signal. The results can be used to inform about actual risks (i.e., attention diversion and increased risk of accidents) and "pseudo" risks such as odor perception without a negative impact on one's well-being. This way, uncertainties that still prevail in the health assessment of odorous and sensory irritating chemicals could be reduced.
Assuntos
Encéfalo/anatomia & histologia , Capsaicina , Percepção da Dor/fisiologia , Adulto , Encéfalo/fisiologia , Feminino , Ácido Glutâmico/fisiologia , Humanos , Masculino , Vias Neurais/anatomia & histologia , Vias Neurais/fisiologia , Nociceptividade/fisiologia , Adulto Jovem , Ácido gama-Aminobutírico/fisiologiaRESUMO
OBJECTIVE: Hot iron disbudding of calves is a stressful and painful procedure. Previous parts of an ongoing comprehensive study on disbudding in dairy calves dealt with various types of pain management and the direct effects of the procedure on physiological, biochemical and behavioral processes. The goal of this study part was to investigate the effects of the disbudding procedure per se, pain management and the age of the calf at the time of disbudding on the health status of the calf. MATERIALS AND METHODS: A total of 337 German Holstein heifer calves were used for this prospective, randomized and triple-blinded study. The calves were disbudded at 4-10 days or at 15-28 days of age. Each calf was randomly assigned to one of 9 treatment groups, which differed with respect to pain management (sedation, local anesthesia, nonsteroidal antiinflammatory drugs, placebo). All but the sham-disbudded calves underwent hot iron disbudding and all calves were monitored clinically before and until 4 weeks after the procedure. The findings were analyzed using valuation scores and a threshold model of the SAS software. RESULTS: Disbudding exhibited adverse effects on respiratory health. Calves undergoing sham disbudding experienced the lowest incidence of respiratory disease and calves that did not receive any anesthesia or pain medication displayed the highest frequency. All treatments showed mitigating effects on the incidence of respiratory tract diseases, however the effects varied with the type of pain management. Fever was less common in calves that were disbudded early in life than calves that underwent disbudding at an older age. CONCLUSION: Disbudding of young calves poses a risk to respiratory health. If breeding of polled offspring is not possible or when farming of horned cattle is not feasible, the risk of respiratory disease induced by disbudding can be minimized by adequate pain management. Disbudding of very young calves is feasible and recommended. CLINICAL RELEVANCE: The present study underlines the importance of optimal pain management during disbudding of dairy calves.
Assuntos
Criação de Animais Domésticos/métodos , Bovinos/fisiologia , Cornos/cirurgia , Manejo da Dor , Fatores Etários , Animais , Doenças dos Bovinos , Feminino , Manejo da Dor/métodos , Manejo da Dor/veterinária , Doenças Respiratórias/veterináriaRESUMO
In Europe, cowpox virus (CPXV) infection in South American camelids occurs as a so-called spill-over infection. Although infected animals generally have a mild form of the disease and survive, cases of fatal generalised CPXV infection have also been described. Prevention by prophylactic vaccination is the only way to protect animals from disease. In the present study, modified vaccinia virus Ankara (MVA) vaccine, which has been successfully used in many animal species, was used in a prime-boost vaccination regimen in two alpaca herds with a history of CPXV infection. The focus of the study was the prevention of further clinical cases, and to determine the safety and immunogenicity of the MVA vaccine in alpacas. The MVA vaccine was well tolerated and safe in the 94 animals vaccinated. An indirect immunofluorescence assay (IFA) using MVA as an antigen showed that the seroprevalence of antibody after booster vaccination was 81.3% in herd I and 91.7% in herd II. Detectable antibody titres declined to 15.6% in herd I and 45.8% in herd II over a 12-month period after booster vaccination. Animals could be divided into four groups based on individual antibody titres determined over one year: Group 1 consisted of 19.3% of animals that were seropositive until the end of the trial period; Group 2 consisted of 58.0% of animals that were seropositive after booster vaccination, but seronegative one year later; Group 3 consisted of 14.7% of animals that were not seropositive at any time point; and Group 4 consisted of 7.9% of animals that were seropositive after initial immunisation, seronegative six months later, but seropositive or intermediate in IFA one year after immunisation, likely because of natural exposure. In new-born crias born to MVA-vaccinated mares, specific maternal antibodies were detected in 50.0% of animals up to 14 weeks of age. Our results confirm that MVA vaccination is a feasible tool for the prevention of CPXV disease in alpacas. Long-term studies are needed to verify future vaccination regimen in CPXV affected herds.
Assuntos
Anticorpos Antivirais/sangue , Camelídeos Americanos/virologia , Varíola Bovina/prevenção & controle , Varíola Bovina/veterinária , Vacinas Virais/administração & dosagem , Animais , Fazendas , Feminino , Alemanha , Imunização Secundária , Imunogenicidade da Vacina , Masculino , Vacinação/veterinária , Vaccinia virus/imunologia , Vacinas Virais/imunologiaRESUMO
As public interest advocates, policy experts, bioethicists, and scientists, we call for a course correction in public discussions about heritable human genome editing. Clarifying misrepresentations, centering societal consequences and concerns, and fostering public empowerment will support robust, global public engagement and meaningful deliberation about altering the genes of future generations.
Assuntos
Edição de Genes/ética , Genoma Humano/genética , Temas Bioéticos , Embrião de Mamíferos , Células Germinativas , HumanosRESUMO
OBJECTIVE: Pain management during veterinary procedures is a significant component of animal welfare and has legal as well as ethical implications. Even though regional intravenous anaesthesia (RIVA) is an accepted method for painful procedures involving the distal digits of sheep, this anaesthetic technique is rarely applied in the field. The primary goal was to investigate the feasibility, safety and efficacy of RIVA in sheep. A secondary goal was to examine whether the anaesthetic procedure can be improved by combining RIVA with sedation and whether these methods have a positive effect on the postoperative wellbeing of the animals. METHODS: A total of 36 Meat Merino sheep with contagious interdigital dermatitis and 12 healthy control sheep were used. Behaviour was observed during treatment of the lame sheep using various pain management protocols and during routine claw trimming of the healthy sheep, and all the sheep were observed after the procedures. The observed behaviours were assessed using scores and the scores compared among the animals of the 4 study groups (RIVA, sedation with xylazine hydrochloride + RIVA, placebo, control). RESULTS: RIVA was successfully conducted in sheep. Local reactions at the application sight and in the tourniquet area in 2 animals resolved completely. A significant reduction in defensive movements during the painful procedure confirmed the efficacy of RIVA. Stress-associated behaviours, including head shaking and idle chewing, occurred with a similar frequency in RIVA and placebo animals, leading to the conclusion that stress levels due to the handling in dorsal recumbency were comparable between these 2 groups. Sedation reduced the frequency of pain- and stress-associated behaviours, including guarding, favouring limbs, vocalisation, idle chewing and bruxism. Xylazine hydrochloride-RIVA animals displayed better weight-bearing in the affected limb, better food uptake and ruminated more postoperatively than sheep from the other study groups. CONCLUSION: RIVA in sheep is straightforward, safe and effective. Additional sedation reduces the stress and pain response. This pain and stress management has a positive effect on the postoperative wellbeing of sheep.
Assuntos
Anestésicos Intravenosos , Casco e Garras/fisiopatologia , Manejo da Dor , Doenças dos Ovinos/tratamento farmacológico , Carneiro Doméstico , Administração Intravenosa/veterinária , Anestésicos Intravenosos/administração & dosagem , Anestésicos Intravenosos/uso terapêutico , Bem-Estar do Animal , Animais , Dermatite/cirurgia , Dermatite/veterinária , Feminino , Casco e Garras/cirurgia , Manejo da Dor/métodos , Manejo da Dor/veterinária , Dor Pós-Operatória/tratamento farmacológico , Ovinos , Doenças dos Ovinos/cirurgia , Drogas Veterinárias/administração & dosagem , Drogas Veterinárias/uso terapêuticoRESUMO
Background: The exoskeleton HAL (hybrid assistive limb) has proven to improve walking functions in spinal cord injury and chronic stroke patients when using it for body-weight supported treadmill training (BWSTT). Compared with other robotic devices, it offers the possibility to initiate movements actively. Previous studies on stroke patients did not compare HAL-BWSTT with conventional physiotherapy (CPT). Therefore, we performed a crossover clinical trial comparing CPT and HAL-BWSTT in chronic stroke patients with hemiparesis, the HALESTRO study. Our hypothesis was that HAL-training would have greater effects on walking and posture functions compared to a mixed-approach CPT. Methods: A total of 18 chronic stroke patients participated in this study. Treatment consisted of 30 CPT sessions and of 30 sessions of BWSTT with a double leg type HAL exoskeleton successively in a randomized, crossover study design. Primary outcome parameters were walking time and speed in 10-meter walk test (10MWT), time in timed-up-and-go test (TUG) and distance in 6-min walk test (6MWT). Secondary outcome parameters were the functional ambulatory categories (FAC) and the Berg-Balance Scale (BBS). Data were assessed at baseline, at crossover and at the end of the study, all without using and wearing HAL. Results: Our study demonstrate neither a significant difference in walking parameters nor in functional and balance parameters. When HAL-BWSTT was applied to naïve patients, it led to an improvement in walking parameters and in balance abilities. Pooling all data, we could show a significant effect in 10MWT, 6MWT, FAC and BBS, both therapies sequentially applied over 12 weeks. Thereby, FAC improve from dependent to independent category (3 to 4). One patient dropped out of the study due to intensive fatigue after each training session. Conclusion: HAL-BWSTT and mixed-approach CPT were effective therapies in chronic stroke patients. However, compared with CPT, HAL training with 30 sessions over 6 weeks was not more effective. The combination of both therapies led to an improvement of walking and balance functions. Robotic rehabilitation of walking disorders alone still lacks the proof of superiority in chronic stroke. Robotic treatment therapies and classical CPT rehabilitation concepts should be applied in an individualized therapy program.
RESUMO
Objective: Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative motoneuron disease. As previous studies reported alterations in motor cortex excitability, we evaluate excitability changes in somatosensory system. Methods: We examined 15 ALS patients and 15 healthy controls. Cortical excitability was assessed using paired somatosensory evoked potentials of median nerves. To determine disease severity and functional impairment, we assessed muscle strength and revised ALS-Functional Rating Scale (ALSFRS-R). Results: We found significantly reduced bilateral paired-stimulation inhibition in the ALS-group (both p < 0.05). Additionally, paired-stimulation ratios significantly correlated with ALSFRS-R (left somatosensory cortex: r= -orte; right somatosensory cortex: r= -ort4; both p < 0.05) and contralateral muscle strength (left somatosensory cortex: r= -orte, p = 0.007; right somatosensory cortex: r= -ortex p = 0.003). Conclusions: The results indicate disinhibition of the somatosensory cortex in ALS. It remains open if central somatosensory disinhibition is a primary characteristic of ALS as one element of a multisystem neurodegenerative disorder or a compensatory up-regulation due to functional motoric impairment. Longitudinal studies are necessary to categorize these findings.
Assuntos
Esclerose Lateral Amiotrófica/fisiopatologia , Transtornos dos Movimentos/fisiopatologia , Córtex Somatossensorial/fisiopatologia , Adulto , Idoso , Esclerose Lateral Amiotrófica/complicações , Estimulação Elétrica , Potenciais Somatossensoriais Evocados , Feminino , Lateralidade Funcional , Humanos , Masculino , Nervo Mediano/fisiopatologia , Pessoa de Meia-Idade , Córtex Motor/fisiopatologia , Transtornos dos Movimentos/etiologia , Força MuscularRESUMO
BACKGROUND: This case report describes a focal brain lesion in an alpaca (Vicugna pacos). Although this is a restricted study based on a single animal, neuropathological features are reported that are most likely attributed to a vascular event with either ischemic or hemorrhagic pathology. Concerning translational issues, these findings extend neurovascular unit concept to the alpacas' brain and qualify a larger panel of stroke tissue markers for further exploration of ischemic or hemorrhagic consequences beyond the usually used small animal models in stroke research. CASE PRESENTATION: A brain lesion indicative of a stroke was diagnosed in a 3-year-old female alpaca as an incidental finding during a post mortem examination. The rostral portion of the right frontal lobe contained a 1.0 × 1.5 × 1.7 cm lesion that extended immediately to the overlying leptomeninges. Microscopically, it was composed of liquefactive necrosis with cholesterol crystal deposition and associated granulomatous inflammation as well as vascularized fibrous connective tissue rimmed by proliferated astrocytes. Multiple fluorescence labeling of the affected brain regions revealed strong microgliosis as shown by immunostaining of the ionized calcium binding adapter molecule 1 and astrogliosis as demonstrated by enhanced immunoreactivity for glial fibrillary acidic protein. In parallel, a drastic neuronal loss was detected by considerably diminished immunolabeling of neuronal nuclei. Concomitantly, up-regulated immunoreactivities for collagen IV and neurofilament light chains were found in the affected tissues, indicating vascular and cytoskeletal reactions. CONCLUSIONS: Driven by these neuropathological features, the incidental brain lesion found in this alpaca strongly suggests an ischemic or hemorrhagic etiology. However, since typical hallmarks became verifiable as previously described for other species affected by focal cerebral ischemia, the lesion is more likely related to an ischemic event. Nevertheless, as such cellular alterations might be difficult to distinguish from other brain lesions as for instance caused by inflammatory processes, adjuvant observations and species-related features need to be considered for etiological interpretations. Indeed, the lack of neurological deficits is likely attributed to the location of the lesion within the rostral aspect of the right frontal lobe of the alpacas' brain. Further, fibroblast migration from the meninges likely caused the intralesional scar formation.
Assuntos
Camelídeos Americanos , Acidente Vascular Cerebral/veterinária , Animais , Encéfalo/patologia , Isquemia Encefálica/patologia , Isquemia Encefálica/veterinária , Feminino , Lobo Frontal/patologia , Necrose , Acidente Vascular Cerebral/patologiaRESUMO
OBJECTIVE: The assessment of pain in sheep is a clinical challenge, because being a prey species, they tend to mask it. Since pain in animals cannot be measured directly, various methods are applicable to detect its effects on physiological, biochemical and ethological processes. Clinicians experienced in behavioural assessment are able to reliably determine the level of pain endured by an animal. The objective of this study was to identify behaviours that reflect acute and chronic pain as well as stress in sheep. METHODS: The behaviour of 36 Meat Merino ewes with contagious footrot (contagious interdigital dermatitis) was analysed during normal activities in the flock and during footrot treatment, which included claw trimming to remove abnormal horn. The behaviour during treatment was compared with that of 12 healthy control sheep of the same breed during routine foot trimming. Grading of the observed behaviours was made using a numerical score. The occurrence of footrot was defined as, and equated with, chronic pain, and treatment was equated with acute pain. For the assessment of stress induced by the manipulative treatment, the data of the healthy sheep were taken as a comparison. RESULTS: The strongest indications of chronic pain were non-weight bearing lameness of an affected limb, shifting of weight and abnormal gait patterns. Additionally, sheep with footrot urinated more frequently than healthy animals. Stress-related bruxism occurred in healthy and ill sheep during foot trimming, but not during normal activities in the flock. Tail wagging and strong defensive movements of all limbs commonly occurred during footrot treatment. Head shaking appeared to be primarily stress-related in association with dorsal recumbency on the tilt table, but was exacerbated by pain elicited by hoof trimming. CONCLUSION: The behaviours selected in this study were useful for the identification of chronic and acute pain in sheep; however, correct interpretation of behavioural changes requires an experienced individual.
Assuntos
Dor Aguda/veterinária , Dor Crônica/veterinária , Pododermatite Necrótica dos Ovinos/diagnóstico , Doenças dos Ovinos/diagnóstico , Dor Aguda/diagnóstico , Dor Aguda/etiologia , Criação de Animais Domésticos , Animais , Dor Crônica/diagnóstico , Dor Crônica/etiologia , Feminino , Pododermatite Necrótica dos Ovinos/etiologia , Ovinos , Doenças dos Ovinos/etiologia , Carneiro DomésticoRESUMO
This document presents the Bonn PRINTEGER Consensus Statement: Working with Research Integrity-Guidance for research performing organisations. The aim of the statement is to complement existing instruments by focusing specifically on institutional responsibilities for strengthening integrity. It takes into account the daily challenges and organisational contexts of most researchers. The statement intends to make research integrity challenges recognisable from the work-floor perspective, providing concrete advice on organisational measures to strengthen integrity. The statement, which was concluded February 7th 2018, provides guidance on the following key issues: § 1. Providing information about research integrity § 2. Providing education, training and mentoring § 3. Strengthening a research integrity culture § 4. Facilitating open dialogue § 5. Wise incentive management § 6. Implementing quality assurance procedures § 7. Improving the work environment and work satisfaction § 8. Increasing transparency of misconduct cases § 9. Opening up research § 10. Implementing safe and effective whistle-blowing channels § 11. Protecting the alleged perpetrators § 12. Establishing a research integrity committee and appointing an ombudsperson § 13. Making explicit the applicable standards for research integrity.