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1.
Sci Rep ; 13(1): 20250, 2023 11 20.
Artigo em Inglês | MEDLINE | ID: mdl-37985808

RESUMO

Electrical stunning is used to capture crocodiles to perform routine management procedures. It is essential from a welfare point that electrical stunning must cause unconsciousness in animals. However, there is no information of whether or not electrical stunning causes unconsciousness in the Nile crocodile (Crocodylus niloticus). The purpose of the study was to assess brain activity before and after electrical stunning in crocodiles using a 5-channel referential electroencephalogram analysis to determine consciousness. Behavioural indicators and electroencephalogram recordings of 15 captive-bred crocodiles were captured and analysed using power spectral density analysis immediately before and after stunning and then at 60 s intervals until 5 min post-stunning. A standardised stun of 170 Volts was applied for 5-7 s on the wetted neck. Unconsciousness was defined as a decrease in alpha wave power and increase in delta wave power. Three of the electroencephalograms could not be assessed. Unconsciousness was identified in 6 out of 12 crocodiles and lasted for an average for 120 s. An increase in electroencephalogram waveform amplitude and tonic-clonic seizure-like waveform activity and behaviour indicators were not reliable indicators of unconsciousness. Further research should be focused on improving the efficiency and reliability of electrical stunning.


Assuntos
Jacarés e Crocodilos , Animais , Reprodutibilidade dos Testes , Matadouros , Inconsciência , Confusão , Eletroencefalografia , Encéfalo
2.
J S Afr Vet Assoc ; 2023 Feb 24.
Artigo em Inglês | MEDLINE | ID: mdl-37358320

RESUMO

The concentration of trace elements in the liver is used as an indicator of the mineral nutritional status of an animal, as a benchmark of environmental mineral exposure, to follow the metabolism of an element in the body and for various other purposes. Concentrations are expressed on a wet (fresh) liver basis or on a dry liver basis. From a literature search and evidence from an analytical laboratory, large variations (varying from < 20% to > 40%) have been recorded on the percentage of moisture in the livers of ruminants. Such variations potentially compromise the interpretation of results on mineral concentrations in livers, and preclude robust comparisons between studies. Among the factors that can affect the moisture content of livers are: inconsistencies in sampling and preparation of liver samples; exposure to toxic substances; ill-health of the animal; fat content of the liver; and age of the animal. It was estimated that the mean dry matter (DM) content of the livers of healthy ungulates containing less than 1% liver fat is between 27.5% and 28.5%, and on a fat-free basis 25-26% DM. For routine analyses of liver samples it is suggested that to limit variations owing to differences in liver moisture content, liver mineral concentrations should be expressed on a DM basis, and for in-depth scientific studies on mineral metabolism on a dry, fat-free basis. However, if mineral concentrations are expressed on a wet basis, it is advisable to supply the liver DM content as well.

3.
Forensic Sci Int ; 327: 110969, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34455398

RESUMO

Scavenging animals often scatter skeletal remains of forensic interest and leave bite marks. This study aimed to identify scavenging animals in the rural Lowveld of South Africa and to describe their scattering pattern and bite marks on bone. Ten pig cadavers (Sus scrofa domesticus) (40-80 kg) were placed at the Wits Rural Facility, Limpopo, South Africa during the summer and winter seasons. Motion activated cameras recorded the scavenging. Scavenger species were identified and their behaviors, scattering pattern, and bite marks were described. Scavenging was primarily by vultures (hooded, white-backed, and lappet-faced). Marabou stork, slender and banded mongoose, genet, civet, warthog and honey badger also actively scavenged. Vultures began to scavenge the pig cadavers after 18hrs in summer and between 26 and 28 h in winter and skeletonized pig cadavers rapidly between 5 and 98 min. Skeletonization occurred more rapidly and diffusely in summer while winter cases were densely scattered. Overall the scattered remains were within an area of 157.9 m2/1705.5 ft2 with a radius of 7.09 m/23.3 ft. Vultures cleaned bones thoroughly with very minimal markings - primarily nonspecific scores. The described scattering pattern and bite marks will assist in the recovery and analysis of scavenged remains.


Assuntos
Animais Selvagens , Mordeduras e Picadas , Osso e Ossos/lesões , Comportamento Alimentar , Animais , Cadáver , Estações do Ano , África do Sul , Sus scrofa
4.
S Afr Med J ; 111(2): 124-128, 2021 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-33944722

RESUMO

BACKGROUND: Urinary tract infections (UTIs) are very common in community practice. Both the South African (SA) antibiotic stewardship programme (2015) and the Essential Medicines List for SA (2018) recommend ciprofloxacin as first-line treatment for community-acquired urinary tract infections (CAUTIs). The pathogens responsible for CAUTIs and their susceptibility profiles need to be documented, which is important for developing and updating treatment protocols. OBJECTIVES: To determine the causative pathogens of CAUTIs in the greater Bloemfontein area, central SA, and to review their susceptibilities to commonly prescribed antibiotics. METHODS: Urine samples sent for microscopy and culture between 2011 and 2015 by the three largest primary healthcare facilities in Bloemfontein were analysed retrospectively. Specimens with a significant count (>105 CFU/mL) of a single uropathogen were included. These results were obtained from the National Health Laboratory Service central data warehouse after the required consent. Data regarding age, gender, pathogen cultured and antimicrobial susceptibilities were captured. All calculations were carried out with statistical analysis software SPSS 17.0 (SPSS Inc., USA). RESULTS: A total of 712 samples met the inclusion criteria. Women accounted for 481 (67.6%) of the infections. The prevalence of UTIs per age group was as follows: 1 month - 25 years (n=146; 20.51%); 26 - 50 years (n=324; 45.5%); and 51 - 75 years (n=199; 27.9%). The distribution of pathogens did not differ between age groups. Escherichia coli was the most prevalent uropathogen cultured from 410 (57.6%) specimens, followed by Klebsiella spp. from 97 (13.6%) and Enterococcus spp. from 71 (10.0%) specimens. E. coli showed resistance rates of 77.1% to amoxicillin, 15.6% to amoxicillin-clavulanate, 18.5% to ciprofloxacin, 4% to nitrofurantoin and 11% to trimethoprim-sulfamethoxazole (TMP-SMX). The distribution of uropathogens was different for men and women, with a lower prevalence of E. coli in men (p=0.045). CONCLUSIONS: As expected, E. coli comprised most of the isolates, with a higher than expected number of Klebsiella isolates cultured. The susceptibility of E. coli to commonly prescribed oral antibiotics has decreased in the research setting, which mirrors a global trend. This study provides data showing that TMP-SMX and nitrofurantoin can be used safely as alternatives to first-line ciprofloxacin in CAUTIs in central SA.


Assuntos
Antibacterianos/uso terapêutico , Infecções Comunitárias Adquiridas/tratamento farmacológico , Farmacorresistência Bacteriana , Infecções Urinárias/tratamento farmacológico , Infecções Comunitárias Adquiridas/epidemiologia , Escherichia coli/efeitos dos fármacos , Feminino , Humanos , Masculino , Estudos Retrospectivos , África do Sul , Infecções Urinárias/epidemiologia
5.
Int J Legal Med ; 135(3): 979-991, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-32875396

RESUMO

Scavenging animals often scatter skeletal remains of forensic interest and cause scavenging damage. This study aimed to identify scavenging animals in the peri-urban agricultural Highveld of South Africa, describe their scattering patterns, and the damage they cause to bone. Ten pig carcasses (Sus scrofa domesticus) (40-80 kg) were placed at the University of Pretoria's Mierjie Le Roux Experimental Farm (Highveld) in summer and winter. Motion-activated cameras recorded the scavenging. Scavenger species were identified and their behaviors, scattering pattern, and the damage they cause to bone were described. Scavenging was primarily by black-backed jackals; however, mongooses (slender, yellow, and water mongoose), Cape porcupine, and honey badger were also active. Remains were commonly scattered in two directions by jackals. The distance of scattering was heavily influenced by fencing. The remains were scattered within a maximum radius of 73.7 m. The remains were scavenged and skeletonized faster in summer. Jackals caused minimal damage to bone, isolated to superficial, nonspecific scores, furrows, and punctures. A few mongoose bone alterations were present as jagged gnaw marks on the angle of the mandible and gnawing of the vertebral spinous process. Cape porcupine bone damage included gnaw marks on the condyle of a femur and head of humerus, and destruction of the proximal and distal ends of a tibia. The described scattering pattern and bone modification patterns will assist in the recovery and analysis of scavenged remains found in peri-urban agricultural areas in South Africa.


Assuntos
Comportamento Apetitivo , Restos Mortais/lesões , Osso e Ossos/lesões , Comportamento Alimentar , Antropologia Forense , Animais , Herpestidae , Chacais , Mustelidae , Porcos-Espinhos , Estações do Ano , África do Sul
6.
Int J Legal Med ; 134(3): 1227-1238, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-31471653

RESUMO

Forensic anthropologists in Southern Africa are often confronted with post-mortem modifications of human skeletal remains caused by animal scavenging. This is troublesome as the post-mortem pseudo-trauma could be misinterpreted. This study aimed to describe the skeletal trauma caused by Southern African scavengers which are of forensic interest. The scavenging animals selected for this study included wild dog, spotted hyena, lion, leopard, black-backed jackal, caracal, and porcupine housed at the National Zoological Gardens of South Africa. Sparsely fleshed and articulated bovine front and hind limbs as well as ribs were placed in each animal enclosure and collected after 2 days for cleaning and analysis. Felids (lion, leopard, and caracal) gnawed away the greater trochanter of the humerus leaving deep, parallel furrows. Hyena caused massive trauma to bone with one-third of the tibia shaft surviving with jagged fracture edges. Porcupines left distinctive fan-like parallel scores and large, oval depressions with an eroded, polished appearance. Wild dogs and jackals did not leave any distinctive patterns. Light scavenging trauma is distinct from other bone taphonomy but cannot be used to determine the species. Heavy scavenging trauma patterns can be used to determine the general type of perpetrating animal; however, the exact taxa or species cannot be determined.


Assuntos
Restos Mortais/lesões , Osso e Ossos/lesões , Comportamento Alimentar , Antropologia Forense , Animais , Bovinos , Cães , Hyaenidae , Chacais , Leões , Panthera , Porcos-Espinhos , África do Sul
7.
Anaesth Intensive Care ; 46(6): 589-595, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30447668

RESUMO

The prevalence of vitamin D deficiency in critical illness is known to be high and associated with adverse clinical outcomes. Patients receiving extracorporeal membrane oxygenation (ECMO) may be at increased risk of vitamin D deficiency due to high severity of acute illness. Challenges with drug dosing in ECMO patients are recognised due to increased volume of distribution and drug absorption to circuit components. To describe the prevalence of vitamin D deficiency in ECMO patients and the effect of intramuscular dosing of cholecalciferol on levels of vitamin D metabolites, and to compare these data with intensive care unit (ICU) patients not receiving ECMO, two prospective studies were performed sequentially: an observational study of 100 consecutive ICU patients and an interventional study assessing effects of intramuscular cholecalciferol in 50 ICU patients. The subgroup of patients who required ECMO support in each of these studies was analysed and compared to patients who did not receive ECMO. Twenty-four ECMO patients, 12 from the observational study and 12 from the interventional study (who received intramuscular cholecalciferol) were studied-21/24 (88%) ECMO patients were vitamin D deficient at baseline compared to 65/126 (52%) of non-ECMO patients (P=0.006). Of the 12 ECMO patients who received cholecalciferol, six patients (50%) achieved correction of deficiency compared to 36/38 (95%) non-ECMO patients (P=0.001). The prevalence of vitamin D deficiency is higher in ECMO patients compared to other critically ill adults. Correction of deficiency with single dose cholecalciferol is not reliable; higher or repeated doses should be considered to correct deficiency.


Assuntos
Colecalciferol/uso terapêutico , Suplementos Nutricionais , Oxigenação por Membrana Extracorpórea/estatística & dados numéricos , Deficiência de Vitamina D/tratamento farmacológico , Deficiência de Vitamina D/epidemiologia , Vitamina D/sangue , Adulto , Idoso , Estado Terminal , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , New South Wales/epidemiologia , Prevalência , Estudos Prospectivos , Deficiência de Vitamina D/sangue , Vitaminas/uso terapêutico
8.
Int J Legal Med ; 132(1): 301-309, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28608144

RESUMO

Several studies have been conducted on decomposition patterns and rates of surface remains; however, much less are known about this process for buried remains. Understanding the process of decomposition in buried remains is extremely important and aids in criminal investigations, especially when attempting to estimate the post mortem interval (PMI). The aim of this study was to compare the rates of decomposition between buried and surface remains. For this purpose, 25 pigs (Sus scrofa; 45-80 kg) were buried and excavated at different post mortem intervals (7, 14, 33, 92, and 183 days). The observed total body scores were then compared to those of surface remains decomposing at the same location. Stages of decomposition were scored according to separate categories for different anatomical regions based on standardised methods. Variation in the degree of decomposition was considerable especially with the buried 7-day interval pigs that displayed different degrees of discolouration in the lower abdomen and trunk. At 14 and 33 days, buried pigs displayed features commonly associated with the early stages of decomposition, but with less variation. A state of advanced decomposition was reached where little change was observed in the next ±90-183 days after interment. Although the patterns of decomposition for buried and surface remains were very similar, the rates differed considerably. Based on the observations made in this study, guidelines for the estimation of PMI are proposed. This pertains to buried remains found at a depth of approximately 0.75 m in the Central Highveld of South Africa.


Assuntos
Sepultamento , Mudanças Depois da Morte , Animais , Comportamento Alimentar , Patologia Legal , Insetos , Modelos Animais , África do Sul , Suínos
9.
Homo ; 68(6): 433-439, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29079296

RESUMO

During the 20th century a general positive secular trend for stature is observed in developed countries around the world while shorter statures, often associated with a lack of a positive secular trend, have mostly been observed in populations with lower SES. The purpose of this study was to compare secular changes in stature between 20th century South Africans of European descent and two European populations. The comparative samples include Dutch males with which there is an assumed genetic relationship, and Swiss males for which the genetic association is less clear. The sample comprised anthropometric stature data of white South Africans (17-62 years), Swiss and Dutch males (18-21 years) obtained from military conscripts with birth cohorts of 5 years from 1946 to 1995. The stature of white South African males did not increase at a significant rate compared to those observed in Swiss and Dutch males. South African and Dutch males were of similar height following World War II, but a considerable trend was observed only in the Dutch group. The Swiss group was initially shorter than the South Africans, but due to a positive secular trend their average stature is on a par with that of South Africans in the most recent cohort. The lack of a significant positive secular trend in the South African group could suggest that factors such as gene flow and poor economic and social development in South Africa resulted in shorter statures in white South African groups than expected.


Assuntos
População Negra , Estatura/fisiologia , Militares , População Branca , Adolescente , Adulto , Estudos de Coortes , Feminino , História do Século XX , Humanos , Masculino , Pessoa de Meia-Idade , Países Baixos , Classe Social , Suíça , Adulto Jovem
10.
J Fish Dis ; 40(11): 1665-1680, 2017 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-28493486

RESUMO

This study compares the aetiology of pansteatitis in Lake Loskop, relative to two other impoundments along the Olifants River. Macroscopic and microscopic pathology, age determination and analysis of stomach content, fatty acids and stable isotopes explain the high prevalence of pansteatitis in Oreochromis mossambicus (Peters) and several other species in Lake Loskop. All the dietary indicator comparisons between pansteatitis-affected and healthy fish fail to support a systemic cause. Pansteatitis in Lake Loskop was linked to size and weight of O. mossambicus, but not to ontogenic age. Fish in Lake Loskop showed abnormally high omega-3 to omega-6 fatty acid ratios normally only found in marine fish with no significant difference in degree of assimilation of these fatty acids between pansteatitis-affected and healthy fish. This explains the vulnerability to, but not the occurrence of, pansteatitis. As a cause for the pansteatitis, these results point towards sporadic vitamin E-depleting trigger events, known sporadic fish die-off occurrences that provide surviving fish with a rich source of rancid fats on which to scavenge. The mechanism ties pansteatitis to eutrophication and trophic cascade effects, the intrinsic drivers of the disease and suggests an adaptive management strategy that might be applied by relevant conservation authorities.


Assuntos
Doenças dos Peixes/epidemiologia , Peixes , Estado Nutricional , Esteatite/epidemiologia , Animais , Feminino , Doenças dos Peixes/patologia , Doenças dos Peixes/fisiopatologia , Lagos , Masculino , Prevalência , África do Sul/epidemiologia , Esteatite/patologia , Esteatite/fisiopatologia
11.
Med Sci Law ; 57(3): 115-123, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-28480785

RESUMO

Burial of remains is an important factor when one attempts to establish the post-mortem interval as it reduces, and in extreme cases, excludes oviposition by Diptera species. This in turn leads to modification of the decomposition process. The aim of this study was to record decomposition patterns of buried remains using a pig model. The pattern of decomposition was evaluated at different intervals and recorded according to existing guidelines. In order to contribute to our knowledge on decomposition in different settings, a quantifiable approach was followed. Results indicated that early stages of decomposition occurred rapidly for buried remains within 7-33 days. Between 14 and 33 days, buried pigs displayed common features associated with the early to middle stages of decomposition, such as discoloration and bloating. From 33 to 90 days advanced decomposition manifested on the remains, and pigs then reached a stage of advanced decomposition where little change was observed in the next ±90-183 days after interment. Throughout this study, total body scores remained higher for surface remains. Overall, buried pigs followed a similar pattern of decomposition to those of surface remains, although at a much slower rate when compared with similar post-mortem intervals in surface remains. In this study, the decomposition patterns and rates of buried remains were mostly influenced by limited insect activity and adipocere formation which reduces the rate of decay in a conducive environment (i.e. burial in soil).


Assuntos
Sepultamento , Mudanças Depois da Morte , Animais , Patologia Legal , África do Sul , Suínos , Fatores de Tempo
12.
Intensive care med ; 43(3)Mar. 2017.
Artigo em Inglês | BIGG - guias GRADE | ID: biblio-948600

RESUMO

OBJECTIVE: To provide an update to "Surviving Sepsis Campaign Guidelines for Management of Sepsis and Septic Shock: 2012". DESIGN: A consensus committee of 55 international experts representing 25 international organizations was convened. Nominal groups were assembled at key international meetings (for those committee members attending the conference). A formal conflict-of-interest (COI) policy wasdeveloped at the onset of the process and enforced throughout. A stand-alone meeting was held for all panel members in December 2015. Teleconferences and electronic-based discussion among subgroupsand among the entire committee served as an integral part of the development. METHODS: The panel consisted of five sections: hemodynamics, infection, adjunctive therapies, metabolic, and ventilation. Population, intervention, comparison, and outcomes (PICO) questions were reviewed and updated as needed, and evidence profiles were generated. Each subgroup generated a list of questions, searched for best available evidence, and then followed the principles of the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system to assess the quality of evidence from high to very low, and to formulate recommendations as strong or weak, or best practice statement when applicable. RESULTS: The Surviving Sepsis Guideline panel provided 93 statements on early management and resuscitation of patients with sepsis or septic shock. Overall, 32 were strong recommendations, 39 were weak recommendations, and 18 were best-practice statements. No recommendation was provided for four questions. CONCLUSIONS: Substantial agreement exists among a large cohort of international experts regarding many strong recommendations for the best care of patients with sepsis. Although a significant number of aspects of care have relatively weak support, evidence-based recommendations regarding the acute management of sepsis and septic shock are the foundation of improved outcomes for these critically ill patients with high mortality.(AU)


Assuntos
Humanos , Choque Séptico/tratamento farmacológico , Sepse/tratamento farmacológico , Planejamento de Assistência ao Paciente , Respiração Artificial , Vasoconstritores/uso terapêutico , Calcitonina/uso terapêutico , Avaliação Nutricional , Doença Crônica/tratamento farmacológico , Terapia de Substituição Renal , Hidratação/métodos , Antibacterianos/administração & dosagem
13.
Lipids Health Dis ; 16(1): 47, 2017 Feb 23.
Artigo em Inglês | MEDLINE | ID: mdl-28231818

RESUMO

BACKGROUND: In an effort to characterize the fat body and other adipose tissue in the Nile crocodile and the effects of pansteatitis on the structure and composition of the adipose tissue, we evaluated the regional variation in structure and fatty acid composition of healthy farmed crocodiles and those affected by pansteatitis. METHODS: Adipose tissue samples were collected from the subcutaneous, visceral and intramuscular fat and the abdominal fat body of ten 4-year old juvenile crocodiles from Izinthaba Crocodile Farm, Pretoria, South Africa while pansteatitis samples were collected from visceral and intramuscular fat of crocodiles that had died of pansteatitis at the Olifant River, Mpumalanga, also in South Africa. Histomorphology, ultrastrustucture and fatty acid composition by fatty acid methyl ester (FAME) analysis were conducted. RESULTS: Histological examination showed regional variations in the adipose tissue especially in the collagen content of the ECM, tissue perfusion and division into lobes and lobules by fibrous capsule. Considerable fibrosis, mononuclear cell infiltration especially by macrophages and lymphocytes and toxic changes in the nucleus were observed in the pansteatitis samples. Regional variation in lipid composition especially in Myristoleic (C14:1), Erucic acid (C22:1n9), and Docosadienoic acid (C22:2n6) was observed. Most of the saturated and trans fatty acids were found in significant quantities in the pansteatitis samples, but had very low levels of the cis fatty acid and the essential fatty acids with C18 backbone. CONCLUSION: This study demonstrates that there exists some regional variation in histomorphology and fatty acid composition in the healthy adipose tissue of the Nile crocodile. It also showed that pansteatitis in the Nile crocodile might have been triggered by sudden change in energy balance from consumption of dead fish; and probable exposure to toxic environmental conditions with the evidence of up scaled monounsaturated long chain fatty acids composition and toxic changes in the leucocytes observed in pansteatitis in the present study.


Assuntos
Jacarés e Crocodilos , Gordura Intra-Abdominal/patologia , Esteatite/patologia , Gordura Subcutânea/patologia , Animais , Ácidos Graxos/metabolismo , Gordura Intra-Abdominal/metabolismo , Músculo Esquelético/metabolismo , Músculo Esquelético/patologia , Especificidade de Órgãos , Esteatite/metabolismo , Gordura Subcutânea/metabolismo
14.
Int J Legal Med ; 130(3): 809-17, 2016 May.
Artigo em Inglês | MEDLINE | ID: mdl-26662190

RESUMO

Anthropologists are constantly seeking to improve methods for age estimation in the human skeleton. A new method was introduced about a decade ago that assesses the morphological changes that take place in the acetabulum as an individual ages. The pelvis is usually well preserved in forensic cases, which makes this method potentially valuable as an adult age indicator. This method employs seven variables, each with its own set of phases. To test the accuracy and reliability of this method, 100 black South African male acetabula from the Pretoria Bone Collection were assessed based on the criteria described in the original study. Box plots and transition curves were constructed to establish whether progression with age was visible and how it could possibly be modelled. Inter-observer reliability was also assessed by making use of Fleiss's Kappa statistic. Five specimens were used as out-of-sample examples for which maximum likelihood (point) estimates were calculated. The results demonstrated that middle and older individuals' age estimates were vastly underestimated. Inter-observer repeatability was poor, which suggested that the classification system most likely needs to be modified. A discussion and recommendation is given for improvement of reliability and repeatability of this method.


Assuntos
Acetábulo/anatomia & histologia , Determinação da Idade pelo Esqueleto/métodos , População Negra , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Humanos , Modelos Lineares , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , África do Sul , Adulto Jovem
15.
Zootaxa ; 4052(5): 577-82, 2015 Dec 07.
Artigo em Inglês | MEDLINE | ID: mdl-26701455

RESUMO

Rumen contents were collected from ten adult female blesbok, five from a mine area with only acid drinking water available and five from a control group consuming normal, non-polluted drinking water. The mean concentration of total protozoa in the normal water group was almost double that in the acid drinking water group, 24.9 x 10(3) versus 14.7 x 10(3). Percent of Entodinium was higher and Diplodinium lower in those animals drinking the acid water. The number of different protozoa species present in animals from both locations was fairly similar. Diplodinium bubalidis, Ostracodinium gracile and Diplodinium consors were present in the highest percentage in the normal water group, 18.8, 18.4 and 17.7 %, respectively. The same three species, plus Entodinium dubardi, were also highest in the acid water group, O. gracile, 21.3 %; D. consors, 12.6 %; E. dubardi, 11.4 % and D. bubalidis, 10.3 %. Seventeen species of protozoa found in this study were a new host record for the blesbok, bringing the total number of species reported from the blesbok to 29.


Assuntos
Antílopes/parasitologia , Cilióforos/fisiologia , Água Potável , Animais , Água Potável/química , Feminino , Concentração de Íons de Hidrogênio , Rúmen/parasitologia , África do Sul
16.
Intensive Care Med ; 41(9): 1611-9, 2015 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-26077073

RESUMO

INTRODUCTION: Recent evidence indicates that the choice of intravenous fluids may affect outcomes in critically ill patients. METHODS: We recorded the administration of resuscitation fluids in patients admitted to Australian and New Zealand adult intensive care units (ICUs) for a 24-h period at 6 time points between 2007 and 2013. Changes in patterns of fluid use over this period were determined using regression analyses. RESULTS: Of the 2825 patients admitted to the 61 ICUs on the 6 study days, 754 (26.7%) patients received fluid resuscitation. Of those receiving fluid resuscitation, the proportion of patients receiving crystalloid significantly increased from 28.9% (41/142) in 2007 to 50.5% (48/95) in 2013 (adjusted odds ratio (OR) 2.93; 95% confidence intervals (CI) 1.35-6.33; p = 0.006); of these, the proportion of patients receiving buffered salt solutions significantly increased from 4.9% (7/142) in 2007 to 31.6% (30/95) in 2013 (OR 7.00; 95% CI 2.14-22.92; p = 0.001). The use of colloids significantly decreased from 59.9% (85/142) in 2007 to 42.1% (40/95) in 2013 (adjusted OR 0.34; 95% CI 0.16-0.74; p = 0.007) due to a significant decrease in the proportion of patients receiving gelatin; 28.9% (41/142) to 2.1% (2/95) (OR 0.10; 95% CI 0.03-0.29; p ≤ 0.001). CONCLUSION: Fluid resuscitation practice in Australia and New Zealand adult ICUs has changed over the 6-year study period. Crystalloid use increased primarily due to an increase in the use of buffered salt solutions while overall the use of colloid has decreased.


Assuntos
Hidratação , Ressuscitação/métodos , Austrália , Coloides/uso terapêutico , Estudos Transversais , Soluções Cristaloides , Feminino , Humanos , Unidades de Terapia Intensiva , Soluções Isotônicas/uso terapêutico , Masculino , Pessoa de Meia-Idade , Nova Zelândia , Soluções para Reidratação/uso terapêutico , Fatores de Tempo
17.
J Intern Med ; 277(1): 58-68, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-25352314

RESUMO

The administration of intravenous fluids for resuscitation is the most common intervention in acute medicine. There is increasing evidence that the type of fluid may directly affect patient-centred outcomes. There is a lack of evidence that colloids confer clinical benefit over crystalloids and they may be associated with harm. Hydroxyethyl starch preparations are associated with increased mortality and use of renal replacement therapy in critically ill patients, particularly those with sepsis; albumin is associated with increased mortality in patients with severe traumatic brain injury. Crystalloids, such as saline or balanced salt solutions, are increasingly recommended as first-line resuscitation fluids for the majority of patients with hypovolaemia. There is emerging evidence that saline may be associated with adverse outcomes due to the development of hyperchloraemic metabolic acidosis, although the safety of balanced salt solutions has not been established. Fluid requirements vary over the course of critical illness. The excessive use of fluids during the resuscitative period is associated with increased cumulative fluid balance and adverse outcomes in critically ill patients. The selection of fluid depends on the clinical context in which it is administered and requires careful consideration of the dose and potential for toxicity. There is an urgent need to conduct further high-quality randomized controlled trials of currently available fluid therapy in patients with critical illness.


Assuntos
Cuidados Críticos/métodos , Hidratação/normas , Guias de Prática Clínica como Assunto , Soluções para Reidratação/administração & dosagem , Ressuscitação/métodos , Albuminas/administração & dosagem , Coloides/administração & dosagem , Cuidados Críticos/tendências , Soluções Cristaloides , Medicina de Emergência/normas , Medicina de Emergência/tendências , Feminino , Hidratação/tendências , Previsões , Humanos , Derivados de Hidroxietil Amido/administração & dosagem , Soluções Isotônicas/administração & dosagem , Masculino , Prognóstico , Ensaios Clínicos Controlados Aleatórios como Assunto , Ressuscitação/mortalidade , Medição de Risco , Taxa de Sobrevida , Resultado do Tratamento
18.
Br J Anaesth ; 113(5): 772-83, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-25326478

RESUMO

Fluid management during critical illness is a dynamic process that may be conceptualized as occurring in four phases: rescue, optimization, stabilization, and de-escalation (mobilization). The selection and administration of resuscitation fluids is one component of this complex physiological sequence directed at restoring depleted intravascular volume. Presently, the selection of i.v. fluid is usually dictated more by local practice patterns than by evidence. The debate on fluid choice has primarily focused on evaluating outcome differences between 'crystalloids vs colloids'. More recently, however, there is interest in examining outcome differences based on the chloride content of crystalloid solutions. New insights into the conventional Starling model of microvascular fluid exchange may explain that the efficacy of colloids in restoring and maintaining depleted intravascular volume is only moderately better than crystalloids. A number of investigator-initiated, high-quality, randomized controlled trials have demonstrated that modest improvements in short-term physiological endpoints with colloids have not translated into better patient-centred outcomes. In addition, there is substantial evidence that certain types of fluids may independently worsen patient-centred outcomes. These include hydroxyethyl starch and albumin solutions in selected patient populations. There is no evidence to support the use of other colloids. The use of balanced salt solutions in preference to 0.9% saline is supported by the absence of harm in large observational studies. However, there is no compelling randomized trial-based evidence demonstrating improved clinical outcomes with the use of balanced salt solutions compared with 0.9% saline at this time.


Assuntos
Doença Aguda/terapia , Hidratação/métodos , Cuidados Críticos/métodos , Estado Terminal/terapia , Diálise , Humanos
19.
Vet Rec ; 175(12): 304, 2014 Sep 27.
Artigo em Inglês | MEDLINE | ID: mdl-25096588

RESUMO

The electric stunner (e-stunner) is commonly used to handle Nile crocodiles (Crocodylus niloticus) on commercial farms in South Africa, but while it seems to improve handling and safety for the keepers, no information regarding physiological reactions to e-stunning is currently available. The aim of this study was therefore to compare various physiological parameters in farmed C niloticus captured either manually (noosing) or by using an e-stunner. A total of 45 crocodiles were captured at a South African farm by either e-stunning or noosing, and blood samples were taken immediately as well as four hours after capture. Parameters monitored were serum corticosterone, lactate, glucose, as well as alanine aminotransferase, alkaline phosphatase, aspartate aminotransferase and creatine kinase. Lactate concentrations were significantly higher in noosed compared with e-stunned animals (P<0.001). No other blood parameter differed significantly between the two methods of capture. In addition, recorded capture time confirmed that noosing takes significantly longer time compared with e-stunning (P<0.001), overall indicating that e-stunning seems to be the better option for restraint of especially large numbers of crocodiles in a commercial setup because it is quicker, safer and did not cause a significant increase in any of the parameters measured.


Assuntos
Jacarés e Crocodilos/sangue , Eletrochoque/veterinária , Imobilização/veterinária , Alanina Transaminase/sangue , Fosfatase Alcalina/sangue , Animais , Aspartato Aminotransferases/sangue , Glicemia/análise , Corticosterona/sangue , Creatina Quinase/sangue , Imobilização/métodos , Ácido Láctico/sangue , África do Sul
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