RESUMO
The purpose of this study was to investigate the effect of preoxidation on porcelain titanium- bond strength and the effect of paste bonder (adhesive) on the titanium porcelain bond strength. 11 specimens of commercially pure titanium (26 x 7 x 3 mm) were prepared by different heat treatments in programmable dental furnace. Identification of the oxides formed on the metal surface was conducted with an X-Ray diffractometer with CuKalpha radiation. Vickers hardness numbers were determine. Additional 50 specimens of commercially pure titanium were used to bond with low fusing porcelain. The bond strength was measured in a universal testing machine. X-ray diffraction analysis of the surface of pure titanium revealed that the relative peak intensity of alpha -Ti decreased and that of TiO2 increased with increasing firing temperature. The Vickers hardness number decreased initially as the temperature increased but it increased remarkably above 900 degrees C & was harder in air than vacuum. The tensile shear bond strength was highest in the green stage i.e. without preoxidation of metal, and decreased above 900 degrees C, and was the lowest in the group without paste bonder application. The difference in bond strengths was statistically highly significant for all groups. Preoxidation under vacuum before porcelain firing can effectively improve bonding. The adhesive provided with the low fusing porcelain helps in the bond between titanium & porcelain.
Assuntos
Colagem Dentária , Materiais Dentários/química , Porcelana Dentária/química , Titânio/química , Adesivos , Ar , Óxido de Alumínio/química , Corrosão Dentária/métodos , Análise do Estresse Dentário/instrumentação , Dureza , Temperatura Alta , Humanos , Teste de Materiais , Oxirredução , Resistência ao Cisalhamento , Estresse Mecânico , Propriedades de Superfície , Resistência à Tração , Vácuo , Difração de Raios XRESUMO
Colour degradation is a serious limitation of maxillofacial silicone elastomers and most silicone facial prostheses have to be remade within 1 year due to colour deterioration. A comprehensive review of the literature was completed using MEDLINE and PubMed Library databases. This was supplemented with a manual search of selected journals and textbooks. English language articles published in peer-reviewed journals from 1966 to January 2012 in which colour stability of silicone elastomers was evaluated using standard research protocols were included. In all, 127 articles were identified and 23 met the inclusion criteria. Current literature reveals that average colour stability of maxillofacial silicone prostheses is 6-12 months, and inherent unstable nature of silicones is responsible for the color degradation. Opacifiers, oil pigments and inorganic colourants may have a protective effect on colour stability of prostheses. Organic colourants, ultraviolet (UV) light, cleansing solutions, dust and aging can adversely affect colour stability of silicone prostheses. A direct comparison between studies has not been possible, because of the differences in experimental set-up such as materials tested, colourants used, or method of aging. There appears to be a need for a standardised test protocol for colour stability of maxillofacial materials. Colour degradation limits the useful lifespan of maxillofacial silicones. Improvements in colour stability is possible with the use of certain nano opacifiers, UV absorbers, photoprotective agents, and use of inorganic pigments and metal oxides.
Assuntos
Prótese Maxilofacial , Pigmentação em Prótese , Elastômeros de Silicone/química , Cor , Corantes/química , HumanosRESUMO
Dual energy (DE) imaging consists of obtaining kilovoltage (kV) x-ray images at two different diagnostic energies and performing a weighted subtraction of these images. A third image is then produced that highlights soft tissue. DE imaging has been used by radiologists to aid in the detection of lung malignancies. However, it has not been used clinically in radiotherapy. The goal of this study is to assess the feasibility of performing DE imaging using a commercial on-board imaging system. Both a simple and an anthropomorphic phantom were constructed for this analysis. Planar kV images of the phantoms were obtained using varied imaging energies and mAs. Software was written to perform DE subtraction using empirically determined weighting factors. Tumor detectability was assessed quantitatively using the signal-difference-to-noise ratio (SDNR). Overall DE subtraction suppressed high density objects in both phantoms. The optimal imaging technique, providing the largest SDNR with a dose less than our reference technique was 140 kVp, 1.0 mAs and 60 kVp, 3.2 mAs. Based on this analysis, DE subtraction imaging is feasible using a commercial on-board imaging system and may improve the visualization of tumors in lung cancer patients undergoing image-guided radiotherapy.
Assuntos
Tomografia Computadorizada por Raios X/métodos , Estudos de Viabilidade , Imagens de Fantasmas , Técnica de SubtraçãoRESUMO
A genome-wide scan was performed to detect quantitative trait loci (QTL) for resistance to the gastrointestinal nematode Haemonchus contortus in a double backcross population of Red Maasai and Dorper sheep. The mapping population comprised six sire families, with 1026 lambs in total. The lambs were artificially challenged with H. contortus at about 6.5 months of age, and nine phenotypes were measured: fecal egg count, packed cell volume decline, two weight traits and five worm traits. A subset of the population (342 lambs) was selectively genotyped for 172 microsatellite loci covering 25 of the 26 autosomes. QTL mapping was performed for models which assumed that the QTL alleles were either fixed or segregating within each breed, combined with models with only an additive QTL effect fitted or both additive and dominance QTL effects fitted. Overall, QTL significant at the 1% chromosome-wide level were identified for 22 combinations of trait and chromosome. Of particular interest are a region of chromosome 26 with putative QTL for all nine traits and a region of chromosome 2 with putative QTL for three traits. Favorable QTL alleles for disease resistance originated in both the Red Maasai and Dorper breeds, were not always fixed within breed and had significant dominance effects in some cases. We anticipate that this study, in combination with follow-up work and other relevant studies, will help elucidate the biology of disease resistance.
Assuntos
Hemoncose/genética , Haemonchus , Locos de Características Quantitativas , Doenças dos Ovinos/genética , Ovinos/genética , Ovinos/parasitologia , África Oriental , Alelos , Animais , Cruzamento , Mapeamento Cromossômico , Cromossomos/genética , Resistência à Doença , Feminino , Ligação Genética , Genótipo , Repetições de Microssatélites , Contagem de Ovos de Parasitas/veterinária , Fenótipo , Doenças dos Ovinos/parasitologiaRESUMO
CONTEXT: Clinical and laboratory studies regarding performance of recently introduced luting cements: Adhesive resin cement and resin-modified glass ionomer cement (GIC), are limited. AIMS: To compare the retention and marginal seating of Ni-Cr alloy restorations using newer luting cements: Resin-modified GIC and adhesive resin cement with those of the oldest cement, zinc phosphate. MATERIALS AND METHODS: Thirty maxillary premolars of similar sizes were prepared to receive cast metal copings. Copings were placed on the prepared teeth and the marginal opening was examined using a Nikon Measuroscope. The specimens were randomly assigned to three groups. Group I castings were luted with zinc phosphate, Group II castings luted with resin-modified GIC, and Group III castings luted with adhesive resin cement. After cementation marginal seating was measured. Tensile loads required to dislodge the crowns were obtained using MTS machine. STATISTICAL ANALYSIS USED: Tukey's test, Analysis of Variance (ANOVA). RESULTS: For zinc phosphate cement, mean marginal seating was 31 microns. Mean retentive strength was 287 Newtons. For resin-modified GIC, mean marginal seating was 29.6 microns. Mean retentive strength was 610 Newtons. For adhesive resin cement, mean marginal seating was 49 microns. Mean retentive strength was 613 Newtons. CONCLUSIONS: Marginal seating of adhesive resin cement was significantly greater than that of zinc phosphate and resin-modified GIC. Retentive strength of adhesive resin cement and resin-modified GIC was significantly greater than that of zinc phosphate There was no significant difference of retentive strength between adhesive resin cement and resin-modified GIC.
Assuntos
Ligas de Cromo/química , Coroas , Revestimento para Fundição Odontológica/química , Cimentos Dentários/química , Adaptação Marginal Dentária , Retenção em Prótese Dentária , Bis-Fenol A-Glicidil Metacrilato/química , Cimentação/métodos , Colagem Dentária , Análise do Estresse Dentário/instrumentação , Cimentos de Ionômeros de Vidro/química , Humanos , Teste de Materiais , Polietilenoglicóis/química , Ácidos Polimetacrílicos/química , Cimentos de Resina/química , Estresse Mecânico , Propriedades de Superfície , Resistência à Tração , Preparo Prostodôntico do Dente/instrumentação , Cimento de Fosfato de Zinco/químicaRESUMO
A genome-wide scan for quantitative trait loci (QTL) affecting gastrointestinal nematode resistance in sheep was completed using a double backcross population derived from Red Maasai and Dorper ewes bred to F(1) rams. This design provided an opportunity to map potentially unique genetic variation associated with a parasite-tolerant breed like Red Maasai, a breed developed to survive East African grazing conditions. Parasite indicator phenotypes (blood packed cell volume - PCV and faecal egg count - FEC) were collected on a weekly basis from 1064 lambs during a single 3-month post-weaning grazing challenge on infected pastures. The averages of last measurements for FEC (AVFEC) and PCV (AVPCV), along with decline in PCV from challenge start to end (PCVD), were used to select lambs (N = 371) for genotyping that represented the tails (10% threshold) of the phenotypic distributions. Marker genotypes for 172 microsatellite loci covering 25 of 26 autosomes (1560.7 cm) were scored and corrected by Genoprob prior to qxpak analysis that included Box-Cox transformed AVFEC and arcsine transformed PCV statistics. Significant QTL for AVFEC and AVPCV were detected on four chromosomes, and this included a novel AVFEC QTL on chromosome 6 that would have remained undetected without Box-Cox transformation methods. The most significant P-values for AVFEC, AVPCV and PCVD overlapped the same marker interval on chromosome 22, suggesting the potential for a single causative mutation, which remains unknown. In all cases, the favourable QTL allele was always contributed from Red Maasai, providing support for the idea that future marker-assisted selection for genetic improvement of production in East Africa will rely on markers in linkage disequilibrium with these QTL.
Assuntos
Resistência à Doença , Enteropatias Parasitárias/veterinária , Locos de Características Quantitativas , Doenças dos Ovinos/genética , Doenças dos Ovinos/imunologia , África , Animais , Cruzamentos Genéticos , Feminino , Estudo de Associação Genômica Ampla , Enteropatias Parasitárias/genética , Enteropatias Parasitárias/imunologia , Masculino , Ovinos , Carneiro DomésticoRESUMO
A comparison of F2 and F6/7 inter-cross lines of mice, derived from CBA and SWR parental strains, has provided strong evidence for several previously undetected quantitative trait loci (QTL) for resistance to Heligmosomoides bakeri. Five QTL affecting average faecal egg counts and/or worm burdens in week 6 were detected on mouse chromosomes 5 (Hbnr9 and Hbnr10), 8 (Hbnr11) and 11 (Hbnr13 and Hbnr14). Three QTL for faecal egg counts in weeks 4 and 6 were found on both chromosomes 5 (Hbnr9) and 11 (Hbnr13 and Hbnr14). Two QTL for the mucosal mast cell protease 1 (MCPT1) response were located on chromosomes 8 (Hbnr11) and 11 (Hbnr13), two for the IgG1 antibody response to adult worms on chromosomes 5 (Hbnr10) and 8 (Hbnr11), two for PCV in week 6 on chromosomes 5 (Hbnr9) and 11 (Hbnr13), and two for the granulomatous response on chromosome 8 (Hbnr12) and 11 (Hbnr15). Our data emphasize that the control of resistance to H. bakeri is multigenic, and regulated by genes within QTL regions that have a complex range of hierarchical relationships.
Assuntos
Mapeamento Cromossômico , Cromossomos de Mamíferos/genética , Imunidade Inata/genética , Locos de Características Quantitativas/genética , Infecções por Strongylida , Estrongilídios/patogenicidade , Animais , Cruzamentos Genéticos , Fezes/parasitologia , Camundongos , Contagem de Ovos de Parasitas , Estrongilídios/classificação , Infecções por Strongylida/genética , Infecções por Strongylida/imunologia , Infecções por Strongylida/parasitologia , Infecções por Strongylida/patologiaRESUMO
Microsatellite markers are commonly used for population genetic analyses of livestock. However, up to now, combinations of microsatellite data sets or comparison of population genetic parameters from different studies and breeds has proven difficult. Often different genotyping methods have been employed, preventing standardization of microsatellite allele calling. In other cases different sets of markers have been genotyped, providing differing estimates of population genetic parameters. Here, we address these issues and illustrate a general two-step regression approach in cattle using three different sets of microsatellite data, to combine population genetics estimates of diversity and admixture. This regression-based method is independent of the loci genotyped but requires common breeds in the data sets. We show that combining microsatellite data sets can provide new insights on the origin and geographical distribution of genetic diversity and admixture in cattle, which will facilitate global management of this livestock species.
Assuntos
Bovinos/genética , Variação Genética , Genética Populacional , Repetições de Microssatélites/genética , Animais , Demografia , Frequência do Gene , Heterozigoto , Análise de RegressãoRESUMO
Susceptible A/J and more resistant C57BL/6J mice were infected with Plasmodium chabaudi chabaudi 54X, P.c. chabaudi AS and Plasmodium chabaudi adami 408XZ. As expected, most C57BL/6J mice survived the infections with the different isolates. But in contrast to previous observations, not all A/J mice succumbed to infection: just over 50% of A/J mice survived infections with P.c. chabaudi 54X, while 80% survived P.c. chabaudi AS. The more virulent parasite, P.c. adami 408XZ, was able to kill all A/J mice and 20% of C57BL/6J mice after an intravenous infection with 10(5) pRBC. A detailed study of four parameters of pathology (body weight, body temperature, blood glucose and RBC counts) in both mouse strains after a P.c. adami 408XZ infection showed similar patterns to those previously reported after infection with P.c. chabaudi AS. These data suggest that environmental factors as well as parasite polymorphisms might influence the severity of malaria between susceptible and resistant mice.
Assuntos
Malária/patologia , Parasitemia/patologia , Plasmodium chabaudi/patogenicidade , Animais , Glicemia/análise , Temperatura Corporal , Peso Corporal , Suscetibilidade a Doenças , Contagem de Eritrócitos , Eritrócitos/parasitologia , Imunidade Inata , Malária/sangue , Malária/imunologia , Masculino , Camundongos , Camundongos Endogâmicos A , Camundongos Endogâmicos C57BL , Parasitemia/sangue , Parasitemia/imunologia , Plasmodium chabaudi/classificação , Plasmodium chabaudi/imunologiaRESUMO
The objective of this study was to apply transition models to distinguish between factors associated with both incident and persistent trypanosome infections. Data collected from 1561 cattle were analyzed from a long-term study involving 8 herds in which both trypanosome infections (a total of 56,931 cattle sampling-months) and tsetse (Glossina spp.) challenge were monitored monthly from March 1986 to March 1998. Both pour-on and insecticide-target tsetse control programs and mass treatment with diminazene aceturate before tsetse control were associated with significant decreases in both incidence and persistence of trypanosome infection relative to noncontrol periods, as were seasonal and sex effects. The magnitudes of the effects were, however, often different for new and persistent infections. For persistence of infection, there were 2 trends. In general, the duration of infection increased during the study, despite the regular treatment with diminazene aceturate. The transition model had 2 major benefits. The first was to identify an increasing duration of infections with time, taking into account other factors associated with increasing infection risk. The second was to highlight different patterns in the effects of certain factors on new and persistent trypanosome infections.
Assuntos
Diminazena/análogos & derivados , Insetos Vetores/crescimento & desenvolvimento , Modelos Biológicos , Tripanossomíase Bovina/epidemiologia , Moscas Tsé-Tsé/crescimento & desenvolvimento , Fatores Etários , Animais , Bovinos , Diminazena/administração & dosagem , Etiópia/epidemiologia , Feminino , Incidência , Controle de Insetos/métodos , Insetos Vetores/parasitologia , Estudos Longitudinais , Masculino , Razão de Chances , Prevalência , Recidiva , Fatores de Risco , Estações do Ano , Sensibilidade e Especificidade , Fatores Sexuais , Tripanossomicidas/administração & dosagem , Tripanossomíase Africana/epidemiologia , Tripanossomíase Africana/prevenção & controle , Tripanossomíase Africana/veterinária , Tripanossomíase Bovina/prevenção & controle , Moscas Tsé-Tsé/parasitologiaRESUMO
The impact of tick control on the productivity of indigenous cattle was investigated in three herds of East African shorthorn Zebu and Zebu x Ankole (Nganda) breeds, maintained under three tick management systems practised under ranch conditions: twice-a-week dipping, once-a-month dipping, and no tick control. The milk production and the growth rates of pre-weaned and post-weaned calves were monitored once a month over a period of 34 months. Milk offtake was 23% higher during the heavy rainy seasons than in the long dry seasons. Twice-a-week dipping increased the milk offtake by 21% in the second year of study and prolonged the duration of lactation in cows. Similarly, twice-a-week dipping increased the pre-weaning growth rate by 39% in the second year of study, but had no significant effect on the post-weaning growth rate. Generally, the growth rate of calves were greatest during the heavy rainy seasons and least during the long dry seasons. These results provide a basis for assessing the losses under different tick management systems in the various production systems.
Assuntos
Doenças dos Bovinos/parasitologia , Bovinos/crescimento & desenvolvimento , Clorfenvinfos/administração & dosagem , Inseticidas/administração & dosagem , Lactação/efeitos dos fármacos , Compostos Organotiofosforados , Controle de Ácaros e Carrapatos/métodos , Doenças Transmitidas por Carrapatos/veterinária , Carrapatos/crescimento & desenvolvimento , Administração Tópica , Criação de Animais Domésticos , Animais , Peso Corporal , Doenças dos Bovinos/prevenção & controle , Feminino , Masculino , Estações do Ano , Doenças Transmitidas por Carrapatos/parasitologia , Doenças Transmitidas por Carrapatos/prevenção & controle , Carrapatos/metabolismo , UgandaRESUMO
Thirty-six flexor tendons from fresh frozen cadavers were randomized to three types of repairs: a Kessler-Tajima, a 4-strand modified Tsuge, and a 6-strand modified Tsuge. All repairs were accompanied by a standard epitendinous suture. The repaired tendons were then tested to initial gap and ultimate failure in an Instron machine. The average forces to ultimate failure were 31.8 N (SD, 8.8), 48.4 N (SD, 10.7), and 64.2 N (SD, 11.0) respectively. The 6-strand modified Tsuge suture was significantly stronger than the other repairs and the 4-strand modified Tsuge was significantly stronger than the 2-strand Kessler-Tajima. The 6-strand and 4-strand modified Tsuge repairs appear strong enough to withstand the forces generated during early active range of motion flexor tendon rehabilitation protocols. Clinical trials are required to evaluate the usefulness of these repairs.
Assuntos
Lacerações/fisiopatologia , Lacerações/cirurgia , Técnicas de Sutura , Traumatismos dos Tendões/fisiopatologia , Traumatismos dos Tendões/cirurgia , Tendões/fisiopatologia , Tendões/cirurgia , Fenômenos Biomecânicos , Cadáver , Humanos , Distribuição AleatóriaRESUMO
A method is described for calculating new infection incidence from monthly field data collected between April 1994 and February 1998 from an average of 770 Ethiopian Highland Zebu cattle maintained under traditional management in the Ghibe valley, southwest Ethiopia and exposed to a high challenge with drug-resistant parasites. Each month cattle with a packed cell volume (PCV)<26% and detected as parasitaemic, or cattle showing clinical signs of trypanosomosis, were treated with diminazene aceturate at 3.5 mg/kg body weight. An infection was defined as a new infection if it was preceded by 2 previous months in which both samples had a PCV>/=26% and were not detected with trypanosomes. Using this definition the average monthly incidence of infections of Trypanosoma congolense in cattle over 36 months of age was 13.3%, and the prevalence of recurrent infections 13.0%. Assuming that an animal had recovered from infection when PCV again returned to 26% without parasites being detected, mean persistence of infection was 3.8 months (median between 2 and 3 months). In contrast, T. vivax infections were susceptible to diminazene. The incidence of T. vivax infections in adults was lower than for T. congolense (2.8%), and they were less pathogenic (mean reduction of 3.1% units of PCV due to T. vivax infection compared with 4.6% units for T. congolense). Also, fewer cases were treated. Calves were first detected parasitaemic at an average age of 8.8 months and their infections persisted longer than those in adults. The effect of age on incidence of infection was not significant beyond 15 months of age. Adult male cattle appeared to be more susceptible to T. congolense infection than adult female cattle.
Assuntos
Doenças dos Bovinos/parasitologia , Tripanossomicidas/farmacologia , Trypanosoma congolense/efeitos dos fármacos , Tripanossomíase Africana/veterinária , Tripanossomíase Bovina/epidemiologia , Animais , Bovinos , Doenças dos Bovinos/epidemiologia , Resistência a Medicamentos , Etiópia/epidemiologia , Feminino , Hematócrito , Incidência , Masculino , Prevalência , Estações do Ano , Trypanosoma congolense/isolamento & purificação , Trypanosoma vivax/isolamento & purificação , Tripanossomíase Africana/epidemiologiaRESUMO
A deltamethrin 'pour-on' insecticide was applied monthly to over 2000 cattle exposed to a high challenge of drug-resistant trypanosomes and high tsetse re-invasion pressure in the Ghibe valley, south-west Ethiopia. Blood samples were taken monthly from an average of 760 cattle for determination of PCV and presence of trypanosomes. The area of the valley is approximately 350 km2 and the cattle grazed in roughly four locations covering about a quarter to half of the area. Two years before the trial commenced, Glossina morsitans submorsitans Newstead (Diptera: Glossinidae) began to invade the valley. Despite the use of the pour-on the mean apparent density of G. m. submorsitans continued to rise, and, during the 4 years of tsetse control, was more than three-fold higher than that recorded during the previous 18 months. Over the same period there was little change in the apparent density of Glossina pallidipes Austen (Diptera: Glossinidae). By contrast, the mean monthly prevalence of trypanosome infections in cattle over 36 months of age decreased from 38.3 to 29.0%, the incidence of new infections decreased from 26.6 to 16.0% (a reduction of 40%), and packed cell volume in cattle increased from 21.7 to 24.1%. Evidence of a change in apparent parasite transmission rate was demonstrated by regression of infection incidence in cattle on the logarithm of apparent density of G. m. submorsitans. Before the trial started the regression coefficient was 45.8 +/- 6.3 and this reduced to 9.2 +/- 2.5% incidence per log(e) (flies/trap/day) during the period of tsetse control. It was concluded that this indicated reductions in tsetse numbers in the immediate vicinities of cattle in a way that was not reflected in overall tsetse catches. Nevertheless, the comparatively high levels of trypanosome prevalence that persisted in the cattle demonstrates that, where invasion prevalence is high, treatment of small pockets of cattle will not eradicate tsetse. To achieve more significant reduction in trypanosome prevalence in cattle, integrated methods of control utilizing target barriers in the major routes of invasion will be needed.
Assuntos
Doenças dos Bovinos/prevenção & controle , Inseticidas , Piretrinas , Tripanossomíase/veterinária , Moscas Tsé-Tsé , Administração Tópica , Animais , Bovinos , Resistência a Medicamentos , Etiópia , Inseticidas/administração & dosagem , Nitrilas , Piretrinas/administração & dosagem , Estações do Ano , Tripanossomíase/prevenção & controleRESUMO
Effects of mechanical forces exerted on mammalian skeletal muscle cells during development were studied using an in vitro model to unidirectionally stretch cultured C2C12 cells grown on silastic membrane. Previous models to date have not studied these responses of the mammalian system specifically. The silastic membrane upon which these cells were grown exhibited linear strain behavior over the range of 3.6-14.6% strain, with a Poisson's ratio of approximately 0.5. To mimic murine in utero long bone growth, cell substrates were stretched at an average strain rate of 2.36%/day for 4 days or 1.77%/day for 6 days with an overall membrane strain of 9.5% and 10.6%, respectively. Both control and stretched fibers stained positively for the contractile protein, alpha-actinin, demonstrating muscle fiber development. An effect of stretch on orientation and length of myofibers was observed. At both strain rates, stretched fibers aligned at a smaller angle relative to the direction of stretch and were significantly longer compared to randomly oriented control fibers. There was no effect of duration of stretch on orientation or length, suggesting the cellular responses are independent of strain rate for the range tested. These results demonstrate that, under conditions simulating mammalian long bone growth, cultured myocytes respond to mechanical forces by lengthening and orienting along the direction of stretch.
Assuntos
Músculo Esquelético/fisiologia , Animais , Linhagem Celular , Camundongos , Fibras Musculares Esqueléticas/citologia , Músculo Esquelético/citologia , Estresse MecânicoRESUMO
A statistically derived disease reaction index based on parasitological, clinical and haematological measurements observed in 309 5 to 8-month-old Boran cattle following laboratory challenge with Theileria parva is described. Principal component analysis was applied to 13 measures including first appearance of schizonts, first appearance of piroplasms and first occurrence of pyrexia, together with the duration and severity of these symptoms, and white blood cell count. The first principal component, which was based on approximately equal contributions of the 13 variables, provided the definition for the disease reaction index, defined on a scale of 0-10. As well as providing a more objective measure of the severity of the reaction, the continuous nature of the index score enables more powerful statistical analysis of the data compared with that which has been previously possible through clinically derived categories of non-, mild, moderate and severe reactions.
Assuntos
Vacinas Protozoárias/imunologia , Theileria parva/imunologia , Theileriose/imunologia , Theileriose/prevenção & controle , Animais , Antígenos de Protozoários/imunologia , Biomarcadores , Bovinos , Ensaio de Imunoadsorção Enzimática/veterinária , Proteínas de Protozoários/imunologiaRESUMO
OBJECTIVE: The authors have shown that clinical guidelines embedded in an electronic medical record improved the quality, while lowering the cost, of care for health care workers who incurred occupational exposures to body fluid. They seek to determine whether this system has similar effects on the emergency department care of young children with febrile illness. DESIGN: Off-on-off, interrupted time series with intent-to-treat analysis. SETTING: University hospital emergency department. SUBJECTS: 830 febrile children less than 3 years of age and the physicians who treated them. INTERVENTIONS: Implementation of an electronic medical record that provides real-time advice regarding the content of the history and physical examination and recommendations regarding laboratory testing, treatment, diagnosis, and disposition. MEASUREMENTS: Documentation of essential items in the medical record and after-care instructions; compliance with guidelines regarding testing, treatment, and diagnosis; charges. RESULTS: The computer was used in 64 percent of eligible cases. Mean percentage documentation of 21 essential history and physical examination items increased from 80 percent during the baseline period to 92 percent in the intervention phase (13 percent increase; 95 percent CI, 10-15 percent). Mean percentage documentation of ten items in the after-care instructions increased from 48 percent at baseline to 81 percent during the intervention phase (33 percent increase; 95 percent confidence interval, 28-38 percent). All documentation decreased to baseline when the computer system was removed. There were no demonstrable improvements in appropriateness of care, nor was there evidence that appropriateness worsened. Mean charges were not changed by the intervention. CONCLUSION: The intervention markedly improved documentation, had little effect on the appropriateness of the process of care, and had no effect on charges. Results for the febrile child module differ from those for the module for occupational blood and body fluid exposure (a more focused and straightforward medical condition), underscoring the need for implementation methods to be tailored to specific clinical complaints.
Assuntos
Febre/terapia , Fidelidade a Diretrizes , Sistemas Computadorizados de Registros Médicos/organização & administração , Guias de Prática Clínica como Assunto , Pré-Escolar , Documentação , Serviço Hospitalar de Emergência , Estudos de Avaliação como Assunto , Feminino , Febre/etiologia , Preços Hospitalares , Hospitais Universitários , Humanos , Lactente , Masculino , Otite Média/complicações , Otite Média/diagnóstico , Exame Físico , Estudos Prospectivos , Software , Viroses/complicações , Viroses/diagnósticoRESUMO
A tsetse control campaign was started in January 1991 using a synthetic pyrethroid cypermethrin 'pour-on' applied monthly to cattle exposed to high levels of drug-resistant trypanosomes in the Ghibe valley of southwest Ethiopia. In December 1992, a cost-recovery scheme was introduced, and thereafter farmers paid for treatment. An average of 100 village Ethiopian Highland Zebu cattle were monitored monthly from March 1986 to February 1997. Individual animals in this herd were treated with diminazene aceturate (Berenil, Hoechst, Germany) at 3.5 mg/kg when trypanosomes were detected and their packed cell volume was less than 26%. Superimposed on this systematic trypanocidal chemotherapy, control of tsetse resulted in average reductions from 1992 to 1996 of 95% and 75% in the mean relative densities of tsetse and biting flies, respectively, and of 63% in the prevalence of trypanosomal infections in cattle. Despite these reductions, there was no significant increase in the body weight of the cows, calving rate or the mean body weight of calves at 12 months of age. There was, however, an average decrease of 57% in calf mortality (including still births) by 12 months of age, an increase of 49% in the ratio of live calves under 12 months of age to cows over 36 months of age, and an increase of 8% in the body weight of adult males.
Assuntos
Bovinos/crescimento & desenvolvimento , Ectoparasitoses/veterinária , Piretrinas/uso terapêutico , Tripanossomíase Bovina/prevenção & controle , Moscas Tsé-Tsé , Administração Tópica , Animais , Peso Corporal , Bovinos/parasitologia , Diminazena/uso terapêutico , Resistência a Medicamentos , Ectoparasitoses/prevenção & controle , Etiópia , Feminino , Hematócrito/veterinária , Inseticidas , Masculino , Prevalência , Piretrinas/administração & dosagem , Análise de Regressão , Estações do Ano , Tripanossomicidas/uso terapêutico , Tripanossomíase Africana/tratamento farmacológico , Tripanossomíase Africana/prevenção & controle , Tripanossomíase Africana/veterinária , Tripanossomíase Bovina/tratamento farmacológicoRESUMO
Studies on seasonality and population dynamics of ticks on indigenous cattle and their crosses (calves) were carried out in Buruli Ranching Scheme, Nabiswera, Luwero district of Uganda on three treatment groups of animals: group 1 (twice a week dipping), group 2 (once a month dipping) and group 3 (no tick control). During this study, four major species of ticks of economic importance were recorded in decreasing order of abundance: Rhipicephalus appendiculatus, Rhipicephalus evertsi evertsi, Amblyomma variegatum and Boophilus decoloratus. Of these ticks, a seasonal pattern of activity was only observed in R. appendiculatus ticks, with peak activities occurring during rainy seasons. Greater numbers of ticks were recorded on cows than calves in the three treatment groups, with the exception of A. variegatum where the reverse occurred. The mean numbers of ticks per animal were highly significantly different (p < 0.01) when group 1 animals were compared with group 2 and 3 animals. However, no significant differences (p > 0.05) were observed in mean tick numbers between group 2 and 3 animals. Highly significant differences (p < 0.01) were observed in mean tick numbers on cows and calves (more than 12 months old) in different calving seasons. The state of lactation only affected tick counts on cows in group 1; significantly more ticks (p < 0.01) were observed in lactating than non-lactating cows. Furthermore, significantly greater (p < 0.05) numbers of ticks (with the exception of B. decoloratus) were recorded during the second year of study (March 1992-May 1993) than the first year (January 1991-February 1992), despite lower rainfall during the former period.
Assuntos
Doenças dos Bovinos/parasitologia , Infestações por Carrapato/veterinária , Carrapatos , Animais , Bovinos , Dinâmica Populacional , Estações do Ano , Infestações por Carrapato/parasitologia , Carrapatos/classificação , UgandaRESUMO
The occurrence of a congenital cleft palate greatly impedes the habituation of efficient deglutition of an infant, causing aspiration of fluids in the air passage which may lead to complications like bronchopneumonia and infection of the airway and lungs. Inadequate nourishment due to difficulty in feeding affects the health and acts as a stumbling block in the milestones of normal development. Severe nutritional deficiencies further complicate surgical closure at the right time. A palatal obturator given to the infant effectively separates the oral cavity from the nasal cavity and is of great help in feeding till the defect can be surgically repaired.