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1.
Eur Respir J ; 32(4): 1037-46, 2008 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-18508831

RESUMO

There is clinical evidence suggesting that glucocorticoids may be useful in severe pneumonia, but the pathogenic mechanisms explaining these beneficial effects are unknown. The aim of the present study was to determine the effects of adding glucocorticoids to antibiotic treatment in an experimental model of severe pneumonia. In total, 15 Lagerwhite-Landrace piglets were ventilated for 96 h. After intubation, a 75 mL solution containing Pseudomonas aeruginosa (10(6) cfu x mL(-1)) was bronchoscopically inoculated. The animals were randomised into three groups 12 h after inoculation: 1) untreated; 2) treated with ciprofloxacin; and 3) treated with ciprofloxacin plus methylprednisolone. Physiological and laboratory parameters were monitored throughout the study. Pro-inflammatory cytokines were measured in serum and bronchoalveolar lavage (BAL). Histopathology of the lungs and cultures from blood, BAL and lungs were performed. At the end of the study, piglets receiving the antibiotic plus glucocorticoids showed: 1) a decrease in the concentration of interleukin-6 in BAL; and 2) a decrease in the global bacterial burden both in BAL and lung tissue. In conclusion, in this experimental model of pneumonia, the association of glucocorticoids with antibiotics attenuates local inflammatory response and decreases bacterial burden in the lung.


Assuntos
Glucocorticoides/uso terapêutico , Pneumonia/tratamento farmacológico , Respiração Artificial , Animais , Antibacterianos/farmacologia , Anti-Infecciosos/farmacologia , Lavagem Broncoalveolar , Ciprofloxacina/farmacologia , Modelos Animais de Doenças , Glucocorticoides/metabolismo , Inflamação , Pulmão/efeitos dos fármacos , Metilprednisolona/farmacologia , Pneumonia/diagnóstico , Pseudomonas aeruginosa/metabolismo , Suínos , Fatores de Tempo
2.
Eur Respir J ; 30(6): 1167-72, 2007 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-17804447

RESUMO

An abnormal inflammatory response (IR) in pneumonia is associated with poor outcomes and high mortality. Animal models could help to better understand the relationship between the pulmonary infection and the associated IR. The aims of the present study were to validate an experimental model of pneumonia induced by the inoculation of Pseudomonas aeruginosa in ventilated piglets and to study the associated IR over a long period of time (96 h). Five Lagerwhite-Landrace piglets were ventilated for 4 days. After intubation, a solution containing 75 mL of P. aeruginosa (10(6) colony-forming units.mL(-1)) was bronchoscopically inoculated. Physiological and laboratory parameters were monitored throughout the study. Pro-inflammatory cytokines were measured in serum and in bronchoalveolar lavage (BAL). Histopathology of the lungs and cultures from blood, BAL and lungs were performed. All the animals developed histopathological evidence of pneumonia. Microbiological studies of both BAL and lung confirmed the presence of P. aeruginosa in all the samples. Throughout the study, an increase in interleukin-6 was observed in serum and in BAL. In conclusion, the experimental model of pneumonia induced by the inoculation of high concentrations of Pseudomonas aeruginosa in ventilated piglets is feasible and could be appropriate for the evaluation of different aspects of the associated inflammatory response.


Assuntos
Inflamação/complicações , Inflamação/microbiologia , Pneumonia Bacteriana/complicações , Pneumonia Bacteriana/microbiologia , Pseudomonas aeruginosa/fisiologia , Animais , Lavagem Broncoalveolar , Citocinas/sangue , Pneumonia Bacteriana/patologia , Suínos
3.
Mayo Clin Proc ; 79(8): 1017-23, 2004 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-15301329

RESUMO

OBJECTIVE: To describe a single-center experience of using retrospectively gated multislice computed tomographic (MSCT) coronary angiography for imaging congenital coronary anomalies. PATIENTS AND METHODS: We retrospectively reviewed the clinical information and imaging studies for 9 patients diagnosed as having congenital coronary anomalies on invasive, selective coronary angiography between February 2001 and October 2003 at the Mayo Clinic in Jacksonville, Fla. Two experienced observers classified by consensus the origin and proximal course of the abnormal coronary arteries as seen on MSCT. RESULTS: In 1 patient, MSCT showed a normal but extremely anterior origin of the right coronary artery from the right aortic sinus of Valsalva. In the other 8 patients, the origin and course of 4 anomalous right coronary arteries, 2 anomalous left circumflex coronary arteries, and 2 single coronary arteries were recognized easily on MSCT. CONCLUSION: Similar to electron beam computed tomography and magnetic resonance imaging, widely available MSCT can characterize the proximal course of congenitally abnormal coronary arteries and thus aid in clinical decision making for patients with such anomalies.


Assuntos
Angiografia Coronária/métodos , Anomalias dos Vasos Coronários/diagnóstico por imagem , Tomografia Computadorizada Espiral/métodos , Adulto , Idoso , Idoso de 80 Anos ou mais , Angina Pectoris/etiologia , Fármacos Cardiovasculares/uso terapêutico , Angiografia Coronária/instrumentação , Angiografia Coronária/normas , Ponte de Artéria Coronária , Anomalias dos Vasos Coronários/complicações , Anomalias dos Vasos Coronários/terapia , Dispneia/etiologia , Feminino , Florida , Humanos , Imageamento por Ressonância Magnética/normas , Masculino , Pessoa de Meia-Idade , Variações Dependentes do Observador , Seleção de Pacientes , Valor Preditivo dos Testes , Estudos Retrospectivos , Tomografia Computadorizada Espiral/instrumentação , Tomografia Computadorizada Espiral/normas
4.
J Gravit Physiol ; 11(2): P23-4, 2004 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-16231434

RESUMO

In this study, the question of postural and focal components integration by the central nervous system (CNS) is investigated through whole body reaching task performance in microgravity. Because of the especially important difficulties suffered by one subject during parabolic flight, observation of temporal relationship evolution was allowed. From these results, short-term adaptation based on the restoration of this relationship could be postulated.


Assuntos
Fenômenos Biomecânicos , Movimento/fisiologia , Postura/fisiologia , Voo Espacial , Ausência de Peso , Adaptação Fisiológica/fisiologia , Dedos/fisiologia , Humanos , Remoção , Masculino , Equilíbrio Postural/fisiologia , Desempenho Psicomotor/fisiologia
5.
J Gravit Physiol ; 9(1): P167-8, 2002 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-15002532

RESUMO

Human, like any other animal systems, moves in the terrestrial gravity field and must learn gravity-related motor strategies during his ontogenetic development. Considering continuous gravity action upon body segments, movement involves particular muscle activation patterns depending on body orientation to gravity. Gravitational-altered environments provided by parabolic flight or orbital space mission offer a great opportunity to investigate how gravity is taken into account in posture and movement planning. Indeed, in a context where the mechanical constraints are modified, movement execution involves that new muscular activity have to be produced. Almost, only few studies in microgravity environment are included electromyographic analysis and this parameter is generally used only to confirm modification of the muscular activation patterns. This study is focused to analyse the adaptation capacity of the brain to a modified gravitational environment. In this aim, EMG activity have been recorded during a whole body movement execution in both normo- and microgravity environment during parabolic flight. This procedure allowed us to analyse the EMG patterns recorded during the very first moments of weightlessness. In this study are reported the results of this analyse.

6.
Science ; 272(5266): 1284-6, 1996 May 31.
Artigo em Inglês | MEDLINE | ID: mdl-8662455

RESUMO

Helioseismology requires nearly continuous observations of the oscillations of the solar surface for long periods of time in order to obtain precise measurements of the sun's normal modes of oscillation. The GONG project acquires velocity images from a network of six identical instruments distributed around the world. The GONG network began full operation in October 1995. It has achieved a duty cycle of 89 percent and reduced the magnitude of spectral artifacts by a factor of 280 in power, compared with single-site observations. The instrumental noise is less than the observed solar background.

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