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1.
Brain Res ; 1624: 175-187, 2015 Oct 22.
Artigo em Inglês | MEDLINE | ID: mdl-26236024

RESUMO

Methamphetamine (Meth) abuse can lead to the breakdown of the blood-brain barrier (BBB) integrity leading to compromised CNS function. The role of Galectins in the angiogenesis process in tumor-associated endothelial cells (EC) is well established; however no data are available on the expression of Galectins in normal human brain microvascular endothelial cells and their potential role in maintaining BBB integrity. We evaluated the basal gene/protein expression levels of Galectin-1, -3 and -9 in normal primary human brain microvascular endothelial cells (BMVEC) that constitute the BBB and examined whether Meth altered Galectin expression in these cells, and if Galectin-1 treatment impacted the integrity of an in-vitro BBB. Our results showed that BMVEC expressed significantly higher levels of Galectin-1 as compared to Galectin-3 and -9. Meth treatment increased Galectin-1 expression in BMVEC. Meth induced decrease in TJ proteins ZO-1, Claudin-3 and adhesion molecule ICAM-1 was reversed by Galectin-1. Our data suggests that Galectin-1 is involved in BBB remodeling and can increase levels of TJ proteins ZO-1 and Claudin-3 and adhesion molecule ICAM-1 which helps maintain BBB tightness thus playing a neuroprotective role. Galectin-1 is thus an important regulator of immune balance from neurodegeneration to neuroprotection, which makes it an important therapeutic agent/target in the treatment of drug addiction and other neurological conditions.


Assuntos
Estimulantes do Sistema Nervoso Central/farmacologia , Células Endoteliais/efeitos dos fármacos , Galectina 1/farmacologia , Regulação da Expressão Gênica/efeitos dos fármacos , Metanfetamina/farmacologia , Fármacos Neuroprotetores/farmacologia , Encéfalo/citologia , Proteína de Ligação a CREB/metabolismo , Permeabilidade Capilar/efeitos dos fármacos , Sobrevivência Celular/efeitos dos fármacos , Células Cultivadas , Claudina-5/genética , Claudina-5/metabolismo , Citocinas/genética , Citocinas/metabolismo , Interações Medicamentosas , Humanos , Molécula 1 de Adesão Intercelular/genética , Molécula 1 de Adesão Intercelular/metabolismo , RNA Mensageiro/metabolismo , Espécies Reativas de Oxigênio/metabolismo , Proteína da Zônula de Oclusão-1/genética , Proteína da Zônula de Oclusão-1/metabolismo
2.
J Anim Sci ; 93(5): 2460-70, 2015 May.
Artigo em Inglês | MEDLINE | ID: mdl-26020341

RESUMO

Beef bull calves (n = 62) were assigned randomly, within sire breed, to 1 of 4 treatments at birth. Treatments were 1) surgical castration near birth, 2) surgical castration near birth with oral administration of meloxicam (1 mg/kg BW), 3) surgical castration at weaning (WNG), or 4) surgical castration at weaning with oral administration of meloxicam (1 mg/kg BW; WMX). A subset of calves (n = 7/treatment group) were selected randomly near birth for blood collection, behavioral analyses, and rectal temperature (RT) records for a 7-d postcastration period on d 0 (birth), 1, 3, and 7, and on d 214 (weaning), 214 + 6 h, 215, 217, 221, and 228. Calf standing and lying activity were monitored from the same subsets by recording x- and y-axis positions of an accelerometer attached to the right metatarsus for 7 d postcastration. Calf BW was recorded throughout the entire production cycle, and carcass data were collected at slaughter. For statistical analyses, bulls left intact at birth were considered a positive control (BUL) for observations that occurred before their treatment application at weaning; likewise, bulls castrated at birth were considered a negative control (STR) during postweaning observations. No difference (P > 0.88) occurred in ADG between treatments throughout the preweaning period (d 0 to 214); however, 56-d postweaning ADG was greatest ( P= 0.02) in STR, intermediate in WMX, and least in WNG. At weaning, haptoglobin (Hp) was greater (P ≤ 0.005) for WNG and WMX compared to STR on d 214+6 h, 215, and 217, and Hp was greater (P = 0.05) in WNG compared to WMX on d 217. Neutrophils increased (P < 0.001) and red blood cells decreased (P ≤ 0.03) for WNG and WMX on d 214+6 h and 217, respectively. Postweaning behavior observations indicated that STR calves spent the least proportion of time standing (P = 0.002) when compared to WNG and WMX. Furthermore, WMX calves exhibited a greater proportion of time spent standing (P = 0.03) compared to WNG. Grazing and finishing phase ADG and carcass measurements did not differ (P ≥ 0.24) across treatments. In this study, surgical castration at weaning, but not near birth, altered the acute phase response, behavior, and growth performance. Oral meloxicam reduced serum Hp and improved ADG briefly when administered to calves castrated at weaning. Oral administration of meloxicam may be efficacious for mitigating some of the stress and inflammation associated with castration of weaning-age bull calves.


Assuntos
Comportamento Animal/efeitos dos fármacos , Composição Corporal/efeitos dos fármacos , Bovinos/crescimento & desenvolvimento , Orquiectomia/veterinária , Tiazinas/administração & dosagem , Tiazinas/farmacologia , Tiazóis/administração & dosagem , Tiazóis/farmacologia , Reação de Fase Aguda/fisiopatologia , Administração Oral , Fatores Etários , Animais , Anti-Inflamatórios não Esteroides/administração & dosagem , Anti-Inflamatórios não Esteroides/farmacologia , Comportamento Animal/fisiologia , Composição Corporal/fisiologia , Peso Corporal/efeitos dos fármacos , Bovinos/fisiologia , Haptoglobinas/metabolismo , Inflamação/fisiopatologia , Masculino , Meloxicam , Orquiectomia/métodos , Fatores de Tempo
3.
J Neuroimmune Pharmacol ; 10(1): 136-52, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25604667

RESUMO

Opiates act on the dopaminergic system of the brain and perturb 32 kDa dopamine and adenosine 3', 5'-monophosphate-regulated phosphoprotein (DARPP-32) function. The DARPP-32 mediated inhibition of protein phosphatase-1 (PP-1) and modulation of transcriptional factor CREB is critical to the changes in neuronal plasticity that result in behavioral responses during drug abuse. To investigate the role of DARPP-32 mediated signaling on withdrawal behavior in a rat model of opiate addiction, we used intracerebral administration of gold nanorods (GNR) complexed to DARPP-32 siRNA to silence DARPP-32 gene expression and measure its effects on the opiate withdrawal syndrome. We hypothesized that DARPP-32 siRNA will suppress the neurochemical changes underlying the withdrawal syndrome and therefore prevent conditioned place aversion by suppressing or removing the constellation of negative effects associated with withdrawal, during the conditioning procedure. Our results showed that opiate addicted animals treated with GNR-DARPP-32 siRNA nanoplex showed lack of condition place aversive behavior consequent to the downregulation of secondary effectors such as PP-1 and CREB which modify transcriptional gene regulation and consequently neuronal plasticity. Thus, nanotechnology based delivery systems could allow sustained knockdown of DARPP-32 gene expression which could be developed into a therapeutic intervention for treating drug addiction by altering reward and motivational systems and interfere with conditioned responses.


Assuntos
Fosfoproteína 32 Regulada por cAMP e Dopamina/genética , Inativação Gênica , Terapia Genética/métodos , Ouro , Nanomedicina/métodos , Nanotubos , Transtornos Relacionados ao Uso de Opioides/terapia , Animais , Aprendizagem da Esquiva/efeitos dos fármacos , Linhagem Celular , Proteína de Ligação ao Elemento de Resposta ao AMP Cíclico/antagonistas & inibidores , Proteína de Ligação ao Elemento de Resposta ao AMP Cíclico/biossíntese , Regulação para Baixo/efeitos dos fármacos , Humanos , Dependência de Morfina/psicologia , Dependência de Morfina/terapia , Transtornos Relacionados ao Uso de Opioides/psicologia , Proteína Fosfatase 1/antagonistas & inibidores , Proteína Fosfatase 1/biossíntese , RNA Interferente Pequeno/administração & dosagem , RNA Interferente Pequeno/uso terapêutico , Ratos , Ratos Long-Evans , Síndrome de Abstinência a Substâncias/psicologia
4.
Prof Anim Sci ; 31(4): 333-341, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32288477

RESUMO

Crossbred calves (n = 350; average BW 240 ± 1 kg) were obtained from regional livestock auctions. Within each set (block, n = 4), calves were stratified by BW and arrival sex into 1 of 8, 0.42-ha pens (10 to 12 calves per pen). Pens were assigned randomly to 1 of 3 treatments consisting of supplemental Zn (360 mg/d), Mn (200 mg/d), and Cu (125 mg/d) from inorganic (zinc sulfate, manganese sulfate, and copper sulfate; n = 2 pens per block), organic (zinc amino acid complex, manganese amino acid complex, and copper amino acid complex; Availa-4, Zinpro Corp., Eden Prairie, MN; n = 3 pens per block), and hydroxy (IntelliBond Z, IntelliBond C, and IntelliBond M; Micronutrients, Indianapolis, IN; n = 3 pens per block) sources. During the 42- to 45-d backgrounding period calves had ad libitum access to bermudagrass hay and were fed corn and dried distillers grain-based supplements that served as carrier for the treatments. After removal of data for chronic (n = 6) and deceased (n = 1) calves, trace-mineral source had no effect on final or intermediate BW (P = 0.86) or ADG (P ≥ 0.24). With all data included in the analysis, dietary treatments had no effect on the number treated once (P = 0.93), twice (P = 0.71), or 3 times (P = 0.53) for bovine respiratory disease or on the number of calves classified as chronic (P = 0.55). Based on these results, trace-mineral source had no effect on total BW gain, ADG, or morbidity during the receiving phase in shipping-stressed cattle.

5.
Parasitol Res ; 105(1): 71-6, 2009 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-19214571

RESUMO

Utilizing groups of cograzed, naturally infected beef-type heifers, three fecal egg count reduction tests were conducted in the later months of 2007 at the University of Arkansas. Each test was 28 days in length consisting of individual animal fecal nematode egg counts and coprocultures. Both original and generic ivermectin injectable formulations were used in two of the tests at 0.2 mg/kg BW, with FECR percentages never exceeding 90% in either test. Oral fenbendazole was evaluated at 5 and 10 mg/kg BW, with FECR%'s exceeding 90% on all occasions, but with a precipitous drop when recently treated animals were treated at the lower dose. Evaluated in one test, injectable moxidectin given at 0.2 mg/kg BW resulted in egg count reductions of 96-92% (days 7 to 28). Also evaluated in one test, albendazole delivered orally at 10 mg/kg BW was 98% and 97% effective at 17 and 28 days post-treatment. For all tests, coprocultures conducted post-treatment contained only Cooperia spp. larvae (benzimidazole use), relatively unmodified percentages of Cooperia spp. and Haemonchus spp. larvae (ivermectin use), and primarily Cooperia spp. larvae with a small percentage of Haemonchus spp. larvae (moxidectin use).


Assuntos
Anti-Helmínticos/uso terapêutico , Doenças dos Bovinos/tratamento farmacológico , Contagem de Ovos de Parasitas , Doenças Parasitárias em Animais/tratamento farmacológico , Animais , Anti-Helmínticos/administração & dosagem , Arkansas , Bovinos , Doenças dos Bovinos/parasitologia , Fezes/parasitologia , Haemonchus/efeitos dos fármacos , Haemonchus/isolamento & purificação , Doenças Parasitárias em Animais/parasitologia , Resultado do Tratamento , Trichostrongyloidea/efeitos dos fármacos , Trichostrongyloidea/isolamento & purificação
6.
Brain Res ; 1191: 1-11, 2008 Jan 29.
Artigo em Inglês | MEDLINE | ID: mdl-18163980

RESUMO

Delta-9-tetrahydrocannabinol (Delta(9)-THC), the main psychoactive component of marijuana, is known to dysregulate various immune responses. Cannabinoid (CB)-1 and -2 receptors are expressed mainly on cells of the central nervous system (CNS) and the immune system. The CNS is the primary target of cannabinoids and astrocytes are known to play a role in various immune responses. Thus we undertook this investigation to determine the global molecular effects of cannabinoids on normal human astrocytes (NHA) using genomic and proteomic analyses. NHA were treated with Delta(9)-THC and assayed using gene microarrays and two-dimensional (2D) difference gel electrophoresis (DIGE) coupled with mass spectrometry (MS) to elucidate their genomic and proteomic profiles respectively. Our results show that the expression of more than 20 translated protein gene products from NHA was differentially dysregulated by treatment with Delta(9)-THC compared to untreated, control NHA.


Assuntos
Astrócitos/efeitos dos fármacos , Dronabinol/farmacologia , Perfilação da Expressão Gênica , Proteínas do Tecido Nervoso/metabolismo , Psicotrópicos/farmacologia , Astrócitos/metabolismo , Células Cultivadas , Chaperonina 60/efeitos dos fármacos , Chaperonina 60/metabolismo , Creatina Quinase Forma BB/efeitos dos fármacos , Creatina Quinase Forma BB/metabolismo , Frutose-Bifosfato Aldolase/efeitos dos fármacos , Frutose-Bifosfato Aldolase/metabolismo , Regulação da Expressão Gênica/efeitos dos fármacos , Genômica , Glutationa Peroxidase/efeitos dos fármacos , Glutationa Peroxidase/metabolismo , Humanos , Proteínas do Tecido Nervoso/classificação , Análise de Sequência com Séries de Oligonucleotídeos , Fosfopiruvato Hidratase/efeitos dos fármacos , Fosfopiruvato Hidratase/metabolismo , Proteômica
8.
Neuroscience ; 133(2): 519-31, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-15878644

RESUMO

The monoamine theory of depression proposes decreased bioavailability of monoamines, such as norepinephrine (NE), as the underlying cause of depression. Thus, the antidepressant efficacy of NE-reuptake inhibitors such as desipramine is attributed to increases in synaptic concentrations of NE. The time difference between inhibition of reuptake and therapeutic efficacy, however, argues against this being the primary mechanism. If desipramine elicits its therapeutic efficacy by increasing NE release, in turn, increasing activation of the alpha(2)-adrenergic autoinhibitory receptor, then mimicking this increase with an exogenous agonist (clonidine) should support or even enhance the efficacy of the antidepressant. Intriguingly, simultaneous administration of clonidine with desipramine prevented the cellular and behavioral effects elicited by desipramine alone, in both acute and chronic administration paradigms. These results suggest the involvement of additional factor(s) in the mechanism of antidepressant action of this drug. Desipramine administration results in a virtual ablation of neuron-derived tumor necrosis factor-alpha (TNF), thus implicating an essential role of TNF in the therapeutic efficacy of this antidepressant. Additionally, following chronic administration of desipramine, TNF-regulation of NE release is transformed, from inhibition to facilitation. Here, we demonstrate that a transformation in TNF-regulation of NE release in the brain is a key element in the efficacy of this antidepressant. Interestingly, an increase in neurotransmission prior to the antidepressant's effect on TNF production prevents the efficacy of the antidepressant drug. Thus, the efficacy of desipramine is due to decreased levels of TNF in the brain induced by this drug, ultimately modifying noradrenergic neurotransmission.


Assuntos
Antidepressivos Tricíclicos/farmacologia , Desipramina/farmacologia , Regulação da Expressão Gênica/efeitos dos fármacos , Norepinefrina/metabolismo , Fator de Necrose Tumoral alfa/metabolismo , Agonistas alfa-Adrenérgicos/farmacologia , Antagonistas Adrenérgicos alfa/farmacologia , Animais , Comportamento Animal , Northern Blotting/métodos , Tartarato de Brimonidina , Clonidina/farmacologia , Relação Dose-Resposta a Droga , Esquema de Medicação , Interações Medicamentosas , Estimulação Elétrica/métodos , Reação de Congelamento Cataléptica/efeitos da radiação , Técnicas In Vitro , Masculino , Inibição Neural/efeitos dos fármacos , Quinoxalinas/farmacologia , RNA Mensageiro/metabolismo , Ratos , Ratos Sprague-Dawley , Natação , Fatores de Tempo , Fator de Necrose Tumoral alfa/genética , Fator de Necrose Tumoral alfa/farmacologia , Ioimbina/farmacologia
9.
J Pharmacol Exp Ther ; 297(2): 680-7, 2001 May.
Artigo em Inglês | MEDLINE | ID: mdl-11303058

RESUMO

The pleiotropic cytokine tumor necrosis factor-alpha (TNF) and alpha(2)-adrenergic receptor activation regulate norepinephrine (NE) release from neurons in the central nervous system. The present study substantiates the role of TNF as a neuromodulator and demonstrates a reciprocally permissive relationship between the biological effects of TNF and alpha(2)-adrenergic receptor activation as a mechanism of action of antidepressant drugs. Immunohistochemical analysis and in situ hybridization reveal that administration of the antidepressant drug desipramine decreases the accumulation of constitutively expressed TNF mRNA in neurons of the rat brain. Superfusion and electrical field stimulation were applied to a series of rat hippocampal brain slices to study the regulation of [(3)H]NE release. Superfusion of hippocampal slices obtained from rats chronically administered the antidepressant drug zimelidine demonstrates that TNF-mediated inhibition of [(3)H]NE release is transformed, such that [(3)H]NE release is potentiated in the presence of TNF, an effect that occurs in association with alpha(2)-adrenergic receptor activation. However, chronic zimelidine administration does not alter stimulation-evoked [(3)H]NE release, whereas chronic desipramine administration increases stimulation-evoked [(3)H]NE release and concomitantly decreases alpha(2)-adrenergic autoreceptor sensitivity. Collectively, these data support the hypothesis that chronic antidepressant drug administration alters alpha(2)-adrenergic receptor-dependent regulation of NE release. Additionally, these data demonstrate that administration of dissimilar antidepressant drugs similarly transform alpha(2)-adrenergic autoreceptors that are functionally associated with the neuromodulatory effects of TNF, suggesting a possible mechanism of action of antidepressant drugs.


Assuntos
Antidepressivos/farmacologia , Neurônios/metabolismo , RNA Mensageiro/biossíntese , Receptores Adrenérgicos alfa 2/efeitos dos fármacos , Fator de Necrose Tumoral alfa/biossíntese , Inibidores da Captação Adrenérgica/farmacologia , Antagonistas Adrenérgicos alfa/farmacologia , Animais , Química Encefálica/efeitos dos fármacos , Desipramina/farmacologia , Estimulação Elétrica , Hipocampo/efeitos dos fármacos , Hipocampo/fisiologia , Idazoxano/farmacologia , Imuno-Histoquímica , Hibridização In Situ , Técnicas In Vitro , Masculino , Neurônios/efeitos dos fármacos , Norepinefrina/metabolismo , Ratos , Ratos Sprague-Dawley , Inibidores Seletivos de Recaptação de Serotonina/farmacologia , Zimeldina/farmacologia
10.
Pediatr Cardiol ; 22(1): 23-8, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11123122

RESUMO

We report a child with accelerated ventricular rhythm (AVR) and congenital heart disease. Three children with congenital heart defect associated with AVR were previously reported, but in each AVR occurred only postoperatively. Because our patient's 24-hour electrocardiograph recording showed AVR rates, and differences between sinus and AVR rates, exceeding published childhood limits, we reviewed the topic. On the basis of our review, we suggest guidelines for diagnosing AVR and differentiating it from ventricular tachycardia.


Assuntos
Ritmo Idioventricular Acelerado/diagnóstico , Cardiopatias Congênitas/complicações , Ritmo Idioventricular Acelerado/etiologia , Estenose Subaórtica Fixa/etiologia , Eletrocardiografia Ambulatorial , Feminino , Cardiopatias Congênitas/cirurgia , Comunicação Interventricular/complicações , Ventrículos do Coração , Humanos , Recém-Nascido , Masculino
13.
FASEB J ; 12(11): 1007-18, 1998 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-9707173

RESUMO

Alteration in cytoskeletal organization appears to underlie mechanisms of gravity sensitivity in space-flown cells. Human T lymphoblastoid cells (Jurkat) were flown on the Space Shuttle to test the hypothesis that growth responsiveness is associated with microtubule anomalies and mediated by apoptosis. Cell growth was stimulated in microgravity by increasing serum concentration. After 4 and 48 h, cells filtered from medium were fixed with formalin. Post-flight, confocal microscopy revealed diffuse, shortened microtubules extending from poorly defined microtubule organizing centers (MTOCs). In comparable ground controls, discrete microtubule filaments radiated from organized MTOCs and branched toward the cell membrane. At 4 h, 30% of flown, compared to 17% of ground, cells showed DNA condensation characteristic of apoptosis. Time-dependent increase of the apoptosis-associated Fas/ APO-1 protein in static flown, but not the in-flight 1 g centrifuged or ground controls, confirmed microgravity-associated apoptosis. By 48 h, ground cultures had increased by 40%. Flown populations did not increase, though some cells were cycling and actively metabolizing glucose. We conclude that cytoskeletal alteration, growth retardation, and metabolic changes in space-flown lymphocytes are concomitant with increased apoptosis and time-dependent elevation of Fas/APO-1 protein. We suggest that reduced growth response in lymphocytes during spaceflight is linked to apoptosis.


Assuntos
Apoptose , Microtúbulos/fisiologia , Voo Espacial , Ciclo Celular , Divisão Celular , Glucose/metabolismo , Humanos , Células Jurkat
15.
Br J Surg ; 85(4): 538-41, 1998 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-9607543

RESUMO

BACKGROUND: Histamine inhibits lymphocyte function in vitro at concentrations of greater than 10(-6) mol/l. The aim of this study was to determine whether histamine concentrations in breast cancers were sufficient to produce an immunological effect. METHODS: Tumour and adjacent normal breast content of histamine was measured using a radioenzymatic assay in 29 patients having surgery for breast cancer. RESULTS: The median content of histamine in breast cancer tissue was 5.4 (range 0.9-27.3) microg/g (median concentration 4.5 x 10(-5) mol/l), and was significantly greater than that in adjacent breast tissue (P = 0.007). CONCLUSION: The concentration of histamine in breast cancer was sufficient to inhibit lymphocyte function and could be locally immunosuppressive.


Assuntos
Neoplasias da Mama/imunologia , Carcinoma/imunologia , Histamina/imunologia , Linfócitos do Interstício Tumoral/imunologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Neoplasias da Mama/química , Carcinoma/química , Relação Dose-Resposta a Droga , Feminino , Histamina/análise , Humanos , Mastócitos/imunologia , Pessoa de Meia-Idade
16.
Can Fam Physician ; 44: 552-7, 1998 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-9559195

RESUMO

PROBLEM BEING ADDRESSED: How can a teaching practice develop a referral service and incorporate educational opportunities for family medicine residents, clinical clerks, and community family physicians? OBJECTIVE OF PROGRAM: To develop a high-quality vasectomy service within a teaching practice to change the surgical procedure to the no-scalpel vasectomy (NSV) technique; to educate family medicine residents, clinical clerks, and community family physicians about vasectomy and the NSV technique; and to monitor outcomes and compare them with published results. MAIN COMPONENTS OF PROGRAM: The program took place in an urban family medicine residency program. Data on number of procedures, types of patients choosing vasectomy, and outcomes are presented, along with information on number of learners who viewed, assisted with, or became competent to perform NSV. CONCLUSIONS: A few family medicine residents and some interested community physicians could be trained to perform NSV competently. Involving learners in the procedure does not seem to change the rate of complications.


PIP: A 1995 study of contraceptive practice found male sterilization to be more common than female sterilization everywhere in Canada except for in the country's Atlantic provinces. Vasectomy is especially accepted among married couples aged 18-34 years, with family physicians leading the introduction of the no-scalpel vasectomy (NSV) technique. This paper examines the trends in a teaching physician's practice of vasectomy during 1992-95; determines the rates of short-term complications, failure, and spontaneous reversal; describes the evolution in technique; and reviews aspects of teaching the procedure. The teaching practice was associated with the University of Western Ontario, located in an urban area of about 300,000 people, as part of an urban family medicine residency program. A few family medicine residents and some interested community physicians were able to be trained to competently perform NSV. Experience suggests that involving students in the procedure does not change the rate of complications.


Assuntos
Medicina de Família e Comunidade/educação , Medicina de Família e Comunidade/organização & administração , Encaminhamento e Consulta/organização & administração , Vasectomia/tendências , Adulto , Distribuição por Idade , Humanos , Masculino , Pessoa de Meia-Idade , Ontário , Avaliação de Resultados em Cuidados de Saúde , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Desenvolvimento de Programas , Garantia da Qualidade dos Cuidados de Saúde/organização & administração , Vasectomia/efeitos adversos , Vasectomia/métodos , Vasectomia/estatística & dados numéricos
18.
Eur J Surg Oncol ; 23(3): 224-7, 1997 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-9236896

RESUMO

Histamine has been found to stimulate growth of colorectal cancer in vitro and in vivo. Histamine has also been found to inhibit lymphocyte activity in vitro at concentrations greater than 10(-7) M. The aim of our study was to determine if the histamine concentrations in human colorectal cancer were sufficient to achieve these effects. We measured the histamine content in 31 colorectal cancer specimens using a radioenzymatic assay. Results were expressed as microgram histamine per gram of fresh tissue weight. Recovery and reproducibility studies were also carried out. The median histamine concentration in colorectal cancer tissue was 8.4 micrograms/g [7.6 x 10(-5)M], ranging from 0.3 microgram/g to 20.6 micrograms/g. The high concentration of histamine in colon cancer is enough to be locally immunosuppressive.


Assuntos
Neoplasias Colorretais/química , Neoplasias Colorretais/imunologia , Histamina/análise , Linfócitos/imunologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Método Duplo-Cego , Feminino , Humanos , Intestino Grosso/química , Masculino , Pessoa de Meia-Idade , Ensaios Clínicos Controlados Aleatórios como Assunto
19.
J Fam Pract ; 44(4): 329-30, 1997 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-9108821
20.
CMAJ ; 156(6): 831-5, 1997 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-9084390

RESUMO

CHILDBIRTH CAN BE A VERY PAINFUL EXPERIENCE, often associated with feelings of being out of control. It should not, therefore, be surprising that childbirth may be traumatic for some women. Most women recover quickly post partum; others appear to have a more difficult time. The author asserts that post-traumatic stress disorder (PTSD) may occur after childbirth. He calls this variant of PTSD a "traumatic birth experience." There is very little literature on this topic. The evidence available is from case series, qualitative research and studies of women seeking elective cesarean section for psychologic reasons. Elective cesarean section exemplifies the avoidance behaviour typical of PTSD. There are many ways that health care professionals, including physicians, obstetric nurses, midwives, psychologists, psychiatrists and social workers, can address this phenomenon. These include taking a careful history to determine whether a woman has experienced trauma that could place her at risk for a traumatic birth experience; providing excellent pain control during childbirth and careful postpartum care that includes understanding the woman's birth experience; and ruling out postpartum depression. Much more research is needed in this area.


Assuntos
Trabalho de Parto/psicologia , Transtornos de Estresse Pós-Traumáticos/etiologia , Cesárea , Maus-Tratos Infantis/prevenção & controle , Aconselhamento , Depressão Pós-Parto/prevenção & controle , Feminino , Humanos , Recém-Nascido , Masculino , Dor/prevenção & controle , Gravidez , Transtornos de Estresse Pós-Traumáticos/prevenção & controle , Transtornos de Estresse Pós-Traumáticos/psicologia , Transtornos de Estresse Pós-Traumáticos/reabilitação
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