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1.
J Anim Sci ; 94(7): 3042-50, 2016 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-27482691

RESUMO

The feeding behavior of growing-finishing pigs reared under precision feeding strategies was studied in 35 barrows and 35 females (average initial BW of 30.4 ± 2.2 kg) over 84 d. Five different feeding programs were evaluated, namely a conventional 3-phase program in which pigs were fed with a constant blend of diet A (high nutrient density) and diet B (low nutrient density) and 4 daily phase-feeding programs in which pigs were fed daily with a blend meeting 110, 100, 90, or 80% of the individual Lys requirements. Electronic feeder systems automatically recorded the visits to the feeder, the time of the meals, and the amount of feed consumed per meal. The trial lasted 84 d and the database contained 59,701 feeder visits. The recorded database was used to calculate the number of meals per day, feeding time per meal (min), intervals between meals (min), feed intake per meal (g), and feed consumption rate (feed intake divided by feeding time per meal, expressed in g/min) of each animal. The feeding pattern was predominantly diurnal (73% of the feeder visits). Number of meals, duration of meals, time between meals, feed consumed per meal, and feed consumption rate were not affected by the feeding programs. The females ingested 19% less feed per meal and had a 6% lower feed consumption rate in comparison with the barrows ( < 0.05). Pig feeding behavior was not correlated with diet composition. However, feed efficiency was negatively correlated with amount of feed consumed per meal ( = -0.38, < 0.05) and feed consumption rate ( = -0.44, < 0.05). Feed consumption rate was also negatively correlated with protein efficiency ( = -0.44, < 0.05). Multivariate analysis indicated that feed consumption rate and number of meals per day are the variables related most closely to pig production performance results. Current results indicate that using precision feeding as an approach to reduce Lys intake does not interfere with the feeding behavior of growing-finishing pigs.


Assuntos
Ração Animal/análise , Criação de Animais Domésticos/métodos , Comportamento Alimentar/fisiologia , Suínos/fisiologia , Animais , Dieta/veterinária , Ingestão de Alimentos , Feminino , Masculino
2.
Animal ; 10(7): 1137-47, 2016 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-26759074

RESUMO

This study was developed to assess the impact on performance, nutrient balance, serum parameters and feeding costs resulting from the switching of conventional to precision-feeding programs for growing-finishing pigs. A total of 70 pigs (30.4±2.2 kg BW) were used in a performance trial (84 days). The five treatments used in this experiment were a three-phase group-feeding program (control) obtained with fixed blending proportions of feeds A (high nutrient density) and B (low nutrient density); against four individual daily-phase feeding programs in which the blending proportions of feeds A and B were updated daily to meet 110%, 100%, 90% or 80% of the lysine requirements estimated using a mathematical model. Feed intake was recorded automatically by a computerized device in the feeders, and the pigs were weighed weekly during the project. Body composition traits were estimated by scanning with an ultrasound device and densitometer every 28 days. Nitrogen and phosphorus excretions were calculated by the difference between retention (obtained from densitometer measurements) and intake. Feeding costs were assessed using 2013 ingredient cost data. Feed intake, feed efficiency, back fat thickness, body fat mass and serum contents of total protein and phosphorus were similar among treatments. Feeding pigs in a daily-basis program providing 110%, 100% or 90% of the estimated individual lysine requirements also did not influence BW, body protein mass, weight gain and nitrogen retention in comparison with the animals in the group-feeding program. However, feeding pigs individually with diets tailored to match 100% of nutrient requirements made it possible to reduce (P<0.05) digestible lysine intake by 26%, estimated nitrogen excretion by 30% and feeding costs by US$7.60/pig (-10%) relative to group feeding. Precision feeding is an effective approach to make pig production more sustainable without compromising growth performance.


Assuntos
Ração Animal/análise , Dieta/veterinária , Lisina/metabolismo , Nitrogênio/metabolismo , Suínos/crescimento & desenvolvimento , Animais , Composição Corporal , Necessidades Nutricionais , Fósforo/metabolismo , Proteínas/metabolismo , Aumento de Peso
3.
J Anim Sci ; 92(9): 3925-36, 2014 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-25057024

RESUMO

The impact of moving from conventional to precision feeding systems in growing-finishing pig operations on animal performance, nutrient utilization, and body and carcass composition was studied. Fifteen animals per treatment for a total of 60 pigs of 41.2 (SE = 0.5) kg of BW were used in a performance trial (84 d) with 4 treatments: a 3-phase (3P) feeding program obtained by blending fixed proportions of feeds A (high nutrient density) and B (low nutrient density); a 3-phase commercial (COM) feeding program; and 2 daily-phase feeding programs in which the blended proportions of feeds A and B were adjusted daily to meet the estimated nutritional requirements of the group (multiphase-group feeding, MPG) or of each pig individually (multiphase-individual feeding, MPI). Daily feed intake was recorded each day and pigs were weighed weekly during the trial. Body composition was assessed at the beginning of the trial and every 28 d by dual-energy X-ray densitometry. Nitrogen and phosphorus excretion was estimated as the difference between retention and intake. Organ, carcass, and primal cut measurements were taken after slaughter. The COM feeding program reduced (P < 0.05) ADFI and improved G:F rate in relation to other treatments. The MPG and MPI programs showed values for ADFI, ADG, G:F, final BW, and nitrogen and phosphorus retention that were similar to those obtained for the 3P feeding program. However, compared with the 3P treatment, the MPI feeding program reduced the standardized ileal digestible lysine intake by 27%, the estimated nitrogen excretion by 22%, and the estimated phosphorus excretion by 27% (P < 0.05). Organs, carcass, and primal cut weights did not differ among treatments. Feeding growing-finishing pigs with daily tailored diets using precision feeding techniques is an effective approach to reduce nutrient excretion without compromising pig performance or carcass composition.


Assuntos
Ração Animal , Fenômenos Fisiológicos da Nutrição Animal/fisiologia , Composição Corporal/fisiologia , Dieta/veterinária , Métodos de Alimentação/veterinária , Músculo Esquelético/química , Suínos/crescimento & desenvolvimento , Absorciometria de Fóton , Ração Animal/análise , Animais , Peso Corporal/fisiologia , Crescimento e Desenvolvimento/fisiologia , Masculino , Músculo Esquelético/fisiologia , Nitrogênio/metabolismo , Fósforo/metabolismo , Suínos/fisiologia
4.
Animal ; 3(8): 1114-23, 2009 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22444841

RESUMO

Considerable progress has been made in the nutritional modelling of growth. Most models typically predict (or analyse) the response of a single animal. However, the response to nutrients of a single, representative animal is likely to be different from the response of the herd. To address the variation in response between animals, a stochastic approach towards nutritional modelling is required. In the present study, an analysis method is presented to describe growth and feed intake curves of individual pigs within a population of 192 pigs. This method was developed to allow end-users of InraPorc (a nutritional model predicting and analysing growth in pigs) to easily characterise their animals based on observed data and then use the model to test different scenarios. First, growth and intake data were curve-fitted to characterise individual pigs in terms of BW (Gompertz function of age) and feed intake (power function of BW) by a set of five parameters, having a biological or technico-economical meaning. This information was then used to create a population of virtual pigs in InraPorc, having the same feed intake and growth characteristics as those observed in the population. After determination of the mean lysine (Lys) requirement curve of the population, simulations were carried out for each virtual pig using different feeding strategies (i.e. 1, 2, 3 or 10 diets) and Lys supply (ranging from 70% to 130% of the mean requirement of the population). Because of the phenotypic variation between pigs and the common feeding strategies that were applied to the population, the Lys requirement of each individual pig was not always met. The percentage of pigs for which the Lys requirement was met increased concomitantly with increasing Lys supply, but decreased with increasing number of diets used. Simulated daily gain increased and feed conversion ratio decreased with increasing Lys supply (P < 0.001) according to a curvilinear-plateau relationship. Simulated performance was close to maximum when the Lys supply was 110% of the mean population requirement and did not depend on the number of diets used. At this level of Lys supply, the coefficient of variation of simulated daily gain was minimal and close to 10%, which appears to be a phenotypic characteristic of this population. At lower Lys supplies, simulated performance decreased and variability of daily gain increased with an increasing number of diets (P < 0.001). Knowledge of nutrient requirements becomes more critical when a greater number of diets are used. This study shows the limitations of using a deterministic model to estimate the nutrient requirements of a population of pigs. A stochastic approach can be used provided that relationships between the most relevant model parameters are known.

5.
Meat Sci ; 72(1): 91-9, 2006 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-22061378

RESUMO

Three hundred and forty (340) Duroc×(Landrace×Yorkshire) crossbred piglets were allotted to a 2×2×3 factorial design experiment. The independent variables were the growth rate (fast: around -10 days at 100kg and slow: around +2 days at 100kg), based on two different EBV's (estimated breeding value) of the sire-line for age, the sex (barrows and gilts) and the live weight at slaughter (107, 115 and 125kg). A sub-population of 119 pigs (10 carcasses per treatment) was selected for the carcass and meat quality evaluation trials. As live weight increased there were significant increases in hot carcass weight and dressing percentage (P<0.05). Lean, fat and bone proportions were not affected by weight. Gilts had higher lean proportion (P<0.05) than barrows. Furthermore, carcasses of fast growing pigs were fatter (P<0.05) than those of slower growing ones. Loin muscle pH, drip loss and reflectance values did not vary significantly with any of the treatments. Intramuscular fat was higher in barrows (P<0.05) than in gilts and soluble collagen content decreased with increasing weight (P<0.05). Muscle protein (%) increased (P<0.05) from 107 to 115kg and gilts had a higher (P<0.05) content than castrates. No evidence was found that increasing slaughter weight detracts from carcass characteristics or meat quality.

6.
J Anim Sci ; 78(2): 328-40, 2000 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-10709923

RESUMO

A dynamic mathematical model of the digestion of proteins in the small intestine of pigs was developed. The model integrates current knowledge on the transit of digesta along the small intestine, endogenous secretions, digestion of proteins, and absorption of amino acids into a mechanistic representation of digestion. The main characteristics of the model are the following: the small intestine is divided into several segments of variable length but with equal digesta retention time; the rate of transfer of digesta between segments is based on the progression of myoelectric migration complexes; pancreatic and biliary secretions are poured into the first segment, whereas intestinal secretions enter all intestinal segments; protein hydrolysis is described by first-order equations; and an intestinal absorption capacity is used to estimate absorption of hydrolyzed protein. Simulation results are consistent with observed data, although more information is needed to represent reality more closely. The sensitivity analysis shows that parameters for protein hydrolysis largely determine protein digestibility. The absorption capacity of the small intestine limits the absorption of amino acids at the beginning of a meal and modulates the appearance of amino nitrogen in the portal vein. It also shows that amino acid absorption can be limiting to protein digestibility when large amounts of protein are eaten in a single daily meal. The model is useful in evaluating the dynamics of protein digestion and absorption of feedstuffs. The model can be used in evaluating protein digestion of different feedstuffs and feeding strategies.


Assuntos
Proteínas Alimentares/metabolismo , Digestão , Intestino Delgado/metabolismo , Suínos/metabolismo , Animais , Esvaziamento Gástrico , Absorção Intestinal , Modelos Biológicos
7.
Can J Neurol Sci ; 26 Suppl 2: S1-4, 1999 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-10451753

RESUMO

The diagnosis of Parkinson's disease is predominantly clinical, based on a combination of the cardinal features of tremor, bradykinesia and rigidity. The differential essentially lies between other conditions resulting in tremor, of which essential tremor is the commonest, and other akinetic-rigid syndromes. These include progressive supranuclear palsy, multiple system atrophy, toxins and other degenerative disorders, including diffuse Lewy body disease and corticobasal degeneration. The key clinical features of these disorders and a practical diagnostic approach are briefly reviewed in this article.


Assuntos
Transtornos dos Movimentos/diagnóstico , Doença de Parkinson/diagnóstico , Diagnóstico Diferencial , Humanos , Rigidez Muscular/diagnóstico , Degeneração Neural/diagnóstico , Paralisia Supranuclear Progressiva/diagnóstico
8.
Can J Neurol Sci ; 26 Suppl 2: S34-8, 1999 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-10451758

RESUMO

The COMT inhibitors, tolcapone and entacapone, are a new class of Parkinson's medications. By inhibiting the enzyme catechol-o-methyl-transferase (COMT), they prevent peripheral degradation of levodopa, allowing a higher concentration to cross the blood-brain barrier. Pharmacokinetic studies have shown that both tolcapone and entacapone significantly prolong the elimination half life, and increase the area under the curve of levodopa without increasing C max. Clinical studies with COMT inhibitors have shown benefit in both stable and fluctuating PD patients with improvement in motor function with lower levodopa doses. Fluctuating patients also had increased "on" time and reduced "wearing off". Side effects were most commonly related to increased dopaminergic stimulation. Specific side effects included diarrhea and elevated liver enzymes. The recent reports of three cases of fulminant hepatitis with the use of tolcapone has led many countries to remove this compound from their market. Concerns about a possible class effect should impose close monitoring of liver function tests with the use of any of the nitrocatechols.


Assuntos
Inibidores de Catecol O-Metiltransferase , Inibidores Enzimáticos/uso terapêutico , Doença de Parkinson/tratamento farmacológico , Antiparkinsonianos/metabolismo , Catecóis/uso terapêutico , Ensaios Clínicos como Assunto , Humanos , Levodopa/metabolismo
9.
J Anim Sci ; 76(2): 617-27, 1998 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-9498373

RESUMO

Ruminants may contribute to global warming through the release of methane gas by enteric fermentation. Until now, methane emissions from ruminants were estimated using simple regression equations. The objective of this study was to compare the capacity of dynamic and mechanistic models to that of regression equations to predict methane production from dairy cows. The updated version of the model of Baldwin et al. and a modified version of the model of Dijkstra et al. and the regression equations of Blaxter and Clapperton and Moe and Tyrrell were challenged with 32 experimental diets selected from 13 publications. The predictive capacity of mechanistic models and regression equations was evaluated by comparing predicted and observed methane production using regression analysis. Results of regression showed better prediction of methane production with mechanistic models than with regression equations. The modified model of Dijkstra et al. predicted methane production with the higher R2 (.71) and the smaller error of prediction (19.87% of the observed mean). The model of Baldwin et al. predicted methane production with a similar R2 (.70) but a higher error of prediction (36.93%). However, a large proportion of this error can be eliminated by a correction factor. Predictions using the equations of Moe and Tyrrell and Blaxter and Clapperton were poor (R2 = .42 and .57; error of prediction = 33.72% and 22.93%, respectively). This study demonstrated that from a large variation in diet composition, mechanistic models allow the prediction of methane production more accurately than simple regression equations.


Assuntos
Ração Animal , Digestão/fisiologia , Fermentação , Metano/metabolismo , Modelos Biológicos , Animais , Bovinos , Poluição Ambiental , Feminino , Valor Preditivo dos Testes , Análise de Regressão
10.
Vision Res ; 37(3): 273-81, 1997 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-9135861

RESUMO

Using a perceptual learning paradigm, we evaluated whether information from the attributes: color, luminance and motion is combined to provide orientation coding. Four observers were trained to discriminate the orientation between color-defined bars, four between luminance-defined bars, and four between motion-defined bars. Before and after training, they were tested with each of the three attributes separately and all superimposed, at the same and at a different location as the one seen during training. A similar improvement was found whether the bars seen after training were defined by the same, or by a different attribute as the one seen during training, or by the three attributes superimposed. This improvement was significantly more substantial at the location where the bars were presented during training. Moreover, orientation discrimination was always better when the bars were defined by three attributes than by any one alone. Because the improvement was retinotopic and not restricted to the attribute seen during training, we suggest that training changed the sensitivity of orientation-selective cells responsive to color, luminance and motion. Moreover, the overall better performance with additional attributes supported an integration of information from color, luminance, and motion at a common site for orientation coding.


Assuntos
Aprendizagem , Percepção Visual/fisiologia , Análise de Variância , Percepção de Cores/fisiologia , Humanos , Percepção de Movimento/fisiologia , Estimulação Luminosa , Córtex Visual/fisiologia
11.
Clin Neuropharmacol ; 19(4): 314-20, 1996 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-8828994

RESUMO

Forty-four patients with disabling writer's cramp (WC) and one with a musician's cramp were treated with botulinum toxin (BT) injections for a mean period of 12 (range, 3-48) months. The forearm muscles causing the dystonic position were identified by inspection while writing; BT was then administered under electromyographic (EMG) guidance. The degree of improvement in writing and amelioration of pain were rated with self-assessment scales. Patients reported significant improvement in writing after 56% treatment sessions (TS) and in pain after 62% TS. Mild weakness occurred after 32% TS. Twenty-nine patients discontinued treatment, generally after the initial BT injection. In 16 patients who remained on treatment with a mean follow-up of 21 (range, 3-48) months, the improvement in writing and pain was present after 76 and 79% of the TS, respectively. We conclude that BT injections offered a worthwhile and sustained functional improvement to 36% of our patients with WC.


Assuntos
Toxinas Botulínicas/uso terapêutico , Distonia/tratamento farmacológico , Mãos/fisiopatologia , Cãibra Muscular/tratamento farmacológico , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Redação
13.
Vision Res ; 36(1): 53-66, 1996 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-8746242

RESUMO

Two experiments were run in order to test how information from different attributes is combined to localize contours. In Expt 1 the apparent position of a contour defined by one attribute was measured while a contour defined by another attribute was presented beside it. Interactions were found between all pairings of luminance, color, motion and texture. These results suggested that the information associated with each contour is integrated at a common site. In Expt 2 the precision of localization was measured for contours defined by one, two or three attributes (combinations of luminance, color and texture). The improvement in precision with additional attributes again supported an integration of contour information at a common site prior to a decision of localization.


Assuntos
Percepção Espacial/fisiologia , Percepção de Cores/fisiologia , Sensibilidades de Contraste/fisiologia , Percepção de Forma/fisiologia , Humanos , Luz , Masculino , Percepção de Movimento/fisiologia , Psicometria , Limiar Sensorial/fisiologia
14.
Vision Res ; 35(13): 1871-8, 1995 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-7660593

RESUMO

Perceived depth was measured in a colored stimulus while stimulus movement yoked to head displacement simulated a depth of 1 cm. Velocity judgments were also made for similar stimuli moving at the same average speed but without head movement. Both measures decreased to a minimum of about 30-40% of the veridical values when the stimuli were equiluminous. Perceived depth and speed also decreased for a monochromatic stimulus as a function of luminance contrast but much more abruptly than for the chromatic stimuli. The results indicate that equiluminous color stimuli contribute to the perception of depth from motion parallax and that the contribution is not mediated by residual luminance.


Assuntos
Percepção de Cores/fisiologia , Percepção de Profundidade/fisiologia , Sensibilidades de Contraste/fisiologia , Cabeça , Humanos , Iluminação , Masculino , Movimento , Reconhecimento Visual de Modelos/fisiologia , Fatores de Tempo
15.
Neuropsychologia ; 32(1): 69-76, 1994 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-8818155

RESUMO

Interhemispheric depth comparisons were studied by requiring subjects to align in depth two textured plates, one presented to the left hemifield and the other to the right. Callosal agenesis subjects and neurologically-normal control subjects adjusted the plates so that they appeared to be at the same distance. Subjects viewed the plates monocularly or binocularly while keeping their head still, moving it side-to-side or moving it up and down. Subjects fixated a target located between the two plates while performing the task. For all subjects, the results showed that the deviations from veridical settings were significantly smaller for the binocular than for the monocular viewing conditions. Moreover, there were no significant differences among the three binocular viewing conditions (horizontal, vertical or no head movement), indicating that neither vertical nor horizontal motion parallax improves the precision of depth judgement when binocular disparity is available. These results further suggest that the precision of interhemispheric comparison for binocular depth is not affected by the absence of the corpus callosum. Looking at the plates monocularly, the control subjects judge the relative depth between the plates more precisely when they moved their head than when they kept it still. These results show that motion parallax is a useful depth cue when relative motion is extracted from different hemifields. Unlike the control subjects, the callosal agenesis subjects did not judge the relative depth between the plates more precisely when they moved their head than when they kept it still. These results show that interhemispheric comparison of depth using relative motion is not possible without the corpus callosum.


Assuntos
Agenesia do Corpo Caloso , Percepção de Profundidade/fisiologia , Dominância Cerebral/fisiologia , Reconhecimento Visual de Modelos/fisiologia , Adulto , Dano Encefálico Crônico/genética , Dano Encefálico Crônico/fisiopatologia , Corpo Caloso/fisiopatologia , Aprendizagem por Discriminação/fisiologia , Feminino , Movimentos da Cabeça/fisiologia , Humanos , Masculino , Orientação/fisiologia , Disparidade Visual/fisiologia , Visão Binocular/fisiologia , Visão Monocular/fisiologia
16.
J R Soc Med ; 85(9): 524-9, 1992 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-1433117

RESUMO

We reviewed the efficacy and adverse effects of repeated botulinum toxin injections into hyperactive neck muscles of 107 successive patients with spasmodic torticollis. They received 510 injection treatments over a median period of 15 months (range 3-42 months). One patient failed to benefit at all, but 101 (95%) patients reported considerable (moderate or excellent) benefit from at least one treatment. On a global subjective response rating, 93% of 429 treatments resulted in some improvement and 76% in moderate or excellent improvement. Pain reduction followed 89% of 190 treatments with moderate or excellent reduction after 66%. Median duration of benefit was 9 weeks. All torticollis types responded equally well and injections into two (or more) involved neck muscles were more effective than injection into a single muscle. The most frequent adverse effect was dysphagia, occurring after 44% of all treatments, but this was severe after only 2%. Antibodies to botulinum toxin were detected in the serum of three out of the five patients in whom loss of treatment efficacy occurred. We conclude that botulinum toxin treatment is the most effective available therapy for spasmodic torticollis and practical advice is provided for anyone wishing to set up the technique.


Assuntos
Toxinas Botulínicas/uso terapêutico , Torcicolo/tratamento farmacológico , Adulto , Idoso , Idoso de 80 Anos ou mais , Afasia/induzido quimicamente , Toxinas Botulínicas/administração & dosagem , Toxinas Botulínicas/efeitos adversos , Relação Dose-Resposta a Droga , Feminino , Humanos , Injeções Intramusculares , Masculino , Pessoa de Meia-Idade , Resultado do Tratamento
17.
J Neurol ; 239(1): 1-4, 1992 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-1541963

RESUMO

One hundred and twenty-six patients with different forms of focal dystonia (89 with cervical dystonia, 12 with hand cramps and 25 with laryngeal dystonia) were treated with localised injections of botulinum toxin. Mean doses per muscle were 200 mouse units (m.u.) for treating cervical dystonia, 40-120 m.u. for forearm muscles in writers' cramp and 3.7 m.u. for the thyroarytenoid muscle in laryngeal dystonia. Responder rates have been above 80% in all patient groups and beneficial effects could be reproduced over follow-up periods of up to 4 years. The commonest side-effects were dysphagia after treatment of spasmodic torticollis, weakness of neighbouring muscles after injections for hand cramps and breathiness and hypophonia following laryngeal injections. All these were transient and generally well tolerated. It is concluded that botulinum toxin injections are a safe and effective treatment in all three types of focal dystonia.


Assuntos
Toxinas Botulínicas/uso terapêutico , Distonia/tratamento farmacológico , Músculos Laríngeos , Cãibra Muscular/tratamento farmacológico , Torcicolo/tratamento farmacológico , Distúrbios da Voz/tratamento farmacológico , Toxinas Botulínicas/administração & dosagem , Avaliação de Medicamentos , Feminino , Mãos , Humanos , Injeções Intramusculares , Masculino , Doenças Profissionais/tratamento farmacológico , Espasmo/tratamento farmacológico
18.
Mov Disord ; 6(1): 55-9, 1991.
Artigo em Inglês | MEDLINE | ID: mdl-2005922

RESUMO

Twelve patients with writer's cramp were treated with injections of botulinum toxin. The overactive muscles were identified by clinical observation of the subjects while they were writing. Repeated injections were given at 2-week intervals until the optimal response was obtained. Eleven patients reported some benefit, which was considered by seven to be significant. Eight of the 10 patients who had pain reported moderate to significant relief. Five patients had local complications, consisting of disabling weakness of target or neighbouring muscles. These preliminary results suggest that this treatment can be successfully applied to many patients with writer's cramp without performing complex electromyographic recordings while the patients are writing.


Assuntos
Toxinas Botulínicas/administração & dosagem , Distonia/tratamento farmacológico , Escrita Manual , Cãibra Muscular/tratamento farmacológico , Adulto , Feminino , Humanos , Injeções Intramusculares , Masculino , Pessoa de Meia-Idade , Exame Neurológico
19.
Artigo em Inglês | MEDLINE | ID: mdl-1701709

RESUMO

Low amplitude rhythmic discharges (RDs) closely associated in time and in spatial distribution to inter-ictal epileptiform discharges are not seen in scalp EEGs of patients with non-periodic focal epileptiform discharges (NPEDs) but they are unexpectedly common in patients with periodic lateralized epileptiform discharges (PLEDs). A classification of PLEDs into PLEDs Proper (PLEDs without RDs), and PLEDs Plus (PLEDs with RDs) is proposed. Such a classification is useful for an easier appreciation of PLEDs' pleomorphism. It underscores the changing periodicity of PLEDs and allows for a more inclusive definition of the phenomenon than the one reported by the literature. It also emphasizes the importance of recognizing RDs in scalp EEGs as transitional anomalies intercalated between inter-ictal PLEDs and ictal seizure discharges, analogous to those observed by Ralston in animal models. Indeed, the occurrence of recorded seizures is higher in patients with PLEDs Plus than in those with PLEDs Proper or NPEDs.


Assuntos
Eletroencefalografia , Epilepsias Parciais/fisiopatologia , Epilepsia/fisiopatologia , Periodicidade , Lateralidade Funcional , Humanos , Estudos Retrospectivos , Estado Epiléptico/fisiopatologia
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