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1.
R Soc Open Sci ; 3(9): 160317, 2016 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-27703698

RESUMO

Oceanic fronts are key habitats for a diverse range of marine predators, yet how they influence fine-scale foraging behaviour is poorly understood. Here, we investigated the dive behaviour of northern gannets Morus bassanus in relation to shelf-sea fronts. We GPS (global positioning system) tracked 53 breeding birds and examined the relationship between 1901 foraging dives (from time-depth recorders) and thermal fronts (identified via Earth Observation composite front mapping) in the Celtic Sea, Northeast Atlantic. We (i) used a habitat-use availability analysis to determine whether gannets preferentially dived at fronts, and (ii) compared dive characteristics in relation to fronts to investigate the functional significance of these oceanographic features. We found that relationships between gannet dive probabilities and fronts varied by frontal metric and sex. While both sexes were more likely to dive in the presence of seasonally persistent fronts, links to more ephemeral features were less clear. Here, males were positively correlated with distance to front and cross-front gradient strength, with the reverse for females. Both sexes performed two dive strategies: shallow V-shaped plunge dives with little or no active swim phase (92% of dives) and deeper U-shaped dives with an active pursuit phase of at least 3 s (8% of dives). When foraging around fronts, gannets were half as likely to engage in U-shaped dives compared with V-shaped dives, independent of sex. Moreover, V-shaped dive durations were significantly shortened around fronts. These behavioural responses support the assertion that fronts are important foraging habitats for marine predators, and suggest a possible mechanistic link between the two in terms of dive behaviour. This research also emphasizes the importance of cross-disciplinary research when attempting to understand marine ecosystems.

2.
Mov Ecol ; 4: 23, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27729983

RESUMO

BACKGROUND: The juvenile stage of loggerhead sea turtles (Caretta caretta) can last for decades. In the North Pacific Ocean, much is known about their seasonal movements in relation to pelagic habitat, yet understanding their multi-year, basin-scale movements has proven more difficult. Here, we categorize the large-scale movements of 231 turtles satellite tracked from 1997 to 2013 and explore the influence of biological and environmental drivers on basin-scale movement. RESULTS: Results show high residency of juvenile loggerheads within the Central North Pacific and a moderate influence of the Earth's magnetic field, but no real-time environmental driver to explain migratory behavior. CONCLUSIONS: We suggest the Central North Pacific acts as important developmental foraging grounds for young juvenile loggerhead sea turtles, rather than just a migratory corridor. We propose several hypotheses that may influence the connectivity between western and eastern juvenile loggerhead foraging grounds in the North Pacific Ocean.

3.
Nurs Stand ; 23(33): 51-7; quiz 58, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-19480287

RESUMO

This article provides an overview of the legal and professional aspects of intravenous (IV) therapy practice in the U.K. Key principles of practice will be reviewed including consent, accountability, confidentiality, negligence and the expanded role of the nurse. These themes are underpinned by IV therapy examples.


Assuntos
Competência Clínica , Infusões Intravenosas , Confidencialidade , Educação Continuada , Humanos , Consentimento Livre e Esclarecido , Imperícia , Reino Unido
4.
Clin Med (Lond) ; 8(5): 517-21, 2008 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-18975486

RESUMO

Non-invasive ventilation (NIV) in the management of acute type 2 respiratory failure in patients with chronic obstructive pulmonary disease (COPD) represents one of the major technical advances in respiratory care over the last decade. This document updates the 2002 British Thoracic Society guidance and provides a specific focus on the use of NIV in COPD patients with acute type 2 respiratory failure. While there are a variety of ventilator units available most centres now use bi-level positive airways pressure units and this guideline refers specifically to this form of ventilatory support although many of the principles encompassed are applicable to other forms of NIV. The guideline has been produced for the clinician caring for COPD patients in the emergency and ward areas of acute hospitals.


Assuntos
Respiração com Pressão Positiva/instrumentação , Doença Pulmonar Obstrutiva Crônica , Insuficiência Respiratória/terapia , Doença Aguda , Humanos , Respiração com Pressão Positiva/normas , Guias de Prática Clínica como Assunto , Respiração Artificial , Reino Unido
5.
Nurs Stand ; 19(49): 48-52, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-16134420

RESUMO

This article provides an overview of the knowledge and skills required for peripheral venous cannulation, including anatomy and physiology, psychology, consent, vein selection, device selection, infection control, insertion technique, device securement, sharps' disposal and the prevention and management of complications. A period of supervision and assessment of competency is required to consolidate this theoretical knowledge.


Assuntos
Cateterismo Periférico/métodos , Cateterismo Periférico/instrumentação , Humanos
8.
Prof Nurse ; 12(8 Suppl): S3-5, 1997 May.
Artigo em Inglês | MEDLINE | ID: mdl-9180590

RESUMO

The basic principles of good i.v. practice provide a firm foundation for the continued expansion of i.v. therapy. Nurses must be aware of the professional documents that underpin nursing practice, and how these relate to i.v. therapy. Nurses must understand the legal implications of care delivery and ensure they have the necessary knowledge to expand their practice safely.


Assuntos
Competência Clínica , Infusões Intravenosas/enfermagem , Humanos , Controle de Infecções , Infusões Intravenosas/efeitos adversos , Infusões Intravenosas/instrumentação
9.
Vasc Med ; 2(1): 1-7, 1997.
Artigo em Inglês | MEDLINE | ID: mdl-9546943

RESUMO

Raynaud's disease is characterized by excessive cutaneous vasoconstriction in response to ambient cold. A functional disturbance in the local regulation of digital vasomotion has been proposed. The purpose of this study was to determine whether there is an alteration in the postjunctional adrenergic receptors in the digital circulation of patients with Raynaud's disease. Furthermore, we sought to determine whether this abnormality was responsible for the excessive cold-induced vasoconstriction in these patients. Finger blood flow was measured by strain-gauge venous occlusion plethysmography in 10 patients with Raynaud's disease and in 10 normal volunteers in a 22 degrees C room. Measurements of finger blood flow and mean systemic arterial pressure were made during intra-arterial infusions of the alpha 1-adrenergic antagonist, prazosin, or the alpha 2-adrenergic antagonist, yohimbine, at room temperature and during local cooling of the hand. Basal finger blood flow in normal subjects was significantly greater than that of patients (8.6 +/- 2.7 vs 1.7 +/- 0.5 ml/100 ml per min; normal vs Raynaud's subjects; p < 0.05). In normal subjects, either prazosin or yohimbine induced dose-dependent increases in finger blood flow. The maximal increase in finger blood flow induced by prazosin was significantly greater than that in response to yohimbine (29.2 +/- 10.1 vs 2.8 +/- 2.1 ml/100 ml per min; prazosin vs yohimbine; p < 0.05). By contrast, in the Raynaud's patients, prazosin or yohimbine induced maximal increases in finger blood flow that were not significant (7.1 +/- 1.8 vs 5.0 +/- 2.2 ml/100 ml per min; prazosin vs yohimbine; p = NS). The response to prazosin in Raynaud's patients was significantly less than that of the normal volunteers (p < 0.05). In normal subjects, during intra-arterial infusion of vehicle alone, cooling induced a 52.6 +/- 5.8% reduction in finger blood flow. This cold-induced vasoconstriction was blunted, but not qualitatively altered, by either adrenergic antagonist. In the Raynaud's patients, during the intra-arterial infusion of the vehicle, cooling induced a 68.2 +/- 7.8% reduction in finger blood flow. Infusion of either adrenergic antagonist blunted, but did not qualitatively alter, the response to cold. Finger blood flow is less in patients with Raynaud's disease than in normal subjects when studied in a 22 degrees C room. In normal subjects, postjunctional alpha 1-adrenergic receptors appear to predominate in the control of digital vasoconstriction. Postjunctional alpha 1- and alpha 2-adrenoceptors play an equal role in adrenergic regulation of finger blood flow in patients with Raynaud's disease. In both normal and Raynaud's subjects, selective antagonism of alpha 1- or alpha 2-adrenergic receptors does not abolish local cold-induced vasoconstriction. Therefore, it is likely that a nonadrenergic mechanism contributes to local cold-induced vasoconstriction.


Assuntos
Dedos/irrigação sanguínea , Doença de Raynaud/fisiopatologia , Receptores Adrenérgicos/fisiologia , Vasoconstrição/fisiologia , Antagonistas Adrenérgicos alfa/administração & dosagem , Adulto , Artérias , Temperatura Baixa , Feminino , Humanos , Masculino , Pletismografia , Prazosina/administração & dosagem , Doença de Raynaud/tratamento farmacológico , Fluxo Sanguíneo Regional/efeitos dos fármacos , Vasoconstrição/efeitos dos fármacos , Ioimbina/administração & dosagem
11.
Circulation ; 88(6): 2510-6, 1993 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-8080489

RESUMO

BACKGROUND: Endothelium-dependent vasodilation is abnormal in experimental models of diabetes mellitus. We postulated that abnormalities of endothelial function are also present in patients with insulin-dependent diabetes mellitus and may contribute to the pathogenesis of vascular disease in these individuals. METHODS AND RESULTS: Vascular reactivity was measured in the forearm resistance vessels of 15 patients with insulin-dependent diabetes mellitus and 16 age-matched normal subjects. No patient had hypertension or dyslipidemia. Each subject was pretreated with aspirin to inhibit endogenous production of prostanoids. Methacholine chloride (0.3 to 10 micrograms/min) was administered via the brachial artery to assess endothelium-dependent vasodilation. Sodium nitroprusside (0.3 to 10 micrograms/min) and verapamil (10 to 300 micrograms/min) were infused intra-arterially to assess endothelium-independent vasodilation; phenylephrine (0.3 to 3 micrograms/min) was administered to examine vasoconstrictor responsiveness. Forearm blood flow was determined by venous occlusion plethysmography, and dose-response curves were generated for each drug. Basal forearm blood flow in diabetic and normal subjects was comparable (2.6 +/- 0.2 versus 2.1 +/- 0.3 mL x 100 mL-1 x min-1, respectively; P = NS). The forearm vasodilative response to methacholine was less in diabetic than in normal subjects. At the highest dose of methacholine, the forearm blood flow increased 9.5 +/- 1.1 mL x 100 mL-1 x min-1 in diabetic subjects and 15.3 +/- 1.4 mL.100 mL-1 x min-1 in normal subjects (P < .01). The forearm blood flow responses to nitroprusside and verapamil and the forearm vasoconstrictor responses to phenylephrine were similar in diabetic and healthy subjects. In diabetic subjects, endothelium-dependent vasodilation correlated inversely with serum insulin concentration but not with glucose concentration, glycosylated hemoglobin, or duration of diabetes. CONCLUSIONS: Endothelium-dependent vasodilation is abnormal in forearm resistance vessels of patients with insulin-dependent diabetes mellitus. This abnormality may be relevant to the high prevalence of vascular disease that occurs in these individuals.


Assuntos
Diabetes Mellitus Tipo 1/fisiopatologia , Endotélio Vascular/fisiopatologia , Vasodilatação/fisiologia , Adulto , Velocidade do Fluxo Sanguíneo/efeitos dos fármacos , Glicemia/metabolismo , Diabetes Mellitus Tipo 1/sangue , Angiopatias Diabéticas/etiologia , Endotélio Vascular/efeitos dos fármacos , Feminino , Antebraço/irrigação sanguínea , Hemoglobinas Glicadas/metabolismo , Humanos , Insulina/sangue , Masculino , Cloreto de Metacolina/farmacologia , Óxido Nítrico/fisiologia , Nitroprussiato/farmacologia , Fenilefrina/farmacologia , Vasodilatação/efeitos dos fármacos , Verapamil/farmacologia
12.
J Appl Physiol (1985) ; 75(5): 1984-8, 1993 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-8307850

RESUMO

In animals subjected to hemorrhage, plasma arginine vasopressin concentrations increase to levels sufficient to cause vasoconstriction, thus attenuating the hypotensive response. The purpose of this study was to examine the contribution of vasopressin to blood pressure regulation during hypotension in humans. Hypotension was induced in twelve normal subjects by lower body negative pressure (LBNP) before and after intravenous administration of vasopressin V1 receptor antagonist. Before drug administration, LBNP reduced systolic blood pressure from 125 +/- 4 to 78 +/- 12 mmHg (P < 0.01) as vasopressin concentration increased from 2.9 +/- 0.6 to 17 +/- 6 pg/ml (P < 0.05). After administration of the vasopressin antagonist, LBNP reduced systolic blood pressure from 128 +/- 3 to 89 +/- 11 mmHg (P < 0.01). The hypotensive response to LBNP was not potentiated by inhibiting vasopressin's vasoconstrictive effects (P = NS). Thus hypotension causes marked increases in plasma vasopressin concentration. In contrast to findings in animal studies, however, vasopressin does not contribute to the maintenance of blood pressure during hypotension in humans.


Assuntos
Pressão Sanguínea/fisiologia , Hipotensão/fisiopatologia , Vasopressinas/fisiologia , Adulto , Antagonistas dos Receptores de Hormônios Antidiuréticos , Feminino , Hemodinâmica/fisiologia , Humanos , Pressão Negativa da Região Corporal Inferior , Masculino , Pressorreceptores/fisiologia , Vasopressinas/sangue
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