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2.
BMC Neurol ; 22(1): 412, 2022 Nov 07.
Artigo em Inglês | MEDLINE | ID: mdl-36344954

RESUMO

BACKGROUND: Seizures can occur unpredictably in patients with acute encephalitis syndrome (AES), and many suffer from poor long-term neurological sequelae. Establishing factors associated with acute seizures risk and poor outcomes could support clinical care. We aimed to conduct regional and volumetric analysis of cerebral oedema on magnetic resonance imaging (MRI) in patients with AES. We assessed the relationship of brain oedema with acute seizure activity and long-term neurological outcome. METHODS: In a multi-centre cohort study, adults and children presenting with an AES were recruited in the UK. The clinical and brain MRI data were retrospectively reviewed. The outcomes variables were inpatient acute seizure activity and neurological disability at six-months post-discharge. A poor outcome was defined as a Glasgow outcome score (GOS) of 1-3. We quantified regional brain oedema on MRI through stereological examination of T2-weighted images using established methodology by independent and blinded assessors. Clinical and neuroimaging variables were analysed by multivariate logistic regression to assess for correlation with acute seizure activity and outcome. RESULTS: The study cohort comprised 69 patients (mean age 31.8 years; 53.6% female), of whom 41 (59.4%) had acute seizures as inpatients. A higher Glasgow coma scale (GCS) score on admission was a negative predictor of seizures (OR 0.61 [0.46-0.83], p = 0.001). Even correcting for GCS on admission, the presence of cortical oedema was a significant risk factor for acute seizure activity (OR 5.48 [1.62-18.51], p = 0.006) and greater volume of cerebral oedema in these cortical structures increased the risk of acute seizures (OR 1.90 [1.12-3.21], p = 0.017). At six-month post-discharge, 21 (30.4%) had a poor neurological outcome. Herpes simplex virus encephalitis was associated with higher risk of poor outcomes in univariate analysis (OR 3.92 [1.08-14.20], p = 0.038). When controlling for aetiology, increased volume of cerebral oedema was an independent risk factor for adverse neurological outcome at 6 months (OR 1.73 [1.06-2.83], p = 0.027). CONCLUSIONS: Both the presence and degree of cerebral oedema on MRIs of patients with AES may help identify patients at risk of acute seizure activity and subsequent long-term morbidity.


Assuntos
Edema Encefálico , Encefalite por Herpes Simples , Criança , Adulto , Humanos , Feminino , Masculino , Edema Encefálico/diagnóstico por imagem , Edema Encefálico/epidemiologia , Edema Encefálico/etiologia , Estudos de Coortes , Estudos Retrospectivos , Assistência ao Convalescente , Alta do Paciente , Convulsões/diagnóstico por imagem , Convulsões/epidemiologia , Convulsões/etiologia , Imageamento por Ressonância Magnética , Encefalite por Herpes Simples/complicações
3.
Front Nutr ; 9: 1019375, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36618703

RESUMO

Adlay (Coix lacryma-jobi L.), a crop closed related to maize (Zea mays L.) and sorghum (Sorghum bicolor L.), originated in tropical/subtropical regions of Asia and Africa; southwest China primary center of this plant's origin, evolution and migration. Adlay is a traditional high-value minor crop used for both medicinal and dietary purposes. Adlay has anti-tumor, anti-bacterial, anti-inflammatory, analgesic, blood sugar-lowering, and blood lipid-lowering effects. To clarify the main bioactive components and phytochemical compounds and to fully explore their utility, this review summarizes the research done on the main functional ingredients of adlay, including amino acids and proteins, oils, vitamins and minerals, polysaccharides, and polyphenols. This study also highlighted the application of genome sequencing to tailor nutrient-rich adlay cultivars and nutraceutical product development. Additionally, the acquisition of high-density genomic data combined with next-generation phenotypic analysis will undoubtedly improve our understanding of the potential genetic regulation of adlay nutraceutical traits. This review provides new insights and ideas for the research of adlay in comparison and evolutionary genomics, and a useful reference for molecular breeding and genetic improvement of this important minor crop.

4.
Front Microbiol ; 12: 670135, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34122383

RESUMO

Phytopathogenic fungi decrease crop yield and quality and cause huge losses in agricultural production. To prevent the occurrence of crop diseases and insect pests, farmers have to use many synthetic chemical pesticides. The extensive use of these pesticides has resulted in a series of environmental and ecological problems, such as the increase in resistant weed populations, soil compaction, and water pollution, which seriously affect the sustainable development of agriculture. This review discusses the main advances in research on plant-pathogenic fungi in terms of their pathogenic factors such as cell wall-degrading enzymes, toxins, growth regulators, effector proteins, and fungal viruses, as well as their application as biocontrol agents for plant pests, diseases, and weeds. Finally, further studies on plant-pathogenic fungal resources with better biocontrol effects can help find new beneficial microbial resources that can control diseases.

5.
Anticancer Agents Med Chem ; 21(18): 2610-2619, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33797380

RESUMO

BACKGROUND: Zanthoxylum bungeanum seed oil (ZBSO) is the main extract of the edible drug Zanthoxylum bungeanum seeds. Recent reports have proved that it has a significant cytotoxic effect on various cancer cells. However, systematic investigation on the role of ZBSO in laryngeal carcinoma (LC) is rare. OBJECTIVE: The aim of the study was to reveal the function of ZBSO on human laryngeal squamous carcinoma cells (Hep-2) and to elucidate its underlying mechanism. METHODS: In this study, the chemical composition analysis of ZBSO was done using Ultra Performance Liquid Chromatography (UPLC), and the anti-tumor effect of ZBSO on Hep-2 cells was evaluated by cell proliferation, apoptosis and cell cycle experiments. qRT-PCR, immunohistochemistry (IHC) and Western blotting were used for mechanistic investigation at the molecular level. RESULTS: The main compound of ZBSO was identified as polyunsaturated fatty acids. Furthermore, as compared to normal cells, significant inhibitory activities of ZBSO were observed on Hep-2 cells with dose- and timedependency, which induced apoptosis, blocked cell cycle at the S phase, and inhibited cell proliferation. In addition, IHC results showed a difference in the level of protein expression of ZBSO-induced autophagy-related markers. At last, Western blotting results indicated that ZBSO could inhibit the expression and phosphorylation levels of PI3K/AKT/mTOR protein. CONCLUSION: The anti-LC effect of ZBSO might be intimately associated with the induction of autophagy and the inhibition of the PI3K/AKT/mTOR signaling pathway. ZBSO may be a potential anti-laryngocarcinoma agent.


Assuntos
Antineoplásicos Fitogênicos/farmacologia , Apoptose/efeitos dos fármacos , Neoplasias Laríngeas/tratamento farmacológico , Extratos Vegetais/farmacologia , Óleos de Plantas/farmacologia , Zanthoxylum/química , Antineoplásicos Fitogênicos/química , Antineoplásicos Fitogênicos/isolamento & purificação , Proliferação de Células/efeitos dos fármacos , Sobrevivência Celular/efeitos dos fármacos , Células Cultivadas , Ensaios de Seleção de Medicamentos Antitumorais , Humanos , Neoplasias Laríngeas/metabolismo , Neoplasias Laríngeas/patologia , Fosfatidilinositol 3-Quinases/metabolismo , Extratos Vegetais/química , Extratos Vegetais/isolamento & purificação , Óleos de Plantas/química , Óleos de Plantas/isolamento & purificação , Proteínas Proto-Oncogênicas c-akt/antagonistas & inibidores , Proteínas Proto-Oncogênicas c-akt/metabolismo , Sementes/química , Transdução de Sinais/efeitos dos fármacos , Serina-Treonina Quinases TOR/antagonistas & inibidores , Serina-Treonina Quinases TOR/metabolismo
6.
Shock ; 51(2): 235-246, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-29438223

RESUMO

As activation of the coagulation system is both a consequence and contributor to acute lung injury (ALI), pulmonary coagulopathy has become a potential target for therapeutic intervention in ALI patients. We investigated the effects and possible mechanisms of endothelial cell (EC)-anchored tissue factor pathway inhibitor (TFPI) on lipopolysaccharide (LPS)-induced ALI in mice. To assess the effect of EC-anchored TFPI deletion on ALI indices, TFPI knockout (cKO) mice were generated. Mice were instilled by direct intratracheal injection LPS for the preparation of an ALI model. Evans blue dye (EBD) was injected intravenously 2 h prior to animal sacrifice (48 h post-LPS). Lungs were fixed for histopathology and the prepared tissue was homogenized or used to extract bronchoalveolar lavage fluid (BALF) or detect EBD concentration. TFPI knockdown mice with ALI were compared to wild-type (WT) mice with ALI to assess the effect of TFPI on endothelial barrier function and inflammation. TFPI deletion markedly exacerbated LPS histopathological changes in lung, and the LPS changes in protein, EBD extravasation, proinflammatory cytokines TNF-α, IL-1ß, and IL-6 in BALF in lung. The number and infiltration of white blood cells (WBCs) from BALF and lung tissue of TFPI cKO mice with LPS-challenged ALI was increased compared to WT mice with LPS-challenged ALI. We also found further increased toll-like receptor 4 and nuclear factor kappa-light-chain-enhancer of activated B cells activation and additional expression of vascular cell adhesion molecule 1 and reduction of angiotensin converting enzyme 2 expression in TFPI cKO+LPS mice compared with WT+LPS mice. Endothelial-specific TFPI deficiency promoted LPS-induced pulmonary inflammation and endothelial barrier permeability possibly via toll-like receptor 4-mediated nuclear factor kappa-light-chain-enhancer of activated B cells signaling pathway activation.


Assuntos
Lesão Pulmonar Aguda/imunologia , Barreira Alveolocapilar/imunologia , Células Endoteliais/imunologia , Lipopolissacarídeos/toxicidade , Lipoproteínas/imunologia , NF-kappa B/imunologia , Transdução de Sinais/imunologia , Lesão Pulmonar Aguda/induzido quimicamente , Lesão Pulmonar Aguda/genética , Lesão Pulmonar Aguda/patologia , Animais , Barreira Alveolocapilar/patologia , Citocinas/genética , Citocinas/imunologia , Células Endoteliais/patologia , Técnicas de Inativação de Genes , Lipoproteínas/genética , Camundongos , Camundongos Transgênicos , NF-kappa B/genética , Transdução de Sinais/genética
7.
J Anim Sci ; 96(8): 3151-3160, 2018 Jul 28.
Artigo em Inglês | MEDLINE | ID: mdl-29846606

RESUMO

Oat is a main feed crop in high- altitude areas of western China, but few studies have been done on its silage making. The aim of this study was to evaluate the effect of silage additives on fermentation, aerobic stability, and nutritive value of different oat varieties (OV) grown in the Qinghai-Tibet Plateau of China. Two OV (Avena sativa L. cv. Longyan No.1 (OVL1) and Avena sativa L. cv. Longyan No.3 (OVL3)) were planted in a randomized complete block design, harvested at early dough stage with 32.6% and 34.1% DM, respectively. The fresh material was chopped to 2-cm length and treated with additives (0, Sila-Mix (MIX), Sila-Max (MAX) in a 2 × 3 factorial arrangement of treatments with three replicates. Both additives contained a mixture of lactic acid bacteria and supplied a final application rate of 2.5 × 108 of lactic acid bacteria per kg of fresh forage weight. After 60 d of ensiling, the number of lactic acid bacteria in treated silages was about 10-fold greater than the control and generally resulted in a lower pH and ammonia-nitrogen (P < 0.001), greater total acids and ratios of lactic acid/acetic acid (P < 0.001), and DM recovery (P = 0.028). Treatment with additives also decreased (P < 0.001) the number of yeasts, which resulted in marked (P < 0.001) improvements in aerobic stability with the effect being greatest with MAX. Both additives improved (P ≤ 0.036) the 48-h in situ DM digestion in OVL1, but not in OVL3 (P ≥ 0.052). Treatment with both additives also increased (P ≤ 0.003) NDF digestion in OVL1 while it was improved (P < 0.001) only by MAX in OVL3. In contrast, the additives did not affect (P ≥ 0.088) in situ hemicellulose digestion in OVL1, but it was improved (P = 0.048) by MIX and further improved (P = 0.002) by MAX in OVL3. Treatment with MAX improved yields of digestible DM and digestible NDF in both varieties. Dry matter recovery was not affected (P = 0.121) by variety. Compared to CTRL, silage treated with MAX had a greater (P = 0.015) DM recovery (96.7% vs. 93.9%). Inoculation improved (P < 0.001) aerobic stability. The MAX was the most effective for both varieties, while MIX was intermediate and was more effective in OVL3 than OVL1 silage. The results also showed that in Qinghai-Tibet Plateau, compared to OVL1, OVL3 resulted in greater (P ≤ 0.002) yields of digestible nutrients; specifically, treated with MAX improved silage fermentation efficiency, DM recovery, and provided excellent aerobic stability for feeding to ruminants.


Assuntos
Avena , Armazenamento de Alimentos/métodos , Valor Nutritivo , Silagem/análise , Fermentação , Ácido Láctico/metabolismo , Tibet , Leveduras/crescimento & desenvolvimento
8.
J Anim Physiol Anim Nutr (Berl) ; 102(1): e449-e459, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-28771826

RESUMO

Probiotics promote the health of the host by maintaining intestinal microbial homeostasis. This study aimed to investigate the benefits of Lactobacillus plantarum BS22 (LP) in the gastrointestinal tract (GIT) microbial homeostasis of broiler chickens exposed to aflatoxin B1 using the PCR-DGGE, viable count and real-time PCR. The toxin adsorption experiment demonstrated that treatment R5 (1.0 × 108 CFU/g LP) exhibited good absorptive effect in adsorbing the aflatoxin B1 (AFB1 ) in vitro. DGGE showed that the composition and structure of gut microbiota were more similar in the mucosa than in the content of all the samples. In addition, higher diversity of the microbiota was observed in the caecum and glandular stomach than in other segments. Lactobacillus, Enterococcus and Enterobacteriaceae were more abundant in the ileum than in the other segments. Enterobacteriaceae in groups I (basal diet) and II (basal diet+50 µg/kg AFB1 ) showed a significant difference in group III (basal diet + 50 µg/kg AFB1  + 1 × 108 CFU/g LP) in the crop content and duodenum mucosa (p < .05). This investigation indicates that the L. plantarum BS22 promotes GIT microbial homeostasis in broiler chickens exposed to AFB1 , particularly for the intestine mucosa microbiota. Thus, L. plantarum BS22 is a possible candidate for degrading AFB1.


Assuntos
Aflatoxina B1/toxicidade , Bactérias/efeitos dos fármacos , Galinhas/microbiologia , Trato Gastrointestinal/microbiologia , Homeostase/efeitos dos fármacos , Lactobacillus plantarum/fisiologia , Animais , Bactérias/classificação , Bactérias/genética , DNA Bacteriano/genética , Microbioma Gastrointestinal/efeitos dos fármacos , Reação em Cadeia da Polimerase em Tempo Real
9.
Sci Rep ; 7(1): 1870, 2017 05 12.
Artigo em Inglês | MEDLINE | ID: mdl-28500352

RESUMO

The evolution of the planetary interior during plate tectonics is controlled by slow convection within the mantle. Global-scale geochemical differences across the upper mantle are known, but how they are preserved during convection has not been adequately explained. We demonstrate that the geographic patterns of chemical variations around the Earth's mantle endure as a direct result of whole-mantle convection within largely isolated cells defined by subducting plates. New 3D spherical numerical models embedded with the latest geological paleo-tectonic reconstructions and ground-truthed with new Hf-Nd isotope data, suggest that uppermost mantle at one location (e.g. under Indian Ocean) circulates down to the core-mantle boundary (CMB), but returns within ≥100 Myrs via large-scale convection to its approximate starting location. Modelled tracers pool at the CMB but do not disperse ubiquitously around it. Similarly, mantle beneath the Pacific does not spread to surrounding regions of the planet. The models fit global patterns of isotope data and may explain features such as the DUPAL anomaly and long-standing differences between Indian and Pacific Ocean crust. Indeed, the geochemical data suggests this mode of convection could have influenced the evolution of mantle composition since 550 Ma and potentially since the onset of plate tectonics.

10.
Opt Express ; 24(25): 28594-28605, 2016 Dec 12.
Artigo em Inglês | MEDLINE | ID: mdl-27958503

RESUMO

We demonstrate 4 × 10 Gbit/s error-free bidirectional transmission over 2 km of conventional OM1 graded-index multimode fiber using OOK modulation and direct detection. We also perform field transmission to show reach and capacity boosts on legacy multimode infrastructure. Such transmission is enabled by selective mode group division multiplexing, based on multi-plane light conversion over 4 mode groups of the multimode fiber.

11.
J Glob Antimicrob Resist ; 7: 93-101, 2016 12.
Artigo em Inglês | MEDLINE | ID: mdl-27693863

RESUMO

Clostridium difficile infection (CDI) is a significant healthcare concern worldwide, and C. difficile is recognised as the most frequent aetiological agent of infectious healthcare-associated diarrhoea in hospitalised adult patients. The clinical manifestation of CDI varies from self-limited diarrhoea to life-threatening colitis. Such a broad disease spectrum can be explained by the impact of host factors. Currently, a complex CDI aetiology is widely accepted, acknowledging the interaction between bacteria and the host. C. difficile strains producing clostridial toxins A and B are considered toxigenic and can cause disease; those not producing the toxins are non-pathogenic. A person colonised with a toxigenic strain will not necessarily develop CDI. It is imperative to recognise patients with active disease from those only colonised with this pathogen and to implement appropriate treatment. This can be achieved by diagnostics that rely on host factors specific to CDI. This review will focus on major aspects of CDI pathogenesis and molecular mechanisms, describing host factors in disease progression and assessment of the host response in order to facilitate the development of CDI-specific diagnostics.


Assuntos
Clostridioides difficile/patogenicidade , Infecções por Clostridium/diagnóstico , Interações Hospedeiro-Patógeno , Colite/microbiologia , Diarreia/microbiologia , Humanos , Fatores de Risco
12.
J Environ Sci Health B ; 51(11): 742-50, 2016 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-27383141

RESUMO

The molecular recognition mechanism of an antibody for its hapten is very interesting. The objective of this research was to study the intermolecular interactions of an anti-amoxicillin antibody with penicillin drugs. The single chain variable fragment (ScFv) antibody was generated from a hybridoma cell strain excreting the monoclonal antibody for amoxicillin. The recombinant ScFv antibody showed similar recognition ability for penicillins to its parental monoclonal antibody: simultaneous recognizing 11 penicillins with cross-reactivities of 18-107%. The three-dimensional structure of the ScFv antibody was simulated by using homology modeling, and its intermolecular interactions with 11 penicillins were studied by using molecular docking. Results showed that three CDRs are involved in antibody recognition; CDR L3 Arg 100, CDR H3 Tyr226, and CDR H3 Arg 228 were the key contact amino acid residues; hydrogen bonding was the main antibody-drug intermolecular force; and the core structure of penicillin drugs was the main antibody binding position. These results could explain the recognition mechanism of anti-amoxicillin antibody for amoxicillin and its analogs. This is the first study reporting the production of ScFv antibody for penicillins and stimulation studying its recognition mechanism.


Assuntos
Amoxicilina/imunologia , Anticorpos Anti-Idiotípicos/biossíntese , Anticorpos Anti-Idiotípicos/genética , Haptenos/química , Haptenos/genética , Penicilinas/imunologia , Anticorpos de Cadeia Única/química , Sequência de Aminoácidos , Amoxicilina/química , Anticorpos Anti-Idiotípicos/química , Modelos Moleculares , Simulação de Acoplamento Molecular , Dados de Sequência Molecular , Penicilinas/química
13.
J Environ Sci Health B ; 51(10): 715-721, 2016 Oct 02.
Artigo em Inglês | MEDLINE | ID: mdl-27356032

RESUMO

In this study, 2-chlorophenothiazine was used to synthesize a hapten for production of monoclonal antibody. The obtained monoclonal antibody showed high crossreactivities to chlorpromazine, promethazine and perphenazine, and showed low crossreactivities to acepromazine and fluphenazine. After evaluation of three coating antigens, a heterologous competitive indirect enzyme linked immunosorbent assay was developed to determine the five phenothiazines in animal feeds and the residues of chlorpromazine, promethazine and perphenazine in meat. The crossreactivities to the five analytes were in a range of 2.4%-98%. The limits of detection for the five drugs in feeds were in a range of 0.1-3.0 µg g-1, and that for chlorpromazine, promethazine and perphenazine in meat were in a range of 0.5-0.8 ng g-1. Their recoveries from standards fortified blank samples (chicken, pork and feeds) were in a range of 74.1%-96.5% with coefficients of variation of 6.4%-15.1%. Therefore, this method could be used as a rapid screen tool to determine phenothiazine drugs in animal feeds and animal derived foods.


Assuntos
Ração Animal/análise , Anticorpos Monoclonais/análise , Resíduos de Drogas/análise , Ensaio de Imunoadsorção Enzimática/métodos , Contaminação de Alimentos/análise , Fenotiazinas/análise , Carne Vermelha/análise , Animais , Anticorpos Monoclonais/imunologia , Galinhas , Reações Cruzadas , Feminino , Haptenos/análise , Haptenos/imunologia , Camundongos , Camundongos Endogâmicos BALB C , Suínos
14.
PLoS One ; 11(1): e0147062, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26789723

RESUMO

BACKGROUND: Metabolic syndrome is prevalent worldwide and its prevalence is related to physical activity, race, and lifestyle. Little data is available for people living in rural areas of China. In this study we examined associations of physical activity and sedentary behaviors with metabolic syndrome components among people in rural China. METHODS: The Nantong Metabolic Syndrome Study recruited 13,505 female and 6,997 male participants between 2007 and 2008. Data of socio-demographic characteristics and lifestyle were collected. The associations of physical activity and sedentary behaviors with metabolic syndrome components were analyzed. RESULTS: Prevalence of metabolic syndrome was 21.6%. It was significantly lower in men than in women. Low risks of metabolic syndrome were observed in those who did less sitting and engaged in more vigorous physical activity. The highest tertile of vigorous physical activity was associated with 15-40% decreased odds of metabolic syndrome and all of its components, except for low high-density lipoprotein cholesterol in men. Women with the highest tertile of moderate physical activity had 15-30% lower odds of central obesity, high glucose, and high triglycerides compared with those in the lowest tertile. Sitting time >42 hours per week had a 4%-12% attributable risk of metabolic syndrome, central obesity, and high triglycerides in both genders, and abnormal glucose and diastolic blood pressure in women. Sleeping for more than 8 hours per day was associated with risk of high serum glucose and lipids. CONCLUSIONS: Our data suggested that physical activity has a preventive effect against metabolic syndrome and all its abnormal components, and that longer sitting time and sleep duration are associated with an increased risk of metabolic syndrome components, including central obesity and high triglycerides, glucose, and diastolic blood pressure. This study could provide information for future investigation into these associations. Also, recommendations are developed to reduce prevalence of metabolic syndrome and its components in rural Chinese populations.


Assuntos
Síndrome Metabólica , Atividade Motora , Obesidade Abdominal , População Rural , Comportamento Sedentário , Adolescente , Adulto , Idoso , Glicemia/metabolismo , Pressão Sanguínea , China/epidemiologia , HDL-Colesterol/sangue , Feminino , Humanos , Masculino , Síndrome Metabólica/sangue , Síndrome Metabólica/epidemiologia , Síndrome Metabólica/fisiopatologia , Pessoa de Meia-Idade , Obesidade Abdominal/sangue , Obesidade Abdominal/epidemiologia , Obesidade Abdominal/fisiopatologia , Triglicerídeos/sangue
15.
Int J Clin Pharm ; 38(1): 127-34, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26499505

RESUMO

BACKGROUND: The use of hybrid renal replacement therapies like sustained low efficiency dialysis (SLED) is increasing in ICUs worldwide. However, pharmacokinetic studies designed to inform therapeutic antibiotic dosing in critically ill patients receiving SLED are limited. SLED operational characteristics vary across institutions. Pharmacists in institutions that utilize SLED are challenged to recommend therapeutic doses for antibiotics. OBJECTIVE: To characterize pharmacist-recommended antibiotic regimens for SLED. METHODS: An electronic survey was sent to pharmacist members of the American College of Clinical Pharmacy in the Nephrology or Critical Care Practice and Research Network. Dosing recommendations for a hypothetical critically ill septic patient were collected for cefepime, ceftaroline, daptomycin, levofloxacin, meropenem, and piperacillin/tazobactam. Main outcome measure Antibiotic regimens for the six antibiotics, their frequency, pharmacist's experience with renal replacement therapies (RRT), post-graduate training, years of clinical experience, number of staffed beds in their hospital, and RRT employed in their ICUs. RESULTS: The survey was completed by 69 clinical pharmacists who had 8.5 ± 7.5 (mean ± SD) years of experience. All pharmacists had experience dosing medications for patients receiving RRT. The most frequently recommended regimen for each antibiotic was: cefepime 1000 mg every 24 h, ceftaroline 200 mg every 12 h, daptomycin 6 mg/kg every 24 h, levofloxacin 500 mg every 24 h, meropenem 1000 mg every 12 h, and piperacillin/tazobactam 2250 mg every 8 h. Up to nine distinct regimens were recommended for each antibiotic, and the total daily dose between these regimens ranged by as much as a 12-fold. Neither pharmacist's experience with SLED, post-graduate training, nor years of clinical experience were significantly associated with particular dosing recommendations for the antibiotics. CONCLUSION: Pharmacists working in institutions that utilize SLED make antibiotic dosing recommendations that vary 4­12-fold depending on the drug. Published research does not provide adequate guidance to optimally dose antibiotics in patients receiving SLED. More SLED pharmacokinetic trials, real-time serum concentration monitoring and advanced pharmacokinetic modeling techniques are necessary to ensure therapeutic dosing in patients receiving SLED.


Assuntos
Antibacterianos/administração & dosagem , Conhecimentos, Atitudes e Prática em Saúde , Farmacêuticos/psicologia , Serviço de Farmácia Hospitalar , Diálise Renal , Antibacterianos/efeitos adversos , Antibacterianos/farmacocinética , Competência Clínica , Estado Terminal , Cálculos da Dosagem de Medicamento , Fidelidade a Diretrizes , Pesquisas sobre Atenção à Saúde , Humanos , Unidades de Terapia Intensiva , Modelos Biológicos , Farmacêuticos/normas , Serviço de Farmácia Hospitalar/normas , Guias de Prática Clínica como Assunto , Diálise Renal/normas , Inquéritos e Questionários
16.
Case Rep Anesthesiol ; 2015: 379397, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26240762

RESUMO

This case is a patient with amyotrophic lateral sclerosis who was unable to be separated from mechanical ventilator support and required a tracheostomy. The patient underwent an initial open tracheostomy utilizing flexible fiberoptic tracheoscopy (FFT) in the operating room (OR). Subsequently, he developed recurrent leaks in the tracheal tube cuff requiring multiple trips back to the operating room. The recurrent cuff leak occurred following each tube placement until the etiology of the leak was discovered during the fourth procedure. In the fourth procedure, the wound was explored more extensively, and it was found that there was a sharp, calcified, aberrant fragment of a tracheal cartilage ring protruding into the tracheal lumen, which was damaging the cuff of each tube. This fragment was not visible by multiple FFTs, nor was it visible in the wound by the surgeons until wider exploration of the wound occurred. The cartilage fragment was ultimately excised and the patient had no further cuff leaks. Aberrant tracheal cartilage should be on the differential diagnosis for cuff leaks subsequent to surgical tracheostomy (ST) or percutaneous dilatational tracheostomy (PDT).

17.
Am J Vet Res ; 76(8): 710-8, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-26207969

RESUMO

OBJECTIVE: To evaluate the effects of dietary nonphytate phosphorus (NPP) content on ileal lymphocyte subpopulations and cytokine expression in the cecal tonsils and spleen of hens that were or were not inoculated with Salmonella Typhimurium. ANIMALS: 64 Salmonella-free hens. PROCEDURES: Hens were fed a diet with 0.22% (control; n = 32) or 0.42% (high-P; 32) NPP for 6 weeks and then orally inoculated with S Typhimurium (5 × 10(7) CFUs) or PBSS. Tissues were obtained from 8 S Typhimurium-inoculated and 8 PBSS-inoculated hens from each group at 2 and 7 days postinoculation (DPI). Percentages of ileal CD4+ and CD8+ lymphocytes were determined by flow cytometry. Cytokine mRNA expression was determined by quantitative real-time PCR assays. RESULTS: For S Typhimurium-inoculated hens, plasma parathyroid hormone concentration was significantly increased and 1,25-dihydroxyvitamin D3 concentration was decreased in hens fed the high-P diet, compared with values in hens fed the control diet. Salmonella Typhimurium inoculation caused an increase in the percentage of ileal CD8+ lymphocytes and the expression of interleukin (IL)-1ß, IL-6, IL-8, interferon-γ, IL-12, and IL-18 in the cecal tonsils and spleen and a decrease in the expression of IL-4 and IL-10 in the cecal tonsils. Hens fed the high-P diet had significantly increased splenic expression of interferon-γ at 2 DPI and IL-1ß, IL-6, IL-12, and IL-18 at 7 DPI, compared with hens fed the control diet. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggested there was a T-helper 1 cytokine reaction in the cecal tonsils and spleen of S Typhimurium-inoculated hens, and dietary NPP content altered calcium regulation hormone concentrations and affected splenic cytokine expression.


Assuntos
Citocinas/metabolismo , Subpopulações de Linfócitos , Fósforo na Dieta , Doenças das Aves Domésticas/imunologia , Salmonelose Animal/imunologia , Salmonella typhimurium/patogenicidade , Animais , Ceco/imunologia , Galinhas , Dieta/veterinária , Feminino , Íleo/citologia , Doenças das Aves Domésticas/microbiologia , Reação em Cadeia da Polimerase em Tempo Real/veterinária , Salmonelose Animal/microbiologia , Baço/imunologia
18.
J Environ Sci Health B ; 50(9): 645-53, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26079338

RESUMO

The objective of the present study was to develop a multi-analyte immunoassay for the determination of eight red dyes in food samples. Two dye intermediates (2-hydroxy-1-naphthoic acid and 1-amino-2-naphthol) were used as the haptens to produce the monoclonal antibodies. The obtained monoclonal antibodies recognized Sudan 1-4, Para red, Sudan red G, Sudan red B and Acid orange II simultaneously. After evaluation of different antibody/coating antigen combinations, a heterologous indirect competitive enzyme linked immunosorbent assay was developed to determine the eight red dyes in food samples (chili oil, chili powder, tomato sauce, hotpot seasoning). The crossreactivities to the eight analytes were in the range of 61%-79% (with ß-naphthol as 100%), and the limits of detection were in the range of 1.3-1.9 ng/mL. The recoveries of the eight analytes from the fortified blank samples were in the range of 84.2%-115% with coefficients of variation lower than 18.3%. Therefore, this method could be used as a rapid and simple tool to detect the residues of the eight red dyes in foods.


Assuntos
Anticorpos Monoclonais/imunologia , Corantes/análise , Contaminação de Alimentos/análise , Naftóis/análise , Naftóis/imunologia , Animais , Reações Cruzadas/imunologia , Ensaio de Imunoadsorção Enzimática/métodos , Feminino , Haptenos/imunologia , Camundongos , Modelos Animais
19.
J Environ Sci Health B ; 50(1): 15-22, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25421624

RESUMO

The objective of the present study was to produce a generic monoclonal antibody for immunoassay of residues of benzodiazepine drugs in swine tissues. Clonazepam was used to synthesize a hapten that was coupled to bovine serum albumin as an immunogen for the production of monoclonal antibody. Results showed that the obtained monoclonal antibody was able to recognize five benzodiazepine drugs simultaneously (clonazepam, flunitrazepam nitrazepam, diazepam, and oxazepam). The cross-reactivities were in the range of 24-100% and the limits of detection were in the range of 0.2-1.5 ng mL(-1) depending on the drug. Then a competitive indirect enzyme-linked immunosorbent assay was developed to determine the residues of five benzodiazepines in swine tissues (muscle, liver and kidney). The recoveries of five analytes from the fortified blank samples were in the range of 74.5-96.5% with coefficients of variation lower than 16.7%. Therefore, this immunoassay could be used as a rapid and simple method for the screening of residues of five benzodiazepine drugs in animal-derived foods.


Assuntos
Anticorpos Monoclonais/biossíntese , Benzodiazepinas/análise , Resíduos de Drogas/análise , Contaminação de Alimentos/análise , Carne/análise , Animais , Clonazepam/análise , Diazepam/análise , Flunitrazepam/análise , Haptenos/metabolismo , Imunoensaio , Rim/metabolismo , Limite de Detecção , Fígado/metabolismo , Camundongos , Camundongos Endogâmicos BALB C , Músculos/metabolismo , Oxazepam/análise , Albumina Sérica/metabolismo , Suínos , Distribuição Tecidual
20.
BMC Musculoskelet Disord ; 15: 320, 2014 Sep 27.
Artigo em Inglês | MEDLINE | ID: mdl-25262146

RESUMO

BACKGROUND: Recently, several animal studies have found that spontaneous hyaline cartilage regeneration can be induced in vivo within a large osteochondral defect by implanting a synthetic double-network (DN) hydrogel, which is composed of poly-(2-acrylamido-2-methylpropanesulfonic acid) (PAMPS) and poly-(N,N'-dimethyl acrylamide) (PDMAAm), at the bottom of the defect. However, the effect of hydrogel on hyaline cartilage regeneration remains unexplained. The purpose of this study was to investigate the chondrogenic differentiation of C3H10T1/2 cells on PAMPS/PDMAAm DN gel. METHODS: C3H10T1/2 cells of 1.0 × 105 were cultured on PAMPS/PDMAAm DN gel in polystyrene tissue culture dishes or directly on polystyrene tissue culture dishes. We compared cultured cells on PAMPS/PDMAAm DN gel with those on polystyrene dishes by morphology using phase-contrast microscopy, mRNA expression of aggrecan, type I collagen, type II collagen, Sox 9 and osteocalcin using real-time RT-PCR, and local expression of type II collagen using immunocytochemistry. RESULTS: C3H10T1/2 cells cultured on the PAMPS/PDMAAm DN gels formed focal adhesions, aggregated rapidly and developed into large nodules within 7 days, while the cells cultured on the polystyrene surface did not. The mRNA levels of aggrecan, type I collagen, type II collagen, Sox 9 and osteocalcin were significantly greater in cells cultured on the PAMPS/PDMAAm DN gel than in those cultured on polystyrene dishes. In addition, C3H10T1/2 cells cultured on PAMPS/PDMAAm DN gel expressed more type II collagen at the protein level when compared with cells cultured on polystyrene dishes. CONCLUSIONS: The present study showed that PAMPS/PDMAAm DN gel enhanced chondrogenesis of C3H10T1/2 cells, which are functionally similar to mesenchymal stem cells. This suggests that mesenchymal stem cells from the bone marrow contribute to spontaneous hyaline cartilage regeneration in vivo in large osteochondral defects after implantation of PAMPS/PDMAAm DN gels.


Assuntos
Acrilamidas/farmacologia , Técnicas de Cultura de Células , Diferenciação Celular/efeitos dos fármacos , Condrogênese/fisiologia , Polímeros/farmacologia , Ácidos Sulfônicos/farmacologia , Animais , Técnicas de Cultura de Células/métodos , Diferenciação Celular/fisiologia , Linhagem Celular , Condrogênese/efeitos dos fármacos , Géis , Camundongos , Camundongos Endogâmicos C3H
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