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1.
Neuropsychopharmacology ; 43(7): 1530-1538, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29497164

RESUMO

The endogenous opioid system may be involved in the development and maintenance of alcohol use disorder (AUD) and is a target for existing AUD pharmacotherapies. A functional polymorphism of the mu-opioid receptor gene (OPRM1 A118G, rs1799971) may alter the risk of developing AUD. Human laboratory studies have demonstrated that minor allele carriers self-administer more alcohol, show greater sensitivity to alcohol's effects, and exhibit increased alcohol-induced dopamine release. On the other hand, large genome-wide association studies and meta-analyses of candidate gene studies have not found an association between this genotype and alcohol dependence diagnosis. Given this discrepancy, the present study sought to verify whether OPRM1 A118G was associated with alcohol self-administration, subjective response to alcohol, and craving in a sample of 106 social drinkers of European ancestry who completed an intravenous alcohol self-administration session. We found no relationship between OPRM1 rs1799971 genotype and subjective response to alcohol or craving. OPRM1 genotype was not associated with total alcohol exposure or likelihood of attaining a binge-level exposure (80 mg%) during the intravenous alcohol self-administration session. Analysis of 90-day Timeline Followback interview data in a larger sample of 965 participants of European ancestry found no relationship between OPRM1 genotype and alcohol consumption in either alcohol dependent or non-dependent participants. These findings suggest that there may not be an association between OPRM1 rs1799971 genotype and alcohol consumption or sensitivity in individuals of European ancestry.


Assuntos
Afeto/efeitos dos fármacos , Consumo de Bebidas Alcoólicas/genética , Fissura/efeitos dos fármacos , Predisposição Genética para Doença/genética , Receptores Opioides mu/genética , Administração Intravenosa , Alelos , Etanol/administração & dosagem , Etanol/farmacologia , Estudo de Associação Genômica Ampla , Genótipo , Humanos , Polimorfismo de Nucleotídeo Único/genética , Autoadministração , População Branca/genética , População Branca/psicologia
2.
Meat Sci ; 72(1): 25-33, 2006 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-22061370

RESUMO

Patties and sausage batters were made from trimmed brisket, chuck, striploin, hindshank, silverside, thick flank and rib trim from grass-fed Friesian cows. Functionality of each meat cut was determined from cook yield and true stress and strain of cooked sausage batters and cook yield, dimensional changes and peak force of cooked patties. Colour of raw and cooked slices from the meat cuts and cooked batters was evaluated using a colorimeter and a consumer panel. Composition of raw meat from all cuts was similar; chuck and rib trim had higher pH values and were more red than meat from other cuts. Cooked batters from striploin, chuck and hindshank had higher stress and strain values than gels from other cuts. Patties made from thick flank and striploin were the softest and had the highest cook yield. Batters and patties made from meat with higher salt soluble protein content retained more water and fat on cooking, were more cohesive and had higher bind strengths. Manufacturers can use functionality characteristics to select meat for specific products.

3.
J Anim Sci ; 79(8): 2187-95, 2001 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-11518228

RESUMO

Conjugated linoleic acid (CLA) was supplemented to crossbred growing-finishing barrows (n = 60) at 0.75% of the total diet. Pigs were randomly assigned to the CLA or control diets based on stress genotype (negative, carrier, or positive). Gain:feed was higher for CLA diet animals (350 g/kg feed) than for control diet animals (330 g/kg feed) independent of genotype (P < 0.05). No differences were observed for ADG for the diets (P = 0.71) or genotype classes (P = 0.40). Postmortem pH was lower (P < 0.01) by 3 h for CLA-supplemented pigs, with no differences in ultimate pH. No differences (P = 0.16) were observed for ultimate pH between the three genotypes. Conjugated linoleic acid-supplemented pigs exhibited less 10th rib fat depth (2.34 cm vs 2.84 cm) and last rib fat depth (2.46 cm vs 2.72 cm) than control pigs (P < 0.05). Loin muscle area (LMA) was not affected (P = 0.18) by CLA supplementation, but LMA was different (P < 0.02) for genotype; positive genotype carcasses had the largest LMA (45.02 cm2) and negative carcasses had the smallest LMA (36.44 cm2). Carrier carcasses were intermediate for LMA (40.76 cm2). Subjective scores for color were not affected (P = 0.98) by CLA but color was different (P < 0.01), with scores of 1.50, 2.40, and 3.1 for positive, carrier, and negative genotypes, respectively. Subjective marbling scores were increased (P < 0.03) in all genotypes with CLA supplementation. Subjective firmness scores were higher (P < 0.06) for CLA-supplemented pigs and were highly correlated (0.89) to marbling scores. The L* values were higher (P < 0.01) for stress-positive pigs at 24 h postmortem. Also, L* values were higher (P < 0.01) for CLA-fed pigs over 7 d of shelf storage. Sensory characteristics were not different with CLA supplementation for tenderness (P = 0.24), juiciness (P = 0.35), or flavor intensity (P = 0.14). This study showed that LMA was increased with stress-carrier and stress-positive genotypes, but lean color was negatively affected with the presence of the stress gene. Conjugated linoleic acid supplementation improves feed efficiency, decreases backfat, and improves pork quality attributes of marbling and firmness of the longissimus muscle. Furthermore, there is seemingly no interaction between the stress-genotype status of pigs and the subsequent effect of CLA on their growth and performance.


Assuntos
Tecido Adiposo/metabolismo , Ácido Linoleico/farmacologia , Carne/normas , Estresse Fisiológico/veterinária , Doenças dos Suínos/genética , Suínos/genética , Animais , Genótipo , Vigor Híbrido , Concentração de Íons de Hidrogênio , Estresse Fisiológico/genética , Suínos/metabolismo
4.
J Anim Sci ; 79(6): 1475-82, 2001 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-11424684

RESUMO

This study was designed to observe the effects of conjugated linoleic acid (CLA) supplementation on lean content of pork carcass primal cuts (hams, loins, and bellies) and to determine the ability of total body electrical conductivity (TOBEC) to predict lean content. A total of 64 crossbred growing-finishing barrows were placed on a control (soybean oil) or CLA (0.75%) diet at an average weight of 40 kg. Pigs were penned in pairs according to diet and stress genotype (negative, carrier, and positive) and slaughtered at 115 kg. Stress genotype was included because of known variations in lean content. Hams (IMPS 401A; n = 64), loins (IMPS 410; n = 24), and bellies (IMPS 408; n = 63) were fabricated from carcasses at 24 h postmortem and scanned for electromagnetic (EM) absorption by a MQ-25 EM scanner. Each wholesale cut was scanned in triplicate at 2.5 MHz to yield a peak mean average (PMA) value then separated into lean, fat, bone, and skin components. Bellies were skinned prior to scanning then subjected to a belly bar firmness test before dissection. Supplementation with CLA had no effect (P > 0.05) on lean ham composition. Regression analysis was used for lean weight prediction using primal weight and PMA value as predictors. Lean content prediction of hams by TOBEC resulted in an R2 of 0.80. Loins from CLA-supplemented pigs exhibited increased lean weight (P < 0.05) and PMA values (P < 0.05) compared to controls. Lean prediction of loins by TOBEC resulted in an R2 of 0.66. Bellies from CLA-supplemented pigs had a higher percentage of moisture (P < 0.03) and protein (P < 0.01) and decreased percentage of lipid (P < 0.01). The R2 values from the regression analysis predicting protein, moisture, protein + moisture, and fat-free soft tissue composition of the skinless bellies were 0.67, 0.68, 0.71, and 0.78, respectively.


Assuntos
Composição Corporal , Condutividade Elétrica , Estresse Fisiológico/veterinária , Doenças dos Suínos/fisiopatologia , Suínos/anatomia & histologia , Animais , Dieta/veterinária , Suplementos Nutricionais , Fenômenos Eletromagnéticos , Ácidos Graxos não Esterificados/sangue , Genótipo , Vigor Híbrido , Ácido Linoleico , Análise de Regressão , Estresse Fisiológico/genética , Estresse Fisiológico/fisiopatologia , Suínos/genética , Doenças dos Suínos/genética
5.
Meat Sci ; 62(1): 107-12, 2002 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-22061198

RESUMO

The effect of thawing and cooking regimes on the processing characteristics and colour of cooked roast beef made from frozen beef cap-on inside round (semimembranosus, adductor and gracilus muscle) was investigated. After thawing in air or water, the cap was removed and the insides were pumped (110%), tumbled (30 min continuously) and then cooked in either constant-temperature water baths or baths where a 10 °C difference was maintained between the roast and the water to an internal temperature of 63 or 80 °C. Purge was higher for insides thawed in air. Insides that were cooked at a constant temperature had higher cook yields the same was seen for lower end-point temperatures. Colour of raw insides thawed in water was slightly redder than insides thawed in air. Thawing and cooking regime did not affect the colour of cooked slices but the higher the end temperature, the higher the Hunter L and the lower the Hunter a and b values. Data from this research suggests that roast beef manufacturers should evaluate thawing and cooking procedures to ensure they optimize their process.

6.
Meat Sci ; 62(1): 121-7, 2002 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-22061200

RESUMO

Two experiments were done to determine the effect of storage conditions and meat cut on the processing characteristics of beef roasts. The first experiment examined the effect of storage condition (fresh/frozen), cap on/off, thawing regime and holding time post thawing on purge, brine uptake, cook yield and colour of raw and cooked roasts. The second experiment examined the effect of meat cut (insides/flats) and chilled storage for up to 8 weeks on processing characteristics of roast beef. Purge was greater for insides stored frozen without cap and air thawed. Frozen thawed cuts had increased brine retention after injection, after tumbling and after cooking. Flats had less purge and higher cook yields when manufactured into roast beef. Raw and cooked colour was not significantly affected by most factors investigated. Raw meat was more red than meat that had been frozen.

7.
Meat Sci ; 62(4): 399-403, 2002 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22061746

RESUMO

The processing characteristics of roasts manufactured from either high or normal pH bull inside rounds (semimembranosus and adductor muscles), which had been stored chilled or frozen, were investigated. Roasts were injected with a salt/phosphate brine and cooked to an internal temperature of 63 °C in a 70 °C water bath. High-pH meat that had been frozen had less purge than normal pH meat. However, pH did not affect purge from chilled meat. Meat pH and storage conditions did not affect retention of pumped brine. Cook yields were significantly (P<0.05) higher for roasts made from high pH meat (103.8 vs 98.8%). Raw and cooked meat colour was affected by meat pH but not storage condition. Cooking reduced the effect of pH on meat colour but cooked roasts manufactured from high pH meat were redder than roasts manufactured from normal pH meat.

8.
Meat Sci ; 62(4): 419-27, 2002 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22061749

RESUMO

Two separate experiments investigated the effect of breed (Bos indicus, Bos indicus×and Bos taurus), gender/age and chilled and frozen storage on the processing characteristics of roasts made from inside rounds (semimembranosus, adductor and gracilis muscles). Roasts were injected with a salt/phosphate brine and cooked to an internal temperature of 63 °C. Freezing the meat increased purge lost from the raw meat. Country of origin had no significant effect on cook yield. Sensory evaluations with a US consumer panel indicated only slight sensory differences due to country of origin and breed but a significant effect from storage regime. Tenderness comparisons between breeds were confounded by country of origin and indicated that roast beef from inside rounds from Brahman cattle had lower WBS values than roast beef made from inside rounds from British cattle. Although breed and age/gender often significantly affected processing characteristics of the roasts, differences were small and would have little practical or economic importance for selecting the type of meat for this market sector.

9.
Meat Sci ; 45(1): 87-97, 1997 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-22061140

RESUMO

In semimembranosus (SM) muscles removed pre- and post-rigor and injected 10% (wt/wt) with brines formulated to give 2% salt, 1.5% glucose, 0.3% phosphate, 0.15% calcium chloride or 3% sodium lactate in the finished product and cooked within 1 h of injection, cook yields were not significantly affected by processing pre- or post-rigor. Within treatments, however, brine composition had a significant (P < 0.05) effect on cook yields; highest yields were obtained using salt (although this was not significantly different from the water injected control) and lowest yields with calcium chloride. Adding phosphate resulted in lower peak shear force values, and less energy was required to break the sample. The most tender roasts from pre-rigor meat were produced using salt, phosphate or lactate brines and the least tender using calcium chloride. Brine temperature (0-12 °C) during injection had little effect on cook yields or tenderness of the roast beef manufactured pre-rigor. The results indicate that accelerated processing of roast beef can result in finished product with acceptable yields and tenderness if salt and phosphate brines are used.

10.
Meat Sci ; 45(4): 427-37, 1997 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-22061666

RESUMO

Pre-rigor beef mince with 2% added salt was stored under CO(2) at -1.5 °C (A). The same mince with 100 ppm sodium nitrite was stored under CO(2) at 5 °C (B) and -1.5 °C (C), and under vacuum at -1.5 °C (D). Microbiological and sensory analyses were carried out for up to 21 weeks. Indicative storage life was taken as the time for microbial numbers to reach 10(7) colony forming units per g. Mince stored under regimes B or D attained these numbers by 6 and 14 weeks, respectively; mince stored under regimes A and C had not attained these numbers by the end of the storage trial. Mince stored at 5 °C developed storage flavours of sufficient intensity to be detectable by consumers by 9 weeks storage. In general, the other minces did not develop unacceptable levels of storage or off flavours. Over 90% of the added sodium nitrite had disappeared after 10 weeks of storage, partly through conversion to sodium nitrate. Mince pH was not affected by the storage conditions and remained at about 6.0. The water holding capacity of the pre-rigor mince deteriorated during prolonged storage.

11.
Meat Sci ; 45(4): 463-72, 1997 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-22061669

RESUMO

The functional properties of thawed pre-rigor beef that had been minced and salted or not salted when its pH value reached 6.8, 6.6, 6.4, 6.2 and 6.0, then immediately frozen, were determined. The mince samples were used to manufacture a finely comminuted sausage batter. Presalting before frozen storage resulted in higher (p < 0.05) thawed mince pH, and batter cook yield and shear strain, and lower (p < 0.05) mince salt soluble proteins, thaw drip and Hunter L(∗) and b(∗) values and batter shear stress than unsalted controls. The pre-rigor pH at time of salting/mincing affected (p < 0.05) thaw drip (unsalted mince only), Hunter L(∗) and b(∗) values and shear stress. Shear stress tended to increase (p < 0.01) and Hunter L(∗) (p < 0.05) and b(∗) (p < 0.01) values tended to decrease with fall in pre-rigor salting pH. No interaction (p > 0.05) between salting and pre-rigor pH at time of salting was observed.

12.
Meat Sci ; 46(1): 57-66, 1997 May.
Artigo em Inglês | MEDLINE | ID: mdl-22061845

RESUMO

Restructured beef roasts, made to a standardized formulation, were prepared using the following types of meat that had been stored at - 18 °C for 5 or 10 weeks: grass-fed bull beef pre-rigor injected with a salt/phosphate brine; uninjected grass-fed bull beef; uninjected grain-fed beef; a 50:50 blend of pre-rigor injected grass-fed bull beef and grain-fed beef; and a 50:50 blend of uninjected grass-fed bull beef and grain-fed beef. After frozen storage, pre-rigor injected beef had a higher (p < 0.05) ultimate pH than uninjected beef . Grain-fed beef had the lowest ultimate pH. Roasts made from pre-rigor injected beef were redder (higher Hunter a(∗) values) than roasts made with uninjected beef (p < 0.05). Roasts made from grain-fed beef were lighter and looked more cooked (higher L(∗) and lower a(∗) values respectively) than those made with grass-fed beef. Extending frozen storage to 10 weeks decreased the cook yield (p < 0.05), peak force (p < 0.001) and extensibility (p < 0.05). Consumer panellists preferred (p < 0.05) roasts made from pre-rigor injected beef for tenderness, juiciness and overall acceptability compared with roasts made from uninjected beef.

13.
Meat Sci ; 46(4): 329-38, 1997 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22062316

RESUMO

The functionality and microbial storage life of pre-rigor beef mince stored at -1.5 °C under vacuum or a saturated carbon dioxide atmosphere, or at -18 °C in polyethylene bags, was investigated. Salt (2% w w ) or salt plus the cryoprotectant Polydextrose(®) (2%/2.6% w w ) was added pre-rigor to some samples. Chilled storage decreased salt soluble protein (SSP) by 13-18% (P < 0.01); frozen storage decreased SSP content by 20%. Pre-rigor salted mince in saturated carbon dioxide packs had a satisfactory microbial quality after 12 weeks storage. The cook yield of finely comminuted sausage batters made from that mince and from fresh pre-rigor mince were similar, although batter stress and strain decreased with chilled storage. Adding Polydextrose(®) to salted mince improved batter strain compared with the non-additive and salt-only samples and improved batter stress compared with the salt-only samples. The microbial storage life of chilled vacuumpacked unsalted mince was less than 6 weeks; pre-rigor salting increased its storage life.

14.
Meat Sci ; 44(1-2): 11-8, 1996 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-22060751

RESUMO

The effects of variation in the times of mincing post mortem (2, 4, or 6 h), pre-rigor salting (1.5% wt wt ) and freezing rate [fast (10 min, liquid nitrogen); medium (4-6 h at -40 °C and 0.8 m s(-1) air velocity); or slow (36-38 h at -10 °C and 0.1 m s(-1) air velocity followed by 12 h at -20 °C and 0.1 m s(-1) air velocity)] on the functionality of young bull meat were examined using hot-boned forequarters. At 52 h post packaging, the meat was thawed (72 h at 4 °C), its pH measured, and it was used to make finely comminuted batters. Cook yield and stress and strain of the cooked batters were measured. Time of mincing had no effect on meat pH, cook yield or stress and strain. There was a significant interaction (P < 0.05) between pre-rigor salting and freezing rate for pH. Freezing rate did not affect the pH of pre-rigor salted meat whereas the pH of unsalted pre-rigor meat was highest at the fastest freezing rate. Meat salted pre-rigor had a significantly (P < 0.05) higher pH than the post-rigor chilled control. Pre-rigor salting decreased the stress values of cooked batter whereas the slowest freezing rate increased stress. Stress and strain values for cooked batters from thawed meat were not significantly different from the values for batters made from the unfrozen control. Cook yields of batters made from pre-rigor frozen meat were higher than that of the postrigor control but not significantly so. The results indicate that suppliers can use pre-rigor salted and frozen meat when manufacturing comminuted products without major detrimental effects on the cook yield and texture of the finished product.

15.
Meat Sci ; 50(2): 245-56, 1998 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-22060958

RESUMO

The effect of rigor temperature (RT, 35 versus 10°C), increased ionic concentration (MS, 0 versus 0·2% mixed salts), oxidized lipids (OL, 0 versus 1% added oxidized fat), increased free amino acids (FAA, 0 versus 0·3% added mixture of amino acids), fat content (FC, 0 versus 15% added fat) and excluding atmospheric gases (V, 0 versus 99·9% vacuum) on pH and colour of mince stored for one month at -20°C was studied using a complete 2(6) factorial design. Adding FAA increased the meat pH measured after storage (p<0·001). Meat lightness (Hunter L* value) was increased by increased fat content (p<0·001), higher rigor temperature (p<0·001) and oxidized lipids (p<0·05). Vacuum packing tended to preserve redness (Hunter a*) whereas the higher rigor temperature decreased redness (p<0·001). Vacuum packing (p<0·05) and increased fat content (p<0·001) increased yellowness (Hunter b*). The hue angle was lowered by increased salt concentration (p<0·01), increased free amino acids (p<0·01) and using vacuum packing (p<0·001), whereas it was raised (p<0·001) by increased fat content and higher rigor temperature. Various significant two-and three-way interactions are tabulated and discussed.

16.
Meat Sci ; 50(2): 235-43, 1998 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-22060957

RESUMO

The effect of rigor temperature (RT, 35 versus 10°C), increased ionic concentration (MS: 0 versus 0·2% mixed salts), oxidized lipids (OL, 0 versus 1% added oxidized fat), increased free amino acids (FAA, 0 versus 0·3% added mixture of amino acids), fat content (FC, 0 versus 15% added fat) and excluding atmospheric gases (V, 0 versus 99·9% vacuum) on protein functionality in mince stored 1 month at -20°C was studied using a complete 2(6) factorial design. All factors studied affected the functional properties of beef. Fresh 24hr samples that entered rigor at 35°C had lower total (TPS), myofibrillar (MPS) and sarcoplasmic (SPS) protein solubilities than samples entering rigor at 10°C (p<0·01). During frozen storage, RT, MS and OL alone did not affect protein solubilities, FAA increased TPS but did not affect MPS and SPS, increasing the meat's fat content raised TPS and SPS but did not affect MPS, applying a vacuum increased TPS and MPS but lowered SPS (p<0·05). Cook yield of frozen stored mince increased with higher FAA but decreased with higher fat content, and the peak force of patties made from frozen stored mince was lowered by increased MS and low FC during storage. Various significant interactions are tabulated and discussed.

17.
Meat Sci ; 49(2): 233-47, 1998 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22063312

RESUMO

Within 45 min post-mortem, 10mm thick strips of semitendinosus muscle from both unstimulated and high voltage stimulated heifer sides were held at 0, 5, 10, 25 and 35 °C for 24 hr, during which they entered rigor. Half the samples were frozen and stored at -20 °C for one month. The pH, sarcomere length, drip, total (TPS), myofibrillar (MPS) and sarcoplasmic (SPS) protein solubilities, and Hunter L (∗), a (∗) and b (∗) values were determined at 24 hr and on thawed samples. Electrical stimulation did not significantly affect any of the parameters measured. The ultimate pH of samples entering rigor at 10 and 25 °C was lower (p < 0.001) than that of samples held at the other temperatures. Rather surprisingly, there was no significant difference in sarcomere length due to rigor temperature. Samples entering rigor at 35 °C had lower TPS, MPS and SPS values than samples held at 0 to 25 °C (p < 0.001). The MPS increased with rigor temperature up to 25 °C (p < 0.001). Drip and total moisture losses, and Hunter L (∗), a (∗) and b (∗) values also increased with rigor temperature (p < 0.001) whereas SPS decreased and NMR meat water spin-lattice relaxation time (T1) shortened with increasing rigor temperature (p < 0.001). Hue angle and cook loss decreased with rigor temperature in 24 hr samples but increased with rigor temperature in frozen samples. After frozen storage, SPS, T1, cook loss and Hunter L (∗), a (∗), b (∗) values decreased, but TPS, MPS, drip losses and hue angle increased. There were significant (p < 0.05) correlations between SPS, hue angle, drip losses and T1.

18.
Meat Sci ; 49(1): 79-88, 1998 May.
Artigo em Inglês | MEDLINE | ID: mdl-22063186

RESUMO

The colour stability of finely chopped fresh sausages made from post-rigor, pre-rigor salt added (1.5% w/w) or pre-rigor no salt added beef mince was evaluated using a Hunter Miniscan (L (∗) a (∗) b (∗)) and sensory colour panel. Batters were chopped for various times and sausages stored at -1.5 °, + 4.0 ° and + 8.0 °C. Regardless of meat source or chopping time, colour stability was greatest at -1.5 °C. Panellists found the colour of all sausages stored at -1.5 °C acceptable for at least six days. Sausages made from unsalted pre-rigor mince had markedly better colour stability than those made from the other meats, especially when stored at 4 °C or 8 °C.

19.
Stud Health Technol Inform ; 29: 43-59, 1996.
Artigo em Inglês | MEDLINE | ID: mdl-10163773

RESUMO

Tumors of the skull base in general are considered among the more difficult head and neck pathological entities to treat surgically; some surgeons, in fact, consider lesions in this area inoperable. The most appropriate and safest surgical approach to lesions of the anterior and lateral skull base can be devised only with accurate and precise pre-operative assessment. The literature demonstrates the constant evolution of and search for more efficient less invasive, and safe surgical approaches to this region. With the development of a more exact three-dimensional, interactive anatomical "road map" for each patient's disease and anatomy, the skull base surgeon can not only achieve a more accurate pre-operative assessment leading to a less invasive and less morbid approach, but also can continue to develop and refine new approaches without fear of actual morbidity and mortality. An interdisciplinary team approach, the advent and continued development of faster high performance computers, and the development of new and innovative rendering algorithms can lead to surgical simulation. A prototype of an interactive system has been developed. The system will be iteratively modified through a stepwise evaluation of its clinical usefulness by continually reassessing the system with clinical trials. The current state of the system and the potential benefits are presented.


Assuntos
Simulação por Computador , Diagnóstico por Imagem/instrumentação , Processamento de Imagem Assistida por Computador/instrumentação , Neoplasias da Base do Crânio/diagnóstico , Técnicas Estereotáxicas/instrumentação , Mapeamento Encefálico/instrumentação , Gráficos por Computador , Sistemas Computacionais , Humanos , Equipe de Assistência ao Paciente , Neoplasias da Base do Crânio/cirurgia , Software
20.
Mark Health Serv ; 21(3): 10-4, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11525135

RESUMO

Tracking patient satisfaction over time is an effective way to learn about patient perceptions and can also help draw attention to service areas that need improvement. This research compared patient satisfaction levels immediately following hospital discharge and then again two years later. Both overall satisfaction and satisfaction with particular attributes tended to decrease over time. These findings raise questions about the long-term stability of satisfaction ratings and have implications for the timing of satisfaction surveys.


Assuntos
Pesquisas sobre Atenção à Saúde , Administração Hospitalar/normas , Relações Hospital-Paciente , Satisfação do Paciente/estatística & dados numéricos , Retroalimentação , Seguimentos , Humanos , Marketing de Serviços de Saúde , Alta do Paciente , Garantia da Qualidade dos Cuidados de Saúde , Inquéritos e Questionários , Fatores de Tempo , Estados Unidos
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