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1.
Environ Sci Technol ; 54(6): 3499-3509, 2020 03 17.
Artigo em Inglês | MEDLINE | ID: mdl-32100529

RESUMO

Variability in consumer practices and choices is typically not addressed in comparisons of environmental impacts of traditional shopping and e-commerce. Here, we developed a stochastic model to quantify the variability in the greenhouse gas (GHG) footprints of product distribution and purchase of fast-moving consumer goods (FMCGs) via three prevalent retail channels in the United Kingdom (U.K.). We found that shopping via bricks and clicks (click and fulfillment via physical store delivery) most likely decreases the GHG footprints when substituting traditional shopping, while FMCGs purchased through pure players with parcel delivery often have higher GHG footprints compared to those purchased via traditional retail. The number of items purchased and the last-mile travel distance are the dominant contributors to the variability in the GHG footprints of all three retail channels. We further showed that substituting delivery vans with electric cargo bikes can lead to a GHG emission reduction of 26% via parcel delivery. Finally, we showed the differences in the "last mile" GHG footprint of traditional shopping in the U.K. compared to three other countries (China, Netherlands, and the United States), which are primarily caused by the different shares of modes of transport (walking and by car, bus, and bike).


Assuntos
Gases de Efeito Estufa , China , Efeito Estufa , Países Baixos , Reino Unido , Estados Unidos
2.
Environ Sci Technol ; 52(1): 135-144, 2018 01 02.
Artigo em Inglês | MEDLINE | ID: mdl-29195039

RESUMO

Our study provides an integrated analysis of the variability of greenhouse gas (GHG) footprints of field-grown tomatoes for processing. The global farm-specific data set of 890 observations across 14 countries over a three-year period (2013-2015) was obtained from farms grown under Unilever's sustainable agricultural code. It represents on average 3% of the annual global production of processing tomatoes: insights can be used to help inform corporate sourcing strategies and certification schemes. The median GHG footprint ranged from 18 in Chile to 61 kg CO2-equiv per tonne of tomatoes in India, lower than results reported in other studies. We found that footprints are more consistent within countries than between them. Using linear mixed effect models, we quantified the relative influence of environmental conditions and farm management factors. Key variables were area of production and the method of fertilizer application. GHG footprints decreased with increasing area of production to a threshold of 17.4 ha. Farms using single fertilizer application methods in general had a larger GHG footprint than those using a combination of methods. We conclude that farm management factors should be prioritized for future data collection, and more stringent guidance on acceptable practices is required if greater comparability of outcomes is needed either within a scheme, such as the Unilever's sustainable agriculture code, or between schemes.


Assuntos
Gases de Efeito Estufa , Solanum lycopersicum , Chile , Efeito Estufa , Índia
3.
J Microsc ; 252(2): 100-10, 2013 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-23889324

RESUMO

We present the rationale for the development of mathematical features used for classification of images stained for selected tight junction proteins. The project examined localization of zonula occludens-1, claudin-1 and F-actin in a model epithelium, Madin-Darby canine kidney II cells. Cytochalasin D exposure was used to perturb junctional localization by actin cytoskeleton disruption. Mathematical features were extracted from images to reliably reveal characteristic information of the pattern of protein localization. Features, such as neighbourhood standard deviation, gradient of pixel intensity measurement and conditional probability, provided meaningful information to classify complex image sets. The newly developed mathematical features were used as input to train a neural network that provided a robust method of individual image classification. The ability for researchers to make determinations concerning image classification while minimizing human bias is an important advancement for the field of tight junction cellular biology.


Assuntos
Actinas/metabolismo , Claudina-1/metabolismo , Processamento de Imagem Assistida por Computador/métodos , Junções Íntimas/metabolismo , Proteína da Zônula de Oclusão-1/metabolismo , Animais , Linhagem Celular , Citocalasina D/metabolismo , Citoesqueleto/metabolismo , Cães , Células Epiteliais/citologia , Células Epiteliais/metabolismo , Imunofluorescência/métodos , Células Madin Darby de Rim Canino , Computação Matemática , Modelos Teóricos
4.
NCHS Data Brief ; (478): 1-8, 2023 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-37642973

RESUMO

In 2021, 140 million emergency department (ED) visits occurred in the United States (1). During that year, about 4% of children had two or more ED visits in the past 12 months, and 18% of adults had visited the ED in the past 12 months (2,3). This report presents characteristics of ED visits by age group, sex, race and ethnicity, insurance, and mentions of COVID-19, using data from the 2021 National Hospital Ambulatory Medical Care Survey (NHAMCS) (4).


Assuntos
COVID-19 , Adulto , Criança , Estados Unidos/epidemiologia , Humanos , COVID-19/epidemiologia , Serviço Hospitalar de Emergência , Etnicidade
5.
NCHS Data Brief ; (452): 1-8, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36453979

RESUMO

In 2020, an estimated 131 million emergency department (ED) visits occurred in the United States, with 19.0% of adults reporting a visit and 4.7% of children reporting two or more visits in the past 12 months (1-3). In that time, over 20 million cases of COVID-19 caused a disruption in access to and use of care (4). This report presents characteristics of ED visits, including those with mentions of COVID-19, by age group, sex, race and ethnicity, and primary expected source of payment, using data from the 2020 National Hospital Ambulatory Medical Care Survey (NHAMCS)(5).


Assuntos
COVID-19 , Adulto , Criança , Estados Unidos/epidemiologia , Humanos , COVID-19/epidemiologia , Serviço Hospitalar de Emergência , Etnicidade
6.
Gen Comp Endocrinol ; 167(1): 60-7, 2010 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-20178800

RESUMO

Selected physiological parameters were monitored over a 4-year period in the Barrow Island euro, Macropus robustus isabellinus, in Western Australia in a study of this species' homeostatic capabilities in an extremely arid habitat where individuals are exposed to high environmental temperatures and a lack of free water for much of the year. Evidence was found of a significant change in the animal's milieu intérieur on only one occasion on Barrow Island: in November 1994, following a protracted 8-month drought. Euros had significantly elevated levels of plasma osmolality, cortisol, anti-diuretic hormone (lysine vasopressin - LVP), and a reduced eosinophil count. This suggests that these animals may have been dehydrated, despite the operation of appropriate physiological responses to water deprivation. Lower eosinophil counts also suggest that immune function may have been suppressed as a result of the elevated corticosteroid levels. Comparisons with the mainland sub-species of the euro revealed the presence of a non-generative normocytic hypochromic anaemia in Barrow Island euros that potentially compromises their aerobic capacity. Barrow Island is Australia's most important A Class Reserve, harbouring 8 species of marsupials, 4 of which are now extinct, or virtually so, on the adjacent mainland. This study reveals the remarkable effectiveness of the euro's homeostatic capacities, however, its future conservation depends on ensuring that potential stress due to declining water availability and environmental change is avoided.


Assuntos
Macropodidae/metabolismo , Estresse Fisiológico , Animais , Água Corporal/metabolismo , Secas , Geografia , Hidrocortisona/metabolismo , Lipressina/metabolismo , Macropodidae/fisiologia , Concentração Osmolar , Radioimunoensaio
7.
J Cell Biol ; 151(4): 739-48, 2000 Nov 13.
Artigo em Inglês | MEDLINE | ID: mdl-11076960

RESUMO

Cytoplasmic dynein is the only known kinetochore protein capable of driving chromosome movement toward spindle poles. In grasshopper spermatocytes, dynein immunofluorescence staining is bright at prometaphase kinetochores and dimmer at metaphase kinetochores. We have determined that these differences in staining intensity reflect differences in amounts of dynein associated with the kinetochore. Metaphase kinetochores regain bright dynein staining if they are detached from spindle microtubules by micromanipulation and kept detached for 10 min. We show that this increase in dynein staining is not caused by the retraction or unmasking of dynein upon detachment. Thus, dynein genuinely is a transient component of spermatocyte kinetochores. We further show that microtubule attachment, not tension, regulates dynein localization at kinetochores. Dynein binding is extremely sensitive to the presence of microtubules: fewer than half the normal number of kinetochore microtubules leads to the loss of most kinetochoric dynein. As a result, the bulk of the dynein leaves the kinetochore very early in mitosis, soon after the kinetochores begin to attach to microtubules. The possible functions of this dynein fraction are therefore limited to the initial attachment and movement of chromosomes and/or to a role in the mitotic checkpoint.


Assuntos
Dineínas/fisiologia , Cinetocoros/fisiologia , Microtúbulos/fisiologia , Espermatócitos/citologia , Animais , Ciclo Celular/fisiologia , Dineínas/análise , Gafanhotos , Cinetocoros/ultraestrutura , Masculino , Metáfase , Microtúbulos/ultraestrutura , Espermatócitos/fisiologia , Espermatócitos/ultraestrutura , Estresse Mecânico
8.
Science ; 221(4606): 152-4, 1983 Jul 08.
Artigo em Inglês | MEDLINE | ID: mdl-17769213

RESUMO

Nitrogen fixation, apparently by bacterial endosymbionts, is associated with intertwining chains of two species of the diatom Rhizosolenia. In situ fixation rates were enhanced by incubation in the dark, whereas concurrent shipboard experiments either underestimated or did not detect nitrogen fixation. This is the first example of nitrogen fixation associated with a bacteria-diatom symbiosis in the pelagic zone, and it indicates that these systems may contribute a significant amount of "new" nitrogen to oligotrophic waters.

9.
Science ; 249(4970): 778-81, 1990 Aug 17.
Artigo em Inglês | MEDLINE | ID: mdl-17756791

RESUMO

A bioluminescent reporter plasmid for naphthalene catabolism (pUTK21) was developed by transposon (Tn4431) insertion of the lux gene cassette from Vibrio fischeri into a naphthalene catabolic plasmid in Pseudomonas fluorescens. The insertion site of the lux transposon was the nahG gene encoding for salicylate hydroxylase. Luciferasemediated light production from P. fluorescens strains harboring this plasmid was induced on exposure to naphthalene or the regulatory inducer metabolite, salicylate. In continuous culture, light induction was rapid (15 minutes) and was highly responsive to dynamic changes in naphthalene exposure. Strains harboring pUTK21 were responsive to aromatic hydrocarbon contamination in Manufactured Gas Plant soils and produced sufficient light to serve as biosensors of naphthalene exposure and reporters of naphthalene biodegradative activity. The robust and sensitive nature of the bioluminescent reporter technology suggests that new sensing methods can be developed for on-line process monitoring and control in complex environmental matrices.

10.
Environ Monit Assess ; 157(1-4): 137-49, 2009 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-19023672

RESUMO

Given the alarming global rates of mangrove forest loss it is important that resource managers have access to updated information regarding both the extent and condition of their mangrove forests. Mexican mangroves in particular have been identified as experiencing an exceptional high annual rate of loss. However, conflicting studies, using remote sensing techniques, of the current state of many of these forests may be hindering all efforts to conserve and manage what remains. Focusing on one such system, the Teacapán-Agua Brava-Las Haciendas estuarine-mangrove complex of the Mexican Pacific, an attempt was made to develop a rapid method of mapping the current condition of the mangroves based on estimated LAI. Specifically, using an AccuPAR LP-80 Ceptometer, 300 indirect in situ LAI measurements were taken at various sites within the black mangrove (Avicennia germinans) dominated forests of the northern section of this system. From this sample, 225 measurements were then used to develop linear regression models based on their relationship with corresponding values derived from QuickBird very high resolution optical satellite data. Specifically, regression analyses of the in situ LAI with both the normalized difference vegetation index (NDVI) and the simple ration (SR) vegetation index revealed significant positive relationships [LAI versus NDVI (R (2) = 0.63); LAI versus SR (R (2) = 0.68)]. Moreover, using the remaining sample, further examination of standard errors and of an F test of the residual variances indicated little difference between the two models. Based on the NDVI model, a map of estimated mangrove LAI was then created. Excluding the dead mangrove areas (i.e. LAI = 0), which represented 40% of the total 30.4 km(2) of mangrove area identified in the scene, a mean estimated LAI value of 2.71 was recorded. By grouping the healthy fringe mangrove with the healthy riverine mangrove and by grouping the dwarf mangrove together with the poor condition mangrove, mean estimated LAI values of 4.66 and 2.39 were calculated, respectively. Given that the former healthy group only represents 8% of the total mangrove area examined, it is concluded that this mangrove system, considered one of the most important of the Pacific coast of the Americas, is currently experiencing a considerable state of degradation. Furthermore, based on the results of this investigation it is suggested that this approach could provide resource managers and scientists alike with a very rapid and effective method for monitoring the state of remaining mangrove forests of the Mexican Pacific and, possibly, other areas of the tropics.


Assuntos
Avicennia/crescimento & desenvolvimento , Monitoramento Ambiental/métodos , Geografia , Folhas de Planta/crescimento & desenvolvimento , México , Oceano Pacífico , Rhizophoraceae/crescimento & desenvolvimento
11.
FEBS Lett ; 249(2): 357-61, 1989 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-2544456

RESUMO

We investigated the effects of CGRP on glucose metabolism in intact rat skeletal muscle preparations that are largely composed of either type I (soleus) or II fibres (e.g. extensor digitorum longus (EDL) or epitrochlearis muscles). CGRP-1 inhibited insulin-stimulated glycogen synthesis in both soleus and EDL muscle preparations. Rat CGRP-1 was a potent stimulator of glycogenolysis only in muscles composed of type II fibres, which depend on high rates of glycogenolysis to produce high power outputs. These results may provide the basis for understanding how CGRP regulate glycogenolysis in type II fibres in vivo.


Assuntos
Glicogênio/metabolismo , Músculos/metabolismo , Neuropeptídeos/farmacologia , Animais , Peptídeo Relacionado com Gene de Calcitonina , AMP Cíclico/análise , Relação Dose-Resposta a Droga , Glicogênio/biossíntese , Técnicas In Vitro , Insulina/farmacologia , Lactatos/biossíntese , Masculino , Músculos/efeitos dos fármacos , Ratos , Ratos Endogâmicos
12.
Am J Med ; 97(4): 323-31, 1994 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-7942933

RESUMO

PURPOSE: The aim of this study was to define the effects of unmodified niacin on basal lipids and lipoproteins and on the plasma triglyceride response to a fatty meal--postprandial or alimentary lipemia--in individuals with low levels of high-density lipoprotein cholesterol (HDL-C) and normal fasting cholesterol and triglyceride concentrations (normolipidemic hypoalphalipoproteinemia, isolated low HDL-C). PATIENTS AND METHODS: Twenty-eight normolipidemic men (total plasma cholesterol concentration [TC] < 230 mg/dL [< 6 mmol/L], plasma triglyceride [Tg] < 250 mg/dL [2.75 mmol/L]) with low plasma concentrations of HDL-C were randomly assigned to increasing doses of crystalline niacin (up to 3,000 mg/d) or no drug for 12 weeks, then crossed over to the alternate regimen. Outcome measures included changes in plasma lipoproteins and alimentary lipemia. RESULTS: Fifteen participants completed the study. Mean baseline HDL-C +/- SD was 31.7 +/- 6.2 mg/dL (0.82 +/- 0.16 mmol/L). Mean baseline TC, plasma concentration of low-density lipoprotein cholesterol (LDL-C), and Tg were 192 +/- 29.4 mg/dL (4.97 +/- 0.76 mmol/L), 123 +/- 27 mg/dL (3.17 +/- 0.69 mmol/L), and 197 +/- 75 mg/dL (2.17 +/- 0.83 mmol/L), respectively. Unmodified niacin treatment resulted in significant (P < 0.001) reductions of 14% in TC (to 165 mg/dL, 4.26 mmol/L), 40% in Tg (to 119 mg/dL, 1.31 mmol/L), and 18% in LDL-C (to 101 mg/dL, 2.60 mmol/L) and significant increases of 30% in HDL-C (to 42 mg/dL, 1.07 mmol/L), 100% in HDL2 cholesterol (from 5 mg/dL to 9 mg/dL, 0.12 mmol/L to 0.24 mmol/L), and 21% in HDL3 cholesterol (from 27 mg/dL to 33 mg/dL, 0.70 mmol/L to 0.85 mmol/L). Unmodified niacin treatment reduced alimentary lipemia by 45% (P < 0.02). CONCLUSIONS: Crystalline niacin effectively raises HDL-C, lowers LDL-C, and reduces alimentary lipemia in patients with isolated low HDL-C. However, many patients have difficulty tolerating the drug, and supervision may be required to sustain patient compliance and avoid toxicity.


Assuntos
Hipolipoproteinemias/tratamento farmacológico , Lipídeos/sangue , Lipoproteínas HDL/sangue , Niacina/farmacologia , Gorduras na Dieta/administração & dosagem , Jejum , Genfibrozila/farmacologia , Humanos , Lipoproteínas HDL/efeitos dos fármacos , Masculino , Pessoa de Meia-Idade , Niacina/uso terapêutico , Fatores de Tempo , Resultado do Tratamento , Triglicerídeos/sangue
13.
Brain Res Bull ; 24(3): 429-36, 1990 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-2337822

RESUMO

The toxicity (lethality, acute toxic signs and body weight loss) of the irreversible ChE inhibitor soman was assessed in four groups of male rats differing in age: 30, 60, 120 and 240 days old. Plasma and brain regional ChE activity profiles were also studied in these groups. All measures of the toxicity of soman were found to increase with age. The calculated 24-hr LD50s were 110, 87, 66 and 59 micrograms/kg, IM, for 30-, 60-, 120- and 240-day-old rats, respectively. A significant and positive age-related effect on toxic sign rating scores was observed at one hr following soman injection. Furthermore, during a 14-day postsoman observation period, it was observed that young rats had less initial weight loss and more rapid, sustained recovery of growth than older animals. Survivors from the two oldest age groups did not recover to baseline body weights by the end of the 14-day observation period. Basal level of plasma ChE activity did not change significantly with age, while brain regional ChE showed two distinct age-dependent patterns: a linear decrease in the brainstem, midbrain and cerebellum and an inverted U-shaped change in the cortex, hippocampus and striatum. Our data suggest a relationship between soman toxicity and the aging process, but fails to demonstrate a definite relationship between soman toxicity and basal ChE activity in blood and brain of rats.


Assuntos
Envelhecimento/metabolismo , Encéfalo/enzimologia , Colinesterases/metabolismo , Soman/toxicidade , Animais , Encéfalo/efeitos dos fármacos , Encéfalo/crescimento & desenvolvimento , Inibidores da Colinesterase/farmacologia , Dose Letal Mediana , Masculino , Tamanho do Órgão/efeitos dos fármacos , Ratos
14.
Pathology ; 26(2): 90-3, 1994 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-8090601

RESUMO

Current problems in the pathological assessment and subclassification of ductal carcinoma in situ of the breast are reviewed, both in its pure form and in association with invasive disease. The different clinical significance of these 2 types of presentations is emphasized, with particular reference to breast-conserving surgery. Adherence to the variably defined concept of extensive intraductal component may not be necessary if completeness of excision of intraductal disease can be demonstrated. A uniform approach is presented for the examination of surgical margins around intraductal carcinoma, regardless of the presence of invasion, using radiological-pathological correlation of sliced specimens.


Assuntos
Neoplasias da Mama/diagnóstico por imagem , Neoplasias da Mama/cirurgia , Carcinoma Ductal de Mama/patologia , Carcinoma Intraductal não Infiltrante/patologia , Neoplasias da Mama/patologia , Carcinoma in Situ/diagnóstico por imagem , Carcinoma in Situ/patologia , Carcinoma in Situ/cirurgia , Carcinoma Ductal de Mama/diagnóstico por imagem , Carcinoma Ductal de Mama/cirurgia , Carcinoma Intraductal não Infiltrante/diagnóstico por imagem , Carcinoma Intraductal não Infiltrante/cirurgia , Feminino , Humanos , Mamografia , Mastectomia , Fatores de Risco , Manejo de Espécimes
15.
Int J Cardiol ; 53 Suppl: S75-80, 1996 Apr 26.
Artigo em Inglês | MEDLINE | ID: mdl-8793596

RESUMO

The effect of agonists of the known protease activated receptors (PAR), the thrombin and the PAR-2 receptors, on vasoactive mediator release and vascular tone were studied using rings of rat aorta. Stimulation of aortic rings with the thrombin receptor agonist, Trap-14, or the PAR-2 agonist, SLIGRL, resulted in a rapid release of nitric oxide. Trap-14 and SLIGRL-induced nitric oxide release was reduced by pre-treatment with BQ-788, an ETB endothelin receptor-specific antagonist. Consistent with a role for endothelin-1 receptor activation in Trap-14 and SLIGRL-induced nitric oxide release, endothelin-1 levels were increased significantly following 5 min treatment of aortic rings with Trap-14 or SLIGRL. Cumulative addition of Trap-14 to aortic rings denuded of endothelium resulted in dose-dependent contraction with an EC50 value of 23 +/- 5 microM, whereas SLIGRL addition failed to induce aortic contraction. These data suggest that the known protease activated receptors are functionally coupled to nitric oxide release. In addition, the thrombin receptor appears to modulate both vasodilator and contractile responses, whereas the PAR-2 receptor is linked only to vasodilation.


Assuntos
Aorta Torácica/fisiologia , Receptores de Superfície Celular/fisiologia , Receptores de Trombina/fisiologia , Animais , Masculino , Músculo Liso Vascular/efeitos dos fármacos , Óxido Nítrico/metabolismo , Oligopeptídeos/farmacologia , Fragmentos de Peptídeos/farmacologia , Ratos , Ratos Sprague-Dawley , Receptor de Endotelina A , Receptor PAR-2 , Receptores de Superfície Celular/efeitos dos fármacos , Receptores de Endotelina/fisiologia , Receptores de Trombina/efeitos dos fármacos , Vasodilatação/fisiologia
16.
Biosci Rep ; 4(4): 335-42, 1984 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-6733258

RESUMO

A simple method is described for the electrofusion of plant protoplasts. Protoplasts were aggregated in a radio-frequency field (10 V RMS, 0.5 MHz) for 15-30 s with an inter-electrode distance of 5 mm. They were then fused with a 300-V DC pulse. The protoplasts were able to divide after this treatment. A transferrable electrode permitted electrofusion of 1-ml volumes of culture in standard tissue-culture dishes in about 20 s.


Assuntos
Plantas/ultraestrutura , Protoplastos , Fusão Celular , Eletricidade
17.
Laryngoscope ; 102(4): 379-87, 1992 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-1556886

RESUMO

Although computerized tomography (CT) is valuable for evaluating head and neck pathology, it can be suboptimal when evaluating the presence or extent of mandibular and maxillary involvement by tumor, infection, or other pathology. The presence of dental restoration artifact, CT gantry positioning problems, and the inability to obtain cross-sectional images will diminish the accuracy of standard CT images. A program, termed either DentaScan or multiplanar reformation (CT/MPR), eliminates these problems by processing axial CT scan information to obtain true cross-sectional images and panoramic views of the mandible and maxilla. In this study, DentaScan imagery was used in 26 patients whose mandibles or maxillas were affected by tumor, osteomyelitis, or other pathology. CT scanning with multiplanar reformation proved useful in the precise location, assessment, monitoring, and treatment of various pathologies of the mandible and maxilla. Selected case studies illustrate the therapeutic implications and advantages of this new imaging technique.


Assuntos
Doenças Mandibulares/diagnóstico por imagem , Doenças Maxilares/diagnóstico por imagem , Intensificação de Imagem Radiográfica/métodos , Tomografia Computadorizada por Raios X/métodos , Idoso , Carcinoma de Células Escamosas/diagnóstico por imagem , Carcinoma de Células Escamosas/secundário , Dor Facial/diagnóstico por imagem , Feminino , Humanos , Cistos Maxilomandibulares/diagnóstico por imagem , Masculino , Neoplasias Mandibulares/diagnóstico por imagem , Neoplasias Maxilares/diagnóstico por imagem , Pessoa de Meia-Idade , Invasividade Neoplásica , Osteomielite/diagnóstico por imagem , Osteorradionecrose/diagnóstico por imagem
18.
Laryngoscope ; 104(4): 404-8, 1994 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-8164477

RESUMO

For some patients, traditional or functional endoscopic sinus surgery (FESS) fails to relieve persistent or recurrent sinus disease. This subset of patients may require revision surgery. The objective of this study was to define and evaluate which features of sinus disease and prior treatment were characteristic of patients requiring revision FESS. Within a series of 295 consecutive FESS procedures, 43 patients who had prior sinus surgery and required revision FESS were studied and followed for a mean 14.1-month period. The characteristics of 13 patients with persistent disease following revision FESS and the potential technical risks and complications encountered were also evaluated. This study concludes that revision FESS is a safe technique that was effective in 69.8% of the patients, and that certain factors may predict a poor surgical outcome.


Assuntos
Endoscopia , Sinusite/cirurgia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Terapia Combinada , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Período Pós-Operatório , Cuidados Pré-Operatórios , Recidiva , Reoperação , Sinusite/complicações , Sinusite/diagnóstico , Sinusite/tratamento farmacológico , Procedimentos Cirúrgicos Operatórios/métodos , Resultado do Tratamento
19.
Pharmacol Biochem Behav ; 27(1): 81-5, 1987 May.
Artigo em Inglês | MEDLINE | ID: mdl-3615551

RESUMO

The effectiveness of drugs as unconditioned stimuli (UCSs) in the conditioned taste aversion (CTA) procedure may be influenced by specific pharmacological antagonism. The present studies examined the UCS effects of two carbamates, physostigmine salicylate (PS) and pyridostigmine bromide (PB), and three anticholinergic compounds, atropine methyl nitrate (AMN), atropine sulfate (AS), and benactyzine hydrochloride (BH). Individual drugs, as well as combinations of the carbamates and the anticholinergics, were studied in a two-bottle procedure in rats. The lowest effective doses for eliciting significant CTAs were PS, 0.32 mg/kg; PB, 1.00 mg/kg; AMN, 0.04 mg/kg; AS, 0.07 mg/kg and BH, 0.90 mg/kg, IP. Combinations of PS with either AMN or BH were mutually antagonistic as UCSs, whereas PS with AS was not. PB with AMN, but not with AS, also showed antagonism in the procedure. The present results suggest that the CTA procedure is well-suited for direct examination of cholinergic drug effects and may also be used to explore interactions of different classes of cholinergic drugs.


Assuntos
Atropina/farmacologia , Aprendizagem da Esquiva/efeitos dos fármacos , Condicionamento Clássico/efeitos dos fármacos , Parassimpatomiméticos/farmacologia , Paladar/efeitos dos fármacos , Animais , Benactizina/farmacologia , Masculino , Fisostigmina/farmacologia , Brometo de Piridostigmina/farmacologia , Ratos , Sacarina
20.
In Vivo ; 8(6): 975-82, 1994.
Artigo em Inglês | MEDLINE | ID: mdl-7772749

RESUMO

A preclinical toxicology study of intraperitoneally administered liposome encapsulated doxorubicin and free doxorubicin was carried out in beagle dogs. Dogs received single intraperitoneal infusions of 1.5 mg free or 1.5, 2.25 or 3.37 mg liposomal doxorubicin/kg. One group of four dogs received 1.5 mg liposomal doxorubicin/kg every three weeks for 4 cycles. The dose limiting toxicity of free or liposomal doxorubicin given by the intraperitoneal route was a dose-related chemical peritonitis. This toxicity was more severe in dogs that received by the intraperitoneal route the previously determined maximally tolerated intravenous dose of liposomal doxorubicin (2.25 mg/kg). The abdominal toxicity was characterized by capsular fibrosis and ascites formation. Abdominal toxicity was life threatening after single doses of 3.37 mg liposomal doxorubicin kg, or after multiple (4) doses of 1.5 mg liposomal doxorubicin/kg. Thoracic toxicity (increased fluid, mediastinal edema, thickening of the parietal pleura) was seen after multiple (every 3 weeks for 4 cycles) intraperitoneal doses of 1.5 mg or single doses of 3.37 mg liposomal doxorubicin/kg. Myelosuppression was seen in all groups, but was less severe after intraperitoneal dosage than after intravenous dosage of liposomal doxorubicin.


Assuntos
Doxorrubicina/toxicidade , Animais , Cães , Relação Dose-Resposta a Droga , Doxorrubicina/administração & dosagem , Doxorrubicina/farmacologia , Portadores de Fármacos , Avaliação Pré-Clínica de Medicamentos , Feminino , Injeções Intraperitoneais , Contagem de Leucócitos/efeitos dos fármacos , Lipossomos , Masculino , Cavidade Peritoneal/patologia
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