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1.
Anim Biotechnol ; 34(4): 947-954, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34842492

RESUMO

Copy number variation (CNV) is one kind of genomic structure variations and presents as gains and losses of genomic fragments. More recently, we have made an atlas of CNV maps for livestock. In the future, it is a primary focus to determine the phenotypic effects of candidate CNVs. Lysine Acetyltransferase 6 A (KAT6A) is a protein coding gene and plays a critical role in many cellular processes. However, the effects of KAT6A CNVs on sheep body measurements remains unknown. In this study, we performed quantitative polymerase chain reaction (qPCR) to detect the presences and distributions of three CNV regions within KAT6A gene in 672 sheep from four Chinese breeds. Association analysis indicated that the three CNVs of KAT6A gene were significantly associated with body measurement(s) in Small-tailed Han sheep (STH) and Hu sheep (HU) (p < 0.05), while no effects on Large-tailed Han sheep (LTH) were observed (p > 0.05) were observed. Additionally, only one CNV was significantly associated with body measurement (body length) in Chaka sheep (CK) (p < 0.05). Our study provided evidence that the CNV(s) of KAT6A gene could be used as candidate marker(s) for molecular breedings of STH, HU, and CK breeds.


Assuntos
Variações do Número de Cópias de DNA , Genoma , Ovinos/genética , Animais , Variações do Número de Cópias de DNA/genética , Genômica , Gado/genética
2.
J Clin Pharm Ther ; 47(7): 995-1001, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35233796

RESUMO

WHAT IS KNOWN AND OBJECTIVE: This study aimed to explore methods to optimize the function of Drug and Therapeutics Committees (DTCs) in controlling irrational drug use. Clinical pharmacologists contribute their specific knowledge and skills to DTCs and help guide rational therapeutics. The DTC is the highest organization of hospital pharmacy management. METHODS: From January 2016 to August 2021, the DTC promoted the optimization of clinical drug treatment schemes and reduced unreasonable drug use by improving the organizational framework, clarifying the division of functions, regularly monitoring drug use, organizing expert comments, scientific decision-making and functional intervention. During this time, we statistically analysed typical management cases, irrational drug use and drug cost to evaluate the effectiveness of the DTC's management. RESULTS AND DISCUSSION: The DTC's intervention led to a significant reduction in prescribing errors (65.98%, p < 0.05); the intervention acceptance rate increased by 16.37%; and the rate of problem resolution increased by 45.84% (p < 0.05). The level of drug treatment was improved, and the proportion of patients' drug expenses was reduced. WHAT IS NEW AND CONCLUSION: The DTC carried out a series of continuous improvement work that played a significant normative role in clinical drug use. Giving more power to the DTCs can significantly improve the level of drug treatment and reduce unreasonable drug use, which reduces unnecessary drug expenses.


Assuntos
Comitê de Farmácia e Terapêutica , Médicos , Humanos , Estudos Retrospectivos
3.
J Clin Pharm Ther ; 46(6): 1606-1612, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34312897

RESUMO

WHAT IS KNOWN AND OBJECTIVE: Prescribing errors are prevalent in hospital settings, with provision of feedback recommended to support prescribing by doctors. To evaluate the impact of a pharmacist-led prescription intervention system on prescribing error rates and to measure intervention efficiency. METHODS: All prescribers in Shandong Provincial Third Hospital received feedback from ward pharmacists using a pharmacist-led prescription intervention system. The prescribing error rate was calculated from Oct 2019 to December 2020. After the intervention was applied, the rates of PASS 1 (System pass), PASS 2 (Pharmacist pass) and PASS 3 (Pharmacist-doctor pass) events and the feedback time were calculated each month. RESULTS AND DISCUSSION: Irrational use of drugs was reduced and the prescription rate increased significantly. The error rate reduced from 6.94% to 1.96%, representing an estimated 71.76% decrease overall (p < 0.05). The PASS 1 rate gradually increased from 88% to 96% (p < 0.05), the PASS 2 rate gradually decreased from 5.06% to 2.04% (p < 0.05), the PASS 3 rate gradually decreased from 6.94% to 1.96% (p < 0.05). WHAT IS NEW AND CONCLUSION: The pharmacist-led prescription intervention system has the potential to reduce prescribing errors and improve prescribing outcomes and patient safety.


Assuntos
Prescrições de Medicamentos/normas , Prescrição Eletrônica/normas , Feedback Formativo , Erros de Medicação/prevenção & controle , Serviço de Farmácia Hospitalar/organização & administração , Humanos , Prescrição Inadequada/prevenção & controle , Farmacêuticos , Serviço de Farmácia Hospitalar/normas , Estudos Retrospectivos , Fatores de Tempo
4.
Nephrol Dial Transplant ; 33(11): 2012-2019, 2018 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-29462347

RESUMO

Background: Chronic kidney disease (CKD) is a common complication of diabetes, and requires long-term medical care. However, besides the blood glucose level, no reliable method is currently available to link the quality of care and the development of CKD. We therefore developed a long-term quality-of-care score for predicting the occurrence of CKD in patients with type 2 diabetes. Methods: In this retrospective cohort study, using Taiwan's Longitudinal Cohort of Diabetes Patients Database and the medical records in a medical center, we identified incident patients with type 2 diabetes during 1999-2003 and followed them until 2011. A quality-of-care score (from 0 to 8) was calculated according to process indicators (frequencies of HbA1c and lipid profile testing and urine, foot, and retinal examinations), intermediate outcome indicators (low-density lipoprotein, blood pressure, and HbA1c) and comorbidity of hypertension. We used Cox regression models to evaluate the association between the score and the incidence of CKD. Results: Of the 4754 patients enrolled, 1407 developed CKD after a mean follow-up of 9.06 years. Compared with the risk of developing a CKD event in patients with scores ≤2, the risk was 69% lower in those with quality-of-care scores ≥5 (hazard ratio [HR] 0.31; 95% confidence interval [CI] 0.25-0.40) and 33% lower in those with scores between 3 and 4 (HR 0.67; 95% CI 0.59-0.77). Conclusions: Good quality of care can reduce the risk of CKD in patients with type 2 diabetes. The score developed in this study had a significant association with the risk of CKD and thus can be applied to guide the care for these patients.


Assuntos
Diabetes Mellitus Tipo 2/complicações , Diabetes Mellitus Tipo 2/terapia , Qualidade da Assistência à Saúde/normas , Insuficiência Renal Crônica/epidemiologia , Adulto , Idoso , Pressão Sanguínea/fisiologia , Estudos de Coortes , Comorbidade , Feminino , Hemoglobinas Glicadas/análise , Humanos , Hipertensão/complicações , Incidência , Lipídeos/análise , Lipoproteínas LDL/análise , Masculino , Pessoa de Meia-Idade , Modelos de Riscos Proporcionais , Qualidade da Assistência à Saúde/estatística & dados numéricos , Insuficiência Renal Crônica/prevenção & controle , Estudos Retrospectivos , Taiwan/epidemiologia
5.
Arch Phys Med Rehabil ; 99(11): 2183-2189, 2018 11.
Artigo em Inglês | MEDLINE | ID: mdl-29803825

RESUMO

OBJECTIVE: To create a consensus statement on the considerations for treatment of anticoagulated patients with botulinum toxin A (BoNTA) intramuscular injections for limb spasticity. DESIGN: We used the Delphi method. SETTING: A multiquestion electronic survey. PARTICIPANTS: Canadian physicians (N=39) who use BoNTA injections for spasticity management in their practice. INTERVENTIONS: After the survey was sent, there were e-mail discussions to facilitate an understanding of the issues underlying the responses. Consensus for each question was reached when agreement level was ≥75%. MAIN OUTCOME MEASURES: Not applicable. RESULTS: When injecting BoNTA in anticoagulated patients: (1) BoNTA injections should not be withheld regardless of muscles injected; (2) a 25G or smaller size needle should be used when injecting into the deep leg compartment muscles; (3) international normalized ratio (INR) level should be ≤3.5 when injecting the deep leg compartment muscles; (4) if there are clinical concerns such as history of a fluctuating INR, recent bleeding, excessive or new bruising, then an INR value on the day of injection with point-of-care testing or within the preceding 2-3 days should be taken into consideration when injecting deep compartment muscles; (5) the concern regarding bleeding when using direct oral anticoagulants (DOACs) should be the same as with warfarin (when INR is in the therapeutic range); (6) the dose and scheduling of DOACs should not be altered for the purpose of minimizing the risk of bleeding prior to BoNTA injections. CONCLUSIONS: These consensus statements provide a framework for physicians to consider when injecting BoNTA for spasticity in anticoagulated patients. These consensus statements are not strict guidelines or decision-making steps, but rather an effort to generate common understanding in the absence of evidence in the literature.


Assuntos
Anticoagulantes/efeitos adversos , Toxinas Botulínicas Tipo A/administração & dosagem , Espasticidade Muscular/tratamento farmacológico , Fármacos Neuromusculares/administração & dosagem , Adulto , Toxinas Botulínicas Tipo A/efeitos adversos , Canadá , Consenso , Contraindicações de Medicamentos , Técnica Delphi , Feminino , Hemorragia/induzido quimicamente , Humanos , Injeções Intramusculares , Coeficiente Internacional Normatizado , Perna (Membro) , Masculino , Pessoa de Meia-Idade , Músculo Esquelético , Agulhas , Fármacos Neuromusculares/efeitos adversos , Fatores de Risco , Inquéritos e Questionários
6.
Mol Phylogenet Evol ; 112: 148-157, 2017 07.
Artigo em Inglês | MEDLINE | ID: mdl-28476494

RESUMO

We investigated the species diversity and phylogeography of the Northeast Asian brown frogs allied to Rana dybowskii (the R. dybowskii species complex: R. dybowskii, R. pirica, and R. uenoi) using four mitochondrial and three nuclear loci. Phylogenetic analyses confirmed the existence of three distinct species in this complex; using extensive molecular data, we confirm the validity of Rana uenoi recognized as a distinct species, and infer R. dybowskii and R. pirica to be sister species. Also, we included populations from previously unsampled regions in Northeast China, and identified them to be R. dybowskii. While many species in Northeast Asia diverged due to Pleistocene glaciation, divergence-dating analyses inferred older, Miocene speciation in the R. dybowskii species complex. Ancestral area reconstruction identified the orogenic movement of the Changbai Mountain Range and the opening of the Sea of Japan/East Sea being major events influencing allopatric speciation.


Assuntos
Biodiversidade , Variação Genética , Filogeografia , Ranidae/classificação , Ranidae/genética , Animais , Ásia , Sequência de Bases , Teorema de Bayes , Núcleo Celular/genética , China , DNA Mitocondrial/genética , Redes Reguladoras de Genes , Japão , Funções Verossimilhança , Filogenia , Especificidade da Espécie , Fatores de Tempo
7.
Anesth Analg ; 125(6): 1969-1974, 2017 12.
Artigo em Inglês | MEDLINE | ID: mdl-28504988

RESUMO

BACKGROUND: We hypothesized that an epidural catheter placed in a lower vertebral interspace will require less medication for labor analgesia. METHODS: Nulliparous women requesting neuraxial labor analgesia were randomized to epidural catheter placement at the ultrasound-confirmed L1-2 or L4-5 interspace. Patient-controlled epidural analgesia and breakthrough manual epidural boluses of 10 mL of 0.125% bupivacaine with 50 µg of fentanyl or 8 mL of 2% lidocaine were utilized. Abdominal and perineal pain scores were assessed at 30 and 60 minutes after standardized initiation of epidural analgesia. Pain scores during pushing were assessed after delivery. The primary outcome was the proportion of patients requiring manual boluses and was compared using a χ test. Secondarily, we analyzed the number of boluses given in early (up to 4 hours before delivery) versus late labor using χ tests and the pain scores using Mann-Whitney U tests, with adjustment of P values for multiple testing. RESULTS: We analyzed 148 patients. Overall, the percentage of patients in the low versus high groups who required manual boluses was 46% vs 51% (P = 1.0). For the 56 patients in each group who delivered vaginally, 22 (52%) vs 20 (48%) manual boluses were given to the low epidural group in early versus late labor, compared to 9 (20%) vs 36 (80%) in the high epidural group (P = .014). There was no statistical difference in patient-controlled epidural analgesia requirements or patient satisfaction. Comparing the low versus high groups, the median (interquartile range) pain scores were: 3 (1, 6) vs 0 (0, 2) (P = .013) at 30 minutes and 1 (1, 3) vs 0 (0, 1) (P = .013) at 60 minutes for abdominal pain; 0 (0, 2) vs 1 (1, 3) (P = .36) and 0 (0, 1) vs 1 (1, 3) (P = .014) at these same time points for perineal pain; and 1 (0, 5) vs 0 (0, 3) (P = .9) for abdominal and 2 (0, 5) vs 4 (1, 8) (P = .025) for perineal pain during pushing. The percentage of patients who underwent instrumental delivery was 15% vs 5% (P = .06) for the low versus high group. CONCLUSIONS: An L4-5 epidural catheter initially provides less relief of abdominal pain but more relief of perineal labor pain. Patients with an L4-5 catheter require more manual boluses during early labor but less during late labor. The possible association of low epidural catheters with instrumental delivery merits further investigation.


Assuntos
Analgesia Epidural/métodos , Analgesia Obstétrica/métodos , Dor do Parto/diagnóstico , Dor do Parto/tratamento farmacológico , Vértebras Lombares , Paridade/efeitos dos fármacos , Adulto , Anestésicos Locais/administração & dosagem , Cateterismo/métodos , Cateteres de Demora , Feminino , Humanos , Gravidez , Método Simples-Cego
8.
Mol Phylogenet Evol ; 97: 69-75, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26748269

RESUMO

The Oriental fire-bellied toad (Bombina orientalis) is a commonly used study organism, but knowledge of its evolutionary history is incomplete. We analyze sequence data from four genetic markers (mtDNA genes encoding cytochrome c oxidase subunit I, cytochrome b, and 12S-16S rRNA; nuDNA gene encoding recombination activating gene 2) from 188 individuals across its range in Northeast Asia to elucidate phylogeographic patterns and to identify the historic events that shaped its evolutionary history. Although morphologically similar across its range, B. orientalis exhibits phylogeographic structure, which we infer was shaped by geologic, climatic, and anthropogenic events. Phylogenetic and divergence-dating analyses recover four genetically distinct groups of B. orientalis: Lineage 1-Shandong Province and Beijing (China); Lineage 2-Bukhan Mountain (Korea); Lineage 3-Russia, Northeast China, and northern South Korea; and Lineage 4-South Korea. Lineage 2 was previously unknown. Additionally, we discover an area of secondary contact on the Korean Peninsula, and infer a single dispersal event as the origin of the insular Jeju population. Skyline plots estimate different population histories for the four lineages: Lineages 1 and 2 experienced population decreases, Lineage 3 remained stable, while Lineage 4 experienced a sharp increase during the Holocene. The timing of the population expansion of Lineage 4 coincides with the advent of rice cultivation, which may have facilitated the increase in population size by providing additional breeding habitat.


Assuntos
Agricultura/história , Anuros/classificação , Anuros/genética , Atividades Humanas/história , Filogenia , Animais , Núcleo Celular/genética , China , Citocromos b/genética , DNA Mitocondrial/genética , Ecossistema , Complexo IV da Cadeia de Transporte de Elétrons/genética , História Antiga , Oryza , Filogeografia , Dinâmica Populacional , RNA Ribossômico/genética , República da Coreia , Federação Russa
9.
Can J Neurol Sci ; 43(1): 178-82, 2016 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26592430

RESUMO

OBJECTIVES: 1) Assess which electrodiagnostic studies Canadian clinicians use to aid in the diagnosis of carpal tunnel syndrome (CTS). 2) Assess whether Canadian clinicians follow the American Association of Neuromuscular & Electrodiagnostic Medicine/American Academy of Neurology/American Academy of Physical Medicine and Rehabilitation Practice Parameter for Electrodiagnostic Studies in CTS. 3) Assess how Canadian clinicians manage CTS once a diagnosis has been established. METHODS: In this prospective observational study, an electronic survey was sent to all members of the Canadian Neuromuscular Group (CNMG) and the Canadian Association of Physical Medicine and Rehabilitation (CAPM&R) Neuromuscular Special Interest Group. Questions addressed which electrodiagnostic tests were being routinely used for the diagnosis of carpal tunnel syndrome. Management recommendations for CTS was also explored. RESULTS: Of the 70 individuals who completed the survey, fourteen different nerve conduction study techniques were reported. Overall, 36/70 (51%) of participants followed the AANEM/AAN/AAPM&R Practice Parameter. The standard followed by the fewest of our respondents with 64% compliance (45/70) was the use of a standard distance of 13 to 14 cm with respect to the median sensory nerve conduction study. Regarding management, 99% would recommend splinting in the case of mild CTS. In moderate CTS, splinting was recommended by 91% of clinicians and 68% would also consider referral for surgery. In severe CTS, most recommended surgery (93%). CONCLUSIONS: There is considerable variability in terms of which electrodiagnostic tests Canadian clinicians perform for CTS. Canadian clinicians are encouraged to adhere to the AANEM/AAN/AAPM&R Practice Parameter for Electrodiagnostic Studies in CTS.


Assuntos
Síndrome do Túnel Carpal/diagnóstico , Síndrome do Túnel Carpal/terapia , Eletrodiagnóstico/estatística & dados numéricos , Fidelidade a Diretrizes/estatística & dados numéricos , Condução Nervosa/fisiologia , Contenções/estatística & dados numéricos , Canadá , Eletrodiagnóstico/métodos , Eletrodiagnóstico/normas , Humanos , Médicos/estatística & dados numéricos
10.
Med Sci Monit ; 21: 3291-7, 2015 Oct 30.
Artigo em Inglês | MEDLINE | ID: mdl-26516138

RESUMO

BACKGROUND: This study aimed to investigate the potential influence of microRNA-451 (miR-451) in drug resistances of the Paclitaxel-resistant breast cancer cell line by transfecting miR-451 mimics and miR-451 inhibitors to MCE-7, MCF-7/EPI, and MCF-7/DOC. MATERIAL AND METHODS: Real-time quantitative PCR (qRT-PCR) was performed for detecting whether transfected miR-451 mimics and miR-451 inhibitors could regulate the expression of miR-451 effectively. The apoptosis of the 3 cell lines was measured by applying Annexin V-APC/PI staining. Western blot was used for the detection of the protein expression of Bcl-2 and Caspase 3 after the transfection of miR-451 mimics /inhibitors. Bioinformatics analysis demonstrated that Bcl-2 protein is a potential target gene for miR-451. RESULTS: In comparison to the control group, after transfection with miR-451 mimics, there was a significant increase in miR-451 expression in MCF-7, MCF-7/EPI, and MCF-7/DOC. Cells in the three cell lines had increased apoptosis, Bcl-2 protein expression decreased significantly, and Caspase protein expression increased obviously. After the transfection with miR-451 inhibitors, miR-451 expression was significantly decreased and apoptosis in the 3 cell lines had no significant decrease compared with the control group. CONCLUSIONS: Increased miR-451 expression may negatively regulate Bcl-2 mRNA and protein expression, followed by affecting the protein expression of caspase 3, and accelerate the apoptosis in breast cancer, indicating that miR-451 might influence the drug resistances of the Paclitaxel-resistant breast cancer cell line.


Assuntos
Neoplasias da Mama/genética , Resistencia a Medicamentos Antineoplásicos/genética , MicroRNAs/genética , MicroRNAs/metabolismo , Paclitaxel/química , Antineoplásicos Fitogênicos/química , Apoptose , Caspase 3/metabolismo , Linhagem Celular Tumoral/efeitos dos fármacos , Proliferação de Células , Primers do DNA , Resistência a Múltiplos Medicamentos/genética , Feminino , Regulação Neoplásica da Expressão Gênica , Humanos , Células MCF-7/efeitos dos fármacos , Proteínas Proto-Oncogênicas c-bcl-2/metabolismo , Regulação para Cima
11.
Anal Chem ; 86(17): 8649-56, 2014 Sep 02.
Artigo em Inglês | MEDLINE | ID: mdl-25117509

RESUMO

Chemical composition distribution (CCD) is a fundamental metric for representing molecular structures of copolymers in addition to molecular weight distribution (MWD). Solvent gradient interaction chromatography (SGIC) is commonly used to separate copolymers by chemical composition in order to obtain CCD. The separation of polymer in SGIC is, however, not only affected by chemical composition but also by molecular weight and architecture. The ability to measure composition and MW simultaneously after separation would be beneficial for understanding the impact of different factors and deriving true CCD. In this study, comprehensive two-dimensional chromatography (2D) was coupled with infrared absorbance (IR5) and light scattering (LS) detectors for characterization of ethylene-propylene copolymers. Polymers were first separated by SGIC as the first dimension chromatography (D1). The separated fractions were then characterized by the second dimension (D2) size exclusion chromatography (SEC) with IR5 and LS detectors. The concentrations and compositions of the separated fractions were measured online using the IR5 detector. The MWs of the fractions were measured by the ratio of LS to IR5 signals. A metric was derived from online concentration and composition data to represent CCD breadth. The metric was shown to be independent of separation gradients for an "absolute" measurement of CCD breadth. By combining online composition and MW data, the relationship of MW as a function of chemical composition was obtained. This relationship was qualitatively consistent with the results by SEC coupled to IR5, which measures chemical composition as a function of logMW. The simultaneous measurements of composition and MW give the opportunity to study the SGIC separation mechanism and derive chain architectural characteristics of polymer chains.

12.
Arch Phys Med Rehabil ; 95(3): 418-28, 2014 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-24215989

RESUMO

OBJECTIVES: To estimate the prevalences of perceived honorary authorship and International Committee of Medical Journal Editors (ICMJE)-defined honorary authorship, and identify factors affecting each rate in the physical medicine and rehabilitation literature. DESIGN: Internet-based survey. SETTING: Not applicable. PARTICIPANTS: First authors of articles published in 3 major physical medicine and rehabilitation journals between January 2009 and December 2011 were surveyed in June and July 2012 (N=1182). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: The reported prevalences of perceived and ICMJE-defined honorary authorship were the primary outcome measures, and multiple factors were analyzed to determine whether they were associated with these measures. RESULTS: The response rate was 27.3% (248/908). The prevalences of perceived and ICMJE-defined honorary authorship were 18.0% (44/244) and 55.2% (137/248), respectively. Factors associated with perceived honorary authorship in the multivariate analysis included the suggestion that an honorary author should be included (P<.0001), being a medical resident or fellow (P=.0019), listing "reviewed manuscript" as 1 of the nonauthorship tasks (P=.0013), and the most senior author deciding the authorship order (P=.0469). Living outside North America was independently associated with ICMJE-defined honorary authorship (P=.0079) in the multivariate analysis. In the univariate analysis, indicating that the most senior author decided authorship order was significantly associated with ICMJE-defined honorary authorship (P=<.001). CONCLUSIONS: Our results suggest that honorary authorship does occur in a significant proportion of the physical medicine and rehabilitation literature. Additionally, we found several factors associated with perceived and ICMJE-defined honorary authorship and a discrepancy between the 2 rates. Further studies with larger response rates are recommended to further explore this topic.


Assuntos
Autoria/normas , Pesquisa Biomédica/organização & administração , Publicações Periódicas como Assunto/normas , Especialidade de Fisioterapia/organização & administração , Reabilitação , Bibliometria , Pesquisa Biomédica/normas , Políticas Editoriais , Humanos , Especialidade de Fisioterapia/normas
13.
Can J Anaesth ; 61(10): 916-21, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25056277

RESUMO

BACKGROUND: Extending the time a parturient is left sitting after induction of spinal anesthesia (i.e., the seated time) has had varying success in decreasing hypotension at Cesarean delivery. This may be due to the current lack of information concerning the dose-response relationship of seated time and rates of hypotension. METHODS: Term parturients scheduled for Cesarean delivery were randomized to receive 11.25 or 15.0 mg of 0.75% intrathecal hyperbaric bupivacaine, and they remained seated after injection for a length of time determined by an up-down sequential method. They were then placed in a wedged position and their blood pressure was measured every minute. Pre-delivery hypotension was considered present if there was a > 20% from baseline drop in systolic blood pressure. The seated time at which 50% of parturients avoided pre-delivery hypotension (median effective seated time) was determined with isotonic regression. RESULTS: Fifty patients were studied. For the 11.25-mg and 15.0-mg groups, the median effective seated time (95% confidence interval [CI]) was 130 sec (95% CI 117 to 150) and 385 sec (95% CI 381 to 396), respectively. CONCLUSIONS: There exists a seated time after intrathecal injection of hyperbaric bupivacaine where 50% of parturients do not experience hypotension. This seated time increases with an increased dose of bupivacaine. Further work is required to determine the full relationship between seated time and hypotension for other doses of anesthetic and to investigate the clinical utility of this technique for prevention of hypotension. This trial was registered at www.clinicaltrials.gov (NCT01561274).


Assuntos
Raquianestesia/métodos , Bupivacaína/administração & dosagem , Cesárea/métodos , Hipotensão/prevenção & controle , Adulto , Anestesia Obstétrica/efeitos adversos , Anestesia Obstétrica/métodos , Raquianestesia/efeitos adversos , Anestésicos Locais/administração & dosagem , Anestésicos Locais/efeitos adversos , Pressão Sanguínea , Bupivacaína/efeitos adversos , Relação Dose-Resposta a Droga , Feminino , Humanos , Hipotensão/induzido quimicamente , Injeções Espinhais , Gravidez , Fatores de Tempo
14.
World J Surg Oncol ; 12: 404, 2014 Dec 30.
Artigo em Inglês | MEDLINE | ID: mdl-25551472

RESUMO

BACKGROUND: An increasing number of evidence suggests that pancreatic cancer contains cancer stem cells (CSCs), which may be relevant to the resistance of chemotherapy. Latexin (Lxn) is a negative regulator of stem cell proliferation and we investigate the effects of Lxn on CD133+ pancreatic cancer stem-like cells. METHODS: CD133+ miapaca-2 cells, a human pancreatic carcinoma cell line, were isolated and sorted by magnetic activated cell sorting and flow cytometry. The capacity for self-renewal, proliferation, and tumorigenicity of CD133+ miapaca-2 cells was determined by the floating spheres test and tumor xenograft assays. Protein and mRNA expression of Lxn in CD133+ and CD133- miapaca-2 cells were detected by Western blotting and qRT-PCR, respectively. After CD133+ miapaca-2 cells were treated with Lxn in serum-free medium (SFM), cell proliferation was assayed with a Cell Counting Kit 8 (CCK-8) and apoptosis was analyzed by flow cytometry. The protein and mRNA expression levels of Bcl-2, bax, and c-myc were also analyzed. RESULTS: We successfully isolated CD133+ miapaca-2 cells that exhibited the capacity for self-renewal in SFM, a proliferation potential in DMEM supplemented with FBS, and high tumorigenicity in nude mice. Lxn protein and mRNA expression levels in CD133+ miapaca-2 cells were significantly lower than those in CD133- cells. Lxn-treated CD133+ miapaca-2 cells exhibited increased apoptosis and low proliferation activity, down-regulation of Bcl-2 and c-myc expression, and up-regulation of Bax expression in a dose-dependent manner. CONCLUSIONS: Lxn induces apoptosis and inhibits the proliferation of CD133+ miapaca-2 cells. These changes are associated with down-regulation of Bcl-2 and c-myc and up-regulation of Bax.


Assuntos
Antígenos CD/genética , Antígenos/genética , Regulação Neoplásica da Expressão Gênica , Glicoproteínas/genética , Células-Tronco Neoplásicas/patologia , Neoplasias Pancreáticas/genética , Peptídeos/genética , RNA Neoplásico/genética , Antígeno AC133 , Animais , Antígenos/biossíntese , Antígenos CD/metabolismo , Apoptose , Western Blotting , Linhagem Celular Tumoral , Proliferação de Células , Citometria de Fluxo , Glicoproteínas/metabolismo , Humanos , Masculino , Camundongos , Camundongos Nus , Neoplasias Experimentais , Células-Tronco Neoplásicas/metabolismo , Neoplasias Pancreáticas/metabolismo , Neoplasias Pancreáticas/patologia , Peptídeos/metabolismo , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Ensaios Antitumorais Modelo de Xenoenxerto
15.
Acta Anaesthesiol Belg ; 65(2): 55-9, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25223164

RESUMO

The increasing utilisation of the videolaryngoscope for awake tracheal intubation requires development and assessment of methods to decrease the gag reflex. We hypothesised that chewing gauze soaked with lidocaine would decrease the gag reflex during awake videolaryngoscope tracheal intubation. Twenty four morbidly obese patients assessed as having a potential difficult tracheal intubation were randomised to chew gauze soaked with 20 ml of 2% lidocaine or saline for 3 minutes. All patients then received 20 ml of aerosolised 2% lidocaine and underwent awake videolaryngoscope assisted tracheal intubation. Gagging scores, heart rate and blood pressure were assessed when best laryngeal view was obtained, when the tracheal tube was positioned at the cords, and when the tube was advanced into the trachea. In addition, serum lidocaine levels were measured. The primary outcome was the gagging score at best laryngeal visualisation, which was compared between groups with a Student's t-test. Gagging scores and hemodynamic parameters did not differ between groups, but the saline group had lower plasma levels of lidocaine after the intubation procedure. When used for awake videolaryngoscope assisted tracheal intubation of the morbidly obese, chewing lidocaine soaked gauze does not decrease the amount of gagging as compared to lidocaine aerosolisation, but does increase the plasma levels of lidocaine.


Assuntos
Intubação Intratraqueal/métodos , Laringoscopia , Lidocaína/administração & dosagem , Obesidade Mórbida , Cirurgia Vídeoassistida/métodos , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Vigília
16.
Front Med (Lausanne) ; 11: 1375325, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38808139

RESUMO

Adult respiratory distress syndrome due to viral pneumonia occurs predominantly in immunodeficient populations; adult respiratory distress syndrome secondary to human herpesvirus HHV-6 and HHV-7 pneumonia is extremely rare. Whipple's disease, caused by Tropheryma whipplei, a Gram-positive bacillus and obligate intracellular pathogen, is clinically challenging to diagnose. Whipple's disease is a chronic multisystem infectious disease caused by T. whipplei, most often affecting the gastrointestinal tract and joints, seldom the lungs. Both pathogens are opportunistic. We report a case of mixed infectious pneumonia in a patient with type 2 diabetes mellitus. The patient presented with dyspnea and intermittent fever. Imaging revealed multiple large patchy consolidations in the left lung. Routine anti-infective therapy was ineffective. Metagenomic next generation sequencing of bronchoalveolar lavage fluid indicated HHV-6 and HHV-7 pneumonia concurrent with T. whipplei and Streptococcus co-infections. Meropenem was administered to improve treatment. This case represents a rare mixed lung infection by multiple uncommon pathogens, and is of particular clinical significance.

17.
Food Chem ; 456: 139960, 2024 Oct 30.
Artigo em Inglês | MEDLINE | ID: mdl-38870809

RESUMO

Lipids are key aroma contributors in meat products. However, the role of different lipids in the presence of aroma compounds in roasted pigeons has not been studied. The formation of aroma compounds and lipids during the circulating non-fried roasting of pigeons was investigated. The results presented that 18 aroma compounds, including 5-methy-2,3-diethylpyrazine, were identified as key aroma compounds. A total of 6324 lipids were classed into 47 categories, such as phosphatidylcholine (PC), phosphatidylethanolamine (PE), and triglyceride (TG). Nine lipids, containing PA(P-20:0/22:4(7Z,10Z,13Z,16Z)) and LPC 16:0-SN1, showed promise as potential biomarkers for discriminating differential pigeons using OPLS-DA. PC (13.76%), TG (13.58%), and their products were major lipids, among which TG 16:0 16:0 18:2, LPC 18:2-SN1, and PC 18:1_18:1 played a crucial role in the presence of aroma compounds. Interestingly, the linoleic acid, an important aroma contributor, was predominantly bonded to the sn-2 position of phospholipid and sn-3 position of neutral lipids.


Assuntos
Columbidae , Culinária , Cromatografia Gasosa-Espectrometria de Massas , Odorantes , Animais , Odorantes/análise , Cromatografia Líquida de Alta Pressão , Compostos Orgânicos Voláteis/química , Lipídeos/química
18.
Food Res Int ; 192: 114816, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39147509

RESUMO

Lipids are the key matrix for the presence of odorants in meat products. The formation mechanism of odorants of air-fried (AF) pork at 230 °C was elucidated from the perspectives of lipids and heat transfer using physicochemical analyses and multidimensional statistics. Twenty-nine key aroma compounds were identified, with pyrazines predominantly contributing to the roasty aroma of air-fried roasted pork. Untargeted lipidomics revealed 1184 lipids in pork during roasting, with phosphatidylcholine (PC), phosphatidylethanolamine (PE), and triglyceride (TG) being the major lipids accounting for about 60 % of the total lipids. TG with C18 acyl groups, such as TG 16:1_18:1_18:2 and TG 18:0_18:0_20:3, were particularly significant in forming the aroma of AF pork. The OPLS-DA model identified seven potential biomarkers that differentiate five roasting times, including PC 16:0_18:3 and 2-ethyl-3,5-dimethylpyrazine. Notably, a lower specific heat capacity and water activity accelerated heat transfer, promoting the formation and retention of odorants in AF pork.


Assuntos
Culinária , Cromatografia Gasosa-Espectrometria de Massas , Odorantes , Culinária/métodos , Odorantes/análise , Animais , Suínos , Cromatografia Gasosa-Espectrometria de Massas/métodos , Cromatografia Líquida de Alta Pressão , Temperatura Alta , Pirazinas/análise , Lipídeos/análise , Produtos da Carne/análise , Triglicerídeos/análise , Lipidômica/métodos , Carne de Porco/análise
19.
Food Chem X ; 23: 101593, 2024 Oct 30.
Artigo em Inglês | MEDLINE | ID: mdl-39036480

RESUMO

Little information is known about the increased aroma compounds and possible mechanism in Tamarix ramosissima Ledeb roasted mutton (TRM). A comprehensive analysis of aroma compounds and lipids were firstly performed by lipidomics and sensomics approach. The results indicated that 9 out of 53 aroma compounds were considered as key odorants, including 5-methyl-2,3-diethylpyrazine. The roasted mutton contained highest levels of phosphatidylcholine (PC, 13.95%), triglyceride (TG, 13.50%), and phosphatidylethanolamine (PE, 12.25%). TG 18:0_18:0_18:1 and nine odorants were the potential biomarkers for discriminating differential samples due to variable importance in projection (VIP) > 1 and p < 0.05. PCs and TGs, including PC 21:0_13:1 and TG 16:0_18:1_18:1, might be predominantly responsible for the formation and retention of aroma compounds, respectively. This will clarify the enhanced effect of Tamarix ramosissima Ledeb on the presence of aroma compounds via lipid pathways in roasted mutton.

20.
Food Chem ; 461: 140948, 2024 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-39182334

RESUMO

Lipids play a significant role in aroma formation. However, lipid variations and their impact on aroma during the processing of quail meat remain unknown. Therefore, a comprehensive analysis of lipids and aroma compounds was conducted in circulating non-fried roasted quail meat. Nineteen odorants were identified as key aroma compounds in the roasted quail meat at 40 min with OAVs of >1. The concentrations of most key odorants significantly increased in circulating non-fried roasted (CNR) quail meat within the first 30 min of roasting, reaching maximum values at 40 min. Phospholipids, neutral lipids, and sphingolipids emerged as potential markers for distinguishing different samples. Neutral lipids had the highest peak areas and significantly contributed to the aroma retention. Phospholipids and neutral lipids with unsaturated fatty acids, particularly C18 acyl groups, played a crucial role in aroma formation. This study provides valuable insights into the role of lipids in determining aroma quality.


Assuntos
Culinária , Lipidômica , Lipídeos , Carne , Odorantes , Codorniz , Compostos Orgânicos Voláteis , Animais , Compostos Orgânicos Voláteis/química , Lipídeos/química , Odorantes/análise , Carne/análise , Cromatografia Gasosa-Espectrometria de Massas
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